Challenges Associated with Multi-institutional Multi-site Clinical Trial Collaborations: Lessons from a Diabetes Self-Management Interventions Study in Primary Care

Samuel N Forjuoh^1,2*, Janet W Helduser³, Jane N Bolin³ and Marcia G Ory²

¹Department of Family and Community Medicine, Baylor Scott and White Health, College of Medicine, Texas A&M Health Science Center, Temple, TX, USA, E-mail: janet.helduser@uphs.upenn.edu

²Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M Health Science Center, College Station, TX, USA, E-mail: janet.helduser@uphs.upenn.edu

³Department of Health Policy and Management, School of Public Health, Texas A&M Health Science Center, College Station, TX, USA, E-mail: janet.helduser@uphs.upenn.edu

^*Corresponding Author: Samuel N Forjuoh, Department of Family and Community Medicine, Texas A&M Health Science Center College of Medicine, Baylor Scott and White Health, Santa Fe – Century Square Building, 1402 West Ave H, Texas 76504, USA, Tel: +1-254-771-7695, Fax: +1-254-771-8493 Email: