The proposed K24 application is designed to support the career and research trajectory of the candidate by providing protected time to conduct patient-oriented research on interventions to reduce complications and deaths from diabetes in ethnic minority groups and mentor the next generation of women and minority clinical investigators in health disparities research.
The specific aims of the proposed K24 application will be accomplished by completing the following three objectives: Mentoring Objective: To increase the pool of clinical researchers who can conduct patient-oriented research and successfully compete for peer-reviewed grants, as well as mentor the next generation of women and minority clinical investigators, who are engaged in the national effort to reduce and eliminate health care disparities. This will be accomplished by mentoring 2 women/minority investigators each year for 5 years. Career Development Objective: To obtain additional training in clinical trials methodology, comparative effectiveness research and community-based participatory research, that would greatly enhance the candidate's research capability and make him a more effective mentor to trainees in clinical research. This will be accomplished by taking 2 courses a year in advanced statistics, decision analysis, informatics, bioethics, responsible conduct of research, and health economics. Research Objective: The primary objective is to test the efficacy of a technology-intensified diabetes education/skills training (TIDES) intervention using the FORA 2-in-1 Telehealth System for diabetes in improving HbA1c levels in AAs with poorly controlled T2DM. The secondary objectives are to test the efficacy of a technology-intensified diabetes education/skills training (TIDES) intervention using the FORA 2-in-1 and Telehealth System for diabetes in improving BP control and quality of life in AAs with poorly controlled T2DM. Exploratory analyses will examine improvements in self-care behaviors (i.e. diet, physical activity, self glucose monitoring, and medication adherence) and the role of self-care as mediators of metabolic control.

Public Health Relevance

Mentorship is an important component of career advancement in academic medicine. Several studies have established that lack of mentoring is a reason for poor career advancement and attrition, particularly among women and minority faculty. The candidate who has a track record of mentoring women and minority faculty would benefit from the protected time for mentoring afforded by the proposed K24 award, while allowing continued research to eliminate disparities in diabetes. The proposed K24 application is designed to support the career and research trajectory of the candidate by providing protected time to conduct patient-oriented research on interventions to reduce complications and deaths from diabetes in ethnic minority groups and mentor the next generation of women and minority clinical investigators in health disparities research.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Midcareer Investigator Award in Patient-Oriented Research (K24)
Project #
5K24DK093699-04
Application #
8715793
Study Section
Diabetes, Endocrinology and Metabolic Diseases B Subcommittee (DDK)
Program Officer
Hyde, James F
Project Start
2011-09-15
Project End
2016-07-31
Budget Start
2014-08-01
Budget End
2015-07-31
Support Year
4
Fiscal Year
2014
Total Cost
$139,536
Indirect Cost
$10,336
Name
Medical University of South Carolina
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
183710748
City
Charleston
State
SC
Country
United States
Zip Code
29425
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Hurt, Kathryn; Walker, Rebekah J; Campbell, Jennifer A et al. (2016) mHealth Interventions in Low and Middle-Income Countries: A Systematic Review. Glob J Health Sci 8:54429
Achuko, Obinna; Walker, Rebekah J; Campbell, Jennifer A et al. (2016) Pathways Between Discrimination and Quality of Life in Patients with Type 2 Diabetes. Diabetes Technol Ther 18:151-8
Winchester, Rhonda J; Williams, Joni S; Wolfman, Tamara E et al. (2016) Depressive symptoms, serious psychological distress, diabetes distress and cardiovascular risk factor control in patients with type 2 diabetes. J Diabetes Complications 30:312-7
Walker, Rebekah J; Strom Williams, Joni; Egede, Leonard E (2016) Influence of Race, Ethnicity and Social Determinants of Health on Diabetes Outcomes. Am J Med Sci 351:366-73
Campbell, Jennifer A; Walker, Rebekah J; Egede, Leonard E (2016) Associations Between Adverse Childhood Experiences, High-Risk Behaviors, and Morbidity in Adulthood. Am J Prev Med 50:344-52
Egede, Leonard E; Bishu, Kinfe G; Walker, Rebekah J et al. (2016) Impact of diagnosed depression on healthcare costs in adults with and without diabetes: United States, 2004-2011. J Affect Disord 195:119-26
Williams, Joni Strom; Walker, Rebekah J; Egede, Leonard E (2016) Achieving Equity in an Evolving Healthcare System: Opportunities and Challenges. Am J Med Sci 351:33-43
Ozieh, Mukoso N; Bishu, Kinfe G; Walker, Rebekah J et al. (2016) Geographic variation in access among adults with kidney disease: evidence from medical expenditure panel survey, 2002-2011. BMC Health Serv Res 16:585

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