Among African American women with diabetes who have inadequate glycemic control (A1c>8%) who receive care in community clinics in Los Angeles County, we propose to evaluate the impact of an intervention that identifies and supports intrinsic motivation for improved diabetes control through combined in-person, phone, and SMS contact and also, for one arm of the study, a behavioral economics intervention that uses monetary incentives to reward improved glycemic control. The randomized controlled trial (RCT), a multicomponent intervention to boost intrinsic motivation for improved glycemic control will randomize patients within participating clinics to one of three groups;1) Usual care (
Diabetes is a major public health problem that is associated with substantial health disparities for African American women compared to African American men or white men and women. This project will incorporate new technology whose use is high among African Americans (cell phone text message reminders) and strategies from the emerging field of behavioral economics to encourage and support self care behaviors that lead to improvements in diabetes control.
|Cochran, Susan D; Mays, Vickie M (2015) Mortality risks among persons reporting same-sex sexual partners: evidence from the 2008 General Social Survey-National Death Index data set. Am J Public Health 105:358-64|
|Swanson, Jeffrey W; McGinty, E Elizabeth; Fazel, Seena et al. (2015) Mental illness and reduction of gun violence and suicide: bringing epidemiologic research to policy. Ann Epidemiol 25:366-76|
|Villatoro, Alice P; Morales, Eduardo S; Mays, Vickie M (2014) Family culture in mental health help-seeking and utilization in a nationally representative sample of Latinos in the United States: The NLAAS. Am J Orthopsychiatry 84:353-63|
|Delany-Brumsey, Ayesha; Mays, Vickie M; Cochran, Susan D (2014) Does neighborhood social capital buffer the effects of maternal depression on adolescent behavior problems? Am J Community Psychol 53:275-85|
|Blosnich, John R; Mays, Vickie M; Cochran, Susan D (2014) Suicidality among veterans: implications of sexual minority status. Am J Public Health 104 Suppl 4:S535-7|
|Mays, Vickie M; Johnson, Denise; Coles, Courtney N et al. (2013) Using the Science of Psychology to Target Perpetrators of Racism and Race-Based Discrimination For Intervention Efforts: Preventing Another Trayvon Martin Tragedy. J Soc Action Couns Psychol 5:11-36|