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 (

Public Health Relevance

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.

Agency
National Institute of Health (NIH)
Institute
National Institute on Minority Health and Health Disparities (NIMHD)
Type
Comprehensive Center (P60)
Project #
5P60MD006923-02
Application #
8552071
Study Section
Special Emphasis Panel (ZMD1-RN)
Project Start
2013-02-01
Project End
2017-01-31
Budget Start
2013-02-01
Budget End
2014-01-31
Support Year
2
Fiscal Year
2013
Total Cost
$94,581
Indirect Cost
$33,165
Name
University of California Los Angeles
Department
Type
DUNS #
092530369
City
Los Angeles
State
CA
Country
United States
Zip Code
90095
Villatoro, Alice P; Dixon, Elizabeth; Mays, Vickie M (2016) Faith-based organizations and the Affordable Care Act: Reducing Latino mental health care disparities. Psychol Serv 13:92-104
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Cochran, Susan D; Björkenstam, Charlotte; Mays, Vickie M (2016) Sexual Orientation and All-Cause Mortality Among US Adults Aged 18 to 59 Years, 2001-2011. Am J Public Health 106:918-20
Cochran, Susan D; Mays, Vickie M (2015) Cochran and Mays Respond. Am J Public Health 105:e6
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
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Thorpe, Lorna E; Assari, Shervin; Deppen, Stephen et al. (2015) The role of epidemiology in disaster response policy development. Ann Epidemiol 25:377-86
Pachankis, John E; Cochran, Susan D; Mays, Vickie M (2015) The mental health of sexual minority adults in and out of the closet: A population-based study. J Consult Clin Psychol 83:890-901
Jones, Audrey L; Cochran, Susan D; Leibowitz, Arleen et al. (2015) Usual Primary Care Provider Characteristics of a Patient-Centered Medical Home and Mental Health Service Use. J Gen Intern Med 30:1828-36
Brownson, Ross C; Samet, Jonathan M; Chavez, Gilbert F et al. (2015) Charting a future for epidemiologic training. Ann Epidemiol 25:458-65

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