Abstract

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.

  Funding Agency

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

  Institution

Name
University of California Los Angeles
Department
Type
DUNS #
092530369
City
Los Angeles
State
CA
Country
United States
Zip Code
90095

  Publications

Mays, Vickie M; Juster, Robert-Paul; Williamson, Timothy J et al. (2018) Chronic Physiologic Effects of Stress Among Lesbian, Gay, and Bisexual Adults: Results From the National Health and Nutrition Examination Survey. Psychosom Med 80:551-563
Liang, Di; Mays, Vickie M; Hwang, Wei-Chin (2018) Integrated mental health services in China: challenges and planning for the future. Health Policy Plan 33:107-122
Assari, Shervin (2018) Educational Attainment Better Protects African American Women than African American Men Against Depressive Symptoms and Psychological Distress. Brain Sci 8:
Assari, Shervin; Mistry, Ritesh; Caldwell, Cleopatra Howard (2018) Perceived Discrimination and Substance Use among Caribbean Black Youth; Gender Differences. Brain Sci 8:
Assari, Shervin (2018) Suicide Attempts in Michigan HealthCare System; Racial Differences. Brain Sci 8:
Jones, Audrey L; Cochran, Susan D; Leibowitz, Arleen et al. (2018) Racial, Ethnic, and Nativity Differences in Mental Health Visits to Primary Care and Specialty Mental Health Providers: Analysis of the Medical Expenditures Panel Survey, 2010-2015. Healthcare (Basel) 6:
Montgomery, Tiffany M; Mays, Vickie M; Heilemann, MarySue V et al. (2018) Acceptability and Feasibility of a Sexual Health Intervention for Young Adult Black Women. J Obstet Gynecol Neonatal Nurs 47:862-873
Assari, Shervin (2018) Race, Intergenerational Social Mobility and Stressful Life Events. Behav Sci (Basel) 8:
Mays, Vickie M; Jones, Audrey L; Delany-Brumsey, Ayesha et al. (2017) Perceived Discrimination in Health Care and Mental Health/Substance Abuse Treatment Among Blacks, Latinos, and Whites. Med Care 55:173-181
Cochran, Susan D; Meyer, Ilan H; Mays, Vickie M (2017) Advancing the Health of Lesbian, Gay, and Bisexual Adults. JAMA Intern Med 177:288

Showing the most recent 10 out of 32 publications