Tricia S. Tang, Ph.D. is a junior faculty research investigator with research experience in cancer prevention and control among ethnic minorities. She is applying for a K23 award to support her decision to pursue a career in diabetes translation research among ethnic minority and other high-risk populations. Dr. Robert Anderson, an internationally known diabetes researcher, will serve as her mentor. In the Years 1-2, Dr. Tang will acquire a foundation in causes and treatment of diabetes, epidemiology, research methods, and biostatistics. In Years 1-5, she will conduct her proposed research described and utilize her data to prepare a R01/R18 submission. Diabetes is a chronic disease that incurs significant health, disability, and financial costs in the United States. African Americans are disproportionately affected by diabetes as they are two times more likely to have diabetes that their White counterparts and the suffer greater diabetes-related complications.1 Diabetes self-management interventions have shown to have only short-term positive effects on knowledge, blood glucose monitoring, dietary behavior, and glycemic control.2-5 This study will examine the efficacy of a community-based, self-management intervention (Lifelong Management) for urban adults (primarily African Americans) with type 2 diabetes that sustains, over the long-term diabetes-related health gains achieved by previous short-term patient education programs.
Specific aims :
Specific Aim 1 : To examine the relative efficacy of 6-months of the Lifelong Management (LM) intervention compared to 6-months of an attention-control period in improving glycemic control and quality of life for urban African-American adults with type 2 diabetes.
Specific Aim 2 : To investigate whether gains achieved from the first 6-months of the LM intervention are sustained or enhanced over the long-term (18-months).
Specific Aim 3 : To examine whether glycemic control and quality of life decline during the year following the end of the LM intervention.
Specific Aim 4 : To examine the costs and potential health care savings of the LM intervention.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
1K23DK068375-01A1
Application #
6920847
Study Section
Diabetes, Endocrinology and Metabolic Diseases B Subcommittee (DDK)
Program Officer
Hyde, James F
Project Start
2005-07-01
Project End
2010-06-30
Budget Start
2005-07-01
Budget End
2006-06-30
Support Year
1
Fiscal Year
2005
Total Cost
$116,604
Indirect Cost
Name
University of Michigan Ann Arbor
Department
Miscellaneous
Type
Schools of Medicine
DUNS #
073133571
City
Ann Arbor
State
MI
Country
United States
Zip Code
48109
Yeung, R O; Oh, M; Tang, T S (2014) Does a 2.5-year self-management education and support intervention change patterns of healthcare use in African-American adults with type 2 diabetes? Diabet Med 31:472-6
Tang, Tricia S; Funnell, Matthew M; Oh, Mary (2012) Lasting effects of a 2-year diabetes self-management support intervention: outcomes at 1-year follow-up. Prev Chronic Dis 9:E109
Tang, Tricia S; Funnell, Martha M; Noorulla, Salma et al. (2012) Sustaining short-term improvements over the long-term: results from a 2-year diabetes self-management support (DSMS) intervention. Diabetes Res Clin Pract 95:85-92
Tang, Tricia S; Funnell, Martha M; Gillard, Marylou et al. (2011) Training peers to provide ongoing diabetes self-management support (DSMS): results from a pilot study. Patient Educ Couns 85:160-8
Tang, Tricia S; Funnell, Martha M; Gillard, Marylou et al. (2011) The development of a pilot training program for peer leaders in diabetes: process and content. Diabetes Educ 37:67-77
Tang, Tricia S; Funnell, Martha M; Brown, Morton B et al. (2010) Self-management support in ""real-world"" settings: an empowerment-based intervention. Patient Educ Couns 79:178-84
Tang, T S; Stansfield, R B; Oh, M et al. (2008) Patient-provider perceptions of diabetes and its impact on self-management: a comparison of African-American and White patients. Diabet Med 25:341-8
Tang, Tricia S; Brown, Morton B; Funnell, Martha M et al. (2008) Social support, quality of life, and self-care behaviors amongAfrican Americans with type 2 diabetes. Diabetes Educ 34:266-76