The proposed K24 renewal 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. In the first 5 years of the current K24 grant, the candidate has trained 40 mentees including: 7 faculty, 2 post-docs, 2 doctoral students, 1 fellow, and 17 medical students. He has 147 abstracts/presentations and 156 peer-reviewed publications with mentees. In addition, in the past 5 years, he submitted 27 grants with mentees of which 10 were funded.
The specific aims of the proposed K24 renewal 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 leadership, health economics, and health informatics 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 completing 4 courses a year in leadership, health economics, and health informatics Research Objective: The primary objective is to test the efficacy of the Smartphone DM-BAT intervention comprised of smartphone-delivered, diabetes-modified behavioral activation treatment (education, skills training and behavior activation), home monitoring with feedback (FORA home telemonitoring system) and care delivered by nurse educators in improving HbA1c levels in AAs with poorly controlled T2DM. The secondary objectives are to test the efficacy of the Smartphone DM-BAT intervention in improving BP control and quality of life in AAs with poorly controlled T2DM. Exploratory analyses will examine the role of process (information, motivation, self-efficacy, depression) and behavioral measures (diet, exercise and medication adherence) 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 renewal award, while allowing continued research to eliminate disparities in diabetes. The proposed K24 renewal 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 decrease morbidity/mortality from diabetes in ethnic minorities 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 #
5K24DK093699-08
Application #
9350286
Study Section
Kidney, Urologic and Hematologic Diseases D Subcommittee (DDK)
Program Officer
Spain, Lisa M
Project Start
2011-09-15
Project End
2021-07-31
Budget Start
2017-08-01
Budget End
2018-07-31
Support Year
8
Fiscal Year
2017
Total Cost
Indirect Cost
Name
Medical College of Wisconsin
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
937639060
City
Milwaukee
State
WI
Country
United States
Zip Code
53226
Asan, Onur; Cooper Ii, Farion; Nagavally, Sneha et al. (2018) Preferences for Health Information Technologies Among US Adults: Analysis of the Health Information National Trends Survey. J Med Internet Res 20:e277
Srivastava, Romik; Bishu, Kinfe G; Walker, Rebekah J et al. (2018) Quality of Diabetes Care Among Recent Immigrants to the USA. J Racial Ethn Health Disparities :
Voronca, Delia; Walker, Rebekah J; Egede, Leonard E (2018) Relationship between empowerment and wealth: trends and predictors in Kenya between 2003 and 2008-2009. Int J Public Health 63:641-649
Walker, Rebekah J; Neelon, Brian; Davis, Melanie et al. (2018) Racial differences in spatial patterns for poor glycemic control in the Southeastern United States. Ann Epidemiol 28:153-159
Campbell, Jennifer A; Farmer, Gail C; Nguyen-Rodriguez, Selena et al. (2018) Relationship between individual categories of adverse childhood experience and diabetes in adulthood in a sample of US adults: Does it differ by gender? J Diabetes Complications 32:139-143
Walker, Rebekah J; Williams, Joni Strom; Egede, Leonard E (2018) Pathways between food insecurity and glycaemic control in individuals with type 2 diabetes. Public Health Nutr 21:3237-3244
Campbell, Jennifer A; Farmer, Gail C; Nguyen-Rodriguez, Selena et al. (2018) Using path analysis to examine the relationship between sexual abuse in childhood and diabetes in adulthood in a sample of US adults. Prev Med 108:1-7
Obadan, Ndidiamaka O; Walker, Rebekah J; Egede, Leonard E (2017) Independent correlates of chronic kidney disease awareness among adults with type 2 diabetes. J Diabetes Complications 31:988-991
Egede, Leonard E; Voronca, Delia; Walker, Rebekah J et al. (2017) Rural-Urban Differences in Trends in the Wealth Index in Kenya: 1993-2009. Ann Glob Health 83:248-258
Dawson, Aprill Z; Walker, Rebekah J; Egede, Leonard E (2017) Differential Relationships Between Diabetes Knowledge Scales and Diabetes Outcomes. Diabetes Educ 43:360-366

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