Research Subproject 1: Project EDUCATE: A Telehealth Education Intervention for Diabetes &Hypertension (PI: Warren, Co-I Smalley, Consultant Fernindez) In this project, we propose a two-phase study designed to manualize and test the effecfiveness of a novel theory and evidence-based telehealth health education intervention, Project EDUCATE (Eliminating Disparities in the Underserved by Centralizing Availability of Telehealth Education), designed to improve outcomes related to hypertension and diabetes among rural populations. Such an Intervention could be easily disseminated across primary care providers that are linked back to a centralized health educator (either within or outside of the provider network), thus minimizing the impact of the lack of trained health educators available in rural settings. The intervention is innovative in its use of multiple telehealth techniques to counteract the barriers rural residents face in receiving health information and behavior-change interventions, and in the close partnership it establishes between the patient's health education experience and their point of care. Phase 1 of the project will collect new information from 500 patients at a regional network of Federally Qualified Health Centers (FQHCs) regarding barriers to disease management that will help refine and manualize the intervention. Phase 11 of the project will examine the intervention's effectiveness in a sample of 500 FQHC clinic patients using a 12-month randomized controlled crossover design.

National Institute of Health (NIH)
National Institute on Minority Health and Health Disparities (NIMHD)
Exploratory Grants (P20)
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Special Emphasis Panel (ZMD1-RN)
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Georgia Southern University
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Smalley, K Bryant; Warren, Jacob C; Morrissey, B David (2017) Discrepancy between Actual and Perceived Weight Status in Rural Patients: Variations by Race and Gender. J Health Care Poor Underserved 28:514-527
Warren, Jacob C; Smalley, K Bryant; Barefoot, K Nikki (2017) Recent Alcohol, Tobacco, and Substance Use Variations between Rural and Urban Middle and High School Students. J Child Adolesc Subst Abuse 26:60-65
Warren, Jacob C; Smalley, K Bryant; Barefoot, K Nikki (2017) Discrepancy in Motivation for Weight Loss and Exercise in Rural Patients. Am J Health Behav 41:803-809
Luque, John S; Ross, Levi; Gwede, Clement K (2016) Prostate Cancer Education in African American Barbershops: Baseline Client Survey Results and Differences in Decisional Conflict and Stage of Decision Making. Am J Mens Health 10:533-536
Warren, Jacob; Smalley, Bryant; Barefoot, Nikki (2016) Higher Motivation for Weight Loss in African American than Caucasian Rural Patients with Hypertension and/or Diabetes. Ethn Dis 26:77-84
Smalley, K Bryant; Warren, Jacob C; Barefoot, K Nikki (2016) Connection between Depression and Inability to Fill Prescriptions in Rural FQHC Patients with Chronic Disease. Rural Ment Health 40:113-123
Meyrueix, Laetitia; Durham, Gabriel; Miller, Jasmine et al. (2015) Association between Depression and Aggression in Rural Women. J Health Dispar Res Pract 8:136-144
Warren, Jacob C; Smalley, K Bryant; Barefoot, K Nikki (2015) Perceived ease of access to alcohol, tobacco and other substances in rural and urban US students. Rural Remote Health 15:3397
Luque, John S; Roy, Siddhartha; Tarasenko, Yelena N et al. (2015) Feasibility Study of Engaging Barbershops for Prostate Cancer Education in Rural African-American Communities. J Cancer Educ 30:623-8