Using telecommunication to prevent cardiovascular outcomes in African Americans with diabetes

The Foundation's initiative, Finding Answers: Disparities Research for Change, was designed to use research and evaluation to test hypothetical solutions for reducing racial and ethnic disparities in health care settings and actual disparity reduction outcomes in ongoing programs.This project will evaluate a tailored, cardiovascular disease (CVD) risk management intervention that incorporates medication management and behavioral modification administered by nurses via the telephone. The project team anticipates improving CVD risk in a cost effective way among African Americans with diabetes by addressing the modifiable risk factors of systolic blood pressure, glycosolated hemoglobin (HgbA1c), and low-density lipoprotein cholesterol. The intervention will be tailored to the needs of vulnerable high-risk patients (e.g., African Americans, low socioeconomic status, low literate) integrated into community clinics and address multiple risk factors with the greatest potential to improve morbidity and mortality rates. The project will also examine change in health behaviors (e.g., aspirin use, medication adherence, diet, exercise, alcohol use, smoking, weight), the cost of implementing the intervention, and forecast the cost of implementing the intervention on a larger scale. Finally, the project will use qualitative methodology to assess patients' and clinicians' perceptions of potential barriers, facilitators and challenges of disseminating the intervention.

Grant Details

Amount Awarded $274,662.00

Awarded on: 4/10/2008

Time frame: 5/1/2008 - 4/30/2011

Grant Number: 64254


Duke University Medical Center

2301 Erwin Road
Durham, 27705-4699


Hayden B. Bosworth
Project Director