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Community Wise: An innovative multi-level intervention to reduce alcohol and illegal drug use

Award Number: R01MD010629
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 05/16/2016
PERIOD OF PERFORMANCE END DATE: 11/12/2023

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Community Wise: An innovative multi-level intervention to reduce alcohol and illegal drug use - DESCRIPTION (provided by applicant): Rates of alcohol and illicit drug use (AIDU) among residents of distressed communities with concentrations of African Americans (DCAA- i.e., localities with high rates of poverty and crime) are similar to the general population. Yet AIDU has significantly higher consequences for residents in DCAAs (e.g., higher incarceration and HIV/HCV infection rates), who also have considerably less access to effective treatment of substance use disorders. This project will continue to develop and test Community Wise, an innovative multi-level intervention created in partnership with service providers, residents of DCAAs and individuals with histories of substance use disorders and incarceration, to reduce health inequalities related to AIDU. We used community-based participatory research (CBPR) to develop and pilot test Community Wise, achieving 75% intervention completion rates, despite great participant challenges (such as homelessness, AIDU, and poverty). Note that substance use disorder intervention completion rates in the literature are much lower among populations with fewer challenges (often 30 to 40%). We believe that this success is due to the CBPR model used to develop an intervention that is relevant to participants' needs. Community Wise addresses social determinants of health (e.g., stigma, poverty, lack of treatment access, housing, and meaningful employment) and inequalities related to AIDU at the micro level (e.g., cognitive and behavioral processes), meso level (e.g., relationships with individuals and organizations) and macro level (e.g., political and cultural processes). Community Wise builds on critical consciousness theory, which empowers individuals, organizations, and communities to address social determinants of health while changing individual behaviors (e.g., reducing AIDU). We propose to apply the Multiphase Optimization Strategy (MOST) - an innovative and rigorous framework that employs factorial designs - to optimize Community Wise. Specifically, using MOST we will identify the most efficient, scalable, and sustainable components of Community Wise so that we can refine the intervention protocol by including only components that significantly reduce AIDU. The long-term goal of Community Wise is to reduce health inequalities related to AIDU between men with substance use disorders and a history of incarceration residing in DCAAs and the general population through an intervention that is congruent with DCAA world views and grounded in scientific and indigenous knowledge. Data from this study will culminate in an optimized Community Wise manual; enhanced methodological strategies to develop multi-component scalable interventions using MOST and CBPR; and a better understanding of the application of critical consciousness theory to the field of health inequalities related to AIDU.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = -$660 )
2024	2022	UNIVERSITY OF ILLINOIS	506 S WRIGHT ST	URBANA	IL	61801	CHAMPAIGN	USA	Trans-NIH Research Support	003	4	4/3/2024	SUPPLEMENT FOR EXPANSION	$0
2024	2021	UNIVERSITY OF ILLINOIS	506 S WRIGHT ST	URBANA	IL	61801	CHAMPAIGN	USA	Trans-NIH Research Support	000	4	1/2/2024	SUPPLEMENT FOR EXPANSION	$0
2024	2019	UNIVERSITY OF ILLINOIS	506 S WRIGHT ST	URBANA	IL	61801	CHAMPAIGN	USA	Minority Health and Health Disparities Research	001	4	4/3/2024	NON-COMPETING CONTINUATION	-$556
2024	2019	UNIVERSITY OF ILLINOIS	506 S WRIGHT ST	URBANA	IL	61801	CHAMPAIGN	USA	Minority Health and Health Disparities Research	002	4	4/3/2024	SUPPLEMENT FOR EXPANSION	-$104
														Subtotal = -$660

Issue Date FY: 2022 ( Subtotal = $395,865 )
2022	2022	UNIVERSITY OF ILLINOIS	352 HENRY ADMINISTRATION BLDG	URBANA	IL	61801	CHAMPAIGN	USA	Trans-NIH Research Support	001	4	11/30/2021	SUPPLEMENT FOR EXPANSION	$395,865
2022	2021	UNIVERSITY OF ILLINOIS	352 HENRY ADMINISTRATION BLDG	URBANA	IL	61801	CHAMPAIGN	USA	Trans-NIH Research Support	000	4	11/12/2021	SUPPLEMENT FOR EXPANSION	$0
2022	2021	UNIVERSITY OF ILLINOIS	352 HENRY ADMINISTRATION BLDG	URBANA	IL	61801	CHAMPAIGN	USA	Trans-NIH Research Support	003	4	12/28/2021	SUPPLEMENT FOR EXPANSION	$0
2022	2021	UNIVERSITY OF ILLINOIS	506 S WRIGHT ST	URBANA	IL	61801	CHAMPAIGN	USA	Trans-NIH Research Support	004	4	8/5/2022	SUPPLEMENT FOR EXPANSION	$0
2022	2019	UNIVERSITY OF ILLINOIS	352 HENRY ADMINISTRATION BLDG	URBANA	IL	61801	CHAMPAIGN	USA	Minority Health and Health Disparities Research	002	4	12/1/2021	NON-COMPETING CONTINUATION	$0
														Subtotal = $395,865

Issue Date FY: 2021 ( Subtotal = $1,239,077 )
2021	2021	UNIVERSITY OF ILLINOIS	352 HENRY ADMINISTRATION BLDG	URBANA	IL	61801	CHAMPAIGN	USA	Trans-NIH Research Support	002	4	7/21/2021	SUPPLEMENT FOR EXPANSION	$0
2021	2021	UNIVERSITY OF ILLINOIS	364 HENRY ADMINISTRATION BLDG	URBANA	IL	61801	CHAMPAIGN	USA	Trans-NIH Research Support	001	4	11/12/2020	SUPPLEMENT FOR EXPANSION	$1,239,077
2021	2021	UNIVERSITY OF ILLINOIS	352 HENRY ADMINISTRATION BLDG	URBANA	IL	61801	CHAMPAIGN	USA	Trans-NIH Research Support	003	4	8/10/2021	SUPPLEMENT FOR EXPANSION	$0
2021	2019	UNIVERSITY OF ILLINOIS	364 HENRY ADMINISTRATION BLDG	URBANA	IL	61801	CHAMPAIGN	USA	Minority Health and Health Disparities Research	000	4	11/12/2020	NON-COMPETING CONTINUATION	$0
														Subtotal = $1,239,077

Issue Date FY: 2019 ( Subtotal = $784,238 )
2019	2019	UNIVERSITY OF ILLINOIS	364 HENRY ADMINISTRATION BLDG	URBANA	IL	61801	CHAMPAIGN	USA	Minority Health and Health Disparities Research	001	4	1/4/2019	SUPPLEMENT FOR EXPANSION	$123,707
2019	2019	UNIVERSITY OF ILLINOIS	364 HENRY ADMINISTRATION BLDG	URBANA	IL	61801	CHAMPAIGN	USA	Minority Health and Health Disparities Research	000	4	12/26/2018	NON-COMPETING CONTINUATION	$660,531
														Subtotal = $784,238

Grand Total All Awards = $2,418,520

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Community Wise: An innovative multi-level intervention to reduce alcohol and illegal drug use

Award Number: R01MD010629

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 05/16/2016

PERIOD OF PERFORMANCE END DATE: 11/12/2023

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