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Mindfulness-Based Diabetes Education for adults with elevated diabetes distress

Award Number: K23AT011375
ORGANIZATION: CENTER FOR DRUG EVALUATION AND RESEARCH, NIH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 01/01/2022
PERIOD OF PERFORMANCE END DATE: 12/31/2025

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Mindfulness-Based Diabetes Education for adults with elevated diabetes distress - Abstract The overall goal of this K23 proposal is to provide Caroline Presley, MD, MPH the essential mentorship, career development, and research experience necessary to become an independent investigator whose patient- oriented research will contribute to improving emotional distress, self-management, and outcomes in vulnerable people with type 2 diabetes. Diabetes distress — the emotional burden of living with and managing diabetes on a daily basis — affects 36% of people with type 2 diabetes and is closely linked with poor adherence to diabetes self-management behaviors, as well as suboptimal glycemic control, the presence of cardiovascular disease risk factors, and diabetes complications. Low-income individuals are disproportionately affected by both diabetes and diabetes distress. Currently, interventions are lacking to simultaneously help adults with type 2 diabetes to improve their diabetes self-management and glycemic control, as well as to reduce diabetes distress. In this four-year K23 project, Dr. Presley plans to study Mindfulness-Based Diabetes Education — an intervention specifically adapted for adults with type 2 diabetes and elevated diabetes distress that targets stress reduction and improvement of diabetes self-management behaviors and outcomes. In safety-net healthcare clinics, she will conduct a pilot randomized controlled trial (RCT) comparing this intervention to standard Diabetes Self- Management Education (DSME) in low-income adults with suboptimally controlled type 2 diabetes and moderate-severe diabetes distress to assess feasibility and acceptability. Additionally, Dr. Presley will use mixed methods to evaluate key contextual factors related to intervention delivery and implementation obtaining input from provider and patient stakeholders. Assessing context is critical in designing for implementation and sustainability. These results will inform a future fully-powered efficacy study of the intervention in safety-net healthcare systems. We hypothesize that Mindfulness-Based Diabetes Education will be acceptable and feasible — tested through these specific aims. Aim 1: To conduct a pilot RCT of Mindfulness-Based Diabetes Education versus standard DSME to determine feasibility and acceptability among adults with suboptimally controlled type 2 diabetes and moderate-severe diabetes distress. Aim 2: To characterize the contextual factors relevant to delivery and implementation of Mindfulness-Based Diabetes Education using PRISM. Along with this mentored research experience, the career development plan has been created for Dr. Presley to gain skills and experience in 1) behavioral interventions and trials, 2) clinical application of mindfulness-based interventions, 3) mixed methods research and implementation science through expert mentorship, advanced trainings, coursework, and conferences, as well as opportunities for continued professional development. Upon completion of the project, Dr. Presley will be poised to conduct a fully-powered efficacy study of the Mindfulness-Based Diabetes Education intervention supported by an R-series grant.


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: 2026 ( Subtotal = $0 )
2026	2025	UNIVERSITY OF ALABAMA AT BIRMINGHAM	701 S 20TH STREET	BIRMINGHAM	AL	35294	JEFFERSON	USA	Research and Training in Complementary and Integrative Health	000	4	4/9/2026	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2025 ( Subtotal = $160,324 )
2025	2025	UNIVERSITY OF ALABAMA AT BIRMINGHAM	701 S 20TH STREET	BIRMINGHAM	AL	35294	JEFFERSON	USA	Research and Training in Complementary and Integrative Health	000	4	12/11/2024	NON-COMPETING CONTINUATION	$160,324
														Subtotal = $160,324

Issue Date FY: 2024 ( Subtotal = $160,324 )
2024	2024	UNIVERSITY OF ALABAMA AT BIRMINGHAM	701 S 20TH STREET	BIRMINGHAM	AL	35294	JEFFERSON	USA	Research and Training in Complementary and Integrative Health	000	3	12/7/2023	NON-COMPETING CONTINUATION	$160,324
														Subtotal = $160,324

Issue Date FY: 2023 ( Subtotal = $160,324 )
2023	2023	UNIVERSITY OF ALABAMA AT BIRMINGHAM	701 S 20TH ST	BIRMINGHAM	AL	35294	JEFFERSON	USA	Research and Training in Complementary and Integrative Health	000	2	1/10/2023	NON-COMPETING CONTINUATION	$160,324
														Subtotal = $160,324

Issue Date FY: 2022 ( Subtotal = $160,324 )
2022	2022	UNIVERSITY OF ALABAMA AT BIRMINGHAM	701 S 20TH ST	BIRMINGHAM	AL	35294	JEFFERSON	USA	Research and Training in Complementary and Integrative Health	000	1	12/15/2021	NEW	$160,324
														Subtotal = $160,324

Grand Total All Awards = $641,296

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Mindfulness-Based Diabetes Education for adults with elevated diabetes distress

Award Number: K23AT011375

ORGANIZATION: CENTER FOR DRUG EVALUATION AND RESEARCH, NIH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 01/01/2022

PERIOD OF PERFORMANCE END DATE: 12/31/2025

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