Wednesday, December 17, 2025 12/17/2025

Addressing health disparities by providing evidence-based treatment in the Black Church

Award Number: R01AA028778
ORGANIZATION: NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/20/2020
PERIOD OF PERFORMANCE END DATE: 07/31/2025

Group Awards By:

View Award Description

Addressing health disparities by providing evidence-based treatment in the Black Church - ABSTRACT Black/African-Americans use alcohol and illicit drugs at the same rates as their White counterparts but are much more likely to suffer negative substance related consequences. Moreover, they are less likely to initiate treatment when compared with other racial groups; and when they do, are significantly less likely to complete treatment or to be offered evidence-based treatments. Stigma, mistrust of the medical system, lack of health care coverage, complex pathways to care, lower socioeconomic status, and the scarcity of culturally-informed treatment may all be factors underlying low treatment initiation and engagement. Thus, offering treatment in alternative settings, such as the Black Church, a highly trusted entity in Black communities, is a novel, and potentially highly disseminable strategy for improving both access to evidence-based treatments and alcohol treatment outcomes for this important population. Technology-based treatments are an emerging strategy for reaching underserved populations and can address barriers to delivering interventions in novel settings. One such strategy, computer-based training for Cognitive Behavioral Therapy (CBT4CBT), has been demonstrated in multiple randomized clinical trials to be safe and effective in reducing alcohol and other substance use, both as an add on to treatment, and as a stand-alone treatment, relative to standard care. We recently demonstrated the feasibility of both conducting a rigorous clinical trial as well as delivering CBT4CBT in the Black Church, which demonstrated overwhelming levels of interest and enthusiasm from Black adults with AUD, as well as highly promising levels of engagement and treatment completion. We now propose an 8-week randomized clinical trial in which 200 Black adults with primary AUD will be randomized to either CBT4CBT in the Black church or referral to standard treatment in a specialty addiction setting, with a 9- month follow-up to evaluate durability of treatment effects. Primary outcomes include retention (initiation of treatment, engagement for at least 4 weeks) and percent days abstinent from alcohol (PDA). Selected participant characteristics (e.g., gender, ethnic identity, religiosity, severity of AUD, mental health diagnoses, and vulnerabilities in the social determinants of health) will be evaluated as potential moderators of outcome. Secondary outcomes include satisfaction with care, expansion of social support networks, reduction in heavy drinking days and in WHO drinking levels, effects on comorbid substance use, and overall quality of life. Moreover, if CBT4CBT is demonstrated to be effective with Black adults with AUD in this setting, this would represent an inexpensive strategy to address health disparities that could be disseminated with relative ease among the large network of denominations serving Black individuals in the US.


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 = -$4 )
2026	2024	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Alcohol Research Programs	000	6	12/5/2025	NON-COMPETING CONTINUATION	-$4
														Subtotal = -$4

Issue Date FY: 2024 ( Subtotal = $479,040 )
2024	2024	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Alcohol Research Programs	000	6	8/5/2024	NON-COMPETING CONTINUATION	$479,040
														Subtotal = $479,040

Issue Date FY: 2023 ( Subtotal = $662,449 )
2023	2023	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Alcohol Research Programs	001	5	9/7/2023	SUPPLEMENT FOR EXPANSION	$99,994
2023	2023	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Alcohol Research Programs	000	5	8/2/2023	NON-COMPETING CONTINUATION	$562,455
														Subtotal = $662,449

Issue Date FY: 2022 ( Subtotal = $561,657 )
2022	2022	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Alcohol Research Programs	005	4	8/24/2022	NON-COMPETING CONTINUATION	$561,657
2022	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Alcohol Research Programs	001	3	5/24/2022	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$596,079
2022	2021	YALE UNIVERSITY	105 WALL ST	NEW HAVEN	CT	06511	SOUTH CENTRAL CT	USA	Alcohol Research Programs	003	2	6/17/2022	NON-COMPETING CONTINUATION	-$110,302
2022	2021	YALE UNIVERSITY	105 WALL ST	NEW HAVEN	CT	06511	SOUTH CENTRAL CT	USA	Alcohol Research Programs	000	2	2/9/2022	NON-COMPETING CONTINUATION	-$596,079
2022	2021	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Alcohol Research Programs	004	3	6/17/2022	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$422,685
2022	2020	YALE UNIVERSITY	105 WALL ST	NEW HAVEN	CT	06511	SOUTH CENTRAL CT	USA	Alcohol Research Programs	002	1	6/17/2022	NEW	-$312,383
														Subtotal = $561,657

Issue Date FY: 2021 ( Subtotal = $706,381 )
2021	2021	YALE UNIVERSITY	105 WALL ST	NEW HAVEN	CT	06511	SOUTH CENTRAL CT	USA	Alcohol Research Programs	002	2	8/21/2021	NON-COMPETING CONTINUATION	$706,381
2021	2020	YALE UNIVERSITY	105 WALL ST	NEW HAVEN	CT	06511	SOUTH CENTRAL CT	USA	Alcohol Research Programs	000	1	12/17/2020	NEW	$0
2021	2020	YALE UNIVERSITY	105 WALL ST	NEW HAVEN	CT	06511	SOUTH CENTRAL CT	USA	Alcohol Research Programs	001	1	2/2/2021	NEW	$0
														Subtotal = $706,381

Issue Date FY: 2020 ( Subtotal = $708,128 )
2020	2020	YALE UNIVERSITY	105 WALL ST	NEW HAVEN	CT	06511	SOUTH CENTRAL CT	USA	Alcohol Research Programs	000	1	9/16/2020	NEW	$708,128
														Subtotal = $708,128

Grand Total All Awards = $3,117,651

Top

All Categories

About

Search

Reports

Data Submission

Award Information

Addressing health disparities by providing evidence-based treatment in the Black Church

Award Number: R01AA028778

ORGANIZATION: NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

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

PERIOD OF PERFORMANCE START DATE: 09/20/2020

PERIOD OF PERFORMANCE END DATE: 07/31/2025

Federal Websites

Department of Health & Human Services

HHS Operating Divisions

HHS Staff Divisions

Download A Document Viewer