Saturday, November 23, 2024 11/23/2024

Digital Health Supported Weight Management Program Delivered by Community Health Workers Among Public Housing Residents

Award Number: R01CA238335
ORGANIZATION: NATIONAL CANCER INSTITUTE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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PROJECT SUMMARY/ABSTRACT This application is being submitted in response to the Notice of Special Interest (NOSI) identified as “NOT-CA- 24-032”. Overweight/obesity is strongly linked to mortality from multiple chronic diseases, including obesity- related cancers. For health disparity-facing populations, including racial/ethnic minority and/or low income individuals, who have both high prevalence of obesity and cancer, interventions promoting behavioral change for nutrition, physical activity, and weight are a national health priority. Social, physical, and neighborhood environments have long been implicated in the promotion of obesity-related behaviors and likely play a role in the efficacy of behavioral weight management interventions. Path to Health is a clinical trial (CA238335) to examine the efficacy of a weight management intervention among diverse residents living in urban public housing developments. We will test whether participants who receive community health worker behavioral counseling plus mobile health text messaging or mobile health text messaging only will outperform assessment only control in terms of weight loss at 12 months. For secondary outcomes, we will examine intervention effects on diet and physical activity behaviors. We will also examine moderating effects of participant characteristics and social contextual variables on the effect of the intervention. In the proposed administrative supplement connected to the scope of the parent R01 award, we will expand our moderation analysis to include a new social contextual variable, neighborhood crime rate, and examine whether it moderates the impact of the intervention on weight management, diet, and physical activity behaviors using both quantitative and qualitative methods. Specifically, we will characterize crime exposure using two data sources: crime incident data available from the Boston Police Department and service request data available from the City of Boston’s ‘311’ system and examine to what extent neighborhood crime rate moderates the effect of the intervention (Specific Aim 1); and using qualitative methods, assess how perceptions of crime experienced by Path to Health intervention trial participants impact weight management, diet, and physical activity behaviors (Specific Aim 2). Findings from this administrative supplement will enhance our understanding of variation in crime levels in communities lived in by underrepresented public housing residents and how this heterogeneity influences weight management, an important outcome linked to prevention of several obesity-related cancers.


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: 2025 ( Subtotal = $0 )
2025	2024	TUFTS MEDICAL CENTER PARENT, INC.	800 WASHINGTON ST	BOSTON	MA	02111	SUFFOLK	USA	Cancer Detection and Diagnosis Research	002	5	11/1/2024	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$317,012
2025	2023	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CTR PL	BOSTON	MA	02118	SUFFOLK	USA	Cancer Detection and Diagnosis Research	001	4	11/1/2024	NON-COMPETING CONTINUATION	-$179,376
2025	2022	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CTR PL	BOSTON	MA	02118	SUFFOLK	USA	Cancer Detection and Diagnosis Research	000	3	11/1/2024	NON-COMPETING CONTINUATION	-$137,636
														Subtotal = $0

Issue Date FY: 2024 ( Subtotal = $767,227 )
2024	2024	TUFTS MEDICAL CENTER PARENT, INC.	800 WASHINGTON ST	BOSTON	MA	02111	SUFFOLK	USA	Cancer Detection and Diagnosis Research	001	5	4/22/2024	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$671,650
2024	2024	TUFTS MEDICAL CENTER PARENT, INC.	800 WASHINGTON ST	BOSTON	MA	02111	SUFFOLK	USA	Cancer Detection and Diagnosis Research	002	5	9/9/2024	SUPPLEMENT FOR EXPANSION	$95,577
2024	2023	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CTR PL	BOSTON	MA	02118	SUFFOLK	USA	Cancer Detection and Diagnosis Research	000	4	4/22/2024	NON-COMPETING CONTINUATION	$0
														Subtotal = $767,227

Issue Date FY: 2023 ( Subtotal = $179,376 )
2023	2023	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CTR PL STE 1	BOSTON	MA	02118	SUFFOLK	USA	Cancer Detection and Diagnosis Research	000	4	6/7/2023	NON-COMPETING CONTINUATION	$179,376
														Subtotal = $179,376

Issue Date FY: 2022 ( Subtotal = $670,114 )
2022	2022	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CTR PL STE 1	BOSTON	MA	02118	SUFFOLK	USA	Cancer Detection and Diagnosis Research	001	3	4/25/2022	NON-COMPETING CONTINUATION	$54,705
2022	2022	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CTR PL STE 1	BOSTON	MA	02118	SUFFOLK	USA	Cancer Detection and Diagnosis Research	000	3	2/18/2022	NON-COMPETING CONTINUATION	$615,409
														Subtotal = $670,114

Issue Date FY: 2021 ( Subtotal = $700,992 )
2021	2021	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CENTER PL STE 1	BOSTON	MA	02118	SUFFOLK	USA	Cancer Detection and Diagnosis Research	000	2	1/26/2021	NON-COMPETING CONTINUATION	$700,992
														Subtotal = $700,992

Issue Date FY: 2020 ( Subtotal = $757,169 )
2020	2020	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CENTER PL STE 1	BOSTON	MA	02118	SUFFOLK	USA	Cancer Detection and Diagnosis Research	000	1	2/14/2020	NEW	$757,169
														Subtotal = $757,169

Grand Total All Awards = $3,074,878

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Digital Health Supported Weight Management Program Delivered by Community Health Workers Among Public Housing Residents

Award Number: R01CA238335

ORGANIZATION: NATIONAL CANCER INSTITUTE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

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

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