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NC Works4Health: Reducing Chronic Disease Risks in Socioeconomically Disadvantaged, Unemployed Populations

Award Number: R01MD012832
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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NC Works4Health: Reducing Chronic Disease Risks in Socioeconomically Disadvantaged, Unemployed Populations - PROJECT SUMMARY/ABSTRACT The overall goal of this study is to adapt and test the effectiveness of a multilevel intervention to reduce chronic disease risks in socioeconomically disadvantaged, unemployed populations that can be readily adopted by communities. Studies have shown that an unemployment episode exacerbates engaging in health- compromising behaviors, psychological distress, accelerated weight gain, and higher blood pressure – all of which increase chronic disease risk. Although socioeconomically disadvantaged adults often receive public assistance benefits, job training, and job placement services through Department of Social Services Employment (DSS-E) programs if job loss occurs; these programs do not include prevention-focused content to reduce the chronic disease risks that accrue with unemployment episodes. In addition, DSS-E efforts to help individuals succeed in securing and performing in a new job are often thwarted by implicit ‘welfare’-related bias and insufficient job supports in the work environments that DSS-E clients are hired into. We will use a randomized, 2 x 2 factorial design to test interventions at each of two levels (individual, and employer), and their joint effects, in DSS-E clients and employers that hire this population. In Year 1, we will make minor adaptations to existing interventions at each level to ensure they are contextually relevant to the unemployment, and job-entry experiences of DSS-E populations. At the individual level, 600 DSS-E clients will be randomly assigned to a group that receives usual DSS-E in addition to a Chronic Disease Prevention Program (CDPP) that includes online instruction and individual lifestyle coaching sessions, or a group that receives usual DSS-E services only. At the employer level, between 50-80 employers will be allocated to an intervention or control arm using an adaptive, biased-coin randomization approach to ensure balance across the four treatment conditions. The employer intervention combines implicit bias awareness training for supervisors of hired DSS-E clients, and regular, structured, interactions between supervisors and DSS-E hires. The interventions at each level are designed to mitigate the psychological, behavioral, and clinically relevant risks for chronic disease onset, morbidity, and comorbidity that accrue with unemployment and structural factors in the workplace that can exacerbate these risks. This proposed research builds on the strengths of long-standing academic-community partnerships between the research team and key stakeholders across health, social service, employment, and economic development sectors. The findings from this study will advance the science of chronic disease prevention for this vulnerable target population, and will inform national public health efforts to address social determinants of health and reduce chronic disease burden at the community level.


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	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Minority Health and Health Disparities Research	000	5	11/25/2024	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2024 ( Subtotal = $627,299 )
2024	2024	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Minority Health and Health Disparities Research	000	5	11/21/2023	NON-COMPETING CONTINUATION	$582,033
2024	2024	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Minority Health and Health Disparities Research	001	5	5/24/2024	NON-COMPETING CONTINUATION	$45,266
														Subtotal = $627,299

Issue Date FY: 2023 ( Subtotal = $0 )
2023	2022	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Minority Health and Health Disparities Research	000	4	1/24/2023	NON-COMPETING CONTINUATION	$0
2023	2022	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Minority Health and Health Disparities Research	001	4	7/24/2023	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2022 ( Subtotal = $647,302 )
2022	2022	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Minority Health and Health Disparities Research	004	4	4/25/2022	NON-COMPETING CONTINUATION	$64,730
2022	2022	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Minority Health and Health Disparities Research	003	4	1/15/2022	NON-COMPETING CONTINUATION	$582,572
2022	2021	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Minority Health and Health Disparities Research	000	3	12/21/2021	NON-COMPETING CONTINUATION	$0
2022	2020	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Minority Health and Health Disparities Research	002	2	1/5/2022	NON-COMPETING CONTINUATION	$0
2022	2019	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Minority Health and Health Disparities Research	001	1	1/5/2022	NEW	$0
														Subtotal = $647,302

Issue Date FY: 2021 ( Subtotal = $655,666 )
2021	2021	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Minority Health and Health Disparities Research	000	3	1/29/2021	NON-COMPETING CONTINUATION	$590,098
2021	2021	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Minority Health and Health Disparities Research	001	3	3/11/2021	NON-COMPETING CONTINUATION	$65,568
														Subtotal = $655,666

Issue Date FY: 2020 ( Subtotal = $656,056 )
2020	2020	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Minority Health and Health Disparities Research	001	2	1/22/2020	NON-COMPETING CONTINUATION	$656,056
2020	2019	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Minority Health and Health Disparities Research	000	1	1/14/2020	NEW	$0
														Subtotal = $656,056

Issue Date FY: 2019 ( Subtotal = $657,803 )
2019	2019	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Minority Health and Health Disparities Research	001	1	8/28/2019	NEW	$0
2019	2019	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL	104 AIRPORT DR STE 2200	CHAPEL HILL	NC	27599	ORANGE	USA	Minority Health and Health Disparities Research	000	1	6/10/2019	NEW	$657,803
														Subtotal = $657,803

Grand Total All Awards = $3,244,126

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NC Works4Health: Reducing Chronic Disease Risks in Socioeconomically Disadvantaged, Unemployed Populations

Award Number: R01MD012832

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

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

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