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Lowering the impact of Food Insecurity in African American Adults with Type 2 Diabetes Mellitus (LIFT-DM)

Award Number: R01MD013826
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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Lowering the impact of Food Insecurity in African American Adults with Type 2 Diabetes Mellitus (LIFT-DM) - Diabetes affects 9.4% of the US population and disproportionately affects African Americans (AAs) compared to whites. Among individuals with diabetes, AAs and those living below the federal poverty level have poorer metabolic control, higher complication rates and higher mortality compared to Whites and those living at the highest income level. Food insecurity (i.e. an inability to or limitation in accessing nutritionally adequate food) better predicts chronic disease than income, highlighting its importance as a modifiable factor. Almost 28% of the US population with diabetes report food insecurity, compared to 12% of those without diabetes, and AAs are 3 times more likely than whites to be food insecure. Food insecure individuals with diabetes have worse glycemic control, report lower dietary quality and more difficulty following a healthy diet compared to those who are not food insecure. Currently tested strategies to address food insecurity include food supplementation in the form of: 1) vouchers to cover cost of food; 2) vouchers/coupons that can only be used at farmer’s markets; and 3) shipments of pre-packaged food (stock boxes) to participants homes. However, important unanswered questions in individuals with diabetes include: 1) Within food supplementation options, are mailed stock boxes superior to food vouchers in terms of achieving glycemic control? 2) Is the combination of mailed stock boxes and food vouchers superior to either food supplementation option alone? 3) Does providing diabetes education in combination with food supplementation lead to improved clinical outcomes compared to education alone? To address this gap in the literature, we propose an RCT to test the separate and combined efficacy of monthly food vouchers to farmers market and monthly mailed food stock boxes layered upon diabetes education in improving glycemic control in low income, food insecure, AAs with Type 2 Diabetes (T2DM) using a 2x2 factorial design.


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	2023	THE MEDICAL COLLEGE OF WISCONSIN, INC.	8701 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	MILWAUKEE	USA	Minority Health and Health Disparities Research	002	5	4/10/2025	NON-COMPETING CONTINUATION	-$22,722
2025	2023	THE RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK	520 LEE ENTRANCE STE 211	AMHERST	NY	14228	ERIE	USA	Minority Health and Health Disparities Research	003	6	4/10/2025	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$22,722
2025	2023	THE RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK	520 LEE ENTRANCE STE 211	AMHERST	NY	14228	ERIE	USA	Minority Health and Health Disparities Research	004	6	4/30/2025	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
2025	2023	THE MEDICAL COLLEGE OF WISCONSIN, INC.	8701 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	MILWAUKEE	USA	Minority Health and Health Disparities Research	001	5	4/8/2025	NON-COMPETING CONTINUATION	$22,799
2025	2023	THE MEDICAL COLLEGE OF WISCONSIN, INC.	8701 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	MILWAUKEE	USA	Minority Health and Health Disparities Research	000	5	1/30/2025	NON-COMPETING CONTINUATION	-$22,799
														Subtotal = $0

Issue Date FY: 2023 ( Subtotal = $637,934 )
2023	2023	MEDICAL COLLEGE OF WISCONSIN, INC., THE	8701 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	MILWAUKEE	USA	Minority Health and Health Disparities Research	001	5	2/6/2023	NON-COMPETING CONTINUATION	$63,793
2023	2023	MEDICAL COLLEGE OF WISCONSIN, INC., THE	8701 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	MILWAUKEE	USA	Minority Health and Health Disparities Research	000	5	12/21/2022	NON-COMPETING CONTINUATION	$574,141
														Subtotal = $637,934

Issue Date FY: 2022 ( Subtotal = $648,463 )
2022	2022	MEDICAL COLLEGE OF WISCONSIN, INC., THE	8701 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	MILWAUKEE	USA	Minority Health and Health Disparities Research	002	4	5/2/2022	NON-COMPETING CONTINUATION	$63,793
2022	2022	MEDICAL COLLEGE OF WISCONSIN, INC., THE	8701 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	MILWAUKEE	USA	Minority Health and Health Disparities Research	000	4	12/10/2021	NON-COMPETING CONTINUATION	$574,141
2022	2022	MEDICAL COLLEGE OF WISCONSIN, INC., THE	8701 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	MILWAUKEE	USA	Minority Health and Health Disparities Research	001	4	12/14/2021	SUPPLEMENT FOR EXPANSION	$75,001
2022	2022	MEDICAL COLLEGE OF WISCONSIN, INC., THE	8701 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	MILWAUKEE	USA	Minority Health and Health Disparities Research	003	4	5/25/2022	SUPPLEMENT FOR EXPANSION	$8,333
2022	2022	MEDICAL COLLEGE OF WISCONSIN, INC., THE	8701 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	MILWAUKEE	USA	Minority Health and Health Disparities Research	004	4	7/20/2022	SUPPLEMENT FOR EXPANSION	-$72,805
														Subtotal = $648,463

Issue Date FY: 2021 ( Subtotal = $762,934 )
2021	2021	MEDICAL COLLEGE OF WISCONSIN, INC., THE	8701 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	MILWAUKEE	USA	Minority Health and Health Disparities Research	001	3	12/16/2020	NON-COMPETING CONTINUATION	$686,641
2021	2021	MEDICAL COLLEGE OF WISCONSIN, INC., THE	8701 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	MILWAUKEE	USA	Minority Health and Health Disparities Research	002	3	3/11/2021	NON-COMPETING CONTINUATION	$76,293
2021	2020	MEDICAL COLLEGE OF WISCONSIN, INC., THE	8701 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	MILWAUKEE	USA	Minority Health and Health Disparities Research	000	2	12/1/2020	SUPPLEMENT FOR EXPANSION	$0
														Subtotal = $762,934

Issue Date FY: 2020 ( Subtotal = $681,101 )
2020	2020	MEDICAL COLLEGE OF WISCONSIN, INC., THE	8701 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	MILWAUKEE	USA	Minority Health and Health Disparities Research	001	2	12/30/2019	NON-COMPETING CONTINUATION	$639,435
2020	2020	MEDICAL COLLEGE OF WISCONSIN, INC., THE	8701 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	MILWAUKEE	USA	Minority Health and Health Disparities Research	002	2	9/14/2020	SUPPLEMENT FOR EXPANSION	$41,666
2020	2019	MEDICAL COLLEGE OF WISCONSIN, INC., THE	8701 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	MILWAUKEE	USA	Minority Health and Health Disparities Research	000	1	12/30/2019	NEW	$0
														Subtotal = $681,101

Issue Date FY: 2019 ( Subtotal = $668,668 )
2019	2019	MEDICAL COLLEGE OF WISCONSIN, INC., THE	8701 WATERTOWN PLANK RD	MILWAUKEE	WI	53226	MILWAUKEE	USA	Minority Health and Health Disparities Research	000	1	5/3/2019	NEW	$668,668
														Subtotal = $668,668

Grand Total All Awards = $3,399,100

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Lowering the impact of Food Insecurity in African American Adults with Type 2 Diabetes Mellitus (LIFT-DM)

Award Number: R01MD013826

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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