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Creating Access to Resources and Economic Support (CARES)

Award Number: R01MD016755
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 07/21/2022
PERIOD OF PERFORMANCE END DATE: 03/31/2027

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Creating Access to Resources and Economic Support (CARES) - Project Summary/Abstract Transgender people experience economic and psychosocial inequities that make them particularly vulnerable to COVID-19 pandemic-related financial and mental health harms. Sustainable, multilevel interventions are needed to address these harms and promote COVID- 19 prevention behaviors. Transgender-led organizations have been galvanized to provide emergency financial and peer support for transgender people negatively impacted by COVID- 19. However, the efficacy of these interventions have not been evaluated. Leveraging existing community partnerships and ongoing cohorts, the study seeks to assess the efficacy of feasible, acceptable, community-derived interventions to reduce economic and psychological harms experienced by transgender people in the wake of COVID-19. The specific aims of the project are to (1) compare the efficacy of microgrants with or without peer mentoring to reduce psychological distress and increase COVID-19 prevention behaviors; (2) examine mechanisms by which microgrants with or without peer mentoring may impact psychological distress; and (3) explore transgender participants' intervention experiences and perceived efficacy. These aims will be met by enrolling 360 transgender adults into an embedded, mixed methods, 3-arm, 12- month randomized controlled trial. Participants will be randomized 1:1:1 to the following arms: (a) a single microgrant plus monthly financial literacy education (usual care); (b) usual care plus monthly microgrants; or (c) usual care plus monthly microgrants combined with peer mentoring. All intervention arms will last for 6 months, and participants will complete semi-annual web- based surveys at 0, 6, and 12 months as well as text-based process measures at 3 and 6 months to meet Aims 1 and 2. A subset of 36 participants, 12 per arm, will complete longitudinal in depth interviews at 3 and 9 months to meet Aim 3. In addition to addressing the pressing impacts of the COVID-19 pandemic on a vulnerable health disparities population, this study will advance the science of minority stress and mental health inequities by testing interventions that operate on general stressors – i.e., material hardship and community connection – rather than minority stressors such as enacted stigma. This national, online study will address multilevel – structural and community – factors driving COVID-19 pandemic harms. Its equitable community partnership will ensure that study findings are actionable and disseminated rapidly to inform sustainable community-based responses to the COVID-19 pandemic as well as future emergencies.


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 = $635,870 )
2026	2026	DUKE UNIVERSITY	2200 W MAIN ST	DURHAM	NC	27705	DURHAM	USA	Minority Health and Health Disparities Research	000	6	3/19/2026	NON-COMPETING CONTINUATION	$635,870
														Subtotal = $635,870

Issue Date FY: 2025 ( Subtotal = $634,069 )
2025	2025	DUKE UNIVERSITY	2200 W MAIN ST	DURHAM	NC	27705	DURHAM	USA	Minority Health and Health Disparities Research	001	5	7/3/2025	NON-COMPETING CONTINUATION	$634,069
2025	2023	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	2	1/13/2025	NON-COMPETING CONTINUATION	$0
														Subtotal = $634,069

Issue Date FY: 2024 ( Subtotal = $692,433 )
2024	2024	DUKE UNIVERSITY	2200 W MAIN ST	DURHAM	NC	27705	DURHAM	USA	Minority Health and Health Disparities Research	003	4	3/31/2024	NON-COMPETING CONTINUATION	$581,020
2024	2024	DUKE UNIVERSITY	2200 W MAIN ST	DURHAM	NC	27705	DURHAM	USA	Minority Health and Health Disparities Research	004	4	6/4/2024	NON-COMPETING CONTINUATION	$45,192
2024	2023	DUKE UNIVERSITY	2200 W MAIN ST	DURHAM	NC	27705	DURHAM	USA	Minority Health and Health Disparities Research	001	3	12/27/2023	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$590,313
2024	2023	DUKE UNIVERSITY	2200 W MAIN ST	DURHAM	NC	27705	DURHAM	USA	Minority Health and Health Disparities Research	002	3	1/31/2024	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$114,451
2024	2023	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	2	12/27/2023	NON-COMPETING CONTINUATION	-$638,543
														Subtotal = $692,433

Issue Date FY: 2023 ( Subtotal = $638,544 )
2023	2023	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	2	3/23/2023	NON-COMPETING CONTINUATION	$638,544
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	1	3/24/2023	NEW	$0
														Subtotal = $638,544

Issue Date FY: 2022 ( Subtotal = $700,534 )
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	000	1	7/21/2022	NEW	$700,534
														Subtotal = $700,534

Grand Total All Awards = $3,301,450

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Creating Access to Resources and Economic Support (CARES)

Award Number: R01MD016755

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

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

PERIOD OF PERFORMANCE START DATE: 07/21/2022

PERIOD OF PERFORMANCE END DATE: 03/31/2027

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