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Taxi ROADmAP (Realizing Optimization Around Diet And Physical activity)

Award Number: R01MD016908
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: 06/11/2022
PERIOD OF PERFORMANCE END DATE: 02/28/2027

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Taxi ROADmAP (Realizing Optimization Around Diet And Physical activity) - Modified Project Summary/Abstract Section ABSTRACT Taxi ROADmAP (Realizing Optimization Around Diet And Physical activity) is an effectiveness-implementation hybrid type 1 design using the Multiphase Optimization Strategy (MOST) to address the overweight and obesity crisis in a growing essential worker population: taxi and for-hire vehicle (FHV) drivers (Lyft, Uber, etc.). MOST, an innovative framework, involves highly efficient randomized experimentation to assess the effects of individual treatment components to guide assembly of an optimized treatment package that achieves target outcomes with the lowest resource consumption. Hybrid trials, which blend effectiveness and implementation studies, can lead to more rapid translational uptake and more effective implementation. There are over 750,000 licensed taxi and FHV drivers in in the U.S. and over 185,000 in New York City (NYC). They have higher rates of overweight/obese range body mass index (BMI) than New Yorkers in general (77% vs 56%) and have high rates of elevated waist circumference, sedentary behavior, and poor diets. Obesity contributes to cardiovascular disease and cancer. Modifiable factors, such as physical inactivity, compound drivers’ likelihood of obesity and related diseases. While there is much evidence on effective multicomponent lifestyle interventions, such as the Diabetes Prevention Program (DPP) and Look AHEAD, focused on weight loss in some populations, these programs were not designed to be translatable to community settings and are considered too expensive to be widely disseminated. There is a paucity of data on how to optimize such approaches for all people, to reduce costs but still lead to meaningful weight loss. Even less literature addresses implementation potential and strategies for such interventions. ROADmAP builds on our unique preliminary work and uses a hybrid type 1 design and MOST, to address these gaps. ROADmAP will test 4 evidence- and theory-based (Social Cognitive Theory [SCT]) behavior change intervention components, which we developed and piloted, and which include DPP and Look AHEAD features. We will use MOST to identify which of the 4 components contribute most significantly and cost-effectively to weight loss among NYC drivers recruited at workplace health fairs (HFs) and virtually. Objectives are to apply MOST to design an optimized version of a scalable lifestyle intervention for taxi/FHV drivers, and then to conduct a mixed methods multistakeholder process evaluation to facilitate widespread intervention implementation.


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 = $718,831 )
2026	2026	SLOAN-KETTERING INSTITUTE FOR CANCER RESEARCH	1275 YORK AVE	NEW YORK	NY	10065	NEW YORK	USA	Minority Health and Health Disparities Research	001	5	2/17/2026	NON-COMPETING CONTINUATION	$71,885
2026	2026	SLOAN-KETTERING INSTITUTE FOR CANCER RESEARCH	1275 YORK AVE	NEW YORK	NY	10065	NEW YORK	USA	Minority Health and Health Disparities Research	000	5	1/23/2026	NON-COMPETING CONTINUATION	$646,946
														Subtotal = $718,831

Issue Date FY: 2025 ( Subtotal = $725,212 )
2025	2025	SLOAN-KETTERING INSTITUTE FOR CANCER RESEARCH	1275 YORK AVE	NEW YORK	NY	10065	NEW YORK	USA	Minority Health and Health Disparities Research	001	4	4/25/2025	NON-COMPETING CONTINUATION	$72,522
2025	2025	SLOAN-KETTERING INSTITUTE FOR CANCER RESEARCH	1275 YORK AVE	NEW YORK	NY	10065	NEW YORK	USA	Minority Health and Health Disparities Research	000	4	2/18/2025	NON-COMPETING CONTINUATION	$652,690
														Subtotal = $725,212

Issue Date FY: 2024 ( Subtotal = $712,775 )
2024	2024	SLOAN-KETTERING INSTITUTE FOR CANCER RESEARCH	1275 YORK AVENUE	NEW YORK	NY	10065	NEW YORK	USA	Minority Health and Health Disparities Research	000	3	2/25/2024	NON-COMPETING CONTINUATION	$661,339
2024	2024	SLOAN-KETTERING INSTITUTE FOR CANCER RESEARCH	1275 YORK AVENUE	NEW YORK	NY	10065	NEW YORK	USA	Minority Health and Health Disparities Research	001	3	5/29/2024	NON-COMPETING CONTINUATION	$51,436
														Subtotal = $712,775

Issue Date FY: 2023 ( Subtotal = $744,258 )
2023	2023	SLOAN-KETTERING INSTITUTE FOR CANCER RESEARCH	1275 YORK AVE	NEW YORK	NY	10065	NEW YORK	USA	Minority Health and Health Disparities Research	000	2	4/3/2023	NON-COMPETING CONTINUATION	$744,258
														Subtotal = $744,258

Issue Date FY: 2022 ( Subtotal = $752,239 )
2022	2022	SLOAN-KETTERING INSTITUTE FOR CANCER RESEARCH	1275 YORK AVE	NEW YORK	NY	10065	NEW YORK	USA	Minority Health and Health Disparities Research	000	1	6/11/2022	NEW	$752,239
														Subtotal = $752,239

Grand Total All Awards = $3,653,315

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Taxi ROADmAP (Realizing Optimization Around Diet And Physical activity)

Award Number: R01MD016908

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: 06/11/2022

PERIOD OF PERFORMANCE END DATE: 02/28/2027

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