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The Study on Type-2 Diabetes and the Rural Experience regarding Stress and Self-management behaviors (STRESS) Project

Award Number: R21DK124732
ORGANIZATION: NATIONAL INSTITUTE OF DIABETES & DIGESTIVE & KIDNEY DISEASES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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PROJECT SUMMARY/ABSTRACT The prevalence of type 2 diabetes (T2D) is 17% higher in rural areas than in urban areas. Additionally, T2D is ranked as the third most important rural public health priority, according to the Rural Healthy People 2020 report. Rural populations are disproportionately affected by preventable chronic diseases exacerbated by social contextual factors such as poverty, geographic isolation, and persistent exposure to stressors in daily living. Together, these factors may have a negative impact on T2D self-management (T2D-SM) behaviors. Behavioral explanations for rural African Americans’ (RAAs) self-management behaviors, with virtually no research attention has been paid to the role of social factors. Stress is a particularly compelling area of study in light of strong evidence demonstrating its linkages to chronic diseases and conditions such as hypertension and obesity. The goal of this proposal is to determine which stressors (i.e., general versus domain-specific) are an important risk factor for T2D-SM behaviors. This project will adapt the Environmental Affordances Model to explore the mediating, moderating, and interactions among biosocial and environmental contextual factors shaping T2D-SM behaviors. The study builds upon a robust infrastructure from community-engaged research in the Brazos Valley region to explore the inclusion of biological assays for stress (e.g., salivary cortisol) among RAAs with T2D. The two specific aims that guide this research proposal are: 1) to determine the extent to which psychosocial stress explain differences in T2D self-management behaviors among RAAs with T2D; and 2) to determine the relationship between psychosocial stress and physiological stress markers (e.g., cortisol) from RAAs with T2D. The study will recruit 200 RAAs, who have been diagnosed with T2D, to determine which stressors are an important risk factors for self-management behaviors. For Aim 1, The study will collect and analyze subjective measures of stress, health status, psychosocial factors, and diabetes self-management behaviors. For Aim 2, The study will examine the association between salivary cortisol, self-reported stressors, and T2D-SM behaviors. The research proposed is innovative, in the applicants’ opinion, because it addresses an important public health problem (i.e., stress and discrimination) among RAAs, which has largely been ignored, within the context of rural communities and disease self-management. The proposed research is significant because it is expected to provide strong evidence of psychosocial stress and physiological stress measures on T2D-SM behaviors. The results of this research project can offer considerable contributions to the public health field because it has the potential to shed new light on the health of rural African Americans.


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: 2023 ( Subtotal = $0 )
2023	2022	UNIVERSITY OF MISSOURI SYSTEM	121 UNIVERSITY HALL	COLUMBIA	MO	65211	BOONE	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	002	3	6/14/2023	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$321,557
2023	2021	TEXAS A & M UNIVERSITY	400 HARVEY MITCHELL PKY S STE 300	COLLEGE STATION	TX	77845	BRAZOS	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	001	2	6/14/2023	NON-COMPETING CONTINUATION	-$177,773
2023	2020	TEXAS A & M UNIVERSITY	400 HARVEY MITCHELL PKY S STE 300	COLLEGE STATION	TX	77845	BRAZOS	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	1	6/14/2023	NEW	-$143,784
														Subtotal = $0

Issue Date FY: 2022 ( Subtotal = $177,192 )
2022	2022	UNIVERSITY OF MISSOURI SYSTEM	316 UNIVERSITY HALL	COLUMBIA	MO	65211	BOONE	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	001	3	9/13/2022	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$177,192
2022	2021	TEXAS A & M UNIVERSITY	400 HARVEY MITCHELL PKY S STE 300	COLLEGE STATION	TX	77845	BRAZOS	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	2	8/31/2022	NON-COMPETING CONTINUATION	$0
														Subtotal = $177,192

Issue Date FY: 2021 ( Subtotal = $177,773 )
2021	2021	TEXAS A & M UNIVERSITY	400 HARVEY MITCHELL PKY S STE 300	COLLEGE STATION	TX	77845	BRAZOS	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	2	5/28/2021	NON-COMPETING CONTINUATION	$177,773
														Subtotal = $177,773

Issue Date FY: 2020 ( Subtotal = $178,325 )
2020	2020	TEXAS A & M UNIVERSITY	400 HARVEY MITCHELL PKY S STE 300	COLLEGE STATION	TX	77845	BRAZOS	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	1	9/14/2020	NEW	$178,325
														Subtotal = $178,325

Grand Total All Awards = $533,290

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The Study on Type-2 Diabetes and the Rural Experience regarding Stress and Self-management behaviors (STRESS) Project

Award Number: R21DK124732

ORGANIZATION: NATIONAL INSTITUTE OF DIABETES & DIGESTIVE & KIDNEY DISEASES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

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

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