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Mobile pop-up units for diabetes prevention among Hispanics in rural Indiana

Award Number: R21DK136084
ORGANIZATION: NATIONAL INSTITUTE OF DIABETES & DIGESTIVE & KIDNEY DISEASES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 02/01/2024
PERIOD OF PERFORMANCE END DATE: 11/30/2026

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Mobile pop-up units for diabetes prevention among Hispanics in rural Indiana - ABSTRACT Type 2 diabetes disproportionately affects rural Hispanic populations in the US. Although the prevalence of diabetes is higher in rural Hispanics than in non-Hispanic Whites, rural Hispanics have limited access to evidence-based diabetes preventive services. Hispanics are less likely to receive diabetes preventive screening, advice and referrals recommended by the US Preventive Service Task Force than any other group. Aside from socioeconomic and language barriers, a main problem is reaching this vulnerable population with culturally appropriate preventive interventions. Mobile health units could help better reach rural Hispanics; they have been found to increase healthcare access for minoritized populations, serve as links between community and clinical settings, and contribute to the initiation of preventive interventions. However, mobile health units face challenges related to the cost of motor vehicles, lack of community participation, and lack of relevance to rural Hispanics. To address these limitations, we propose to use implementation research and community- engagement to co-design and pilot-test a health unit that provides guideline-recommended diabetes preventive services (i.e., screening, counseling, and referrals) for Hispanics living in rural Indiana. The study will be guided by the Exploration, Preparation, Implementation and Sustainment Framework to complete the following specific aims: 1) Prototype a health unit model to deliver diabetes preventive services through a process of co- creation, community feedback, and iterative design, and 2) Determine the reach, feasibility, and implementation of the health units among Hispanics in rural Indiana. A structured participatory process following human centered design methods will be used to engage community stakeholders in the design of the health units and the implementation plan, which will increase the likelihood of success and potential for scale. By bringing evidence-based diabetes preventive services to the places where minoritized communities live, our health unit model has the potential to ameliorate the access disparities rural Hispanics face. This application aligns with NIDDK’s research priorities and strategic mission to address diabetes disparities and will provide data to inform intervention content, sampling and measurement for a subsequent study to test the effectiveness and implementation the health unit model.


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 = $198,125 )
2026	2026	TRUSTEES OF INDIANA UNIVERSITY	107 S INDIANA AVE	BLOOMINGTON	IN	47405	MONROE	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	3	12/19/2025	NON-COMPETING CONTINUATION	$198,125
														Subtotal = $198,125

Issue Date FY: 2025 ( Subtotal = $198,125 )
2025	2025	TRUSTEES OF INDIANA UNIVERSITY	107 S INDIANA AVE	BLOOMINGTON	IN	47405	MONROE	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	002	2	7/14/2025	NON-COMPETING CONTINUATION	$198,125
2025	2024	TRUSTEES OF INDIANA UNIVERSITY	107 S INDIANA AVE	BLOOMINGTON	IN	47405	MONROE	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	1	5/1/2025	TERMINATION	$0
2025	2024	TRUSTEES OF INDIANA UNIVERSITY	107 S INDIANA AVE	BLOOMINGTON	IN	47405	MONROE	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	001	1	7/9/2025	OTHER REVISION	$0
														Subtotal = $198,125

Issue Date FY: 2024 ( Subtotal = $198,125 )
2024	2024	TRUSTEES OF INDIANA UNIVERSITY	107 S INDIANA AVE	BLOOMINGTON	IN	47405	MONROE	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	1	1/26/2024	NEW	$198,125
														Subtotal = $198,125

Grand Total All Awards = $594,375

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Mobile pop-up units for diabetes prevention among Hispanics in rural Indiana

Award Number: R21DK136084

ORGANIZATION: NATIONAL INSTITUTE OF DIABETES & DIGESTIVE & KIDNEY DISEASES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

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

PERIOD OF PERFORMANCE START DATE: 02/01/2024

PERIOD OF PERFORMANCE END DATE: 11/30/2026

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