East Carolina University
Partners: East Carolina University Health Disparities Center, Peers for Progress, North Carolina Office of Minority Health, North Carolina Department of Health & Human Services, Diabetes Control Program, Success Dynamics, Community Development Corp., Cornerstone Ministries, Lucille Gorham Intergenerational Center, Tillery Community Health Center, Greene County Healthcare, University Health Systems of Eastern Carolina and local health departments in four counties
The Need: The southeastern region of United States has the highest prevalence rate of diabetes among African Americans and profound disparities in diabetes morbidity and mortality, particularly among African American women. In North Carolina, the African American population is concentrated in the eastern rural counties: the historic plantation communities. Diabetes mortality among women in North Carolina increased in 2009, with African American women having a rate almost three times greater than white women.
The Project: East Carolina University and its partners will implement the first regional community-based and culturally tailored intervention to reduce disparities among 300 rural African American women with uncontrolled type 2 diabetes using a behaviorally centered "small changes" approach and navigation services delivered by teams of supervised lay health ambassadors and patient navigators. This approach avoids cyclical patterns of dieting and focuses on making small but sustainable changes in diet, physical activity and care management choices. Because many rural African Americans distrust the traditional health care delivery system, the East Carolina program will evaluate a culturally-concordant approach which team clinical teams with lay “health ambassadors” and “navigators who are trusted members of the African American community.
Project Leader: Doyle Cummings, email@example.com