# HOME DM-BAT: Home-based Diabetes-Modified Behavioral Activation Treatment for Low Income Seniors with T2DM

> **NIH NIH R01** · MEDICAL COLLEGE OF WISCONSIN · 2022 · $647,491

## Abstract

Persistent disparities based on race/ethnicity and socioeconomic status in healthcare are well documented in
the United States. Social determinants of health are key drivers of health disparities, especially in the elderly.
Type 2 diabetes (T2DM) is a chronic disease that is highly prevalent in the elderly, associated with significant
racial/ethnic disparities, and impacted by social determinants of health. Elderly individuals with diabetes have
high multimorbidity, complex treatment regimens, impaired functional status and are often impacted by
psychosocial determinants of health such as food insecurity, housing insecurity, competing needs,
stress/coping, cognitive dysfunction, limited social and financial resources, and social isolation. Behavioral
activation is a cognitive behavior therapy, originally developed to address depression, that has shown promise
in individuals with chronic medical conditions, including T2DM. Therefore, especially among racial/ethnic
minority elderly patients with diabetes, interventions that directly addresses psychosocial issues and social
context factors that can influence lifestyle behaviors in the treatment and management of diabetes are likely to
improve clinical outcomes and general well-being. Preliminary data from our group has demonstrated that 8
sessions of culturally-modified, manualized, diabetes-modified, behavioral activation treatment that
incorporates: 1) diabetes education, 2) addresses social determinants of health (e.g. food insecurity, housing
insecurity, competing needs, stress/coping etc.), and 3) brief behavioral activation treatment achieved
maintenance of glycemic control in older adults with T2DM. This project will evaluate the efficacy and cost-
effectiveness of 8 sessions of in-home, group-based, manualized diabetes-modified behavioral activation
treatment (Home DM-BAT) delivered by trained diabetes nurse educators to low income, minority elders living
in independent senior housing. The proposed study will test new strategies for improving clinical outcomes for
T2DM in minority elders by addressing both diabetes-specific factors and social determinants of health.

## Key facts

- **NIH application ID:** 10337201
- **Project number:** 5R01DK118038-04
- **Recipient organization:** MEDICAL COLLEGE OF WISCONSIN
- **Principal Investigator:** Leonard E. Egede
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2022
- **Award amount:** $647,491
- **Award type:** 5
- **Project period:** 2019-04-01 → 2024-01-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10337201

## Citation

> US National Institutes of Health, RePORTER application 10337201, HOME DM-BAT: Home-based Diabetes-Modified Behavioral Activation Treatment for Low Income Seniors with T2DM (5R01DK118038-04). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10337201. Licensed CC0.

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