# ACHIEVE GreatER: Addressing Cardiometabolic Health Inequities by Early PreVEntion in the Great LakEs Region

> **NIH NIH P50** · WAYNE STATE UNIVERSITY · 2021 · $3,669,218

## Abstract

ABSTRACT
Building upon the strength of existing collaborations and leveraging the intellectual resources and infrastructure
across three major research institutions, two in Detroit (Wayne State University and the Henry Ford Health
System) and one in Cleveland (Case Western Reserve University/University Hospitals), the ACHIEVE
GREATER Center will, i) increase reach in areas with extreme social vulnerability by deploying a suite of
community engagement resources in census tracts with heightened social vulnerability,
ii) implement, evaluate and maintain an upscaled version of an evidence-based community health
worker intervention to control multi-comorbid chronic cardiometabolic diseases by addressing multiple levels of
influence across different domains, and iii) foster a diverse workforce of well-trained, early-career stage
investigators who collectively focus on alleviating chronic cardiovascular disease disparities that drive U.S.
lifespan inequality. In addition to conducting a pilot grants program across the three partnering institutions,
ACHIEVE GREATER will perform three distinct but closely related special projects that focus
on interrupting early stages of pathogenesis in different contexts (e.g., mobile health units versus fixed
community locations). Importantly, this work will be nested in a larger epidemiologic study of multi-level
cardiometabolic risk factors. Our team will develop a distributed Cloud-based database complete with a
customized set of informatics tools that will enable investigators in the heart of each city to robustly profile
multi-level risk factors across different domains using both publicly available information and investigator-
generated data. Our evidence-based intervention pathways are designed to control risk factors, especially
elevated blood pressure, which is the most important modifiable contributor to heart disease - far and away the
leading cause of death in our region. By increasing reach in census tracts with increased social vulnerability
where lifespan disparities and uncontrolled cardiometabolic risk factors are most prevalent, our study design
optimizes both recruitment opportunities and potential intervention impact. Moreover, the alignment of
resources across three institutions will efficiently enhance regional coordination, while increasing the number
and diversity of research participants and highly trained early-career stage disparities investigators. If we are
successful and cost-effective, then we will have demonstrated a scalable means of improving future
lifespan equality by prioritizing risk factor control in high-risk populations from areas with extreme social
vulnerability.

## Key facts

- **NIH application ID:** 10437392
- **Project number:** 1P50MD017351-01
- **Recipient organization:** WAYNE STATE UNIVERSITY
- **Principal Investigator:** Phillip David Levy
- **Activity code:** P50 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $3,669,218
- **Award type:** 1
- **Project period:** 2021-09-24 → 2026-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10437392

## Citation

> US National Institutes of Health, RePORTER application 10437392, ACHIEVE GreatER: Addressing Cardiometabolic Health Inequities by Early PreVEntion in the Great LakEs Region (1P50MD017351-01). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10437392. Licensed CC0.

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