# Web-based problem-solving self-Management program for African Americans with Type 2 Diabetes

> **NIH NIH K01** · UNIVERSITY OF KANSAS MEDICAL CENTER · 2020 · $132,228

## Abstract

Abstract/Project Summary
The overall goal of seeking a K Award is to acquire the necessary training, practical experience, and knowledge to be a
leading independent investigator in implementing interventions through web- and mobile-based technologies that address
health disparities associated with diabetes and related diseases. Key objectives of the career development plan are to 1)
gain experience with diabetes self-management; 2) gain experience with web-based technology and chronic disease; and
3) gain hands-on experience with the implementation and dissemination of interventions. The following is a description of
the proposed research project: Uncontrolled diabetes can lead to macrovascular and microvascular health complications.
African Americans have a greater burden of disease, worse health outcomes from diabetes and lower adherence to
diabetes self-management goals. Novel approaches to delivering problem-solving skills training that improve diabetes
self-management and CVD knowledge are needed. Decision-Making Education for Choices in Diabetes Every Day
(DECIDE) (Hill-Briggs) is a problem-solving curriculum that is successful in improving adherence to self-management
behaviors in African Americans. However, one limitation of DECIDE is the face to face application. Previous
interventions which focus only on problem-solving do not involve the use of web-based technology. The proposed study
will explore the translation of DECIDE into an effective web-based program (eDECIDE) for African American patients
with uncontrolled diabetes. We hypothesize that eDECIDE can effectively be delivered. We will explore this through
three AIMS: 1) To translate and design the DECIDE curriculum into a user-centered web-based program, eDECIDE; 2)
To assess patient usability and satisfaction with eDECIDE design; 3) To test eDECIDE in a pilot 9-week randomized
controlled trial (n=70), measuring change in HbA1c (primary outcome) and the following secondary outcomes: blood
pressure, cholesterol, problem-solving skills, Diabetes and CVD Knowledge, Nutrition, and Diabetes Self-Care behaviors.
To investigate our aims we will conduct a task analysis of the DECIDE curriculum, (wireframe architecture) followed by
usability testing (website evaluation) and finally conduct a pilot, 9-week randomized controlled trial of eDECIDE.
Relevance: Findings from the proposed application have potential to shed light on ways to improve HbA1c and enhance
delivery of problem-solving skills training to improve diabetes self-management behaviors among African American
populations.

## Key facts

- **NIH application ID:** 9894832
- **Project number:** 5K01HL135472-03
- **Recipient organization:** UNIVERSITY OF KANSAS MEDICAL CENTER
- **Principal Investigator:** Michelle Redmond
- **Activity code:** K01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $132,228
- **Award type:** 5
- **Project period:** 2018-02-15 → 2023-01-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9894832

## Citation

> US National Institutes of Health, RePORTER application 9894832, Web-based problem-solving self-Management program for African Americans with Type 2 Diabetes (5K01HL135472-03). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/9894832. Licensed CC0.

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