Faculty Member Receives NIH Grant to Study Public Health and Community Institutions
September 27, 2004
Nisha Botchwey, Ph.D., Assistant Professor of Urban and Environmental Planning, recently collaborated with School of Medicine Associate Professor Viktor Bovbjerg, Ph.D., M.P.H., to establish a multidisciplinary study on community interventions impacting type 2 diabetes management. This four-year study assesses the impact of non-clinical community-based programs on improving a variety of clinical markers and health care utilization costs in Charlottesville, Harrisonburg, Richmond, and Roanoke, Virginia.
Drs. Botchwey and Bovbjerg received over $370,000 in grant funding from the National Institute of Diabetes and Digestive and Kidney Diseases, a division of the National Institutes of Health. The grant is a supplement to a $3.5 million award received by Dr. Bovbjerg to study diet and physical activity in people with type 2 diabetes in a study entitled Improving Control with Activity and Nutrition (ICAN).
ICAN will divide four hundred Virginians with type 2 diabetes into two groups: one will receive 12 months of “lifestyle intervention,” meeting with dieticians, fitness trainers, and group support sessions, followed by 30 months of meetings with a lifestyle case manager; the other group will receive the same 12 months of intervention followed by 30 months of case management. The patients’ progress in managing diabetes will be monitored for a total of 42 months.
Dr. Botchwey will monitor the patients’ use of community-based resources – such as places of worship, schools and community centers – to determine what effect their use has on success in the ICAN program. The team will look at the frequency and duration of visits, as well as the proximity of the community resource to the patient’s place of residence.
Dr. Botchwey hypothesizes that frequent, prolonged access to community-based interventions will improve diabetes management through improved diet and increased physical activity, and will decrease health care utilization, compared to participants with a lower level of participation in community-based interventions.
Dr. Botchwey’s research assistants include Leigh Rosen (PLAN), Ebony Walden (PLAN) and J. David Conmy (PLAN).