Research
Improving Control with Activity and Nutrition (ICAN)
Improving Control with Activity and Nutrition (ICAN), an R18 through the National Institute of Diabetes and Digestive and Kidney Diseases, is a translational study of clinical interventions that address both micro- and macrovascular disease in people with type-2 diabetes. Barriers at the patient, clinician, and health system level have prevented the application of findings that diet, exercise, and weight loss can lead to important health improvements for this population. ICAN is a partnership between the University of Virginia and Southern Health Services, a health plan with enrollees throughout Virginia, to demonstrate that clinically proven lifestyle interventions can be implemented and maintained in settings more typical of those in which a majority of Americans receive care. The study is a two arm randomized clinical trial of the ability of lifestyle case management interventions to improve glycemic control, reduce macro- and microvascular disease factors, support health-promoting diet and exercise habits, improve quality of life, and reduce the use of high intensity health care venues, among health plan enrollees with type 2 diabetes who are obese.
Religious Community Institutions as Local Health Venues: Improving Control with Activity and Nutrition Community Interventions Venue Analysis (presented at the October 2006 ESRI GIS Health Conference in Denver, Co.)
Virginia Youth Tobacco Research
Tobacco use remains the leading cause of mortality in the United States contributing to 440,000 deaths annually. Despite documented advances toward Healthy People 2010 objectives for reduced smoking, rates among adolescents remain high. The primary study aim was to elicit nonsmoking related attitudes, beliefs, and strategies that promote protective youth nonsmoking norms in 16 or 17 year old adolescents by conducting focus groups with 10 groups of adolescents. The project investigated factors determining nonsmoking behavior in groups of youths defined by age, gender and race, in Virginia, a tobacco producing state. Culturally relevant information about nonsmoking beliefs and behavior is an important contribution to tobacco prevention. Information derived from this study will provide a foundation for improved measures and interventions for youth tobacco prevention. The identification of specific protective factors will lead to the development of an innovative program fostering nonsmoking behaviors in children and adolescents, which may ultimately contribute to health promotion and disease prevention in Virginia.