DISCRIMINATION STRESS

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This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. Our group is investigating the influence of racial discrimination on diabetes outcomes among African American (AA)women. Our next step is an National Institute of Health (R01) for a daily process study that will test the hypotheses that glycemia, blood pressure, and health behaviors will be more affected by daily stress in women with high lifetime discrimination than their low discrimination counterparts. The pilot project proposed here will collect data to support that R01 application regarding the feasibility of the data collection , the acceptability of the protocol to participants, and the effect sizes among relationships. Ten diabetic AA women will wear continuous glucose sensor and ambulatory blood pressure monitoring equipment for 3 consecutive days, and report health behaviors for 7 consecutive days. Twice daily, participants will provide data on daily stressors using an interactive voice response telephone system. Information regarding recruitment, retainment, participant burden, effect sizes, technical challenges with data collection, and modification of questionnaires for daily assessment will increase the likelihood of a successful R01 application.