East Carolina University Overview

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East Carolina University has lead two projects: EMPOWER and COMRADE. Below is a brief overview of each project and a link to the full details and case study.


Location: Greenville, North Carolina

A randomized controlled trial among 200 African American female participants compared the effectiveness of using community health workers (CHWs) to deliver a tailored small behavioral changes intervention with ongoing diabetes self-management support (DSMS), to a mail-only control group receiving diabetes self-management education materials.  Women in the intervention group who were not taking insulin experienced statistically significant changes in HbA1c, diastolic blood pressure, body mass index, and weight.  Implementing a CHW-delivered, small changes intervention was most effective with patients in the early stages of diabetes progression. Read more.



Locations: Edgecombe County, Green County and Pitt County, North Carolina

East Carolina University (ECU) in partnership with stakeholders from rural, eastern North Carolina, implemented an individually-tailored, stepped-care intervention for patients experiencing uncontrolled type 2 diabetes and distress or depression. This approach featured combining primary care, cognitive behavioral treatment, and community support. The goals of this project were to implement and evaluate the effectiveness of the approach in a pragmatic trial, its impact on psychological mediators, and establish a cost-effective care model. Read more.