Enhancing Opportunities in Addressing Obesity and Type 2 Diabetes Disparities

Event Details

Meeting Objectives

The focus of this meeting is on socioecological approaches to preventing and treating obesity and type 2 diabetes with a specific focus on opportunities to address how socioecological context influences disease risks, as well as engagement in and response to interventions such as lifestyle changes and self-management. The overall workshop objectives are to:

• identify aspects of the socioecological and health care delivery contexts that may be targeted to reduce obesity and diabetes disparities
• assess the implications for interventions to reduce and/or eliminate disparities in obesity and diabetes that affect health disparities populations
• identify important research opportunities to develop and test approaches to reduce or eliminate obesity and diabetes disparities.

Health disparities populations are defined by the NIH as: low socioeconomic status populations; rural populations; certain racial and ethnic minorities (specifically African Americans, Hispanic/Latino, Asian, American Indian/Alaska Native, Native Hawaiian/other Pacific Islanders); and sexual and gender minorities. This workshop will include a focus on factors that impact health disparities populations where evidence is most available. Less studied populations will also be discussed particularly in opportunities for future research directions.

Organizing Committee

Chairs

Shiriki K. Kumanyika, Ph.D., M.S., M.P.H.
Professor of Community Health and Prevention
Drexel University Dornsife School of Public Health, and Emeritus Professor of Epidemiology, University of Pennsylvania Philadelphia, PA

Carol M. Mangione, M.D., MS.P.H., F.A.C.P.
Barbara A. Levey, M.D., and Gerald S. Levey, M.D., Endowed Chair in Medicine
The David Geffen School of Medicine at UCLA
Professor of Public Health
The UCLA Fielding School of Public Health
University of California, Los Angeles (UCLA)

NIH Members

NIDDK
Pamela L. Thornton, Ph.D.
Lawrence Agodoa, M.D.
Robert Kuczmarski, Dr.P.H.
Barbara Linder, M.D., Ph.D.
Voula K. Osganian, M.D., Sc.D., M.P.H.
Susan Z. Yanovski, M.D.

NCI
David Berrigan, Ph.D., M.P.H.

NHLBI
S. Sonia Arteaga, Ph.D.
Tiffany M. Powell-Wiley, M.D., M.P.H.
Charlotte Pratt, Ph.D., R.D., FAHA
Catherine M. Stoney, Ph.D.

NIMHD
Xinzhi Zhang, M.D., Ph.D., F.A.C.E., F.R.S.M.

ODP
Rachel Ballad, M.D., M.P.H.

OBSSR
Christine Hunter, Ph.D., ABPP

Registration Deadline

October 6, 2017 or until at capacity.

Agenda

October 24, 2017

7:30 a.m. – 8:00 a.m.

Registration

8:00 a.m. – 8:45 a.m.

Opening Session

Welcome and Opening Remarks
Griffin P. Rodgers, M.D., M.A.C.P. Director, National Institute of Diabetes and Digestive and Kidney Diseases

Eliseo J. Pérez-Stable, M.D. Director, National Institute on Minority Health and Health Disparities

Introduction and Workshop Goals
Pamela L. Thornton, Ph.D. Program Director, Division of Diabetes, Endocrinology, & Metabolic Diseases, NIDDK

Co-Chairs: Shiriki K. Kumanyika, Ph.D., M.S., M.P.H., Drexel University; and
Carol M. Mangione, M.D., M.S.P.H., F.A.C.P., University of California, Los Angeles

8:45 a.m. – 9:25 a.m.

Plenary
Eliminating Disparities in Obesity and Type 2 Diabetes: A Framework and Lessons Learned for Improving National Outcomes
Marshall H. Chin, M.D., M.P.H., University of Chicago

Session I: Epidemiology of Obesity and Type 2 Diabetes

9:25 a.m. – 9:45 a.m.

The State of the Knowledge: Epidemiology of Obesity and Diabetes
Edward W. Gregg, Ph.D., Centers for Disease Control and Prevention

Question and Answer

10:00 a.m. – 10:15 a.m.

Break

Session II: Building the Science of Reducing Obesity and Type 2 Diabetes Disparities

10:15 a.m. – 11:15 a.m.

Part A: Tackling Disparities through Lifestyle and Self-Management Interventions in Health Care Delivery: Clues to Success

Large Health Care System Interventions
Joe V. Selby, M.D., M.P.H., Patient-Centered Outcomes Research Institute (PCORI)

Practice-level Interventions
Monica Peek, M.D., M.P.H., University of Chicago

Question and Answer

11:15 a.m. – 12:35 p.m.

Part B: Achieving and Sustaining Lifestyle Change and Self-Management in Community Settings

Built Environment Interventions
Carlos J. Crespo, Dr.P.H., Portland State University

Community Health Worker Interventions
Michele Heisler, M.D., M.P.H., University of Michigan

Remotely Delivered Approaches
Deborah F. Tate, Ph.D., M.S., University of North Carolina-Chapel Hill

Question & Answer

12:35 p.m. – 1:20 p.m.

Lunch Break

1:20 p.m. – 3:10 p.m.

Part C: Community-based and Culturally Relevant Interventions Among At-Risk Populations

Culturally-relevant Interventions with African American Populations
Monica L. Baskin, Ph.D., University of Alabama at Birmingham

Weight-loss Interventions with Hispanic Populations
Nangel M. Lindberg, Ph.D., Kaiser Permanente

The “Skinny” on Type 2 Diabetes Among Asian Americans
Maria Rosario (Happy) G. Araneta, Ph.D., M.P.H., University of California San Diego

Culturally-relevant Interventions with American Indian and Alaska Natives
Spero M. Manson, Ph.D., University of Colorado Denver

Questions and Answer

3:10 p.m. – 3:25 p.m.

Break

3:25 p.m. – 4:25 p.m.

Summary Discussion: Efficacy to Effectiveness in High-risk Communities
David G. Marrero, Ph.D., Indiana University

Question and Answer

Session III: Strategies for Initial and Sustained Engagement

Moderators: Shiriki Kumanyika and Carol Mangione

4:25 p.m. – 5:00 p.m.

Round Table Discussion

5:00 p.m.

Day 1 Wrap-up
Shiriki Kumanyika and Carol Mangione

6:30 p.m.

Optional Group Dinner

October 25, 2017

8:00 a.m. – 8:10 a.m.

Opening Remarks and Day 2 Goals
Shiriki Kumanyika and Carol Mangione

Session IV: Emerging Areas For Study: Socioecological and Psychosocial Stress

8:10 a.m. – 9:45 a.m.

Epigenetic Marks Associated with Psychosocial Stress: Envisioning New Tools for Prevention and Health Promotion
Alexandra E. Shields, Ph.D., Harvard University

Differentiating Constructs of Mental Health, Distress, and Socioecological Stressors in Health Equity Research
Felicia Hill-Briggs, Ph.D., Johns Hopkins University

Models for Addressing Socioecological Influences on Lifestyle Interventions
Debra L. Haire-Joshu, Ph.D., R.N., M.S., M.A., Washington University

Question and Answer

9:45 a.m. – 10:00 a.m.

Break

Breakout Session: Identifying Research Gaps and Needs

10:00 a.m. – 11:15 a.m.

Breakout Groups

1. Epidemiology
   
   
2. Tackling Disparities through Lifestyle and Self-Management Interventions in Health Care Delivery
   
   
3. Achieving and Sustaining Lifestyle Change & Community-based and Culturally-relevant Interventions
   
   
4. Socioecological and Psychosocial Stress

11:15 a.m. – 11:30 a.m.

Break

11:30 a.m. – 12:30 p.m.

Breakout Session Presentations
Led by subgroup leads

12:30 p.m. – 1:25 p.m.

Working Lunch
Enhancing Opportunities in Addressing Obesity and Type 2 Diabetes Disparities, Led by Co-Chairs

Full Group Discussion

Synthesis of Key Themes and Gaps

1:25 p.m. – 1:40 p.m.

Concluding Remarks and Next Steps

1:40 p.m.

Adjournment