The candidate is a cardiologist and junior health services researcher at University of California, Irvine. Her long-term goal is to develop an independent career as a researcher in preventive cardiology with a focus on applying new tools to prevent cardiovascular disease in those with diabetes and metabolic syndrome. The proposed five year training program includes didactic coursework, a Master's degree, and strong mentorship to provide training in patient-centered research, clinical trial design and novel uses of existing image data. The proposal has an overall aim of the candidate integrating her expertise in cardiovascular imaging with her interest in risk communication within the context of the patient doctor relationship. She will be mentored by Dr. Sherrie Kaplan an expert in patient-centered care and co-mentored by Dr. Sheldon Greenfield, an expert in the field of quality assessment and by Dr. Matthew Budoff who is an expert on cardiac CT imaging. Our proposed study goal is to understand how cardiovascular risk is communicated and how personalized risk information can motivate preventative behavior.
We aim to: 1.) Determine how and with what frequency cardiovascular risk is communicated by primary care physicians to their patients with diabetes; 2.) Develop and test a measure to capture physician-patient communication about cardiovascular risk; and 3.) Assess the effect of communicating cardiovascular risk with pre-existing cardiac CT angiogram images of coronary arteries and Framingham Risk Score (FRS) versus FRS only on patient understanding of risk, change in risk behavior, and risk factor reduction. Knowledge from the research portion of this training grant will form the basis of an RO1 application to test the hypothesis that images of subclinical disease can be effective in risk communication, particularly in patients with literacy, linguistic or cultural barriers.
Changing behavior to improve one's health is difficult. In this study, we are studying a new way to motivate patients with diabetes by using images to help them understand their disease. This may result in health behavior that could lessen the chances of heart disease in the future.
|Khoshchehreh, Mahdi; Groves, Elliott M; Tehrani, David et al. (2016) Changes in mortality on weekend versus weekday admissions for Acute Coronary Syndrome in the United States over the past decade. Int J Cardiol 210:164-72|
|Groves, Elliott M; Khoshchehreh, Mahdi; Le, Christine et al. (2014) Effects of weekend admission on the outcomes and management of ruptured aortic aneurysms. J Vasc Surg 60:318-24|
|Mohar, Dilbahar S; Salcedo, Jonathan; Hoang, Khiet C et al. (2014) Epicardial adipose tissue volume as a marker of coronary artery disease severity in patients with diabetes independent of coronary artery calcium: findings from the CTRAD study. Diabetes Res Clin Pract 106:228-35|
|Naderi, Nassim; Masoomi, Hossein; Mozaffar, Tahseen et al. (2014) Patient characteristics and comorbidities associated with cerebrovascular accident following acute myocardial infarction in the United States. Int J Cardiol 175:323-7|
|Groves, Elliott M; Erande, Ashwini S; Le, Christine et al. (2014) Comparison of epicardial adipose tissue volume and coronary artery disease severity in asymptomatic adults with versus without diabetes mellitus. Am J Cardiol 114:686-91|
|Tehrani, David M; Darki, Leila; Erande, Ashwini et al. (2013) In-hospital mortality and coronary procedure use for individuals with dementia with acute myocardial infarction in the United States. J Am Geriatr Soc 61:1932-6|
|Qazi, Mohammad U; Malik, Shaista (2013) Diabetes and Cardiovascular Disease: Original Insights from the Framingham Heart Study. Glob Heart 8:43-48|
|Narula, Jagat; Nakano, Masataka; Virmani, Renu et al. (2013) Histopathologic characteristics of atherosclerotic coronary disease and implications of the findings for the invasive and noninvasive detection of vulnerable plaques. J Am Coll Cardiol 61:1041-51|
|Tehrani, David M; Malik, Shaista; Wong, Nathan D (2013) Coronary artery calcium screening in persons with metabolic syndrome and diabetes: implications for prevention. Metab Syndr Relat Disord 11:143-8|
|Malik, Shaista; Billimek, John; Greenfield, Sheldon et al. (2013) Patient complexity and risk factor control among multimorbid patients with type 2 diabetes: results from the R2D2C2 study. Med Care 51:180-5|
Showing the most recent 10 out of 16 publications