Candidate: I am a neurologist who has undertaken post-doctoral fellowship training in measuring patient outcomes and methods of patient-oriented research, obtaining a Master's Degree in Health Services from the UCLA School of Public Health. I have applied my formal research training to design and successfully complete studies that show suboptimal secondary stroke prevention, using local, regional and national datasets. My immediate-term goal is to further develop my research skills in designing and testing care delivery interventions to improve outcomes of stroke patients. My long-term goal is to become an expert in reducing disparities of health and health care among persons with neurological disease. Research career development plan: My sponsor is Dr. Barbara Vickrey, the leading expert in patient outcomes measurement and care delivery interventions for neurological conditions. My co-mentor is Dr. William Cunningham, an expert in outcomes research and disparities of health among minority populations. Over a 5-year period, I will attend courses and seminars on trial design, program evaluation, implementation skills, disparities research, and ethics through UCLA School of Public Health, the VA Greater Los Angeles Healthcare System, and the NCMHD-funded UCLA/Drew Project EXPORT. Description of research project: I will design and implement a novel care delivery intervention based on the Chronic Care Model that includes group clinics, self-management education, and coordination of care. I will test it at a VA Los Angeles hospital through a RCT of 230 patients with cerebrovascular disease. Primary study outcome measures, collected at baseline and at six months after enrollment, will be control of stroke risk factors. In a second phase, I will adapt and implement the VA intervention to fit the needs and available resources at a nearby county hospital, serving an indigent minority population in South Los Angeles. I will perform a formative evaluation in preparation for a future RCT at that setting. Relevance: This application supports the career development of a neurologist to develop and test of a new model of healthcare delivery to prevent stroke among high-risk patients. It will be tested in a VA and implemented in an indigent minority community in Los Angeles.

Agency
National Institute of Health (NIH)
Institute
National Institute of Neurological Disorders and Stroke (NINDS)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
5K23NS058571-04
Application #
7804487
Study Section
NST-2 Subcommittee (NST)
Program Officer
Waddy, Salina P
Project Start
2007-09-30
Project End
2012-04-30
Budget Start
2010-05-01
Budget End
2011-04-30
Support Year
4
Fiscal Year
2010
Total Cost
$169,668
Indirect Cost
Name
Sepulveda Research Corporation
Department
Type
DUNS #
030380682
City
Sepulveda
State
CA
Country
United States
Zip Code
91343
Cheng, Eric M; Myers, Laura J; Vassar, Stefanie et al. (2017) Impact of Hospital Admission for Patients with Transient Ischemic Attack. J Stroke Cerebrovasc Dis 26:1831-1840
Lich, Kristen Hassmiller; Tian, Yuan; Beadles, Christopher A et al. (2014) Strategic planning to reduce the burden of stroke among veterans: using simulation modeling to inform decision making. Stroke 45:2078-84
Chen, Leo L K; Baca, Christine B; Choe, Jessica et al. (2014) Posttraumatic epilepsy in Operation Enduring Freedom/Operation Iraqi Freedom veterans. Mil Med 179:492-6
Keyhani, Salomeh; Cheng, Eric; Ofner, Susan et al. (2014) The underuse of carotid interventions in veterans with symptomatic carotid stenosis. Am J Manag Care 20:e250-6
Cohen, Adam B; Sanders, Amy E; Swain-Eng, Rebecca J et al. (2013) Quality measures for neurologists: Financial and practice implications. Neurol Clin Pract 3:44-51
Richards, Adam; Cheng, Eric M (2013) Stroke risk calculators in the era of electronic health records linked to administrative databases. Stroke 44:564-9
Cheng, Eric M; Bravata, Dawn M; El-Saden, Suzie et al. (2013) Carotid artery stenosis: wide variability in reporting formats--a review of 127 Veterans Affairs medical centers. Radiology 266:289-94
Keyhani, Salomeh; Cheng, Eric; Arling, Greg et al. (2012) Does the inclusion of stroke severity in a 30-day mortality model change standardized mortality rates at Veterans Affairs hospitals? Circ Cardiovasc Qual Outcomes 5:508-13
Cheng, Eric M; Keyhani, Salomeh; Ofner, Susan et al. (2012) Lower use of carotid artery imaging at minority-serving hospitals. Neurology 79:138-44
Cheng, Eric M; Cunningham, William E; Towfighi, Amytis et al. (2011) Randomized, controlled trial of an intervention to enable stroke survivors throughout the Los Angeles County safety net to ""stay with the guidelines"". Circ Cardiovasc Qual Outcomes 4:229-34

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