Despite major advances in treatment during the past two decades, cardiovascular disease (CVD) remains a leading cause of death and disability. The need for improved strategies for primary and secondary prevention is particularly urgent in African Americans, who suffer disproportionately from CVD and its complications, yet have less access to and receive poorer quality of treatment. The Candidate for this Patient-Oriented Research in Cardiovascular Disparities Award proposes to accomplish the following specific aims: 1) To amplify her work in understanding the mechanisms of racial disparities and testing multi-level interventions (patient, clinician, organizational, and community) that reduce disparities and;speed the translation of evidence-based approaches to HTN management into clinical and public health practice, and create models for future interventions;2) To train a new generation of scholars who are engaged in research to better understand causes and identify sustainable solutions to CVD disparities;and 3) to translate and disseminate of evidence generated from her research program into clinical and public health practice and policy by creating, maintaining, and further enhancing partnerships with community residents, health care provider organizations, health departments, community organizations and policy-makers and by using community-based participatory research principles to guide the research through all phases including planning, implementation, evaluation, translation, and dissemination.

Public Health Relevance

Despite major advances in treatment during the past decade, cardiovascular disease (CVD) remains a leading cause of death and disability. The need for improved strategies for primary and secondary prevention is particularly urgent in African Americans, who suffer disproportionately from CVD and its complications, yet have less access to and receive poorer quality of treatment. The candidate for this award proposes to apply her expertise in clinical epidemiology, health services research, and implementation science to mentor a cadre of patient-oriented scholars committed to identifying mechanisms for disparities in care and outcomes of CVD and implementing and disseminating effective treatment models for hypertension and its complications, with special emphasis on African Americans.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Midcareer Investigator Award in Patient-Oriented Research (K24)
Project #
5K24HL083113-09
Application #
8656730
Study Section
Special Emphasis Panel (ZHL1-CSR-X (F1))
Program Officer
Wells, Barbara L
Project Start
2006-03-01
Project End
2016-04-30
Budget Start
2014-05-01
Budget End
2015-04-30
Support Year
9
Fiscal Year
2014
Total Cost
$197,424
Indirect Cost
$14,624
Name
Johns Hopkins University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
001910777
City
Baltimore
State
MD
Country
United States
Zip Code
21218
Faigle, Roland; Cooper, Lisa A; Gottesman, Rebecca F (2018) Race Differences in Gastrostomy Tube Placement After Stroke in Majority-White, Minority-Serving, and Racially Integrated US Hospitals. Dysphagia 33:636-644
Boonyasai, Romsai T; Carson, Kathryn A; Marsteller, Jill A et al. (2018) A bundled quality improvement program to standardize clinical blood pressure measurement in primary care. J Clin Hypertens (Greenwich) 20:324-333
Hong, Jonathan C; Padula, William V; Hollin, Ilene L et al. (2018) Care Management to Reduce Disparities and Control Hypertension in Primary Care: A Cost-effectiveness Analysis. Med Care 56:179-185
Kumra, Tina; Hsu, Yea-Jen; Cheng, Tina L et al. (2018) The association between organizational cultural competence and teamwork climate in a network of primary care practices. Health Care Manage Rev :
Hines, Anika L; Roter, Debra; Ghods Dinoso, Bri K et al. (2018) Informed and patient-centered decision-making in the primary care visits of African Americans with depression. Patient Educ Couns 101:233-240
Alberti, Philip M; Sutton, Karey M; Cooper, Lisa A et al. (2018) Communities, Social Justice, and Academic Health Centers. Acad Med 93:20-24
Block, Lauren; Flynn, Sarah J; Cooper, Lisa A et al. (2018) Promoting sustainability in quality improvement: an evaluation of a web-based continuing education program in blood pressure measurement. BMC Fam Pract 19:13
Purnell, Tanjala S; Luo, Xun; Cooper, Lisa A et al. (2018) Association of Race and Ethnicity With Live Donor Kidney Transplantation in the United States From 1995 to 2014. JAMA 319:49-61
Faigle, Roland; Ziai, Wendy C; Urrutia, Victor C et al. (2017) Racial Differences in Palliative Care Use After Stroke in Majority-White, Minority-Serving, and Racially Integrated U.S. Hospitals. Crit Care Med 45:2046-2054
Cené, Crystal W; Haymore, Beth; Laux, Jeffrey P et al. (2017) Family presence and participation during medical visits of heart failure patients: An analysis of survey and audiotaped communication data. Patient Educ Couns 100:250-258

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