Randall S. Stafford, MD, PhD is a clinical epidemiologist, obesity researcher, and practicing primary care internist. This K24 renewal proposal capitalizes on Dr. Stafford's clinical research expertise, ongoing research program, and mentoring experience. With training in Internal Medicine (MD UCSF, Residency MGH) and Epidemiology (PhD UC Berkeley, post-doc CDC), Dr. Stafford is currently an Associate Professor of Medicine at Stanford University. He directs the Stanford Program on Prevention Outcomes and Practices (PPOP) and is clinically active in Preventive Cardiology and Primary Care Internal Medicine. Stanford University provides an exceptional setting for patient-oriented research training. Dr. Stafford's mentoring plan leverages existing training resources, particularly those of Stanford's CTSA.
The Specific Aims of this renewal award are to: 1) Leverage Dr. Stafford's successful POR agenda, as well as the outstanding environment of Stanford University to enlarge an innovative and dynamic setting for POR training; 2) Build on Dr. Stafford's success as a K24 mentor and his continued development of new research and mentoring skills to apply a more systematic approach to mentoring that supplements the traditional apprenticeship model; 3)Through salary support and the increased availability of protected mentoring time, enhance Dr. Stafford's capacity to provide a greater depth of mentoring to a larger number of mentees; 4) Enrich Dr. Stafford's research career through skill growth, career re-focusing, and an impact-oriented emphasis. Clinical research, particularly patient-oriented research (POR), is critical to the translation of scientific knowledge into population health benefits. The process by which new medical practices and knowledge are disseminated, however, often fails to serve patients' best interests. Some new practices are readily adopted without adequate assessment while others with strong evidence-based support are adopted slowly and inconsistently. National investment in biomedical science is jeopardized if we fail to guide the translation of scientific evidence into practice. Given the importance of translating research into practice, it is ironic how difficult it is for clinically trained physicins to pursue careers in POR that emphasize population health. Adequate mentoring has been identified as a critical, but often missing, resource in the clinical research career development pathway. Dr. Stafford is intent on supporting the career needs of mentees to ensure that they can pursue long-term careers in population science with idealism and purpose. The research opportunities available from Dr. Stafford's own POR portfolio provide an excellent milieu for population science and POR training. Dr. Stafford's research aims to understand the forces influencing physician and patient behavior, with a focus on intervening to improve health outcomes through prevention. Dr. Stafford's objective is to further develop the science of health care innovation as a vehicle for designing prevention interventions to facilitate evidence-based practices by patients, their care providers, and health care systems. This research agenda is reinforced and stimulated by an array of clinical and teaching/mentoring activities. Mentoring a wide variety of trainees and junior faculty members not only provides a multidisciplinary intellectual community that brings to life the vital importance of these issues, but also creates successful scientists and future leaders.

Public Health Relevance

Recent health care reform emphasizes that the return on the national investment in scientific research is suboptimal. Scientific knowledge is often not translated into widely adopted and clinically efficient applications that can improve population health. This project leverages Dr. Stafford's extensive patient- oriented research experience and an innovative training plan that focuses on mentee career needs to train the next generation of translational scientists.

National Institute of Health (NIH)
National Heart, Lung, and Blood Institute (NHLBI)
Midcareer Investigator Award in Patient-Oriented Research (K24)
Project #
Application #
Study Section
Special Emphasis Panel (ZHL1)
Program Officer
Kaufmann, Peter G
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Fiscal Year
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Stanford University
Internal Medicine/Medicine
Schools of Medicine
United States
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Shah, Shreya J; Stafford, Randall S (2018) Patterns of Systolic Blood Pressure Control in the United States, 2016. J Gen Intern Med 33:1224-1226
Rosas, Lisa G; Vasquez, Jan J; Naderi, Ramin et al. (2016) Development and evaluation of an enhanced diabetes prevention program with psychosocial support for urban American Indians and Alaska natives: A randomized controlled trial. Contemp Clin Trials 50:28-36
Vaz Fragoso, Carlos A; Beavers, Daniel P; Anton, Stephen D et al. (2016) Effect of Structured Physical Activity on Respiratory Outcomes in Sedentary Elderly Adults with Mobility Limitations. J Am Geriatr Soc 64:501-9
Newman, Anne B; Dodson, John A; Church, Timothy S et al. (2016) Cardiovascular Events in a Physical Activity Intervention Compared With a Successful Aging Intervention: The LIFE Study Randomized Trial. JAMA Cardiol 1:568-74
Rosas, Lisa Goldman; Thiyagarajan, Sreedevi; Goldstein, Benjamin Alan et al. (2015) The effectiveness of two community-based weight loss strategies among obese, low-income US Latinos. J Acad Nutr Diet 115:537-50.e2
Chung, Sukyung; Zhao, Beinan; Lauderdale, Diane et al. (2015) Initiation of treatment for incident diabetes: evidence from the electronic health records in an ambulatory care setting. Prim Care Diabetes 9:23-30
Drieling, Rebecca Lucia; Goldman Rosas, Lisa; Ma, Jun et al. (2014) Community resource utilization, psychosocial health, and sociodemographic factors associated with diet and physical activity among low-income obese Latino immigrants. J Acad Nutr Diet 114:257-65
Hurley, Michael P; Stafford, Randall S; Lane, Alfred T (2014) Characterizing the relationship between free drug samples and prescription patterns for acne vulgaris and rosacea. JAMA Dermatol 150:487-93
Turner, Lydia W; Nartey, David; Stafford, Randall S et al. (2014) Ambulatory treatment of type 2 diabetes in the U.S., 1997-2012. Diabetes Care 37:985-92
Blonstein, Andrea C; Yank, Veronica; Stafford, Randall S et al. (2013) Translating an evidence-based lifestyle intervention program into primary care: lessons learned. Health Promot Pract 14:491-7

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