This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. Primary support for the subproject and the subproject's principal investigator may have been provided by other sources, including other NIH sources. The Total Cost listed for the subproject likely represents the estimated amount of Center infrastructure utilized by the subproject, not direct funding provided by the NCRR grant to the subproject or subproject staff. In spite of overwhelming clinical research data and practice guidelines regarding the role of dietary and physical activity (D&PA) interventions in reducing cardiovascular (CV) mortality, the clinical practice has failed to successfully integrate D&PA counseling into patient care. The healthcare environment very seldom replicates the settings and the intensive resources available for clinical trials, and thus the results of this research and clinical guidelines become an elusive goal for the practicing physician. Bridging the gap between clinical research and clinical practice requires additional research that will design and evaluate D&PA counseling interventions sustainable in the """"""""real-world"""""""" settings of the current clinical practice. The counseling intervention we propose uses a novel approach to the assessment and delivery of patient care in this area. The proposed approach states that the role of the physician is not to deliver the D&PA counseling process per se, but to promote and validate the integration of D&PA into the long term management of cardiovascular patients. The delivery of the counseling process will be done using e-technology (Internet in this case). The e-healthcare is a consumer focused healthcare delivery paradigm physicians and the healthcare system can no longer ignore (Iverson 2008).
The aims of this study are: 1) - to develop a patient self-administered, computerized system for D&PA data collection (based on existing validated questionnaires), processing, and analysis that will enable busy primary care physicians to generate, in the course of few minutes, a patient tailored D&PA counseling plan: """"""""the prescription for lifestyle changes""""""""; 2) ?create a secure, HIPAA compliant, interactive web-based counseling application that will allow patients to receive personalized counseling on a weekly basis, using an automatic, interactive Internet technology, and; 3) - test the feasibility of this intervention in the clinical settings of primary care, and evaluate its effect on CV risk factors.

Agency
National Institute of Health (NIH)
Institute
National Center for Research Resources (NCRR)
Type
Exploratory Grants (P20)
Project #
5P20RR016464-10
Application #
8360613
Study Section
Special Emphasis Panel (ZRR1-RI-7 (01))
Project Start
2011-06-01
Project End
2012-05-31
Budget Start
2011-06-01
Budget End
2012-05-31
Support Year
10
Fiscal Year
2011
Total Cost
$191,586
Indirect Cost
Name
University of Nevada Reno
Department
Physiology
Type
Schools of Medicine
DUNS #
146515460
City
Reno
State
NV
Country
United States
Zip Code
89557
Francis, Ashish; Kleban, Shawna R; Stephenson, Linda L et al. (2017) Hyperbaric Oxygen Inhibits Reperfusion-Induced Neutrophil Polarization and Adhesion Via Plasmin-Mediated VEGF Release. Plast Reconstr Surg Glob Open 5:e1497
Kim, Minkyung; Fontelonga, Tatiana M; Lee, Clare H et al. (2017) Motor axons are guided to exit points in the spinal cord by Slit and Netrin signals. Dev Biol 432:178-191
Castro-Cerritos, Karla Viridiana; Yasbin, Ronald E; Robleto, Eduardo A et al. (2017) Role of Ribonucleotide Reductase in Bacillus subtilis Stress-Associated Mutagenesis. J Bacteriol 199:
Villegas-Negrete, Norberto; Robleto, Eduardo A; Obregón-Herrera, Armando et al. (2017) Implementation of a loss-of-function system to determine growth and stress-associated mutagenesis in Bacillus subtilis. PLoS One 12:e0179625
Bjorke, Brielle; Shoja-Taheri, Farnaz; Kim, Minkyung et al. (2016) Contralateral migration of oculomotor neurons is regulated by Slit/Robo signaling. Neural Dev 11:18
Agarwal, Andrea B; Feng, Cheng-Yuan; Altick, Amy L et al. (2016) Altered Protein Composition and Gene Expression in Strabismic Human Extraocular Muscles and Tendons. Invest Ophthalmol Vis Sci 57:5576-5585
Garcia, Juana; Sorrentino, Jacob; Diller, Emily J et al. (2016) A General Method for Nucleophilic Aromatic Substitution of Aryl Fluorides and Chlorides with Dimethylamine using Hydroxide-Assisted Decomposition of N,N-Dimethylforamide. Synth Commun 46:475-481
Gorjala, P; Cairncross, J G; Gary, R K (2016) p53-dependent up-regulation of CDKN1A and down-regulation of CCNE2 in response to beryllium. Cell Prolif 49:698-709
Blumröder, R; Glunz, A; Dunkelberger, B S et al. (2016) Mcm3 replicative helicase mutation impairs neuroblast proliferation and memory in Drosophila. Genes Brain Behav 15:647-59
Kim, Kyung-Tai; Kim, Namhee; Kim, Hwan-Ki et al. (2016) ISL1-based LIM complexes control Slit2 transcription in developing cranial motor neurons. Sci Rep 6:36491

Showing the most recent 10 out of 286 publications