The objective of this Research Training Program continues to be the pre-and post-doctoral training of individuals for investigative careers directed at the improved understanding of behavioral mechanisms associated with cardiovascular health, illness, risk, and the investigation of interventions and community partnerships designed to prevent or control disease and promote enhancement of cardiovascular health status. The rationale of the program uses a model of early exposure of trainees to faculty mentors and their research as a means of socialization of trainees toward their future career activities. Trainees are recruited from the relevant health professions, in particular, Medicine, Public Health, Nursing, and disciplines which include Health Education, Behavioral Sciences, Nutrition, Psychology, Sociology, Economics, Anthropology, and Public Policy. The Program is designed to educate trainees with a background in the health professions to develop more behaviorally oriented research and trainees with a background in the behavioral sciences to apply their research to cardiovascular health and illness. These complementary emphases continue to be viewed as important to building the necessary multi-disciplinary research manpower base to address cardiovascular problems relevant to the heath of the public. The faculty have been recruited to reflect this interdisciplinary base and provide appropriate role models for trainee career development. The Program has been successful and remains committed to attracting highly qualified minority trainees and placing further emphasis on cardiovascular disease and risk in minorities and women. The Program continues to be a strong collaborative one between the Schools of Medicine, Public Health, and Nursing. To date 100 postdoctoral and 58 pre-doctoral trainees have graduated with 7 current postdoctoral and 1 predoctoral trainees active. These include a mixture of individuals with MD's, PhD's, particularly in Behavioral Science and Public Health. A variety of research activities such as dietary and physical activity interventions to prevent high blood pressure;community-based cardiovascular risk reduction;and cardiovascular risk in minority populations;as well as facilities continue to be made available to trainees. This program continues to be significant for the health of the public, in its training of future investigators to understand, treat, and prevent heart and vascular diseases, and their associated risks, better. The new knowledge and its application, developed by these trainees, will improve the prevention and control of problems, such as hypertension, nationally, and in high risk underserved minority populations in particular. This program is directly relevant to the health of the public in its training of future investigators to understand, prevent and treat heart and vascular diseases and their associated risk factors better. Thus, this new knowledge, developed by these trainees, is important to addressing our number one health problem-heart disease

Public Health Relevance

This program is directly relevant to the health of the public. Cardiovascular disease remains the number one cause of death, and premature loss of life, in the United States. The training of individuals to direct their research to controlling, alleviating, and eventually preventing major heart and vascular diseases, is essential to addressing this public health issue

National Institute of Health (NIH)
National Heart, Lung, and Blood Institute (NHLBI)
Institutional National Research Service Award (T32)
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NHLBI Institutional Training Mechanism Review Committee (NITM)
Program Officer
Kaufmann, Peter G
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Johns Hopkins University
Internal Medicine/Medicine
Schools of Medicine
United States
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Riggs, Kevin R; Knight, Sara J (2017) The Language of Stewardship: Is the ""Low-Value"" Label Overused? Mayo Clin Proc 92:11-14
Radhakrishnan, Archana; Grande, David; Mitra, Nandita et al. (2017) Second opinions from urologists for prostate cancer: Who gets them, why, and their link to treatment. Cancer 123:1027-1034
Riggs, Kevin R; Berger, Zackary D; Makary, Martin A et al. (2017) Surgeons' views on preoperative medical evaluation: a qualitative study. Perioper Med (Lond) 6:16
Wong, Michelle S; Grande, David T; Mitra, Nandita et al. (2017) Racial Differences in Geographic Access to Medical Care as Measured by Patient Report and Geographic Information Systems. Med Care 55:817-822
Daubresse, Matthew; Andersen, Martin; Riggs, Kevin R et al. (2017) Effect of Prescription Drug Coupons on Statin Utilization and Expenditures: A Retrospective Cohort Study. Pharmacotherapy 37:12-24
Riggs, Kevin R; Segal, Jodi B; Shin, Eun Ji et al. (2016) Prevalence and Cost of Office Visits Prior to Colonoscopy for Colon Cancer Screening. JAMA 315:514-5
Radhakrishnan, Archana (2016) Capsule Commentary on Halm et al., Association Between Primary Care Visits and Colorectal Cancer Screening Outcomes in the Era of Population Health Outreach. J Gen Intern Med 31:1220
Hussain, Tanvir; Franz, Whitney; Brown, Emily et al. (2016) The Role of Care Management as a Population Health Intervention to Address Disparities and Control Hypertension: A Quasi-Experimental Observational Study. Ethn Dis 26:285-94
DeCamp, Matthew; Riggs, Kevin R (2016) Navigating Ethical Tensions in High-Value Care Education. JAMA 316:2189-2190
Marshall, Jessie Kimbrough; Mbah, Olive M; Ford, Jean G et al. (2016) Effect of Patient Navigation on Breast Cancer Screening Among African American Medicare Beneficiaries: A Randomized Controlled Trial. J Gen Intern Med 31:68-76

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