This application requests five years of support for a Mentored Research Scientist Development Award (K01) for a new minority investigator. The objectives of the planned training program are two-fold. The first objective is to provide the minority candidate with contemporary training in the areas of statistics, research methodology, research ethics, the pathophysiology of headache disorders, cross-cultural psychology, and health disparities. Formal coursework in these areas will facilitate the successful conduct of the planned study and prepare the candidate for future research endeavors throughout her career. The second objective is to examine how race and psychiatric co-morbid conditions are related to headache severity, quality of life, treatment adherence, and ability to respond favorably to treatments in people with episodic migraines, chronic migraines, episodic tension-type headaches, chronic tension-type headaches, substance abuse headaches, or cluster headaches. Using a quasi-experimental prospective research design, 400 patients presenting at outpatient medical centers in four urban areas of Ohio (Cincinnati, Cleveland, Columbus, and Toledo) will complete self-administered assessments, telephone-based interviews, and daily headache diaries that elicit data on headache severity, quality of life, social support, treatment self-efficacy, locus of control, treatment adherence, and treatment outcome. Guided by Social Cognitive Theory (SCT; Bandura, 1986), the planned study will employ structural equation modeling path analysis to determine whether SCT constructs, such as social support, health-related locus of control, and treatment self-efficacy, mediate associations between race and the presence of a co-morbid psychiatric disorder and key outcome measures, such as quality of life and treatment outcome. If successful, the candidate will obtain extramural funding prior to the completion of the training program that will enable her to conceptualize, implement, and evaluate a culturally-contextualized intervention to reduce headache pain and improve the life quality of people who experience severe headache characteristics.

Agency
National Institute of Health (NIH)
Institute
National Institute of Neurological Disorders and Stroke (NINDS)
Type
Research Scientist Development Award - Research & Training (K01)
Project #
5K01NS046582-05
Application #
7269977
Study Section
NST-2 Subcommittee (NST)
Program Officer
Porter, Linda L
Project Start
2003-09-30
Project End
2008-07-31
Budget Start
2007-08-01
Budget End
2008-07-31
Support Year
5
Fiscal Year
2007
Total Cost
$105,929
Indirect Cost
Name
Ohio University Athens
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
041077983
City
Athens
State
OH
Country
United States
Zip Code
45701
Heckman, Bernadette D; Merrill, Jennifer C; Anderson, Timothy (2013) Race, psychiatric comorbidity, and headache characteristics in patients in headache subspecialty treatment clinics. Ethn Health 18:34-52
Heckman, Bernadette D; Ellis, Gary (2011) Preventive medication adherence in African American and Caucasian headache patients. Headache 51:520-32
Heckman, Bernadette Davantes; Berlin, Kristoffer S; Watakakosol, Rewadee et al. (2011) Psychosocial headache measures in Caucasian and African American headache patients: psychometric attributes and measurement invariance. Cephalalgia 31:222-34
Lewis, Kristin Nicole; Heckman, Bernadette Davantes; Himawan, Lina (2011) Multinomial logistic regression analysis for differentiating 3 treatment outcome trajectory groups for headache-associated disability. Pain 152:1718-26
Heckman, Bernadette Davantes; Holroyd, Kenneth A; Himawan, Lina et al. (2009) Do psychiatric comorbidities influence headache treatment outcomes? Results of a naturalistic longitudinal treatment study. Pain 146:56-64
Heckman, Bernadette Davantes (2006) Psychosocial differences between whites and African Americans living with HIV/AIDS in rural areas of 13 US states. J Rural Health 22:131-9