T32 Training in Interventions to Improve Outcomes in Chronic Conditions Abstract This revised research training grant renewal application seeks to educate and train nurse scientists in the development and testing of interventions to address some of the most compelling issues confronted by persons with chronic conditions and their families, and to improve the outcomes of both. The need for evidence-based interventions to improve outcomes in chronic conditions has never been greater as the prevalence of heart disease, stroke, cancer, and diabetes continue to escalate across all age groups. Nurse researchers are pivotal in addressing and reducing the individual, family, and health care system burden imposed by chronic illness through interventions to improve prevention, treatment, and self-and symptom management. This training program is embedded in the rich interdisciplinary environment of Emory University and the School of Nursing. This renewal training grant aims to provide rigorous pre- and post-doctoral research preparation centered on design and testing of innovative and theory-based interventions leading to improved health outcomes for those at risk for or with chronic conditions. The goals are to provide: 1) the theoretical and conceptual basis to generate a program of research concentrated on interventions to improve individual, family or health resource use outcomes, 2) methodological skills to support innovative design and rigorous testing of interventions measuring outcomes through biobehavioral markers, health indicators, and incorporating improved precision and responsiveness (?omics), and big data approaches; 3) mentorship of trainees to support their science and career development to initiate and sustain interdisciplinary scholarly inquiry in this substantive area. Support for training 2-3 predoctoral trainees and 1 postdoctoral trainee each year is requested. The science and training activities will be guided by a broad conceptual model incorporating individual and family or context factors that characterize and influence self-management behaviors related to prevention, management or palliation in chronic conditions including but not limited to cardiovascular, cancer, pulmonary, neurological, immunological, and diabetes/endocrine health problems. Predoctoral fellows will take core courses in the existing doctoral program, which includes a strong science focus on biobehavioral determinants and influences on health, biobehavioral markers of health outcomes and intervention responsiveness, complex analytic techniques, and exposure to and conduct of research through mentored research experiences. Additionally they will take graduate-level electives in the biological, behavioral, and nursing sciences. Postdoctoral work will be guided by an interdisciplinary team of researchers and include coursework, research experiences and individual activities designed to meet their training needs. All trainees will develop and conduct research projects, develop grant writing skills, research dissemination, and team science skills. The program coalesces core and collaborating faculty with active research programs, expertise in the substantive area, and a rich interdisciplinary academic, clinical and research environment.

Public Health Relevance

The burden of chronic conditions on individuals, family, health care systems, and society requires new approaches to prevention and management. Nurse researchers, highly trained in the behavioral and biological sciences, including emerging and team science, are needed to deepen our knowledge of how to help individuals and families make lifestyle changes, reduce symptom distress, improve illness self-care, and make critical decisions at the end of life. This program will prepare pre and postdoctoral nurse scientists to address these compelling questions which will ultimately improve health and health outcomes, such as quality of life, and reduce health care costs.

National Institute of Health (NIH)
National Institute of Nursing Research (NINR)
Institutional National Research Service Award (T32)
Project #
Application #
Study Section
Special Emphasis Panel (ZNR1)
Program Officer
Banks, David
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
Emory University
Schools of Nursing
United States
Zip Code
Yoo-Jeong, Moka; Anderson, Ashley; Rahman, Akm Fazlur et al. (2018) Associations of Mood on Objective and Subjective Cognitive Complaints in Persons Living with HIV/AIDS. J HIV AIDS 4:
Butts, Brittany; Butler, Javed; Dunbar, Sandra B et al. (2018) Effects of Exercise on ASC Methylation and IL-1 Cytokines in Heart Failure. Med Sci Sports Exerc 50:1757-1766
Bidwell, Julie T; Higgins, Melinda K; Reilly, Carolyn M et al. (2018) Shared heart failure knowledge and self-care outcomes in patient-caregiver dyads. Heart Lung 47:32-39
Butts, Brittany; Higgins, Melinda; Dunbar, Sandra et al. (2018) The Third Time's a Charm: Psychometric Testing and Update of the Atlanta Heart Failure Knowledge Test. J Cardiovasc Nurs 33:13-21
Bidwell, Julie T; Lyons, Karen S; Mudd, James O et al. (2018) Patient and Caregiver Determinants of Patient Quality of Life and Caregiver Strain in Left Ventricular Assist Device Therapy. J Am Heart Assoc 7:
Lee, Christopher S; Bidwell, Julie T; Paturzo, Marco et al. (2018) Patterns of self-care and clinical events in a cohort of adults with heart failure: 1 year follow-up. Heart Lung 47:40-46
Abshire, Martha; Bidwell, Julie T; Page, Gayle et al. (2018) Physiological and Psychological Stress in Patients Living With a Left Ventricular Assist Device. ASAIO J 64:e172-e180
Hertzberg, Vicki; Mac, Valerie; Elon, Lisa et al. (2017) Novel Analytic Methods Needed for Real-Time Continuous Core Body Temperature Data. West J Nurs Res 39:95-111
Jordan, Sheila; Baker, Brenda; Dunn, Alexis et al. (2017) Maternal-Child Microbiome: Specimen Collection, Storage, and Implications for Research and Practice. Nurs Res 66:175-183
Yang, Irene; Hall, Lynne A; Ashford, Kristin et al. (2017) Pathways From Socioeconomic Status to Prenatal Smoking: A Test of the Reserve Capacity Model. Nurs Res 66:2-11

Showing the most recent 10 out of 39 publications