This proposal is for competitive renewal of our T32 entitled Training in Behavioral and Preventive Medicine that is based at the Brown University Centers of Behavioral and Preventive Medicine (CBPM) and The Miriam Hospital. The program goal is to train a total of 13 postdoctoral fellows for two year periods to conduct research to reduce the burden of cardiovascular disease (CVD) by changing the most prominent lifestyle risk factors, including obesity, physical inactivity, and smoking. Over the first 10 years of this training program, we have successfully trained 21 fellows and have 4 additional fellows currently in training. Our success is highlighted by that fact that 10 of the 11 trainees funded in our first cycle have faculty appointments and all 10 have research grant support. Of the 10 who were funded more recently, 7 have faculty appointments (five of whom already have grant support, including 3 from NIH), and 3 are continuing further research training at other institutions. This T32 develops researchers who advance the basic science understanding of the etiology of behaviors associated with CVD and who develop and disseminate effective interventions targeting these behaviors to prevent or treat CVD. These approaches require multidisciplinary teams which are facilitated by the ongoing collaborations between the CBPM (including the Weight Control and Diabetes Research Center) and the Brown Department of Psychiatry and Human Behavior, the Department of Medicine and the School of Public Health. There are large numbers of federally funded trials that provide outstanding research training opportunities for our fellows including projects on the effects of behavior change on CVD risk factors, studies of genetic and environmental contributions to health and CVD, projects focusing on underrepresented populations, including Latinas, Southeast Asians and persons with HIV, and projects using innovative channels (e.g, Internet and text-messaging) and sites of delivery (e.g., YMCAs). We have retained and augmented our successful training model for this cycle. Program Director Rena Wing, PhD, continues in her leadership capacity. Jeanne McCaffery, PhD, is the new Associate Director, and Drs. Beth Bock, Ana Abrantes, Elizabeth McQuaid, Charles Eaton, and Akilah Dulin-Keita serve on the Training Committee. Training is highly individualized with all fellows developing core competencies in areas such as CVD-related behavioral research and specialized competencies in their specific areas of research. Formal didactics and mentored research experiences are combined to develop competencies. Mentoring teams are headed by a senior behavioral scientist and complemented with a physician, public health scientist or a junior faculty mentor. Trainee progress in achieving training objectives is formally evaluated, as is the success of the Training Program. Given our ability to recruit highly competitive candidates, provide extensive research and training opportunities, provide outstanding mentors with established track records, and produce funded researchers and junior faculty members, we feel uniquely qualified to continue our T32 research training in behavior change and CVD.

Public Health Relevance

Lifestyle factors, including obesity, physical inactivity and smoking, account for more than 50% of the burden of chronic disease morbidity and mortality. This T32 from the Centers of Behavioral and Preventive Medicine at Brown University and The Miriam Hospital trains postdoctoral fellows to become researchers to address behavioral problems related to cardiovascular disease.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Institutional National Research Service Award (T32)
Project #
5T32HL076134-15
Application #
9986840
Study Section
NHLBI Institutional Training Mechanism Review Committee (NITM)
Program Officer
Boyington, Josephine
Project Start
2004-08-01
Project End
2021-07-31
Budget Start
2020-08-01
Budget End
2021-07-31
Support Year
15
Fiscal Year
2020
Total Cost
Indirect Cost
Name
Miriam Hospital
Department
Type
DUNS #
063902704
City
Providence
State
RI
Country
United States
Zip Code
02906
Farris, Samantha G; Abrantes, Ana M; Zvolensky, Michael J (2018) Emotional distress and tobacco demand during the menstrual cycle in female smokers. Cogn Behav Ther :1-7
Farris, Samantha G; Thomas, J Graham; Abrantes, Ana M et al. (2018) Pain worsening with physical activity during migraine attacks in women with overweight/obesity: A prospective evaluation of frequency, consistency, and correlates. Cephalalgia 38:1707-1715
Manning, Kara; Paulus, Daniel J; Hogan, Julianna B D et al. (2018) Negative affectivity as a mechanism underlying perceived distress tolerance and cannabis use problems, barriers to cessation, and self-efficacy for quitting among urban cannabis users. Addict Behav 78:216-222
Farris, Samantha G; DiBello, Angelo M; Zvolensky, Michael J (2018) Development and validation of a contextual behavioral distress intolerance task in cigarette smokers. Addict Behav 87:260-266
Sillice, Marie A; Morokoff, Patricia J; Ferszt, Ginette et al. (2018) Using Relational Agents to Promote Exercise and Sun Protection: Assessment of Participants' Experiences With Two Interventions. J Med Internet Res 20:e48
Carey, Rachel N; Connell, Lauren E; Johnston, Marie et al. (2018) Behavior Change Techniques and Their Mechanisms of Action: A Synthesis of Links Described in Published Intervention Literature. Ann Behav Med :
Olson, KayLoni L; Lillis, Jason; Graham Thomas, J et al. (2018) Prospective Evaluation of Internalized Weight Bias and Weight Change Among Successful Weight-Loss Maintainers. Obesity (Silver Spring) 26:1888-1892
Abrantes, Ana M; Farris, Samantha G; Minami, Haruka et al. (2018) Acute Effects of Aerobic Exercise on Affect and Smoking Craving in the Weeks Before and After a Cessation Attempt. Nicotine Tob Res 20:575-582
Bond, Dale S; Thomas, J Graham; Lipton, Richard B et al. (2018) Behavioral Weight Loss Intervention for Migraine: A Randomized Controlled Trial. Obesity (Silver Spring) 26:81-87
Clawson, Ashley H; McQuaid, Elizabeth L; Borrelli, Belinda (2018) Smokers who have children with asthma: Perceptions about child secondhand smoke exposure and tobacco use initiation and parental willingness to participate in child-focused tobacco interventions. J Asthma 55:373-384

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