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Faculty & Research

 

Center for Cardiovascular and Chronic Care

Center for Cardiovascular and Chronic Care

About
the Center

About the Center

On May 31, 2014 the "Center for Excellence for Cardiovascular Health" will be transitioning to the "Center for Cardiovascular and Chronic Care." Stay tuned for updates.

"Cardiovascular health can be improved particularly in vulnerable populations through community engagement as well as future innovations in research."

The Center aims to provide state-of-the-art technology-assisted interventions, integrated training and career development activities, broad dissemination and implementation of research findings, and targeted health policy initiatives.

Funded through a four-year, $1.9 million grant from the National Institutes of Health (NIH), the Center works to significantly reduce cardiovascular health disparities through community engagement, scientific investigation, education, and policy initiatives. It supports the education, training, and mentoring of new investigators; provides administrative and mentoring services and support to Center investigators; and disseminates findings, data, and resources.

Aims

  • Provide an infrastructure dedicated to advancing nursing science to improve the cardiovascular health of vulnerable populations
  • Foster a new generation of nursing scholars engaged in interdisciplinary/transprofessional research in the area of cardiovascular health promotion for vulnerable populations
  • Enhance the translation and dissemination of research in the area of cardiovascular health among vulnerable populations

Center
Cores

Center Cores

This Center is composed of three main cores. Each core is charged with strengthening existing and evolving collaborations within as well as beyond the Johns Hopkins institution to achieve numerous goals.

Administrative Core

The responsibilities of the Administrative Core include the coordination and use of resources and management of the middle-level research programs.

Key Personnel

Primary Objectives

  • Guide, coordinate, and allocate Center and University resources
  • Manage the mid-level research projects, run under each respective PI
  • Maximize scholarship productivity and dissemination

Specific Aims

  • Provide administrative and mentoring support to all Center investigators
  • Use a committee structure to implement a Center-wide evaluation plan
  • Ensure effective and efficient allocation of funds and use of the Center and University facilities and resources
  • Promote collaboration among the faculty of the Center and between the Center Cores to maximize scientific productivity
  • Develop and maintain:
    • Database of funded projects and linked resources
    • Intervention and dissemination materials library
    • Center website content to maximize communication and coordination of activities and resources

Intervention

Facilitates the development of effective cardiovascular interventions using state-of-the-art technology, comprehensive planning for outcomes evaluation, and collaboration among interdisciplinary investigators targeting vulnerable populations.

Key Personnel

Specific Aims

  • Provide consultation with regard to the development of interventions to optimize cardiovascular health promotion in vulnerable populations
  • Assist faculty in developing and implementing rigorous and culturally relevant research designs and methods for cardiovascular intervention studies targeting vulnerable populations
  • Assist faculty in measuring, analyzing, interpreting cardiovascular intervention outcomes
  • Provide technical support for data management and sharing
  • Provide consultation to facilitate the development and sustainability of productive interdisciplinary research teams for cardiovascular health promotion in vulnerable populations

Translation

Guides and supports investigators in developing the knowledge and skills needed to create innovative strategies to:

  • Address barriers to the implementation and dissemination of cardiovascular risk reduction interventions, especially those from vulnerable populations most likely to experience CVD
  • Facilitate communication with specific audiences by using effective social marketing techniques to improve the likelihood that interventions will be perceived as understandable, feasible, acceptable, and relevant

Although the Center projects described in this application are in the early stages of development, it is important for this next generation of cardiovascular nurse researchers to develop essential knowledge for translating their results into everyday clinical practice, since we expect this to be the focus of their future research.

Key Personnel

Specific Aims

  • Provide guidance to faculty investigators on the knowledge, skills and processes essential to the translation of cardiovascular health promotion knowledge
  • Support development of appropriate social marketing strategies to facilitate dissemination of research findings to consumers (providers, patients, patient constituency groups, payers, policy makers, members of the community)
  • Create a Consumer Advisory Board composed of patient, provider, payer, community, and government representatives to provide early guidance to cardiovascular nurse investigators on potential barriers to large-scale implementation, and strengths that would facilitate engagement and uptake

Center
Associates

Center Associates

Executive Committee

The Center Directors are advised on scientific and administrative decisions by the Executive Committee. The committee is composed of directors, core directors, and six administrators at the School of Nursing. The committee meets monthly to ensure successful coordination of the center cores and functions.

External Advisory Committee

Consisting of nine nationally recognized scientists and policymakers, the committee is composed of experts on the development and management of research centers; cardiovascular health promotion interventions, and related methodologies in vulnerable populations. They are strong advocates for the cardiovascular health of ethnic minority populations.

The committee meets once a year to evaluate and advise on achieving the missions and objectives of the Center and its effective operation. A member of the NINR extramural program staff is invited to attend each meeting as an observer. The committee convenes at least one additional time each year via conference calls. Members are also available on an ad hoc basis by telephone and email as well as face-face meetings.

Members

Diane Becker, ScD, RN, Professor
JHU, Dept. Internal Medicine
Director of the Center for Health Promotion

Fred Brancati, MD, MPH, Professor
JHU, Dept. Internal Medicine, Dept. Epidemiology
A renowned researcher and clinician in diabetes mellitus; research in nurse managed DM care for African Americans; Director of preventiono CORE of DRTC (NIH funded DM research center)

Nisha Chandra-Strobos, Professor
JHU Div. Chief Cardiology
Director for Cardiovascular Health Center for Women

Elijah E. Cummings
U.S. Congress
Represents Maryland's 7th District; Chairman of the Black Caucus; a long-time advocate for health disparity research

Daniel E. Ford ,MD, MPH, Professor
JHU, Dept. Internal Medicine, Dept. Epidemiology
PI, Director of Hopkins CTSA; Research on the relationship between CVD and mental health

Lawrence W. Green, PhD, Professor
University of California at San Francisco
An international expert on theory-guided health intervention and dissemination; the original developer of the Precede-Proceed Model

David Levine, MD, ScD, MPH
JHU, Dept. Internal Medicine, Dept. Epidemiology
An international expert on prevention and management of hypertension and other cardiovascular risk factors

Mary Naylor, PhD, RN, Professor
University of Pennsylvania
Director for Center for Transition

Neil Powe, MD, MPH, MBA
JHU, Dept. Internal Medicine, Dept. Epidemiology
Effectiveness and outcomes research; health and health disparities; economic evaluations in healthcare; evidence-based practice and meta-analyses

Consumer Advisory Boards

Translation Core

Jacquelyn Duval-Harvey, PhD
Deputy Commissioner, Baltimore City Health Department
Community Group Represented: Local government

Linda Dunbar, PhD, RN
VP of Care Management, Johns Hopkins Health Care
Community Group Represented: Managed care

Richard Safeer
Medical Director, Health Promotion & Disease Prevention, CareFirst Blue Cross Blue Shield 
Community Group Represented: Insurance companies

Sarah "Jodi" Shaefer, PhD, RN
Academic-community partners
Community Group Represented: Providers

Roger Blumenthal, MD
Cardiologist
Community Group Represented: Providers

Sarah Szanton, PhD, RN, ANP
Nurse Practitioner
Community Group Represented: Providers

LaPricia Lewis-Boyer
Community Health Educator
Community Group Represented: Community health worker

Aneel Qureshi
Community member
Community Group Represented: Community member with diabetes and hypertension

Bula Spriggs
Community member
Community Group Represented: Community member with diabetes, dyslipidemia, and CVD

Past
Events

Past Events

Methodological Speaker's Series: "Early Life Origins of Pediatric and Adult Diseases"

Brown Bag: "Patient Centered Outcomes Research Institute Grant Opportunities"

ICTR/Welch Center sponsored PCORI Symposium

Methodological Speaker's Series: "Pervasive Computing and Healthcare: Trends & Challenges"

  • Wednesday, May 9, 2012, 12:30-1:30
  • Speaker: Jong Hyun Lim, M.S.W PhD Candidate, member of Hopkins InterNetworking Research Group (HiNRG)

Methodological Speaker's Series: The POWER Trial--A View from Under the Hood

Methodological Speaker's Series: Mixed Methods Research

Issues Using Intent-To-Treat in Prevention Research

The Nuts and Bolts and Community-Based Participatory Research Workshop

  • January 27, 2012

Intervention Fidelity

Health Disparities Seminar Series: Advancing the Science and Practice of Community Engagement at Johns Hopkins University

Using IRT & Computer Adaptive Testing (CAT) to Measure Patient Reported Outcomes (PRO)

Overview of IRT and Innovative Measurements

How to Treat Missing Data

Cardiovascular Center Brown Bag

The Role of Incentives in Health Insurance

  • March 2, 2011
  • Dr. Richard Safeer, MD [Medical Director, Health Promotion and Disease Prevention CareFirst BlueCross Blue Shield

Seminar Series in Health Disparities: Inaugural Seminar: Overview of Disparities-Related Research

  • February 14, 2011


Past Conferences

Obesity Across the Lifespan: Complex Issues, Creative Strategies

The December 10, 2012 conference held at The Johns Hopkins Hospital focused on the problem and solutions to the growing obesity problem. The overall goals of this conference were:

  1. Increase dialogue between centers through out Johns Hopkins, and between academicians and local community partners
  2. Promote the translation of interventions into the community.

The conference was sponsored by School of Nursing Center of Excellence for Cardiovascular Health, DC-Baltimore Research Center on Child Health Disparities, Johns Hopkins Center to Reduce Cancer Disparities, Centers for Population Health and Health Disparities, Johns Hopkins Global Center on Childhood Obesity, Johns Hopkins Urban Health Institute and Student Outreach Resource Center (SOURCE), The Baltimore Curriculum Project, Feed the People, and catered by Clementine Restaurant.

Innovations for Cardiovascular Health Research

The December 2, 2012 conference focused on innovations in the field of cardiovascular health research and featured leading experts from across the country as speakers. Topics included innovations in policy, measurement, technology, theory, and health informatics.

Upcoming
Events

Upcoming Events

Coming Soon

 

Pilot
Projects

Pilot Projects

Telehealth Impact: Knowledge and Self-Management in African-American Heart Failure Patients

Congestive heart failure (CHF) patients in Baltimore City will be using a new FDA-approved electronic health monitoring device to help manage their heart disease at home as part of a new Johns Hopkins University School of Nursing study. With funding from the National Institutes of Health, lead investigator and associate professor Patricia Abbott, PhD, RN, will measure whether having an Intel Health Guide which allows patients to monitor their conditions, participate in learning modules, and connect with clinicians online in CHF patients' homes can improve their health.

2011-12 Project Update

Associate Professor Patricia Abbott has been conducting a study to develop and test the effect of a telehomecare-delivered educational module for heart failure. The intervention addresses heart failure knowledge and self management and is tailored to the patient's level of knowledge and self-management behaviors. She currently is completing data collection in a randomized study comparing the effect of this intervention to usual care in a sample of 52 African-American heart failure patients recently discharged from the hospital. She has presented on this study to several organizations, including the State Legislators Foundation and at a recent eHealth Conference for Historically Black Colleges & Universities. Dr. Abbot plans to use data from this study as the foundation for a large-scale trial of tele-health care for chronic disease management.

An Automated System for Prevention of CVD in HIV Care Settings (ASPIRE)

In a three-year study of 700 Baltimore patients with HIV/AIDS, Johns Hopkins University School of Nursing assistant professor Jason Farley will explore the effectiveness of healthcare clinicians in preventing cardiovascular disease (CVD) in HIV/AIDS patients.

2011-2012 Project Update

Assistant Professor Jason Farley is studying the effects of an intervention to reduce cardiovascular risk amongst HIV positive patients. In response to heightened cardiovascular risk in this population and the competing demands of complex HIV treatment regimens, he has developed and is testing an educational intervention amongst health care providers of HIV positive patients. He recently published related paper in the Journal of Cardiovascular Nursing, entitled "Improving Cardiovascular Risk Management among HIV-Positive Individuals."

Promoting Health Literacy of African Americans with HBP

Johns Hopkins University School of Nursing researcher Benita Walton-Moss is partnering with Baltimore's community leaders in reaching out to substance abusers with hypertension with the goal of improving cardiovascular health. The associate professor is launching a two-and-a-half-year study in a Baltimore neighborhood with the aim of decreasing the high rate of hypertension among African Americans, particularly those who are substance abusers.

2011-12 Project Update

Associate Professor Benita Walton-Moss is conducting two pilot projects. The first is a study addressing high blood pressure in the African American community in Baltimore. She is partnering with individuals in the community to develop a culturally sensitive intervention that will be delivered by community health workers. This intervention will address multiple factors related to blood pressure control, including patients' management of their hypertension.

Other 2011-2012 Pilot Studies updates

Dr. Kathy Ruble, from the School of Medicine, is conducting a study to examine the development of preclinical cardiovascular disease amongst Acute Lymphoblastic Leukemia (ALL) Survivors. In this study, she has compared childhood cancer survivors to healthy controls to look for differences in early markers of cardiovascular disease, including endothelial dysfunction, arterial stiffness and metabolic syndrome. Dr. Ruble's research has focused on the long-term effects of cancer and therapy among survivors of childhood cancers and data from this study will expand her research into long-term cardiovascular health in this vulnerable population.

Dr. Hayley Mark is beginning a study examining prevention and treatment of cardiovascular disease amongst HIV positive patients. Dr. Mark is collaborating with Dr. Farley to recruit patients and discuss strategies for preventing and treating cardiovascular disease in this vulnerable population.

Dr. Walton-Moss also plans to begin a second study, which will interview firefighters about their cardiovascular risk to better understand how to address cardiovascular disease in this population of caregivers.

Dr. Linda Rose plans to begin a study of health literacy related to cardiovascular disease risk factors and cardiovascular disease in persons with mental illness. She hopes to identify strategies for addressing cardiovascular disease and risk reduction in this group of individuals who are at risk for cardiovascular disease and related complications.

Resources
 

Resources

The center is committed to providing an infrastructure dedicated to advancing the science of cardiovascular health in vulnerable populations. The following resources have been complied to help researchers in their endeavors. The center also provides several services (i.e. - consultation, equipment rentals, and translation) free of charge to qualified center associates.

Guidelines & Reports | Instruments & Tools | Related Literature
Cardiovascular Centers and Organizations at Hopkins | Tips for Abstracts/Papers/Posters/Proposals

Guidelines and Reports

Instruments and Tools

  • Self-Care Measurement Tools
  • Adherance
  • Health Literacy
  • Self-Efficacy
  • HTN Knowledge
  • Health Related Quality of Life

Related Literature

Hypertension

JNC-7ATP-III, JNC-7 Hypertension

Smoking

AHRQ National Quality Measures Clearinghouse Tobacco Cessation

Physical Activity

Diabetes

AHRQ National Quality Measures Clearinghouse Nutritional Management of Diabetes Mellitus

Diet

Overweight and Obesity

Cardiovascular Disease Risk Assessment

Scientific Statements and Guidelines

AHA List of Scientific Statements and Practice Guidelines

Cardiovascular Centers and Organizations at Hopkins

Below is a list of centers, institutions, and organizations that may have useful information pertinent to cardiovascular research in vulnerable populations.

Centers of Excellence (P30)

Other Relevant Organizations

Tips for Abstracts/Papers/Posters/Proposals

Services
 

Services

Translation and Transcription

To facilitate research with ethnic minority populations the Cardiovascular Center provides basic translation and transcription services to faculty investigators and center associates.  Languages include:

  • Spanish
  • Korean
  • Chinese
  • Vietnamese

Equipment Rentals

The following equipment is available for use by faculty investigators and center associates researching topics with underserved populations.  Contact the center for availability and terms of use, including replacement costs.

  • 24-hour ambulatory BP Cuffs
  • Home BP monitors
  • Digital scales

Editing

The Office of Nursing Research and Sponsored Projects is committed to providing research resources and training for School of Nursing pilot projects and faculty.  Submit a request

Biostatistician Consultation

Statistical support is available for Johns Hopkins University School of Nursing faculty, postdoctoral fellows, and students. Submit a request

SON
Fit

SONFit

In Fall 2011, the Center launched a new wellness program at the School of Nursing called ‘SON Fit’ with activities including Yoga, Zumba, a Biggest Loser competition, and a stair-climbing club called ‘Step-it Up!’  The overall goal of the program is to improve the culture, well-being and cardiovascular health of students, faculty, and staff at the School.  The driving force behind the initiative comes from growing evidence that nurses often place their health and well-being second to the care of others and/or their professional development.  Over time, this makes them increasingly vulnerable to cardiovascular disease.  Findings from the longitudinal Nurses’ Health Study suggest that nurses are more overweight and obese than the average population.
 
Results from our own school-wide survey (n= 304) conducted in 2011 suggest many individuals within the School community experience substantial stress, which affects their health.  In particular, survey respondents reported their workload as a student, faculty, or staff ‘definitely’ affected their level of stress (78%) and health (47%).  Sixty percent of respondents reported gaining some weight over the past year, with about half of those respondents gaining more than five pounds. The SON Fit program was designed to tackle this problem and serve as a catalyst toward improving the culture of wellness at the School and engender lifelong commitment towards becoming living ambassadors of health and well-being.

Activities/Wellness Programs

Zumba

Ready to party yourself into shape? That’s exactly what the Zumba is all about. It’s an exhilarating, effective, easy-to-follow, Latin-inspired, calorie-burning dance fitness-party that’s moving millions of people toward joy and health. Zumba blends red-hot international music, created by Grammy Award-winning producers, and contagious steps to form a "fitness-party" that will give you a good cardio-workout. The class is taught by an energetic certified Zumba instructor who is passionate about promoting wellness. All participants must sign a waiver to participate. 

Available Sessions

Located in SON House 101 (SON Courtyard weather permitting).  Dates coming soon.

*Class fees are covered by the Center and JHU Benefits

Yoga  

Calling all Yogis, time to relax! Need something on Monday mornings to help you keep in shape and refreshed for the rest of the week? Look no further, SONFit Yoga is the perfect place to get a good workout with friends and a professional yoga instructor. 

Yoga benefits:

  • Increased focus on tests
  • Positive emotional responses to daily issues
  • Controlled breathing capabilities
  • Ability to slow your mind to take important time out for yourself in this fast-paced academic environment 
Available Sessions

Held on Mondays, 7-7:45 am in the Carpenter Room, (SON 1st floor) Dates coming soon.

 

*Class fees are covered by the Center and JHU Benefits

Biggest Loser "SONFit Edition"

This free competition (our version of the original reality TV show Biggest Loser)  is open to SON students, faculty, and staff who are overweight and are attempting to lose some pounds in a healthy way.  

Weigh-in dates/times

Coming soon.

At the end of the challenge, each participant will return to the Center to be officially weighed. The top 3 participants with the highest weight-loss will win prizes! Individuals with ≥5% weight-loss or those who lose ≥2inches off their waistline will also receive a small prize.

Prizes 

Coming soon.

 

Stair Climbing (Step-it Up!)

Taking the stairs is one way to be more physically active. At the SON, we are often presented with a choice between taking the stairs or elevator. Choosing stairs instead of the elevator is a quick way for all students, faculty, and staff to add physical activity to their daily routine. Using the stairs requires little additional time and no wardrobe change. We are encouraging all School personnel to “Step-it Up!-Skip the elevator and take a flight for fitness”.

How can you join the fun?
  • Meet Monday-Thursday 12:45-1 pm in front of Room 9 (Basement)
  • Make a commitment to take the stairs at least once a day or ditch the elevator 3 days a week

Want More Information?

For more information about any of our programs fill out the form below or call the Center at 410-614-3847.

 

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