Cardiovascular Health
We conduct research on the quality of care and outcomes of populations with and at risk for cardiovascular disease. An area of particular emphasis is social determinants, structural conditions and health equity. Our team of investigators has diverse scientific expertise in cardiology, internal medicine and social epidemiology. We strive to bridge different fields of scientific inquiry to execute unique approaches to studying and improving cardiovascular care.
Cardiovascular Health Researchers
Featured Projects
Investigators: Stacie L. Daugherty, MD, MSPH and Ingrid A. Binswanger, MD, MPH, MS
The goal of the SCHARP study is to learn about structural conditions, such as policies, practices, and attitudes that affect the health of people who have been released from prison. We will measure organizational structural conditions in diverse healthcare systems, link exposure to structural conditions to care access and health outcomes among a cohort of people released from prison. We will examine outcomes according to baseline cardiovascular risk and disseminate recommended organizational practices for improving access and outcomes.
Funder: National Heart, Lung, and Blood Institute, NIH
Study End Date: 06/30/2027
The goal of the SCHARP study is to learn about structural conditions, such as policies, practices, and attitudes that affect the health of people who have been released from prison. We will measure organizational structural conditions in diverse healthcare systems, link exposure to structural conditions to care access and health outcomes among a cohort of people released from prison. We will examine outcomes according to baseline cardiovascular risk and disseminate recommended organizational practices for improving access and outcomes.
Funder: National Heart, Lung, and Blood Institute, NIH
Study End Date: 06/30/2027
Investigators: Morgan Clennin, PhD, MPH and Stacie L. Daugherty, MD, MSPH
Elevated blood pressure (BP) is the most prevalent risk factor for cardiovascular disease. The proposed research will leverage KP cohort data to address the following specific aims: 1) determine the extent to which structural conditions contributes to racial and ethnic disparities in BP; and 2) determine the extent to which cumulative neighborhood inequalities influence the relationship between structural racism and BP disparities. A better understanding of the root causes driving BP disparities will help identify ways to develop targeted clinic-based strategies and community-level interventions. This Career Development Award will provide the candidate, Dr. Morgan Clennin, with the opportunity to augment her expertise in neighborhood environment assessment and social epidemiology with new training in (1) decomposition modeling to understand how multilevel SR influence BP outcomes; and (2) time-varying spatial modeling to account for cumulative neighborhood exposures.
Funder: American Heart Association
Study End Date: 03/31/2025
Elevated blood pressure (BP) is the most prevalent risk factor for cardiovascular disease. The proposed research will leverage KP cohort data to address the following specific aims: 1) determine the extent to which structural conditions contributes to racial and ethnic disparities in BP; and 2) determine the extent to which cumulative neighborhood inequalities influence the relationship between structural racism and BP disparities. A better understanding of the root causes driving BP disparities will help identify ways to develop targeted clinic-based strategies and community-level interventions. This Career Development Award will provide the candidate, Dr. Morgan Clennin, with the opportunity to augment her expertise in neighborhood environment assessment and social epidemiology with new training in (1) decomposition modeling to understand how multilevel SR influence BP outcomes; and (2) time-varying spatial modeling to account for cumulative neighborhood exposures.
Funder: American Heart Association
Study End Date: 03/31/2025
Investigators: Stacie L. Daugherty, MD, MSPH
and John F. Steiner, MD, MPH
The aims of this project are (1) to compare the effects of a values-affirmation exercise with a control exercise on antihypertensive medication adherence in African American patients across three clinical settings; and (2) compare the effects of the values-affirmation exercise in African American patients with its effects in white patients with similar socioeconomic and clinical characteristics.
Funder: National Heart, Lung, and Blood Institute, National Institutes of Health
Study End Date: 05/31/2021
The aims of this project are (1) to compare the effects of a values-affirmation exercise with a control exercise on antihypertensive medication adherence in African American patients across three clinical settings; and (2) compare the effects of the values-affirmation exercise in African American patients with its effects in white patients with similar socioeconomic and clinical characteristics.
Funder: National Heart, Lung, and Blood Institute, National Institutes of Health
Study End Date: 05/31/2021
Investigator: John F. Steiner, MD, MPH
The goal of this project was to improve care for patients with hypertension at the First Nations Community HealthSource, an Urban Indian Health Organization in Albuquerque New Mexico. The study supported a randomized, controlled trial of interactive voice-response outreach to patients with hypertension, with the goal of improving blood pressure control through reducing missed clinic appointments and improving medication adherence.
Funder: American Heart Association
Study End Date: 06/30/2020
The goal of this project was to improve care for patients with hypertension at the First Nations Community HealthSource, an Urban Indian Health Organization in Albuquerque New Mexico. The study supported a randomized, controlled trial of interactive voice-response outreach to patients with hypertension, with the goal of improving blood pressure control through reducing missed clinic appointments and improving medication adherence.
Funder: American Heart Association
Study End Date: 06/30/2020
Investigator: Stacie L. Daugherty, MD, MSPH
The overall goal of this project is to better understand the effects of discrimination on CVD risk, via allostatic load, in American Indians/ Alaska Natives (AI/AN). The three specific aims were to assess AI/AN individuals’ exposure to discrimination and examine associations with (1) an established panel of biomarkers of allostatic load, (2) physiological reactivity and recovery in a laboratory discrimination-challenge task, and (3) ambulatory BP during 24 hours of real-life experience sampling.
Funder: American Heart Association, Strategically Focused Research Network on Cardiovascular Disparities
Study End Date: 06/30/2019
The overall goal of this project is to better understand the effects of discrimination on CVD risk, via allostatic load, in American Indians/ Alaska Natives (AI/AN). The three specific aims were to assess AI/AN individuals’ exposure to discrimination and examine associations with (1) an established panel of biomarkers of allostatic load, (2) physiological reactivity and recovery in a laboratory discrimination-challenge task, and (3) ambulatory BP during 24 hours of real-life experience sampling.
Funder: American Heart Association, Strategically Focused Research Network on Cardiovascular Disparities
Study End Date: 06/30/2019
Investigator: Stacie L. Daugherty, MD, MSPH
This study conducted a randomized controlled trial testing values affirmation on improving adherence to medication in American Indian and White patients with hypertension.
Funder: American Heart Association, Strategically Focused Research Network on Cardiovascular Disparities
Study End Date: 06/30/2019
This study conducted a randomized controlled trial testing values affirmation on improving adherence to medication in American Indian and White patients with hypertension.
Funder: American Heart Association, Strategically Focused Research Network on Cardiovascular Disparities
Study End Date: 06/30/2019
Investigator: P. Michael Ho, MD, PhD
The goal of the Nudge study is to employ population level pharmacy data to identify non-adherent patients and utilize SMS to send them tailored, engaging and motivating text messages and text message-based chat through an artificially intelligent (AI) interactive chat bot to improve cardiac medication adherence and patient outcomes in 3 integrated healthcare delivery systems.
Funder: National Heart, Lung, and Blood Institute, NIH
Study End Date: 06/30/2025
The goal of the Nudge study is to employ population level pharmacy data to identify non-adherent patients and utilize SMS to send them tailored, engaging and motivating text messages and text message-based chat through an artificially intelligent (AI) interactive chat bot to improve cardiac medication adherence and patient outcomes in 3 integrated healthcare delivery systems.
Funder: National Heart, Lung, and Blood Institute, NIH
Study End Date: 06/30/2025
Investigator: P. Michael Ho, MD, PhD
The goal of the Chat 4 Heart Health Study is to improve control of cardiovascular risk factors by engaging patients from federally qualified health centers who have elevated cardiovascular risk with a technology-based self-management intervention focusing on control of the American Heart Association’s Life’s Essential 8 (LE8) lifestyle factors. We will conduct a pragmatic, patient-level randomized intervention across three health systems which include FQHCs.
Funder: National Heart, Lung, and Blood Institute, NIH
Study End Date: 06/30/2025
The goal of the Chat 4 Heart Health Study is to improve control of cardiovascular risk factors by engaging patients from federally qualified health centers who have elevated cardiovascular risk with a technology-based self-management intervention focusing on control of the American Heart Association’s Life’s Essential 8 (LE8) lifestyle factors. We will conduct a pragmatic, patient-level randomized intervention across three health systems which include FQHCs.
Funder: National Heart, Lung, and Blood Institute, NIH
Study End Date: 06/30/2025
Investigator: P. Michael Ho, MD, PhD
The goal of this project will be to conduct a type 2 hybrid effectiveness-implementation trail leveraging improved data infrastructure to evaluate (1) the effectiveness of CDC guideline-concordant prescribing and (2) the implementation and effectiveness of CDS strategies to deliver guidelines-concordant care using PRISM (Practical, Robust, Implementation and Sustainability Model) an IS framework that considers the dynamic interactions of multilevel contextual factors that influence implementation success.
Funder: NIH/NIDA
Award End Date: 08/2027
The goal of this project will be to conduct a type 2 hybrid effectiveness-implementation trail leveraging improved data infrastructure to evaluate (1) the effectiveness of CDC guideline-concordant prescribing and (2) the implementation and effectiveness of CDS strategies to deliver guidelines-concordant care using PRISM (Practical, Robust, Implementation and Sustainability Model) an IS framework that considers the dynamic interactions of multilevel contextual factors that influence implementation success.
Funder: NIH/NIDA
Award End Date: 08/2027