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Mobile Technology for Primary Care to Address Food Insecurity and Improve Cardiovascular Health

Award Number: K23HL146902
ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 12/15/2019
PERIOD OF PERFORMANCE END DATE: 07/01/2025

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Mobile Technology for Primary Care to Address Food Insecurity and Improve Cardiovascular Health - PROJECT SUMMARY/ABSTRACT Food insecurity, the lack of consistent access to enough food for an active and healthy life, is an important social determinant of health that affects over 40 million Americans. Food insecurity is associated with an increased risk of diabetes, hypertension, and cardiovascular disease. Because of the prevalence and potential for poor health outcomes, national and state organizations recommend that health systems address food insecurity in order to improve patient care and reduce health disparities. Few clinicians assess patient’s food security in practice, though, and the pathways by which food insecurity leads to disparities in cardiovascular disease remain unclear. The research goals of this study are to advance our knowledge of the relationship between food insecurity and cardiovascular disease and test an innovative tablet-based application for primary care practices to address food insecurity in order to improve cardiovascular health. To accomplish these goals, the principal investigator (PI) proposes a career development program that blends rigorous methodical training with an innovative research agenda. Aim 1 will use national survey data to determine the pathways through which food insecurity is associated with cardiovascular disease using structural equation modeling. Aim 2 will engage patients, clinicians, clinic staff, and key community leaders in a highly iterative process of user- centered design to modify and tailor a tablet-based application for primary care practices to address the pathways identified in Aim 1. Aim 3 will determine the feasibility and potential impact of the tablet-based app in a pilot, pragmatic trial in one primary care practice. To successfully accomplish these Specific Aims, the PI will capitalize on the outstanding research environment at Wake Forest School of Medicine and an engaged interdisciplinary mentorship team (Drs. Rosenthal, Bertoni, Ip, Miller and Vitolins) of exceptionally qualified senior scientists. With guidance from his expert mentor team and through didactic coursework and hands-on experience, the PI will obtain the necessary training in structural equation modeling, cardiovascular epidemiology, clinical informatics, and pragmatic clinical trials to become an independent investigator and leader in reducing disparities in cardiovascular disease by addressing the social determinants of health. This proposed K23 award complements National Heart, Lung, and Blood Institutes’ strategic focus on investigating factors that account for differences in health among populations and optimizing clinical and implementation research to improve health and reduce disease. This Mentored Patient-Oriented Research Career Development Award will advance our understanding of the chronic health effects of food insecurity and will be a timely catalyst for the PI in achieving his long-term goal of becoming an independent investigator focused on improving the health of low-income and vulnerable populations.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = -$126 )
2025	2024	WAKE FOREST UNIVERSITY HEALTH SCIENCES	MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	FORSYTH	USA	Cardiovascular Diseases Research	002	5	9/16/2025	NON-COMPETING CONTINUATION	-$126
2025	2024	WAKE FOREST UNIVERSITY HEALTH SCIENCES	MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	FORSYTH	USA	Cardiovascular Diseases Research	001	5	8/6/2025	NON-COMPETING CONTINUATION	$0
2025	2024	WAKE FOREST UNIVERSITY HEALTH SCIENCES	MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	FORSYTH	USA	Cardiovascular Diseases Research	000	5	3/13/2025	NON-COMPETING CONTINUATION	$0
														Subtotal = -$126

Issue Date FY: 2024 ( Subtotal = $155,965 )
2024	2024	WAKE FOREST UNIVERSITY HEALTH SCIENCES	MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	FORSYTH	USA	Cardiovascular Diseases Research	000	5	11/16/2023	NON-COMPETING CONTINUATION	$155,965
														Subtotal = $155,965

Issue Date FY: 2023 ( Subtotal = $156,334 )
2023	2023	WAKE FOREST UNIVERSITY HEALTH SCIENCES	MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	FORSYTH	USA	Cardiovascular Diseases Research	000	4	11/11/2022	NON-COMPETING CONTINUATION	$156,334
														Subtotal = $156,334

Issue Date FY: 2022 ( Subtotal = $155,158 )
2022	2022	WAKE FOREST UNIVERSITY HEALTH SCIENCES	MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	FORSYTH	USA	Cardiovascular Diseases Research	000	3	12/3/2021	NON-COMPETING CONTINUATION	$155,158
														Subtotal = $155,158

Issue Date FY: 2021 ( Subtotal = $152,581 )
2021	2021	WAKE FOREST UNIVERSITY HEALTH SCIENCES	MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	FORSYTH	USA	Cardiovascular Diseases Research	000	2	11/23/2020	NON-COMPETING CONTINUATION	$152,581
														Subtotal = $152,581

Issue Date FY: 2020 ( Subtotal = $156,045 )
2020	2020	WAKE FOREST UNIVERSITY HEALTH SCIENCES	MEDICAL CENTER BLVD	WINSTON SALEM	NC	27157	FORSYTH	USA	Cardiovascular Diseases Research	000	1	12/12/2019	NEW	$156,045
														Subtotal = $156,045

Grand Total All Awards = $775,957

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Mobile Technology for Primary Care to Address Food Insecurity and Improve Cardiovascular Health

Award Number: K23HL146902

ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 12/15/2019

PERIOD OF PERFORMANCE END DATE: 07/01/2025

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