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The Development and Evaluation of Visual Communication Tools to Convey Parental and Intergenerational Cardiovascular Disease Risk and Evoke Lifestyle Behavior Change

Award Number: K23HL159312
ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 06/01/2022
PERIOD OF PERFORMANCE END DATE: 05/31/2027

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The Development and Evaluation of Visual Communication Tools to Convey Parental and Intergenerational Cardiovascular Disease Risk and Evoke Lifestyle Behavior Change - Modified Project Summary/Abstract Section Despite decades of research and growing public awareness, obesity disproportionately affects children from low-income households, contributing to persistent disparities in obesity, cardiovascular disease, and related co-morbidities across the life course. Parents play a central role in early obesity and CVD prevention by shaping children’s dietary and lifestyle behaviors; however, parents from low-income households face significant socioeconomic and environmental hurdles that limit access to effective, actionable guidance. These parents consistently report a need for practical, concrete lifestyle advice that can be implemented despite their constraints. Primary care clinicians are often tasked with providing such counseling, yet are limited by time and lack efficient, engaging, and relevant tools to communicate intergenerational CVD risk and motivate family-level behavior change. My long-term goal as an independent investigator is to improve child and family health outcomes by reducing disparities in obesity and cardiometabolic disease through family-centered, bio-behavioral interventions that are responsive to lived experience, support motivation to change, facilitate actionable steps, and promote sustained behavior change in families from low-income households. The objective of this study is to develop, assess, and evaluate the acceptability, feasibility, and preliminary efficacy of a visual communication tool that combine visual risk representations with structured, brief behavior change counseling to convey CVD risk to parents with obesity who have a school-age child (6–11 years) and reside in low-income households. Specifically, this study aims to: (1) develop a visual communication tool through an iterative, stakeholder-engaged process involving parents from low-income households and primary care health care providers; (2) assess the acceptability and feasibility of the tool; and (3) evaluate preliminary efficacy of the tool in changing intention to change, perceived risk, knowledge of CVD risk, and short-term lifestyle behavior change. My career development plan integrates mentorship, formal coursework, and targeted training in three focus areas: acquire skills in the development of visual communication tools to convey disease risk in a relevant way; gain expertise in the clinical application of Motivational Interviewing through brief behavior change counseling; obtain competence in designing randomized controlled trials in family-based behavior change interventions. Findings will inform a subsequent R01 to evaluate the effectiveness of the visual communication approach in promoting sustainable lifestyle change in parents and their children. This project aligns with NIH priorities to prevent chronic disease and accelerate translation of evidence-based interventions into real-world clinical settings.


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: 2026 ( Subtotal = $157,920 )
2026	2026	RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL	700 CHILDRENS DR	COLUMBUS	OH	43205	FRANKLIN	USA	Cardiovascular Diseases Research	000	5	6/26/2026	NON-COMPETING CONTINUATION	$157,920
														Subtotal = $157,920

Issue Date FY: 2025 ( Subtotal = $157,920 )
2025	2025	RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL	700 CHILDRENS DR	COLUMBUS	OH	43205	FRANKLIN	USA	Cardiovascular Diseases Research	000	4	8/28/2025	NON-COMPETING CONTINUATION	$157,920
														Subtotal = $157,920

Issue Date FY: 2024 ( Subtotal = $157,920 )
2024	2024	RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL	700 CHILDRENS DR	COLUMBUS	OH	43205	FRANKLIN	USA	Cardiovascular Diseases Research	000	3	5/24/2024	NON-COMPETING CONTINUATION	$157,920
														Subtotal = $157,920

Issue Date FY: 2023 ( Subtotal = $157,920 )
2023	2023	RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL	700 CHILDRENS DR	COLUMBUS	OH	43205	FRANKLIN	USA	Cardiovascular Diseases Research	000	2	6/9/2023	NON-COMPETING CONTINUATION	$157,920
														Subtotal = $157,920

Issue Date FY: 2022 ( Subtotal = $157,920 )
2022	2022	RESEARCH INSTITUTE AT NATIONWIDE CHILDREN'S HOSPITAL	700 CHILDRENS DR	COLUMBUS	OH	43205	FRANKLIN	USA	Cardiovascular Diseases Research	000	1	5/31/2022	NEW	$157,920
														Subtotal = $157,920

Grand Total All Awards = $789,600

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The Development and Evaluation of Visual Communication Tools to Convey Parental and Intergenerational Cardiovascular Disease Risk and Evoke Lifestyle Behavior Change

Award Number: K23HL159312

ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 06/01/2022

PERIOD OF PERFORMANCE END DATE: 05/31/2027

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