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Developing and testing Collaborative Quality ImProvement initiative (C-QIP) for prevention of cardiovascular disease in India

Award Number: K43TW011164
ORGANIZATION: FOGARTY INTERNATIONAL CENTER
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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Developing and testing Collaborative Quality ImProvement initiative (C-QIP) for prevention of cardiovascular disease in India - PROJECT SUMMARY/ABSTRACT The proposed K43 application aims to develop, implement, and evaluate a Collaborative Quality ImProvement (C-QIP) intervention (non-physician health worker, text messages for healthy lifestyle and clinical decision-support system) effect on processes of care measures and clinical outcomes among individuals with existing CVD in India using United Kingdom Medical Research Council (MRC) framework for developing and evaluating complex interventions. A growing body of research suggests several factors at the level of the patient, provider, and health system may effectively lower the impact of CVD in India, such as literacy, increased time spent with patients, and integrated health care. Maximizing CVD treatment in India must involve a cascade of processes from appropriate prescribing to longer-term adherence as well as low(er)-cost health service delivery innovations such as non-physician health workers and interactive web-based or mHealth-based clinical decision-support system for providers and patients. Multifaceted quality improvement intervention (including but not limited to non-physician health worker/case managers, team-based care, SMS reminders, interactive decision-aids for patients and providers, audit-and feedback mechanisms) have been successful in high-income countries for improving care among individuals with existing CVD, but have not been extensively evaluated in India. These interventions could be sources of innovation in CVD prevention, treatment, and control through implementation science research. During the career development period of this award, I will take courses in research ethics, program evaluation, and health services research to complement my prior training. I will participate in training, or workshops organized by the World Health Organization SEARO (South-East Asia Regional Office), to learn about the development of evidence-informed clinical standards and guidelines adapted to local country settings and healthcare systems. My unique background and training will serve as a strong foundation for the present proposal and for future career development as an independent, innovative investigator and leader in global CVD research. In 10 years, I envision myself as an India-based clinical researcher in global CVD epidemiology and prevention, with a focus in South Asia. My current and future training, institution, and mentoring team provide me excellent platform to discover novel ideas about improving cardiovascular health and ultimately disseminate and deliver them globally, including in the US. The NIH K43 grant can provide me the mentored clinical research training and research opportunities to pursue my career goals. Relevance Development of local solutions to improving CVD care by Indian practitioners may provide innovative ideas that are relevant to and applicable in the US. As such, this proposal aims to improve the delivery of chronic care for patients with CVD in India and capture the innovative potential of global health, a thematic goal of the NIH and part of the strategic mission of the Fogarty International Centre.


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: 2023 ( Subtotal = $69,161 )
2023	2023	PUBLIC HEALTH FOUNDATION OF INDIA	431A, 4TH FLOOR, RECTANGLE-1	NEW DELHI	DELHI			IND	International Research and Research Training	000	5	5/12/2023	NON-COMPETING CONTINUATION	$69,161
														Subtotal = $69,161

Issue Date FY: 2022 ( Subtotal = $68,896 )
2022	2022	PUBLIC HEALTH FOUNDATION OF INDIA	431A, 4TH FLOOR, RECTANGLE-1	NEW DELHI	DELHI			IND	International Research and Research Training	000	4	8/5/2022	NON-COMPETING CONTINUATION	$68,896
														Subtotal = $68,896

Issue Date FY: 2021 ( Subtotal = $68,651 )
2021	2021	PUBLIC HEALTH FOUNDATION OF INDIA	UNIT NO. 316, 3RD FLOOR, RECTANGLE -1	NEW DELHI	DELHI			IND	International Research and Research Training	000	3	6/4/2021	NON-COMPETING CONTINUATION	$68,651
														Subtotal = $68,651

Issue Date FY: 2020 ( Subtotal = $65,722 )
2020	2020	PUBLIC HEALTH FOUNDATION OF INDIA	PLOT NO. 47, SECTOR 44, INSTITUTIONAL AREA	GURGAON	HARYANA	122002		IND	International Research and Research Training	000	2	5/7/2020	NON-COMPETING CONTINUATION	$65,722
														Subtotal = $65,722

Issue Date FY: 2019 ( Subtotal = $69,249 )
2019	2019	PUBLIC HEALTH FOUNDATION OF INDIA	PLOT NO. 47, SECTOR 44, INSTITUTIONAL AREA	GURGAON	HARYANA	122002		IND	International Research and Research Training	000	1	7/27/2019	NEW	$69,249
														Subtotal = $69,249

Grand Total All Awards = $341,679

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Developing and testing Collaborative Quality ImProvement initiative (C-QIP) for prevention of cardiovascular disease in India

Award Number: K43TW011164

ORGANIZATION: FOGARTY INTERNATIONAL CENTER

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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