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Summaries of Independent Scientist (K) Awards

Wisnivesky, Juan

Institution: Mount Sinai School of Medicine
Grant Title: Determinants of Asthma Morbidity in an Urban Population
Grant Number: K08 HS013312
Duration: 4 years (2003-2007)
Total Award: $639,225

Project Description: The purpose of this project is to evaluate the factors contributing to asthma morbidity in inner-city minority populations. There are four main goals:

  1. To develop an instrument to measure patient adherence to asthma control medications.
  2. To determine the relative contribution of low adherence to medications, inadequate patient-provider communication, and poor access to care to poor asthma outcomes.
  3. To test if sensitization and indoor exposure to cockroach allergen result in increased asthma morbidity.
  4. To develop the protocol and perform pilot testing of an intervention to improve the outcomes of adult inner-city asthmatics.

Career Goals: Dr. Wisnivesky intends to become an independent investigator with a focus on pulmonary epidemiology and health services research.

Progress to Date: Approximately 70% of the cohort has been enrolled in the study and 80% of these patients completed the follow up interviews. Initial results have been presented at national meetings.

Future Plans: Complete enrollment by December 2006. Disseminate results in manuscript form.

Highlights and Specific Accomplishments:

  • Professional Societies:
    • Chest.
    • American Thoracic Society.
    • Assistant Professor, Medicine, Mount Sinai School of Medicine.
    • Assistant Attending Physician, Mount Sinai School of Medicine.

K-Generated Publications:

  • Wisnivesky J, Leventhal H, Halm E. A Prospective Study of Predictors of Asthma-Related Health Care Utilization and Quality of Life among Inner City Asthmatics. Journal of Allergy and Clinical Immunoloty 2005;116:636-42.
  • Halm E, Wisnivesky J, Leventhal H. Quality and access to care among a cohort of inner city adults with asthma: Who gets guideline concordant care? Chest 2005;128:1943-50.

AHRQ Research Portfolio: Care Management; Socio-economics of Health Care; Training.
AHRQ Goals: Effectiveness

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