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:
- To develop an instrument to measure patient adherence to asthma control medications.
- To determine the relative contribution of low adherence to medications, inadequate patient-provider communication, and poor access to care to poor asthma outcomes.
- To test if sensitization and indoor exposure to cockroach allergen result in increased asthma morbidity.
- 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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