Center for Behavioral and Preventive Medicine


Nicotine & Tobacco Research Center Physical Activity Research Center Weight Control & Diabetes Research Center Other Research at the Centers

Abstracts of Active Research Grants

Listed alphabetically by principal investigator.

D E  F  G    I  J  K  N O  P  Q  R  S T  U  V  X  Y  Z 

Internet and Telephone Treatment for Smokers

This study examines the incremental efficacy of Internet with or without supplemental telephone counseling for smokers attempting to quit.
Principal Investigators: Beth Bock, PhD (Subcontract) & Amanda Graham, PhD (Project PI)
Co-Investigator: David Abrams PhD
Funding Agency: National Cancer Institute
Dates: 2004 - 2008

 

Smoking Cessation for Emergency Respiratory Patients

Examines the effectiveness of a brief intervention for smokers who present to the emergency department with respiratory illness.

Principal Investigator: Beth Bock, PhD
Co-Investigators:
Bruce Becker, MD; Raymond Niaura, PhD; Robert Partridge, MD
Funding Agency:
National Heart, Lung and Blood Institute
Dates:
2001 - 2006
 

Tailored Exercise Support for Cardiac Patients

Uses a computer expert system to tailor interventions for cardiac rehabilitation patients. The goal is to help patients maintain physical activity following completion of rehabilitation.

Principal Investigator:
Beth Bock, PhD
Co-Investigators:
Christopher Sciamanna, MD, MPH; Bess Marcus, PhD; John Todaro, PhD; Raymond Niaura PhD
Funding Agency:
National Heart, Lung and Blood Institute
Dates:
2004 - 2008
 

Motivating Adherence to CPAP in Obstructive Sleep Apnea

The primary aim of this project is to compare the efficacy of one of two different interventions (Motivational Interviewing vs. Standard Care) in promoting adherence to CPAP among patients with Obstructive Sleep Apnea.
Principal Investigators: Belinda Borrelli, PhD (Subcontract) & Mark Aloia, PhD (Project PI)
Co-Investigator:
Richard Millman, MD
Funding Agency:
National Heart, Lung and Blood Institute
Dates:
2001 - 2006
 

Motivating Asthma Adherence in Urban Pre & Early Teens

This is the first randomized, clinical trial to use Motivational Interviewing to motivate asthma medication adherence.  Motivational Interviewing will be compared to standard educational and goal setting approaches.  The target population is urban pre-and early teens.

Principal Investigators: Belinda Borrelli, PhD (Subcontract) & Cynthia Rand, PhD (Project PI)
Co-Investigator
: Kristin Rieckert, PhD
Funding Agency:
National Heart, Lung and Blood Institute
Dates:
2005 - 2009

 

Motivating Latino Parents of Kids with Asthma to Quit Smoking

Motivating Latino Parents of Kids with Asthma to Quit Smoking is a pilot study with two phases. The qualitative phase employs focus groups of low-income Latino smokers who have a child with asthma in order to increase the cultural relevance of a smoking cessation intervention previously tested in a multi-ethnic population of smokers with kids with asthma (R01 HL 62165, B. Borrelli, PI; Borrelli et al., 2002). The quantitative phase will be similar to the previous trial except that we will recruit only Latino smokers, have the treatments available in English and Spanish, and incorporate changes from the qualitative phase to increase cultural relevance.
Principal Investigator: Belinda Borrelli, PhD
Co-Investigators:
Elizabeth McQuaid, PhD; Bruce Becker, MD; S. Katherine Hammond, PhD; Beth Bock, PhD
Funding Agency:
Robert Wood Johnson Foundation
Dates:
2004 - 2006
 

Sustaining Cessation in Parents of Kids with Asthma

This study is a renewal of the prior NHLBI grant, "Motivating the Parents of Kids with Asthma to Quit Smoking."  It compared two nurse-delivered home-based smoking cessation interventions for low-income caregivers of children receiving asthma treatment; one that focused on augmenting risk perception through the provision of biomarker feedback (PAM), and one that focused on building self-efficacy using AHRQ guidelines (BAM).  PAM achieved significantly greater quit rates than BAM at a 2 month follow-up, but both groups had high relapse rates by 6-months. The first aim of the current study is to utilize our previously demonstrated smoking cessation intervention (PAM) to examine the cognitive, affective, and behavioral processes hypothesized to underlie the Teachable Moment in smokers with kids who had a recent asthma exacerbation vs. smokers with healthy kids. The second aim attempts to sustain the excellent short-term quit rates we found in our first study by testing whether supplementing PAM with a telephone-based intervention improves and sustains quitting more than PAM plus contact control in the parents of kids with asthma.
Principal Investigator: Belinda Borrelli, PhD
Co-Investigators:
Elizabeth McQuaid, PhD; Bruce Becker, MD; S. Katherine Hammond, PhD; Scott Novak, PhD
Funding Agency:
National Heart, Lung and Blood Institute
Dates:
2005 - 2010
 

Sustaining Cessation in Pregnant Smokers      

The primary aim of this project is to test whether a Sustained Telephone Counseling (STC) intervention can maintain post-partum abstinence from smoking cigarettes vs. standard care among women who quit at the start of their pregnancy
Principal Investigators: Belinda Borrelli, PhD (Subcontract) & Tom Lasater, PhD (Project PI)
Co-Investigator:
Scott Novak, PhD
Funding Agency:
National Heart, Lung and Blood Institute
Dates:
2005 - 2009

 
Proton MRS Studies Of Cerebral Injury In HIV Infection

Examines the pattern and dynamics of regional injury by MRS of HIV-associated cognitive impairment.
Principal Investigators: Ron Cohen, PhD (Subcontract) & Brad Navia, MD,  PhD (Project PI)
Funding Agency:
National Institute of Neurological Disorders and Stroke
Dates:
1997 - 2010
 

Modifying Obesogenic Homes: Impact on Weight Maintenance

The goal of this randomized controlled trial is to examine the long-term impact of a behavioral weight control program designed to directly modify both the physical and social home environment of weight loss participants.
Principal Investigator: Amy Gorin, PhD
Co-Investigators:
Rena R. Wing, PhD & Hollie A. Raynor, PhD
Funding Agency:
National Heart, Lung and Blood Institute
Dates
: 2004 - 2008
 

Neurobehavioral Regulation of Cigarette Cravings in Depression Vulnerable Smokers

The aim of this research is to characterize the neurobehavioral mechanisms that regulate cigarette cravings and smoking behavior among nicotine dependent individuals with and without vulnerability to major depression.  In two double-blind, placebo-controlled challenge studies, acute tryptophan depletion (ATD) and a-methyl-para-tyrosine (AMPT) will be used to examine the effects of serotonin and dopamine depletion, respectively, on cravings and smoking topography.  Results of this research will increase understanding of the associations among serotonergic and dopaminergic neurotransmission, cue-induced cravings, and vulnerability to major depression, and may have implications for tailoring pharmacological treatments to nicotine craving profiles.
Principal Investigator: Brian Hitsman, PhD
Co-Investigators
: Raymond Niaura, PhD; Lawrence Price, MD; Tony George, MD; Marina Picciotto, PhD; Marcus Munafo, PhD
Funding Agency:
National Institute on Drug Abuse
Dates:
2004 - 2009
 

A Prospective Study of Weight Change in College Freshman

Prevention of CVD risk in young adults is important because: CVD risk factors track longitudinally; health risk behaviors tend to cluster; and prevention is preferred to intervention.  While popular media espouses the risks of gaining "The Freshman 15," little research has investigated weight gain and its predictors during the first year of college.  We propose to examine the role of physical activity and dietary behaviors, as well as other psychosocial variables, in predicting weight change in a sample of 600 students during freshman year.  The information obtained from this longitudinal study will be used to design and conduct a pilot intervention in years 04-05, the aim of which is to decrease the magnitude of weight gain in students during their freshman year.
Principal Investigator: Elizabeth E. Lloyd-Richardson, PhD
Co-Investigators:
Rena Wing, PhD; Kelly Brownell, PhD; Mimi Nichter, PhD; Bess Marcus, PhD; Ray Niaura, PhD
Funding Agency:
National Heart, Lung and Blood Institute
Dates:
2004 - 2009
 

Ethnic Health/Motivating HIV+ Latinos to Quit Smoking

The purpose of this study is to compare the relative effectiveness of two treatments designed to improve smoking cessation rates among HIV+ Latinos: nicotine replacement (NRT) plus individual counseling compared to NRT plus individual counseling and involvement of a social support.
Principal Investigators: Elizabeth E. Lloyd-Richardson (Subcontract) & Ray Niaura (Project PI)
Co-Investigators:
Cassandra Stanton, PhD; Kate Morrow, PhD; Charles Neighbors, PhD, MBA; Karen Tashima, MD; Tim Flanigan, MD
Funding Agency:
National Institute on Drug Abuse
Dates:
2005 - 2010

 

Internet Technologies to Increase Exercise Behavior

The purpose of this project is to compare an Internet-based tailored physical activity intervention to a print-based tailored physical activity intervention in healthy, sedentary adults.  

Principal Investigator: Bess Marcus, PhD
Co-Investigators
: Alfred Parisi, MD; Christopher Sciamanna, MD, MPH; John Jakicic, PhD; Melissa Napolitano, PhD; Beth Bock, PhD; Deborah Tate, PhD; Beth Lewis, PhD; Anna Albrecht, RN, MSN; Joseph Hogan, ScD
Funding Agency:
National Heart, Lung and Blood Institute
Dates:
2003 - 2006


Nicotine Dependence: Phenotype, Endophenotype & Contexts

The goals of this project are to further the understanding of the development of dependence on nicotine by examining patterns of nicotine dependence in families, brain imaging of participants with nicotine dependence and the social and environmental context in which nicotine dependence develops.

Principal Investigator: Jeanne McCaffery, PhD (Subcontract) & Raymond Niaura, PhD (Project PI)
Co-Investigator:
Ron Cohen, PhD 
Funding:
National Cancer Institute
Dates:
2004 - 2009

 

Genetic Predictors of Comorbid Depressive Symptoms and CAD

The goal of this project is to examine candidate genes related to inflammation, serotonin and omega-3 fatty acid metabolism to examine their role in predicting depression among cardiac patients

Principal Investigator: Jeanne McCaffery, PhD
Funding:
National Heart, Lung and Blood Institute
Dates:
2004 - 2006

 

SES, Health Behaviors and Early CVD Death among Vietnam-Era Twins

The goal of this project is to examine putatively environmental predictors of heart disease, including socioeconomic status and health behaviors, such as cigarette smoking and physical activity, in the context of a twin study in which genetic and environmental contributions may be partitioned.

Principal Investigator: Jeanne McCaffery, PhD
Funding:
National Heart, Lung and Blood Institute
Dates:
2004 - 2006

 
A Contextual Model of Microbicide Acceptability

The project aims to explore the acceptability of microbicides, topical vaginal  products women will be able to use to prevent or reduce HIV transmission, by:  1) conducting secondary qualitative metasynthesis analyses on data collected during clinical trials of candidate microbicides, 2) develop a pool of quantitative items that can be used to develop scales and indices of microbicide acceptability, 3) conduct evaluative work on the items such that a set of scales and/or items is produced for use in Phase III efficacy trials and further acceptability research. The project recently completed enrollment of 531 women from 4 states in the northeast US. Data are now being analyzed, with the goal of validating several scales for subsequent microbicide acceptability study use.

Principal Investigator: Kathleen M. Morrow, PhD
Co-Investigators:
Rochelle Rosen, PhD; Joseph Fava, PhD; Kenneth H. Mayer, MD; Susan Cu-Uvin, MD; Patricia Symonds, PhD
Funding Agency:
National Institute of Mental Health
Dates:
2001 - 2006

 

Predictors of Long-Term Weight Loss Maintenance

The major problem in obesity treatment is failure to maintain long-term weight loss.  The purpose of the present study is to conduct secondary data analysis of three existing datasets to better understand the role of dispositional, environmental, and behavioral factors in determining long-term successful weight control across a variety of different treatment and patient populations. The study will: 1) identify the latent cluster of environmental, dispositional, and behavioral factors that best distinguish a group of Long-Term Successful Weight Losers from a group of overweight Unsuccessful Weight Losers; 2) examine whether the latent cluster of factors may be used to predict who, among those losing weight after 6 months of treatment, will remain successful at 12 and 18-month follow-ups; 3) compare the relative importance of each latent factor (i.e., environmental, dispositional, and behavioral) in predicting successful weight loss at 12 and 18-month follow-ups; and, 4) determine whether the same cluster of latent factors are associated with successful weight loss in Caucasian and African-American participants.

Principal Investigator: Suzanne Phelan, PhD
Co-Investigators
: Rena Wing, PhD; Amy Gorin, PhD; Michael Lowe, PhD
Funding Agency:
National Institute of Diabetes and Digestive and Kidney Diseases
Dates:
2005 - 2007

 

Maintaining Exercise after Cardiac Rehabilitation

Maintaining exercise participation among patients who have completed cardiac rehabilitation is  integral to secondary prevention of coronary events and cardiac re-hospitalization. To promote exercise maintenance after completion of a 12 week Phase II rehabilitation program, we propose to offer a theoretically-based intervention that we have used successfully to promote exercise among older, primary-care patients. This program (Maintenance Counseling) includes brief advice from the Cardiac Rehabilitation case manager at Phase II program discharge followed by telephone-counseling based on the Transtheoretical Model of Behavior Change and Social Cognitive Theory. Using a randomized controlled design, 180 patients will be assigned to Maintenance Counseling or Brief Advice plus Contact Control. Outcome assessments will include an exercise tolerance test (baseline/post-rehabilitation and 6 months), self-reported exercise participation, motivational readiness for exercise, and objective activity monitoring at baseline, 6, and 12 months. These data will help to identify whether telephone-based exercise counseling is an effective strategy for sustaining regular exercise and fitness among cardiac rehabilitation patients thereby contributing to secondary prevention of coronary heart disease.

Principal Investigator: Bernardine Pinto, PhD
Co-Investigators:
Michael Goldstein, MD; George Papandonatos, PhD; Bess Marcus, PhD; John Todaro, PhD; Peter Tilkemeier, MD
Funding Agency:
National Heart, Lung and Blood Institute
Dates: 2004 - 2008

 

Physical Activity Promotion in Cancer Follow-Up Care

Prior research has demonstrated that moderate-intensity physical activity (PA) can improve enhance physical functioning, reduce fatigue and improve vigor among cancer patients and those who have completed medical treatments. These efforts have not been integrated with the healthcare system. Data support the role of primary care providers in promoting PA among their sedentary patients; the role of oncologists in encouraging patients to become physically active has not been examined. This study aims at testing the efficacy of a PA intervention in an outpatient oncology setting. We plan to compare Brief Advice for PA (MD advice plus contact control) vs. Extended Advice (MD advice plus telephone-based PA counseling by research staff) over 3 months among 300 women who have completed treatment for breast cancer in the past 2 years.  If the data are promising, the study lays the groundwork for improving cancer recovery by integrating a brief PA intervention into follow-up care for cancer survivors.

Principal Investigator: Bernardine Pinto, PhD
Co-Investigators:
Michael Goldstein, MD & George Papandonatos, PhD
Funding Agency:
American Cancer Society
Dates:
2003 - 2008

 

Promoting Physical Activity after Colorectal Cancer

Colorectal cancer is the third most common cancer in the U.S. and if detected early, has a favorable prognosis. Colorectal cancer survivors face many physical and psychosocial sequelae including second cancers, adverse effects on major organs, cognitive, and sexual function, problems in work and social roles and reduced quality of life.  This study focuses on enhancing recovery by offering a home-based physical activity program to patients who have completed treatment for colorectal cancer. This study will test the efficacy of the physical activity intervention using a randomized controlled design among 134 patients who have completed treatment for colorectal cancer in the past 2 years. Outcomes will include physical activity behavior, fitness, vigor, fatigue, physical functioning, and body esteem among participants at baseline, 3 (post-treatment), 6 and 12 months. We will also track intervention costs and conduct exploratory analyses of moderators and mediators of change to help guide the future development of physical activity interventions to enhance recovery from colorectal cancer.

Principal Investigator: Bernardine Pinto, PhD
Co-Investigators:
Michael Goldstein, MD; George Papandonatos, PhD; Bess Marcus, PhD; Charlie Neighbors, PhD, MBA; William Sikov, MD
Funding Agency
: National Cancer Institute
Dates:
2004 - 2008

 

Translating Research-based Physical Activity Promotion among Cancer Survivors: A Pilot Study

Studies conducted in research settings have demonstrated that physical activity adoption among cancer survivors can improve their physical functioning, quality of life, mood and fatigue. In the first step towards translating these efforts into a community setting, we propose a pilot study to examine the feasibility and effects of a telephone-based physical activity program offered by community volunteers (specifically, Reach to Recovery volunteers of the local office of the American Cancer Society) to 25 breast cancer survivors. We will also assess the barriers to implementing the intervention as identified by the volunteers and gather data on any side-effects among participants. Additionally, we will assess the perceived acceptability and usefulness of the intervention to the volunteers and participants. These data will be used to design and support a larger dissemination trial of the effects of physical activity promotion to enhance cancer recovery in a community setting.

Principal Investigator: Bernardine Pinto, PhD
Funding Agency
: Lance Armstrong Foundation

Dates: 2004 - 2006
 

Feasibility of Physical Activity and Relaxation Training for Cancer Survivors

There is mounting evidence, that physical activity can reduce the risk of breast cancer survivors experiencing health problems and psychosocial difficulties.  This pilot study will assess the feasibility of sedentary breast cancer survivors simultaneously adopting a (previously tested) moderate-intensity physicalactivity (PA) program along with relaxation training (RT); the hope is that adding RT to this previously tested PA program will improve mood outcomes.

Principal Investigator: Carolyn Rabin, PhD
Co-Investigators:
Bernardine Pinto, PhD; Justin Nash, PhD; Peter Trask, PhD; William Sikov, MD; Robert Legare, MD; Jennifer Gass, MD
Funding Agency:
Susan G. Komen Breast Cancer Foundation
Dates:
2005 - 2007

 

Changing Eating Behaviors in Young Children

Should healthy foods be increased or unhealthy foods decreased?  The goal of this study is to develop an intervention for young children who are overweight or at risk for overweight to improve eating patterns by either focusing on foods to increase or decrease in the diet.

Principal Investigator: Hollie A. Raynor, PhD
Co-Investigators:
Rena R. Wing, PhD & Elissa Jelalian, PhD
Funding Agency
: American Diabetes Association
Dates:
2005 - 2008

 

Childhood Obesity Treatment Targeting Specific Behaviors

The goal of this study is to develop an intervention for young children who are verweight or at risk for overweight that can be implemented in a primary care setting and focuses on increasing physical activity and decreasing sweetened drinks or the substitutes to these behaviors.

Principal Investigator: Hollie A. Raynor, PhD
Co-Investigators:
Rena R. Wing, PhD & Elissa Jelalian, PhD
Funding Agency:
National Institute of Diabetes and Digestive and Kidney Diseases
Dates:
2005 - 2007

 

 

 

 

HPA Reactivity, Puberty, & Sex Differences in Depression

The objective of this mentored patient-oriented research career development award is to obtain training in stress responses and depression in adolescents and to develop a program of research examining: a) How do HPA responses to stress change across puberty in boys and girls? and b) Do changes in HPA responses to stress over puberty influence the emergence of sex differences in depression?  This work has implications for targeted intervention and prevention efforts to diminish sex differences in adolescent depression. It should also elucidate basic interactions between the gonadal and stress axes over puberty.

Principal Investigator: Laura Stroud, PhD
Mentors
: Raymond Niaura, PhD; Ronald Seifer, PhD; Ronald Dahl, MD: Adrian Angold, MRC Psych.
Funding:
National Institute of Mental Health
Dates:
2002 - 2007

 

Prenatal Neuroendocrine Mediators of Young Adult Smoking

The objective of this grant is to examine prenatal neuroendocrine mediators (cortisol, testosterone) of links between maternal and offspring smoking.  A second objective is to examine sex differences in mediating models.

Principal Investigator: Laura Stroud, PhD
Mentors
: Raymond Niaura, PhD; Stephen Buka, ScD; Lewis Lipsitt, PhD; Edmond Shenassa, ScD
Funding:
National Institute of Child health and Human Development
Dates:
2003 - 2006


Prenatal Smoking, Fetal Behavior and Infant Withdrawal

Aim to identify potential signs of withdrawal in smoking exposed infants and fetuses and to differentiate immediate versus more persistent neurobehavioral deficits resulting from prenatal smoking exposure.

Principal Investigator: Laura Stroud, PhD
Co-Investigators: Raymond Niaura, PhD; Barry Lester, PhD; Amy Salisbury, PhD, RN; George Papandonatos, PhD; Hendree Jones, PhD; Neal Benowitz, PhD
Funding
: National Institute On Drug Abuse
Dates:
2005 - 2010
 

The Long-Term Benefits of Cardiac Rehabilitation in Men and Women

Coronary heart disease (CHD) is the leading cause of morbidity and mortality among American men and women.  Cardiac rehabilitation (CR) is recognized as a vital component of secondary prevention of future incident heart disease.  Unfortunately, the effectiveness of CR has been studied primarily in men, neglecting the benefits of CR services in women.  In the available published studies as well as in our previous work investigating sex differences following CR, women appear to experience fewer psychological and quality of life (QOL) benefits than men.  We assert that, since women are often older, manage multiple comorbid medical conditions, and have fewer sources of social support prior to initiating CR, women are likely to benefit less from standard CR programs and may require more tailored interventions.  Our long-term objectives are to: 1) advance knowledge pertaining to the long-term benefits of CR in both men and women, and, based on the data obtained from this proposed study, 2) produce behavioral interventions that maximize the medical and psychological functioning of both men and women. 

Principal Investigator: John Todaro, PhD
Co-Investigators:
Raymond Niaura, PhD; Bess Marcus, PhD; Peter Tilkemeier, MD
Funding Agency:
National Heart, Lung and Blood Institute
Dates:
2001 - 2006

 

Management at Reducing Inflammatory Markers Associated with CHD

Depression is an independent risk factor for the development of coronary heart disease (CHD) in healthy men and women.  It has been estimated that depressed individuals have a 64% increased relative risk for the development of CHD than nondepressed individuals.  Recent studies have suggested that elevated levels of systemic inflammation could be responsible, in part, for the increased CHD risk associated with depression by accelerating the atherosclerotic process.  Although there is promising evidence that systemic inflammation could be an important link in the relationship between depression and CHD, it is still unknown whether treating depression can alter inflammatory processes and, ultimately, reduce the risk of developing CHD.  The objective of this study is to conduct a preliminary clinical trial to examine the effect of cognitive behavioral therapy on inflammatory markers associated with atherosclerosis.  Seventy depressed men and women will be randomly assigned to either a cognitive behavioral therapy (treatment) group or a no treatment (control) group.  Depressed individuals assigned to both the treatment and control group will be followed for up to one year to examine the long-term effect of depression treatment on markers of systemic inflammation.  This study represents an important step in developing treatments that prevent the premature onset of CHD in depressed individuals.

Principal Investigators: John Todaro, PhD
Co-Investigators:
Raymond Niaura, PhD & Ivan Miller, PhD
Funding Agency:
Mental Health Research Association (NARSAD)
Dates:
2004 - 2006

 

Changes in Food Reinforcement During Obesity Treatment - Supplement to Weight Reduction for Incontinence Network.

This study measures food reinforcement in a clinical setting to determine if food reinforcement changes when a traditional weight loss diet is prescribed.

Principal Investigator: Rena R. Wing, PhD
Co-Investigator:
Hollie A. Raynor, PhD
Funding Agency:
National Institute of Diabetes and Digestive and Kidney Diseases
Dates:
2004 - 2006

 

Long-term Weight Loss Maintenance

This study compares successful long-term weight loss maintainers with normal weight controls to determine whether the former must work harder to maintain their weight.

Principal Investigator: Rena R. Wing, PhD
Co-Investigators:
Suzanne Phelan, PhD & Hollie A. Raynor, PhD
Funding Agency
: National Institute of Diabetes and Digestive and Kidney Diseases
Dates:
2004 - 2007