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Name: Debra K.  Moser
Position Type: Chair
Appointment Start Date: 07/01/01
Appointment End Date: 06/30/06
Area of Specialty:
Summary Vita:
Highest Degree: D.N.Sc
Professional Affiliations: PROFESSIONAL ORGANIZATION AFFILIATIONS Council on Cardiovascular Nursing (CCVN), American Heart Association (open membership) 2003-2006, member, National AHA Behavioral Science, Epidemiology and Prevention Peer Review Study Committee 2004-2005, member, AHA National Membership, Marketing and COMMUNICATION COMMITTEE 2004-2005, chair, Communications/Membership Committee 2002-2004, chair, Communications Committee 2002-2004, member, Leadership Committee 2001-2001, member, national AHA National Peer Review COMMITTEE OUTCOMES: 1999-2002, Editor, web page for CCVN 1999-2002, member Communications Committee 1997-2000, member, National AHA Behavioral Science, Epidemiology and Prevention Peer Review Study Committee 1997-present, abstract grader, Annual Scientific Sessions 1997-1999, member, Heart Failure Research Prize Selection Committee 1997, inducted as Fellow, American Heart Association, Council on Cardiovascular Nursing Heart Failure Society of America (open membership) 2002-2005, member, Nursing Committee 2004-2006, member, Guidelines Committee 2000-2002, ad hoc member, Guidelines Committee 2000-2002, ad hoc member, Executive Committee 1999-2002, chair, Nursing Committee 1998-2000, member, Program Committee 2000 to present, abstract grader, Scientific meeting research abstract committee Sigma Theta Tau, Gamma Tau Chapter (elected membership) 1998-2000, 2nd Vice-President (newsletter editor), Epsilon Chapter American Association of Heart Failure Nurses (open membership) 2004-2006, Board of Directors 2004-2006, Membership Committee, chair American Academy of Nursing (elected membership) 2003, Fellow American Association of Critical Care Nurses (open membership) Fulbright Association (invited membership) American Psychosomatic Society (elected membership) American Nurses’ Association (open membership) Southern Nursing Research Society (open membership) Gerontological Society of America (open membership) Southern Gerontological Association (open membership) Editorial Service: current Co-editor, Journal of Cardiovascular Nursing Editorial Board, Journal of the American College of Cardiology Editorial Board, Journal of Cardiac Failure Editorial Board, European Journal of Cardiovascular Nursing Editorial Board, Journal of Korean Academy of Nursing: English Edition Reviewer, European Journal of Heart Failure Editorial Board, American Journal of Critical Care Reviewer, Heart and Lung Reviewer, Circulation Professional Activities: 2005-present NIH, National Institute of Nursing Research Study Section, ad hoc reviewer 2004-2006 Heart Failure Society of America, Guidelines Committee, member 2004-2005 American Heart Association (AHA), Membership, Marketing and Communications Committee, member 2004-2005 AHA, Council on Cardiovascular Nursing, Communications/Membership Committee, chair 2004-2006 AHA, Peer Review Study Committee; Behavioral Science, Epidemiology and Prevention Study Committee, member. 2004-present Heart Failure Society of America, scientific abstract grader. 2004-present American Heart Association Scientific Sessions, abstract grader 2004-2006 American Association of Heart Failure Nurses, Board of Directors, member 2004-2006 American Association of Heart Failure Nurses, Membership committee, chair 2004 American Association of Critical Care Nurses Certification Corporation, Cardiology Practice Analysis Task Force 2003-2005 Nursing Committee, Heart Failure Society of America, member 2003-2004 American Heart Association, - Second International Conference on Women, Heart Disease, and Stroke Planning Committee, member 2003 Society of Behavioral Medicine Annual Scientific Meeting, abstract reviewer 2003-present NIH, National Institute of Nursing Research Study Section, ad hoc reviewer
Primary Research Focus: Biobehavioral interventions in acute myocardial infarction and heart failure.
Key Contributions: Key contributions occur in two major areas: 1) investigations of factors contributing to patient delay in seeking treatment for acute myocardial infarction; and 2) improvement of health care resource use and quality of life among patients with heart failure. 1. Prompt reperfusion therapy in the face of an evolving acute myocardial infarction (AMI) can limit myocardial damage with subsequent positive effect on morbidity and mortality. However, the efficacy of therapy is directly related to the interval between symptom onset and treatment. Many patients are excluded from the benefits of reperfusion therapy because of excessive time between symptom onset and presentation to the hospital. Mean delay times of 4.6 to 24 hours and median delay times of 2 to 6.4 hours have been reported in studies conducted in North America and Europe over the past two decades. Efforts to decrease delay times have been larger ineffective, most likely because emotional, cognitive and social factors contributing to delay have not been targeted. Dr. Moser and colleagues have investigated and reported these factors, and are currently conducting a multicenter randomized clinical trial of an intervention to decrease delay. The World Health Organization has projected that the burden of noncommunicable diseases, particularly heart disease, will grow dramatically in all developing countries over the next few decades. By 2020 ischemic heart disease is expected to become the leading cause of disease burden worldwide, overtaking communicable diseases, poor reproductive health and malnutrition as the leading cause of death. The ascendancy of ischemic heart disease in Asia as a significant cause of mortality is well-documented. Therefore, a determination of prehospital delay patterns in the face of evolving AMI in both Western and Asian countries is important in the planning of future global public health initiatives and in planning health initiatives in the US with its ethnically and culturally diverse population. Investigations by Dr. Moser and colleagues have provided key information about these patterns. 2. Heart failure is the single most costly health care expenditure in the U.S. The major proportion of these costs is attributable to rehospitalizations and by many estimates the majority of these rehospitalizations might be preventable with better health care delivery. Dr. Moser and colleagues have conducted a number of key studies on improved health care delivery models.
Publications: Publications 2005-2006 Chapters: Moser, D. K., & DeJong, M. (2006). Anxiety and heart disease. In E. Molinari (ed), Clinical psychology and heart disease (in English and Italian). New York: Springer Publishing. Zambroski, C. H., Roser, L. P., & Moser, D. K. (2005). End-of-life care in the acute heart failure patient. In C. M. O’Connor, W.G. Stough, M. Gheorghiade, K.F. Adams (eds). Managing Acute Decompensated Heart Failure, Taylor & Francis, London & New York. Articles (*indicates data-based): *Frazier, S.K., Brom, H., Widener, J., Pender, L., Stone, K.S., & Moser, D.K. (In press). The prevalence of myocardial ischemia during mechanical ventilation and weaning and its effects on weaning success. Heart & Lung *Buckley T, McKinley S, Gallagher R, Dracup K, Moser DK, Aitken LM. The effect of education and counselling on knowledge, attitudes and beliefs about responses to acute myocardial infarction symptoms. Eur J Cardiovasc Nurs. 2006 Jul 11; [Epub ahead of print] *Ryan, C.J., DeVon, H.A., Horne, R., King, K.B., Milner, K., Moser, D.K., Quinn, J. Rosenfeld, A., Hwang, S.Y., & Zerwic, J.J. Symptom clusters in acute myocardial infarction: Secondary data analysis. Nursing Research (submitted for publication 2/06, Accepted for publication 5/06). Moser, D. K., Kimble, L. P., Alberts, M. J., Alonzo, A., Croft, J. B., Dracup, K., Evenson, K. R., Go, A. S., Hand, M. M., Kothari, R. U., Mensah, G. A., Morris, D. L., Pancioli, A. M., Riegel, B., Zerwic, J. J. (2006). Reducing delay in seeking treatment by patients with acute coronary syndrome and stroke: A scientific statement from the American Heart Association Council on Cardiovascular Nursing and Stroke Council. Circulation, 114, 168-182. *Heo, S., Moser, D.K., Lennie, T.A., Zambroski, C.H., & Chung, M.L. (2006). A comparison of health-related quality of life between elders with heart failure and healthy elders. Heart & Lung, in press. *Heo, S., Moser, D.K., & Widener, J. (2006). Gender differences in the effects of physical and emotional symptoms on health-related quality of life in patients with heart failure. European Journal of Cardiovascular Nursing, in press. *Dracup K, McKinley S, Riegel B, Mieschke H, Doering LV, Moser DK. (2006) A nursing intervention to reduce prehospital delay in acute coronary syndrome: A randomized clinical trial. J Cardiovasc Nurs 21(3), 186-193. Adams, KF, Lindenfeld J, Arnold JMO, Baker DW, Barnard DH, Baughman KL, Boehmer JP, Deedwania P, Dunbar SB, Elkayam U, Georghiade M, Howlett JG, Konstam MA, Kronenberg MW, Massie BM, Mehra MR, Miller AB, Moser DK, Patterson JH, Rodeheffer RJ, Sackner-Bernstein J, Silver MA, Starling RC, Stevenson LW, Wagoner LE. Executive summary: HFSA 2006 comprehensive heart failure practice guideline. Journal of Cardiac Failure, 12, 10-38. *Lennie, T. A., Moser, D. K., Heo, S., Chung, M. L., & Zambroski, C. H. (2006). Factors influencing food intake in patients with heart failure. Journal of Cardiovascular Nursing, 21, 123-129. * Evangelista, L., Moser, D. K., Westlake, C., Hamilton, M. A., Fonarow, G. C., & Dracup, K. (2006). Impact of obesity on quality of life and depression in patients with heart failure. European Journal of Heart Failure, in press. * Evangelista, L., Lennie, T., Doering, L. V., Moser, D. K., Hamilton, M. A., Fonarow, G. C., & Dracup, K. (2006). Usefulness of a home-based exercise program for overweight and obese patients with advanced heart failure. American Journal of Cardiology, 97, 886-890. *Riegel, B, Moser, DK, Powell, M, Rector, TS, Havranek, EP. (2006). Non-pharmacologic care by heart failure experts. Journal of Cardiac Failure 12:2; 149.e1-149.e11. *Lennie, T. A., Moser, D. K., Heo, S., Chung, M. L., & Zambroski, C. H. (2006). Factors influencing food intake in patients with heart failure: A comparison with healthy elders. Journal of Cardiovascular Nursing *van der Wal, M. H., Jaarsma, T., Moser, D. K., & van Veldhuisen, D. J. (2005). Compliance in heart failure patients: The importance of knowledge and beliefs. European Journal of Cardiovascular Nursing, in press. *van der Wal, M. H., Jaarsma, T., Moser, D. K., & van Veldhuisen, D. J. (2005). Development and testing of the Dutch Heart Failure Knowledge Scale. European Journal of Cardiovascular Nursing, 4, 273-277. *Moser, D. K., Doering, L. V., & Chung, M. L. (2005). Vulnerabilities of patients recovering from an acute exacerbation of heart failure. American Heart Journal, 150, 984.e7-984.e13. *DeJong, M.J., Moser, D. K., & Chung, M.L. (2005). Predictors of health status for heart failure patients. Progress in Cardiovascular Nursing, 20, 155-162. * Lennie, T.A., Chung, M.L., Habash, D.L., & Moser, D.K. (2005). Dietary fat intake and proinflammatory cytokine levels in patients with heart failure. Journal of Cardiac Failure, 11(8), 613-618. Odom-Forren, J., & Moser, D. K. (2005). Postdischarge nausea and vomiting: A review of current literature. Journal of Ambulatory Surgery, 12, 99-105. Published Research Abstracts: Heo S, Moser DK, Lennie, Okoli C. (2006). Health-related quality of life in patients with heart failure: Ask the patients. Progress in Cardiovascular Nursing, 21, 108. (finalist in Research Award Competition, American Association of Heart Failure Nurses, 2006 Annual Meeting). Chung ML, DeJong M, Wu J, Lennie TA, Riegel B, Moser DK. (2006). Patients differ in theri ability to self-monitor adherence to low sodium diet vs medication. Progress in Cardiovascular Nursing, 21, 108. (winner, Research Award Competition, American Association of Heart Failure Nurses, 2006 Annual Meeting). Wu J, Moser DK, Lennie TA, DeJong M, Chung ML. (2006). The effect of depression and anxiety on medication adherence in patients with heart failure. Progress in Cardiovascular Nursing, 21, 109. (finalist in Research Award Competition, American Association of Heart Failure Nurses, 2006 Annual Meeting). Ryan, C., DeVon, H.A., Horne, R., King, K.B., Milner, K., Moser, D.K., Quinn, J., Rosenfeld, A., Hwang, S.Y, & Zerwic, J.J. (2006). Symptom clusters in acute myocardial infarction. American Journal of Critical Care, 15(4), 337. Moser, D.K., Heo, S., McKinley, S., Riegel, B., Doering, L. Meischke, H., Howard, P., Dracup, K. (2005). Perceived control: The key to managing anxiety and depression in patients with heart disease. Circulation, 112, II-528. Riegel, B., Moser, D. K., Powell, M., Rector, T., & Havranek, E. (2005). Non-pharmacologic clinical management practices among heart failure experts. Circulation, 112, II-528. Bentley, B., DeJong, M.,J., & Moser, D.K. (2005). Predictors of dietary sodium adherence in patients with heart failure: Evaluation of the theory of planned behavior. Circulation, 112, II-426. Doering, L.V., Cross, R., Moser, D.K., Riegel, B., McKinley, S., Meischke, H., Dracup, K. (2005). The influence of gender on depression in patients with coronary heart disease. Circulation, 112, II-426. Abu Ruz, M.A., Lennie, T. A., Riegel, B., McKinley, S., Doering, L.V., Dracup, K., & Moser, D. K. (2005). Anxiety can be measured quickly and reliably in patients hospitalized for acute myocardial infarction. Circulation, 112, II-392. McKinley, S., Dracup, K., Moser, D. K., Aitken, L.M., Baker, H., Davidson, P., & Marshall, A. P. (2005). The association of anxiety, depression and hostility with acute coronary syndrome events. Circulation, 112, II-392. Ryan, C., DeVon, H.A., Horne, R., King, K., Milner, K., Moser, D. K., Quinn, J., Rosenfeld, A., Zerwic, J.J. (2005). Symptom clusters as an influence in delay in seeking treatment. Circulation, 112, II-391. Jensen, L.A., Dracup, K., McKinley, S., Riegel B., Doering, L.V., Meischke, H., Howard, P.K., & Moser, D. K. (2005). High risk cardiac patients: Men are less knowledgeable about heart disease than women but more confident in their ability to recognize symptoms. Circulation, 112, II-391.