Noonan Submits Betty Moore Foundation Grant Proposal

Kudos to Devon Noonan, associate professor, and her entire team for the submission of her Betty Moore Foundation grant proposal entitled "Developing and Evaluating Multisector Care Models for Chronic Disease Prevention in Rural Communities." This proposal requests funding for a three-year period with a start date of July 1, 2020.

The Betty Irene Moore Fellowship for Nurse Leaders and Innovators is a national program to develop the next generation of nurse leaders and innovators.  My overall goals of this fellowship are to increase my leadership capacity as a nurse scientist through didactic training and mentored research and leadership activities. For this fellowship project, we propose to: We propose starting by conducting a mixed-methods assessment that includes components of implementation mapping. We will determine needs and assets related to chronic disease prevention, barriers and facilitators of implementation of chronic disease prevention interventions, how social needs intersect chronic disease prevention, sustainability of interventions, and current multisector linkages to promote prevention. This process would also include an innovative systems/network analysis to determine what the current relationships are between sectors. Using the assessment results, feedback from our Advisory Council, and iterative feedback from our community/stakeholder partners, we will map these findings to evidenced-based strategies including innovations our team has developed with the community. Next, we will develop a prototype chronic disease prevention intervention model that includes multilevel intervention strategies for smaller scale implementation and evaluation guided by the RE-AIM framework. We will also perform a small-scale economic evaluation to determine the cost-effectiveness of the intervention developed. We envision after small scale testing that this intervention would be ready to test on a larger scale.  I have assembled an interdisciplinary mentorship team to help guide my leadership and innovation development that will be led by Dean Broome, Professor and Dean of the Duke School of Nursing and will include Dr. Kathryn Pollak, Co-leader of Cancer Control and Population Sciences at the Duke Cancer Institute and Lisa Macon Harrison director of Granville Vance Public Health. Our research project objectives for this fellowship are in direct alignment with strategic Duke Health system initiatives on improving community/population health through integrating and optimizing care across the continuum. This fellowship will contribute to the advancement of my career as a leader in nursing science with a focus on decreasing chronic disease health disparities in rural populations.