Brief Bio

Dr. Vorderstrasse is an Adult Nurse Practitioner whose clinical practice and scholarship focuses on chronic illness, particularly in ethnic minority populations. Dr. Vorderstrasse's doctoral dissertation research, recent publications, and national presentations illuminate the relationships of psychosocial factors with dietary intake in Black American women with Type 2 diabetes. She is a core team member of Durham Health Innovations: Partnership IMPACTS Diabetes. Dr. Vorderstrasse has also examined the validity of common dietary assessments for use in clinical practice and research. Her findings have contributed to the literature and to the debate on how best to assess dietary intake in persons with chronic illness, particularly given the extent of obesity in the U.S. and the need for dietary modification interventions at the clinical level.

Academic Program Affiliations

PhD in Nursing Program
Master of Science in Nursing Program
Doctor of Nursing Practice Program

Education

DNSc	Yale University School of Nursing
MSN	Yale University School of Nursing
BSN	Mount Saint Mary College

Professional Certifications

CNE	Certified Nurse Educator
APRN	Adult Nurse Practitioner

Research Interests

Dr. Vorderstrasse's research interests include behavioral research in diabetes management (particularly self-management of diabetes) and rheumatology/rheumatoid arthritis.

Awards and Honors

• 2015 Fellow, American Academy of Nursing

• 2013 Selected participant, 2014 Leadership Development for Researchers, Duke Leader Program

• 1995 Inducted, Sigma Theta Tau

Areas of Expertise

• Adult Health
• Chronic Illness
• Genetics/Genomics

Representative Publications

• 2015 -- Pubmed # 26505161 Vorderstrasse, A. A., Melkus, G. D., Pan, W., Lewinski, A. A., Johnson, C. M. Diabetes Learning in Virtual Environments: Testing the Efficacy of Self-Management Training and Support in Virtual Environments (Randomized Controlled Trial Protocol). Nurs Res. Nov-Dec, 2015; 64(6); 485-93

• 2015 -- Pubmed # 26202051 Migliore, C. L., Vorderstrasse, A., Pan, W., Melkus, G. D. Renal Disease Risk Factors Among Risk Groups Comprised of African American Women With Type 2 Diabetes: A Secondary Analysis. Diabetes Educ. October 1, 2015; 41(5); 569-81

• 2015 -- Pubmed # 25844569 Gallagher, P., King, H. A., Haga, S. B., Orlando, L. A., Joy, S. V., Trujillo, G. M., Scott, W. M., Bembe, M., Creighton, D. L., Cho, A. H., Ginsburg, G. S., Vorderstrasse, A. Patient beliefs and behaviors about genomic risk for type 2 diabetes: implications for prevention. J Health Commun. October, 2015; 20(6); 728-35

• 2015 -- Pubmed # 26236542 Vorderstrasse, A., Katsanis, S. H., Minear, M. A., Yang, N., Rakhra-Burris, T., Reeves, J. W., Cook-Deegan, R., Ginsburg, G. S., Simmons, L. A. Perceptions of Personalized Medicine in an Academic Health System: Educational Findings. J Contemp Med Educ. April 13, 2015; 3(1); 14-19 PMCID: PMC4520318

• 2015 -- Pubmed # 25854543 Katsanis, S. H., Minear, M. A., Vorderstrasse, A., Yang, N., Reeves, J. W., Rakhra-Burris, T., Cook-Deegan, R., Ginsburg, G. S., Simmons, L. A. Perspectives on genetic and genomic technologies in an academic medical center: the Duke experience. J Pers Med. April, 2015; 5(2); 67-82

• 2015 -- Pubmed # 24948181 Palmer, C., Vorderstrasse, A., Weil, A., Colford, C., Dolan-Soto, D. Evaluation of a depression screening and treatment program in primary care for patients with diabetes mellitus: insights and future directions. J Am Assoc Nurse Pract. March, 2015; 27(3); 131-6

• 2015 -- Pubmed # 25238257 Pereira, K., Phillips, B., Johnson, C., Vorderstrasse, A. Internet delivered diabetes self-management education: a review. Diabetes Technol Ther. January, 2015; 17(1); 55-63

• 2015 -- Pubmed # 25699133 Johnson, C., Feenan, K., Setliff, G., Pereira, K., Hassell, N., Beresford, H. F., Epps, S., Nicollerat, J., Tatum, W., Feinglos, M., Vorderstrasse, A. Building a Virtual Environment for Diabetes Self-Management Education and Support. Int J Virtual Communities Soc Netw. October 1, 2015; 5(3); 569-81

• 2015 -- Pubmed # 26236542 Vorderstrasse, A., Katsanis, S. H., Minear, M. A., Yang, N., Rakhra-Burris, T., Reeves, J. W., Cook-Deegan, R., Ginsburg, G. S., Simmons, L. A. Perceptions of Personalized Medicine in an Academic Health System: Educational Findings. J Contemp Med Educ. 2015; 3(1); 14-19

• 2014 -- Pubmed # 23799918 Swavely, D., Vorderstrasse, A., Maldonado, E., Eid, S., Etchason, J. Implementation and evaluation of a low health literacy and culturally sensitive diabetes education program. J Healthc Qual. Nov-Dec, 2014; 36(6); 16-23

• 2014 -- Pubmed # 24451083 Vorderstrasse, A., Shaw, R. J., Blascovich, J., Johnson, C. M. A theoretical framework for a virtual diabetes self-management community intervention. West J Nurs Res. October, 2014; 36(9); 1222-37 PMCID: PMC4296559

• 2014 -- Pubmed # 24794087 Vorderstrasse, A. A., Hammer, M. J., Dungan, J. R. Nursing implications of personalized and precision medicine. Semin Oncol Nurs. May, 2014; 30(2); 130-6

• 2014 -- Pubmed # 24121861 Harris, T., Silva, S., Intini, R., Smith, T., Vorderstrasse, A. Group diabetes self-management education in a primary care setting: a quality improvement project. J Nurs Care Qual. April-June, 2014; 29(2); 188-93

• 2014 -- Pubmed # 24785671 Evans, K. J., Thompson, J., Spratt, S. E., Lien, L. F., Vorderstrasse, A. The implementation and evaluation of an evidence-based protocol to treat diabetic ketoacidosis: a quality improvement study. Adv Emerg Nurs J. April-June, 2014; 36(2); 189-98

• 2014 -- Pubmed # 24867560 Richardson, G. C., Derouin, A. L., Vorderstrasse, A. A., Hipkens, J., Thompson, J. A. Nurse practitioner management of type 2 diabetes. Perm J. Spring, 2014; 18(2); e134-40 PMCID: PMC4022572

• 2014 -- Pubmed # 24713420 Johnson, C., Feinglos, M., Pereira, K., Hassell, N., Blascovich, J., Nicollerat, J., Beresford, H. F., Levy, J., Vorderstrasse, A. Feasibility and preliminary effects of a virtual environment for adults with type 2 diabetes: pilot study. JMIR Res Protoc. April, 2014; 3(2); e23 PMCID: PMC4004161

• 2013 -- Park, E. (features A. Vorderstrasse, C. Johnson) Duke’s virtual reality world tackles diabetes. WNCN (Raleigh, NC). November 15, 2013;

• 2013 -- Vorderstrasse, A., Wolever, R. Q., Cho, A., Ginsburg, G. CHD Risk Reduction in Primary Care: A Personalized Approach. Medscape Genomic Medicine. June 13, 2013;

• 2013 -- Pubmed # 23755942 De Gagne, J. C., Oh, J., Kang, J., Vorderstrasse, A. A., Johnson, C. M. Virtual worlds in nursing education: a synthesis of the literature. J Nurs Educ. July, 2013; 52(7); 391-6

• 2013 -- Pubmed # 24416670 Vorderstrasse, A. A., Ginsburg, G. S., Kraus, W. E., Maldonado, M. C., Wolever, R. Q. Health coaching and genomics-potential avenues to elicit behavior change in those at risk for chronic disease: protocol for personalized medicine effectiveness study in air force primary care. Glob Adv Health Med. May, 2013; 2(3); 26-38

• 2013 -- Hill, R. R., Vorderstrasse, A., Turner, B., Pereira, K., Thompson, J. Screening for depression in patients with diabetes: Addressing the challenge. The Journal for Nurse Practitioners. April, 2013; 9(4); 208-213

• 2013 -- Johnson, C., Feenan, K., Setliff, G., Pereira, K., Hassell, N., Beresford, H. F., Epps, S., Nicollerat, J., Tatum, W., Feinglos, M., Vorderstrasse, A. Building a virtual environment for diabetes self-management education and support nternational Journal of Virtual Communities and Social Networking (IJVCSN). 2013; 5(3); 1-13

• 2012 -- Mabrey, M. E., Vorderstrasse, A., Champagne, M., Pickett, L. C. Continuous intravenous insulin: An evaluation in bariatric patients outside of the intensive care unit. Bariatric Nursing and Surgical Patient Care. December, 2012; 7(4); 172-182

• 2012 -- Pubmed # 22658263 Vorderstrasse, A. A., Zychowicz, M. E. Case studies for an accelerated Bachelor of Science in Nursing Pathophysiology course. J Nurs Educ. June, 2012; 51(6); 358

• 2011 -- Deshefy-Longhi, T., Vorderstrasse, A. A. Tremor and fatigue (Case Study 9.3) In Clinical Case Studies for the Family Nurse Practitioner, edited by Neal-Boylan, L. October, 2011; Ames, IA: Wiley-Blackwell.

• 2010 -- Pubmed # 21291140 Vorderstrasse, A. A. Cultural issues in diabetes. Dietary counseling for black patients. Adv NPs PAs. November 1, 2010; 1(3); 26-9; quiz 30

• 2010 -- Nicollerat, J., Vorderstrasse, A. A. Diabetic care in tough economic times. Practical Diabetology. Sept.-Oct., 2010; Vol. 2010 28-31

• 2010 -- Pubmed # 20484058 D'Eramo Melkus, G., Chyun, D., Vorderstrasse, A., Newlin, K., Jefferson, V., Langerman, S. The effect of a diabetes education, coping skills training, and care intervention on physiological and psychosocial outcomes in black women with type 2 diabetes. Biol Res Nurs. July, 2010; 12(1); 7-19

• 2009 -- Johnson, C. M., Vorderstrasse, A., Shaw, R. Virtual environments in health care higher education Journal of Virtual Worlds Research. August, 2009; 2(2); 2-9

• 2008 -- Pubmed # 18364414 Vorderstrasse, A. A. Review: dietary interventions, with or without exercise, promote weight loss more than advice alone. Evid Based Nurs. April, 2008; 11(2); 44

• 2007 -- Pubmed # 17197278 Amend, A., Melkus, G. D., Chyun, D. A., Galasso, P., Wylie-Rosett, J. Validation of dietary intake data in black women with type 2 diabetes. J Am Diet Assoc. 2007; 107(1); 112-7

• 2005 -- Pubmed # 16203856 Galasso, P., Amend, A., Melkus, G. D., Nelson, G. T. Barriers to medical nutrition therapy in black women with type 2 diabetes mellitus. Diabetes Educ. 2005; 31(5); 719-25

• 2003 -- Pubmed # 14518606 Chyun, D. A., Amend, A. M., Newlin, K., Langerman, S., Melkus, G. D. Coronary heart disease prevention and lifestyle interventions: cultural influences. J Cardiovasc Nurs. 2003; 18(4); 302-18

Grant Funding (selected)

• Diabetes Self-Management & Support LIVE (Learning in Virtual Environments  
  National Institutes of Health
  1R01-HL118189-01
  06/2013-05/2018
  Project Goal: Evaluate the efficacy of a technologically based bio-behavioral diabetes self-management training and support (DSMT/S) intervention in a virtual environment.

• Genetic Risk Testing & Health Coaching for T2D and CHD  
  Air Force Office of Scientific Research
  FA8650-13-2-6374
  01/2013-01/2016
  Role: Principal Investigator
  Project Goal: Determine whether incorporating genetic risk information into standard CHD and T2D risk counseling or a nurse health coaching intervention (or both) will be associated with positive changes in health behaviors or metabolic outcomes in active duty military personnel at risk for CHD and/or T2D.

• Renal Disease Risk in African American Women with Type 2 Diabetes  
  American Nephrology Nurses Association
  04/2013-08/2015
  

• Visualization of Multidimensional Data Obtained From a Virtual Environment Intervention  
  Renaissance Computing Institute
  07/2012-06/2013
  Role: co-PI
  PIs have developed a virtual environment (VE) designed to help patients with Type 2 diabetes understand and control their disease, and have gathered pilot data on a group of adults with Type 2 diabetes, tracking their interactions, how they used resources and educational materials, and the connections made with other users. Preliminary results show VEs have potential to help patients manage their diabetes. RENCI will the PIs to create visualizations across space and time that track oral and text conversations and the movement of avatars as they explore the environment, make choices, and form groups and social networks. By visualizing this data, the researchers hope to understand the social structures that developed in the VE and their impact on patients’ abilities to manage their disease.

• Genomic Risk Testing for Type 2 Diabetes in Primary Care  
  Duke Endowment
  TDE 369-0224
  03/2012-09/2012
  Role: Co-Investigator
  Project Goal: Determine the feasibility and effects of providing risk counseling for type 2 diabetes, with or without genomic risk information on diet and exercise behaviors.

• Integrative Health Coaching and Genetic Risk Testing in Primary Care: A Multidisciplinary Approach to Personalized Medicine targeting CHD Risk  
  Duke Center for Personalized Medicine
  04/2011-04/2012
  Role: Co-PI
  Project Goal: Determine the feasibility and logistics of incorporating genetic risk information (9p21 testing) into standard CHD risk counseling or a nurse health coaching intervention (or both) in primary care.

• eHealth: Second Life Impacts Diabetes Education & Self-Management (SLIDES)  
  NIH-NLM
  1R21LM010727-01
  05/2010-05/2012
  Role: Co-investigator
  Project Goal: Determine the feasibility and utility of providing diabetes self-management education and support for patients in a virtual environment.

• 2010-11 Nursing Fellows: Best Practices on Teaching Online Classes  
  Duke University Center for Instructional Technology
  07/2010-07/2011
  Role: CIT 2010-2011 Nursing Fellow
  Project goal: Define and develop “Best Practices” in both technology and pedagogy to be used for teaching online students and mentoring faculty about online education. Fellows will compile findings and publish an online teaching orientation guide.

• Social-ecologic Perspective of Support and Resources in Black Women Living with Type 2 Diabetes  
  Duke University School of Nursing ORA Small Grant Funding Award
  07/2009-07/2010
  Role: PI
  The specific aims of this mixed methods study are: 1) Explore perceptions of support and resources identified by Black women living with T2DM. 2) Explore perceptions of support or resources described by Black women with T2DM related to socio-demographic variables. 3) Compare qualitative perceptions of support and resources identified by Black women living with T2DM and the quantitative measurement of social-ecologic resources used in self-management.

• Psychosocial Factors Associated with Dietary Intake in Black Women with Type 2 Diabetes  
  NIH-NINR
  NIH/NINR F31 NR008835-01
  09/2003-09/2006
  Role: PI
  Project Goal: Determine factors related to dietary intake in order to develop strategies for dietary modification.