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Overview

Dr. Monika Safford is a clinician-investigator with clinical expertise in preventive healthcare, treatment of acute and chronic illness and the coordination of care for those with complex diseases. Dr. Safford previously served at University of Alabama at Birmingham (UAB) School of Medicine as the Inaugural Endowed Professor of Diabetes Prevention and Outcomes Research, Assistant Dean for Continuing Medical Education, Associate Director of the Center for Outcomes and Effectiveness Research and Education, and Co-Director of UAB's T32 Health Services and Comparative Effectiveness Research Training Program. She is an active principal investigator with ongoing support from the National Institutes of Health, Patient Centered Outcomes Research Institute, and industrial sources. Throughout her career as an educator, she has trained and mentored numerous medical students, graduate students, residents, fellows, and junior faculty members. She has chaired national meetings for the Society of General Internal Medicine and the American Diabetes Association for which she serves on a steering committee for an ISTEP medical education initiative and was Co-Chair of the ISTEP Writing Committee. Dr. Safford's honors include the American Association of Medical Colleges Learning Health System Research Pioneer Award (2013-14), a Gold Honor Society Humanism Program faculty mentor appointment (2012) and multiple awards for Research Excellence from UAB Department of Medicine, including the UAB Department of Medicine Max Cooper Award for Excellence in Research.

With more than 260 papers published in top tier journals, she is an expert in patient-centered research on diabetes, cardiovascular epidemiology and prevention, and health disparities. Among her published studies are noteworthy investigations on an underserved and largely African-American region called the Alabama Black Belt, where two-thirds of adults are obese and many have diabetes, hypertension or other chronic conditions. Dr. Safford has studied how health coaches and other non-traditional interventions affect patient outcomes, and was recently awarded a $10 million grant by the National Heart, Lung and Blood Institute of the National Institutes of Health to test two ways of improving the blood pressure of 2,000 people in the area.

Dr. Safford received her Bachelor of Arts degree from Dartmouth College and her Medical Degree from Weill Cornell. She completed her residency in internal medicine at the Hospital of the University of Pennsylvania. Before joining the University of Alabama at Birmingham School of Medicine and the Birmingham Veterans Administration Medical Center in 2003, she earlier worked as an instructor of medicine at Brown University Medical School with a hospital appointment at The Miriam Hospital in Providence, Rhode Island; and the University of Medicine and Dentistry of New Jersey, with a hospital appointment at the affiliated University Hospital.

Highlights

  1. 1
    Stroke · 2020
    PMID: 32673521PMCID: PMC9264323DOISenior author200 citations
  2. 2
    Cancer · 2021
    PMID: 34478162PMCID: PMC9301452DOISenior author108 citations
  3. 3
    Circulation · 2020
    PMID: 33269599PMCID: PMC7856168DOIFirst author92 citations

Publications

759 publications

Active

27 grants
  • PI
    Cornell-Hunter Primary Care Research Training Program
    Health Resources and Services Administration · 2026–2031Training
    2 T32 HP42021-06-00
  • Co-I
    Evaluating the Impact of a Novel Educational Intervention to Improve Timely Colposcopy Follow-Up and Treatment Among High-Risk Populations
    National Cancer Institute · 2026–2031
    R01CA300794-01A1
  • Co-I
    Revascularization Choices Among Under-Represented Groups Evaluation: The RECHARGE Program
    Patient-Centered Outcomes Research Institute · 2023–2030
    PLACER-2022C3-30048
  • Co-I
    1/2 Randomized comparison of the Outcomes of single vs Multiple Arterial grafts trial in Women (ROMA:Women)
    National Heart, Lung, and Blood Institute · 2025–2030
    UH3HL169564-02
  • Co-I
    NY Community-Hospital-Academic Maternal Health Equity Partnerships (NY-CHAMP) - Project 1
    Eunice Kennedy Shriver National Institute of Child Health and Human Development · 2023–2030 · via Columbia University· 3 renewals
    U54HD113172-01
  • Co-I
    Understanding Ambulatory Care Utilization in Alzheimer's Disease and Related Dementias (ACUA)
    National Institute on Aging · 2024–2029
    R01AG087243-01
  • Co-I
    Structural Racism and Cardiovascular Outcomes Among Cancer Survivors
    National Cancer Institute · 2024–2029
    R37CA288492-01
  • Co-I
    Preventing Myocardial Events of Aging: A PREVENTABLE Ancillary Study
    National Institute on Aging · 2024–2028
    R01AG085420-01
  • Co-I
    Primary Care Screening and Intervention for Elder Neglect in Patients with Dementia: An Evidence-Based Approach
    National Institute on Aging · 2022–2028
    R61AG079012-01
  • Co-I
    A longitudinal cohort study to evaluate cardiovascular risk factors and disease in Haiti - 2 - Foreign supplement
    National Heart, Lung, and Blood Institute · 2018–2028· 3 renewals
    R01HL143788-08S1
  • Co-I
    I-TRANSFER-HF: Improving TRansitions ANd OutcomeS for Heart FailurE Patients in Home Health CaRe: A Type 1 Hybrid Effectiveness Implementation Trial
    National Heart, Lung, and Blood Institute · 2023–2028
    R01HL169312-01
  • Co-I
    Healthier, a Peer Coach Behavioral Intervention to Improve Mental Health in Patients with Rheumatoid Arthritis
    Bristol-Myers Squibb · 2023–2028
    BMSC 226946-01
  • MPI
    REasons for Geographic And Racial Differences in Stroke-Myocardial Infarction-4 (REGARDS-MI-4)
    National Heart, Lung, and Blood Institute · 2022–2027· 2 renewals
    R01HL165452-04
  • Co-I
    Cardiac Magnetic Resonance for Tissue Characterization Based Risk Stratification of Cardiopulmonary Symptoms, Effort Tolerance, and Prognosis Among COVID-19 Survivors
    National Heart, Lung, and Blood Institute · 2021–2027
    R01HL159055-01
  • KP
    Living Healthy with COPD: An Intervention to Reduce Chronic Pain Integrated Into COPD-Self Management
    American Lung Association, Incorporated · 2024–2027
    ALA 241216-02
  • Co-I
    Clinical and Translational Science Center- Institutional CTSC Internal Funding UL1
    CTSC Cost Share · 2022–2027
    UL1TR002384-06
  • KP
    Improving the Mental Health of Home Health Aides
    Doris Duke Charitable Foundation · 2022–2027
    DDCF 2235-0168
  • Co-I
    Center to Improve Chronic disease Outcomes through Multi-level and Multi-generational approaches Unifying Novel Interventions and Training for health EquitY (Investigator Development Core)
    National Institute on Minority Health and Health Disparities · 2021–2027 · via Columbia University· 2 renewals
    P50MD017341-01
  • Sub-PI
    Optimize Risk Assessment for Incident and Recurrent Atherosclerotic Cardiovascular Disease
    National Heart, Lung, and Blood Institute · 2021–2027 · via Columbia University Medical Center
    R01HL155081-05
  • Sub-PI
    Improving Lipid Management Strategies in Young Adults
    National Heart, Lung, and Blood Institute · 2023–2027 · via Columbia University
    R01HL168379-04
  • Co-I
    Leveraging Home Health Aides to Achieve the Essential 8
    American Heart Association · 2023–2026
    AHA 230979-01
  • Co-I
    Development of a Stakeholder Engaged Intervention to Improve Knowledge and Health-Related Quality of Life in SSc-ILD
    Scleroderma Foundation · 2022–2026
    SF 221362-03
  • PI
    Cornell-Hunter Primary Care Research Training Program
    Health Resources and Services Administration · 2021–2026
    5 T32 HP42021-05-00
  • Co-I
    Advancing the Conversations Helpful for Awareness of Illness Trajectory (CHAT) Intervention
    National Institute on Aging · 2023–2026
    R21AG077092-01A1
  • Sub-PI
    Improving Blood Pressure Screening and Treatment Strategies in Young Adults
    National Heart, Lung, and Blood Institute · 2021–2026 · via Kaiser Permanente
    R01HL158790-05
  • Co-I
    Randomized comparison of the clinical Outcome of single versus Multiple Arterial grafts: Quality of Life (ROMA:QOL)
    National Heart, Lung, and Blood Institute · 2020–2026
    R01HL152021-01
  • Co-I
    Randomized Comparison of the Clinical Outcome of Single Versus Multiple Arterial Grafts: Cognition (ROMA:Cog)
    National Institute of Neurological Disorders and Stroke · 2021–2025 · via Columbia University· 2 renewals
    R01NS123639-02
Completed grants (25)
  • Co-I
    Moving Well: A Peer Coach Intervention for Osteoarthritis Patients Planning Total Knee Arthroplasty
    Rheumatology Research Foundation · 2021–2024
    RRF 194765-01
  • Co-I
    Weill Cornell Medicine Diversity Center of Excellence
    Health Resources and Services Administration · 2018–2024
    5 D34HP31879-04-00
  • KP
    The Impact of Social Determinants of Health on Quality of Life; Program: Research Supplement to Promote Diversity in Science (1 Year); Application ID: 966638
    American Heart Association · 2022–2023
    AHA 223169-01
  • Sub-PI
    Improving High Blood Pressure Control in African Americans Living in the Southeastern United States
    Patient-Centered Outcomes Research Institute · 2021–2023 · via The Board of Trustees of the University of Alabama for the University of Alabama at Birmingham
    PCORI MCU-NIH-2014-002
  • MPI
    National Accreditation Program for Breast Centers (NAPBC) Patient Navigation Project
    New York State Department of Health · 2016–2022 · via Health Research INC (Center for Community Health)
    5362-06
  • Sub-PI
    Prioritizing County-Level Social Determinants That Contribute to the Greater Burden of Diabetes and Hypertension in the US
    Centers for Disease Control and Prevention · 2017–2022 · via University of Alabama-Birmingham
    U01DP006302-05
  • PI
    Reasons for Geographic And Racial Differences in Stroke- Myocardial Infarction-3
    National Heart, Lung, and Blood Institute · 2017–2022
    R01HL080477-14
  • Co-I
    Healthcare Fragmentation and Cardiovascular Outcomes
    National Heart, Lung, and Blood Institute · 2017–2022
    R01HL135199-04
  • PI
    The REasons for Geographic and Racial Differences in Stroke Myocardial Infarction-3 (REGARDS-MI-3 Ancillary Study)
    Centers for Medicare & Medicaid Services · 2019–2022
    DUA 191563-01
  • Sub-PI
    Collaboration to Improve Blood Pressure in the US Black Belt-Addressing the Triple Threat
    National Heart, Lung, and Blood Institute · 2015–2021 · via University of Alabama-Birmingham
    UH3HL130691-05
  • Sub-PI
    UAB Cardiovascular Collaboration 2019 - 000525083
    Amgen Inc. · 2019–2021 · via The Board of Trustees of the University of Alabama for the University of Alabama at BirminghamContract
    UAB 211365-01
  • Co-I
    "Safety of Neurohormonal Antagonist Initiation Among Older Adults with Heart Failure Following a Heart Failure Hospitalization"
    American Heart Association · 2018–2021
    18IPA34170185
  • Sub-PI
    Lp(a) and risk for cardiovascular events by race/ethnicity among adults with chronic kidney disease in the Chronic Renal Insufficiency Cohort (CRIC) study
    Amgen Inc. · 2020–2021 · via The Board of Trustees of the University of Alabama for the University of Alabama at BirminghamContract
    UAB 211362-01
  • Sub-PI
    UAB Cardiovascular Collaboration 2019 - 000525082
    Amgen Inc. · 2019–2021 · via The Board of Trustees of the University of Alabama for the University of Alabama at BirminghamContract
    UAB 202504-01
  • KP
    Healthcare Fragmentation and Cardiovascular Outcomes
    National Heart, Lung, and Blood Institute · 2018–2020
    5 R01 HL135199-03 (Div Supp)
  • Co-I
    Understanding the Perspectives of Home Care Workers Who Care for Adults with Heart Failure
    Society Of General Internal Medicine · 2018–2020
    No publications yet
    SOGIM 181937-01
  • Sub-PI
    Improving Medication Adherence in the Alabama Black Belt
    Patient-Centered Outcomes Research Institute · 2019–2020 · via Weill Cornell Medical CollegeContract
    WCMC 200190-01
  • PI
    Cardiovascular Collaboration (Cardiovascular Disease, Prevention, Treatment and Outcomes)
    The Board of Trustees of the University of Alabama for the University of Alabama at Birmingham · 2019–2020Contract
    SRA 192572-01
  • PI
    Improving Medication Adherence in the Alabama Black Belt
    Patient-Centered Outcomes Research Institute · 2016–2019
    AD-1306-03565-IC
  • PI
    Building Capacity for Cardiometabolic Outcomes Research
    National Heart, Lung, and Blood Institute · 2016–2018Career
    K24HL111154-05
  • PI
    Improving Stroke Outcomes for African Americans
    NIMHD · 2012–2017 · via NIH RePORTER
    P60MD000502-13
  • PI
    Collaboration to Improve Blood Pressure in the US Black Belt- Addressing the Triple Threat
    NHLBI · 2015–2016 · via NIH RePORTER
    UH2HL130691-01
  • Sub-PI
    UAB Deep South Arthritis and Musculoskeletal CERTs
    Agency for Healthcare Research and Quality · 2016–2016 · via University of Alabama-Birmingham
    No publications yet
    U19HS021110-05
  • PI
    Using CERs to Optimize Quality of Life for Persons with Diabetes and Chronic Pain
    NIH · 2010–2013 · via NIH RePORTER
    R18HS019239-01
  • PI
    Bone Health Conference Grant
    NIH · 2010–2011 · via NIH RePORTER
    R13HS020144-01

Clinical research

2 studies
Completed & closed trials (2)
  • PI
    Improving Medication Adherence in the Alabama Black Belt
    NA · Patient-Centered Outcomes Research Institute · IRB STUDY CLOSURE (as of 2025)
    Diabetes Mellitus; Medication Adherence
    NCT02274844
  • PI
    Can the Patient Activated Learning System (PALS) Serve as a Better Model for Nutrition Education Than Other Online-based Educational Material?
    NA · Weill Medical College of Cornell University · IRB STUDY CLOSURE (as of 2020)
    Nutrition Disorders
    NCT04196517

News mentions

Show 12 more mentions

External relationships

Other

Amgen, Inc. · Bayer Corporation · Merck & Co., Inc.