Faculty ProfilesCourtney Lyles, PhD
1001 Potrero Ave
San Francisco, CA 94110
Courtney Lyles, PhD, is an Assistant Professor in the UCSF Division of General Internal Medicine at San Francisco General Hospital and the UCSF Center for Vulnerable Populations. A trained health services researcher, she uses quantitative and qualitative methods to examine quality of care, health behavior, and health outcomes. Her research focuses on harnessing health information technology to improve patient-provider communication for chronic disease self-management to ultimately reduce disparities in health and healthcare outcomes. She is currently on a career development award from the Agency for Healthcare Research and Quality to engage patients in using online patient portals for healthcare management, including leveraging user-centered design and implementation science principles to create as well as spread technologies that are relevant for diverse patient populations.
Education and Training
|Location||Degree or Training||Specialty||Date|
|University of Washington||PhD||Health Services||2010|
|Stanford University||BA||Human Biology||2003|
Chronic disease self-management support, Health information technology and mobile health, Healthcare disparities, Patient-provider communicationRelated Web Sites
Recent Articles (67)
Kowalski CP, McQuillan DB, Chawla N, Lyles C, Altschuler A, Uratsu CS, Bayliss EA, Heisler M, Grant RW. 'The Hand on the Doorknob': Visit Agenda Setting by Complex Patients and Their Primary Care Physicians. J Am Board Fam Med. 2018 Jan-Feb; 31(1):29-37.
Ackerman SL, Sarkar U, Tieu L, Handley MA, Schillinger D, Hahn K, Hoskote M, Gourley G, Lyles C. Meaningful use in the safety net: a rapid ethnography of patient portal implementation at five community health centers in California. J Am Med Inform Assoc. 2017 Sep 01; 24(5):903-912.
Ratanawongsa N, Matta GY, Lyles CR, Koenig CJ, Barton JL, Yu K, Schillinger D. Multitasking and Silent Electronic Health Record Use in Ambulatory Visits. JAMA Intern Med. 2017 Sep 01; 177(9):1382-1385.
Lyles CR, Fruchterman J, Youdelman M, Schillinger D. Legal, Practical, and Ethical Considerations for Making Online Patient Portals Accessible for All. Am J Public Health. 2017 Oct; 107(10):1608-1611.
Clarity C, Gourley G, Lyles C, Ackerman S, Handley MA, Schillinger D, Sarkar U, Conigliaro J. Implementation Science Workshop: Barriers and Facilitators to Increasing Mammography Screening Rates in California's Public Hospitals. J Gen Intern Med. 2017 Jun; 32(6):697-705.
Hemmat S, Schillinger D, Lyles C, Ackerman S, Gourley G, Vittinghoff E, Handley M, Sarkar U. Performance Measurement and Target-Setting in California's Safety Net Health Systems. Am J Med Qual. 2018 Mar/Apr; 33(2):132-139.
Karter AJ, Parker MM, Solomon MD, Lyles CR, Adams AS, Moffet HH, Reed ME. Effect of Out-of-Pocket Cost on Medication Initiation, Adherence, and Persistence among Patients with Type 2 Diabetes: The Diabetes Study of Northern California (DISTANCE). Health Serv Res. 2018 Apr; 53(2):1227-1247.
Tieu L, Schillinger D, Sarkar U, Hoskote M, Hahn KJ, Ratanawongsa N, Ralston JD, Lyles CR. Online patient websites for electronic health record access among vulnerable populations: portals to nowhere? J Am Med Inform Assoc. 2017 Apr 01; 24(e1):e47-e54.
Schillinger D, McNamara D, Crossley S, Lyles C, Moffet HH, Sarkar U, Duran N, Allen J, Liu J, Oryn D, Ratanawongsa N, Karter AJ. The Next Frontier in Communication and the ECLIPPSE Study: Bridging the Linguistic Divide in Secure Messaging. J Diabetes Res. 2017; 2017:1348242.
Muller I, Rowsell A, Stuart B, Hayter V, Little P, Ganahl K, Müller G, Doyle G, Chang P, Lyles CR, Nutbeam D, Yardley L. Effects on Engagement and Health Literacy Outcomes of Web-Based Materials Promoting Physical Activity in People With Diabetes: An International Randomized Trial. J Med Internet Res. 2017 Jan 23; 19(1):e21.
Fontil V, McDermott K, Tieu L, Rios C, Gibson E, Sweet CC, Payne M, Lyles CR. Adaptation and Feasibility Study of a Digital Health Program to Prevent Diabetes among Low-Income Patients: Results from a Partnership between a Digital Health Company and an Academic Research Team. J Diabetes Res. 2016; 2016:8472391.
Lyles CR, Allen JY, Poole D, Tieu L, Kanter MH, Garrido T. "I Want to Keep the Personal Relationship With My Doctor": Understanding Barriers to Portal Use among African Americans and Latinos. J Med Internet Res. 2016 Oct 03; 18(10):e263.
Sarkar U, Lyles C, Steinman M, Huang ES, Moffet HH, Whitmer RA, Warton EM, Karter AJ. Changes in Medication Use After Dementia Diagnosis in an Observational Cohort of Individuals with Diabetes Mellitus. J Am Geriatr Soc. 2017 Jan; 65(1):77-82.
Lyles CR, Altschuler A, Chawla N, Kowalski C, McQuillan D, Bayliss E, Heisler M, Grant RW. User-Centered Design of a Tablet Waiting Room Tool for Complex Patients to Prioritize Discussion Topics for Primary Care Visits. JMIR Mhealth Uhealth. 2016 Sep 14; 4(3):e108.
Sarkar U, Gourley GI, Lyles CR, Tieu L, Clarity C, Newmark L, Singh K, Bates DW. Usability of Commercially Available Mobile Applications for Diverse Patients. J Gen Intern Med. 2016 Dec; 31(12):1417-1426.
Lyles CR, Godbehere A, Le G, El Ghaoui L, Sarkar U. Applying Sparse Machine Learning Methods to Twitter: Analysis of the 2012 Change in Pap Smear Guidelines. A Sequential Mixed-Methods Study. JMIR Public Health Surveill. 2016 Jun 10; 2(1):e21.
Ratanawongsa N, Barton JL, Lyles CR, Wu M, Yelin EH, Martinez D, Schillinger D. Computer use, language, and literacy in safety net clinic communication. J Am Med Inform Assoc. 2017 Jan; 24(1):106-112.
Garg SK, Lyles CR, Ackerman S, Handley MA, Schillinger D, Gourley G, Aulakh V, Sarkar U. Qualitative analysis of programmatic initiatives to text patients with mobile devices in resource-limited health systems. BMC Med Inform Decis Mak. 2016 Feb 06; 16:16.
Ratanawongsa N, Barton JL, Lyles CR, Wu M, Yelin EH, Martinez D, Schillinger D. Association Between Clinician Computer Use and Communication With Patients in Safety-Net Clinics. JAMA Intern Med. 2016 Jan; 176(1):125-8.
Tuot DS, Leeds K, Murphy EJ, Sarkar U, Lyles CR, Mekonnen T, Chen AH. Facilitators and barriers to implementing electronic referral and/or consultation systems: a qualitative study of 16 health organizations. BMC Health Serv Res. 2015 Dec 19; 15:568.
Tieu L, Sarkar U, Schillinger D, Ralston JD, Ratanawongsa N, Pasick R, Lyles CR. Barriers and Facilitators to Online Portal Use Among Patients and Caregivers in a Safety Net Health Care System: A Qualitative Study. J Med Internet Res. 2015 Dec 03; 17(12):e275.
Seligman HK, Lyles C, Marshall MB, Prendergast K, Smith MC, Headings A, Bradshaw G, Rosenmoss S, Waxman E. A Pilot Food Bank Intervention Featuring Diabetes-Appropriate Food Improved Glycemic Control Among Clients In Three States. Health Aff (Millwood). 2015 Nov; 34(11):1956-63.
Rowsell A, Muller I, Murray E, Little P, Byrne CD, Ganahl K, Müller G, Gibney S, Lyles CR, Lucas A, Nutbeam D, Yardley L. Views of People With High and Low Levels of Health Literacy About a Digital Intervention to Promote Physical Activity for Diabetes: A Qualitative Study in Five Countries. J Med Internet Res. 2015 Oct 12; 17(10):e230.
Lyles CR, Sarkar U, Schillinger D, Ralston JD, Allen JY, Nguyen R, Karter AJ. Refilling medications through an online patient portal: consistent improvements in adherence across racial/ethnic groups. J Am Med Inform Assoc. 2016 Apr; 23(e1):e28-33.
Lyles CR, Seligman HK, Parker MM, Moffet HH, Adler N, Schillinger D, Piette JD, Karter AJ. Financial Strain and Medication Adherence among Diabetes Patients in an Integrated Health Care Delivery System: The Diabetes Study of Northern California (DISTANCE). Health Serv Res. 2016 Apr; 51(2):610-24.
Rosland AM, Piette JD, Lyles CR, Parker MM, Moffet HH, Adler NE, Schillinger D, Karter AJ. Social support and lifestyle vs. medical diabetes self-management in the diabetes study of Northern California (DISTANCE). Ann Behav Med. 2014 Dec; 48(3):438-47.
Lyles CR, Schafer AL, Seligman HK. Income, food insecurity, and osteoporosis among older adults in the 2007-2008 National Health and Nutrition Examination Survey (NHANES). J Health Care Poor Underserved. 2014 Nov; 25(4):1530-41.
Berkowitz SA, Karter AJ, Lyles CR, Liu JY, Schillinger D, Adler NE, Moffet HH, Sarkar U. Low socioeconomic status is associated with increased risk for hypoglycemia in diabetes patients: the Diabetes Study of Northern California (DISTANCE). J Health Care Poor Underserved. 2014 May; 25(2):478-90.
Sarkar U, Lyles CR, Parker MM, Allen J, Nguyen R, Moffet HH, Schillinger D, Karter AJ. Use of the refill function through an online patient portal is associated with improved adherence to statins in an integrated health system. Med Care. 2014 Mar; 52(3):194-201.
Moffet HH, Warton EM, Parker MM, Liu JY, Lyles CR, Karter AJ. The DISTANCE model for collaborative research: distributing analytic effort using scrambled data sets. Inf Secur Comput Fraud. 2014; 2(3):33-38.
Lyles CR, Aulakh V, Jameson W, Schillinger D, Yee H, Sarkar U. Innovation and transformation in California's safety net health care settings: an inside perspective. Am J Med Qual. 2014 Nov-Dec; 29(6):538-45.
Lyles CR, Sarkar U, Ralston JD, Adler N, Schillinger D, Moffet HH, Huang ES, Karter AJ. Patient-provider communication and trust in relation to use of an online patient portal among diabetes patients: The Diabetes and Aging Study. J Am Med Inform Assoc. 2013 Nov-Dec; 20(6):1128-31.
Lyles CR, Schillinger D, Lopez A, Handley M, Ratanawongsa N, Sarkar U. Safety events during an automated telephone self-management support intervention. J Diabetes Sci Technol. 2013 May 01; 7(3):596-601.
Lyles CR, López A, Pasick R, Sarkar U. "5 mins of uncomfyness is better than dealing with cancer 4 a lifetime": an exploratory qualitative analysis of cervical and breast cancer screening dialogue on Twitter. J Cancer Educ. 2013 Mar; 28(1):127-33.
Baxi S, Lakin J, Lyles CR, Berkowitz S, Horton C, Sarkar U. Points for improvement: performance measurement for glycemic control in diabetes patients in a safety-net population. Jt Comm J Qual Patient Saf. 2013 Mar; 39(3):109-13.
Schickedanz A, Huang D, Lopez A, Cheung E, Lyles CR, Bodenheimer T, Sarkar U. Access, interest, and attitudes toward electronic communication for health care among patients in the medical safety net. J Gen Intern Med. 2013 Jul; 28(7):914-20.
Ratanawongsa N, Karter AJ, Parker MM, Lyles CR, Heisler M, Moffet HH, Adler N, Warton EM, Schillinger D. Communication and medication refill adherence: the Diabetes Study of Northern California. JAMA Intern Med. 2013 Feb 11; 173(3):210-8.
Lyles CR, Wolf MS, Schillinger D, Davis TC, Dewalt D, Dahlke AR, Curtis L, Seligman HK. Food insecurity in relation to changes in hemoglobin A1c, self-efficacy, and fruit/vegetable intake during a diabetes educational intervention. Diabetes Care. 2013 Jun; 36(6):1448-53.
Kirchhoff AC, Lyles CR, Fluchel M, Wright J, Leisenring W. Limitations in health care access and utilization among long-term survivors of adolescent and young adult cancer. Cancer. 2012 Dec 01; 118(23):5964-72.
Katon W, Lyles CR, Parker MM, Karter AJ, Huang ES, Whitmer RA. Association of depression with increased risk of dementia in patients with type 2 diabetes: the Diabetes and Aging Study. Arch Gen Psychiatry. 2012 Apr; 69(4):410-7.
Spigner C, Lyles CR, Galvin G, Sabin J, Davis C, Dick A, Young BA. A qualitative assessment of personal and social responsibility for kidney disease: the Increasing Kidney Disease Awareness Network Transplant Project. J Natl Med Assoc. 2011 Sep-Oct; 103(9-10):879-84.
Moskowitz D, Lyles CR, Karter AJ, Adler N, Moffet HH, Schillinger D. Patient reported interpersonal processes of care and perceived social position: the Diabetes Study of Northern California (DISTANCE). Patient Educ Couns. 2013 Mar; 90(3):392-8.
Lyles CR, Karter AJ, Young BA, Spigner C, Grembowski D, Schillinger D, Adler N. Provider factors and patient-reported healthcare discrimination in the Diabetes Study of California (DISTANCE). Patient Educ Couns. 2011 Dec; 85(3):e216-24.
Lyles CR, Karter AJ, Young BA, Spigner C, Grembowski D, Schillinger D, Adler N. Patient-reported racial/ethnic healthcare provider discrimination and medication intensification in the Diabetes Study of Northern California (DISTANCE). J Gen Intern Med. 2011 Oct; 26(10):1138-44.
Lyles CR, Harris LT, Le T, Flowers J, Tufano J, Britt D, Hoath J, Hirsch IB, Goldberg HI, Ralston JD. Qualitative evaluation of a mobile phone and web-based collaborative care intervention for patients with type 2 diabetes. Diabetes Technol Ther. 2011 May; 13(5):563-9.
Lyles CR, Karter AJ, Young BA, Spigner C, Grembowski D, Schillinger D, Adler NE. Correlates of patient-reported racial/ethnic health care discrimination in the Diabetes Study of Northern California (DISTANCE). J Health Care Poor Underserved. 2011 Feb; 22(1):211-25.
Harris LT, Tufano J, Le T, Rees C, Lewis GA, Evert AB, Flowers J, Collins C, Hoath J, Hirsch IB, Goldberg HI, Ralston JD. Designing mobile support for glycemic control in patients with diabetes. J Biomed Inform. 2010 Oct; 43(5 Suppl):S37-40.