Research

CVPHCP projects involve health communications to: 1) prevent diabetes among women with gestational diabetes through multilingual automated telephone, 2) improve advance care planning for older adults with serious medical illness, 3) increase patient engagement with electronic patient portals, especially with respect to language and literacy barriers, 4) develop a computational linguistics tool to reduce the linguistic complexity of physicians’ secure message exchanges with their patients, 5) improve contraceptive and genetic counseling, 6) enhance office-based interaction between clinicians and patients in the era of the computer-in-the-room, 7) improve health literacy in ESL settings, 8) promote prostate cancer decision-making, 9) increase public health literacy through a youth-generated diabetes-prevention campaign, and 10) leverage social media to prevent cancer.

Project Name: STARFISH – Social Ties Advancing Research on Information Sharing and Health Online
Funded by National Institutes of Health/National Cancer Institute
Principle Investigator: Dr. Urmimala Sarkar
Duration: 09/22/2014 – 08/31/2017

STARFISH will track dissemination of cancer screening and prevention messages in an online experimental social network with the goal to inform the creation of new methods for positive health communication and behaviors. The study is in collaboration with UC Berkeley’s Center for Information Technology in the Interest of Society (CITRIS), which gathers and analyzes large public data sets focused in media. Data will be collected from English and Spanish web users for the purpose of understanding how to influence behaviors such as increased screening for cervical cancer or breast cancer.
Links: UC Berkeley CITRIS, National Institutes of Health, National Cancer Institute

Project Name: Improving Advance Care Planning by Preparing Diverse Seniors for Decision Making (PREPARE)
Funded by the National Institute on Aging
Principal Investigator: Dr. Rebecca Sudore
Co-Investigator: Dr. Dean Schillinger, Dr. Deborah Barners, Dr. John Boscardin
Duration: 9/1/2013 – 5/30/2018

This study aims to test whether a multi-media website that is focused on preparing older adults for communication and medical decision making can help people engage in advance care planning.PREPARE is a website that teaches patients how to identify what is most important in life, how to communicate their preferences to clinicians and loved ones, and how to make informed decisions. It is written at a 5th grade level and includes voice-overs of text and closed captioning of videos that model advance care planning behaviors. The goal of this proposal is to test the efficacy of PREPARE to improve patient engagement in multiple advance care planning behaviors including discussions with surrogate decision makers and clinicians in addition to advance directive completion. The investigators will also determine whether PREPARE can empower and activate patients within clinical encounters with their clinicians and help to decrease health disparities in advance care planning.

Project Name: Medicaid Incentives for the Prevention of Chronic Diseases
Funded by Centers for Medicaid and Medicare Services,
Co-Investigators: Dr. Kohatsu, Dr. Max, and Dr. Bibbins-Domingo
Duration: 11/16/11-9/12/16

UCSF: Economic Evaluation (Bindman/Max) This project involves an intervention that will use the California Smokers’ Helpline to incentivize callers to quit smoking. Medi-Cal smokers with diabetes will be specifically targeted using outreach through the California Diabetes Program. Dr. Max and colleagues will conduct economic analyses of both the helpline outreach and the cessation intervention. Cost-effectiveness analyses will be conducted using econometric cost of smoking models and the Coronary Heart Disease Policy Model.

Project Name: Enhancing the (Cost-)Effectiveness of Diabetes Self-Management Education: A Comparative Assessment of Different Educational Approaches and Conditions for Successful Implementation
Funded by EU Seventh Framework Programme (FP7)
Principal Investigator: Van den Broucke; Co-Investigator: Dr. Dean Schillinger
Duration: 11/1/12 – 10/31/15

The study aims to assess and compare the effectiveness and cost-effectiveness of different methods for diabetes self-management education (individual and group education, IT based education, and self-help), assess the implementation fidelity of current diabetes self-management education programs, consider the moderating role of health literacy in self-management education for diabetic patients and develop and test literacy-appropriate diabetes education materials. It will also assess the conditions for effectiveness of self-management education programs in the way the health services are organized. Role: Co-Investigator.
Links: Cordis

Project Name: Translating Cancer Genetics for the Safety Net Setting
Funded by Susan G. Komen for the Cure
Principal Investigator: Dr. Joseph; Co-Investigator: Dr. Dean Schillinger
Duration: 7/1/12 – 6/30/14

The overall goal of the study is to elucidate the strengths and limitations of current communication practices and to develop support strategies that foster effective genetic counseling with underserved, safety net (public or county hospital/clinic) patients. Role: Co-investigator.
Links: Susan G. Komen

Project Name: The HMO Research Network – University of California San Francisco Center for Diabetes Translational Research (CDTR)
Funded by NIH NIDDK
Principal Investigator: Dr. Schmittdiel; Co-investigators: Dr. Dean Schillinger and Dr. Bibbins-Domingo
Duration: 9/1/11 – 8/31/16

The purpose of the UCSF-HMO Research Network Center for Diabetes Training and Research (CDTR) is to create a robust network of investigators, clinicians, and health care operational leaders with expertise in diabetes translational research that will support ongoing research and foster new translational research; create Translational Research Cores in Health Disparities, Diabetes and Obesity Prevention, and Health IT that will provide content expertise to researchers and clinicians at the CDTR sites and their broader communities; mentor junior faculty interested in careers focused on T2DM prevention and care; support and fund preliminary research that will provide data for planning diabetes translational research by Early Stage Investigators; and serve as a resource for the state through a partnership between the CDTR and California Diabetes Program.
Links: Center for Diabetes Translational Research

Project Name: Advancing the Universal Medication Schedule
Funded by California Healthcare Foundation
Principal Investigator: Dr. Wolf; Co-Investigator: Dr. Dean Schillinger
Duration: 7/1/2012 – 12/31/13

The overall objective of this study is to expand the current Universal Medication Schedule framework to promote understanding of non-pill form, short duration, as needed, and tapered dose medication instructions. Role: Co-investigator.

Project Name: Brave New Voices: Empowering Minority Youth to Engineer a Diabetes Prevention Social Media Campaign
Funded by UCSF Diabetes Center, Family Fund
Principal Investigator: Dr. Dean Schillinger
Duration: 8/1/11 – 7/31/13

To increase the health literacy and ‘health agency’ of minority youth around the diabetes epidemic, and will create multiple opportunities to bring minority youth and young adult voices and perspectives into the discourse about diabetes, enabling more effective interventions to improve health and to accelerate changes in diabetes-related policy and practice.
Links: The Bigger Picture

Project Name: Diabetes Translational Research Center Grant
Funded by NIH/NIDDK
Principal Investigator: Dr. Schillinger; Co-Investigator: Dr. Handley
Duration: 7/1/2011 – 6/30/2016

Project Name: Health Literacy and Chronic Disease Communication in an Era of Computers in the Room: Pitfalls and Promises
Funded by Pfizer Inc. Fellowship in Health Literacy
Principal Investigator: Dr. Schillinger
Duration: 7/1/11 – 6/30/13

This proposal seeks to understand how electronic health record systems (EHRs) use affects chronic disease health communication, explore differences in EHR use across health literacy levels, and develop a future leader with the skills to study and shape this process to meet communication needs of vulnerable populations.

Project Name: Positive Affect and Clinical Outcomes in Type 2 Diabetes
Funded by NIH NIDDK
Principal Investigator: Dr. Moskowitz; Co-Investigator: Dr. Dean Schillinger
Duration: 3/15/11 – 2/28/13

The specific aims of the study are to: (1) Document the adaptive physiologic functions of positive affect following a diagnosis of Type 2 diabetes by examining its unique concurrent and prospective associations with glycemic control, blood pressure, and lipids; and (2) Explore potential behavioral and psychological effects of positive affect including diabetes self-management, stress-related coping resources, and coping responses.

Project Name: Medication Summary Guides for Vulnerable Populations with Rheumatoid Arthritis
Funded by DHHS AHRQ
Principal Investigator: Dr. Yelin; Co-Investigator: Dr. Dean Schillinger
Duration: 9/1/10 – 8/31/13

The purpose is to evaluate patient comprehension of existing medication guides for rheumatoid arthritis; adapt content of such guides to meet the linguistic and literacy capacities of diverse patients; and test the effectiveness of different communication methods to improve decision-making.
Links: UCSF Reference Link

Project Name: California Diabetes Prevention and Control Program
Funded by CDC and CA Dept. of Public Health
Principal Investigator: Dr. Dean Schillinger
Duration: 3/29/09 – 3/28/14

The goal is to work to prevent, detect, and intervene among persons at risk for diabetes mellitus and its complications to reduce the adverse personal and public impact of diabetes on California's diverse communities. br /> Links: Cal Diabetes

Project Name: Addressing Disparities in Chronic Disease with a Teen and Young Adult Focus
Funded by NIMHD Comprehensive Centers of Excellence
Principal Investigator: Dr. Bibbins-Domingo; Co-Investigator: Dr. Handley
Duration: 8/1/12 – 11/30/16

The goal of this Center grant is to create the Center for Health And Risk in Minority youth and adults (CHARM), a new comprehensive center of excellence that will focus on chronic conditions and chronic disease risk in Latinos, African Americans and Asians across the arc from adolescence to young adulthood (age 8 to 35 years) as targeted prevention at this age group has the potential to greatly impact minority health and health disparities. Dr. Handley’s R01 study within CHARM has the goals of developing a post-partum intervention to reduce risk of chronic disease in women with prior gestational diabetes, and to implement the intervention in pilot a randomized control trial, focusing on safety net Latina women and their children. Principal Investigator Demonstration Project 2/ Co-Investigator CHARM Center.

Project Name: Interventions to Improve Outcomes in CKD by Increasing Awareness in Patients and Providers
Funded by NIH/NIDDK
Principal Investigator: Dr. Powe; Co-Investigator: Dr. Handley
Duration: 9/1/2011 – 8/31/2014

The purpose of this grant is to develop and pilot test an intervention to increase patient’s awareness of chronic kidney disease and the awareness of primary care physicians who care for patients with early stage disease. Co-Investigator.

Project Name: Reaching High Risk Post-Partum Women for Nutritional Assessment and Counseling Via Telephone-based Coaching Program
Funded by UCLA
Principal Investigator: Dr. Handley
Duration: 7/1/2011 – 6/30/2013

The study is to focus on the direct and indirect effects of WIC participation by one or more family members during the peri- conceptional period and the implications for service delivery.

Project Name: Health Literacy:Development of Living with Rheumatoid Arthritis: An Everyday Guide
Funded by American College of Physicians Foundation
Principal Investigator: Dr. Hilary Seligman
Duration: 9/29/2011-12/31/12

The guide will be developed for distribution to adults with rheumatoid arthritis. We envision a guide that will help patients better understand their medications. A guide clinicians and non-clinicians can use to structure their counseling for patients with rheumatoid arthritis.

Project Name: Spanish Translation of SMBG Tool: Easyview
Funded by Behaviorl Diabetes Institute
Principal Investigator: Fisher; Co-Investigator: Dr. Hilary Seligman
Duration: 2012-2013

The goal of the project is to develop new DVD and blood glucose recording forms both in English and Spanish that can be used with low literacy patient populations.

Project Name: Medication Non-Adherence and Clinical Inertia Among Diverse Persons with Diabetes in a Government-Managed Care Plan for Medicaid and Uninsured Populations (P30 DK092924)
Funded by NIDDK
Principal Investigator: Schmittdiel; Co-Investigator: Dr. Neda Ratanawongsa
Duration: 8/01/12-7/31/13

Funded as a pilot study within the Health Delivery Systems Center for Diabetes Translational Research, the purpose of this study is to determine the proportions of members with poor adherence to medications.

Project Name: A SBIRT Medical Residency Program at San Francisco General Hospital
Funded by SAMSHA – Center for Substance Abuse Treatment
Co-Investigators: Dr. Neda Ratanawongsa and Dr. Lum
Duration: 9/30/08-9/29/13

The goal of this study is to develop, implement, and evaluate a Screening, Brief Intervention, and Referral to Treatment curriculum for residents.

Project Name: California Safety Net Institute Innovation and Dissemination Network
Funded by AHRQ
Principal Investigator: Dr. Sarkar; Co-Investigator: Dr. Dean Schillinger
Duration: 1/1/13 – 12/31/15

The overall goal of this proposal is to harness the potential of the current partnership between UCSF and SNI to forge a self-sustaining network that will lead dissemination and implementation efforts for evidence based practices across all the public hospitals’ integrated delivery systems in California.

Project Name: Advancing the Universal Medication Schedule
Funded by California Healthcare Foundation
Principal Investigator: Dr. Wolf; Sub-contractor: Dr. Urmimala Sarkar
Duration: 5/1/12 -11/30/13

The overall objective of this study is to expand the current Universal Medication Schedule framework to promote understanding of non-pill form, short duration, as needed, and tapered dose medication instructions.

Project Name: Building Innovations Exchange for California’s Safety-Net Health System
Funded by California Health Care Safety Net Institute
Principal Investigator: Dr. Urmimala Sarkar
Duration: 11/1/11 – 10/31/12

The project scope is to 1) conduct a needs assessment and landscape assessment, focusing on ambulatory health care delivery, health information technology, patient-centered medical home transformation, and transitions in care: and 2) investigate successful innovation centers and bring their strategies and approaches to SNI with recommendations for convening a successful innovations exchange.

Project Name: Support from Hospital to Home for the Elderly
Funded by Gordon and Betty Moore Foundation
Principal Investigator: Dr. Critchfield; Co-Investigator: Dr. Urmimala Sarkar
Duration: 10/1/08 – 12/31/12

This is a randomized controlled trial determine whether a discharge-improvement intervention reduces hospital re-admissions. We aim to re-engineer the discharge process to coordinate care, personalize patient education, and provide telephone follow-up to identify potential adverse events, such as medical complications and medication errors.