Margaret Handley, PhD, MPH

Professor

Dr. Margaret Handley is a public heath-trained epidemiologist in the Departments of Epidemiology and Biostatistics and the Center for Vulnerable Populations, at the University of California San Francisco, Zuckerberg San Francisco General Hospital. Dr. Handley’s research focuses on bridging the fields of primary care, public health, and health communication for improving health outcomes and equity in healthcare access. She co-directs the UCSF Training Program in Implementation Science, which focuses on translating evidence into practice, policy and public health and teaches courses in intervention development and implementation designs in real-world settings. Her areas of interest are: intervention design, linking public health and primary care interventions to address health disparities, implementation and dissemination sciences, chronic disease prevention, safety net innovation, public health literacy, migration and health/trans-national health, and environmental pollution. Dr. Handley has methodological expertise in practice-based research, community-engaged research, quasi-experimental designs, implementation science, and mixed methods. She is committed to implementation science skill-building across a wide range of settings, including under-resourced settings, UCSF-based degree programs, and nationally focused immersion and distance training for junior faculty under-represented in NIH funding. Dr. Handley also works in English as a Second Language (ESL) classrooms in the Bay Area with students and teachers to create effective risk communication materials for community and clinical settings.
Education
PhD, 05/2000 - Epidemiology, University of California
MPH, 05/1990 - Epidemiology and Biostatistics, University of California
B.A, 05/1986 - Environmental Science, University of California
Honors and Awards
  • Consultant of the Year- Consistent Excellence, UCSF CTSI, 2013-2014
Websites
Publications
  1. Fuster M, Pouget ER, Handley MA, Ray K, Elbel B, Sakowitz EN, Halvey K, Huang T. Ethnic Restaurant Nutrition Environments and Cardiovascular Health: Examining Hispanic Caribbean Restaurants in New York City. 2020. PMID: 32989358


  2. Kadota JL, Musinguzi A, Nabunje J, Welishe F, Ssemata JL, Bishop O, Berger CA, Patel D, Sammann A, Katahoire A, Nahid P, Belknap R, Phillips PPJ, Namusobya J, Kamya M, Handley MA, Kiwanuka N, Katamba A, Dowdy D, Semitala FC, Cattamanchi A. Protocol for the 3HP Options Trial: a hybrid type 3 implementation-effectiveness randomized trial of delivery strategies for short-course tuberculosis preventive therapy among people living with HIV in Uganda. 2020. PMID: 32787925


  3. Rodríguez LA, Barquera S, Aguilar-Salinas CA, Sepúlveda-Amor J, Sánchez-Romero LM, Denova-Gutiérrez E, Balderas N, Moreno-Loaeza L, Handley MA, Basu S, López-Arellano O, Gallardo-Hernández A, Schillinger D. Design of a cluster-randomized trial of the effectiveness and cost-effectiveness of metformin on prevention of type 2 diabetes among prediabetic Mexican adults (the PRuDENTE initiative of Mexico City). 2020. PMID: 32580032


  4. Reza TF, Nalugwa T, Farr K, Nantale M, Oyuku D, Nakaweesa A, Musinguzi J, Vangala M, Shete PB, Tucker A, Ferguson O, Fielding K, Sohn H, Dowdy D, Moore DAJ, Davis JL, Ackerman SL, Handley MA, Katamba A, Cattamanchi A. Study protocol: a cluster randomized trial to evaluate the effectiveness and implementation of onsite GeneXpert testing at community health centers in Uganda (XPEL-TB). 2020. PMID: 32316993


  5. Rosenwohl-Mack S, Kushel M, Ramsey C, Handley M, Knight KR. "We Really Help, Taking Care of Each Other": Older Homeless Adults as Caregivers. 2019. PMID: 31903411


  6. Delphine S. Tuot, Anna D. Rubinsky, Alexandra Velasquez, Charles E. McCulloch, Dean Schillinger, Margaret A. Handley, Chi-yuan Hsu, Neil R. Powe. Interventions to Improve Blood Pressure Control Among Socioeconomically Disadvantaged Patients With CKD: Kidney Awareness Registry and Education Pilot Randomized Controlled Trial. 2019. PMID:


  7. Lyson HC, Ackerman S, Lyles C, Schillinger D, Williams P, Gourley G, Gupta R, Handley M, Sarkar U. Redesigning primary care in the safety net: A qualitative analysis of team-based care implementation. 2018. PMID: 30552044


  8. Moise N, Shah RN, Essock S, Jones A, Carruthers J, Handley MA, Peccoralo L, Sederer L. Sustainability of collaborative care management for depression in primary care settings with academic affiliations across New York State. 2018. PMID: 30314522


  9. Chaisson LH, Duong D, Cattamanchi A, Roemer M, Handley MA, Schillinger D, Sur M, Pham P, Lin MA, Goldman LE, Quan J, Perez S, Healy M, Higashi J, Winston L, Haller B, Luetkemeyer AF, Davis JL. Association of Rapid Molecular Testing With Duration of Respiratory Isolation for Patients With Possible Tuberculosis in a US Hospital. 2018. PMID: 30178007


  10. Santos MG, Gorukanti AL, Jurkunas LM, Handley MA. The Health Literacy of U.S. Immigrant Adolescents: A Neglected Research Priority in a Changing World. 2018. PMID: 30257475


  11. Lyles CR, Handley MA, Ackerman SL, Schillinger D, Williams P, Westbrook M, Gourley G, Sarkar U. Innovative Implementation Studies Conducted in US Safety Net Health Care Settings: A Systematic Review. 2018. PMID: 30198304


  12. Fontil V, Lyles CR, Schillinger D, Handley MA, Ackerman S, Gourley G, Bibbins-Domingo K, Sarkar U. Safety-net institutions in the US grapple with new cholesterol treatment guidelines: a qualitative analysis from the PHoENIX Network. 2018. PMID: 30034258


  13. Tuot DS, McCulloch CE, Velasquez A, Schillinger D, Hsu CY, Handley M, Powe NR. Impact of a Primary Care CKD Registry in a US Public Safety-Net Health Care Delivery System: A Pragmatic Randomized Trial. 2018. PMID: 29699885


  14. Handley MA, Lyles CR, McCulloch C, Cattamanchi A. Selecting and Improving Quasi-Experimental Designs in Effectiveness and Implementation Research. Volume 39. 2018. PMID: 29328873


  15. Mangurian C, Niu GC, Schillinger D, Newcomer JW, Dilley J, Handley MA. Utilization of the Behavior Change Wheel framework to develop a model to improve cardiometabolic screening for people with severe mental illness. Volume 12 of Issue 1. 2017. PMID: 29137666


  16. Handley MA, Nelson K, Sanford E, Clarity C, Emmons-Bell S, Gorukanti A, Kennelly P. Examining Lead Exposures in California through State-Issued Health Alerts for Food Contamination and an Exposure-Based Candy Testing Program. 2017. PMID: 29084633


  17. Clarity C, Sarkar U, Lee J, Handley MA, Goldman LE. Clinician Perspectives on the Management of Abnormal Subcritical Tests in an Urban Academic Safety-Net Health Care System. Volume 43 of Issue 10. 2017. PMID: 28942776


  18. 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. Volume 24 of Issue 5. 2017. PMID: 28340229


  19. Hiatt RA, Handley MA, Ling PM, Burchard E, Thakur N, Bibbins-Domingo K. Origins of Cancer Disparities in Young Adults: Logic Models to Guide Research. Volume 53 of Issue 3S1. 2017. PMID: 28818252


  20. 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. Volume 32 of Issue 6. 2017. PMID: 28188571


  21. 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. Volume 33 of Issue 2. 2017. PMID: 28555507


  22. Ayakaka I, Ackerman S, Ggita JM, Kajubi P, Dowdy D, Haberer JE, Fair E, Hopewell P, Handley MA, Cattamanchi A, Katamba A, Davis JL. Identifying barriers to and facilitators of tuberculosis contact investigation in Kampala, Uganda: a behavioral approach. Volume 12 of Issue 1. 2017. PMID: 28274245


  23. Handley MA, Harleman E, Gonzalez-Mendez E, Stotland NE, Althavale P, Fisher L, Martinez D, Ko J, Sausjord I, Rios C. Applying the COM-B model to creation of an IT-enabled health coaching and resource linkage program for low-income Latina moms with recent gestational diabetes: the STAR MAMA program. 2016. PMID: 27193580


  24. Handley MA, Gorukanti A, Cattamanchi A. Strategies for implementing implementation science: a methodological overview. Volume 33 of Issue 9. 2016. PMID: 26893401


  25. 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. Volume 16. 2016. PMID: 26851941


  26. Rogers EA, Fine SC, Handley MA, Davis HB, Kass J, Schillinger D. Engaging Minority Youth in Diabetes Prevention Efforts Through a Participatory, Spoken-Word Social Marketing Campaign. 2016. PMID: 26730553


  27. Ackerman SL, Boscardin C, Karliner L, Handley MA, Cheng S, Gaither TW, Hagey J, Hennein L, Malik F, Shaw B, Trinidad N, Zahner G, Gonzales R. The Action Research Program: Experiential Learning in Systems-Based Practice for First-Year Medical Students. 2016. PMID: 27064720


  28. Urmimala Sarkar, David Lown, Sara Ackerman, Courtney Lyles, Gato Gourley, Dean Schillinger, Margaret A Handley. Coordinated performance measurement and improvement efforts in California's safety net systems: early experience and lessons. 2015. PMID:


  29. Tuot DS, Velasquez A, McCulloch CE, Banerjee T, Zhu Y, Hsu CY, Handley M, Schillinger D, Powe NR. The Kidney Awareness Registry and Education (KARE) study: protocol of a randomized controlled trial to enhance provider and patient engagement with chronic kidney disease. Volume 16. 2015. PMID: 26494562


  30. Ratanawongsa N, Karter AJ, Quan J, Parker MM, Handley M, Sarkar U, Schmittdiel JA, Schillinger D. Reach and Validity of an Objective Medication Adherence Measure Among Safety Net Health Plan Members with Diabetes: A Cross-Sectional Study. Volume 21 of Issue 8. 2015. PMID: 26233541


  31. Ross JM, Cattamanchi A, Miller CR, Tatem AJ, Katamba A, Haguma P, Handley MA, Davis JL. Investigating Barriers to Tuberculosis Evaluation in Uganda Using Geographic Information Systems. Volume 93 of Issue 4. 2015. PMID: 26217044


  32. Chaisson LH, Katamba A, Haguma P, Ochom E, Ayakaka I, Mugabe F, Miller C, Vittinghoff E, Davis JL, Handley MA, Cattamanchi A. Theory-Informed Interventions to Improve the Quality of Tuberculosis Evaluation at Ugandan Health Centers: A Quasi-Experimental Study. Volume 10 of Issue 7. 2015. PMID: 26172948


  33. Chao MT, Handley MA, Quan J, Sarkar U, Ratanawongsa N, Schillinger D. Disclosure of complementary health approaches among low income and racially diverse safety net patients with diabetes. 2015. PMID: 26146238


  34. Quan J, Lee AK, Handley MA, Ratanawongsa N, Sarkar U, Tseng S, Schillinger D. Automated Telephone Self-Management Support for Diabetes in a Low-Income Health Plan: A Health Care Utilization and Cost Analysis. Volume 18 of Issue 6. 2015. PMID: 26102298


  35. Cattamanchi A, Miller CR, Tapley A, Haguma P, Ochom E, Ackerman S, Davis JL, Katamba A, Handley MA. Health worker perspectives on barriers to delivery of routine tuberculosis diagnostic evaluation services in Uganda: a qualitative study to guide clinic-based interventions. Volume 15. 2015. PMID: 25609495


  36. Triveni DeFries, Maricela Rodrigues, Amireh Ghorob, Margaret Handley. Health Communication and Action Planning with Immigrant Patients: Aligning Clinician and Community Perspectives. 2015. PMID:


  37. Royce S, Khann S, Yadav RP, Mao ET, Cattamanchi A, Sam S, Handley MA. Identifying multidrug resistance in previously treated tuberculosis patients: a mixed-methods study in Cambodia. 2014. PMID: 25299861


  38. Maria T. Chao, Margaret Handley, Judy Quan, Urmimala Sarkar, Neda Ratanawongsa, Dean Schillinger. Disclosure of Complementary and Alternative Medicine Use Among Diverse Safety Net Patients with Diabetes. 2014. PMID:


  39. Ratanawongsa N, Handley MA, Sarkar U, Quan J, Pfeifer K, Soria C, Schillinger D. Diabetes health information technology innovation to improve quality of life for health plan members in urban safety net. Volume 37 of Issue 2. 2014. PMID: 24594561


  40. Eng JA, Hunter CJ, Handley MA, Boscardin CK, Gonzales R, Ackerman SL. Patient attitudes about specialty follow-up care by telephone. 2014. PMID: 24738534


  41. Santos MG, Handley MA, Omark K, Schillinger D. ESL participation as a mechanism for advancing health literacy in immigrant communities. 2014. PMID: 25315586


  42. McBride D, Dohan D, Handley MA, Powe NR, Tuot DS. Developing a CKD registry in primary care: provider attitudes and input. Volume 63 of Issue 4. 2013. PMID: 24295612


  43. Sanford ED, Handley MA. Population health and accountable care organizations. 2013. PMID: 23860996


  44. Lyles CR, Schillinger D, Lopez A, Handley M, Ratanawongsa N, Sarkar U. Safety events during an automated telephone self-management support intervention. Volume 7 of Issue 3. 2013. PMID: 23759391


  45. Handley MA, Robles M, Sanford E, Collins N, Seligman H, Defries T, Perez R, Grieshop J. Navigating changing food environments - Transnational perspectives on dietary behaviours and implications for nutrition counselling. 2012. PMID: 23088255


  46. Gonzalez-Mendez E, Gonzales-Mendez E, Gonzalez-Maddux C, Hall C, Maddux-Gonzalez M, Handley MA. An examination of cesarean and vaginal birth histories among Hispanic women entering prenatal care in two California counties with large immigrant populations. 2012. PMID: 21298482


  47. Gonzales R, Handley MA, Ackerman S, O'sullivan PS. A framework for training health professionals in implementation and dissemination science. 2012. PMID: 22373617


  48. Ratanawongsa N, Handley MA, Quan J, Sarkar U, Pfeifer K, Soria C, Schillinger D. Quasi-experimental trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed care plan: study protocol. Volume 12. 2012. PMID: 22280514


  49. Ratanawongsa N, Bhandari VK, Handley M, Rundall T, Hammer H, Schillinger D. Primary care provider perceptions of the effectiveness of two self-management support programs for vulnerable patients with diabetes. 2012. PMID: 22401329


  50. Gonzales R, Handley MA. Improving glycemic control when "usual" diabetes care is not enough. 2011. PMID: 21986349


  51. Stoddard P, Handley MA, Vargas Bustamante A, Schillinger D. The influence of indigenous status and community indigenous composition on obesity and diabetes among Mexican adults. 2011. PMID: 22033376


  52. MARICEL G. SANTOS, JEFF MCCLELLAND, MARGARET HANDLEY. Language Lessons on Immigrant Identity, Food Culture, and the Search for Home. 2011. PMID:


  53. Fagnan LJ, Handley MA, Rollins N, Mold J. Voices from left of the dial: reflections of practice-based researchers. 2010. PMID: 20616286


  54. Sarkar U, Handley MA, Gupta R, Tang A, Murphy E, Seligman HK, Shojania KG, Schillinger D. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. Volume 19 of Issue 3. 2010. PMID: 20378619


  55. Pérez RL, Handley MA, Grieshop J. NAPA Bulletin 2010. PMID:


  56. Westfall JM, Fagnan LJ, Handley M, Salsberg J, McGinnis P, Zittleman LK, Macaulay AC. Practice-based research is community engagement. 2009. PMID: 19587257


  57. Villalobos M, Merino-Sánchez C, Hall C, Grieshop J, Gutiérrez-Ruiz ME, Handley MA. Lead (II) detection and contamination routes in environmental sources, cookware and home-prepared foods from Zimatlán, Oaxaca, Mexico. 2009. PMID: 19185330


  58. Mold JW, Pasternak A, McCaulay A, Manca D, Rubin G, Westfall J, Beasley J, Hickner J, Fagnan LJ, Handley M, Haddy R, Hankey T. Definitions of common terms relevant to primary care research. 2008. PMID: 19001315


  59. Sarkar U, Handley MA, Gupta R, Tang A, Murphy E, Seligman HK, Shojania KG, Schillinger D. Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patients. Volume 23 of Issue 4. 2008. PMID: 18373145


  60. Handley MA, Grieshop J. Globalized migration and transnational epidemiology. 2007. PMID: 17440022


  61. Schillinger D, Hammer H, Wang F, Palacios J, McLean I, Tang A, Youmans S, Handley M. Seeing in 3-D: examining the reach of diabetes self-management support strategies in a public health care system. 2007. PMID: 17513690


  62. Goldman LE, Handley M, Rundall TG, Schillinger D. Current and future directions in Medi-Cal chronic disease care management: a view from the top. 2007. PMID: 17488192


  63. Handley MA, Hall C, Sanford E, Diaz E, Gonzalez-Mendez E, Drace K, Wilson R, Villalobos M, Croughan M. Globalization, binational communities, and imported food risks: results of an outbreak investigation of lead poisoning in Monterey County, California. 2007. PMID: 17395841


  64. MacGregor K, Handley M, Wong S, Sharifi C, Gjeltema K, Schillinger D, Bodenheimer T. Behavior-change action plans in primary care: a feasibility study of clinicians. 2006. PMID: 16672674


  65. Handley M, MacGregor K, Schillinger D, Sharifi C, Wong S, Bodenheimer T. Using action plans to help primary care patients adopt healthy behaviors: a descriptive study. 2006. PMID: 16672675


  66. MacGregor K, Wong S, Sharifi C, Handley M, Bodenheimer T. The action plan project: discussing behavior change in the primary care visit. 2005. PMID: 16049082


  67. Hankins CA, Gendron S, Handley MA, Richard C, Tung MT, O'Shaughnessy M. HIV infection among women in prison: an assessment of risk factors using a nonnominal methodology. 1994. PMID: 7943484


  68. Hankins CA, Lamont JA, Handley MA. Cervicovaginal screening in women with HIV infection: a need for increased vigilance? 1994. PMID: 8313287


  69. Hankins C, Gendron S, Handley M, Rouah F, O'Shaughnessy M. HIV-1 infection among incarcerated men--Quebec. 1991. PMID: 1751978


  70. Smith AH, Handley MA, Wood R. Epidemiological evidence indicates asbestos causes laryngeal cancer. 1990. PMID: 2143221


  71. Quint J, Handley M, Cummings K. Workplace health hazards: analysis of hotline calls over a six-year period. 1990. PMID: 2297067