Margaret Handley, PhD, MPH


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.
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
  1. Ethnic Restaurant Nutrition Environments and Cardiovascular Health: Examining Hispanic Caribbean Restaurants in New York City.
  2. 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.
  3. 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).
  4. Study protocol: a cluster randomized trial to evaluate the effectiveness and implementation of onsite GeneXpert testing at community health centers in Uganda (XPEL-TB).
  5. The University of California San Francisco (UCSF) Training Program in Implementation Science: Program Experiences and Outcomes.
  6. "We Really Help, Taking Care of Each Other": Older Homeless Adults as Caregivers.
  7. Interventions to Improve Blood Pressure Control Among Socioeconomically Disadvantaged Patients With CKD: Kidney Awareness Registry and Education Pilot Randomized Controlled Trial.
  8. Interventions to Improve Blood Pressure Control Among Socioeconomically Disadvantaged Patients With CKD: Kidney Awareness Registry and Education Pilot Randomized Controlled Trial.
  9. Redesigning primary care in the safety net: A qualitative analysis of team-based care implementation.
  10. Sustainability of collaborative care management for depression in primary care settings with academic affiliations across New York State.
  11. Association of Rapid Molecular Testing With Duration of Respiratory Isolation for Patients With Possible Tuberculosis in a US Hospital.
  12. The Health Literacy of U.S. Immigrant Adolescents: A Neglected Research Priority in a Changing World.
  13. Innovative Implementation Studies Conducted in US Safety Net Health Care Settings: A Systematic Review.
  14. Safety-net institutions in the US grapple with new cholesterol treatment guidelines: a qualitative analysis from the PHoENIX Network.
  15. Language-concordant automated telephone queries to assess medication adherence in a diverse population: a cross-sectional analysis of convergent validity with pharmacy claims.
  16. Designing a behavioral intervention using the COM-B model and the theoretical domains framework to promote gas stove use in rural Guatemala: a formative research study.
  17. Acceptability of a multilevel intervention to improve blood pressure control among patients with chronic kidney disease in a public health care delivery system.
  18. Utilization of the Behavior Change Wheel framework to develop a model to improve cardiometabolic screening for people with severe mental illness.
  19. Examining Lead Exposures in California through State-Issued Health Alerts for Food Contamination and an Exposure-Based Candy Testing Program.
  20. The Important Role of Binational Studies for Migration and Health Research: A Review of US-Mexico Binational Studies and Design Considerations for Addressing Critical Issues in Migrant Health.
  21. Clinician Perspectives on the Management of Abnormal Subcritical Tests in an Urban Academic Safety-Net Health Care System.
  22. Meaningful use in the safety net: a rapid ethnography of patient portal implementation at five community health centers in California.
  23. Origins of Cancer Disparities in Young Adults: Logic Models to Guide Research.
  24. Use of Complementary Health Approaches Among Diverse Primary Care Patients with Type 2 Diabetes and Association with Cardiometabolic Outcomes: From the SF Bay Collaborative Research Network (SF Bay CRN).
  25. Implementation Science Workshop: Barriers and Facilitators to Increasing Mammography Screening Rates in California's Public Hospitals.
  26. Performance Measurement and Target-Setting in California's Safety Net Health Systems.
  27. Linking High Risk Postpartum Women with a Technology Enabled Health Coaching Program to Reduce Diabetes Risk and Improve Wellbeing: Program Description, Case Studies, and Recommendations for Community Health Coaching Programs.
  28. 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.
  29. Qualitative analysis of programmatic initiatives to text patients with mobile devices in resource-limited health systems.
  30. The Action Research Program: Experiential Learning in Systems-Based Practice for First-Year Medical Students.
  31. Coordinated performance measurement and improvement efforts in California's safety net systems: early experience and lessons.
  32. Expanding D&I science capacity and activity within NIH Clinical and Translational Science Award (CTSA) Programs: guidance and successful models from national leaders.
  33. Reach and Validity of an Objective Medication Adherence Measure Among Safety Net Health Plan Members with Diabetes: A Cross-Sectional Study.
  34. Disclosure of complementary health approaches among low income and racially diverse safety net patients with diabetes.
  35. Automated Telephone Self-Management Support for Diabetes in a Low-Income Health Plan: A Health Care Utilization and Cost Analysis.
  36. Health Communication and Action Planning with Immigrant Patients: Aligning Clinician and Community Perspectives.
  37. Identifying multidrug resistance in previously treated tuberculosis patients: a mixed-methods study in Cambodia.
  38. What do we know about gestational diabetes mellitus and risk for postpartum depression among ethnically diverse low-income women in the USA?
  39. Disclosure of Complementary and Alternative Medicine Use Among Diverse Safety Net Patients with Diabetes.
  40. Diabetes health information technology innovation to improve quality of life for health plan members in urban safety net.
  41. Patient attitudes about specialty follow-up care by telephone.
  42. Population health and accountable care organizations.
  43. Safety events during an automated telephone self-management support intervention.
  44. Can implementation science help to overcome challenges in translating judicious antibiotic use into practice?
  45. Navigating changing food environments - Transnational perspectives on dietary behaviours and implications for nutrition counselling.
  46. An examination of cesarean and vaginal birth histories among Hispanic women entering prenatal care in two California counties with large immigrant populations.
  47. A framework for training health professionals in implementation and dissemination science.
  48. Quasi-experimental trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed care plan: study protocol.
  49. Improving glycemic control when "usual" diabetes care is not enough.
  50. Language Lessons on Immigrant Identity, Food Culture, and the Search for Home.
  51. Voices from left of the dial: reflections of practice-based researchers.
  52. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes.
  53. NAPA Bulletin
  54. Reports from the field: engaging learners as interpreters for developing health messages -- designing the 'Familias Sin Plomo' English as a Second Language curriculum project.
  55. Practice-based research is community engagement.
  56. Goal-setting for behavior change in primary care: an exploration and status report.
  57. Lead (II) detection and contamination routes in environmental sources, cookware and home-prepared foods from Zimatlán, Oaxaca, Mexico.
  58. Ecology matters: safety net patients’ perspectives of diabetes self-management support strategies- a study from the UCSF Collaborative Research Network
  59. Definitions of common terms relevant to primary care research.
  60. Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patients.
  61. Globalized migration and transnational epidemiology.
  62. Globalization, binational communities, and imported food risks: results of an outbreak investigation of lead poisoning in Monterey County, California.
  63. The action plan project: discussing behavior change in the primary care visit.
  64. Incidence of acute urinary tract infection in young women and use of male condoms with and without nonoxynol-9 spermicides.
  65. HIV infection among women in prison: an assessment of risk factors using a nonnominal methodology.
  66. Cervicovaginal screening in women with HIV infection: a need for increased vigilance?
  67. HIV disease and AIDS in women: current knowledge and a research agenda.
  68. HIV-1 infection among incarcerated men--Quebec.
  69. Epidemiological evidence indicates asbestos causes laryngeal cancer.
  70. Workplace health hazards: analysis of hotline calls over a six-year period.