Current Research Projects
Project Description
This randomized controlled trial will test whether adding child biomarker measurement (cotinine) and informed proactive outreach for tobacco smoke exposure (TSE) as part of routine practice increases identification and improves treatment, effectiveness, and sustainability of a parental tobacco control intervention that will be integrated into practices that see pediatric patients.
We will determine the quit rate for parents and other household members, changes in smoke-free/vape-free home and car rules, child exposure to tobacco smoke/aerosol, and cost-effectiveness of adding biomarker measurement to the intervention. If trial results favor the use of this innovative biomarker test (i.e., at times of existing routine blood draws), it may help promote a paradigm shift in how TSE of children is addressed in pediatrics by creating a new clinical imperative for treatment of household tobacco users.
Key Early Findings (if available)
None
Principal Investigators
PI - Jonathan P. Winickoff, MD, MPH (Mass General Harvard)
MetroHealth Site PI – David Kaelber, MD, PhD, MPH (MetroHealth)
Co-Investigator Names
Anna Joseph, MD, MPH (University of Minnesota)
Eric Kim, MD, PhD (MetroHealth)
Douglas E. Levy, PhD (Mass General Harvard)
Robert McMillen, PhD (Mississippi State University)
Sharon E. Murphy, PhD (University of Minnesota)
Deborah J. Ossip, PhD (University of Rochester)
Nicholas Riley, MD, PhD (MetroHealth)
Janet Thomas, PhD, LP (University of Minnesota)
Mark Vangel, PhD (Massachusetts General Hospital)
Debra B. Waldron, MD, MPH (American Academy of Pediatrics)
Karen M. Wilson, MD, MPH (University of Rochester)
Project Contact
Janeen Leon, Project Site Manager
[email protected]
Project Description
Adolescents utilize mental health professionals and disclose to trusted adults less than adults, which arguably heighten risk for suicidal behaviors, but lacks research around tracking. We propose that the heterogeneity of suicidal trajectories will not only help explain suicidal behavior disparities but will aid in tailoring prevention initiatives based upon the onset of symptomology. This proposed work will create profiles that reflect the variation of suicidal behaviors.
The proposed study will use secondary analysis of the Add Health dataset to 1) describe the longitudinal patterns and progression of suicidal behaviors; 2) examine how social relationships and behavioral health are related to the escalation and de-escalation of suicidal behaviors, and 3) observe the heterogeneity of sexual minority presentations in these suicidal behavior trajectories. The study will produce recommendations for how pediatricians and other health care providers, as well as educators and community leaders, particularly in the context of gatekeeping and understanding suicidal risk factors, can support parents and other trusted adults in communicating effectively with their children about suicidal behaviors.
Funding Agency
National Institute of Mental Health (NIMH)
Key Early Findings (if available):
Not applicable
Principal Investigators
Susan De Luca, MSW, PhD (MPI) – MetroHealth/Case Western Reserve University
John Blosnich, MPH, PhD (MPI) – USC
Stephen Russell, PhD (site MPI) – UT Austin
Co-Investigator Names
Jessica Fish, MS, PhD – University of Maryland
Project Contact
Project Description
The Choose2Quit intervention builds on our prior successes with the Ask, Advice, Connect study, but now
- allows personalized choice of counseling modality (phone, text, web, in-person);
- conveys the value and low/no-cost availability of medications to support quit attempt success and sends providers the patient’s request in e-prescription to transmit to patient’s pharmacy;
- assesses patient’s need to manage social barriers to quitting by linking them to United Way 2-1-1; and
- uses an initial phone contact from a recognizable local number, will increase the engagement of patients in cessation treatment and in tobacco cessation.
This study aims to:
- Test the effect of a traditional eReferral vs. a Choose2Quit personalized guidance and choice approach on the ability to contact patients, and the proportion of patients that initiate tobacco cessation treatment, use tobacco cessation medications and make quit attempts.
- Assess the impact of each intervention arm on equitable engagement in tobacco cessation treatment, medication use and quit outcomes across gender, race and age groups.
- Evaluate intervention experience from the patient perspective.
- Evaluate the cost to implement, and per engagement and quit outcome in each of the intervention arms.
Key Early Findings (if available)
None
Principal Investigators
Susan Flocke, Principal Investigator (Oregon Health and Science University
Eileen Seeholzer, MetroHealth Site Principal Investigator and grant Co-Investigator (MetroHealth)
Co-Investigator Names (alphabetical listing by last name)
David Kaelber, Co-Investigator (MetroHealth)
Elizabeth Albert, Co-Investigator, Project Manager (Case Western Reserve University)
Steven Lewis, Quantitative Analyst (MetroHealth)
Thomas Love, Co-Investigator (MetroHealth)
Project Contact
Susan Flocke, PhD - [email protected] or Eileen Seeholzer, MD, MS - [email protected]
Project Description
This is a $2 million STTR grant that involves both a clinical trial and a commercialization project with Eamon Johnson PhD, CEO of Triton X, the industry partner. MetroHealth is the lead academic partner for the project. The project will test a Device that Recognizes the Need to Intake Water (currently codenamed the DRINK band) in older adults aged 55 plus who are admitted to the ED dehydration.
The project has two phases: in Phase 1, investigators will conduct a comparative study of the device among acutely ill dehydrated older adults being cared for in the emergency department. In Phase 2, the investigators will conduct a clinical trial of continuous home monitoring of fluid levels among patients returning home after an acute care episode for dehydration.
Funding Agency
National Institute on Aging (NIA)
Key Early Findings (if available):
None
Principal Investigators
Mary Joan Roach, PhD
Joseph S. Piktel, MD, FACEP
Co-Investigators
Nathan Makowski, PhD
Adam Perzynski, PhD
Lance Wilson, MD
Project Contact
Mary Joan Roach, PhD
[email protected]
Project Description
The overall goal of this collaborative effort is to recruit, train, and employee Community Health Workers (CHWs) in urban and rural underserved communities, increasing diversity in the public health workforce.
Funding Agency
HRSA
Key Early Findings (if available):
None
Principal Investigators
Aleece Caron, PhD
Katie Davis MSN, RN, PHNA-BC
Co-Investigators
Ifeolorundbode A. Adebambo, MD
Christina Antenucci, MD
James W. Campbell, MD, MS, AGSF
Joseph K. Daprano, MD
Rita Horwitz, RN
Kate Nagel, DrPH, MPH
Alan K. Nevel, MBA
Adam T. Perzynski, PhD
Mark Rodney, PA-C
Eileen L. Seeholzer, MD, MS
Marie Velez, MPA
Project Contact(s)
Aleece Caron, PhD - [email protected] or Katie Davis MSN, RN, PHNA-BC - [email protected]
Project Description
This is a randomized controlled trial involving 24 Community Members charged with the task of reviewing 568 manuscripts submitted to two medical journals in order to add community perspectives to the manuscript review process. Journal editorial will use all reviews to help them make decisions about acceptance, revision, or rejection of manuscripts. Quantitative and qualitative analyses will compare the content of community and scientific reviews, determine the usefulness of community reviews to journal editors, and explore how community reviewer comments are integrated into published articles.
Key Early Findings (if available)
None
Principal Investigators
Ash Sehgal, MD
Project Contact
Joshua Beltran
[email protected]
Project Description
The proposed project will test the effectiveness of technology-facilitated Customized Adherence Enhancement (CAE) vs. enhanced treatment as usual (eTAU) using a prospective randomized controlled trial design in public mental health care settings and preferentially enrolling poorly adherent/high-risk individuals with Bipolar Disorder (BD). CAE is a modular behavioral intervention that maps onto specific barriers that people with BD may experience that impede optimal medication adherence. Project deliverables include a curriculum-driven adherence enhancement approach that can be implemented in public healthcare settings and which can improve outcomes for the most vulnerable groups of people with BD.
Key Early Findings (if available)
None
Principal Investigators
Martha Sajatovic, MD
Jennifer Levin, PhD
Co-Investigators
Carol Blixen PhD
Farren Briggs, PhD
Doug Einstadter, MD
Project Contact
Project Description
Using Latent Variables and Directly Observed Treatment to Improve the Diagnosis and Management of Depression among Hemodialysis Patients
Many hemodialysis patients have depression that is difficult to diagnose and treat. The goal of this project is to develop a screening instrument to improve diagnosis and to test the value of weekly directly observed antidepressant medication in treating depression.
Key Early Findings (if available)
NonePrincipal Investigators
Ashwini Sehgal, MD
Douglas Gunzler, PhD
Project Coordinator
Jacqueline Dolata, MBACo-Investigators
Jeffrey Albert, PhD
Martha Sajatovic, MD
Project Contact
Ashwini Sehgal, MD
[email protected]
Funding Agency: National Institute of Nursing Research (NIH-NINR)
Project Description: The proposed project will characterize longitudinal phenotypic patterns among robust biobehavioral impairment measures in multiple sclerosis (MS) and identify distinct phenotypic clusters of individuals with similar impairment patterns, with the goal of facilitating decision making for clinicians and patients.
Key Early Findings (if available): None
Principal Investigators (please include credentials such as MD, MS, PhD, etc):
Douglas D. Gunzler, PhD
Farren B.S. Briggs, PhD
Alessandro S. De Nadai, PhD
Co-Investigator Names (alphabetical listing by last name):
Daniel Ontaneda, MD, PhD
Deborah M. Miller PhD
Project Contact:
Farren B.S. Briggs, PhD
[email protected]
Project Description
To describe the characteristics of traumatic spinal cord injury (SCI) population who received their injury due to falls, and the re-occurrence of falls over time after the initial SCI. Our key findings were that Blood Alcohol Level had a positive association with neurologic recovery in patients with spinal cord injury as measured by the International Standards for Neurological Classification of Spinal Cord Injury exam’s Motor Score Gain during acute rehabilitation.
Funding Agency
National Institute on Disability, Independent Living and Rehabilitation Research
Key Early Findings (if available)
Blood Alcohol Level had a positive association with neurologic recovery in patients with spinal cord injury as measured by the International Standards for Neurological Classification of Spinal Cord Injury exam’s Motor Score Gain during acute rehabilitation.
Online Manuscript: https://meridian.allenpress.com/tscir/issue/26/4
Principal Investigator
Mary Joan Roach, PhD
Co-Investigators
Michael Kelly, MD
Greg Nemunaitis, MD
Argyrios Stampas, MD
Josephine Volovetz, MD
Project Contact
Mary Joan Roach, PhD
[email protected]
Project Description
This national 3-year, multi-site Patient Centered Outcomes Research Institute (PCORI) multi-phase clinical trial involves studying the integration of behavior health services into primary care clinics. Participating primary care clinics are randomized to early versus delayed integration of behavior health services within the clinics. Standard, low-resource, and scalable techniques are used to integrate behavior health services into the clinics. The degree of co-location and integration of behavior health services in participating primary care clinics is measured at baseline and throughout the study. Participating sites are also evaluated based on improvement in self-identified chronic medical conditions such as diabetes and hypertension. The MetroHealth System has 4 primary care sites enrolled in this study.
Key Early Findings (if available)
Primary Care practices with more integrated behavior health services tend to have better health outcomes for chronic conditions such as diabetes and hypertension.Principal Investigators
Benjamin Littenberg, MD (University of Vermont)
Project Coordinator
David Kaelber, MD, PhD, MPHCo-Investigators
David Kaelber, MD, PhD, MPH
Terry Stancin, PhD
Kathryn Teng, MD
Project Contact
David Kaelber, MD, PhD, MPH
[email protected]
Project Description
Our center grant provides a combination of research, career development, and community partnership activities. The Administrative Core oversees, manages, and coordinates all proposed activities. The Investigator Development Core operates pilot awards for community-based approaches to understanding and reducing health disparities. Our two research projects (Journal Reviewers and Sleep Apnea Study) involve novel approaches for engaging community members. The Community Engagement and Dissemination Core engages with and disseminates research findings to community members, partner organizations, service organizations, policymakers, and scientists.
Key Early Findings (if available)
Principal Investigators
Ash Sehgal, MD
Co-Investigator Names (alphabetical listing by last name)
Jeffrey Albert
Cheryl Killion
Cyleste Collins
Adam Perzynski
Kurt Stange
Daryl Thornton
Project Contact
Jacqueline Dolata, MBA
[email protected]
Development and Validation of Probabilistic Matching Algorithm
Project Description
Using trauma registry data from 5 Spinal Cord Injury Model Systems (SCIMS) and the corresponding SCI National Database to develop a probabilistic matching algorithm.
Funding Agency
National Institute on Disability, Independent Living and Rehabilitation ResearchFindings
The probabilistic algorithm identified 65 of the 91 true-match records (sensitivity, 71.4%) with a positive predictive value (PPV) of 80.2%. The algorithm was validated over 282 SCIMS-trauma pairs across 127 clusters and had a sensitivity of 73.7% and PPV of 81.1%. Post hoc analysis shows the addition of injury date and zip code improved the specificity from 57.9% to 94.7%. The value in matching patient data from different data sources is that these datasets provide population health researchers the ability to better understand the determinants of health outcomes. Insights gained from these datasets can drive interventions to reduce health disparities.Online Manuscript: https://meridian.allenpress.com/tscir/issue/26/4
Principal Investigator
YuYing Chen, MD, MPH
Co-Investigators
Wendy Huacong, PhD
Russel Griffin, PhD
Michael Kelly, MD
Mary Joan Roach, PhD
Project Contact
Mary Joan Roach, PhD
[email protected]
Project Description
About 25-50% of women who undergo breast cancer surgery develop persistent chest wall pain and shoulder mobility limitations following surgery. This NIH funded study seeks to determine whether massage therapy will reduce pain and increase mobility for women experiencing pain or mobility issues in the chest or shoulder after breast cancer surgery. Women are randomized to licensed massage therapy twice a week for two months versus light touch therapy.
Key Early Findings (if available)
None
Principal Investigators
Ash Sehgal, MD
Project Contact
Elodie Nonguierma[email protected]
Project Description
Electronic health record (EHR) databases have existed for two decades, introducing many improvements in health care delivery and information management. Yet, their potential as a research tool to enable deeper understanding of unique aspects of health in populations, novel treatment pathways and best practices for data-informed, shared clinical decisions remains to be fully realized. Supported by the National Institute on Aging, the Northeast Ohio Cohort for Atherosclerotic Risk Estimation (NEOCARE) Learning Health Registry is a regional collaboration between MetroHealth and Cleveland Clinic to combine electronic health records and link the merged health records with community data resources. The registry includes health information from more than 3.1 million unique individuals over 20 years.
Key Early Findings (if available)
NEOCARE team members have published findings examining:
- how neighborhood socioeconomic status influences cardiovascular health outcomes;
- the failure of clinical indicators to predict cardiovascular morbidity among older patients;
- patterns of disease and health conditions among homeless persons;
- relationships between neighborhood conditions and cognitive decline among older persons;
- the association of immune-hematologic markers with cardiovascular and all-cause mortality; and
- the structure of neighborhood-level measures of socioeconomic disadvantage.
These findings will help inform future interventions to improve the cardiovascular health of people who often have the highest cardiovascular risk.
Principal Investigators
Adam T. Perzynski, PhD
Jarrod E. Dalton, PhD
Co-Investigators
Kristen Berg, PHD, CRC
Claudia J. Coulton, PhD
Neal V. Dawson, MD
Douglas Einstadter, MD, MPH
Darcy Freedman, PhD, MPH
Douglas D. Gunzler, PhD
David Kaelber, MD, PhD, MPH, FAAP, FACP, FACMI
Michael B. Rothberg, MD, MPH
Project Contact
Adam Perzynski, PhD [email protected]
Project Description
The purpose of this collaborative proposal led by NEOMED’s Dept. of Family and Community Medicine is to improve the primary care workforce by enhancing inter-professional training for primary care clinicians, teachers and researchers, with specific attention to underserved populations, across the care continuum. Through this proposal, we will achieve the quadruple aim of improved healthcare quality (specifically for underserved populations), lowered costs, improved patient and family experience, and improved health care provider experience.
We will achieve this goal by implementing a formal curriculum for medical students, faculty, and residents to meet four objectives:
- transform healthcare systems by providing the knowledge and skills necessary for improving systems of care, building multidisciplinary teams, increasing quality of skills, and improving the work-life of healthcare providers;
- incorporate population health to gain knowledge of strategies and interventions across the continuum of care to improve health at the lowest cost;
- reduce disparities by increasing understanding of the causes of disparities and solutions to them, including social, economic, political, cultural, legal and ethical theories related to health disparities; and
- develop research expertise to develop collaborative projects to improve access, quality of care, and cost-effectiveness.
This collaborative program engages family medicine, general internal medicine, pediatric and behavioral health departments from one medical school, nine residency programs, and two federally qualified health centers. MetroHealth Services of Cleveland (MHS) will provide training and mentoring in adapting their HRSA-funded PCTE program. We will provide interdisciplinary training to faculty physicians from each residency program and FQHC, with other care team members from each site including NPs, PAs and behavioral health specialists. The goal of this train the trainer model is for each of the training sites to have a minimum of three care team faculty complete the program, with one master trainer in each of the following three areas: transforming health systems, population health management, and reducing health disparities. The faculty experts at their site will champion the work, and train residents and other faculty.
Key Early Findings (if available)
None
Principal Investigator
John Boltri, MD
Site PI
Aleece Caron, PhD
Co-Investigators
Nathan Beachy, MD
James Campbell, MD
Adam Perzynski, PhD
Project Contact
Aleece Caron, PhD
[email protected]
Project Description
This project was funded to establish a quality improvement (QI) HUB infrastructure in the Northeast Ohio region to better support primary care practices in improving the quality and equity of care for the populations they serve. We will work with other regional QI HUBs across the state to improve the health of Ohioans, with a specific focus on Medicaid populations.
Funding Agency
Ohio Department of Medicaid
Key Early Findings (if available)
None
Principal Investigators
Michael Konstan MD (PI) – Case Western Reserve University
Shari Bolen MD, MPH (co-PI) – MetroHealth Medical Center and Case Western Reserve University
Co-Investigator Names (alphabetical listing by last name):
This project is a collaboration with co-investigators from Case Western Reserve University, MetroHealth Medical Center, Better Health Partnership, Cleveland Clinic, Veterans Administration, University Hospitals, and several of the federally qualified health centers.
Project Contact
Cathy Sullivan MS, RD - [email protected]
Project Description
Founded in 2017, the mission of Cardi-OH is to improve cardiovascular and diabetes health outcomes and eliminate disparities in Ohio's Medicaid population.
- WHO WE ARE: An initiative of health care professionals across Ohio’s seven medical schools, funded by Ohio Department of Medicaid (ODM).
- WHAT WE DO: Identify, produce, and disseminate evidence-based cardiovascular and diabetes best practices to primary care teams.
- HOW WE DO IT: Monthly publications including newsletters, online cardiovascular and diabetes resources available on Cardi-OH.org, webinars, short brief cardiovascular e-mail and online topics called Currents and Capsules, Cardi-OH Radio podcasts, and Project ECHO® TeleECHO Clinics. These TeleECHO clinics are a 12-week virtual training series led by experts that feature didactics and case studies presented by participating primary care teams to enhance their capacity to manage cardiovascular conditions.
Key Early Findings (if available)
NonePrincipal Investigators
Michael W. Konstan MD
Shari Bolen, MD, MPH
Site PIs at Ohio’s 6 other medical schools (www.cardi-OH.org)
Co-Investigators
Over 50 experts from across Ohio (www.cardi-OH.org)
Other collaborators on this project exist within the other 6 medical schools across Ohio, Ohio Colleges of Medicine Government Resource Center and Ohio Department of Medicaid.
Project Contact
Ann Nevar, MPH
[email protected]
Project Description
The Ohio Coverdell Stroke Program is a Centers for Disease Control and Prevention (CDC) federally funded program managed by the Ohio Department of Health (ODH). Ohio is one of nine states funded to focus on measurement, tracking, and improvement of quality of care and access to care for patients with stroke from onset of stroke symptoms through rehabilitation and recovery.
MetroHealth, has received funding from ODH since 2007 to serve as the Clinical Consulting Team. We provide clinical direction to the Coverdell Leadership team, lead statewide quality improvement initiatives and develop and support educational programs for pre-hospital, hospital and post-hospital providers. The Clinical Consulting Team at MetroHealth is responsible for statewide data integrity for data sent to the CDC. This encompasses statewide abstraction training for hospital staff, individual hospital quarterly inter-rater reliability processes and quality improvement strategies for statewide data.
Key Early Findings (if available)
NonePrincipal Investigators
Julie Fisher, MHA, BSN, RN, CPHQ
Program Manager, Ohio Coverdell Stroke Program
Co-Investigators
Agnieszka Ardelt, MD, PhD, MBA, FAHA
Tracy Cushler, BSN, RN
Alice Liskay, MPA, BSN, RN
Steven Lewis, MS, MPH, MBA
Project Contact
Julie Fisher, MHA, BSN, RN, CPHQ
[email protected]
Project Description
The purpose of this study is to identify and pilot test novel interventions to improve outcomes for African Americans with obstructive sleep apnea. Phase 1 will identify barriers and facilitators to continuous positive airway pressure (CPAP) use, the most effective treatment available for people with obstructive sleep apnea. Phase 2 will pilot test interventions to improve CPAP adherence and patient sleep quality.Key Early Findings (if available)
NonePrincipal Investigators
J. Daryl Thornton, MD, MPH
Project Contact
Marquisha Marbury
[email protected]
Project Description
Implementing a Peer Mentorship program for persons with traumatic Spinal Cord Injury in the acute hospital stay through community re-integration. It is expected that this project will reduce the anxiety and depression persons with SCI and their families experience initially and provide emotional support that can improve patient’s social psychological well-being .
Funding Agency
National Institute on Disability, Independent Living and Rehabilitation Research
Key Early Findings (if available)
NonePrincipal Investigator
Mary Joan Roach, PhD
Project Contact
Mary Joan Roach, PhD
[email protected]
Project Description
The REACH grant is funded by the Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion. This project will help to advance work that was initiated in 2007, with significant progress made during the first REACH grant cycle (2014-2018) in the areas of healthy eating, active living, and clinical and community linkages. The Cuyahoga County Board of Health leads this regional initiative as part of their regional health collaborative called Health Improvement Partnership (HIP)-Cuyahoga. HIP-Cuyahoga hopes to improve healthy food access, physical activity and active transportation opportunities, increase breastfeeding supports, and increase the use of community and health support programs among African Americans in Cuyahoga County. Better Health Partnership in conjunction with PHRI’s Center for Health Care Research and Policy and United Way 2-1-1 HelpLink (UW 2-1-1) lead a project at several clinics linking children with overweight/obesity and/or asthma as well as adults with uncontrolled blood pressure to community resources for self-management and social needs with the ultimate goal of improving health outcomes.
Key Early Findings (if available)
Since the program began, 161 adults with hypertension and 215 children with asthma and/or overweight/obesity have been given a referral to UW 2-1-1. The top three areas of need include: physical activity and recreation, food/meals, and self-management resources. Among the 178 patients reached by UW 2-1-1, 162 clients were given referrals to over 200 community agencies. Of the 162 clients given referrals, 134 (82.7%) clients have at least one need in progress or resolved.
Here are some stories of patients helped by the program:
- One mom (Ms. R) was concerned because there was mold and pest issues after plumbing leaks in their rental. The plumbing was eventually fixed but the landlord didn’t correct the damage which was causing the mold and pest issues. UW 2-1-1 referred Ms. R to some resources on tenant rights/legal assistance, as well as resources on mold/pest information and inspection. She also wanted information on fresh food distributions. Ms. R. was very thankful for the resources.
- When circumstances get tough, Mr. W has a go-to phone number that he got in a visit to MetroHealth’s J Glen Smith clinic. When he calls Katie at UW 2-1-1 she helps him find resources he needs in the community, including food pantries and fresh produce markets. Katie also calls him every couple of weeks to check in on him. “Katie has been such a jewel,” said Mr. W. “She’s always trying to find programs that can help me. And when you call her, she calls you back.”
Principal Investigators
Cuyahoga County Board of Health
Martha Halko, MS, RD, LD
Clinic to Community Linkages Project Leads
Shari Bolen MD, MPH
Jonathan Lever, MPH, NRP
Funded partners on this grant include:
- The Cuyahoga County Board of Health,
- A Vision of Change
- Better Health Partnership
- Bike Cleveland
- Case Western Reserve University (the Center for Community Health Integration and the Prevention Research Center for Healthy Neighborhoods)
- Cleveland State University School of Nursing
- Fairhill Partners,
- Neighborhood Family Practice
- United Way of Greater Cleveland
Contact for the Clinic to Community Linkage project
Jonathan Lever, MPH, NRP
[email protected]
Project Description
African-Americans have substantially higher stroke rates, compared to any other racial-ethnic group and racial disparities in stroke outcomes are particularly high among AA men. This project will test a nurse and patient co-led, curriculum-guided, self-management support approach, “TargEted MAnageMent” (TEAM) focused specifically on African-American men at high risk for stroke.
Key Early Findings (if available)
NonePrincipal Investigators
Martha Sajatovic, MD
Carolyn Harmon Still, PhD
Co-Investigators
Christopher Burant, PhDDouglas Einstadter, MD
Cheryl Killion, PhD
Shirley Moore, PhD
Sophia Sundararajan, MD
Project Contact
Project Description
A crucial scientific gap in suicide prevention stems from the majority of suicide research relying on individual psychopathology, largely overlooking meaningful constellations of risk in a broader context of social environmental life disruptions that commonly precede suicide. This proposal uses a two-pronged approach that ventures beyond traditional funding mechanisms by challenging what we typically consider to be “health” vs. “non-health”-related suicide prevention research and intervention.
First, by taking the tested methodology of psychological autopsy and reinventing it as a social autopsy, we will dive deeply both into the nature of life disruptions that often precede suicide and the contacts with non-medical services that a suicide decedent may have made prior to their death. Second, by surveying and interviewing employees of industries that commonly deal with life disruptions (i.e., divorce, mortgage foreclosure, and job loss), we will explore their experiences with suicidal clients, such as occupational wisdom and intuition around warning signs among clients, training around suicide prevention, knowledge about suicide, and approaches they may have used when working with clients in distress. True integration of social determinants into suicide prevention research requires rethinking the problem of suicide as solely a clinical mental health problem requiring clinical solutions, to suicide as a problem at a social and clinical nexus, thus necessitating both social and clinical solutions.
Funding Agency
National Institute of Mental Health (NIMH)
Key Early Findings (if available):
N/A
Principal Investigators
John Blosnich, MPH, PhD (PI: USC)
Co-Investigators
Susan De Luca, MSW, PhD
Project Contact
Susan De Luca, MSW, PhD
[email protected]
Project Description
Ohio has one of the highest rates of morbidity and mortality for people with high blood pressure, high cholesterol and for people who smoke. The Agency for Health Care Research and Policy has funded a Heart Healthy Ohio Initiative to expand a statewide Ohio cardiovascular health collaborative (Cardi-OH) to improve cardiovascular health and reduce cardiovascular disparities for all Ohioans. To do this, we will work with primary care teams, patients and families and other partners to develop a heart healthy intervention that primary care clinics in Ohio can use to improve care and reduce disparities for patients with high blood pressure, high cholesterol and who smoke.
Key Early Findings (if available)
NonePrincipal Investigators
Shari Bolen MD, MPH [MetroHealth/Case Western Reserve University (CWRU)]
Aleece Caron, PhD (MetroHealth/CWRU)
Saundra Regan, PhD (UC)
Randell Wexler MD, MPH (OSU)
Collaborating Organizations
Ohio State University (OSU)
University of Cincinnati (UC)
The Health Collaborative
The Healthcare Collaborative of Greater Columbus
Better Health Partnership
Ohio Academy of Family Physicians
Ohio Association of Community Health Centers
Stakeholders
American Heart Association
CVS Health, Minute Clinic
Health Action Council
IPRO
National Association of Community Health Workers - Ohio Ambassador -
Ohio Academy Of Nutrition and Dietetics
Ohio Association of Physician Assistants
Ohio Association of Health Plans
Ohio Chapter of the American College of Physicians
Ohio Department of Medicaid
Ohio Department of Health
Ohio Nurses Association
Ohio Pharmacists Association
Quality and Safety Education for Nurses Institute
Project Contact
Stephanie Kanuch, MEd [email protected]
Catherine Sullivan, RD [email protected]
Project Description
The goal of our work is to optimize primary care faculty and trainee academic productivity, job satisfaction, and retention rates in a large, urban safety-net hospital with 14 community-based practice sites. Within that frame, we describe specific goals in our work toward patient centeredness, integrating systems of care, quality improvement, clinical teaching and mentoring, and the elimination of health disparities. This proposal has 5 specific aims to develop scholarship in primary care with emphasis on areas critical to the faculty and residents that provide care for an underserved population. These aims are:
- Care of the underserved: a formal curriculum reviewing social, political, economic, cultural, legal and ethical theories related to disparities in general, with a central focus on health disparities;
- Teaching: a formal curriculum to facilitate faculty who are already active in teaching to improve teaching skills and gain skills in program development and teaching evaluation;
- Quality Improvement: a formal curriculum for faculty and residents to gain skills necessary to improve systems of care and function in multidisciplinary teams;
- Core content expertise development and enhancement in three areas important to caring for vulnerable populations; and
- Improve academic productivity for faculty through protected time and mentorship to allow faculty who are clinically active and community-based to pursue scholarship.
This collaborative program will be offered to faculty and trainees in family medicine, geriatrics, general internal medicine, general pediatrics, internal medicine/pediatrics, and obstetrics/gynecology. Faculty will have 10% protected time to participate for two years and residents will participate during years 2 and 3 of their training. Each participant will:
- Complete all 5 cores listed above;
- Complete individualized development plans in teaching skills;
- Complete a Quality Improvement project;
- Complete a Health Disparities Case Narrative; and
- Complete a personalized philosophy of teaching plan.
Faculty will receive individualized mentoring, develop long- and short-term career goals with measurable outcomes, and work with the project team and their residency programs to establish a robust, formal mentoring program for their specialty.
Key Early Findings (if available)
None
Principal Investigators
Aleece Caron, PhD
Co-Investigators
Nathan Beachy, MD
James Campbell, MD
Adam Perzynski, MD
Project Contact
Aleece Caron, PhD
[email protected]
Project Description
This project will evaluate the efficacy of a personalized and automatized m-Health intervention targeting both intentional and non-intentional nonadherence, iTAB-CV + Self-Monitoring, compared to Self-Monitoring alone to improve medication adherence and lower systolic blood pressure in individuals with bipolar disorder (BD) and hypertension. Given the serious negative consequences of uncontrolled hypertension, including early mortality, an intervention that successfully improves adherence to antihypertensive medications while simultaneously addressing psychiatric medication adherence and which can be administered via text messaging would be of substantial public health benefit.
Key Early Findings (if available)
NonePrincipal Investigators
Jennifer Levin, PhD
Martha Sajatovic, MD
Co-Investigators
Farren Briggs, PhDDoug Einstadter, MD
Mahboob Rahman, MD
Project Contact