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Current Funded Research

These are some of the projects currently being conducted by Center faculty or managed through the CHPR.
 
 
 
Targeted and Tailored Messages to Enhance Depression Care, Richard L. Kravitz, M.D, M.S.P.H.
 A 5-year multi-site study, funded by the NIMH, to develop and test targeted public service announcements and a tailored interactive multimedia computer program designed to enhance depression care seeking and reduce depression-related stigma.
 
Costs of Occupational Injury and Illness Paul Leigh, Ph.D.
Estimates current and forecasts future annual national costs of occupational injuries and illnesses.
 
Emergency Preparedness Indicators Patrick Romano, M.D., M.P.H.
The objectives of this project are to: 1) Develop a State Profiles Data Book on Emergency Preparedness intended as a tool for Federal and State Policy makers to track the health care system's ability to respond to emergencies at the State level. This is intended as a tool for understanding the capability and level of performance of the health care system across a broad spectrum of areas in the event of an emergency. 2) Develop evidence-based measures on the health care system's ability to respond in the event of an emergency, particularly within a state. These measures are a tool for decision-makers at the state and national level to assist in the planning for an emergency.
 
Adjuvant Hormonal Therapy: Decision making and adherence Joy Melnikow, M.D., M.P.H.
The aim of this project is to understand the factors that influence women in their initial choice of hormonal treatment and how adherence is influenced by side effects, costs and other factors.
 
Quality and Efficiency Measures: A decision guide for local collaboratives Patrick Romano, M.D., M.P.H.
The objective of this project is to develop a Decision Guide that focuses on choosing quality and efficiency measures for AHRQ's Chartered Value Exchanges and other local collaboratives.
 
Using Social Risk to Guide CHD Preventive Treatment  Peter Franks, M.D., M.P.H.(subaward in collaboration with Principal Investigator Kevin Fiscella, University of Rochester School of Medicine) 
Disparities in coronary heart disease (CHD) mortality by socioeconomic status, race and ethnicity, have been extensively documented, but translating them into clinical practice to reduce CHD disparities has proven challenging. This project aims to address this need. The broad aim of this project is to demonstrate that incorporation of social risk into global risk assessment and preventive treatment guidelines offers potential for reducing disparities in CHD.
 
The Breast Cancer Experience of Slavic Women Debora A. Paterniti, Ph.D.
This study uses qualitative methods to characterize Slavic women’s current perceptions and understandings of breast health and barriers to care and care seeking. The research will be used to design and assess the acceptability of a health educator program by and for Slavic women.

Acceptability and Barriers to N-of-1 Clinical Trials Richard L. Kravitz, M.D., M.S.P.H.
The goal of this qualitative study of the opinions about n-of-1 clinical trials is to understand historical decline in the use of this method and how the strengths/weaknesses of method could be applied today.

Unleashing Clinical Experience through Evidence Farming Richard L. Kravitz, M.D., M.S.P.H.
This study explores the potential receptivity for practicing clinicians to learn to retrieve relevant information from electronic medical record systems to help with clinical decision making and communication with patients.

Coaching to Improve Care of Cancer Pain Richard L. Kravitz, M.D., M.S.P.H.
This study proposes to enhance a pilot study that demonstrated individualized patient education and coaching intervention was feasible and showed promise for improving pain control among cancer outpatients.

Surveillance Strategies Following Treatment for CIN Joy Melnikow, M.D., M.P.H.
To estimate rates of recurrence of cervical intra-epithelial neoplasia (CIN) from a population database. To employ these rates in a cost-effectiveness analysis to determine the relative cost-effectiveness of different strategies for follow-up of CIN.

Collaboration on Support for Quality Indicators II Patrick S. Romano, M.D., M.P.H.
The objectives of this project are to: 1) translate research into practice by providing technical assistance to users of the AHRQ Quality Indicators (QIs), so that QI tools are available and accessible to a broad range of users; 2) annually update, refine, and develop additional literature-based QI products based on administrative data and other information that can be readily linked to administrative data; 3) evaluate the suitability of the QIs for public comparative quality reporting; and 4) provide administrative and management support to AHRQ in disseminating information, in conducting workshops, and in demonstrating and improving the value of the QIs.

Office of the Patient Advocate (OPA) Quality Measures Evaluation Project Patrick S. Romano, M.D., M.P.H.
To conduct exploratory analyses of OPA data sets and to identify and analyze data elements in Quality Compass for potential inclusion in the California Quality of Care Report Card.