Research Grants and Projects
- Disparities in Health and Health Care
- Communication in Health Care Settings
- Health Care for Marginalized Populations
- Cancer: Patient Navigation
- Cancer: Prevention
- Education/Training
- Other
Disparities in Health and Health Care
NEW! Using Social Risk to Guide CHD Preventive Treatment
Kevin Fiscella, MD, MPH - PI
NIH/National Heart, Lung and Blood Institute ($820,199)
9/01/07 – 6/30/10
To demonstrate that the incorporation of social risk into global risk assessment and preventive treatment guidelines offers potential for reducing disparities in CHD.
NEW! Primary Care-Based Randomized Trial to Reduce Cancer Screening Disparities
Kevin Fiscella, MD, MPH - PI
American Cancer Society ($1,060,152)
1/01/08 – 12/31/11
To demonstrate that the incorporation of social risk into global risk assessment and preventive treatment guidelines offers potential for reducing disparities in CHD.
NEW! RCT of Primary Care-Based Patient-Navigation-Activation Research Supplement to Promote Diversity
Kevin Fiscella, MD, MPH - PI
National Cancer Institute ($279,337)
9/01/07 – 8/31/09
To provide a minority investigator with research experiences that will contribute to his development as a leading and independently funded behavioral scientist; and to enhance his skills and knowledge in the design and implementation of patient navigation research and multi-institutional studies. (Supplement to grant below)
Randomized Control Trial of Primary Care-based Patient Navigation-Activation
Kevin Fiscella, MD, MPH - Principal Investigator (PI)
NIH/National Cancer Institute ($3,238,663)
9/30/05 – 6/30/10
To evaluate the impact of patient navigation on cancer related quality of care and racial and socioeconomic disparities in cancer-related care.
Randomized Control Trial of Concurrent Peer Review
Kevin Fiscella, MD, MPH - Site PI
Robert Wood Johnson Foundation/Westside Health Servies (Subcontract - $68,608)
12/1/2006 – 11/30/2008
To assess the impact of concurrent peer review (CPR) visits on the quality of cardiovascular and diabetic care for underserved, minority patients. The secondary aim is to assess the success of the CPR implementation process.
Communication in Health Care Settings
NEW! Targeted and Tailored Messages to Enhance Depression Care and Reduce Stigma
Ronald M. Epstein , MD, MPH - Site PI
Subcontract on a National Institute of Mental Health grant awarded to Richard L. Kravitz, MD, MSPH by the National Institute of Mental Health ($419,131)
Est. 1/1/08-12/31/12
To participate in a multi-site study 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.
Health Care for Marginalized Populations
Deaf People and Healthcare
Steven L. Barnett, MD - PI
Agency for Healthcare Research and Quality ($634,957)
9/30/06 - 9/29/11
To assist Dr. Barnett in becoming an independent health services researcher focused on deaf people who communicate in American Sign Language (ASL) and their families, and for him to pursue a mentored research project to study healthcare experiences by adapting and and administering in ASL a widely used English language survey.
Cancer: Patient Navigation-Activation
Measuring What Navigators Do: Task and Social Network Analysis
Ronald M. Epstein, MD - Site PI
Avon Foundation/Boston Medical Center (Subcontract - $54,156)
2/1/07 – 1/31/09
To develop a measure to directly observe and quantify the tasks of navigators and the networks they employ to conduct their work.
Cancer: Prevention
Direct Observation of Physical Activity Counseling in Underserved Communities
Jennifer Carroll, MD, MPH - PI
Pilot study supported by University of Rochester Cancer Center/Cancer Control Training Program (R25 CA102618-01A1) and Department of Family Medicine:
9/1/05 – 8/31/07
To directly examine clinician counseling and discussion about physical activity (PA) habits in a primary care setting with underserved patients; and to assess the extent to which PA counseling in this setting incorporates elements of the 5A model – “Ask, Advise, Assist, Agree, Arrange.”
Validating the 5A Model for Use in Physical Activity Counseling
Jennifer Carroll, MD, MPH - PI
Pilot study supported by University of Rochester Cancer Center/Cancer Control Training Program (R25 CA102618-01A1) and Department of Family Medicine:
9/1/05 – 8/31/07
To assess the validity and reliability of an instrument for using the 5A model to measure counseling about physical activity in underserved communities.
Pilot Intervention to Promote Physical Activity Counseling in Underserved Populations
Jennifer Carroll, MD, MPH - PI
Pilot study supported by University of Rochester Cancer Center/Cancer Control Training Program (R25 CA102618-01A1) and Department of Family Medicine:
9/1/05 – 8/31/07
To compare the effect of a combined patient motivational tool linked to clinician brief counseling versus a combined patient motivational tool -clinician brief counseling plus extended health educator counseling on the dependent variables, physical activity and use of 5A model.
Education/Training
Faculty Development for Researchers and Master Educators
Richard J. Botelho, MD - PI
Health Services and Resources Administration ($943,876)
7/1/05 – 6/30/08
To provide fellows with a curriculum to develop research and/or teaching skills; and to help fellows develop expertise in one of the specialty tracks: Behavior Change, Family Systems Medicine, Health Care Disparities, Patient-centered Care, and Ob/Gyn.
A Curriculum in Mindful Practice to Promote Caring Attitudes and Professional Behavior of Medical Students and Residents
Ronald M. Epstein, MD - PI
Arthur Vining Davis Foundation ($200,000)
7/1/07 – 6/30/09
To create a program in mindfulness for third year medical students, their supervising residents, and their attending physicians to foster caring attitudes and professional behavior toward their patients; and to disseminate the program to collaborating medical schools.
A Curriculum in Mindful Practice to Reduce Errors and Promote Professional Behavior of Medical Students and Residents
Ronald M. Epstein, MD - PI
The Mannix Fund for Excellence in Medical Education ($100,000)
10/1/06-9/30/07
To create a program in mindfulness for third –year medical students, their supervising residents, and their attending physicians that will reduce medical errors and foster professional behavior towards patients.
Other
Highland Hospital’s Reproductive Health Program
Thomas L. Campbell, MD - PI
New York State ($1,245,000)
1/1/05-12/31/10
To provide comprehensive family planning and reproductive health care services to underserved populations in a skilled, caring, confidential and culturally sensitive manner.
Open-Label Treatment of Subjects on 2.5 mg. of Mifepristone
Kevin Fiscella, MD, MPH - PI
Athenium Pharmaceuticals, LLC ($611,755)
3/1/05 – 2/28/10
To determine if daily use of low-dose mifepristone (2.5 mg) will improve the quality of life of women with fibroids.