Grants and Projects A Communication Intervention for Physical Activity in Underserved Communities Jennifer Carroll, M.D., M.P.H. – Principal Investigator NIH/National Cancer Institute K07 Award 9/26/2008 – 8/31/2013 The goal of this mentored career development award is to evaluate a primary care-based clinician communication intervention to promote physical activity in underserved primary care populations, and to successfully apply for R01 level funding to conduct larger scale cancer prevention trials promoting physical activity. Impact of a Novel Cancer Communication Intervention on Caregiver Bereavement Paul Duberstein, Ph.D. – Principal Investigator NIH/National Institute of Mental Health 1/23/2013 - 12/31/2017 The proposed study will expand the focus to determine whether the VOICE intervention will have enduring, positive effects on the mental and physical health of family and friend caregivers after the patients have died. This is the first study to examine the effects on caregivers of an intervention that could potentially be readily integrated into ongoing, routine cancer care. Mindful Practice: Focus on Serious and Life-Limiting Illness Ronald M. Epstein, M.D. – Principal Investigator Sponsor: Arnold P. Gold Foundation 8/1/12 - 4/30/2014 To develop a workshop specifically for clinicians whose practice is focused on patients with life-limiting, serious illness. Presidential Grant Ronald M. Epstein, M.D. – Principal Investigator Sponsor: Arnold P. Gold Foundation 9/1/13-8/31/2014 To support additional analyses of data gathered during two educational initiatives spearheaded with support from the Arnold P. Gold Foundation. Prognosis, Communication & Race in Advanced Cancer Care Robert Gramling, M.D. – Principal Investigator American Cancer Society 7/1/2013-6/30/2014 The major goals of this project are to examine the relationships among race, prognosis communication quality and ensuring medical treatment decisions that maximize QOL and comfort among patients with advanced cancer who are referred to inpatient palliative care consultation; to better understand racial differences in prognosis communication that have actionable implications for reducing disparities in care for persons with advanced cancer. Research Clinical Trial of Patient, Caregiver and Physician Communication Coaching in Advanced Cancer Ronald M. Epstein, M.D. – Co-Principal Investigator NIH/NCI-R01 National Cancer Institute 4/1/2011 - 3/31/2016 The goal of this project is to test a potentially powerful, 2-component intervention to improve four communication behaviors related to prognosis and treatment choices in advanced cancer: ENGAGING patients to participate in the consultation and decisions regarding their care; RESPONDING to patients concerns; INFORMING patients about treatment choices; and balanced FRAMING of prognosis information. Social and Behavioral Influences on Clinical Communication and Pain Management Ronald M. Epstein, M.D. – Co-Principal Investigator NIH/NCI-R01 National Cancer Institute 3/1/2011 - 2/28/2016 The goals of this project are to 1) examine the magnitude of demographic differences in physicians' assessment of symptoms, discussions, and use of guideline-concordant care; 2) to examine whether patient activation mitigates these differences in physician communication behaviors and management decisions; 3) to explore potential moderators of these differences in physician communication behaviors and management decisions, such as patient-centered communication and implicit unconscious bias. Tailored Interactive Multimedia to Reduce Colorectal Cancer Screening Disparities Kevin Fiscella, M.D., M.P.H. – Subcontract. Site Principal Investigator NIH/NCI-R01 National Cancer Institute This grant was awarded to Anthony Jerant, M.D., at the University of California, Davis 9/15/2008 – 8/31/2013 The major goal of this project is to determine whether interactive multimedia computer programs can activate patients of various ethnicities to undergo colorectal cancer screening, and whether this might lead to a method of reducing screening disparities between Hispanic and non-Hispanic individuals. Health Literacy among Deaf American Sign Language Users and Cardiovascular Health Risk Michael M. McKee, M.D., M.P.H. – Principal Investigator NIH/NHLBI-K01National Heart, Lung & Blood Institute 8/1/2011 – 7/31/2015 The goals of this mentored career development project are 1) to enhance research skills in order to design and conduct independent research; 2) to increase knowledge of health literacy and its factors and appropriate assessment tools, and 3) to improve knowledge and skills in quantitative and qualitative research methods.