Currently Funded Research
Cancer Caregivers Interactions with the Hospice Team: Implications for End of Life and Bereavement Outcomes: Administrative Supplement
Funding: NIH / NINR
Dates: The goal of this study is to enhance our understanding of communication and support needs of SGM (sexual and gender minority) FCGs (family caregivers) of advanced cancer hospice patients. Supplemental aims are to 1) Describe the unique needs of SGM FCGs of cancer hospice patients and 2) Assess HCT (hospice care teams) members’ attitudes toward SGM FCGs and patients and their knowledge of SGM FCGs needs. These aims are addressed through individual interviews (FCGs), surveys (FCGs and HCTs), and focus groups (HCTs). The researchers will develop best-practice guidelines and a recruitment training program for SGM cancer FCG participants based on advocacy group guidelines and with guidance from our advisory panel. These recruitment guidelines will be implemented in their parent study; supplement-funded recruitment training will allow the researchers to add a cohort of 25 SGB-identified FCGs to the parent study.
Faculty: Lee Ellington (PI);
Pediatric Research using Integrated Sensor Monitoring Systems (PRISMS) Informatics Platform - Federated Integration Architecture
Funding: NIH National Institute of Biomedical Imaging and Bioengineering
Dates: 9/30/2015 – 9/29/2019 The Pediatric Research using Integrated Sensor Monitoring Systems (PRISMS) program is a national NIH initiative to address challenges associated with using sensor systems for research on pediatric asthma and other conditions that are affected by the environment. The Utah PRISMS informatics center uses participatory user-center design methods to develop an information architecture and standardized processes for acquisition, integration, and management of sensor data, integrated with clinical data from longitudinal assessments of asthma symptoms, quality of life, health care usage, and other asthma related outcome metrics. The center has three synergistic and tightly integrated projects that make up an innovative sensor monitoring system: Project 1: A platform to support data acquisition from the child’s home and environment sensors, and to support data processing with user-friendly interfaces for presenting sensor data to families. Project 2: A high-resolution data integration platform, allowing sensor data to be integrated with clinical and other data sources, as well as mechanisms for securely transmitting data to the PRISMS data coordinating center. Project 2 leverages and extends the biomedical informatics infrastructure at the Center for Clinical and Translational Sciences (CCTS), called OpenFUrther (http://openfurther.org/). Project 3: A platform for researchers to configure a variety of experimental designs. These projects will support future studies that will improve our knowledge of the impact of environmental exposures on children with asthma.
Faculty: Katherine Sward (Contact PI); Julio Facelli (PI); Ramkiran Gouripeddi (Project Lead); Neal Patwari (Project Lead); Mollie Cummins; Miriah Meyer (Project Co-lead); Flory Nkoy (Project Co-lead); Bryan Stone; Scott Collingwood; Kerry Kelly; John Horel; Hanseup Kim; Bob Wong
Funding: NIH National Institute of Nursing Research
Dates: 7/1/2013-6/30/2018 This training program addresses the National Institute of Nursing Research’s strategic areas including health promotion and disease prevention; improving quality of life through self-management, symptom management and caregiving; and end-of-life research. The program objectives are 1)To provide outstanding interdisciplinary didactic research training in the fundamental theories, methods, and skills necessary to conduct research in cancer, aging, and end-of-life care; 2)To facilitate the ability of predoctoral and postdoctoral trainees to develop research expertise through ongoing project-oriented research experience in cancer, aging, and end-of-life care that integrates mentoring, practical experiences, feedback, and critique; 3).To prepare postdoctoral trainees for independent academic careers as scientists in cancer, aging, and end-of-life care; and 4) To mentor all trainees in the ethical conduct of research, especially in diverse vulnerable populations, including the elderly and individuals facing serious illness and death.
Funding: U.S. Agency for Healthcare Research & Quality (AHRQ) (1 R01 HS021472-01A1)
Dates: 9/30/2013-9/29/2018 Poisonings are a leading cause of unintentional injury death in the United States. We will develop and evaluate a replicable, standards-based approach to health information exchange between emergency departments and poison control centers. Health information exchange has potential to strengthen continuity of care for poisoned patients, and improve communication and collaboration between emergency departments and poison control centers during disaster scenarios.
Faculty: Mollie Cummins (PI); Barbara Crouch (COI); Guilherme Del Fiol (COI); Tom Greene (Statistician); Scott Narus (PI, Intermountain Health Care Site); Todd Allen (Consultant, Intermountain Health Care)
Dates: 9/25/2014-7/31/2017 Children receiving treatment for cancer experience multiple symptoms that negatively impact their quality of life; however, because of their developmental abilities, they may have difficulty relating their symptoms to healthcare providers. Mobile technology offers innovative options to create symptom assessment tools that support children in communicating their symptoms to healthcare providers and allow children’s symptom reports to be transmitted into electronic medical record systems. This award will engage children with cancer in designing a mobile technology symptom assessment app and evaluate the app’s feasibility and acceptability in a clinical setting from the perspectives of children with cancer, their parents, and healthcare providers.
Faculty: Lauri Linder (PI)
Advancing Interprofessional Telemedicine Education: A Mixed Methods Analysis of Student Knowledge, Beliefs, and Attitudes
Funding: University of Utah Academy of Health Science Educators
Dates: 6/01/2017 - 12/31/2018 The major aim of this project is to analyze student data using a mixed methods approach. Results will be used to improve course activities and learning modules. Findings will guide future scenario development and enhance the delivery of simulations through TVC technology. Results will be disseminated via publications in journals focused on telemedicine and IPE/IPP. Findings will be shared with colleagues across University of Utah Health Sciences as a catalyst to interpret and publish additional IPE course data.
Faculty: Sue Chase-Cantarini (PI)
Dates: 2/01/2014-11/30/2019 This center provides central data management and statistical resources for the Collaborative Pediatric Critical Care Research Network (CPCCRN); including network data collection, data management and database design, data analysis, IT support, manuscript preparation, network logistics and study project management, and development of public use data sets.
Faculty: Mike Dean (PI); Rich Holobkov (Alternate PI); Katherine Sward (Co-I); Whit Coleman (Program Manager);
Funding: National Palliative Care Research Center
Dates: 07/01/2015 - 06/30/2017 The purpose of this study is to test feasibility and acceptability of a novel approach to improving communication and in accordance person-centered care by creating Me & My Wishes -- a resident=centered video recorded conversation with residents. Me & My Wishes conveys resident care preferences for today and at end of lif (EOL) and consists of four modules: 1) About Me, 2) Preferences for Today, 3) Preferences for lMedical Intervention and End-of-Life Care, and 4) Afterthoughts. The goal is for these videos to enable day-to-day and EOL care to be informed by the resident's perspectives.
Faculty: Gail Towsley (PI)
Improving Clinical, Behavioral and Psychosocial Type 1 Diabetes Outcomes with an Online Peer Health Intervention: A Pilot Study
Funding: The University of Utah Diabetes and Metabolism Center
Dates: 5/01/2017 - 4/30/2018 Peer health is defined as the interaction, education, and support offered by peers with the same condition to promote health-enhancing change. Individuals with diabetes find peers helpful by crowdsourcing “the collective wisdom of others” through use of the diabetes online community (DOC). The DOC is a collection of interactive websites that encourages online peer health. Preliminary work suggests high engagement in the DOC is associated with better glycemic levels as well as higher levels of self-care and health-related quality of life, however, causation cannot be determined. The purpose of this research is to evaluate the feasibility and acceptability of an online peer health intervention in adults with type 1 diabetes; and to explore the preliminary efficacy of an online peer health intervention on clinical, behavioral, and psychosocial outcomes compared to usual care controls.
Using Cognitive Interviewing to Enhance Translation Equivalence of the Mandarin Version of Pain Care Quality (PAINCO) Surveys
Funding: University Research Committee Faculty Research & Creative Grant, University of Utah
Dates: 01/2015 - 06/2017 This project will examine the quality of the translation equivalence of the current version of the Mandarin PainCQ generated by the multicultural translation committee through the cognitive interview. The current translation version will be revised or and added new items to reflect Chinese American culture in terms of the quality of pain care.
Faculty: Jia-Wen Guo (PI); Yin-Shun Chiu; Rumei Yang
Funding: NIH Eunice Kennedy Shriver National Institute of Child Health and Human Development
Dates: 7/27/2015 - 6/26/2020 Major risk factors for Pelvic Organ Prolapse (POP), which is experienced by both nulliparous and parous women, include first vaginal childbirth, family history, and age. Some studies find an association with Hispanic heritage. Preventive measures are few and untested, since it is infrequent for women to visit a physician regarding symptoms of a vaginal bulge until the vaginal wall descends to or below the level of the hymen. Little is known about how women become aware of changes in vaginal support, its meaning for them in its interpersonal and sociocultural context, and subjective inklings of onset. The goal of this ethnographic study is to understand the cultural context of early pelvic floor changes, as they are experienced postpartum by Mexican-American and Euro-American women. By understanding how changes are perceived and understood to develop, culturally appropriate information and prevention strategies can be developed for women with early changes in vaginal support after childbearing.
Funding: NIH Eunice Kennedy Shriver National Institute of Child Health and Human Development
Dates: 9/1/2015 - 5/31/2019 Obtaining adequate informed consent from potential research participants is a significant challenge for biobank-dependent research. To maintain public trust and support, it is important to establish an informed decision-making process for the collection and use of biospecimens collected within clinical settings. For the majority of all infants born in the US, residual dried blood biospecimens are generated after newborn screening is completed. Some programs have chosen to store these specimens for several uses including biomedical research. For example, the Michigan BioTrust retains and catalogs newborn screening residual biospecimens for use in medical and public health research studies. Identifying ways to improve comprehension about broad consent for future biobank-dependent research is a national priority. The purpose of this application is to 1) identify information needed to make an informed decision about consent for future use of residual bloodspot biospecimens; 2) create an electronic informed consent information (EICI) tool for use in the clinical setting; 3) and evaluate the EICI approach and feasibility.
University of Utah College of Nursing Subcontract to Interoperability of Health Information Technology Services to Support Health Information Exchange
Funding: Office of National Coordinator for Health Information Technology (Primary award to the Utah Health Information Network, Teresa Rivera PI)
Dates: 7/27/2015 - 7/27/2017 We propose to extend health information exchange for emergency departments and poison control centers to the entire state of Utah.. We will expand current software, process and infrastructure development effort to enable: (1) the transmission of a CCDA consultation note from the Utah Poison Control Center to UHIN’s cHIE, where it can be accessed by any authorized health care provider, (2) the transmission of a CCDA consultation note from the UPCC to state and local health departments for notifiable cases, and (3) UPCC management of CCDA discharge summaries from emergency departments, sent to UPCC via UHIN’s cHIE.
Funding: Geographical Management of Cancer Health Disparities Program (GMaP) Region 6 Pilot Award
Dates: 07/01/2016 –06/30/2017 The objectives of this study are to assess to the effectiveness of our Cancer Prevention Care Management Program for Hotel and Cleaning Workers and to identify strategies to expand this program into a multi-level intervention for cancer prevention among service industry employees in both metropolitan and nonmetropolitan settings in the Intermountain West. The findings from this study will allow us to develop the first evidence based multi-level intervention designed to improve cancer screening and cancer prevention behaviors among vulnerable low income and Latino service industry employees in our region.
Funding: Agency for Healthcare Research and Quality
Dates: 07/01/2016 – 06/30/2018 This innovative study will determine whether a relationship exists between labor and delivery nurse staffing and adverse maternal and newborn outcomes. Understanding the link between perinatal nurse staffing and maternal and neonatal wellbeing is fundamental to enhancing outcomes and promoting patient safety in the childbearing family. If the relationships indicate these outcomes are staffing sensitive, it will allow further studies that examine whether manipulating staffing levels can mitigate adverse birth outcomes.
Faculty: Barbara Wilson (PI); Richard Butler (Health Economist and Professor at Brigham Young University); Jean Millar (Women’s and Newborns Service Line Director/Operations Officer for Intermountain Healthcare) ; Kristi Nelson (Program manager for the System in Women’s and Newborn Services, Intermountain Healthcare)
Funding: Primary Children’s Hospital Foundation (PCHF) Early Career Development Research Award
Dates: 7/1/2016 – 6/30/2018 This project proposes to develop a new screening approach for adolescent depression leveraging the potential of social media data. The goal of ASAP is to engage adolescents to self-monitor depressive symptoms, by automatically and periodically analyzing the individual’s posts and providing feedback to the adolescent. The objective of this ASAP proposal is to generate preliminary data essential for developing ASAP, including (1) to build a lexicon dictionary used for analyzing adolescent depression from tests; and (2) to identify social media use behaviors related to adolescent depression.
SymptomCare@Home (SCH): Deconstructing an Effective, Technology-assisted, Symptom Management Intervention
Funding: National Institutes of Health National Cancer Institute
Dates: April 1, 2016 – March 31, 2021 Cancer patients receiving chemotherapy experience multiple poorly controlled symptoms at home in the interim weeks between clinic visits and the next infusion. Their care during this interim time period is suboptimal. Technology can be utilized to bridge the gap between patient symptom needs at home and oncology team response. Automated patient-reported symptom home monitoring and management systems offer a new approach to symptom care. Our research team has developed and tested SymptomCare@Home (SCH). This multi-component automated system monitors daily patient-reported symptoms at home, provides tailored automated self-management coaching based on the specific symptoms reported and transmits unrelieved symptom alert reports to an oncology provider who, using the SCH decision support system provides follow-up telephone-delivered symptom care.
Faculty: Kathi Mooney (PI)
Funding: National Institutes of Minority Health and Health Disparities
Date: July 22, 2016 - February 28, 2018 Salud Juntos is a promotora-led home-based cancer care support solution project intended to reduce health disparities by developing medical technologies that are effective, affordable, culturally acceptable, and easily accessible to those who need them. The project is based on the well-established partnership between BrightOutcome and Dr. Ana Maria Lopez, Associate Vice President for Health Equity and Inclusion, University of Utah Health Sciences Center, and Director of Cancer Health Equity, Huntsman Cancer Institute. The research team will co-develop a bilingual high tech and high touch medical care support portal for Latinos, the most rapidly growing group in the U.S. The overarching goal of Salud Juntos is to improve cancer patients’ outcomes and self-efficacy by empowering cancer patients with self-management skills and bringing cancer care support directly to them at home via both promotoras and technology. Such supportive care, regardless whether delivered by promotoras or by technology, addresses both physical and psychosocial concerns and needs of cancer patients by offering timely patient education materials, engaging local/community support resources, facilitating patient-provider communication, and involving patients caregivers, friends and families.
Funding: PCORI Tier III
Dates: 7/7/2016 - 6/30/2017 Hispanics have disproportionate rates of Type 2 Diabetes Mellitus (T2DM) compared to Non-Hispanic Whites and suffer more diabetes complications. Diabetes self-management is an effective strategy to achieve improved glucose control and decreased complications associated with diabetes. Technology solutions offer scalable and innovative ways to deliver diabetes education and to track self-management behaviors. The goals of this PCORI tier III award are to: 1) Increase relevant stakeholder involvement on Community Advisory Board (CAB), 2) Refine comparative effectiveness research questions and determine an appropriate grant mechanism for these questions, 3) Conduct a systematic literature review to inform the design of the proposed new clinical research study, 4) Design a clinical research study and submit a letter of intent, 5) Complete the technology trial from the Tier II award and the follow-up technology interviews with community members. In tier I, a CAB was established of Hispanic patients with T2DM and stakeholder in the Hispanic community. A list of problems and potential technology related solutions was developed. In tier II, the CAB surveyed the wider Hispanic community about technology related solutions such as using an IPad loaded with diabetes related applications; a Fitbit to track diet, physical activity, sleep; wearing a real-time continuous glucose monitor; and replacing TV advertisements with diabetes educational ads. Individuals began to test these technologies. The CAB started to develop comparative effectiveness research questions. The CAB will continue their work towards the goals of the PCORI tier III award and an executive board will be formed to write the grant.
Faculty: Nancy A. Allen (PI)
Grief Support Groups for Frontier and Rural Utah: a Pilot Study to develop and Evaluate Tele-Health Distance Technology to Provide Grief support and Develop the Bereavement Care Professional Workforce in Utah
Funding: Cambia Health Foundation
Dates: 5/2017 - 5/2019 This grant will bring partners from Caring Connections: A Hope and Comfort in Grief Program, Community Nursing Services Hospice Services, and Utah Telehealth Network together to develop, implement, and evaluate a distance-technology delivered grief support group program for grieving persons in underserved rural/frontier communities in Utah using trained rural hospice social workers.
Faculty: Katherine Supiano, (PI); Patricia Carroll (Co-I); Deb LaMarche (Co-I); Kim Dansie
Funding: National Alzheimer's Association
Dates: 5/2017 - 5/2020 This project will adapt a proven therapy for complicated grief in bereaved dementia caregivers—Complicated Grief Group Therapy (CGGT)—for soon-to-be bereaved dementia caregivers at risk for complicated grief to promote healthy death preparedness and eventual bereavement—Pre-Loss Group Support (PLGS). First, the death preparedness of both bereaved and soon-to-be bereaved caregivers will be assessed. Second, CGGT will be adapted into PLGS, a 10-session group therapy for soon-to-be bereaved dementia caregivers. Finally, PLGS will be evaluated in 3 partner long term care facilities with caregivers at-risk for complicated grief whose care recipient has a life expectancy of 6 months or less. The partner facilities include the Salt Lake City Veterans Home, Silverado and Hillside Mission Health.