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Research

GRANTS

Active Grants

Clemow L, PI: “SCORE (Special Care Outreach, Evaluation) to increase the impact of Behavioral Health Integration at FMMS”. Horizon Blue Cross-Blue Shield of New Jersey. $150,000 [each year]; 1/1/2017 – 12/31/2020.

The purpose of this project is to study the impact of special outreach efforts for psychosocial evaluation and primary care-based treatment and case management for a group of patients in a large primary care practice. The intervention participants will be compared with matched controls from the insurer's patient database to compare healthcare costs.

 

Clemow L, PI: “Screening, Brief Intervention, Referral for Treatment (SBIRT)”

New Jersey Department of Human Services (SAMHSA).  $657,022 [direct], $59,498 [indirect], $716,520 [total]. 2/1/2016 – 6/30/2017.

 

The Screening, Brief Intervention, and Referral to Treatment (SBIRT) project screens patients at FMMS for unhealthy use of alcohol and substance use.  Health Educators provide education and intervention as needed as well as provide resources for those interested in or needing professional services of excessive alcohol/substance use.

Crabtree BF, PI: “PCMH Implementation Strategies: Implications for Cancer Survivor Care” R01  NCI. $1,227,374 [direct], $678,083 [indirect], $1,905,457 [total];  9/1/2014 – 6/30/2018(No Cost Extension).

The Patient-Centered Medical Home (PCMH) is a promising model that many hope will significantly improve the way primary care is delivered in the US; however, the ability of a PCMH to deliver the complex care required for cancer survivors is not known. Practice transformation to a PCMH is a lengthy and challenging process and the actual implementation process is poorly understood. This project seeks to identify and describe the impact that fundamentally different dominant goals for becoming a PCMH have on cancer survivor care. Results will provide guidance to states, health plans, and policymakers on PCMH implementations.

Crabtree BF, PI: “PCMH Implementation Strategies: Implications for Cancer Survivor Care”  Re-Entry Supplement   3R01  CA176545-02S1, NCI. $577,254 [direct], $29,500 [indirect], $606,754 [total];  9/1/2014 – 6/30/2018 (No Cost Extension).

This Re-Entry Supplement will examine environmental attributes in three layers of the practice neighborhood (community, medical and policy), in order to gain a clearer understanding of contextual elements that enable or assist Patient-Centered Medical Homes in providing cancer survivor care successfully.  This supplement will provide the candidate with research opportunity to learn qualitative and mixed-methods research skills for primary care redesign and reform for development into an independent clinician-researcher.  Collect and analyze data, utilizing qualitative methods of sampling, critical case and deviant case comparisons, while developing skills of key informant interviews, note-taking, coding, and analysis through ATLAS.ti qualitative software.

Crabtree PI: (Subcontract) with Oregon Health & Science University  (Cohen:PI) Agency for Healthcare Research and Quality (AHRQ), RFA-HS-14-0909 ‘Evaluating System Change to Advance Learning and Take Evidence to Scale (ESCALATES)”.   Subcontract $1,424,377 [direct], $840,382 [indirect], $2,264,759 [total], 5/1/2015 – 4/31/2019

 Evaluating System Change to Advance Learning and Take Evidence to Scale (ESCALATES) is a study to evaluate the R18s funded by AHRQ through RFA-HS-14-008. In this study, we will engage R18 grantees in the overall evaluation by harmonizing measures and working together on data collection and analysis, identify the practice, organization and contextual factors among the combined 2000 practices that are associated with higher and lower levels of deliver of ABCS at baseline (prior to any intervention), identify which intervention strategies implemented by R18 grantees are most effective at improving delivery of ABCS services and practice quality improvement capacity over time and in relation to practice, organization and contextual factors, and identify why some strategies are more effective. We will engage, rapidly disseminate, and evaluate the impact of disseminating actionable findings to key external stakeholder. The lessons from the ESCALATES study will inform other D&I efforts of various sizes in the US, and accelerate the evidence-based practice change critical for improving the quality, sustainability and patient-centeredness of healthcare.

Ferrante JM, PI:  “Virtual Weight Loss for African-American Breast Cancer Survivors” NCI.  $239,250 [direct], $380,407 [total], 07/01/15—6/30/18.

 

This 6-month randomized controlled trial will test the feasibility of using the free online SparkPeople weight loss program in 70 AA breast cancer survivors. Preliminary data will be collected to determine effect size changes in outcomes and potential mediators in support of a future R01 application.

 

Ferrante JM, PI:  “Direct Research Support Program” Cancer Institute of New Jersey. $25,000, 07/01/2016 -12/31/17. 

 

This direct research support program provides gap funding needed to complete Dr. Ferrante’s NCI R21 grant, “Virtual Weight Loss Program for African-American Breast Cancer Survivors.” 

 

Hudson SV, PI: “Extended Cancer Education for Longer-term Survivors (EXCELS) in Primary Care,” R01 CA176838, NCI, $2,352,240 [direct], $883,172 [indirect], $3,235,412 [total], 9/30/2013 – 08/31/2018


This research will develop and test a highly innovative, self-management intervention based on social-cognitive theory and health communication best practices, as well as on smart technology for ready access to patients.  The EXCELS intervention will consist of (1) enhanced education and decision support materials delivered via mobile web and smart phone application and (2) health coach/care manager engagement. This research should inform the design of programs to enhance patient activation and engagement in their follow up care and thereby improve cancer surveillance and disease prevention

Hudson SV, PI: “Extended Cancer Education for Longer-term Survivors (EXCELS) in Primary Care,” Re-Entry Supplement 1R01 CA176838-01A1, NCI, $84,129 [direct], $49,636 [indirect], $133,765 [total], 09/01/2014 – 08/31/2018

The supplement will capture critical data, utilizing interview methodology, by systematically assessing and addressing awareness, needs and behaviors of overweight/obese BCS. Further, data collected will support and extend the utility of the EXCELS parent grant by providing data on the needs of a high risk subset of patients, overweight/obese BCS. Insights from the supplement will be used to (1) extend the candidate’s expertise - broadening her knowledge in new areas of study (cancer prevention and control, mobile health [mHealth]) and training in the use of qualitative research techniques that are essential to behavioral intervention development, design and implementation; (2) inform the refinement and enhancement of a novel, mHealth intervention proposed in the EXCELS parent grant; and (3) provide preliminary data for the candidate’s planned K award application to develop a theory-driven, mHealth intervention to promote a healthy lifestyle among overweight/obese women after a breast cancer diagnosis.

Hudson SV, PI: “Extended Cancer Education for Longer-term Survivors (EXCELS) in Primary Care,” Diversity Supplement R01 CA176838-03, NCI, $211,4760 [direct], $124,770 [indirect], $336,246 [total], 7/01/2016 – 06/30/2018

This research will develop and test a highly innovative, self-management intervention based on social-cognitive theory and health communication best practices, as well as on smart technology for ready access to patients.  The EXCELS intervention will consist of (1) enhanced education and decision support materials delivered via mobile web and smart phone application and (2) health coach/care manager engagement. This research should inform the design of programs to enhance patient activation and engagement in their follow up care and thereby improve cancer surveillance and disease prevention

 

 

 

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