Dr. Brian Arndt – Integrating Food is Medicine Strategies in a Diabetes Group Medical Visit Program: An Implementation Feasibility Study
Dr. Kristi Hallisy – Adapting Tai Chi Prime for Latinx and African American Communities With Fidelity: A Dissemination and Implementation Comparison
Dr. Jon Temte – Assessing Wisconsin’s Absenteeism Reporting Environment for a Respiratory Illness Surveillance K-12 System (AWARE-RISKS)
Dr. Earlise Ward – Understanding barriers to screening mammography in Columbia County: A continued partnership with Prairie Ridge Health
Dr. Aimee Wattiaux – Patient Perspectives on Weight-Based Stigma and Bias at Wingra Family Medical Center
Dr. Jane Evered – Learning Together to Address Opioid Use Disorder: Developing a Catalyst Film from Health Experience Interviews
Dr. Mary Henningfield – Use of the UCLA 3-item Loneliness Scale: Evaluations by a Chart Review, Clinician Survey, and Interviews
Dr. Sarah Hohl – Assessing Partnerships and Social Determinants of Cancer and Chronic Disease in Rural Wisconsin
Dr. James Bigham – Lock, Stock and Barrel
Carly Hamer – Assessment of Covid-19 Campus Employee and Student Surveillance Survey (ACCESSS)
Dr. Asma Ali – Medication Use and Self-management Behavior in Muslim Patients Diagnosed with Type 2 Diabetes Mellitus
Dr. Sarina Schrager – African American Women’s Experiences of Menopause: a focus group study
Dr. Elizabeth Salisbury-Afshar – Investigating Emergency Department Clinician Views on Naloxone Dispensing and Initiation of Medications for Opioid Use Disorder
David Horton – Opioid use disorder and surgical pain management
Dr. Allison Couture – Nutrition-based Health Communications to Effect Behavior Changes in Children
Maureen Goss – Evaluation of SARS-CoV-2 vaccine acceptance and care-seeking behavior during a pandemic in a cohort of Wisconsin parents
Dr. Kellia (KJ) Hansmann – Associations between availability of COVID-19 vaccines at primary care sites, neighborhood disadvantage, and vaccine uptake
Dr. Stacy Leidel – Optimizing telephone triage in family medicine
Dr. David Leinweber – Opioid Prevention in Trauma – Intervening for Misuse Adaptively (OPTIMA)
Dr. Virginia Richey – Promoting Utilization of HIV Pre-exposure Prophylaxis (PrEP) in Addiction Medicine and Primary Care Settings
Dr. Amelia Baltes – Converging and Diverging Therapist and Participant Perspectives of Psychedlic-Assisted Therapy
Dr. James Bigham – Healthcare needs assessment of formerly incarcerated individuals
Dr. Lee Dresang – Scheduled cesareans in rural hospital for training family physicians in operative delivery
Dr. Mary Henningfield – Reflections of Rural Primary Care Clinicians 2 years into the COVID-19 Pandemic
Dr. Linda Park – Pilot test of an mHealth solution to integrate alcohol recovery support into care of alcohol liver disease
Shelbey Hagen – Assessing the Impact of Weight Stigma in Primary Care in Overweight and Obese Adults
The purpose of the study is to address three aims, which are as follows: how participants believe weight stigma impacts their willingness to receive healthcare, how participants believe weight stigma impacts their satisfaction with their healthcare, and how participants believe weight stigma impacts their readiness to make healthy behavior changes.
Cecilia He – Household transmission of seasonal betacoronaviruses within a community-based population
The purpose of this study is to examine the transmission of pre-pandemic coronaviruses within individual households through a community-based respiratory pathogen surveillance program. Specific goals include:
- Test up to 162 specimens for beta-CoVs and other respiratory pathogens using Luminex NxTAG Respiratory Pathogen Panel
- Identify the probable index case and interval between initial symptom onset and symptom onset for secondary cases
- Measure secondary infection risk of beta-CoV transmission
- Determine the rate of asymptomatic cases within a community cohort
- Assess differences in demographic and symptom profile for participants who did and did not seek medical care
Rachel Grob – Experiences of people with long-term COVID-19 symptoms long haulers: A qualitative study
The goal of the proposed study is to learn from people with lived experience of COVID-19 who have interfaced with the UW-Health system. People living with and after COVID-19 have lived experience of a novel disease. Knowledge of natural history, diagnosis, and treatment of COVID-19 is still in nascent stages of development, particularly related to long-term effects. This study aims to describe the experiences of people living with long-term physical and psychological effects of COVID-19. It will also explore dimensions of trust in healthcare and public health systems, information, and clinicians, as well as a persons’ trust in their own symptom perception and health decision-making. This work can inform current and future responses to public health crises by uncovering what sources and types of information people trust as they make decisions about their health and healthcare. The specific aims are:
- Identify actionable targets in persons’ lived experience narratives that are useful for DFMCH clinicians’ care of Wisconsin residents with long-term COVID symptoms.
- Describe dimensions of trust in systems, information, healthcare providers, and personal health decisions during the COVID-19 pandemic.
Vincent Minichiello, MD – The Effect of a Statewide Video Conferencing-based Mindfulness Curriculum on Resident Physician Personal and Professional Development
The STREaM curriculum has been designed as a voluntary training to support residents by providing a space for a personal and interpersonal experience of mindfulness practice – fostering skills in attention, body/mind/emotion awareness, self-efficacy, and compassion. We hypothesize that the skills gained through this course will enhance personal and professional development, ultimately leading to enhanced clinical care for individuals and communities.
Sarina Schrager, MD, MS – Clinician Training for Implementation of Breast Cancer Screening Shared Decision Making in Primary Care
The purpose of this grant is to utilize the materials developed by our team to support the use of SDM for breast cancer screening and package them into CME and MOC part IV modules for use by primary care clinicians. By refining and combining existing features into a comprehensive, enduring, self-study CME and MOC package, learners will be able to access multi-dimensional resources to support implementation of breast cancer screening SDM within a clinical setting.
Cassandra Sundaram, MS – Exploring Expressive Writing in Visits with Chronic Pain Patients
The purpose of this study is to explore the use of an expressive writing (EW) activity during patient visits between chronic pain patients and clinicians.
The goals for this grant include:
- Explore the feasibility of using an expressive writing activity in a clinical setting
- Provide training to clinicians in the use of an expressive writing activity to use with patients who experience chronic pain
Alyssa Shell Tilhou, MD – SAFeR Test Strip Use (Screening for Adulterants like Fentanyl and Risk of Test Strip Use)
This study aims to evaluate ways PWUD modify behavior in response to a negative or positive FTS result, and to compare these changes to the behaviors of those who decline use of FTS. The study will occur in two phases. In both phases, participants will be recruited at four syringe service centers in Madison, Milwaukee, Beloit and Kenosha, WI. Phase I: interviews elicit behaviors that impact overdose risk in relation to using FTS. Results will inform Phase II survey materials. Phase II: a new participant sample will be surveyed about drug use behaviors when they do and do not have access to FTS. Responses will be analyzed to examine how use of FTS changes drug use behavior.
The purpose of this study is to enroll 200 families in a year-long, prospective cohort study to determine vaccine effectiveness without the limitation of missing vaccinated, non-sick children and families. By conducting this sub-study, we seek to build upon a long-standing school-based surveillance platform (2015) supplemented by a household surveillance sub-study component (2016) and a survey of parental attitudes towards and beliefs about the influenza vaccine (2018).
The outcome of interest for distinguishing ‘cases’ from ‘non-cases’ will be a positive, rT-PCR confirmed influenza result from the Wisconsin State Laboratory of Hygiene (WSLH). This outcome will be used to calculate the odds ratio of influenza infection for vaccinated and un-vaccinated participants.
Bri Deyo and Christopher Nicholas, PhD – Differential Changes in Brain Function After a Single Dose of Psilocybin for Major Depressive Disorder
The purpose of the proposed study is to examine the relationship between immediate and long-term changes in cortical functional connectivity and changes in cognitive flexibility and symptoms of depression following one dose of oral psilocybin.
Approximately 20% of people with depression do not respond to treatment and/or relapse. Recent clinical studies of psilocybin treatment have demonstrated dramatic and sustained reductions in depressive symptoms. However, changes in depressive symptomatology and functional connectivity specific to psilocybin are still unknown. The proposed work is a sub-study of a fully funded, industry-sponsored, multi-site trial evaluating psilocybin- assisted therapy for Major Depressive Disorder. This sub-study will add a series of 3 resting state and tasked-based functional magnetic resonance imaging scans to the existing protocol in order to evaluate functional connectivity pre- and post-administration of study drug. Resting state and task-based functional connectivity will be based previously established seed based and independent component analysis approaches and correlated with behavioral and clinical measures.
The proposed work has the potential to elucidate the neurobiological and cognitive mechanisms for an emerging line of new research and treatment approach for depression.
David Kiefer, MD – Exploration of the benefits of group medical visits
This small grant application proposes to use funding for staff support to facilitate the evaluation of two new group medical visits (GMVs) at the UW Center on Wellness at The American Center. The topics for the GMVs will be Healthy Sleep and Healthy Gut. Each GMV will be offered twice over a 12-month period to 10 patients with either mild-to-moderate insomnia (Healthy Sleep) or functional bowel disorder (irritable bowel syndrome; Health Gut). Several validated surveys will be used to quantify symptoms in each of the classes, and the survey results at the end of the GMV (time=1 month) and one month after GMV completion (time=2 months) will be compared to baseline using a paired t-test. The results of this project will be used to expand and improve the GMV initiative as well as search for external funding to further evaluate the outcomes.
Sean Duffy, MD – Enhancement of dissemination of mHealth technology for diabetes management in low-resource settings
The purpose of this study is to enhance the performance and capabilities of a successful clinical decision support tool for diabetes management in low-resource settings and facilitate the widespread adaptation of this tool in low- and middle-income countries.
Goals of the study are:
- Refine diabetes smartphone application and underlying clinical protocols based on data collected from 3 years of design and implementation experience to improve usability and performance
- Create English version of application to facilitate use outside of Latin America
- Develop an implementation toolkit for our task-shifting model of diabetes care
- Freely share the application under a Creative Commons license, accompanied by the implementation toolkit, on the CommCare Exchange and the mHealth Knowledge database, a repository of mHealth resources sponsored by USAID
- Develop clinical algorithms for diabetes diagnosis and antihypertensive medication initiation and titration by minimally-trained health workers
- Write research and grant proposal for implementation and evaluation of an enhanced smartphone application including diabetes diagnosis and hypertension management
Cristalyne Bell, BA – Household transmission of human Metapneumovirus within a community-based population