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  • A Partnership to Enhance Research Related to the Management of Chronic Disease
    Informal Caregivers, Neurological & Digestive Diseases

    Using a participatory research process, CMCD investigators worked with Advocacy for Patients with Chronic Illness, Inc. (now known as The Jennifer Jaff Center) and patient partners to analyze the results of a survey of over 1,800 people currently managing digestive, neurological, or rheumatological conditions. The aim of the study was to identify: common themes across conditions in Learn More

  • A Partnership to Translate an Evidence-Based Intervention for Vulnerable Older Adults with Heart Disease
    Community, Heart Disease, Older Adults

    Even effective interventions developed by CMCD investigators often fail to make the transition from research to real-world practice. In this study funded by the National Institute on Aging, CMCD investigators are working under the direction of Cathleen Connell, PhD, to translate an evidence-based CMCD program into a model that improves care for older, primarily African-American Learn More

  • Accelerating Impact Program (Translating Research to Action)
    Asthma & Allergies, Community

    “Implementation science” is a relatively new field that seeks to find effective ways of bringing together teams of researchers, clinicians, policymakers, and people living with chronic disease to integrate research findings into practice. Implementation science includes specialized approaches to designing evaluations and working across disciplinary boundaries to have an impact – and CMCD includes several Learn More

  • Alliance to Reduce Disparities in Diabetes
    Community, Diabetes

    Health care disparities refer to differences or inequities in access to and outcomes of health services. In the United States, nearly 24 million people—almost 8% of the U.S. population—are living with diabetes. To address the growing problem of health care disparities in the context of type 2 diabetes, the Merck Foundation—the philanthropic arm of Merck Learn More

  • Allies Against Asthma
    Asthma & Allergies, Community

    According to the Centers for Disease Control, asthma affects some 20 million Americans and is the most common chronic disease of childhood, affecting an estimated 6 million children. Asthma prevalence rates have been increasing for all age groups. Children, however, continue to have the highest rates. Childhood asthma prevalence in the U.S. has nearly doubled Learn More

  • AniMovil: mHealth Support for Depression Management in Colombia
    Depression, Health Conditions, Interactive Voice Response (IVR), International, Mobile Health, Populations, SMS & Text Messaging, Spanish-Speaking, Telephone

    We are developing and evaluating an mHealth intervention to increase the reach and effectiveness of mental health care in low-middle income countries (LMICs). Building on our established foundation of collaborative mHealth research in Colombia, we will develop and test AniMóvil, a scalable mHealth service designed to monitor patients’ depressive symptoms and deliver tailored behavioral activation Learn More

  • Asthma Health Outcomes Project (AHOP)
    Asthma & Allergies

    To better understand what makes asthma programs successful, the CMCD Asthma Health Outcomes Project (AHOP) was created and funded under a cooperative agreement with the Indoor Environments Division of the U.S. Environmental Protection Agency (EPA). Through this project, CMCD identified asthma programs around the world that include an environmental component and have demonstrated a positive Learn More

  • Asthma Hospitalizations: Patient and Physician Perspectives
    Asthma & Allergies, Inpatients, Physicians & Providers

    The prevalence of asthma has risen rapidly over the past 30 years, and asthma hospitalizations are a major problem in Detroit, with rates 5 – 7 times higher than the target rates reported by the Centers of Disease Control and Prevention (CDC). Understanding patient and physician perspectives about the challenges in asthma management is an Learn More

  • Beating Cervical Cancer with a More Effective Vaccine
    Cancer, Children & Youth, Interactive Voice Response (IVR), International, Mobile Health, SMS & Text Messaging, Spanish-Speaking, Telephone

    Every year more than 530,000 women are diagnosed with cervical cancer, and 88% of cervical cancer deaths occur in low- and middle-income countries. Cervical cancer is caused by the human papillomavirus (HPV) – a common virus transmitted through sexual contact. In this study, investigators from the US and Latin America are coming together to test Learn More

  • Breast Cancer Treatment Decisions and Outcomes in Latinas
    Cancer, U-M Health System

    In collaboration with the U-M Cancer Surveillance and Outcomes Research Team (CanSORT), CMCD-affiliated researchers investigated whether the psychological or clinical characteristics of Latina women with early stage breast cancer put them at higher risk for poor outcomes related to their surgical treatment choice, satisfaction with cancer care, or health-related quality of life. The specific goals of the study were Learn More

  • Check-In: Optimized Interventions to Prevent Opioid Use Disorder among Adolescents and Young Adults in the Emergency Department
    Adolescents, Alcohol Use Disorders, Emergency Medicine, Web-based Interventions

    Preventing opioid misuse among older adolescents and young adults is critical considering peak misuse rates, the risk of overdose, and the risk of developing opioid use disorder. The emergency department provides an underutilized venue for identifying young people between the ages of 16-30 who are at risk for escalation of opioid misuse. Through funding from Learn More

  • Childhood Asthma Linkages in Missouri (CALM) Cross-Site Evaluation
    Asthma & Allergies, Children & Youth, Community

    Childhood asthma is a significant public health problem in the United States, with children living in remote rural communities and inner cities experiencing disproportionately higher morbidity and mortality. According to the 2012 Missouri Behavioral Risk Factor Surveillance System, children in Missouri experience higher rates of asthma than the national average, with 10.2% of Missouri children Learn More

  • Coalition for a Healthier Community
    Community, Diabetes

    This project is part of a multi-site initiative funded by the federal Health and Human Services to improve the health of women in vulnerable communities who often have to put their health in the background as they respond to economic and family demands. The project’s goal is to increase womens’ knowledge of and access to Learn More

  • Determinants of Outcomes of Surgical Treatment for Early Stage Breast Cancer
    Cancer, U-M Health System

    In collaboration with the Cancer Surveillance and Outcomes Research Team (CanSORT) at the University of Michigan Health System, CMCD-affiliated researchers worked to identify the psychological and clinical characteristics of women with breast cancer that determine their choice of surgical options, satisfaction with care, and health-related quality of life. The major goals of this project were to evaluate patterns of Learn More

  • Detroit Head Start Asthma Program
    Asthma & Allergies, Children & Youth

    Asthma is one of the leading chronic diseases of childhood and has disproportionate impact on lower income, urban minority children. The Detroit Head Start Asthma Project was designed to address the needs of a high risk group of preschool children with asthma. The project was a partnership between The University of Michigan Schools of Public Learn More

  • Diabetes Self-Management Support in Church-Based Settings
    Community, Diabetes

    Evidence-based guidelines for diabetes care emphasize the importance of both initial diabetes self-management education and on-going diabetes self-management support (DSMS).  However, effective strategies for maintaining DSMS programs have not been identified, and the service is poorly reimbursed by insurers. African-American patients are at particularly high risk for poor diabetes outcomes, and African-American churches are a Learn More

  • Empowering Patients on Choices for Renal Replacement Therapy
    Kidney Disease

    Every year over 100,000 patients start kidney dialysis in the United States. Traditionally, the choice of dialysis treatment includes the two most common modalities, i.e., hemodialysis and peritoneal dialysis.  Most of the time, that choice is driven by the medical team with little attention to patients’ preferences. Under the leadership of Laurie Lachance, PhD, CMCD is Learn More

  • Engaging Veterans and Family Supporters in PACT to Improve Diabetes Management (CO-IMPACT)
    Diabetes, Interactive Voice Response (IVR), Internet, Telephone, Veterans

    Despite system-wide advances in diabetes quality of care, over 30% of patients with diabetes treated in Veterans Health Administration health centers continue to have poorly controlled blood pressure, hyperglycemia, or hyperlipidemia. The nationwide VA PACT (Patient-Aligned Care Team) initiative seeks to provide these patients with comprehensive, team-based support for following diabetes care regimens. One relatively Learn More

  • Exploring Global Perspectives on the Management of Pediatric Asthma in the Community Pharmacy Setting
    Asthma & Allergies, Community, International, Physicians & Providers

    Pharmacists are at the frontline of the primary health care team. However, very few studies have looked at pharmacists’ attitudes, levels of confidence and self-reported pediatric asthma management practices on a global scale. With funding donated to CMCD from the Askwith Foundation, CMCD affiliate Minal R. Patel, PhD, MPH and colleagues are conducting a survey Learn More

  • FOCUS on Epilepsy: A Self-Management Program

    This randomized, controlled trial studied a promising self-management intervention for adults with epilepsy called FOCUS on Epilepsy. FOCUS on Epilepsy stands for: Figure out the problem or the issue, Observe your routine, Connect your observations and choose a change goal, Undertake a change strategy, and Study the results, savor positive changes, and select a reward Developed and piloted in partnership with Learn More

  • Food & Fitness Collaborative Partnerships: W. K. Kellogg Food & Community Initiative

    Since 2007, the W.K. Kellogg Foundation has funded community partnerships across the US to improve access to healthy, affordable, local food and opportunities for physical activity in low-income communities. Partnerships include community groups, residents, and local organizations representing public health, agriculture, transportation, education, and business. The work of the partnerships is focused on transforming conditions for Learn More

  • Food Allergies in Childcare Centers
    Asthma & Allergies, Children & Youth

    Up to 25% of children with food allergies have their first reaction at a childcare or school setting, where foods associated with food allergies such as milk, eggs, and nuts are common. In particular, childcare personnel who are responsible for the feeding and care of young children usually have limited medical experience regarding recognition and intervention Learn More

  • Health System Factors and Patient Outcomes in Breast Cancer
    Cancer, U-M Health System

    Prior studies have shown that women with breast cancer often do not receive the treatments and quality of care they deserve. Gaps in care may reflect inadequate communication between patients and their care team, but those interactions are poorly understood. Moreover, little is known about how delivery system structure and provider relationships vary across oncology Learn More

  • Identifying and Reducing Catheter-Related Complications
    Interactive Voice Response (IVR)

    Urinary catheters, peripherally inserted central catheters (PICCs), and midline catheters are medical devices commonly used in hospitals. Although these devices are important for the care and management of many patients, they also are associated infections and other serious and potentially life-threatening complications. The full range and long-term consequences of these complications are currently unknown. Because of this gap Learn More

  • Improving Follow-up Rates for Asthma Care Visits
    Asthma & Allergies, Children & Youth, Physicians & Providers, U-M Health System

    Asthma can be effectively managed with preventative practices that include a combination of appropriate therapies, trigger avoidance, and routine follow-up care. Routine follow-up with a health care provider can be critical for asthma patients and their families. However, rates of follow-up care after acute asthma exacerbations remains poor in many healthcare settings. With funding donated Learn More

  • Increasing Access to Back Pain Psychoeducation
    Chronic Pain, Interactive Voice Response (IVR), Mobile Health

    Approximately 116 million Americans experience chronic pain, with low back pain the most common pain diagnosis. The cost of treating back pain in the US is more than $100 billion per year, and back pain is the leading cause of disability.  Under the direction of CMCD affiliated investigator, Alicia Heapy, PhD, CMCD investigators participated in Learn More

  • International Projects
    Depression, Diabetes, Hypertension, Interactive Voice Response (IVR), International, Spanish-Speaking

    CMCD is committed to “doing a world of good” through collaborative research projects in low- and middle-income countries. We have particularly strong collaborations in Latin America, with projects conducted in Mexico, Honduras, Colombia, Bolivia, Chile, and elsewhere. CMCD is the North American point of contact for the international organization, RITMOS (Red Iberoamericana de Tecnologías Móviles en Salud or Learn More

  • Managing Multiple Chronic Conditions
    Multiple Chronic Conditions

    Many individuals, including most people in later life, manage multiple chronic conditions. People with multiple chronic illnesses face constant challenges including: poor coordination of medical care, managing complex medication regimens, coping with symptoms and functional limitations, making difficult lifestyle behavior changes, and navigating bureaucracies related to obtaining and paying for health care. Because these problems are common, Learn More

  • Medicaid Incentives for the Prevention of Chronic Diseases

    The Medicaid Incentives for the Prevention of Chronic Diseases (MIPCD) initiative is designed to test the effectiveness of incentives provided directly to Medicaid beneficiaries participating in prevention programs to promote healthy behaviors and reduce the risk of complications. The ten grantees focus on the following areas: tobacco cessation, weight management, lowering cholesterol and blood pressure, Learn More

  • National Program to Eliminate Diabetes-Related Disparities in Vulnerable Populations
    Community, Diabetes

    The Centers for Disease Control and Prevention’s National Program to Eliminate Diabetes Related Disparities in Vulnerable Populations is a five-year program that aims to eliminate health disparities associated with diabetes in communities across the country. As one of the six grantees, the National Kidney Foundation of Michigan (NKFM) aims to develop, implement, and evaluate community-based interventions to Learn More

  • Older Adults with Asthma
    Asthma & Allergies, Older Adults

    Asthma is often thought of as a disease that mainly affects children and begins in childhood, but up to 40% of people with asthma have their first attack after age 40. Asthma has been overlooked as a problem among older adults, and many older patients go undiagnosed or under treated, even though they have the highest Learn More

  • Online Education Tools for Eosinophilic Disorders
    Neurological & Digestive Diseases

    Eosinophilic disorders are an emerging spectrum of chronic allergic gastrointestinal diseases affecting both children and adults. As a relatively new class of disorders, access to clinical expertise may be limited to certain geographic regions. This has lead to misunderstandings for both primary care clinicians and patients about recommended treatments and self-care. In partnership with the American Partnership for Learn More

  • OPT-IN Project (Translation of Opiate Overdose Prevention Strategies)
    Community, Naloxone, Opioid Safety

    Evidence from a recently completed, CDC and UM Injury Prevention Center-funded, efficacy trial indicated that emergency department patients at risk for prescription opioid overdose reduced their level of overdose risk behaviors in response to a motivational interviewing-based intervention. In that study, participants randomized to the intervention had a 40.5% reduction in level of overdose risk Learn More

  • Optimizing Veteran-Centered Prostate Cancer Survivorship Care
    Cancer, Veterans

    Although there are nearly 150,000 prostate cancer survivors treated in the VA healthcare system, there has been little research to understand and improve survivorship care for this population. A substantial proportion of prostate cancer survivors have significant side effects from their surgery or radiation therapy, and these side effects contribute to decreased quality of life. Learn More

  • Patient-Centered Pain Care Using Artificial Intelligence and Mobile Health Tools
    Artificial Intelligence, Chronic Pain, Interactive Voice Response (IVR), Veterans

    Cognitive behavioral therapy (CBT) is one of the most widely accepted, evidence-based approaches to pain management. Unfortunately, trained CBT therapists are scarce, and the service often is poorly reimbursed. Through funding from the National VA Health Services Research and Development program, CMCD investigators are leading a randomized control study to evaluate a new approach for Learn More

  • Peer-to-Peer Support Program
    Depression, Diabetes, Heart Failure, Telephone, Veterans

    Peer-to-Peer Support interventions allow people living with chronic illnesses to share their experience, gain emotional support, and help one another problem solve barriers to self-management goals.  Peer support programs supported by CMCD often  combine group self-management training with patient-to-patient telephone support facilitated by a specialized telephonic platform. The calling platform we have developed allows patients Learn More

  • Peer-to-Peer Support Program: Depression
    Depression, Informal Caregivers, Telephone, Veterans

    Different models of peer support are being explored to improve outcomes of patients with mental health disorders. In this study funded by the VA Health Services Research and Development program, CMCD-affiliated investigator, Marcia Valenstein, MD, MS, and colleagues conducted a randomized controlled trial to assess the effectiveness of an intervention consisting of telephone-delivered mutual peer support. A Learn More

  • Peer-to-Peer Support Program: Diabetes
    Diabetes, Informal Caregivers, Telephone, Veterans

    With funding from the National VA Health Services Research and Development program, CMCD affiliate, Michele Heisler, MD, MPH and colleagues conducted a randomized trial evaluating the impact of peer support on diabetes patients’ self-management behavior, glycemic control, and service use. CMCD staff developed a specialize telephone platform allowing peer support pairs to talk regularly without Learn More

  • Peer-to-Peer Support Program: Heart Failure
    Heart Failure, Informal Caregivers, Telephone, Veterans

    Although disease management programs for patients with heart failure (HF) are effective, they are often resource intensive, limiting their uptake. In this randomized controlled trial, CMCD-affiliated investigator, Michele Heisler evaluated a novel approach to improving HF self-management and outcomes via peer support. Reciprocal peer support (RPS) arm patients participated in a HF nurse practitioner-led goal setting Learn More

  • Physician Asthma Care Education (PACE)
    Asthma & Allergies, Physicians & Providers

    The morbidity and mortality associated with asthma continue to comprise a major health dilemma. Although new and better treatments for asthma become available each year, the latest information on these new treatments often is not communicated effectively to patients. Even when patients do receive information on new treatments, they often believe communication with their clinicians Learn More

  • Physician Asthma Care Education Plus Cultural Competency Training (PACE Plus)
    Asthma & Allergies, Physicians & Providers

    Massive resources are expended every year training physicians to be more aware of cultural differences and to improve their communication with patients from minority communities. This “cultural competence training” is a focus of continuing medical education nationwide and is part of the curriculum of virtually every medical school in America. Despite how common it is, Learn More

  • PowerED (Reducing Non-Medical Opioid Use: An Automatically Adaptive mHealth Intervention)
    Artificial Intelligence, Chronic Pain, Community, Emergency Medicine, Interactive Voice Response (IVR), Opioid Safety, U-M Health System

    Opioid misuse is common among individuals with pain, yet few interventions exist to improve to safe use when opioid analgesics are indicated. Counseling interventions have shown promise for reducing opioid misuse in pilot studies, but having a sufficient workforce to provide such counseling in a timely way limits the potential reach of these interventions under Learn More

  • Safety-Net Enhancement Initiative Cross-Site Evaluation

    The Safety-Net Enhancement Initiative (SNEI) is a national funding strategy developed by the Kresge Foundation to support community-based efforts to plan and design projects that demonstrate multi-sector approaches to addressing health disparities and social determinants of health. Eight sites across the country were funded by the Kresge Foundation to develop partnerships between community health centers Learn More

  • Seniors Tracking Exercise for Pain Self-management (STEPS): Physical Activity for Chronic Pain Management Among Older Adults
    Chronic Pain, Community, Health Conditions, Interactive Voice Response (IVR), Mobile Health, Older Adults, Populations, SMS & Text Messaging
  • SukapapNet: Enhancing Nursing Support Among Patients with Diabetes
    Diabetes, Health Conditions, Interactive Voice Response (IVR), International, Mobile Health, Populations

    Led by nursing professors at Mahidol University in Bangkok, Thailand, Dr. Panan Pichayapinyo developed a Diabetes IVR platform, building on CMCD’s previous work in Diabetes management and education. This platform was installed in the cloud, to enable immediate deployment and cost-effective VoIP calls to be delivered to participants in Thailand.  This on-going pilot project aims to Learn More

  • Supporting Recovery With CarePartners
    Alcohol Use Disorders, Interactive Voice Response (IVR), Mobile Health

    Alcohol use disorders (AUD) are highly prevalent and costly to society.  Structured treatment programs can be effective in improving alcohol-related outcomes for patients with AUD.  However, many patients still report alcohol use post-treatment and strategies are needed to help improve treatment outcomes in this population. The CarePartner Program, was developed by researchers/clinicians at the University of Learn More

  • Take PRIDE
    Heart Disease, Older Adults

    Under the direction of CMCD Founding Director, Noreen, Clark, PhD, investigators conducted a randomized trial including 636 older adults to evaluate a 4-week intervention designed to enhance self-management of heart disease.  The program was called “take PRIDE” because it focused on Problem selection, Researching one’s daily routine, Identifying a self-management goal, Developing a plan for goal attainment, and Learn More

  • The CarePartner Program
    Cancer, Chronic Pain, Cirrhosis, Depression, Diabetes, Heart Failure, Hypertension, Informal Caregivers, Interactive Voice Response (IVR), International, Internet, Multiple Chronic Conditions, Rural, Spanish-Speaking, Telephone, U-M Health System, Veterans

    The CarePartner Program is a flexible mobile health program designed to ensure that patients with chronic health problems and their families have the support they need to avoid complications and know when they should seek medical care. Patients in the CarePartner Program receive regular, scheduled health and behavioral monitoring via automated telephone calls that include tailored Learn More

  • The CarePartner Program: Adrenal Cancer
    Cancer, Interactive Voice Response (IVR)

    Under the direction of CMCD-affiliated investigator, Gary Hammer, MD, PhD, Director of the U-M Hammer Laboratory, CMCD is conducting a pilot randomized trial of a mobile health intervention designed to assist adrenal cancer patients and their clinical teams with managing chemotherapy. Adrenal cancer is a rare cancer with a high rate of recurrence and poor prognosis. Learn More

  • The CarePartner Program: Cancer Chemotherapy
    Cancer, Interactive Voice Response (IVR), Internet, Mobile Health, Veterans

    Patients undergoing chemotherapy often experience serious side effects that limit their quality of life during treatment. In this randomized trial sponsored by the Department of Veterans Affairs and led by CMCD-affliated investigator, Maria Silveira, MD, CMCD developed and evaluated a version of the CarePartner Program for Veterans with cancer undergoing chemotherapy.  Patients received regular automated symptom Learn More

  • The CarePartner Program: Cirrhosis
    Cirrhosis, Mobile Health, U-M Health System

    Cirrhosis is a chronic liver disease  responsible for an estimated 31,903 deaths annually. On average, the life expectancy post-diagnosis is roughly ten years, during which patients’ typically experience multiple, costly hospitalizations, each of which may cost more than $20,000. CMCD researchers collaborated with the leadership of U-M’s Cirrhosis Program to develop and pilot an automated telephone monitoring Learn More

  • The CarePartner Program: Depression (Bolivia)
    Depression, Interactive Voice Response (IVR), International, Mobile Health, Spanish-Speaking, Telephone

    Depression is the second greatest contributor to death and disability worldwide. Low- and middle-income countries bear most of the global burden of depression, and social conditions, including poverty, human rights abuses, and gender inequality increase vulnerability to poor mental health. At the same time, severe shortages of mental health professionals make treatments inaccessible to most Learn More

  • The CarePartner Program: Depression in Primary Care Clinics
    Depression, Interactive Voice Response (IVR), Mobile Health, U-M Health System

    With leadership from CMCD, Blue Cross and Blue Shield of Michigan launched a demonstration project to disseminate the CarePartner Program in primary care practices for patients being treated for depression. The depression CarePartner program includes enhancements that tailor a patient’s calling schedule, sending weekly or monthly calls to participants depending on the severity of their Learn More

  • The CarePartner Program: Depression Post-Stroke
    Depression, Mobile Health, Stroke, U-M Health System

    Depression affects about one third of stroke patients and is associated with poor stroke outcomes. With funding from the Michigan Institute for Clinical and Health Research, UM researchers working under the direction of Dr. Lesli Skolarus conducted a pilot trial of the depression CarePartner program among acute stroke survivors. A total of 56 patients were Learn More

  • The CarePartner Program: Diabetes
    Diabetes, Interactive Voice Response (IVR), Internet, Mobile Health

    With leadership from CMCD affiliate James Aikens, PhD, we are conducting a randomized trial funded by the National Institute of Diabetes and Digestive and Kidney Diseases in order to evaluate the effectiveness of the CarePartner Program for patients with type 2 diabetes. Patients randomized into the intervention arm receive automated telemonitoring and self-management assistance calls for one Learn More

  • The CarePartner Program: Diabetes (Bolivia)
    Diabetes, Hypertension, Interactive Voice Response (IVR), International, Mobile Health, Telephone

    Mobile health (mHealth) work in low- and middle-income countries (LMICs) often is limited to small pilot programs with an unclear path to scaling and dissemination. CMCD is working on a number of projects in order to identify pathways for bringing promising interventions to scale. In this project, 364 primary care patients with diabetes and hypertension living Learn More

  • The CarePartner Program: Diabetes (Colombia)
    Diabetes, Hypertension, Interactive Voice Response (IVR), International, Mobile Health, Spanish-Speaking, Telephone

    Colombia is one of the largest and most advanced countries of South America. CMCD is supporting a variety of projects in and around Medellín, in collaboration with the University of Antioquia School of Public Health and Savia Salud – a large HMO serving more than 1.5 million socioeconomically vulnerable people in the region. In this project, we Learn More

  • The CarePartner Program: Diabetes Self-Care Support for Spanish Speakers
    Diabetes, Interactive Voice Response (IVR), Mobile Health, Spanish-Speaking

    With funding from the Center for Healthcare Research and Transformation (CHRT), CMCD investigators developed a mobile health intervention designed to support self-management among Spanish-speaking patients with diabetes. The purpose of the program was to create greater access to language-appropriate self-care for the growing Latino population in Michigan at risk for poor health care due to difficulties Learn More

  • The CarePartner Program: Diabetes, Depression, and Heart Failure in the Rural Midwest
    Depression, Diabetes, Heart Failure, Interactive Voice Response (IVR), Mobile Health, Multiple Chronic Conditions, Rural

    With support from the VA Office of Rural Health, CMCD investigators implemented the CarePartner Program in 16 midwestern VA Community-Based Outpatient Clinics. The goal of the program was to improve self-management support for rural patients with complex chronic conditions who often have difficulty traveling to clinics for face-to-face self-care education and monitoring. Over 500 patients with Learn More

  • The CarePartner Program: Heart Failure
    Heart Failure, Interactive Voice Response (IVR)

    Mobile health (mHealth) interventions may improve heart failure (HF) self-care, but standard models do not address informal caregivers’ needs for information about the patient’s status or how the caregiver can help. With funding from the VA Health Services Research and Development program, CMCD investigators evaluated mHealth support for caregivers of HF patients over-and-above the impact of Learn More

  • The CarePartner Program: Hypertension Management (International)
    Hypertension, Interactive Voice Response (IVR), International, Mobile Health

    Hypertension and its complications represent a growing threat to low/middle-income countries (LMICs). Mobile health technologies may improve hypertension control, but LMICs lack resources to provide these services. In this study, CMCD investigators evaluated the benefits of a mobile health approach to improving blood pressure control and other outcomes of hypertension. Participants with high blood pressures were enrolled Learn More

  • The CarePartner Program: Transitions from Hospital to Home
    Interactive Voice Response (IVR), Mobile Health, Multiple Chronic Conditions, U-M Health System

    Older hospitalized adults frequently experience preventable readmissions. In this study funded by the National Institute on Aging, CMCD investigators are evaluating a novel intervention designed to improve the effectiveness of transition support for older adults with common chronic conditions via three mechanisms of action: (a) direct tailored communication to patients via regular automated calls post Learn More

  • The Challenge of Individualizing Treatments for Breast Cancer
    Cancer, Community, Informal Caregivers, Physicians & Providers

    CMCD affiliates Sarah Hawley, PhD and Nancy Janz are core investigators in CanSORT – a U-M research program under the direction of Steven Katz, MD that received $13.7 million in 2012 from the National Cancer Institute to lead research addressing the challenges of individualizing treatments for patients with early-stage breast cancer. The program aims to examine Learn More

  • The Merck Childhood Asthma Network (MCAN) Cross-Site Evaluation
    Asthma & Allergies, Children & Youth, Community

    While asthma affects children in every community across the country, low income and minority children bear the heaviest burden of the disease and its consequences, including death. Compared with white non-Hispanic children, asthma is 60% higher among African-American children and nearly 300% higher among Puerto Rican children. The Merck Childhood Asthma Network, Inc. (MCAN) targeted four high Learn More

  • The Positive Steps Study
    Depression, Diabetes, Multiple Chronic Conditions, Telephone, Veterans

    Patients with diabetes and depression often have self-management needs that require between-visit support. This study led by CMCD Director, John Piette, PhD, evaluated the impact of telephone-delivered cognitive behavioral therapy (CBT) targeting patients’ management of depressive symptoms, physical activity levels, and diabetes-related outcomes. Two hundred ninety-one patients with type 2 diabetes and significant depressive symptoms were Learn More

  • The VA PACT (Patient Aligned Care Team) Program
    Informal Caregivers, Interactive Voice Response (IVR), Internet, Telephone, Veterans

    The VA Ann Arbor Healthcare System was awarded resources to establish a Patient Aligned Care Team (PACT) laboratory in order to develop and evaluate innovative patient-centered programs that help veterans adopt healthy behaviors and manage chronic diseases. Key innovations in the PACT system include: (1) a population-based registry; (2) a Navigator system that matches veterans to Learn More

  • Using Patient Reported Outcomes to Improve the Quality of Depression Care
    Depression, Interactive Voice Response (IVR), Mobile Health, Veterans

    The quality of depression care usually is judged by treatment processes like the frequency of patients’ visits or whether they receive an antidepressant prescription. What really matters is whether patients’ depressive symptoms are effectively treated, but most systems of care have had no way to measure that vital outcome. With funding from the National VA Learn More

  • Veterans Walk to Beat Back Pain
    Chronic Pain, Internet, Veterans

    Chronic pain, especially back pain, is a prevalent condition that is associated with disability, anxiety and depression, decreased quality of life, and increased health services use. Exercise is an effective strategy for managing chronic pain, however many sufferers do not have access to low-cost resources supporting their efforts to initiate and maintain an exercise program. Learn More

  • Women of Color and Asthma Control
    Asthma & Allergies

    Research and practice efforts in asthma continue to ignore one of the most vulnerable groups of Americans: minority women. Although women are more likely to live with asthma than men, CMCD researchers found no trials specifically designed to identify an effective intervention to help African-American women manage the condition. Given that asthma continues to be felt more Learn More

  • Women take PRIDE
    Heart Disease, Older Adults

    Under the direction of CMCD Founding Director, Dr. Noreen Clark, CMCD investigators created the program“take PRIDE” for supporting self-management among older adults with heart disease. The program was called “take PRIDE” because it focused on Problem selection, Researching one’s daily routine, Identifying a self-management goal, Developing a plan for goal attainment, and Establishing a reward. In Learn More