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Avani C. Modi, PhD Director, Center for Adherence and Self-Management
examines longitudinal treatment adherence in pediatric chronic illnesses and predictors of adherence trajectories. Specifically, she is interested in the measurement of adherence and developing family-based interventions to improve adherence in pediatric epilepsy. Her second line of research involves developing and validating disease-specific health-related quality of life measures in cystic fibrosis and obesity.
Visit the Modi Lab.
Director, Center for Adherence and Self-Management
Clinical Psychologist, Behavioral Medicine and Clinical Psychology
Co-Director, New Onset Seizure Clinic
Assistant Professor, UC Department of Pediatrics
Adjustment and adaptation in pediatric epilepsy
Treatment adherence; health-related quality of life; epilepsy; obesity; cystic fibrosis; sickle cell disease; bariatric surgery
Visit the Modi Lab.
Avani Modi, PhD, is an associate professor at the University of Cincinnati College of Medicine and Behavioral Medicine and Clinical Psychology and the Director of the Center for Adherence and Self Management at Cincinnati Children’s Hospital Medical Center. Her research lab focuses on adherence to pediatric medical regimens, including the measurement of adherence, identifying barriers to effective disease management, and developing and evaluating family-based interventions to improve adherence, especially within pediatric epilepsy. She also has an interest in the development of health-related quality-of-life outcome measures.
Ratcliff M, Zeller MH, Inge TH, Hrovat KB, Modi AC. Feasibility of Ecological Momentary Assessment to Characterize Adolescent Postoperative Diet and Activity Patterns Following Weight Loss Surgery. Surgery for Obesity and Related Diseases. In press.
Wu YP, Follansbee-Junger K, Rausch JR, Modi AC. Parent and Family Stress Factors Predict Health-Related Quality of Life in Pediatric Patients with New-Onset Epilepsy. Epilepsia. In press.
Aylward B, Rausch JR, Modi AC. An examination of one-year adherence and persistence rates to antiepileptic medication in children with newly diagnosed epilepsy. Journal of Pediatric Psychology. In press.
Drotar D, Cortina S, Crosby LE, Hommel KA, Modi AC, Pai ALH. Competency-Based Postdoctoral Research Training for Clinical Psychologists: Challenges and Implications. Training and Education in Professional Psychology. In press.
Modi AC, Rausch JR, Glauser TA. Early pediatric antiepileptic drug non-adherence is related to lower long term seizure freedom. Neurology. In press.
Painter E, Rausch JR, Modi AC. Changes in Daily Activity Patterns of Caregivers of Children with Newly Diagnosed Epilepsy: A Case Controlled Design. Epilepsy and Behavior. In press.
Guilfoyle SM, Junger K, Modi AC. Development and Preliminary Implementation of a Psychosocial Service into Standard Medical Care for Pediatric Epilepsy. Clinical Practice in Pediatric Psychology. 2013:1(3), 276-288.
Sawhney P, Modi AC, Jenkins TM, Kollar LM, Zeller M, Inge TH. Predictors and Outcomes of Adolescent Bariatric Support group attendance. Surgery for Obesity and Related Diseases. 2013.
Modi AC, Guilfoyle SM, Rausch JR. Preliminary feasibility, acceptability, and efficacy of an innovative adherence intervention for children with newly diagnosed epilepsy. Journal of Pediatric Psychology. 2013:38, 605-616.
Hilliard ME, Lawrence JM, Modi AC, Anderson A, Crume T, Dolan LM, Merchant AT, Yi-Frazier JP, Hood KK, for the SEARCH for Diabetes in Youth Study Group.Identification of Minimal Clinically Important Difference Scores of the Pediatric Quality of Life Inventory in Children, Adolescents, and Young Adults With Type 1 and Type 2 Diabetes. Diabetes Care. 2013:36(7):1891-1897.
National Institutes of Health-Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD073115)Supporting Treatment Adherence Regimens in Pediatric EpilepsyPrincipal Investigator (60% effort)Entire Project Period: 4/13-3/18.
National Institutes of Health (UM1 DK07249301)Adolescent Bariatrics: Assessing Health Benefits and RisksCo-Investigator (4% effort)Entire Project Period: 7/06-8/16.
Sandra Cortina, PhD Clinical Psychologist, Behavioral Medicine and Clinical Psychology
Director of Clinical Services, Center for Adherence and Self-Management
Sandra Cortina, PhD, is an assistant professor of pediatrics in the Division of Behavioral Medicine and Clinical Psychology. She currently serves as a clinical faculty member and director of clinical service for the Center for the Promotion of Treatment Adherence and Self-Management.
Dr. Cortina provides leadership in the integration of clinical care and research as part of the center’s innovative clinical effectiveness program. She provides out-patient treatment to patients and families coping with a variety of chronic pediatric illness conditions. She specializes in adherence to medical treatment, behavioral concerns, and general psychosocial adjustment of patients and families. Specific out-patient services include providing cognitive behavioral and parent training strategies, follow-up of patient adjustment to new diagnosis, and utilizing motivational interviewing techniques.
Dr. Cortina also serves as a consultant to a multi-site, randomized control trial of an intervention to promote adherence to oral medication among adolescents with acute lymphoblastic leukemia, as well as an intervention to promote adherence among young adults with lupus. Finally, she is involved with Dr. Drotar in the development of several manuscripts pertaining to patient and family adjustment to chronic illness, as well as behavioral adherence to medical treatment.
Cortina SD, Drotar D, Ericksen M, Lindsey M, Patterson TL, Biagini Myers JM, Kovacic MB, Khurana Hershey GK. Genetic Biomarkers of Health-Related Quality of Life in Pediatric Asthma. J Pediatr. 2011 Feb 14. Cortina S, McGraw K, Dealarcon A, Ahrens A, Rothenberg ME, Drotar D. Psychological Functioning of Children and Adolescents With Eosinophil-Associated Gastrointestinal Disorders. Child Health Care. 2010 Oct;39(4):266-278.
Herzer M, Goebel J, Cortina S. Transitioning cognitively impaired young patients with special health needs to adult-oriented care: collaboration between medical providers and pediatric psychologists. Curr Opin Pediatr. 2010 Oct;22(5):668-72. Cortina S, Repaske DR, Hood KK. Sociodemographic and psychosocial factors associated with continuous subcutaneous insulin infusion in adolescents with type 1 diabetes. Pediatr Diabetes. 2010 Aug;11(5):337-44.
Lori E. Crosby, PsyD Clinical Psychologist, Behavioral Medicine and Clinical Psychology
is interested in chronic pain, sickle cell disease, health disparities, quality improvement, and chronic disease self-management. Her research program, INNOVATIONS, in Community Research and Program Evaluation, works on projects related to school-based mental health, early childhood health and social/emotional functioning, program evaluation, qualitative research methods, using technology in psychological interventions and program evaluation, and public policy. Visit the Crosby Lab.
Professor, UC Department of Pediatrics
Adolescents; sickle cell disease; transition; chronic pain; migraines; cultural competence
Community-based research; self-management; quality improvement; sickle cell disease; health disparities
Visit the Crosby Lab.
PsyD: Wright State University, Dayton, Ohio, 1995.
Residency: Cincinnati Children's Hospital Medical Center.
Fellowship: Clinical Psychology, INTERACT Behavioral Healthcare Services Inc, Columbus, OH, 1995-1996.
Hines J, Mitchell M, Crosby L, Johnson A, Valenzuela J, Kalinyak K, Joiner C. Engaging Patients with Sickle Cell Disease and their Families in Disease Education, Research, and Community Awareness. J Prevent Intervent Comm. 2011.
Neal-Barnett A, Stadulis M, Payne MR, Crosby L, Mitchell M, Williams L, Costa CW. In the company of my sisters: Sister circles as an anxiety intervention for professional African American women. J Affect Disord. 2011 Mar;129(1-3):213-8.Oliver-Carpenter G, Barach I, Crosby LE, Valenzuela J, Mitchell MJ. Disease management, coping, and functional disability in pediatric sickle cell disease. J Natl Med Assoc. 2011 Feb;103(2):131-7.
Lynch-Jordan AM, Kashikar-Zuck S, Crosby LE, Lopez WL, Smolyansky BH, Parkins IS, Luzader CP, Hartman A, Guilfoyle SM, Powers SW. Applying quality improvement methods to implement a measurement system for chronic pain-related disability. J Pediatr Psychol. 2010 Jan-Feb;35(1):32-41. Brinkman WB, Sherman SN, Zmitrovich AR, Visscher MO, Crosby LE, Phelan KJ, Donovan EF. Parental angst making and revisiting decisions about treatment of attention-deficit/hyperactivity disorder. Pediatrics. 2009 Aug;124(2):580-9. Crosby LE, Modi AC, Lemanek KL, Guilfoyle SM, Kalinyak KA, Mitchell MJ. Perceived barriers to clinic appointments for adolescents with sickle cell disease. J Pediatr Hematol Oncol. 2009 Aug;31(8):571-6.
Bolling C, Crosby L, Boles R, Stark L. How pediatricians can improve diet and activity for overweight preschoolers: a qualitative study of parental attitudes. Acad Pediatr. 2009 May-Jun;9(3):172-8. Modi A, Crosby L, Guilfoyle S, Lemanek K, Witherspoon D, Mitchell M. Barriers to Treatment Adherence for Pediatric Patients with Sickle Cell Disease and their Families. Children’s Health Care. 2009.
Beidel D, Turner S, Sallee R, Ammerman R, Crosby L, Pathak S. SET-C vs. fluoxetine in the Treatment of Childhood Social Phobia. J Am Acad Child Adolesc Psych. 2007;46:1622-1632.
Mitchell MJ, Lemanek K, Palermo TM, Crosby LE, Nichols A, Powers SW. Parent perspectives on pain management, coping, and family functioning in pediatric sickle cell disease. Clin Pediatr (Phila). 2007 May;46(4):311-9.
Dennis D. Drotar, PhD Clinical Psychologist, Behavioral Medicine and Clinical Psychology
Assessment of treatment adherence and Interventions to improve self-management and treatment adherence in pediatric chronic illness.
Identifying best methods to help families follow prescribed treatment (adherence) and to manage their treatment at home (self-management); understanding the factors that influence psychological outcomes of children and teens with chronic physical illness, including diabetes, asthma and cancer
Visit the Drotar Lab.
Dennis Drotar, PhD, is a professor in the Division of Behavioral Medicine and Clinical Psychology.
A nationally recognized leader and teacher, Dr. Drotar is a past president of the Society of Pediatric Psychology (SPP) and Society of Developmental Pediatrics (SDBP) and is currently editor of the Journal of Pediatric Psychology (JPP). Among his many professional honors, Dr. Drotar has received the Distinguished Service Award, and the Martin P. Levin Mentorship Award from the SPP. Dr. Drotar’s research focuses on understanding the factors, including innovative that influence psychological outcomes of children and teens with chronic physical illness, including cystic fibrosis, diabetes, asthma, and cancer. He is currently the principle investigator of several NIH-funded studies and is the author of more than 200 publications, including several books, such as Psychological Interventions in Childhood Chronic Illness (2006).
Moore M, Kirchner HL, Drotar D, Johnson N, Rosen C, Redline S. Correlates of adolescent sleep time and variability in sleep time: the role of individual and health related characteristics. Sleep Med. 2011 Mar;12(3):239-45.
Marino BS, Tomlinson RS, Wernovsky G, Drotar D, Newburger JW, Mahony L, Mussatto K, Tong E, Cohen M, Andersen C, Shera D, Khoury PR, Wray J, Gaynor JW, Helfaer MA, Kazak AE, Shea JA; Pediatric Cardiac Quality of Life Inventory Testing Study Consortium. Validation of the pediatric cardiac quality of life inventory. Pediatrics. 2010 Sep;126(3):498-508.
Hazen RA, Eder M, Drotar D, Zyzanski S, Reynolds AE, Reynolds CP, Kodish E, Noll RB; Multi-Site Intervention Study to Improve Consent Research Team. A feasibility trial of a video intervention to improve informed consent for parents of children with leukemia. Pediatr Blood Cancer. 2010 Jul 15;55(1):113-8.
Hood KK, Rohan JM, Peterson CM, Drotar D. Interventions with adherence-promoting components in pediatric type 1 diabetes: meta-analysis of their impact on glycemic control. Diabetes Care. 2010 Jul;33(7):1658-64. McNally K, Rohan J, Pendley JS, Delamater A, Drotar D. Executive functioning, treatment adherence, and glycemic control in children with type 1 diabetes. Diabetes Care. 2010 Jun;33(6):1159-62. Pai AL, Drotar D. Treatment adherence impact: the systematic assessment and quantification of the impact of treatment adherence on pediatric medical and psychological outcomes. J Pediatr Psychol. 2010 May;35(4):383-93.
Hart CN, Raynor HA, Jelalian E, Drotar D. The association of maternal food intake and infants' and toddlers' food intake. Child Care Health Dev. 2010 May;36(3):396-403. Rohan J, Drotar D, McNally K, Schluchter M, Riekert K, Vavrek P, Schmidt A, Redline S, Kercsmar C. Adherence to pediatric asthma treatment in economically disadvantaged African-American children and adolescents: an application of growth curve analysis. Pediatr Psychol. 2010 May;35(4):394-404. Marino BS, Uzark K, Ittenbach R, Drotar D. Evaluation of quality of life in children with heart disease. Progress in Pediatric Cardiology. 2010;29:131 – 138.Cortina S, de Alarcon A, McGraw K, Ahrens A, Rothenberg ME, Drotar D. Psychological impact of pediatric eosinophil-associated gastrointestinal disorders. Children’s Health Care. 2010;39:266 – 278.
Kevin A. Hommel, PhD Clinical Psychologist, Behavioral Medicine and Clinical Psychology
Director, Divisional Data Core
Associate Professor, UC Department of Pediatrics
Promotion of treatment adherence; self-management in pediatric chronic conditions
Adherence and self-management assessment methodology; behavioral treatment of nonadherence; promotion of self-management behavior; impact of adherence and self-management on health outcomes; quality of life in pediatric chronic conditions
Visit the Hommel Lab.
Dr. Hommel's research is currently funded by the National Institutes of Health: National Institute of Child Health and Human Development and National Institute of Diabetes and Digestive and Kidney Diseases. Many of his studies are focused on developing, testing (via randomized controlled trial), and optimizing behavioral treatments for nonadherence in inflammatory bowel disease (IBD), as well as examining the effects of nonadherence on disease outcomes and health-related quality of life (HRQoL). Dr. Hommel is also involved in studies that are aimed at developing HRQoL measures in functional gastrointestinal disorders (FGID) and eosinophilic esophagitis. He is a co-investigator on the PROTECT study, which is a multisite U01 study aimed at defining the rate of corticosteroid-free remission in pediatric patients with ulcerative colitis receiving standardized medical therapy. Additionally, Dr. Hommel is a co-investigator on a multisite R01 study aimed at developing and testing a collaborative chronic care network (C3N) to improve treatment outcomes in children with IBD.
Dr. Hommel came to Cincinnati Children's Hospital Medical Center in 2008 from the Children's Hospital of Philadelphia and the University of Pennsylvania School of Medicine. He continues to collaborate with investigators at the Children's Hospital of Philadelphia as a site principal investigator on two studies funded by the NIDDK. The first is evaluating the efficacy of a low magnitude mechanical stimulus intervention to improve bone mineral density in children with Crohn's disease and the second is examining the effects of a novel lipid matrix supplement on choline status in children with cystic fibrosis.
Hommel KA, Franciosi JP, Gray WN, Hente EA, Ahrens A, Rothenberg ME. Behavioral functioning and treatment adherence in pediatric eosinophilic gastrointestinal disorders. Pediatric Allergy and Immunology. (in press).
Franciosi JP, Hommel KA, DeBrosse CW, Greenler AJ, Greenberg AB, Abonia JP, Rothenberg ME, Varni JW. Quality of Life in Paediatric Eosinophilic Oesophagitis: What is Important to Patients? Child: Care, Health, and Development. 38(4): 477-483. 2012.
Hommel KA, Hente EA, Odell S, Herzer M, Ingerski LM, Guilfoyle SM, Denson LA. Evaluation of a Group-Based Behavioral Intervention to Promote Adherence in Adolescents with Inflammatory Bowel Disease. European Journal of Gastroenterology and Hepatology. 24(1): 64-69. 2012.
Gray WN, Denson LA, Baldassano RN, Hommel KA. Treatment Adherence in Adolescents with Inflammatory Bowel Disease: The Collective Impact of Barriers to Adherence and Anxiety/Depressive Symptoms. Journal of Pediatric Psychology. 37(3): 282-291. 2012.
Hommel KA, Franciosi JP, Hente EA, Ahrens A, Rothenberg ME. Treatment Adherence in Pediatric Eosinophilic Gastrointestinal Disorders. Journal of Pediatric Psychology. 37(5): 533-542. 2012.
Modi AC, Pai AL, Hommel KA, Hood KK, Cortina S, Hilliard ME, Guilfoyle SM, Gray WN, Drotar D. Pediatric self-management: A framework for research, practice, and policy. Pediatrics. 129(2): E473-485. 2012.
Guilfoyle SM, Denson LA, Baldassano RN, Hommel KA. Paediatric parenting stress in inflammatory bowel disease: Application of the Pediatric Inventory for Parents. Child: Care, Health and Development. 38(2): 273-279. 2012.
Hommel KA, Herzer M, Ingerski LM, Hente EA, Denson LA. Individually-tailored treatment of medication nonadherence: A pilot study. Journal of Pediatric Gastroenterology and Nutrition. 2011.
Herzer M, Denson LA, Baldassano RN, Hommel KA. Family functioning and health-related quality of life in adolescents with pediatric inflammatory bowel disease. Eur J Gastroenterol Hepatol. Jan;23(1):95-100. 2011.
Hommel KA, Odell S, Sander E, Baldassano RN, Barg FK. Treatment adherence in paediatric inflammatory bowel disease: perceptions from adolescent patients and their families. Health Soc Care Community. Jan;19(1):80-8. 2011.
Open Source Science: Transforming Chronic Illness Care. Co-Investigator. National Institute of Diabetes and Digestive and Kidney Diseases / National Institute of Nursing Research. 2009-2014.
Telehealth Enhancement of Adherence to Medication in Pediatric IBD (TEAM Study). Principal Investigator. National Institutes of Health / National Institute of Child Health and Human Development. 2011-2016.
Predicting Response to Standard Pediatric Colitis Therapy: The PROTECT study. Co-Investigator. National Institute of Diabetes and Digestive and Kidney Diseases. 2012-2017.
Ahna Pai, PhD Clinical Psychologist, Behavioral Medicine and Clinical Psychology
Director, CBDI Patient and Family Wellness Center
Adherence; oncology; transplant
Visit the Pai Lab.
Ahna Luise Hoff Pai, PhD, is a faculty member in the Center for the Promotion of Adherence and Self-Management, Behavioral Medicine and Clinical Psychology.
Goebel J, Pai ALH. Creating a Monster: Non-Adherence Underlying Late Transplant Rejection. Pediatric Transplantation. 2012;16: 312–314.
Pai ALH, Rausch J, Tackett A, Marsolo K, Drotar D, Goebel JW. System for Integrated Adherence Monitoring (SIAM): Real-Time Non-Adherence Risk Assessment in Pediatric Kidney Transplantation. Pediatric Transplantation. 2012;16, 329–334.
Modi AC, Pai ALH, Hommel KA, Hood KK, Cortina S, Hilliard ME, Guilfoyle SM, Gray WN, Drotar D. Pediatric self-management: A framework for research, practice, and policy. Pediatrics. 2012;129, e473-485.
Page MC, Fedele DA, Pai ALH, Anderson J, Wolfe-Christensen C, Ryan JL, Mullins LL. The Relationship of Maternal and Child Illness Uncertainty to Child Depressive Symptomatology: A Mediational Model. Journal of Pediatric Psychology. 2012;37, 97-105
Pai ALH, Tackett A, Ittenbach R, Goebel JW. Psychosocial Assessment Tool 2.0_General: Validity of a Psychosocial Risk Screener in a Pediatric Kidney Transplant Sample. Pediatric Transplantation. 2012; 16. 92-98.
Ingerski L, Perrazo L, Goebel J, Pai ALH. Family strategies for achieving medication adherence in pediatric kidney transplantation. Nurs Res. 2011 May-Jun;60(3):190-6.
Guilfoyle SM, Goebel JW, Pai AL. Efficacy and flexibility impact perceived adherence barriers in pediatric kidney post-transplantation. Fam Syst Health. 2011 Mar;29(1):44-54.
Pai AL, Schwartz LA. Introduction to the special section: health care transitions of adolescents and young adults with pediatric chronic conditions. J Pediatr Psychol. 2011 Mar;36(2):129-33.
Pai AL, Gray E, Kurivial K, Ross J, Schoborg D, Goebel J. The Allocation of Treatment Responsibility scale: a novel tool for assessing patient and caregiver management of pediatric medical treatment regimens. Pediatr Transplant. 2010 Dec;14(8):993-9.
Pai AL, Ingerski LM, Perazzo L, Ramey C, Bonner M, Goebel J. Preparing for transition? The allocation of oral medication regimen tasks in adolescents with renal transplants. Pediatr Transplant. 2011 Feb;15(1):9-16.
Ingerski LM, Modi AC, Hood KK, Pai AL, Zeller M, Piazza-Waggoner C, Driscoll KA, Rothenberg ME, Franciosi J, Hommel KA. Health-related quality of life across pediatric chronic conditions. J Pediatr. 2010 Apr;156(4):639-44.
Butow P, Palmer S, Pai A, Goodenough B, Luckett T, King M. Review of adherence-related issues in adolescents and young adults with cancer. J Clin Oncol. 2010 Nov 10;28(32):4800-9.
Pai AL, Drotar D. Treatment adherence impact: the systematic assessment and quantification of the impact of treatment adherence on pediatric medical and psychological outcomes. Pediatr Psychol. 2010 May;35(4):383-93.
Nonadherence: Undermining health outcomes in pediatric HSCT?Principal Investigator. National Cancer Institute. 2012 - 2017.
TAKE IT: Teen Adherence in Kidney Transplant Effectiveness of Intervention Trial. Site Principal Investigator. National Institutes of Diabetes and Digestive and Kidney Diseases. 2011 - 2016.
Improving Safety and Efficacy of Mycophenolate Therapy.Co-Investigator.Place Outcomes Award Cincinnati Children’s Hospital Medical Center. 2011- 2013.
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