Adam C. Carle, MA, PhD

Professor, UC Department of Pediatrics

adam.carle@cchmc.org

About

Biography

Adam Carle, MA, PhD, is a clinically and quantitatively trained investigator who uses advanced statistical methods to study health disparities among adults and children, especially children with special health care needs.

Dr. Carle uses latent variable models like item response theory, confirmatory factor analysis, structural equation modeling, and multilevel models to examine health disparities across traditionally underserved and underrepresented groups (e.g., US minorities). He seeks to better understand individual and contextual variables in comparative effectiveness research, health disparities, and public policy for children at individual, local, state, and national levels.

Dr. Carle received his PhD in 2003 from Arizona State University. Following his doctoral degree, Dr. Carle completed a a two-year post-doctoral appointment at the US Census Bureau. He spent three years as an assistant professor of psychology at the University of North Florida before joining Cincinnati Children’s Hospital Medical Center.

Interests

Patient reported outcomes; measure development; item response theory; measurement theory; structural equation modeling; multilevel modeling; complex survey methods

Research Areas

Publications

Demonstrating the Reliability and Structural Validity of Creating Patient-Level and Clinician-Level Scores on the Person Centered Primary Care Measure. Carle, AC; Phillips, RL; Bazemore, A; Peterson, LE. Medical Care. 2026; 64(2):68-76.

Preventive Care Utilization, Employer-Sponsored Benefits, and Influences on Utilization by Healthcare Occupational Groups. Jun, J; Frogner, BK; Carle, AC; Tubbs-Cooley, HL. Workplace Health and Safety. 2026; 21650799251408100.

The Association Between Intensive Parenting Attitudes and Topical Fluoride Opposition. Ko, A; Carle, AC; Tanbonliong, TS; Chi, DL. Journal of Public Health Dentistry. 2026.

"The Doctor Only Knows What He Knows, but I Know What I Know:": Parent Perspectives on Shared Decision Making with Adolescents. Pallotto, IK; Carle, AC; Anderson, CB; Ennin, N; Ammon, MA; Lipstein, EA. MDM Policy & Practice. 2026; 11(1):23814683251409819.

Nurse Workload and Missed Nursing Care in Neonatal Intensive Care Units. Tubbs-Cooley, HL; Carle, AC; Mark, BA; Gurses, AP; Pickler, RH; Hall, PD; Bartman, T. JAMA pediatrics. 2025; 179(12):1335-1342.

Association Between Perceived Stress and Burnout Among Neonatal Intensive Care Nurses. Kim, S; Jun, J; Carle, AC; Hall, P; Tubbs-Cooley, HL. Advances in Neonatal Care. 2025.

5.44 Harnessing Cumulative Risk Scores to Identify Optimal Treatment Settings for Suicidal Adolescents. Lin, P-ID; Combs, J; Delbello, MP; Bridge, J; Axelson, D; Fornari, VM; Feuer, V; Kennard, BD; Emslie, GJ; Carle, AC; Barzman, DH. Journal of the American Academy of Child and Adolescent Psychiatry. 2025; 64(10):s290.

Examining Alternative Treatment Settings for Adolescents With Suicidal Thoughts During the COVID-19 Pandemic. Combs, J; Lin, P-I; Delbello, MP; Carle, AC; Bridge, JA; Axelson, DA; Fornari, V; Feuer, V; Emslie, GJ; Kennard, BD; Porter, SC; Sorter, MT; Barzman, D. JAACAP Open. 2025; 3(3):567-575.

Health Care Provider Perspectives on Shared Decision Making With Parents and Adolescents. Lipstein, EA; Pallotto, IK; Anderson, CB; Ammon, MA; Carle, AC. Clinical Pediatrics. 2025; 64(6):809-815.

Saving Shared Decision-Making. Opel, DJ; Gerstein, MT; Carle, AC; Fournier, AK; Hargraves, I; Lafata, JE; Lipstein, EA; Mallinson, T; Moise, N; Neuman, HB; Simpson, M; Schwartz, A; Stevens-Lapsley, JE; Dickert, NW. Journal of General Internal Medicine. 2025; 40(8):1844-1847.

From the Blog

Quality and Safety

Shared Decision-Making Isn’t Stuck, It’s Misunderstood

Adam C. Carle, MA, PhD, Ellen A. Lipstein, MD, MPH9/22/2025