Center for Innovation in Chronic Care Delivery and Decision Making
Current Research

Current Research Projects

Current projects and efforts involve a broad array of disciplines, yet all projects are aimed at improving the health of patients with chronic diseases through incorporating shared decision making, self-management, adherence, quality-of-life studies and technology. To read about our asthma-related projects, visit our Current Asthma Research Projects and Current Asthma Lab Improvement Projects pages.

Research Collaborations

The lab is also involved in collaborating with other researchers as consultants on asthma, adolescents and recruitment of adolescents as study participants. Involvement includes:

  • Spiritual Coping and Quality of Life in Adolescents with a Chronic Illness
  • Developing an In Vivo Adherence Intervention for Adolescents with Asthma

Adolescent Participation in Chronic Disease Treatment Decisions .
Academic Pediatric Association Young Investigator Award
Grant # N/A           07/01/11-06/30/12           $10,000
The goal of this project is to understand adolescents’ roles and perspectives related to making decisions about receiving treatment with TNF-α inhibitors.
PI: Lipstein

Baclofen Efficacy and Safety Trials – Pediatric Pharmacokinetic and Pharmacodynamic Study of Oral Baclofen for the Treatment of Spasticity Associated with Cerebral Palsy.
NICHD (NIH Child Health and Human Development).
Grant# 2005-13-2           2009-2010           $107,419
PI: Brunstrom-Hernandez J
Center Collaborator(s): Vargus-Adams JN (Co-Investigator)

Building Modular Pediatric Chronic Disease Registries for QI and CE Research.
AHRQ
Grant #R01HS020024-01           09/01/10-08/31/13           $9,042,411
Goal is enhance an existing EHR registry, capture and use data for quality improvement of processes and healthcare for children with IBD and Crohn’s disease.
PI: Hutton, Margolis
Center Collaborator(s): Britto

Center of Excellence on Quality of Care Measures for Children with Complex Needs.
NIH.           03/01/11-02/28/15           $655,832
CHIPRA Pediatric Healthcare Quality Measures Program Centers of Excellence
Grant #U18HS020506-01
Goal is to develop and test measures to assess quality of care for children with mental health conditions. We will design and test measures to be used with electronic health record (EHR) platforms available to Medicaid and CHIP providers to ensure sustainability of measurement efforts. We will simultaneously develop measure specifications and code needed to integrate measures into existing EHR platforms.
PI: Mangione-Smith (University of Washington)
Center Collaborator(s): Britto

Community Engagement Core.
Clinical & Translational Science Award. NIH/NCRR.
Grant #1UL1RR026314-01           04/03/09-03/31/14           $94,923
The goal of the Institutional CTSA is to create a research environment that facilitates translating discoveries to clinical application within the Academic Health Center.
PI: Heubi, Tsevat
Center Collaborator(s): Brinkman; Crosby; Yi; Vaughn 

Cincinnati Sickle Cell Newborn Screening Network.
Department of Health and Human Services – Maternal and Child Health Bureau.
Grant#105119 - H46MC09233 06/01/08 - 5/31/11
The overall goals of this project are to increase awareness about hemoglobinopathies, especially sickle cell trait, through increased newborn screening counseling, community outreach and  professional education, and to improve the quality of specialty and primary care provided to newborns with sickle cell.
PI: Shook
Center Collaborator(s): Crosby 

Cincinnati Sickle Cell Network.
Department of Health and Human Services – Maternal and Child Health Bureau.
Grant #U1EMC07655           9/01/06 – 8/30/10           $1,200,000
The goal of this grant is provide comprehensive, collaborative primary and tertiary medical care to individuals with sickle cell disease who previously received fractionated, uncoordinated services.
PI: Diers
Center Collaborator(s): Crosby, Yi 

Combined Functional Electrical Stimulation & Robotic Gait Training for Children with Cerebral Palsy.
Cerebral Palsy International Research Foundation.
Grant # R-796-10 2010-2012 $100,000
PI: Vargus-Adams 

Constructed Meaning: Spirituality after a CF Diagnosis as an Adult
(Adult CF Center, UCCOM)
Grant #N/A 2010-2011 $5,900
PI: Joseph
Center Collaborator(s): Grossoehme 

Determinants of health-related quality of life for children with JIA .
NIH/NIAMS.
Grant #P60 AR047784           05/01/08 – 04/30/13           $1,124,423
Study is to determine the pathways by which medical variables (biological, physiological, clinical, physical function) and non-medical variables (individual, family, environmental characteristics) predict HRQOL in children being actively treated for JIA.
PI: Glass, Seid
Center Collaborator(s): Britto 

Developing Quality Measures to Assess Pediatric Inpatient Respiratory Care
NHLBI.
Grant #1RO1HL088503-01           12/01/08 – 11/30/13           $3,293,636
Multicenter study that will result in a rigorously designed, disseminable quality assessment tool that can be used by hospitals treating children for respiratory illness to both track and improve on the quality of care they provide.
PI: Mangione-Smith (Univ of Washington)
Site PI: Britto
Center Collaborator(s): Knopf (Munafo) 

DMHealth: Feasibility of a Cell-Phone Adherence Trial for Underserved Youth with T1DM.
NIH/NIDDK
Goal is to develop and test interventions, including cell-phones, to improve diabetes self-management and health outcomes for high-risk youth with type 1 diabetes.
Grant # 5R21DK085483-02 2009 – 2011 $425,000
Co-PIs: Mayer-Davis, Seid 

Enhancing PROMIS in Pediatric Pain, Rheumatology, and Rehabilitation Research
NIH/NIAMS
Grant #U-01/AR057940           9/30/09 – 7/31/13           $2,096,964
PI: Morgan-DeWitt, Vargus-Adams
Center Collaborator: Seid 

Evaluation of an Intervention for Improving Community-Based Pediatric ADHD Care.
NIMH.
Grant #1 R01 MH083665-01           08/12/10-07/31/15           $549,365
PI: Epstein
Center Collaborator(s): Brinkman 

Evaluating EHR-based Point-of-Care Trial Recruitment Across Clinical Settings.
NIH.
Grant # 1R01LM009533-01A1           9/30/08-9/29/11           $610,968
The major goals of this research are: 1) to determine the impacts on trial recruitment of an EHR-based CTA approach in different clinical settings within and across healthcare systems; and 2) to identify the range of stakeholders' perceived barriers, facilitators, and information needs regarding EHR-based, point-of-care recruitment in different clinical settings to inform improvements in the CTA approach.
PI: Embi
Center Collaborator(s): Cotton 

Explaining Racial Disparities in Child Asthma Morbidity. NIAID.
Grant #1 R01 AI088116-01 04/01/10-03/31/14 $1,512,152
PI: Kahn, R.
Center Collaborator(s): Brinkman 

Girls Action Teams for Personal and Social Change.
Community Action Grant
Grant# N/A            2011-2013
American Association of University Women (Vaughn).The Girls’ Action Teams (GATs) project provides urban minority and immigrant middle school-aged girls in Cincinnati with an outlet for participation and self-determination to help them to become agents of change in their community.
PI: Vaughn 

HPV Decision Aid Development.
Cincinnati Children's Place Outcomes Research Award.
Grant # N/A           7/1/11 – 6/30/13           $119,998
Goal is to empower parents and adolescents in their immunization decisions, improve clinicians’ recommendations of the vaccine, and to increase immunization rates among children and adolescents by improving the shared decision-making process through the development and testing of an HPV vaccine decision aid for use between clinicians and parents of girls eligible for HPV  vaccination.
PI: Widdice
Center Collaborator(s): Brinkman 

Impact of SCD Patient Portal on Transition to Adult Care.
Cincinnati Children's Place Outcomes
Award           07/01/11 – 06/30/13           $120,000
This project involves adding measures (e.g. psychosocial risk) and additional educational materials and customization to an SCD-specific version of MyChart, a patient portal compatible with the Cincinnati Children’s EMR for SCD patients age 16-24 years.
PI: Crosby
Center Collaborator(s): Crosby 

Improving Adherence to HU Therapy for Sickle Cell Disease.
(Comprehensive Sickle Cell Center). NIH/NHLBI
Grant#105249-2U54HL070871-06           04/01/08 – 03/31/12           $6,076, 530
This study proposes to develop a computerized assessment tool that can be used with patients in clinic to improve adherence to clinic visits and hydroxyurea therapy. Assist with development and design of qualitative research studies on pain management, functional disability, family functioning and improving clinical care. Assist with re-design of psychosocial services for patients with SCD.
PI: Joiner, Mitchell
Center Collaborator(s): Crosby 

Improving Home Environmental Risk Assessment and Enhancing Referrals for Housing Code Enforcement for Children with Asthma.
CCTST Community Health Program Grants to Promote Academic-Community Collaboration and Positive Health Outcomes.
Grant #N/A           Spring 2011           $15,315
PI: Beck 

Improving Parents' TNF-a Inhibitor Treatment Decisions.
Cincinnati Children’s Hospital Place Outcomes Research Award
Grant # N/A           07/01/2011-06/30/2013           $42,060
The aim of this project is to prospectively assess the decision-making process parents use when making decisions about TNFα inhibitors and to use that information to develop a means of quantifying the decision making experience.
PI: Lipstein
Center Collaborator(s): Britto, Brinkman 

Infant Nutrition Intervention Partnership: Cincinnati Children’s Hospital Medical Center and Freestore Foodbank.
Procter & Gamble.
Grant # N/A Spring 2011 $50,000
Funding is for formula distribution, staff training, and provision of wrap-around services.
PI: Beck 

Medication Continuity Among Children Treated for ADHD.
NIMH Patient-Oriented Career Development Award (PA-09-043)
Grant #N/A           12/01/09 – 11/30/2014           $821,499
PI: Brinkman
Center Collaborator(s): Britto 

Neuropsychological Dysfunction and Neuroimaging Abnormalities in Neurologically Intact Adults with Sickle Cell Disease study (SCAN).
NIH
Grant #N/A           8/05 – present
Sickle Cell Multi-Center Trial. This study examines memory and attention in adults with SCD.
PI: Crosby (2005-06)
Center Collaborator(s): Crosby (2006-present)

Open Source Science: Transforming Chronic Care
NIH/NIDDK
Grant # TR01DK085719           9/01/09 – 8/31/14           $7,831,713
The major goal of this T-R01 is to develop a collaborative improvement network to improve care for pediatric inflammatory bowel disease.
Co-PIs: Margolis, Seid
Center Collaborator(s): Britto, Vaughn 

Parental adherence to CF homecare: research chaplaincy career commitment.
NIH/NICHD.
Grant #K23HD062642-01A1           8/13/10-5/31/11           $590,000
PI: Grossoehme 

Patient-Provider Interventions to Improve Transition to Adult Care in SCD.
NHLBI.
Grant #K07HL108720-01           8/18/11 – 7/31/15           $400,752
PI: i Crosby
Center Collaborator(s): Britto

Pediatric Center for Education and Research on Therapeutics (CERT).
Agency for Healthcare Research and Quality
Grant # 1U18HS016957           9/01/07-8/31/11           $2,555,853
The major goal of this project is to provide education on and develop and validate new therapeutics.
PI: Lannon
Center Collaborator(s): Seid 

Phase II Study of Rapamycin for Complicated Vascular Anomalies.
FDA
Grant #R01 FD003712           2009 – 2013           $1,300,000
PI: Adams
Center Collaborator(s): Seid 

Physician Bedside Handoff: Small Change—Big Impact in Patient Care and Medical Education.
Office of Medical Education, University of Cincinnati
Grant # N/A - Medical Education Research Grant           2010           $3,500
Using a Group Level Assessment methodology, we will examine Physician Bedside Handoff (PBH) as compared to more traditional physician hand off methods.
PI: Gosdin, Vaughn 

Shared Decision Making to Improve Care for Children with ADHD.
Cincinnati Children's Health Services Research Matrix Outcomes Research Award.
Grant # N/A           07/1/09-12/31/10           $90,000
PI: Brinkman
Center Collaborator(s): Britto 

Sickle Cell Adolescent Patient Survey Study.
NIH
NIH SCD grant           6/03 – present
(HealthBEAT). This study is supported by funds from the National Institutes of Health Comprehensive Sickle Cell Center Grant. This project examines the health beliefs, attitudes, and coping styles of adolescents with SCD. The long-term goal of this study, the “Sickle Cell Adolescent Survey Study,” is to develop a tool to identify barriers which impact treatment adherence in this population.
PI: Crosby 

Spiritual Coping and Quality of Life in Adolescents with Chronic Illness .
NICHD/NCCAM.
Grant #1K23HD052639-01A1           7/07-6/12           $672,304
NIH career development award. The goals are to assess and measure properties, and examine relationships among religiosity/spirituality and health outcomes.
PI: Cotton
Center Collaborator(s): Britto, Yi 

A Trial of On-Line Problem Solving for Pediatric TBI.
National Institutes of Health/NIMH.
Grant # 1R01MH073764-01A2           01/06/06-05/31/11           $464,601
This study examines the utility of a structured intervention to facilitate family coping, as a means for enhancing the competencies of children and families in responding to stress and reducing the considerable family and child psychological morbidity associated with traumatic brain injury.
PI: Wade
Center Collaborator(s): Crosby