South Asian Family Approaches to Disease
"Safad" in Gujarati, a South Asian language, means "succeed". The SAFAD study will be building off of the SUCCEED (Self-care Using Collaborative Care Enhancement in Disease) program that targets the self-management needs of patients and their caregivers. The SAFAD study is focused on helping South Asians managing breast cancer and the family and friends who care for them succeed by improving the resources and community-based services available to. SAFAD will support South Asians managing breast cancer by improving their access to emotional support, honoring familial relationships, and improving their knowledge of culturally relevant community services.
Preliminary findings of the SAFAD Study were recently presented by Dr. Ranak Trivedi at the 43rd Annual Society of Behavioral Medicine Meeting in April of 2022!
Preliminary findings of the Elizabeth Dole Center of Excellence for Veteran and Caregiver Research Pilot Study in Palo Alto, Barriers to Accessing Home- and Community- Based Services among Informal Caregivers of Veterans Across Eras, were recently presented by Dr. Ranak Trivedi at the 43rd Annual Society of Behavioral Medicine Meeting in April of 2022!
Elizabeth Dole Center of Excellence (CoE) For Veteran and Caregiver Research
A 4-site CoE consists of a multi-disciplinary across 4 VA sites, their university affiliates, and VA facilities and partnering communities.
Web-Based Self-Management Tool Targeting Patients and Their Informal Caregivers
This project supports the development and pilot testing of a web-based program aimed at improving communication, collaboration, and stress management within patient-caregiver dyads.
The Feasibility of Evaluating the Expansion of VA Home- and Community-Based Services Using the Health and Retirement Study
The objective of this study is to determine the feasibility of merging HRS and VA data to obtain an accurate understanding of the value of home and community based services for the VA.
Care Coordination for High-Risk Patients with Multiple Chronic Conditions
The objective of this study is to advance understanding of care fragmentation and care coordination’s potential among high-risk Veterans with multiple chronic conditions.
Engaging Veterans and Family Supporters in Pact to Improve Diabetes Management
This study will test a strategy to strengthen the capacity of caregivers to help patients with high-risk diabetes engage in patient centered care and successfully enact care plans. Providing health care engagement tools to both caregivers and patients is expected to increase patient activation and improve diabetes management.
Understanding Patient Management of COPD Exacerbations
The research objective of this grant is to understand medical and psychosocial contributors to COPD exacerbations, and then develop an intervention for early identification of exacerbations.
The Impact of Psychiatric Bed Availability on ED Diversion and Suicide Risk
The objective of this study is to evaluate whether patients who are diverted from EDs due to lack of inpatient bed availability are at a higher risk of poor outcomes including death by suicide.
Psychosocial Predictors of Post-Traumatic Stress Disorder (PTSD) in Burn Patients
Prospective study to examine psychosocial predictors of PTSD in patients with thermal injuries.
Quality of Life in Patients with a Left Ventricular Assist Device
A prospective study examining the quality of life in patients pre-and post-LVAD placement.
Effects of Caregiver Stress on Medical Outcomes in Patients with Congestive Heart Failure
Prospective observational cohort study examining stress in heart failure patients and their caregivers, and the impact of caregiver stress on heart failure self-management.
Determinants of Guideline-Concordant Depression Care for COPD Patients
The purpose of this observational study was to determine rates of guideline concordant depression care among COPD patients, to compare rates with other common chronic conditions, and to examine predictors of disparities.
Enhancing Caregiver Support for Heart Failure Patients: The Carepartner Study
The purpose of the randomized trial was to evaluate the impact of extending the reach of health information technology by incorporating a protocol-driven model for improved monitoring and self-management support by a CarePartner.
Determining the Eligibility of Heart Failure Patients for a Couples' Self-Management Intervention
The purpose of this chart-abstraction project was to estimate the number of patients eligible for a mixed methods study with couples with heart failure; to estimate the number of patients eligible for the pilot intervention; and to finalize recruitment strategies in consultation with providers over a 6-month period.
Disparities in Mental Health Consultation
The purpose of this study was to determine reasons for disparities in depression consultation among COPD patients.
Psychosocial-Behavioral Therapy for Patients with Advanced COPD and Depression
The purpose of this study was to determine the feasibility and acceptability of a 6-session, home-based, video-enabled, individually tailored, psychosocial behavioral therapy intervention for patients with advanced COPD and depression.
Barriers & Facilitators of Empowering Couples in Managing Heart Failure
This award supports two sub-studies: 1) a mixed methods study of Veterans with heart failure and their significant others to understand barriers and facilitators of managing heart failure at home, and 2) a pilot study to evaluate a couples’ self-management intervention that addresses the barriers and facilitators identified in the first study.
Caring for the Caregivers of Veterans: Planning a National Program Evaluation
This study was a preliminary evaluation of the implementation of the Building Better Caregivers (BBC) program from the perspectives of caregivers, patients and providers. It will generate pilot data to conduct a comprehensive evaluation in a subsequent proposal.
Translating an Existing Couples' Based Self-Management Program into Web-Based Interactive Training to Manage Congestive Heart Failure
This study will translate a couples’-based self-management intervention, that is being currently piloted, into web-based modules. Transforming into a web-based format will allow for independent training by patients and their spousal caregivers.
Chair, Mental Health Workgroup, VA National Pact Evaluation
Under this nationally funded initiative, we are leading a series of projects to evaluate the effects of a patient centered medical home on Veterans with mental illness. Specifically, we are interested in clinical outcomes (e.g., mortality), health care utilization (e.g., hospitalization), access to care, and disparities.
Determining Framily Characteristics to Enhance Personalized Engagement of Patients in Clinical Care
This is a qualitative study to understand how patients with heart failure and their family and friends navigate the healthcare system, and how the coordinate care with each other.
Developing a Couples' Coping Intervention for Veterans with Heart Failure
The research objective of this CDA is to develop a coping and self-management intervention targeted at Veterans with heart failure and their significant others.
Advance Care Planning in Elderly Veterans with Advanced Kidney Disease
The goal of this study is develop and test a patient-centered model of advance care planning tailored to older Veterans with advanced kidney disease and their families.
Improving Delivery of Patient-Centered Cardiac Rehabilitation
The purpose of this study is to test the effectiveness of a home-based cardiac rehabilitation at two sites (San Francisco and Boston) compared to traditional in-house cardiac rehabilitation models.
Interdependence of Stress Among Patients and Their Family Caregivers
The objective of this study is to determine whether patient and caregiver responses for stress, physical activity, and sleep are interdependent as measured by both self-report and objective markers.
Evaluating a New Model of Primary Care Mental Health Integration in the VA
This project will evaluate the implementation of a new PCMHI model that is being piloted in Monterey, CA.
Telemonitoring Enhanced Support for Depression of Self-Management
The research objective of this supplement is to understand how depressed patients and two of their informal caregivers collaborate to improve depression self-management.
Phase II Evaluation of the VA HSR&D Career Development Program
This study is evaluating mentorship within the VA HSR&D Career Development Award (CDA) Program, and the association between mentorship and subjective and objective mentee and mentor outcomes.