Current and Past Projects

Current Projects

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1302 Behavioral Health Integration

To support, improve, and expand integrated behavioral health services in primary care settings in Colorado.
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Adapting a Psychosocial Support Intervention for the Rett Syndrome Community

The proposed project is the initial phase of a long-term project where we plan to pilot the adapted Caregiver Speaks intervention in a community sample of RTT caregivers. This is a mixed methods community-engaged research project that utilizes Rapid Community Translation (RCT) at a single site.

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CONQUEST – Collaboration On Quality Improvement Initiative for Achieving Excellence in Standards of COPD Care

CONQUEST is a collaborative interventional COPD registry with an integrated quality improvement program that drives targeted, risk-based management through enhanced clinical assessment.
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Creating a Rural and Frontier Hospital Strategy for Colorado

Our goal is to create an evidence-informed policy roadmap that rural health stakeholders can use to strengthen these facilities and catalyze state-level change over the next 3 – 5 years.

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CU eLearning

CU eLearning's goal is to provide evidence-based, up-to-date information in an efficient and interesting way, so that healthcare learners and professionals in a wide variety of positions have the ability to improve patient care, job satisfaction, and costs. 
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Diabetes Distress Assessment and Intervention in Primary Care: An Important Step in Whole-Person Diabetes Care

This project will assess the efficacy of training healthcare professionals in primary care to assess and intervene with diabetes distress utilizing evidence-based interventions systematically as part of routine care.

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Evaluating the Reach of Clinical Decision Support for Patients with Heart Failure

The goal of this project is to create a clinical decision support tool that is designed to enhance goal directed medical therapy for patients with heart failure during virtual visits.

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Feasibility of Use of Fitbit, Brief DSMES, and Targeted Text Messaging in Sedentary Adults with Type 2 Diabetes in Primary Care Settings (FIT T2D)

This study will provide a wearable fitness and activity tracker plus artificial intelligence (AI)-tailored and delivered diabetes self-management education and support (DSMES) to patients in primary care practices. People diagnosed with type 2 diabetes will participate for 12-weeks. 
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Helping Our Patients Engage in Weight Management (HOPE)

HOPE is a PCORI funded implementation project aimed at supporting 30 diverse primary care practices in Colorado and nationwide to deliver intensive behavioral therapy for obesity.
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HOMER

Created in response to primary care clinicians’ and practices’ request for scientific evidence and guidelines, HOMER is an ongoing national study comparing three methods of induction for medication assisted treatment for opioid use disorder: home, office, and telehealth inductions.

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Implementation Support for MOUD (ISM)

ISM is a program to train practices and providers about opioid use disorder (OUD) and medication for opioid use disorder (MOUD). This initiative delivers free MOUD team training to practices, giving them knowledge and tools to adopt a comprehensive MOUD program through ongoing practice support and facilitation. 
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Individualizing Treatment of Asthma in Primary Care (iTREAT)

Asthma affects approximately 25 million Americans a year. iTREAT is a randomized study designed to compare the effectiveness of 4 different ways of managing asthma.
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New Solutions to Support Evidence-Based Prescribing for Heart Failure

This study compares a traditional and personalized clinician decision support (CDS) tool in a pragmatic randomized controlled trial. The CDS addresses misconceptions related to the suboptimal prescribing of medications for heart failure with reduced ejection fraction. 

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Piloting Community-Based Training with Food Banks to Support Mental Health in Rural Colorado

In collaboration with Food Bank of the Rockies Western Slope, this project will tailor and pilot a peer-led mental health support training for food pantry staff and volunteers. The training will draw on curriculum developed specifically for rural communities called Changing Our Mental and Emotional Trajectory (COMET).
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PRimary CarE PrAgmatic, Real World Experience for Automated Insulin Delivery (PREPARE 4 AID) in Patients with Diabetes

This 13-week randomized controlled trial will evaluate the efficacy and safety of an automated insulin delivery system (the iLet® Bionic Pancreas System) in adults with insulin-treated diabetes (type 1 diabetes or type 2 diabetes) in regulating glycemia relative to routine diabetes care in primary care settings. 
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Train the Trainer (TTT)

Train the Trainer is focused on developing the knowledge, confidence, and skills to support engagement in value-based payment opportunities across CO, including ACC phase three through HCPF. The training and program are tailored for Practice Facilitators and Regional Accountable Entity (RAE) liaisons, and Primary Care Practices across Colorado.

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Treating Early Type 2 Diabetes by Reducing Postprandial Glucose Excursions: a Paradigm Shift in Lifestyle Modification (GEM)

Glycemic Excursion Minimization/Glucose Everyday Matters is a lifestyle intervention that focuses on reducing how much glucose goes up after eating by minimizing certain foods and increasing physical activity. People newly diagnosed with type 2 diabetes will participate. Continuous glucose monitors (CGMs) and Fitbits are also provided.
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Virtual Reality as a Non-Pharmacologic Intervention for the Management of Pain Among Cancer Patients

The overarching purpose of this project is to assess the feasibility of the VRNF (virtual reality neurofeedback) intervention while also evaluating its acceptability as a mindfulness-based, non-pharmacologic approach to managing cancer pain. We aim to explore the impact of VRNF on pain intensity and mood, with a particular focus on understanding the relationship between dosing and these outcomes.

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Past Projects

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6 Building Blocks

CDPHE-supported grant to provide training and implementation support for practices to implement and improve practices of safe opioid management.
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Colorado State Innovation Model (SIM)

The State of Colorado received funding under the State Innovation Model initiative to implement and test its State Health Care Innovation Plan over a four-year period, beginning in February 2015 through July 2019.
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EvidenceNOW Southwest

Served 202 primary care practices across Colorado and New Mexico with practice transformation and quality improvement support, including on-site practice facilitation and coaching, expert consultation, shared learning collaboratives, and electronic health record support. 
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Facilitating Alcohol Screening & Treatment (FAST)

A 9-month program, with 6 months of practice facilitation, for primary care practices to address unhealthy alcohol use.
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Implementing Technology and Medication Assisted Treatment Team Training and Resources (IT MATTTRs)

The IT MATTTRs Program offers exciting, evidence-based community materials and training for primary care practice teams to help reduce suffering from opioid dependence and use disorder. 

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Innovation Support Project (ISP)

A support program for family medicine, internal medicine, pediatric, and OB/GYN practices who serve Medicaid patients.
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Invested in Diabetes

This important study sought to answer some questions around the best ways to deliver shared medical appointments for primary care patients with diabetes - offering diabetes self-management education and support.

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Pragmatic Weight Management in Primary Care (PATHWEIGH)

PATHWEIGH is a process for primary care to provide, and patients to receive, medical assistance with weight loss and weight loss maintenance.

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Primary Care Education and Practice Adoption Resource Evaluation for Continuous Glucose Monitoring (PREPARE 4 CGM)

To test feasible, scalable, and economical ways to implement continuous glucose monitoring (CGM) into primary care practices. 
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Transforming Clinical Practices Initiative (TCPi)

A free, nationwide initiative funded by The Centers for Medicare & Medicaid Services that aimed to prepare clinicians to be successful in new value based compensation models.
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Using Artificial Intelligence to Create an Artificially Intelligent Chatbot to Facilitate Access for Diabetes Distress and Support for Diabetes Self-management

This study will determine the acceptability and feasibility of using an interactive health information technology system and tech-assisted clinical intervention workflows to screen and treat diabetes distress in primary care patients with type 1 and type 2 diabetes.

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Virtual Reality Neuro Feedback (VRNF) Pre-Implementation Site Visit

The purpose of this research project is to conduct pre-implementation qualitative interviews with primary care providers and patients living with chronic pain to better understand barriers and facilitators to implementing a Virtual Reality and Neurofeedback (VRNF) intervention in rural primary care. 

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More coming soon. If you would like your project featured, please email Carlee Kreisel at [email protected].

Contact:

Jodi Summers Holtrop, PhD, MCHES
Vice Chair for Research
[email protected]

Carlee Kreisel, MPH 
Research Services Specialist
[email protected]
(For website updates)

Family Medicine

CU Anschutz

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12631 East 17th Avenue

Box F496

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