{UPCOMING TALKS & COURSES}

  • May 20-22: Society for Clinical Trials Invited Session, Portland, OR
  • June 4-8: GSERM Categorical Data Analysis, St Gallen, Switz. 
  • June 24-26: Poster and oral sessions, AcademyHealth Annual Research Meeting, Seattle, WA
  • July 23-Aug 17: ICPSR Categorical Data Analysis, Ann Arbor, MI
  • Dec 3-4: Workshop on SMART and MRT designs, University of Zurich, Zurich, Switz. 
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    I am a healthcare services researcher with an interest in improving access to 'best practice' care, notably mental health and collaborative care programs. I am currently a Research Assistant Professor in the Department of Psychiatry at the University of Michigan Medical School. I am also an affiliate of the Institute for Healthcare Policy & Innovation and the Depression Center, as well as the Data Science for Dynamic Decision-Making (D3) lab, based in the Quantitative Methods Program at the Insitute for Social Research

    This research is driven by three theoretical questions of interest: (1) how do organizations change?; (2) how does organizational context affect how organizations change? and (3) how does organizational change reify, exacerbate and/or ameliorate patterns of inequality?

    Within the domain of healthcare, I examine these questions with respect to healthcare access, quality, and policy through the following lenses:

    IMPLEMENTATION SCIENCE

    Implementation science is the science of implementing evidence-based healthcare "best practices." At its crux, it aims to understand behavioral change as constrained by organizational environments. I have been involved in several comparative effectiveness trials aimed at developing adaptive implementation interventions, or implementation efforts that adapt implementation support to ongoing organizational needs. ADEPT, the first NIH-funded clustered sequential multiple-assignment randomized trial, attempted to improve clinical symptoms of patients with mood disorders by increasing access to Life Goals, a collaborative care model, through implementation efforts at 80 community-based clinics across Michigan and Colorado. Our newest NIH-funded project, Adaptive School-based Implementation of CBT (ASIC), similarly tries to improve adolescent access to evidence-based mental health care by using a variety of implementation strategies to inform the best adaptive implementation intervention for training high school nurses, counselor and psychologists to deliver CBT to kids in schools. This study, a collaboration with the TRAILS program at the University of Michigan, will be going into the field in Fall 2019. 

    POLICY EVALUATION & ORGANIZATIONAL DETERMINANTS OF BEST PRACTICE

    With colleagues in the UM Division of General Medicine, I work on projects aimed at evaluating the "value" in value-based health care policy and commensuration efforts. This work includes evaluations of policies aimed at reducing hospital readmissions, hospital-acquired conditions, bundled payment plans, and hospital rankings (both public and private). 

    ADAPTIVE INTERVENTION DEVELOPMENT

    Methodologically, my work with the D3 lab centers on the development and optimization of adaptive interventions, notably as a means to improve access to healthcare best practice. Our lab focuses on development of methods for sequential, mutliple-assignment randomized trials (SMARTs), which are used to inform adaptive interventions, such as those currently used in my implementation intervention work. I also have a strong interest in mobile-based technology as a platform for increasing access to evidence-based care. As such, I am also involved with current development of 'just-in-time' adaptive interventions and micro-randomized trials (MRTs), which is a method designed to optimize JITAIs. I am currently a Co-Investigator on HeartSteps, an NIH-funded MRT intervention aimed at developing mobile physical activity support for patients dealing with cardiovascular issues. 

    MISCELLANY

    My doctoral work was in Sociology at Indiana University. Prior to IU, I received a B.A. from the University of Kansas and an M.Phil. in Sociology from Oxford University. My dissertation examined fair employment regulation in the U.S., Canada and Great Britain, examining differences in policy 'on the books,' as implemented at the firm-level, and as they relate to structural ethno-racial inequalities in each country. This work builds on my previous work with Tim Bartley on the development of transnational organizational fields, as well as my work with Anthony Heath on cross-national ethnic penalties.  

    From 2007 to 2009, I served as a methodological consult for the Kinsey Institute's International Survey of Relationships. Additionally, for the past nine years I have been involved in teaching Categorical Data Analysis at the University of Michigan's ICPSR Summer Program.  

    In my spare time, I enjoy exploring new international locales, peaty single malts & lots of college basketball [rock chalk, Jayhawk!]. I also volunteer as a Community Big with Big Brothers Big Sisters & work as an advocate for Jana's Campaign in memory of a wonderful friend. 

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