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The Betty Irene Moore School of Nursing leads the way in transformative research.  Below are the active research projects led by School of Nursing faculty, students and staff.

Advanced Illness Care Navigation for African-American Adults in Faith-Based Settings
Principal Investigators:
Janice Bell
Funder: Rita and Alex Hillman Foundation Innovations in Care Program
Award: $600,000
Period: Jan. 1, 2016, to Dec. 31, 2019
Hillman funding will be used to expand, evaluate and sustain the Advanced Illness Care Program, a faith-based, nursing-driven intervention developed in partnership with the Alameda County Care Alliance (ACCA) and the Public Health Institute (PHI). Since its inception in 2013, the program has trained and placed care navigators in five African-American church communities in Oakland, California. The care navigators provide referrals and care not only to congregants and their caregivers, but to persons with advanced illness in the community. The teams from UC Davis, ACCA and PHI use the funding to expand the program to three additional church communities and enroll an additional 500 congregants, community members and family caregivers. Funding is also used to train additional care navigators and volunteer care ministers to promote the program through community outreach as well as continue to support ongoing data collection that has provided evidence of the program’s success.

UC Davis Student-Faculty Partnership for Service on Oral Health
Principal Investigators:
Gerald Kayingo
Funder: NCCPA Health Foundation
Award: $3,500
Period: Jan. 1, 2016, to June 30, 2017
The project has two aims. The first is an educational aim to develop an integrated interprofessional service-learning module on oral health. The second focuses on the community, hoping hopes to improve access to oral health and diabetes education in underserved communities in Sacramento through a network of student-run clinics.

ADAPTS: Action on Diabetes Awareness and Periodontal Treatment in Sacramento
Principal Investigators:
Gerald Kayingo
Funder: Physician Assistant Foundation
Award: $10,000
Period: Jan. 1, 2016, to Jun. 30, 2017
The project aims to improve access to diabetes education and oral-health services in Sacramento’s underserved communities through a network of student-run clinics. In this student-and-community partnership, School of Nursing researchers propose an innovative approach to health education that will be interprofessional, patient-centered, culturally sensitive and sustainable. A train-the-trainer and peer- to-peer health education program will be developed and implemented.

Improving Dementia Care through MUSIC & MEMORY℠
Principal Investigators:
Debra Bakerjian
Funder: California Association of Health Facilities
Award: $421,263
Period: Aug. 15, 2015, to June 30, 2018
The scope of services for this work covers two distinct components. The first is the California Association of Health Facilities (CAHF) quality improvement research effort to improve dementia care through the use of Music and Memory℠. School of Nursing researchers consult with CAHF on development of criteria for facility selection and data collection processes for this quality improvement project. UC Davis is responsible for independently evaluating the outcomes data from that quality improvement project. The second component of the project is the development and testing of a Quality Assurance and Performance Improvement intervention. The School of Nursing team is responsible for the design, implementation, data collection and data analysis for this segment of work.

Patient-Oriented Scalable National Network for Effectiveness Research (pSCANNER) - Phase II (subaward)
Co-investigator: Katherine Kim
Funder: Patient-Centered Outcomes Research Institute (PCORI)
Award: $408,389
Period: Oct. 1, 2015, to Sep. 30, 2018
The Patient-Oriented Scalable National Network for Effectiveness Research (pSCANNER), one of 13 clinical data research networks that comprise PCORnet, has been funded for a second phase. In phase II, pSCANNER will continue to increase capacity to conduct large-scale comparative effectiveness research and will conduct research projects using the network built in phase I. Phase II research will include projects focusing on priority topics identified by pSCANNER’s stakeholder research prioritization panels. The pSCANNER team will continue to engage patients in meaningful ways to ensure that research is truly patient-centered.

Patient and Provider Engagement and Empowerment Through Technology Program (P2E2T2 to Improve Health in Diabetes
Principal Investigator: Heather Young
School of Nursing Co-Investigators:  Madan Dharmar, Sheridan Miyamoto, Yajarayma Tang-Feldman
Other UC Davis collaborators: Jay Han, Thomas Balsbaugh, Bridget Levitch
Funder: Patient-Centered Outcomes Research Institute
Award: $2.1 Million
Period: Sep. 1, 2014, to June 30, 2018
Researchers develop and evaluate an innovative program that uses nurse health coaching, motivational interviewing techniques and wireless sensor and mobile health (mHealth) technology. The program is based on input from patient, provider and technology experts as to how best to address the health care needs of persons living with diabetes and improve their health and wellness. The team, led by Heather Young, partners with stakeholders to revise and finalize the proposed intervention elements, evaluate the feasibility and usefulness of integrating patient-generated goals and sensor data into a mHealth dashboard linked back into primary-care practice, as well as evaluate the program’s effectiveness based on quality of life, self-efficacy, readiness to change and clinically relevant indicators.

DESPIERTA: Developing Educational Strengths, Promoting Individual Responsible Teen Awareness
Principal Investigator: Mary Lou de Leon Siantz
Funder: Research Program on Migration and Health
Award: $39,590
Period: Sep. 1, 2014, to Oct. 31, 2017
The purpose of this exploratory project is to investigate the migration experience and its impact on the depression and pregnancy rates among the 14 to 18-years-old migrant adolescent girls of Mexico and Mexican migrant adolescent girls in the U.S. This project proposes a qualitative and quantitative approach to explore and compare risk for depression, pregnancy and access to care between those who migrate to the San Joaquin Valley of California, and those who do not migrate from Jalisco, Mexico. Mary Lou De Leon Siantz’ specific goals are to determine the rates and severity of depression, as well as pregnancy rates, in Mexican migrant adolescent girls, compare the rates in non-migrant girls in Jalisco and inform binational health policies.

Director of Nursing Guidelines for Delegation in Nursing Homes: Guideline Development and Pilot Testing
Principal Investigator: Elena O. Siegel
School of Nursing Co-Investigator: Debra Bakerjian
Funder: National Council of State Boards of Nursing
Award: $299,956
Period: Feb. 1, 2015, to July 31, 2017
The purpose of this study is to develop and test Directors of Nursing Delegation Guidelines as a resource for the implementation and oversight of nursing home delegation practices in accordance with state regulations. The Guidelines will provide a much-needed resource for nursing directors to effectively operationalize state board of nursing regulatory provisions for all types of delegation carried out in their clinical practice setting. The long-term goal of this project is to advance the translation of all types of delegation regulations into safe and effective nursing practice.

Social Capital and Latina Caregiver Well-being Study:  Intervention and Feasibility Testing
Principal Investigator
: Ester Carolina Apesoa-Varano
Other UC Davis collaborators: Ladson Hinton, Debora A. Paterniti
Funder: UC Davis Behavioral Health Center of Excellence
Award: $200,000
Period: April 1, 2015, to Sept. 30, 2017
The mental health needs of Latina caregivers of family with dementia pose a significant public health challenge, given the unprecedented aging and projected growth of Latinos in the U.S. The aims of this study are to develop a socio-culturally informed non-kin intervention model for reducing emotional distress and burden in Latina caregivers. Researchers will then refine that model by gathering recommendations from community organizations, Latina caregivers of family with dementia, and kin and non-kin of Latina dementia caregivers. Finally they will pilot test the refined intervention with Latina dementia caregivers.

Exploring the Roles of Nursing Home Administrators and Organizations in Nursing Home Quality: A Pilot Study to Establish Feasibility of Approach
Principal Investigator
Elena O. Siegel
Funder: National Association of Long-Term Care Administrator Boards
Award: $26,615
Period: May 1, 2015, to August 31, 2017
This exploratory descriptive study establishes feasibility of an approach to examine nursing home administrator functioning and performance across multifacility provider organizations and the impact on nursing home quality. Siegel will examine ways in which the licensed administrator position looks different from one setting to the next, in terms of individual and organizational factors, and how these differences are associated with nursing home quality.

Oral Health for Life: Promoting Oral Health Among Tobacco Quitline Callers
Co-Investigator:
Sheryl Catz
Funder: National Institute of Dental and Craniofacial Research (Subaward from Group Health Research Institute)
Award:
$135,586
Period: Aug. 1, 2014, to June 30, 2018
The purpose of this project is to conduct a randomized clinical trial to evaluate the effectiveness of an integrated oral health promotion, tobacco cessation counseling program delivered through tobacco quitlines. The trial tests the effectiveness of a multimodal behavioral intervention — the Oral Health 4 Life program — targeted to smokers who are ready to quit smoking and seeking services through state tobacco quitlines.

Mapping and Integration of the Pain Management Core Competencies
Principal Investigator: Heather M. Young
Other UC Davis collaborators: Scott Fishman
Funder: Mayday Fund
Award: $85,250
Period: May 1, 2014, to December 31, 2017
This grant supplements other research being conducted by Heather M. Young and Scott Fishman to launch a high-impact education module for students from multiple professions to learn team-based, person-centered chronic pain care. This funding enables researchers to conduct an interprofessional consensus summit as the critical first step in the development of an interprofessional educational simulation tool based on the pain competencies. It also enables the research team to assemble leaders from multiple professions, including medicine, nursing and pharmacy, to map how the pain management competencies overlap with existing competencies within each individual profession.

Teamwork in the Hospital: Gendered and Racialized Epistemologies at the Bedside
Principal Investigator:
Ester Carolina Apesoa-Varano
Other UC Davis collaborators: Vicki Smith, Ming-Cheng Lo
Funder: UC Davis Feminist Research Institute
Award: $10,000
Period: July 1, 2016, to June 30, 2018
The overall goal is to examine how gendered and racialized/ethnicized epistemologies of care are enacted at the bedside and seek to understand how larger gendered and racialized organizational and cultural dynamics are related to the micro-level interactions of practitioners in a care team. This project involves a feminist methodological approach that integrates interviews, ethnography and participant self-narratives as central to understanding the experiences of hospital practitioners under the teamwork model.

Early Palliative Care: Views and Help-Seeking in Mexican-Heritage Older Adults with Serious Chronic Illnesses
Principal Investigator:
 Ester Carolina Apesoa-Varano
Other UC Davis collaborators:
Funder:
 UC Davis Center for Musculoskeletal Health
Award: $10,000
Period: Nov 30, 2016, to December 1, 2017
This study focuses on Mexican-heritage older adults’ experience of serious co-morbid illness in understanding of early palliative care (EPC), as well as how EPC engagement can be facilitated based on this group’s illness experience and palliation views. Building on the illness behavior model, the qualitative study combines grounded and social constructionists’ approaches to gather formative data that will allow the researchers to identify the barriers to and facilitators of engaging in EPC in this underserved population. Thus, this study does not focus on the biomedical aspects of disease, but rather on the sociological and cultural dimensions of how illness is experienced and anticipated in the lay context (e.g. home) in order to understand how and when individuals may begin to consider early palliation as an alternative mode of care.

SPLICE: An Interprofessional Program to Transform Primary Care Education and Community Health
Principal Investigator:
Debra Bakerjian
Other UC Davis collaborators: Tonya Fancher, Heather Vierra, Ulfat Shaikh, Katherine Kim, Ricky Norwood, Amy Nichols, Kay Nelsen, Gerald Kayingo
Funder: U.S. Department of Health and Human Services – Health Resources and Services Administration
Award: $2,494,866
Period: July 1, 2016, to June 30, 2021
The overall goal of this program is to develop, test and disseminate a community-based collaborative primary care practice model that improves the patient experience, advances population health, reduces costs and enhances provider well-being. The System-transforming, Patient-centered, Longitudinal, Interprofessional Community-based Education (SPLICE) initiative is a collaborative practice curriculum for physician assistant, family nurse practitioner and medical students and primary care residents. Primary Care Internal Medicine, Family and Community Medicine and pharmacy residents will lead interprofessional learner teams to provide data-driven, high-quality care, including integrated behavioral health, to medically vulnerable communities at the Sacramento County Primary Care Clinic, a Federally Qualified Health Center. In addition, the program will provide training to faculty and clinic staff to transform the clinic into a high-performing primary care practice.

Empowerment or Further Assault on Female Autonomy? Exploring Issues of Race, Class and Power in Post-Sexual Assault HIV Prevention
Principal Investigator:
Jessica Draughon Moret
Other UC Davis collaborators:
Funder:
UC Davis Feminist Research Institute
Award: $6,000
Period: March 1, 2017, to June 30, 2018
This project builds off a quantitative parent study examining factors theoretically associated with accepting and adhering to post-sexual assault HIV prevention treatment, and focuses on how issues of race, class and power have impacted whether post-sexual assault prevention treatment was offered, accepted and completed. The results of this study will inform the creation of an intervention to improve HIV prevention treatment follow-up as the continuation of a developing program of research.

Family Caregiving Institute
Principal Investigator:
Theresa A. Harvath
Other UC Davis collaborators: Heather M. Young, Elena O. Siegel, Ester Carolina Apesoa-Varano, Janice F. Bell, Ladson Hinton
Funder: Gordon and Betty Moore Foundation
Award: $5 million
Period: April 1, 2017, to March 31, 2021
The purpose of this grant is to support the Betty Irene Moore School of Nursing to launch the Family Caregiving Institute to support health and well-being for persons with chronic and serious illness as well as their family and caregivers.

The Neural Bases of Heightened Awareness to the Present Moment
Principal Investigator:
Sucharit Katyal, Philippe Goldin
Other UC Davis collaborators:
Funder:
Mind and Life Institute
Award: $13,546
Period: February 1, 2017, to December 31, 2017
It is common knowledge among practitioners that meditation enhances awareness of the present moment by reducing undesired rumination about the past or future. This lack of a need for updating the status of the world in relation to oneself, in turn, enables an enhanced and more joyful experience of the world. While such an understanding is intuitive, what are the brain mechanisms that mediate such a reduced need to reevaluate the world? One way this can be measured is using ambiguous sensory stimuli that drive the brain into a continuous reevaluation mode, with the internal perception shifting between multiple possible interpretations.The goal of the study is to investigate the neural mechanisms that accompany this slowing down of the temporal dynamics of such bistable perceptual stimuli. Specifically, testing the hypothesis, using behavioral and EEG measures, that expert meditators exercise this “staying in-the-perceptual-moment” control by having reduced task-irrelevant neural fluctuations at very early stages of sensory processing.

On Point: Shared Decision Making at the Point of Need in Cancer Care
Principal Investigator:
Katherine Kim
Other UC Davis collaborators: Richard J. Bold, Nicholas Rolphe Anderson
Funder: Boston University Center for Future Technologies in Cancer Care
Award: $265,550
Period: July 1, 2016, to June 30, 2017
For individuals with cancer, decisions regarding care management throughout the treatment phase are numerous. While shared decision-making aids for screening, prevention and selection of early treatment options are available, there is a lack of knowledge about how shared care management tools might support adherence to and outcomes of the treatments once selected. The proposed On Point technology is a mobile application that is interoperable with an electronic health record that enables shared care management and optimizes individuals’ adherence with their own plans of care during active therapy. In this project, the researchers will develop On Point from an existing prototype they created and assess feasibility of implementing the system with “precision” clinic visits that are fitted to individual needs. A “precision” visit is a new concept the team proposes, which is a person-centered clinic visit that addresses both clinical goals and individual goals and is tailored to meet the needs identified via the On Point app.