Jan 2015 Graduate Research Projects Project #1 Faculty Name: Jonathan Purtle Project Title: Exploring Intersections of Race, Ethnicity, Class, and Gender in Newspaper Stories about Post-traumatic Stress Disorder Reference Title: Purtle – Intersections of Race Project Description: Post-traumatic stress disorder (PTSD) is a potentially debilitating mental health condition that people are at risk of developing after exposure to a traumatic event (e.g., war, community violence). Given that rates of violent crime are elevated in low-income racial and ethnic minority communities in the United States, rates of traumatic stress exposure are disproportionally high and racial and ethnic disparities in PTSD prevalence exist. Despite substantial evidence documenting the burden of PTSD among racial and ethnic minority individuals in urban settings, PTSD is typically thought of, discussed, and addressed as a military problem. As a result, there is limited knowledge about racial and ethnic disparities in PTSD and risk of PTSD after exposure to community violence. This lack of knowledge limits the extent to which public policy is used to eliminate racial and ethnic disparities in PTSD and inhibits treatment seeking behavior among people affected by the mental health condition. Mass media, such as newspapers, are a major source of people’s knowledge about health issues. Media stories about PTSD, however, have not been the focus of any existing research. This Open Doors project will being to address this knowledge gap through a content analysis stories about PTSD published in The New York Times. The student who works on this Opening Doors project will work with Dr. Purtle to explore how themes of race, ethnicity, gender, and social class intersect in news stories about PTSD. Student responsibilities will include working with Dr. Purtle to develop a coding framework to categorize the news stories, reading and coding the news stories using computer software, analyzing results, and helping prepare an article for publication. The Opening Doors student will be listed as a co-author on the publication. The student will also read articles assigned by Dr. Purtle and attend meetings with Dr. Purtle to learn about efforts to eliminate racial and ethnic disparities in PTSD in Philadelphia and other cities across the United States. This Open Doors project is part of larger research project that focuses on understanding how the general public and policy makers think about PTSD. The ultimate aim of the project is to develop evidence-based advocacy and health communication strategies that help eliminate racial and ethnic disparities in PTSD. Required Skills/Experience: Qualitative Analysis, Quantitative Analysis, Research Synthesis, Data Collection, Data Input, Prepare Manuscripts Preferred Skills/Experience: Strong analytic thinking skills, Strong organization skills, Undergraduate or graduate coursework in communications or social science preferred, but not required Required Software Knowledge/Experience: None Stated by Faculty Project #2 Faculty Name: Randall Sell Project Title: Identifying Trends in LGBT Health Research Funding at NIH Reference Title: Sell - LBGT Trends Project Description: The student will continue the project begun by opening doors student Caroline Voyles which is about to be published in the American Journal of Public Health. The student will create and analyze a dataset of NIH funding for 2013. LGBT funding by IC, review group and health topic will be identified. The student will write a paper comparing 2013 data with data collected by Caroline and the student will put the findings into a sociopolitical context. The student will have to think about how existing policies produced findings and propose new policies if findings indicate the need to do so. Required Skills/Experience: Quantitative Analysis, Literature Reviews, Data Collection, Prepare Manuscripts Preferred Skills/Experience: Microsoft Excel Required Software Knowledge/Experience: Microsoft Excel Project #3 Faculty Name: Suruchi Sood Project Title: Research and programme guidance on designing, implementing, and evaluating C4D interventions to prevent and respond to violence against children. Reference Title: Sood – C4D Interventions Project Description: In May 2012, the Communication for Development (C4D) and Child Protection (CP) Sections in UNICEF NYHQ engaged a team of consultants to undertake a three-part research study to systematically analyse programmes addressing VaC using C4D approaches. The overarching research question the study sought to answer was: “What are the effects of communication for development (C4D) approaches to address violence against children?” The end goal of the assignment was to present recommendations to guide UNICEF Country and Regional Office with future programming and research. The systematic review examined existing evidence available online from 2000-2013 in order to derive the best possible and generalizable statements about the effectiveness of C4D approaches to address VaC. For a comprehensive understanding of VaC, the systematic review included interventions addressing different forms of physical, emotional and sexual violence and certain harmful practices such as child marriage and female genital mutilation/cutting (FGM/C). Starting with over 80,000 hits, the manuscripts were closely reviewed based upon inclusion and exclusion criteria and ultimately, 302 were summarized and analysed. Project Description For these reasons, UNICEF and Drexel University agreed on the importance of extending their work and entering into a partnership to address these weaknesses and fill the gaps in terms of providing global and direct programme guidance. The goals of this partnership are three-fold: 1) To jointly publish and disseminate the findings of the systematic review research 2) To provide global guidance for M&E on using C4D approaches to address Vac. 3) To provide joint technical assistance to selected COs on the M&E needs associated with the design, implementation, and evaluation of interventions utilizing C4D approaches to address VaC Student Tasks Some of the potential tasks students may be involved with include: • • Develop user-friendly, succinct version of the systematic review with essential information tailored to field staff needs and daily realities Create copy-ready versions of issue-specific summaries with theoretical, programmatic, and methodological recommendations based on the systematic review • • • • • Data cleaning, analysis, management, and interpretation Prepare manuscript for submission in a peer-reviewed journal Contribute background and technical content for a global guidance note of M&E for C4D Disseminate findings (power point and in-person presentations) Prepare materials and activities for technical assistance Required Skills/Experience: Qualitative Analysis, Data Input, prepare Manuscripts, Prepare Presentations, Strong Oral and Written Communication Skills Preferred Skills/Experience: • Strong organizational skills • Detail-oriented • Ability to work independently and as part of a team • Global health experience • Experience working on child health issues • Experience using a statistical software package (e.g. SPSS, SAS, STATA) Required Software Knowledge/Experience: Microsoft Office Project #4 Faculty Name: Mark Zarella Project Title: Breast cancer prognosis and potential biomarkers for detection in young African American women Reference Title: Zarella – Breast Cancer Project Description: Although breast cancer is relatively uncommon in young women (under the age of 40), these patients are especially vulnerable to more aggressive subtypes of breast cancer, and often carry a poorer prognosis than older patients. Furthermore, it has been shown that young African American women carry an even poorer prognosis, making this an especially high risk group. It is therefore important to tailor specific diagnostic and therapeutic methods to these patients. We have previously developed biological and computational methods to stratify breast cancer patients according to risk of recurrence and potential response to treatment. We propose to undergo a similar set of studies to identify diagnostic variables that could be analyzed specifically in young African American women to predict outcomes and guide therapy decision-making. The student will perform advanced statistical and correlational analyses in existing databases to identify the variables that can potentially be harnessed to predict patient prognosis and breast cancer subtype in this patient population. Required Skills/Experience: Quantitative Analysis Preferred Skills/Experience: A strong statistical and mathematical foundation will be necessary to carry out the work. Ability to write simple computer scripts in Matlab or a similar analysis tool would be beneficial to the student’s productivity. Basic biology knowledge is not necessary to carry out the proposed work, but would help give the student insight into some of the issues and considerations. HIPAA training will be required if the student does not already have it, so if the student has already completed the necessary training modules then it will save some time. Required Software Knowledge/Experience: Quantitative Software, any stats package Comments: Must be able to work at the Center City Campus Project #5 Faculty Name: Ray Lum Project Title: Addressing the Health Disparities of Mental Health in the Asian Population Reference Title: Lum - Mental Health Project Description: The research project looks at measuring health disparities of mental health in the Asian population in Philadelphia. Over the past several years, the Asian Health Collaborative of Greater Philadelphia (co-founder) and the Executive Director of the Governor’s Advisory Comm ission on Asian American Affairs of Pennsylvania have been collaborating to provide overarching direction of Asian mental health activities in the Philadelphia region regarding screening, education and support activities. The data regarding the improved health outcomes within the Asian population have not been measured. The focus of this research is to establish models and performance measures regarding health disparities among the Asian population. The project will establish (1) a flow diagram of points of access to care, (2) attributes for cultural competent social marketing campaigns and (3) an integrative patient center model for continuity of care. Required Skills/Experience: Qualitative Analysis, Quantitative Analysis, Literature Reviews, Data Collection, Prepare Presentations, Working with Community, Prepare an issue brief and policy documents Preferred Skills/Experience: Good professional communications skills. Strong organizational skills. Balance quantitative and qualitative skills. Good critical thinking and analytical writing Comfortable in interfacing with Asian community based organizations. Comfortable with interacting with large organizations. Be able to work independently with supervision. Required Software Knowledge/Experience: GIS (will be trained) Project #6 Faculty Name: Katie McPeak Project Title: What Women Want: Improving Service Delivery and Breastfeeding Support for Women Living in North Philadelphia.” Reference Title: McPeak –Breastfeeding Support Project Description: This project has already been IRB approved through the St. Chris and Drexel IRB, started as a CBMP project for Triza Brion, MPH. As Triza leaves St. Chris, there is great desire to continue this research. Essentially, we are trying to identify strengths and barriers to breastfeeding support, continuation, and exclusivity in a 90% minority/underserved population. Our goal is to conduct focus groups, surveys, and key informant interviews on women who face challenges in breastfeeding t h e i r child. St. Christopher’s breast feeding rates fall below the Philadelphia average, which is significantly lower than national breastfeeding rates. Women of color are significantly less likely to breastfeed their children. We would like to try to bridge the gap between pregnancy care, hospital care, and postpartum care, to facilitate better peer mentoring and community connections for breastfeeding support. As we move into our new facility, the Center for the Urban Child (Sept, 2014), one of our major goals in our newborn center is to provide culturally-sensitive and patient-centered care to a population of newborn mother-baby, mothers who already experience significant barriers that prohibit successful breastfeeding of their children. The student will be tasked with the following responsibilities: • Conduct in person surveys of newborn mothers at their first post partum visit • Conduct follow up in person and telephone surveys of breastfeeding mothers at their 1-2 month infant visits regarding breastfeeding support • Participate in program evaluation and data analysis of above surveys and qualitative interviews Participate in bi-weekly newborn/breastfeeding research team meetings to promote project PDSA cycles and ongoing refinement • Submit IRB revisions as determined by newborn/breastfeeding team • Write summary reports of program evaluation and data • Submit abstract to national meeting w/ results (PAS meeting, SPH meetings) Required Skills/Experience: Quantitative Analysis, Qualitative Analysis, Literature Reviews, Data Collection, Data Input, Prepare IRB Materials, Prepare Manuscripts, Prepare Presentations, Working with Community Preferred Skills/Experience: SAS/SPSS, Excel, Survey construction, Program evaluation Project #7 Faculty Name: Stacey Trooskin Project Title: C a Difference: Integrating Hepatitis C testing and linkage to care services into clinical and community based settings. Reference Title: Trooskin - Hepatitis Project Description: Hepatitis C is the most common blood-borne infection in the United States, with over 5 million anti-HCV positive individuals. However, it is estimated that 50 to 75% of chronically infected individuals are unaware of their infection. The reason for this deficit in knowledge is multifactorial and includes lack of access to care and in many cases, failure of providers to test. HCV disproportionally affects African Americans and Hispanic Americans, with over 30% of the known cases affecting these two groups. “C a Difference” is a comprehensive HCV testing and linkage to care program that aims to integrate best practices in hepatitis C testing and linkage to care services into clinical and community based settings. It is our hope that this program will increase access to testing and treatment and decrease racial and ethnic disparities that currently exist. We have partnered with two community based organizations, BEBASHI (Blacks Educating Blacks about Sexual Health Issues) and PHOP (Philadelphia Hepatitis Outreach Project). We provide on-going HCV education and training to the staff members to conduct HCV rapid antibody tests with reflexive confirmatory HCV PCR testing in high risk populations in Philadelphia. Each community based organization is encouraged to conduct at least 500 rapid tests with appropriate confirmatory testing 100% of the time. The “C a Difference” program has also increased HCV testing and referral rates within the Drexel University College of Medicine primary care practices by providing HCV education and support that has assisted providers in integrating the CDC’s birth-cohort HCV testing recommendations into their clinical practice. We have created two EMR testing prompts to support provider testing. The first identifies birth cohort patients who do not have a documented HCV test and the second identifies patients with a previous reactive antibody test or a ICD-9 diagnosis consistent with HCV infection who do not have a confirmatory test on record. The first prompt encourages HCV antibody screening with reflexive confirmatory testing and the second encourages confirmatory testing alone. All individuals with a positive confirmatory test obtained in the community or in the primary care setting are connected to a Patient Navigator (PN) and referred to subspecialty care within the DUCOM system. The PN offers education and counseling to all participants and will help those chronically infected engage in care. This is done with phone calls, home visits, obtaining referrals, making appointments, arranging for transportation and accompanying patients to their appointments. Uninsured patients work with the PN to gain insurance coverage. All chronically infected individuals are offered subspecialty care at either The Viral Hepatitis Clinic at the Partnership Comprehensive Care Practice or with the Hepatology group at the Drexel Center for Liver, Biliary and Pancreas Disease. The student will be expected to work with study staff to identify differences in demographic and clinical characteristics of HCV positive patients identified in the community versus the clinical setting. They will also assess differences in barriers to care and predictors of successful linkage to care that exist between the two groups. We will be conducting follow up interviews with our patients so that we may also describe changes in participant knowledge of HCV and their experience with the health care system. Based on these findings the student will help to describe optimal models of testing and linkage to care for community and clinical settings that will overcome racial, ethnic and socioeconomic disparities in HCV infection. The student will be expected to work with community and clinical partners, analyze data, participate in the writing of manuscripts for submission to peer reviewed journals and present data locally and at national meetings. Required Skills/Experience: Qualitative Analysis, Quantitative Analysis, Literature Reviews, Prepare Manuscripts, prepare Presentations, Working with Community Preferred Skills/Experience: We prefer that the student is familiar with SAS, SPSS or other data analysis programs. Familiarity with the REDCap (Research Electronic Data Capture) program is a plus and if preexisting familiarity does not exist, then willingness to learn how to use REDCap is a must. Comfort in working with community partners and study participants is preferred. We are looking for an applicant that has excellent organizational skills and works well in a team environment. Required Software Knowledge/Experience: Quantitative Software, Qualitative Software, SAS, SPSS Project #8 Faculty Name: Phil Massey Project Title: What’s in a Tweet about Cancer Prevention? An analysis of HPV vaccination messages on Twitter. Reference Title: Massey – Twitter Project Description: With between 350-500 million tweets each day covering a range of topics, the social media platform, Twitter, has the potential to provide insight into information and communication trends. Evidence from the Pew Research Center suggests that Twitter and other social media platforms may prove effective in reaching and engaging with health disparities populations – in 2012 39% of African American youth indicated using Twitter compared with 23% of non-Hispanic White youth. These data indicate an opportunity to reach and engage a diverse youth audience. The growing evidence base using Twitter for public health research and practice, coupled with the composition and distribution of Twitter users, supports the extension of this area of inquiry into cancer prevention research, namely related to Human papillomavirus (HPV) vaccination. The purpose of this study is to examine trends and content of tweets related to HPV vaccination between August 2014 and July 2015. The student will be responsible for data management and data analysis of a sizeable database of tweets related to HPV vaccination within the study period. The PI and student will identify a research question that they will answer using the Twitter dataset, and may include: trend analysis, social network analysis, and content analysis. Required Skills/Experience: Qualitative Analysis, Quantitative Analysis, Literature Reviews, Prepare Manuscripts, Prepare Presentations Preferred Skills/Experience: • • • • • • Comfort working with large datasets. Familiarity with trend analysis or social network analysis is a plus, though not required – this can be learned and developed throughout the traineeship. Interest in social media and health promotion among diverse youth populations. Ability to problem solve Self directed and ability to think creatively Data analysis has the potential to include both quantitative and qualitative, with emphasis based on agreed upon research question by PI and student. Required Software Knowledge/Experience: Quantitative Software, Qualitative Software, STATA, Social Network Analysis Comments: Data Analysis will be a major part of this part Project #9 Faculty Name: David Lind Project Title: Do Health Providers Demonstrate Bias When Interacting with Minority Virtual Patients? Reference Title: Lind- Virtual Patients Project Description: Provider implicit bias may contribute to healthcare disparities. Our research group has previously shown that students demonstrate bias when interacting with a dark skin toned or Muslim virtual patients. The student will work with our research team to create VPs from different racial, ethnic and other minorities (Asian, African American, Latino, LGBT etc.) in the Philadelphia area. The student will then study the interactions between health professions students and practitioners and the minority VPs to determine if they exhibit implicit/unconscious bias with respect to the interaction and treatment recommendations. Required Skills/Experience: Literature Reviews, Data Collection, Prepare Presentations Preferred Skills/Experience: • There are no skill/experience requirements other than a willingness to learn and work with our existing research team that includes myself, surgical residents and other students. Required Software Knowledge/Experience: None Comments: Please call/Email me to further discuss – 215-762-4157 – david.lind@drexelmed.edu Project #10 Project Title: Evaluating the Implementation of Smoke Free Public Housing Reference Title: Klassen-Smoke Free Project Description: The City of Philadelphia Department of Public Health has partnered with Drexel School of Public Health for the past three years, to evaluate the implementation of smoke-free policies in Philadelphia Housing Authority communities. As the policy has been developed and introduced to stakeholder groups, we have conducted qualitative and structured surveys, as well as passive nicotine air monitoring. In the coming year, we will continue to conduct interviews and monitoring, as well as work with the Health Department and Housing Authority on implementation issues. The research assistant will be a partner with a team of faculty analyzing the survey and focus group data for creating reports and manuscripts, as well as designing and implementing on-going data collection. Other activities are potentially possible, to fit with student interests. Meetings with Health Department partners are also an important part of the team activities. Required Skills/Experience: Qualitative Analysis, Quantitative Analysis, Data Collection, Data Input, Prepare Manuscripts, Prepare Presentations, Literature Reviews, Working with Community Preferred Skills/Experience: Interest in mixed methods work, understanding of issues related to tobacco addiction and second hand smoke related diseases. Some experience with data management and analysis desirable but not required. Good writing skills. Required Software Knowledge/Experience: SPSS Comments: Multiple positions are possible, if sufficient student interest. Project #11 Project Title: Eating for Life: Promoting Dietary Change in Long Term Cancer Survivors Reference Title: Klassen- Cancer Project Description: This National Cancer Institute funded study collected data on dietary patterns from long term survivors of breast, prostate and lymphoma cancers, and used dietary recalls to prompt discussions with patients about cancer, diet, and their health. All data have been collected, and we are analyzing data for manuscripts. The research assistant will be partner with a team of faculty analyzing the data for creating reports and manuscripts. Required Skills/Experience: Qualitative Analysis, Quantitative Analysis, Data Input, Prepare Manuscripts, Prepare Presentations, Literature Reviews Preferred Skills/Experience: Interest in mixed methods work, understanding of issues related to diet and cancer survivorship. Some experience with data management and analysis desirable but not required. Good writing skills. Required Software Knowledge/Experience: SPSS, STATA Comments: Multiple positions are possible, if sufficient student interest. Project #12 Project Title: Evaluating the Salt Media Campaign Reference Title: Klassen- Salt Media Project Description: The City of Philadelphia Department of Public Health has partnered with Drexel School of Public Health for the past year and a half, to develop content for a salt reduction media campaign, focusing on African American adults at risk for stroke, hypertension and heart disease, from excess salt in their diets. We have collected formative data through focus groups, and collected baseline intercept surveys with 400 adults prior to the campaign launch. The campaign uses billboards on buses and transit, as well as radio ads, and will run from June, 2014 through May, 2015. The research assistant will be a partner with a team of faculty analyzing the survey and focus group data for creating reports and manuscripts, as well as designing and implementing on-going data collection. This will involve working in teams to conduct "street intercept" surveys in Philadelphia, and also conducting monitoring assessments for program fidelity, including listening to radio stations at structured times, and conducting structured observations of transit advertising. Other activities are potentially possible, to fit with student interests. Meetings with Health Department partners are also an important part of the team activities. Required Skills/Experience: Qualitative Analysis, Quantitative Analysis, Data Input, Prepare Manuscripts, Preferred Skills/Experience: Interest in mixed methods work, understanding of issues related to dietary disparities, the food environment, mediated communication, and chronic disease prevention. Some experience with data management and analysis desirable but not required. Good writing skills. Required Software Knowledge/Experience: SPSS, STATA Project #13 Project Title: Creating Eco-literacy: Agency and Responsibility in Media Presentation of Sustainability Issues in Diverse Populations Reference Title: Klassen- Eco-Literacy Project Description: The environmental movement has long suffered from a public image of elitism, and the interests and goals of environmental activists are often portrayed as either irrelevant, or directly in conflict with, the needs of low resource populations and communities. This limits the ability of sustainability policies to gain widespread support, and to achieve full potential for insuring future health and well-being at a population and global level. Low resource communities are seldom portrayed as being in control of their environmental future, and rarely given the practical tools needed to achieve “eco-literacy” and create sustainable lifestyles into their own communities and families. Thus the group most in need of education and skills in order to contribute to sustainability are the least likely to receive them. The goals of this exploratory mixed methods study are to conduct an analysis of news and popular press coverage of sustainability and environmental issues, with particular focus on content related to diverse and vulnerable populations and communities. As part of a team, student will help identify and code news articles, enter data and analyze both qualitative and structured coding content, and prepare presentations and manuscripts. Required Skills/Experience: Qualitative Analysis, Quantitative Analysis, Data Input, Prepare Manuscripts, Preferred Skills/Experience: Interest in mixed methods work, understanding of issues related to environmental justice, mediated communication, and framing theory. Some experience with data management and analysis desirable but not required. Good writing skills. Required Software Knowledge/Experience: SPSS, STATA Project #14 Project Title: Integrating diagnostic computational pathology in underserved communities. Reference Title: Breen – Computational Pathology Project Description: Recent advances in high-throughput molecular techniques have aided pathologists in the diagnosis of disease and ultimately the treatment that patients will receive. For instance, the Oncotype DX gene expression assay is more frequently becoming a diagnostic tool in breast cancer management, although its high cost can be prohibitive for many underserved communities. Our lab has developed novel image processing techniques to computationally evaluate routinely acquired microscopic images of excised breast tissue, including tissue obtained from diagnostic core needle biopsies. We have shown that this technique can predict tumor attributes important for guiding treatment, and believe that it can potentially be used as a surrogate for expensive molecular techniques or surgical intervention. We aim to investigate the integration of this procedure into clinics in underserved areas. The student working on this project will 1) examine current methods and protocols to determine shortcomings in diagnostic accuracy in these populations; 2) run simulations to identify potential cost savings and diagnostic improvements accompanying the integration of computational image analysis into clinics. Required Skills/Experience: Quantitative Analysis, Literature Reviews, Data Collection, Basic Computer Skills Preferred Skills/Experience: A thorough understanding of how to conduct literature reviews will be necessary to carry out the proposed project. Knowledge of computational techniques, possibly including writing scripts in Matlab or similar, may be required to conduct simulations to examine diagnostic accuracy and treatment efficacy. Required Software Knowledge/Experience: Quantitative Software, Project #15 Project Title: Piloting a Needs Assessment Survey to a Cluster of LGBTQ Racial Minority Young Adult in Philadelphia, PA Reference Title: Villanueva - LGBTQ Project Description: This project seeks to expand upon the significance of same-sex and/or gendervariant behavior within the context of LGBTQ young adults’ racial and ethnic minority cultures, by seeking a clearer understanding of the health-related risks and protective factors as well as other identified critical needs among the noted cluster, and factors accounting for differences between those who are low and high-risk by. Specifically, this project aims to: 1) Administer needs assessment surveys (n=50) to a cluster of LGBTQ young adults of color between the ages of 18-23, 10 per each of the specifically noted subgroups, to ensure refinement of the instrument; 2) Conduct 50 qualitative one-on-one semi-structured interviews with the same cluster of LGBTQ young adults of color between the ages of 18-23, 10 per each of the noted subgroups, to further explore identified salient themes; Required Skills/Experience: Quantitative Analysis, Qualitative Analysis, Prepare Manuscripts, Data Input, Prepare presentations, Literature Reviews, Data Collection, Working with Community Preferred Skills/Experience: In addition to a background and In addition to a background and experience in statistical as well as qualitative methods, it will be important for interested students to have strong interpersonal skills when working with LGBTQI youth. Similarly, it may also be helpful to be bilingual and bicultural in Spanish as some of the populations to be reached will include Latino youth. Required Software Knowledge/Experience: Quantitative Software, Quantitative Software, SAS, SPSS, Atlas-TI, NVIVO