Updated: January 2017
The Seton Healthcare Family Research-UT Center for Health and Social Policy Research Collaborative on healthcare transformation seeks proposals from UT faculty and trainees and their collaborators for research projects that address how we can transform health care to more efficiently and effectively meet the physical, mental and social needs of individuals and advance the broader Central Texas capacity to assess the impact of health interventions and improve health outcomes. In this second research competition of the program, we are specifically interested in funding research that promotes novel cross-disciplinary, cross-institutional and/or community collaborations in the area of value-based care: new models of care delivery that are not based on the standard fee-for-service but focus more on delivering value to all involved (patient, provider, payer) with the ultimate goal of improving health. Preference will be given to proposals with activities that address one or more of the following research priorities:
- Methods: Development of innovative methods, or novel application of existing methods, to evaluate the implementation of value-based-care delivery models. Evaluation measures can include, but not be limited to, traditional health services measures (i.e., improved health outcomes per dollar spent), patient preferences, patient experiences, or personal beliefs around their health outcomes. Applicants may consider new methods that will enable “real-time” feedback, or even “predictive” analytics, that can be used to improve care delivery approaches frequently, vs. passive collection of data for months or years before analysis. Applicants may also consider new ways of evaluating care delivery that do not rely on fixed, pre-determined measures but take advantage of data already collected or new data collected over the course of the evaluation.
- Outcomes assessment: Increased understanding of the preferences, biases, expectations, and/or beliefs of patients around new types of value-based care programs. Focus should be on actual programs, such as those that are being deployed with Seton and Dell Medical School, not on general views of value-based care (click for descriptions of programs in women’s health and musculoskeletal care). Applicants may consider projects that will inform the deployment of new care delivery approaches that take into account the patients view, rather than a traditional provider-centric view, and could include shared decision-making between the patient and provider. Applicants may also consider how to assess the cost of incorporating these preferences or new approaches.
ELIGIBILITY FOR THE RESEARCH COMPETITION
- At least one research team member should be on the UT faculty or be a postdoctoral fellow (with support of a faculty member).
- Up to $50,000 in funding (total) may be requested for a period of 1-2 years. No-cost extensions will be allowed.
- Funds can be used for personnel and other research costs as allowed in standard UT budget categories. Indirect costs do not have to be included in project budget; these are charged under the master UT-CHASP-Seton agreement.
- Anticipated funding start date: On or after April 1, 2017.
FULL PROPOSAL REQUIREMENTS
Full proposals are due to the Center for Health and Social Policy by Friday, January 20, 2017. Click for PDF for the Call for Proposals. If you are submitting a proposal, please contact Wendy Gonzales at email@example.com for additional information and proposal template. Please also mark your calendars for the second one-day “Transforming Healthcare through Research Collaboration Symposium” on Wednesday, April 26, 2017 at the LBJ School of Public Affairs.
The LOIs/proposals should address one or more topical areas of interest to UT CHASP-Seton (described above), have strong methods and rationale, and facilitate collaboration across disciplines or organizations as appropriate. Detailed proposal review criteria will be distributed to all who submit an LOI and will be discussed at the November 10 meeting in Austin.
TIMELINE FOR RESEARCH COMPETITION
- October 17, 2016: 1-page Letters of Intent due
- November 10, 2016, 3-5 pm, LBJ School of Public Affairs (Room 3.124, 2315 Red River St.): Meeting of research program partners and applicants interested in preparing full proposals for the research competition
- January 20, 2017: Full proposals are due
- March 6, 2017: Notification of grant awards
- Anticipated project start date: On or after April 1, 2017
Please contact Wendy Gonzales at the Center for Health and Social Policy at firstname.lastname@example.org with questions about the grant competition.
CHASP director and LBJ professor Dr. Cynthia Osborne and her colleague Dr. Paula Fomby recent published Family Instability, Multipartner Fertility, and Behavior in Middle Childhood in the Journal of Marriage and Family addressing the complexities of family structure, specifically related to family instability, multipartner fertility, and child wellbeing.
Dr. Osborne is expert in social policy, poverty and inequality, family and child wellbeing, and family demography issues. For more on her work on family instability, click here.
The full paper is available at http://onlinelibrary.wiley.com/doi/10.1111/jomf.12349/full.
Two concepts capture the dynamic and complex nature of contemporary family structure: family instability and multipartner fertility. Although these circumstances are likely to co-occur, their respective literatures have proceeded largely independently. The authors used data from the Fragile Families and Child Wellbeing Study, a longitudinal birth cohort study including nearly 5,000 children born between 1998 and 2000 in hospitals in 20 U.S. cities, to consider these dimensions of dynamic family structure together, asking whether they independently predict children’s behavior problems at age 9. Frequent family instability was consistently predictive of higher predicted levels of behavior problems for children born to mothers who were unmarried, an association largely attenuated by factors related to family stress. Multipartner fertility was robustly related to self-reported delinquency and teacher-reported behavior problems among children born to mothers who were married.
- Family structure transitions and multipartner fertility often co-occur: one in eight children born to parents who were married and almost one in two children born to parents who were unmarried in large U.S. cities experience both types of family change by age 9.
- Family instability and multipartner fertility are associated with higher levels of behavioral problems in 9-year-old children, but the relationships vary across parents’ union status at birth.
- Indicators of family context reflecting family stress theory diminished the observed association between family change and child behavior to a greater extent than did those related to family boundary ambiguity.
- The magnitude of the association of family instability and multipartner fertility coefficients are similar for children born to mothers who were married or mothers who were unmarried, with the exception of the relationship between multipartner fertility and child-reported delinquency.
CHASP Faculty Associate and LBJ School Professor Abigail Aiken has accepted a joint appointment to the nine-member Central Health Board of Managers. This all-volunteer board is composed of four appointees from the Austin City Council, four appointees from the Travis County Commissioners Court and one joint appointee. Aiken was approved by the Travis County Commissioners Court on December 6 and by the Austin City Council on December 15.
In an interview for the position late last month, Aiken said, “I feel really strongly that as a professor of public affairs, if you have those skills and you can share them with people in the community, you should do that, and that’s why I would really welcome the opportunity.” Aiken’s background is extensive and interdisciplinary with experience in clinical medicine, public health, demography, and public affairs.
Originally from Ireland, Aiken earned her undergraduate degree from the University of Cambridge, her medical doctorate from the University of Cambridge, her master’s in public health from Harvard University and her doctorate in public policy from the University of Texas at Austin. She also worked as a postdoctoral research associate at the Office of Population Research and a lecturer in the Woodrow Wilson School of Public Affairs at Princeton University.
Aiken’s research interests are focused on reproductive health and span several disciplines, combining backgrounds in biomedical science, demography, public health, and public policy. Her work has been published in the New England Journal of Medicine, American Journal of Public Health, Social Science and Medicine, Perspectives on Sexual and Reproductive Health, and Obstetrics and Gynecology, among others.
Learn more about Aiken’s joint appointment to the Central Health Board of Managers.
- Community Impact: Abigail Aiken confirmed Thursday to Central Health board
As always, our CHASP faculty affiliates have been busy this semester. Have a look at what they’ve been working on in addition to teaching:
- Dr. Jacqueline Angel – Angel co-organized the annual International Conference on Aging in the Americas bringing together top researchers, speakers, and emerging scholars addressing key issues in aging, health, and policy in the Americas. The Dallas Morning News recently featured her op-ed “The risks of meddling with Obamacare while the nation’s health is on the line.” Angel was also appointed the new Graduate Advisor for the LBJ School’s Masters in Public Affairs program, replacing another CHASP faculty affiliate, Dr. Pat Wong.
- Dr. Erin Lentz – Top political news outlet, The Hill, featured Lentz’s op-ed “In the fight against hunger, why don’t we prioritize women?” that references her new research project on women’s nutritional outcomes in Bangladesh. Lentz also guested on the popular podcast The Secret Ingredient – The Future of Food on “Feeding Austin’s Hungry.”
- Dr. Cynthia Osborne – Osborne’s newest paper “Home Visiting Programs: Four Evidence-Based Lessons for Policymakers” was published in the journal Behavioral Science & Policy Association. Osborne also celebrated the 5th anniversary of her policy research center, the Child and Family Research Partnership, which is now the largest research group at the LBJ School of Public Affairs. She and CFRP are also hosting the second annual Texas Fatherhood Summit in March 2017 for policymakers, researchers, and practitioners from all over the state and country.
- Dr. Paul von Hippel – von Hippel’s new paper, From Kindergarten Through Second Grade, U.S. Children’s Obesity Prevalence Grows Only During Summer Vacations, was recently published in the journal, Obesity. von Hippel also was awarded a grant from the William T. Grant Foundation to improve the use of research evidence.
LBJ professor and CHASP faculty associate, Dr. Erin Lentz, recently published an op-ed on hunger and domestic violence in Bangladesh that was featured in The Hill. In this piece, titled In the fight against hunger, why don’t we prioritize women?, Lentz examines if – in the public conversation around hunger – we are asking and prioritizing the right questions, and she also suggests that the key to ending hunger may not lie with food alone, but also with the well-being of women.
At the LBJ School of Public Affairs, Lentz studies food insecurity and related policy issues with both domestic and international lenses. She is currently pursuing two parallel research agendas. First, she examines issues of food insecurity, U.S. and international food aid and assistance policies, and response analysis – the portion of the programming cycle in which an agency identifies what transfer to distribute (cash, food, or vouchers). Second, she studies the relationships among subjective wellbeing, community attributes, relative deprivation, and inequality in sub-Saharan Africa. Last year, Lentz taught a Policy Research Project (PRP) with colleague Raj Patel centered on building the City of Austin’s first Food System Strategic Plan.
Lentz received a Fulbright Fellowship to Bangladesh to research the secondary effects of food aid in local communities. She has worked or consulted with CARE, the United Nations World Food Program, and numerous other international NGOs on markets, food security and food assistance programs. Over the past decade, she has published extensively on these issues in both academic and policy venues. In addition to her latest op-ed in The Hill, Lentz has also been in featured in New York Times, Washington Post, and National Public Radio.
- Policy Research Project: A Balanced, Food Systems Plan for the City of Austin
- More about Dr. Erin Lentz
- KUT 90.5 – Views & Brews: Feeding Austin’s Hungry (September 16, 2016)
- Austin American-Statesman – Serving Austin’s hungry residents requires listening to them (July 10, 2016)
- Austin American-Statesman – A word to FLOTUS: Let’s all move (March 15, 2016)
CHASP faculty associate and The LBJ School of Public Affairs professor Dr. Jacqueline Angel published an op-ed in The Dallas Morning News on the potential impacts of cutting or modifying the Affordable Care Act: http://www.dallasnews.com/opinion/opinion/2016/11/22/nations-health-running-fever-risks-meddling-obamacare
CHASP faculty associate Dr. Paul von Hippel’s newest paper, From Kindergarten Through Second Grade, U.S. Children’s Obesity Prevalence Grows Only During Summer Vacations, was published in the journal, Obesity, about a study examining if the rates of childhood obesity grow faster during the school year or during summer vacation. This study builds on von Hippel’s previous work on childhood obesity, published in 2007 in the American Journal of Public Health.
The findings, as described by The University of Texas at Austin News outlet:
- Between the start of kindergarten and the end of second grade, the prevalence of obesity increased from 8.9 percent to 11.5 percent, and the prevalence of overweight children increased from 23.3 percent to 28.7 percent.
- All of the increase occurred during summer vacations. During the school years, overweight prevalence did not change, and obesity prevalence slightly declined.
- Because prevalence increases during the summer, it appears that major risk factors lie outside of schools.
The abstract can be found below and with the full paper at http://onlinelibrary.wiley.com/doi/10.1002/oby.21613/full
- UT Austin News: Childhood Obesity and Overweight Rates Rise Only During Summer Break, Not During School Year, Research Shows
- NPR: Children Gain Weight Faster Over Summer Break Than In School
- WebMD: Lazy Summer Days Mean Weight Gain for Young Kids
- NY Times: For Schoolchildren, Weights Rise Along With Summer Temperatures
- ACSH: For Little Kids, School’s Healthier than Summers at Home
- Yahoo News: Summer breaks lead to childhood obesity, not school year
- Medscape: Childhood Obesity Rates Rise in Summer Holidays, Not School Year
- Austin360: Will winter break cause your kids to gain weight? Study from University of Texas would say so
- InForum: Parents, summer is when kids are likely to add on pounds
- Reuters: Summer may be the most fattening time of year for kids
To assess the relative importance of school and nonschool risk factors, this study estimated whether overweight and obesity prevalence grows faster during the school year or during summer vacation.
In the Early Childhood Longitudinal Study, Kindergarten Class of 2010–11, a nationally representative complex random sample of 18,170 U.S. children was followed from the fall of kindergarten in 2010 through the spring of second grade in 2013. Children’s weight and heights were measured in schools each fall and spring. A multilevel growth model was used to estimate growth in mean BMI, overweight prevalence, and obesity prevalence during each summer and each school year.
From the fall of kindergarten to the spring of second grade, the prevalence of obesity increased from 8.9% to 11.5%, and the prevalence of overweight increased from 23.3% to 28.7%. All of the increase in prevalence occurred during the two summer vacations; no increase occurred during any of the three school years.
The risk of obesity is higher when children are out of school than when they are in school.
Congratulations to CHASP director Dr. Cynthia Osborne as she celebrates the 5th Anniversary of her in-house research center, the Child and Family Research Partnership (CFRP). CFRP specializes in policy research on issues related to young children, teens, and their parents.
Launched in 2011 to be a resource for local, state, and national decision makers aiming to strengthen families and improve child wellbeing, CFRP has succeeded in providing rigorous research and evaluation to inform policy decisions. CFRP is a large team of full-time staff research associates and graduate students. Dr. Osborne has hired over 100 students over the years giving them unique opportunities to apply and hone real world research skills.
The LBJ School of Public Affairs and Dean Angela Evans hosted a reception celebration with partners and colleagues in late October. At the celebration, Dr. Osborne and the School also honored one of CFRP’s founding partners, Charles Smith, the Executive Commissioner of the Texas Health and Human Services Commission.
Dr. Osborne reflected on the first five years in post “5 Questions for 5 Years.”
Social policy and health scholars wait nervously at the end of each summer for the Census Bureau to release its annual report on Income, Poverty, and Health Insurance Coverage in the United States. This report is one of the most important national scorecards on our collective health and wellbeing.
Most of us breathed a sigh of relief when we saw the impressive gains in median income and declines in the proportion of us living in poverty and lacking health insurance in this newest release (2015). After years of stagnation, especially for those at the bottom end of the income distribution, incomes grew considerably. This growth occurred for all income levels and race and ethnic groups; in fact, the most vulnerable and disadvantaged among us saw the greatest gains – a fact to truly celebrate.
Despite these important gains, scholars here in the South continue to lament that our region trails the rest of the country. Whereas median household income grew 5.2% for the average household in the U.S., it grew only 2.9% for those of us living in the South. Our poverty rate is 15.3% compared to the national average of 13.5%, and in Texas, we have nearly double the rate of uninsured households (17.1%) than the rest of the country (9.1%).
State-level data will be released tomorrow, so we will have more detailed information on how Texas is doing compared to other Southern states and compared to the U.S. as a whole. But if history is a guide, the numbers will show we have a lot of work to do to live up to the goals we all have for our great state. More than 1 out of every 10 children in the U.S. is born in Texas; therefore, the wellbeing of our Texas children and families fuels the wellbeing of the whole nation. Our growth is not only important for a robust economy and society here in Texas, but it is vital for the health and wellbeing of the country as a whole.
Cynthia Osborne, Ph.D.