The Center for Applied Health Research (CAHR) supports competitively funded investigator-initiated research to generate applied health knowledge across our health care system

Founded in 2010 under the guidance of Dr. Alejandro Arroliga, Chief Clinical Innovation Officer, Baylor Scott & White Health, we are a multidisciplinary, system-level research center within the Baylor Scott & White Research Institute (BSWRI) and serve as a collaborative for researchers, clinicians and community leaders who seek to improve health care delivery and health outcomes. The core value of CAHR is to support innovations that lead to improve outcomes and the value of care for our patients and community. We are located in Temple and Dallas, Texas.

Collaborations

CAHR programs wheel

Research programs

CAHR's research programs include:

  • Intervention development of community and family support programs for persons with dementia and their family caregivers
  • Implementation science of evidence-based programs leading to innovations in care delivery
  • Dissemination of evidence-based programs/practices for older adults from diverse settings
  • Healthcare delivery implementation programs to address critical illness outside of the ICU
  • Intervention development to support patients and families after critical illness
  • Real-world clinical and economic evidence generation focused on drug therapy outcomes in ambulatory care
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Aging and Dementia Care


Description: The research in this area involves family caregiving for person with dementia, translation of evidence-based interventions and transitional care

Program leader: Alan B. Stevens, PhD, FAPA, FGSA




Current projects

Comparative Effectiveness of Health System-based versus Community-based Dementia Care; Pragmatic Trial of the Effectiveness and Cost-Effectiveness of Dementia Care

This study compares three different approaches to managing persons with dementia and helping their caregivers. This pragmatic randomized trial is being conducted to determine the comparative effectiveness and cost-effectiveness of two evidence-based models of comprehensive dementia care (Health Systems-based Dementia Care & Community-Based Dementia Care), as well as the effectiveness and cost-effectiveness of both arms versus usual care. This is a multi-site clinical trial carried out at four sites-Baylor Scott & White Health (BSWH), University of Texas Medical Branch Health Care System, Wake Forest University, and Geisinger Health. UCLA is the prime site and Yale is the data coordinating center.

Project staff

Site coordinator
Sybila Godoy

Interventionists
Michele Matlock
Shannon Drew
Sara Kroloff

Research assistants
Breanne Collins
Amarine Ocloo
Donna Parker

** former D-CARE Staff members who contributed to the success of the project: Jordan Reese, Sitara Abraham, Sandhya Sanghi, Monica Shah, Ashley Vernon, Hannah Bartosh, Joseph Banda, Alexis Mack, Sophia Essiet, Taylor Roznos

Selected publications
Reuben, D. B., Gill, T. M., Stevens, A.B., Williamson, J., Volpi, E., Lichtenstein, M., Jennings, L. A., Tan, Z., Evertson, L., Bass, D., Weitzman, L., Carnie, M., Wilson, N., Araujo, K., Charpentier, P., Meng, C., Greene, E. J., Dziura, J., Liu, J., Unger, E., … Abraham, S. D-CARE: The Dementia Care Study: Design of a Pragmatic Trial of the Effectiveness and Cost Effectiveness of Health System-Based Versus Community-Based Dementia Care Versus Usual Dementia Care. Journal of the American Geriatrics

Funders:
National Institutes of Health (NIH)
Patient-Centered Outcomes Research Institute (PCORI)

Grant #: PCS-2017C1-6534, PAR-18-027




GamePlan4Care: Web-based Delivery System for REACH II

GamePlan4Care (GP4C) will adapt therapeutic components of an existing evidence-based intervention, Resources for Enhancing Alzheimer’s Caregiver Health II (REACH II), and deliver them online by leveraging modern internet technology with integrated support from an interventionist (Dementia Care Specialist [DCS]) via telephone and video conferencing. The major goal of this project is to create an online family caregiver support system that would facilitate delivery of an evidence-based skills-training and support intervention for dementia caregivers, with the potential of both scalability and sustainability. Once the GP4C system is fully developed, a randomized control trial will be conducted to test the complete system against a control condition, Resources4Care (R4C). R4C will be similar to GP4C in system technical design but differ in system content, availability of skills training exercises tailored to the unique needs of the caregiver, and social support enhanced by online and telephone support from a DCS. The aims are to: 1) Advance the current proof-of-concept GP4C into a viable delivery system for the REACH II Intervention, and 2) Compare the relative impact of GP4C and R4C, both of which include access to a Dementia Care Specialist, on a wide range of family caregiver outcomes.

Project staff

Site coordinator
Jordan Reese

Interventionists
Donna Parker

Research assistants
Breann Collins

Publications: N/A

Funders:
National Institutes on Aging (NIA)

Grant #: 5 R01 AG061973-05

Aging and Healthcare Services


Description: The research in this area involves identifying health status and healthcare service utilizations for geriatric patients within integrated healthcare system

Program leader: Jinmyoung Cho, PhD, FGSA




Current projects

A Multidimensional Approach to Studying the Impact of Caregiving on Health among Dementia Caregivers

This study seeks to identify the health risk profiles of ADRD spousal caregivers using self-reported health functioning by merging clinical health indicators and health care utilization data represented in EHR.

Project staff: N/A

Publications: N/A

Funders: National Institutes on Aging (R21AG072395)

Grant number: N/A




Racial-ethnic variation in Multiple Chronic Conditions among Oldest-old patients

This study examines racial-ethnic variation in multimorbidity and its impact on healthcare service uses among oldest-old patients with multiple chronic conditions.

Project staff: N/A

Publications:

Cho, J., Copeland, L. A., Stock, E. M., Zeber, J. E., Restrepo, M. I., MacCarthy, A. A., Ory, M. G., Smith, P. A., & Stevens, A. B. (2016). Protective and risk factors for 5-year survival in the oldest old veterans: Data from the Veterans Health Administration. Journal of the American Geriatrics Society, 64(6), 1250-1257.

Cho, J., Stock, E. M., Liao, I. C., Zeber, J. E., Ahmedani, B. K., Basu, R., Quinn, C. C., & Copeland, L. A. (2018). Multiple Chronic Condition Profiles and Survival among Oldest-Old Male Patients with Hip Fracture. Archives of Gerontology and Geriatrics, 74, 184–190.

Funders: AGING (Advancing Geriatrics Infrastructure & Network Growth) Initiative at the National Institute on Aging (NIA)

Grant number: 1R33AG057806




Evaluation of Dementia Friendly North Central/East Texas Project

This dementia friendly Texas project Is to build a robust system of home and community-based services for persons living with dementia and their caregivers throughout a 30 county area. So, we are working with 14 social service and healthcare partner agencies, our role is to evaluate the progress and achievement in targeted outputs and outcomes of service provisions.

Project staff: N/A

Publications: N/A

Funders: Administration for Community Living

Grant number: ACL TX90ADPI0070

Critical Care Research


Description: The research in this area involves the generation, adoption and application of evidence to address acute physiologic deterioration and extends across the continuum to long-term outcomes of critical illness to design and test rehabilitation interventions.

Program leader: Valerie Danesh, PhD, RN, FCCM, FAAN




Current projects

DRIVE-PICS

ICU-acquired long-term cognitive dysfunction (dementia) attributed to surviving critical illness is discernible from clinical, biological, and imaging-related changes in the brain following delirium and critical illness in roughly half of ICU survivors. The goal of the Driving Rehabilitation and Innovation for Evaluating Risk in Post Intensive Care Unit Survivors (DRIVE-PICS) project is to use in-vehicle driving data collection with neurocognitive assessments at 3- and 6-months after hospitalization to develop data-based insights on driving decisions after critical illness.

Project staff: Michaela Gladden

Publications:

McDonald, A. D., Danesh, V., Ray, J. M., & Stevens, A. B. (2023). Analysis of silver alert reporting system activations for missing adults with dementia in Texas, 2017 to 2022. JAMA Network Open, 6(2), e2255830. doi:10.1001/jamanetworkopen.2022.55830

Potter, K. M., Danesh, V. C., Butcher, B. W., Eaton, T., McDonald, A. D., & Girard, T. D. (2023). Return to driving after critical illness. JAMA Internal Medicine. doi:10.1001/jamainternmed.2022.7096

New publications are updated via Google Scholar

Funders: National Institutes of Health/National Institute on Aging (NIH/NIA)

Grant number: R21AG080339


 

Prevention of Posttraumatic Stress: A Randomized Controlled Trial of Modified Brief Prolonged Exposure Therapy for Individuals who Sustain Physical Injury Admitted to a Level 1 Trauma Center (TREx)

This Phase 2 randomized controlled trial evaluates the effectiveness of a modified brief prolonged exposure therapy compared to treatment-as-usual in preventing PTSD among trauma survivors in a hospital setting.

Project Staff: Michaela Gladden

Precision Medicine


Description: The research in this area is focused on building a broad, representative cohort of participants and their health data within the NIH All of Us Research Program, the NIH precision medicine research initiative

Program leader: Alan B. Stevens, PhD, FAPA, FGSA




Current projects

The All of Us Research Study (AoU)

The All of Us Research Program is a large research program. The goal is to help researchers understand more about why people get sick or stay healthy. People who join will give us information about their health, habits, and what it’s like where they live. By looking at patterns, researchers may learn more about what affects people’s health. Baylor Scott & White Health is a proud participant of the All of Us Research Program, from the National Institute of Health.

Project staff

Co-investigators
Michael McNeal, MD
Crawford Allison, MD
Librada Callender, PhD

Workstream leads
Karin Myers
Jason Ettlinger
Nursamaa Abdoel
Stephen Sequiera
Shirmia Artis Stephens

Resource pool team
Melina Basnight
Adela Smith
Carla Martinez
Chris Brown
Ciana Pablo
Felicia Castleberry
Nickeya Douglas
Fatima Elshlali
Amber Hickey

Retention call center
Linda Lagunes
Donna Parker

Publications: N/A

Funders: National Institutes on Health (NIH))

Grant number: 1OT2OD026550-01

Sub contract/amendment: Modification 01 No.3OT2OD036429-01S1

Visit the All of Us page for more information

Hospital Medicine Research


Description: The research in this area is focused on finding out whether continuous glucose monitoring using the Dexcom G6 Continuous Glucose Monitoring (CGM) device helps clinical staff maintain glucose readings within the target range during their hospital stay.

Program leader: Tresa McNeal, MD




Current projects

Continuous Glucose Monitoring of Hospitalized Type II Diabetics Patients: Establishing Evidence and Innovating Practice

The major goal of this project is to systematically investigate the use of continuous glucose monitor in the inpatient care of patients with diabetes mellitus who are receiving care in a hospital setting that is typical of inpatient care.

Project staff: N/A

Publications: N/A

Funders: BSW-Central Texas Foundation

Grant number: N/A

Fellowships


The Health Economics and Outcomes Research (HEOR) Fellowship

Description: The Health Economics and Outcomes Research (HEOR) fellowship program will provide training and hands-on experience in a broad range of health economics, outcomes research, and comparative effectiveness research (CER) as conducted in academic, managed care, hospital, and health policy settings. Fellows learn how to apply HEOR concepts and analytical methods in conducting retrospective database studies, prospective research studies, and economic modelling. The HEOR fellowship provides a framework for gathering, translating, and communicating real-world evidence to help demonstrate value and guide decision-making to key stakeholders in the health care industry.

Pharmacology program leader: Paul Godley, PhD




Current projects

Venous Thromboembolism Transitions of Care Quality Evaluation Study

Assessment of the effectiveness of an education initiative on physician knowledge and confidence in evaluating factors that determine if a patient, upon presenting to the emergency department (ED) with venous thromboembolism (VTE), is a candidate for outpatient treatment.

Project staff:
Anthony Yu, PharmD
Karishma Thakker, PharmD
Tiffany Kuo, PharmD

Publications: In progress

Funders: Pfizer

Grant number: CW2335056




Operationalizing a Treat-to-Target Disease Activity Management Algorithm (DAMA) in Rheumatoid Arthritis

Implementation and assessment of a new rheumatoid arthritis disease management program at a health system specialty pharmacy. The primary outcome examined its impact on treat-to-target goals in patients with rheumatoid arthritis.

Project staff:
Timothy Reynolds, PharmD
Linda Chen, PharmD
Andy Osterland, PharmD

Publications:

Reynolds T, Chen L, Godley PJ; Operationalizing a Treat-to-Target Disease Activity Management Algorithm (DAMA) in Rheumatoid Arthritis. AJHP (submitted for review)

Funders: Pfizer

Grant number: CP230291




HIT Clinical Decision Support in Non-valvular Atrial Fibrillation

Implementation of a system-wide best practice alert (BPA) that identifies potential gaps in anticoagulation for non-valvular atrial fibrillation patients at high risk for stroke. The primary outcome examined its impact on the anticoagulation rate of these patients.

Project staff:
Andy Osterland, PharmD, MS
Maria Yusada, PharmD, MS

Publications:

Osterland A, Yasuda M, Widmer RJ, Colavecchia A, Gums T, Emir B, Nolen K, MacLean, Godley P; An Interrupted Time Series Study of Electronic Health Record Clinical Decision Support for Providers Caring for Patients with Atrial Fibrillation at Increased Stroke Risk; AJHP (accepted – publication pending)

Funders: Pfizer

Grant number: CP206329




Retrospective descriptive analysis of a managed care population with obesity

Descriptive retrospective analysis of demographics, comorbidities, and weight change patterns of patients struggling with increased weight or obesity within a health plan population over a five-year period.

Project staff:
Andy Osterland, PharmD, MS
Claire King, PharmD
Kumar Zofaghari, MS

Publications:

Osterland A, King C, Zofaghari K, Mocarski M, Ramasamy A, Walker C, Darji H, Godley P; Retrospective descriptive analysis of a managed care population with obesity, Current Medical Research and Opinion, 38:1,83-89, DOI: 10.1080/03007995.2021.1991900

Funders: Novo Nordisk

Grant number: CW2080461




Outcomes and cost impacts of new anti-diabetic agents for high-risk diabetic patients in Central Texas

Comparison of clinical and economic outcomes among adults with type 2 diabetes newly initiated on SGLT-2is, GLP-1 RAs, and other antidiabetic medications in a real-world setting.

Project staff:
Elmor Pineda, PharmD
IC Liao, BS
Karen Rascati, PhD

Publications:

Pineda ED, Liao IC, Godey PJ, Michel JB, Rascati KL; Cardiovascular outcomes among patients with type 2 diabetes newly initiated on SGLT2 inhibitors, GLP1 receptor agonists, and other antidiabetic medications; J Manag Care Spec Pharm, 2020;26(5):610-18.

Funders: Astra Zenica

Grant number: 160199




Baylor Scott & White Clinical Informatics Fellowship Program

Description: The fellowship provides thorough education in clinical informatics, supported by hands-on experience with health information systems and their design, implementation, and maintenance. Fellows contribute to the transformation of health care by analyzing, designing, implementing, and evaluating information and communication systems that enhance individual and population health outcomes, improve patient care, and strengthen the clinician-patient relationship. Fellows are required to pursue academic research projects, the results of which are disseminated through publication or presentation at academic or professional conferences. The fellowship includes funded enrollment in a comprehensive health informatics graduate certificate program tailored for health care professionals.

Informatics program director:
Kenneth Youens, MD, MBA
Jacob Minor, MD (Associate Program Director)

Current projects: N/A

Project staff: Bryan Nguyen (Program Administrator)

Publications: N/A

Funders: Baylor Scott & White Health institutional funding

Grant number: N/A




Pulmonary and Critical Care Fellowship

Description: The Pulmonary and Critical Care Fellowship Program research electives and corresponding research projects often focus on advancing knowledge and improving clinical outcomes specific to asthma, chronic obstructive pulmonary disease (COPD), pulmonary fibrosis, Acute Respiratory Distress Syndrome (ARDS), sepsis, and other chronic and critical illnesses. Project designs span retrospective observational and prospective interventional studies.

Critical Care/Pulmonary program director: Shekhar Ghamande, MD




Current projects

Covid coinfection

To assess the impact of coinfections on covid outcomes among the 3 surges over the past 2 and ½ years.

Project staff:
Valerie Danesh
Alejandro Arroliga
Gerald Ogola
Carl Boethel
Jennifer Perry
Christian Beltran

Publications: Representative publications are listed via Google Scholar

Funders: N/A

Grant number: N/A




ChatGPT utility in education of fellows in a PCCM fellowship

Project staff:
Tasnim Lat
Munish Sharma
Alejandro Arroliga
Joseph Carlin
Shreyes Boddu
Zenia Sattar
Abirami Subramanian

Publications: Currently in manuscript stage

Funders: N/A

Grant number: N/A

Completed projects

Since 2018

  • UW Live Well Initiative Evaluation (PI: Cho, Jinmyoung, PhD)
    Description

    The United Way of Tarrant County launched the Live Well initiative in 2010. The goal of the Live Well initiative is to implement strategies to help older adults remain at home, some with the support of family caregivers, to avoid institutional placement and hospitalizations and to improve the individual's capacity for disease self-management. Partnering with 6 community-based organizations, the evaluation is to conduct an independent summative and formative evaluation of the implementation, effectiveness and impact of the Live Well Health Initiative.

    Funders

    United Way of Tarrant County, TX

  • Evaluation of Model for Alzheimer's/Dementia Services focused on People Living Alone (MASPLA) (PI: Cho, Jinmyoung, PhD)
    Description

    United Way of Tarrant County (UWTC) and collaborators propose to enhance current system to create a Model for Alzheimer's/Dementia Services (MAS). The goal of MAS is to expand the existing dementia-capable system services and supports to increase access to culturally sensitive evidence-based support services to the unserved and underserved population who either have or are at high risk of developing Alzheimer's Disease and Related Dementias (ADRD) and their caregivers (CGs).

    The objective of evaluation is to conduct an independent summative and formative evaluation of the implementation, effectiveness and impact of the Model for Alzheimer's/Dementia Services (MAS) and Model for Alzheimer’s/Dementia Services focused on People Living Alone (MASPLA) by tracking progress of services and support toward achieving defined milestones.

    Funders

    Administration for Community Living

  • Evaluation of Meals on Wheels (MOW) and Hospital Uses (PI: Cho, Jinmyoung, PhD)
    Description

    The evaluation of MOW services and hospital uses examines the effectiveness of home-delivered meals and nutrition counseling programs from MOW on the use of hospital services. This project contributes to improving clinical outcomes and reduce hospitalizations for homebound older adults at risk for diabetes, pre-diabetes, or malnutrition.

    Funders

    United Way of Tarrant County
    Meals on Wheels Tarrant County

  • Evaluation of REACH-TX (PI: Cho, Jinmyoung, PhD)
    Description

    Partnering with the Alzheimer’s Association North Central Texas Chapter, this project examine the that the evidenced-based REACH II intervention can be translated into a service delivered in a community setting that is of significant benefit to family caregivers for persons living with dementia.

    Funders

    United Way of Tarrant County, TX

  • Engagement in Heart Failure Care (EHFC)
    Description

    EHFC incorporates evidence-based and evidence-informed care for Heart Failure into a practical, structured approach based on the concept of patient engagement and empowerment within the context of team-based care. This project will develop and evaluate a patient-centered, multi-disciplinary, team-based program for the support of Heart Failure patients.

    Funders

    Collaborative Faculty Research Investment Program (CFRIP)

  • Supporting, Unifying and Streamlining in Texas through Active Integrated Networks (SUSTAIN)
    Description

    Texas A&M Program on Healthy Aging (PHA) is working with Baylor Scott & White Health (BSWH) on the SUSTAIN project. This project serves as a central hub to embed a suite of Stanford Patient Education Chronic Disease Self-Management Program (CDSMP), Diabetes Self-Management Program (DSMP) and Chronic Pain Self-Management Program within a 59 county region in Central and East Texas to strengthen and support the Area Agency on Aging (AAA) services as a sustainable and reimbursable model. BSWH will be expanding their reach and capacity through marketing and identification of chronically-ill patients in order to empower their patients to better manage their chronic conditions through these workshops.

    Funders

    Administration for Community Living (ACL)

  • Meals on Wheels and Social Innovation (SI) Partnership
    Description

    Toyota SI Partnerships is an effort to make impact on the capacity of the organization to more effectively and holistically serve older adults and persons with disabilities. Partnering with two local Meals on Wheels (MOWA), this project will enhance Toyota's competitive advantage as it builds on the known intervention of volunteer driving programs; and provides an opportunity to accumulate knowledge about how on demand solutions might integrate and enhance volunteer engagement, foster mobility coordination, and identify new markets for on demand solutions and assistive technology.

    The goal of the evaluation is to 1) work with project stakeholders to create a framework to guide evaluation of the app and web-based platforms, 2) assist the platform development team with selection of specific measures and indicators needed to demonstrate the value of the platforms and the outcomes achieved from home delivered meals, 3) conduct an evaluation of the app and web-based platform, and 4) contribute to the design and execution of the dissemination plan.

    Funders

    Toyota Motor North America

  • Evidencetoprograms.com: Toolkit for Identifying, Selecting and Implementing Evidence-Based Program
    Description

    Community organizations are an excellent delivery channel for evidence-based programs (EBPs). However, it is often challenging for them to access and implement EBPs that match their clients' needs. In response, we developed a web-based interactive toolkit, EvidenceToPrograms.com, to serve as a user-friendly guide to select, implement, and evaluate EBPs. Divided into two sections, (1) selecting a suitable EBP and (2) implementing EBPs with fidelity, the Toolkit provides a comprehensive overview of EBP's that can benefit community organizations, healthcare professionals, and students alike. The Toolkit also guides the user through a series of steps to facilitate an organization's understanding of their ability to deliver evidence-based programming with model fidelity. The Toolkit has several unique features such as rich content with supporting diagrams and tables, links to external sites for additional information and resources, and interactive Readiness Questions that help foster organizational readiness to implement an EBP. The Toolkit also offers strategies that can help organizations increase the sustainability of their implemented program. Other features of the Toolkit include expert videos and an FAQ section where users can submit their questions regarding EBPs.

    Funders

    National Institute on Aging

  • The Change Leaders for Health Aging Communities-Partnering for Choice (PfC): A Systems Approach to Advance Care Planning
    Description

    Community organizations are an excellent delivery channel for evidence-based programs (EBPs). However, it is often challenging for them to access and implement EBPs that match their clients' needs. In response, we developed a web-based interactive toolkit, EvidenceToPrograms.com, to serve as a user-friendly guide to select, implement, and evaluate EBPs. Divided into two sections, (1) selecting a suitable EBP and (2) implementing EBPs with fidelity, the Toolkit provides a comprehensive overview of EBP's that can benefit community organizations, healthcare professionals, and students alike. The Toolkit also guides the user through a series of steps to facilitate an organization's understanding of their ability to deliver evidence-based programming with model fidelity. The Toolkit has several unique features such as rich content with supporting diagrams and tables, links to external sites for additional information and resources, and interactive Readiness Questions that help foster organizational readiness to implement an EBP. The Toolkit also offers strategies that can help organizations increase the sustainability of their implemented program. Other features of the Toolkit include expert videos and an FAQ section where users can submit their questions regarding EBPs.

    Funders

    National Institute on Aging

Our team

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Director


Alan B Stevens

Alan B. Stevens, PhD, FAPA, FGSA

Director

Alan B. Stevens, PhD, FAPA, FGSA, holds the endowed Vernon D. Holleman-Lewis M. Rampy Centennial Chair in Gerontology at Baylor Scott & White Health (BSWH) and is the Director of the Center for Applied Health Research (CAHR), a system-level research center within the Baylor Scott & White Research Institute. As Director of CAHR, he promotes collaborative health research exploring the impact of innovative care models on population health within healthcare and community settings. Currently, he leads two research programs embedded in CAHR.

The Aging and Dementia Care program is focused on the establishment, translation, and implementation of evidence-based models of care for older adults and their family caregivers. Research studies engage healthcare systems and community organizations in the development and implementation of care programs that support meaningful outcomes for persons living with dementia and their family caregivers. Signature programs include REACH-TX (an evidence-based translation of the REACH II intervention) and the online version of REACH-TX, GamePlan4Care.

The Precision Medicine program of CAHR is focused on building a broad, representative cohort of participants within the NIH All of Us Research Program, NIH’s premier precision medicine research initiative. Additionally, he has collaborated extensively with clinical and research scientists within BSWH on a variety of healthcare sciences research and quality improvement projects and has mentored numerous post-doctoral fellows. Dr. Stevens currently serves as a primary mentor on a NIH/VA funded Career Development Award (CDA) to a Baylor College of Medicine faculty member.

To further translate applied health research into practice, Dr. Stevens has contributed to health policy at the local, regional, and national level. He recently completed an appointment to serve as a Co-Chair on the RAISE Family Caregiving Advisory Council (one of 15 non-federal, voting members). The Council provided Congress recommendations on effective models of family caregiving and support to family caregivers, and improved coordination across federal government programs in the National Strategy to Support Family Caregivers. Additionally, Dr. Stevens has had appointments to Texas-based advisory boards including the Texas Institute of Health Care Quality and Efficiency, Texas Health Improvement Network, and Texas Alzheimer’s Research and Care Consortium.

Investigators


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Valerie Danesh, PhD, RN, FCCM, FAAN

Dr. Valerie Danesh is a Research Scientist at Baylor Scott & White Health in Texas. As a health services researcher with a background in critical care nursing, her research contributes to linking nurse-led surveillance and interventions with patient outcomes to address quality and safety needs for hospitalized patients across the continuum, from pre-ICU care to ICU recovery. Currently, her research includes examinations of cognitive impairment and driving safety after critical illness and intervention development to test peer support interventions for ICU survivors.




Paul J. Godley, Pharm.D, FASHP

Dr. Godley is the Director of Clinical Pharmacy Services at Baylor Scott & White Health Memorial Hospital and Clinics, as well as Director for the Scott and White Health Plan’s Clinical Pharmacy Services from 1992-2016. He accepted his current position in 2016 as System Director for Specialty Pharmacy Clinical Services and continues to hold an appointment as Associate Professor with the University of Texas at Austin. Dr Godley has also served as the Program Director for the Baylor Scott and White Health Economics and Outcomes Research Fellowship Program for 20 years. His principal interest is in chronic disease management, health economics and outcomes research. He has co-authored over one-hundred and fifty research articles and abstracts.




Shekhar Ghamande, MD

Dr. Ghamande is a Pulmonologist at Baylor Scott & White Health and also the Critical Care/Pulmonary Program Director. He joined Baylor Scott & White in 2011 and has been the program director since 2013. He is currently professor of Medicine at Baylor college of Medicine and continues as Clinical Professor at Texas A & M University. His principal research interests include viral pneumonias, ARDS, sepsis, COPD exacerbations, COPD readmissions. He has co-authored 80 publications and is on the American College of chest physician network committees on non-pulmonary critical care as well as CHEST infections diseases. He has multiple presentations at annual meetings of the American College of chest physicians and has chaired several sessions.




Kenneth Youens, MD, MBA

Dr. Youens is a clinical informaticist and pathologist at Baylor Scott & White Health. He is the Program Director of the BSWH Clinical Informatics Fellowship, a subspecialty fellowship training program designed to prepare physicians for leadership roles in clinical informatics. Dr. Youens’s primary clinical and administrative role is as system medical director for laboratory informatics, in which capacity he works to develop, implement, and refine clinical information systems, particularly as they impact clinical workflows and business processes. Dr. Youens’s current research interests include the use of artificial intelligence tools to support provider expertise, and healthcare information system innovations designed to reduce burnout.




CAHR staff


Sybila E Godoy, CMI-Spanish,

BSHCA-Supervisor Clinical Research

Sybila Godoy is the Supervisor for Clinical Research at CAHR. She has a Bachelor of Science in healthcare administration at Brigham Young University-Idaho, an Associate of Arts in psychology, and a national certification as a medical interpreter-Spanish. Her background as a medical interpreter gave her exposure to a variety of settings, patients and experiences that she is utilizing here. She helps with the coordination of the project between participants, research assistants, interventionists and the sponsor.




Donna Parker,

LBSW-Health & Community Interventionist

Donna is a licensed baccalaureate social worker and has completed a Bachelor of Science in social and human services. She has over 25 years of experience in social services with 20 years in developing and managing social services, adult, and children’s programs. She is a Health and Community Interventionist at Baylor Scott & White.

Donna has a unique background in program management, program development and project management. Her experience in social services has given her the unique ability to communicate and transfer job knowledge and skills to all levels within an organization. She has experience working with both adults and children in multiple delivery and service settings. Most recently, Donna has worked with adults with dementia in the Veterans-directed program and community settings. Her background as a social worker has given her exposure in a variety of settings and she is utilizing this experience to work closely with a variety of staff at different levels and working with the community, assisting with recruitment and retention within the research projects




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Breann Collins,

Clinical Research Assistant

Breann Collins is a Clinical Research Assistant at Baylor Scott and White Health. She is currently pursuing a degree in healthcare management at Franklin University. She has over 10 years of experience in patient care. For the study, Breann will be assisting in recruitment, enrollment and data collection for the caregiver.




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Jordan Reese, PMP, LSSB,

Project Manager/Site Coordinator

Jordan Reese is a Senior Research Project Manager/Site Coordinator at Baylor Scott & White Health. He has a Bachelor of Science in operations research from the United States Military Academy at West Point. He previously served in the Army as a Captain leading field artillery teams/units. He works with the principal investigator and team members to plan, organize, implement, and monitor research project protocols. He conducts risk analysis and implements mitigation measures to ensure the day-to-day activities are streamlined/safe and that the research project yields the best possible experience for the patients and their loved ones.




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Sitara Abraham, MPH, PMP,

Project Manager

Sitara Abraham is a Project Manager at Baylor Scott & White Health. Sitara is a certified Project Management Professional with a breadth of experience and expertise in project management. She works with principal investigators to plan, organize, and implement research project protocols, coordinates and provides technical direction of work activities to ensure effective completion of projects, manages day-to-day activities including applications and reports to IRB, and monitors progress towards goals and implementation of project tasks. Her research interests include program design, implementation and best practices in program evaluation of rigorous, collaborative and theory-driven evaluations. She has a Bachelor of Science in biology from Texas A&M University and a Master of Public Health in community health policy and management from the University of Texas School of Public Health.




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Jennifer Thorud, MPH,

Research Associate

Jennifer is a Research Associate at Baylor Scott & White Health. She has a background in both public health and applied health research including project management; data management and interpretation; manuscript and grant development; program evaluation; and overseeing public health surveillance and infectious disease outbreak response. She completed her graduate training at the University of Iowa, earning a Master of Public Health in epidemiology.




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Karin Myers, PMP,

Manager, Research Shared Services

Karin Myers is a Senior Research Project Manager at Baylor Scott & White Health. Karin holds a BSBA in human resource and minoring in agricultural business from The Ohio State University, and an MBA from Franklin University. Karin obtained her Project Management Professional (PMP) Certification in 2020. Before joining BSWH, Karin was a consultant with Infor Software, Inc. flying around the world to implement enterprise resource planning (ERP) systems at healthcare organizations. While working on the Cleveland Clinic implementation, she won Employee of the Quarter. Stepping into the role as the All of Us research program manager, Karin worked together with Dr. Stevens to re-establish this important program

All of Us workstream


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Karin Myers, PMP,

Manager, Research Shared Services




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Jason Ettlinger,

Manager, Research Shared Services

As manager of research and research data support services at Baylor Scott and White Research Institute for twelve years, Jason has had the opportunity to support nearly a thousand unique studies. At the same time managing a full research center conducting NIH funded research, specialized in research data support, through EHR data extraction, the development of analytical data sets, and the use of REDCap for surveys and clinical data capture. Jason has worked on multi-site studies organized by the CDC to conduct vaccine effectiveness work in flu and covid and have maintained data-focused research network partnerships such as with PCORNet and the Healthcare Services Research Network (HCSRN). He has the privilege to mentor staff, particularly around Epic data extraction, and received training in Epic Clarity with eight years’ experience managing Epic data work. Jason also oversees the team maintaining REDCap system at Baylor Scott and White Health.




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Nursamaa Abdoel,

Research Project Coordinator I

Nursamaa Abdoel is a Research Program Coordinator at Baylor Scott & White Health. She was born and raised in Caracas, Venezuela. Nursamaa did basic scientific research in early T cell signaling mechanisms in patients with systemic lupus erythematosus for more than 15 years. She is currently the retention lead for the All of Us research program for BSWH, where she works closely with the principal investigator, project manager and team leaders to coordinate efforts, make recommendations and plan accordingly to accomplish project goals. She reviews reports, analyzes data, organizes, and prioritizes outreach efforts for the team to effectively meet expected standards, as well as assists with front facing communication to participants to engage and retain them throughout the scope of the research program. Nursamaa is bilingual (fluent in English and Spanish), has a Bachelor of Science in biology from Universidad Central de Venezuela and a PhD in Immunology from Instituto Venezolano de Investigaciones Científicas.




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Shirmia Artis Stephens,

Research Project Coordinator I

Shirmia Artis Stephens is a Research Project Coordinator with the All of Us research program at Baylor Scott & White Health. Shirmia has been with the program since 2018, and has been promoted to the quality assurance/biobank lead and super trainer. She oversees five different Central and North Texas sites. Shirmia comes from a background in laboratory and compliance with 20 years of experience. Shirmia graduated from Trident University International with a master’s degree in health Science, public health epidemiology. She is currently a PhD student at Walden University, obtaining her doctorate in public health epidemiology. She is a member of the Alpha Beta Kappa (ABK) honors society, Golden Key International Honour Society, and the National Society of Leadership and Success (NSLS) Honors Society. Shirmia plans to continue working in research to become a principal investigator.




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Stephen Sequiera,

Analytics Developer I

Stephen Sequeira is the IT Lead for the All of Us research program at Baylor Scott and White Health, under the auspices of the Center for Applied Health Research. His responsibilities include data collection, reporting, and IT support. He has a background in the healthcare insurance industry, having worked for a TriCare contractor and a benefits enrollment vendor. He has a Bachelor of Science degree and is Epic certified.

Resource pool


Dr. Stevens & the workstream leads are supported by a robust staff of team members who engage with participants on a daily basis.

Clinical Research Coordinator I
  • Melina Basnight
  • Adela Smith
  • Carla Martinez



Clinical Research Assistant I
  • Ciana Pablo
  • Amber Hickey
  • Felicia Castleberry
  • Nickeya Douglas
  • Fatima Elshlali



Clinical Research Assistant II
  • Linda Lagunes
  • Breann Collins



Health and Community Interventionist
  • Donna Parker



Research Enrollment Analyst
  • Chris Brown 

Program on Aging and Dementia Care Advisory Committee


The purpose of this committee at CAHR is to assist the research team in ensuring that the research being conducted is trusted, meaningful, impactful and communicated with respect for individuals in the community for the topics that we study. Engaging stakeholders in research activities is necessary to improve the quality and impact of research in addressing topics that we study and that are most meaningful to patients, families, caregivers and their community. Researchers and stakeholders are equally important to the research process.

Committee members


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Irene Andrews

Irene is a retired Killeen ISD Special Education teacher, member of the Texas Retired Teachers Association, a lifetime member of the NEA and a former organizer with Texas State Teachers Association. In 2013, she married her wife Joan Hinshaw. They have been together 40 years. They cared for Joan's elder parents in their Nolanville home for eight years, before both parents passed away at age 93. This experience motivated Irene to become an advocate for family caregivers such as Joan and herself, who need support and often don't know where to turn for help. Irene Andrews is a former Texas Silver-Haired Legislator, having served two terms (four years) as the chair of the subcommittee on Retirement and Aging. The TSHL works in conjunction with Texas Area Agencies on Aging(AAA) to advocate for seniors in Texas. She is a current member of the Central Texas AAA Advisory Committee. Irene is a bee keeper and Joan is a master gardener. Together, they stay active by participating in a weekly chair yoga class taught by their granddaughter. The benefits of staying flexible and strong enable them to work their organic vegetable garden and harvest raw honey. They continue to volunteer with, and support the work of, Habitat For Humanity and Families in Crisis Women's Shelter. Irene and Joan also helped their city of Nolanville establish a Stable Housing Committee that both of them serve on, with a special focus on supporting the elderly in staying housed in their homes. Irene has been a member of the Local Patient & Stakeholder Committee for the Dementia-Care Study at Baylor Scott & White Health since 2019




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Anne Gillespie Lueck, Ph.D., CCC-SLP

Anne Lueck grew up in Temple, Texas, daughter of a Scott and White Physician. She was the founder and Chief of the Section of Speech-Language Pathology and director of the Children’s Specialty Care Coordination Program at Scott and White Medical Center in Temple for 36 years. Dr. Lueck has had sixty years experience assessing and treating speech, communication, and learning disabilities in children and voice disorders, aphasia, and dementia in adults. She was one of the principal founders of the Children’s Special Needs Network and currently serves on the Board of Directors of two other organizations serving special needs - the TAMRA Learning Academy and the Central Texas Children’s Center. Dr. Lueck said, “Of all of my life experiences, the most challenging was the five years that my husband and I struggled to maintain our quality of life after he was diagnosed with frontotemporal degeneration, a disease with which I had had no experience during my professional career. Our quest for help and support led us to participate in research at the University of California San Francisco and seek education and support through the Association for Frontotemporal Degeneration. We had 60 years of an amazing marriage. During the last five years, I watched this incredibly kind, bright and creative person slowly fade away as the disease progressed.”Dr. Lueck understands the challenges that family caregivers face and the importance of connecting families impacted by dementia to the care, services, and support that they need. She is personally aware of significant gaps in the healthcare system in “caring for the caregiver” whether they be caring for adults or children. Dr. Lueck has been a member of the Local Patient & Stakeholder Committee for the Dementia-Care Study at Baylor Scott & White Health since 2019.




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Stephanie O’Banion

Stephanie O'Banion has been the President/CEO of the United Way of Central Texas since 2015. Prior to this she spent over 20 years working in Chambers of Commerce with a focus on community and economic development. Stephanie became involved in the Aging and Care Advisory Committee after her dad passed away in 2022 with Alzheimer’s. Stephanie hopes to use her family’s experience in a way that would help others facing the challenges associated with caregiving. Stephanie holds a Bachelor of Science in Education from Texas A&M University. She also attended the University of Mary Hardin-Baylor where she recently received her Non-Profit Administrator Certification. She and her husband Guy have been married for 30 years and have 2 four-legged children named Barney and Andy.




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Kelli Stokes

Kelli Stokes was born in Philadelphia, PA, grew up in South Jersey, was educated in Newark, DE, and has worked in South Jersey; Philadelphia, PA; Minneapolis, MN; Nashville, TN; Peoria, IL and Seguin, TX; and retired and lives in Killeen, TX. Kelli Stokes was born in Philadelphia, PA, grew up in South Jersey, was educated in Newark, DE, and has worked in South Jersey; Philadelphia, PA; Minneapolis, MN; Nashville, TN; Peoria, IL and Seguin, TX; and retired and lives in Killeen, TX. Kelli is the caregiver for her husband Bill. She is also an active volunteer in several community organizations as well as with her church, Killeen Seventh Day Adventist Church. Her personal mission is to serve others with a loving and kind heart. Kelli and her husband Bill have been married 31 years, and have been blessed with a loving family. They have three loving daughters and seven grandchildren. Kelli and Bill moved to Killeen to be active in their grandchildren’s lives.




Current and past funding sources

Our diverse research programs demonstrate collaborative efforts with various organizations, including, Texas A&M Health Science Center, The University of Texas, national foundations and numerous health-oriented community-based organizations across Texas.

  • National Institutes of Health (NIH)
  • Patient-Centered Outcomes Research Institute (PCORI)
  • National Institutes on Aging (NIA)
  • Administration for Community Living (ACL)
  • United Way of Tarrant County, TX
  • Toyota Motor North America
  • Pfizer
  • Novo Nordisk
  • Astra Zenica

Contact us

We want to hear from you if you are interested in partnering with us or if you want more information on the projects above, have any questions, comments or recommendations.

Email: CAHR@BSWHealth.org

Central Division
Physical location:
Baylor Scott and White West Campus
5701 Airport Rd
Temple, TX 76502

Mailing address:
2401 South 31st Street
MS-AR-M224
Temple, TX 76508

Baylor Scott & White Medical Center - Temple
2401 S. 31st St.
Temple, TX 76508


North Texas Division
3434 Live Oak St
Dallas, TX 75204

More about research at Baylor Scott & White

View all research resources and programs