Statement of Purpose
The mission of the BDRG is to gather new knowledge about the behavioral, social, emotional, cultural, and familial aspects of diabetes and its management over time, to develop and implement programs of clinical intervention to help patients with diabetes and their families manage diabetes effectively, and to help providers better organize and configure care to achieve these goals.
UCSF | Behavioral Diabetes Research Group | 500 Parnassus Ave. MU-3E | San Francisco, CA 94143-0900 | Tel: 415.476.1925 | Fax: 415.476.6051
BDRG Members
The BDRG includes a multi-disciplinary team of clinicians and clinical researchers.
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Lawrence Fisher, PhD, ABPP Fax: 415-476-6051 |
Umesh Masharani, MD Ph: 415-353-2350 |
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Perry Dickinson, MD |
Patricia A. Areán, PhD Fax: 415-502-6364 |
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Danielle Hessler, PhD Ph: 415-476-6196 |
Bonnie T. Jortberg, PhD, RD, CDE Fax: 303-724.0977 |
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William H. Polonsky, PhD, CDE Ph: 760-525-5256 |
Michael B. Potter, MD Fax: 415-353-3450 |
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Research Analyst, Department of Family & Community Medicine Ph: 415-476-1925 |
Assistant Clinical Research Coordinator, Department of Family & Community Medicine Fax: 415-476-6051 |
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Practice Coach, Department of Family & Community Medicine Ph: 415-476-1925 |
Current Research Projects
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5R01 DK094863 11/30/12–11/29/17
NIH/NIDDK Reducing Distress and Improving Glycemic Control in Adults with Type 1 DiabetesThe T1 REDEEM project is a two-arm behavioral clinical trial to evaluate evidence-based interventions for adults with type 1 diabetes experiencing diabetes-related distress.
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R18 DK096387 07/01/12-6/30/17
NIH/NIDDK
Comparing Strategies for Translating Self-Management Support into Primary CareThe Connection to Health project aims to improve diabetes self-management in patients with type 2 diabetes by comparing the effectiveness of three types of primary care practice implementation support. |
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R01 AG039474 09/1/11-08/31/16
Improving Transition Outcomes Through Accessible Health IT and Caregiver SupportThe CarePartners project aims to evaluate the effectiveness of an automated, web-based program to reduce hospital re-admission through expanded use of caregivers.
R18 DK080867 09/01/09-08/31/15
NIH/NIDDK Improving Diabetes Outcomes: The Diabetes Support ProjectTo assess the relative benefits of a couple vs. an individual intervention via telephone to enhance diabetes knowledge and improve self-care.
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Tailoring Care for Younger Adults with type 2 diabetesTo examine major gaps in knowledge about younger adults with type 2 diabetes, identify unique needs and preferences for care; and integrate these results into an age-appropriate, patient-tailored diabetes care program.
Structured Blood Glucose Testing for Type 2 Diabetes in Primary CareExamining strategies to implement structured glucose testing for type 2 diabetes patients in primary care.
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Recent Publications
Polonsky, W.H., Fisher, L., Schikman, C.H., Hinnen, D.A., Parkin, C.G., Jelsovsky, Z., Axel-Schweitzer, A., Wagner, R.S. A structured SMBG approach in type 2 diabetes encourages more frequent, intensive and effective physician interventions: Results form the STeP Study [NCT00674986]. Diabetes Technology and Therapeutics. (In Press).
Schell, O., Amann-Zalan, I., Jelsovsky, Z., Moritz, J., Bermejo, J., Parkin, C., Schweitzer, M., Fisher, L., Polonsky, W. Changes in A1C Levels are Significantly Associated with Changes in Levels of the Cardiovascular Risk Biomarker High-Sensitivity C-reactive protein (hs-CRP): Results from the STeP Study, Diabetes Care. (In Press).
Polonsky WH, Fisher L. Self-Monitoring of Blood Glucose in Noninsulin-Using Type 2 Diabetic Patients: Right answer, but wrong question: self-monitoring of blood glucose can be clinically valuable for noninsulin users. Diabetes Care. 2013 Jan; 36(1):179-82.
Dickinson, W.P., Glasgow, R.E., Fisher, L., Dickinson, L.M., Christensen, S.M., Estabrooks, P.A., Miller, B.F. Use of a web-site to accomplish health behavior change in primary care patients: If you build it will they come? And will it work if they do? Journal of the American Board of Family Practice. 2013; (26):38-44.
Naranjo D, Hessler DM, Deol R, Chesla CA. Health and psychosocial outcomes in U.S. adult patients with diabetes from diverse ethnicities. Current Diabetes Report. 2012 Dec; 12(6):729-38.
Slean GR, Jacobs EA, Lahiff M, Fisher L, Fernandez A. Aspects of Culturally Competent Care are Associated With Less Emotional Burden Among Patients With Diabetes. Medical Care. 2012 Sep; 50(9 Suppl 2):S69-73.
Naranjo DM, Jacobs EA, Fisher L, Hessler D, Fernandez A. Age and Glycemic Control Among Low-Income Latinos. Journal of Immigrant Minority Health. 2012 Jul 28.
Fisher, L., Polonsky, W.H., Parkin, C.G., Jelsovsky, Z., Petersen, B., Wagner, R.S. The impact of structured blood glucose testing on attitudes toward self-management among poorly controlled insulin-naïve patients with type 2 diabetes. Diabetes Research and Clinical Practice. 2012 May; 96(2):149-55.
Fisher L, Hessler DM, Polonsky WH, Mullan J. When Is Diabetes Distress Clinically Meaningful?: Establishing cut points for the Diabetes Distress Scale. Diabetes Care. 2012 Feb; 35(2):259-64.
De Groot M, Fisher L. Building a pipeline of training for behavioral diabetes researchers and clinicians: a call for national dialogue. Current Diabetes Report. 2011 Dec; 11(6):503-10.
Polonsky WH, Fisher L, Hessler D, Edelman SV. A survey of blood glucose monitoring in patients with type 2 diabetes: are recommendations from health care professionals being followed? Current Medical Research and Opinion. 2011 Nov; 27 Suppl 3:31-7.
Glasgow RE, Dickinson P, Fisher L, Christiansen S, Toobert DJ, Bender BG, Dickinson LM, Jortberg B, Estabrooks PA. Use of RE-AIM to develop a multi-media facilitation tool for the patient-centered medical home. Implementation Science. 2011; 6(1):118.
Hessler DM, Fisher L, Naranjo D, Masharani U. Young adult African American patients with type 2 diabetes: A high risk patient sub-group with few supports for good diabetes management. Journal of Health Psychology. 2012 May; 17(4):535-44.
Fisher L, Polonsky W, Parkin CG, Jelsovsky Z, Amstutz L, Wagner RS. The impact of blood glucose monitoring on depression and distress in insulin-naïve patients with type 2 diabetes. Current Medical and Research Opinion. 2011 Nov; 27 Suppl 3:39-46.
Trief, PM, Sandberg J, Fisher L, Dimmock JA, Scales K, Hessler DM, Weinstock RS. Challenges and lessons learned in the development and implementation of a couples-focused telephone intervention for adults with type 2 diabetes: The Diabetes Support Project. Translational Behavioral Medicine 2011; 3(1):461-467.
Fisher L, Hessler D, Naranjo D, Polonsky W. AASAP: A program to increase recruitment and retention in clinical trials. Patient Education Counseling. 2012 Mar; 86(3):372-7.
Polonsky WH, Fisher L, Schikman CH, Hinnen DA, Parkin CG, Jelsovsky Z, Axel-Schweitzer M, Petersen B, Wagner RS. A structured self-monitoring of blood glucose approach in type 2 diabetes encourages more frequent, intensive, and effective physician interventions: results from the STeP study. Diabetes Technology and Therapeutics. 2011 Aug; 13(8):797-802.
Naranjo DM, Fisher L, Areán PA, Hessler D, Mullan J. Patients with type 2 diabetes at risk for major depressive disorder over time. The Annals of Family Medicine. 2011 Mar-Apr; 9(2):115-20.
Polonsky WH, Fisher L, Schikman CH, Hinnen DA, Parkin CG, Jelsovsky Z, Petersen B, Schweitzer M, Wagner RS. Structured self-monitoring of blood glucose significantly reduces A1C levels in poorly controlled, noninsulin-treated type 2 diabetes: results from the Structured Testing Program study. Diabetes Care. 2011 Feb; 34(2):262-7.
Polonsky WH, Fisher L, Hessler D, Bruhn D, Best JH. Patient perspectives on once-weekly medications for diabetes. Diabetes, Obesity and Metabolism. 2011 Feb; 13(2):144-9.
Gonzalez JS, Fisher L, Polonsky WH. Depression in diabetes: have we been missing something important? Diabetes Care. 2011 Jan; 34(1):236-9.
Fisher L, Dickinson WP. New technologies to advance self-management support in diabetes: not just a bunch of cool apps! Diabetes Care. 2011 Jan; 34(1):240-3.
Hessler DM, Fisher L, Mullan JT, Glasgow RE, Masharani U. Patient age: a neglected factor when considering disease management in adults with type 2 diabetes. Patient Education and Counseling. 2011 Nov; 85(2):154-9.
Polonsky WH, Fisher L, Guzman S, Sieber WJ, Philis-Tsimikas A, Edelman SV. Are patients' initial experiences at the diagnosis of type 2 diabetes associated with attitudes and self-management over time? The Diabetes Educator. 2010 Sep-Oct; 36(5):828-34.
Chen EH, Thom DH, Hessler DM, Phengrasamy L, Hammer H, Saba G, Bodenheimer T. Using the Teamlet Model to improve chronic care in an academic primary care practice. Journal of General Internal Medicine. 2010 Sep; 25 Suppl 4:S610-4.
Polonsky W, Fisher L, Schikman C, Hinnen D, Parkin C, Jelsovsky Z, Amstutz L, Schweitzer M, Wagner R. The value of episodic, intensive blood glucose monitoring in non-insulin treated persons with Type 2 Diabetes: design of the Structured Testing Program (STeP) study, a cluster-randomised, clinical trial [NCT00674986]. BMC Family Practice. 2010; 11:37.
Polonsky WH, Fisher L, Hessler D. Patient perspectives on the role of weight management in type 2 diabetes. Diabetes Research and Clinical Practice. 2010 May; 88(2):151-6.
Bender BG, Apter A, Bogen DK, Dickinson P, Fisher L, Wamboldt FS, Westfall JM. Test of an interactive voice response intervention to improve adherence to controller medications in adults with asthma. Journal of the American Board of Family Medicine. 2010 Mar-Apr; 23(2):159-65.
Fisher L, Glasgow RE, Strycker LA. The relationship between diabetes distress and clinical depression with glycemic control among patients with type 2 diabetes. Diabetes Care. 2010 May; 33(5):1034-6.
Fisher L, Mullan JT, Arean P, Glasgow RE, Hessler D, Masharani U. Diabetes distress but not clinical depression or depressive symptoms is associated with glycemic control in both cross-sectional and longitudinal analyses. Diabetes Care. 2010 Jan; 33(1):23-8.
Fisher L, Mullan JT, Skaff MM, Glasgow RE, Arean P, Hessler D. Predicting diabetes distress in patients with Type 2 diabetes: a longitudinal study. Diabetic Medicine. 2009 Jun; 26(6):622-7.
Skaff MM, Mullan JT, Almeida DM, Hoffman L, Masharani U, Mohr D, Fisher L. Daily negative mood affects fasting glucose in type 2 diabetes. Journal of Health Psychology. 2009 May; 28(3):265-72.
Fisher L, Skaff MM, Mullan JT, Arean P, Glasgow R, Masharani U. A longitudinal study of affective and anxiety disorders, depressive affect and diabetes distress in adults with Type 2 diabetes. Diabetic Medicine. 2008 Sep; 25(9):1096-101.
Fisher L, Glasgow RE, Mullan JT, Skaff MM, Polonsky WH. Development of a brief diabetes distress screening instrument. The Annals of Family Medicine. 2008 May-Jun; 6(3):246-52.
Fisher L, Glasgow RE. A call for more effectively integrating behavioral and social science principles into comprehensive diabetes care. Diabetes Care. 2007 Oct; 30(10):2746-9.
Fisher L, Skaff MM, Mullan JT, Arean P, Mohr D, Masharani U, Glasgow R, Laurencin G. Clinical depression versus distress among patients with type 2 diabetes: not just a question of semantics. Diabetes Care. 2007 Mar; 30(3):542-8.
Glasgow RE, Fisher L, Skaff M, Mullan J, Toobert DJ. Problem solving and diabetes self-management: investigation in a large, multiracial sample. Diabetes Care. 2007 Jan; 30(1): 33-7.
Sarkar U, Fisher L, Schillinger D. Is self-efficacy associated with diabetes self-management across race/ethnicity and health literacy? Diabetes Care. 2006 Apr; 29(4):823-9.
Fisher L. Eight tips for managing diabetes distress. Diabetes Self Management. 2006 Jan-Feb; 23(1):8-10.