Research Projects

Engaging in research provides health centers the opportunity to generate evidence and integrate findings into practice to further improve health care delivery, quality of services, and public policy.

We encourage health centers to engage in research and we are here to help them be successful. Beyond health centers, AllianceChicago collaborates in research with academic institutions, research institutions, foundations, other non-profits, and government agencies

capacity building

Active Projects

Capacity Building

NP3 and AllianceChicago are partnering together to foster a shared vision of enhancing research relationships between academic researchers and health centers within the AllianceChicago network and promoting practice-based research in health centers. This partnership makes it possible for AllianceChicago to dedicate resources towards prep-to-research and capacity building activities.

Chronic Disease
Chronic Disease Management

This study seeks to characterize key timing and drivers of maternal and child cardiovascular health from preconception through postpartum, to help direct resources and inform future pragmatic, person-centered interventions.

The purpose of the project is to expand a central repository of data available to diabetes researchers and collaborators in order to improve diabetes for adult patients in CHCs and to engage CHC clinicians and staff in training and other activities to catalyze diabetes research in their settings. Funder: NIH/NIDDKD

Cardiovascular health (CVH) starts very early in life and worsens with age. The overarching goal of this study is to identify CVH trajectories from birth through age 20 from 7,000 parents and their children in the Chicago area. Patients of Community Health Centers (CHCs) will be invited to participate in this study via text and email. Follow up surveys will be used to help define CVH metrics and create a tool to promote cardiovascular health. Funder: National Institutes of Health (NIH)

The “Tipping Points” project studies how health coaches may affect the health and wellness of patients with multiple chronic diseases. The new health coaching program will augment regular medical care, including positive affect interventions designed to help patients set their own life goals. Funder: Patient-Centered Outcomes Research Institute (PCORI)

AllianceChicago will support Northwestern University in this two part study: Study 1 will use qualitative research to test a pilot lung cancer screening tool with QR codes, aiming to customize content and materials for the target population. Study 2 will implement and test this tool to improve equitable access to screening. Funder: the Thoracic Surgery Foundation and AstraZeneca

The ECHO Diabetes FQHC program, led by the University of Florida, has been funded by a grant through the American Diabetes Association. AllianceChicago will lead the engagement of Federally Qualified Health Centers (FQHCs) in our network in the implementation and evaluation of this national program. Through ECHO Diabetes FQHC, participating FQHCs will have access to a tele-education intervention with continuing medical education (CME) credits provided, real-time support with complex medical decision-making, and access to an online repository of diabetes resources for geared toward primary care. FQHCs play a critical role in delivering care to people living with diabetes, and we are thrilled to link them to opportunities aimed at improving and evaluating outcomes for populations with insulin-requiring diabetes.

Infectious Diseases
Infectious Disease/COVID

The objective of this study is to implement strategies to increase uptake and support PrEP persistence among Black cisgender women in community health center (CHC) settings. AllianceChicago and Health Choice Network will partner with University of Chicago for this 5-year NIH-funded project. This study will take place at 12 locations of care within 3 CHCs, including 4 sites in the Midwest and 8 in the Southern U.S. Funder: NIH

The overarching goal of this proposal is to integrate a pharmacy technician-based model for delivering long-acting injectable cabotegravir-rilpivirine (LA-CAB/RPV) into community-based federally qualified health centers (FQHCs) that care for underserved people with HIV (PWH). The specific aims are to 1) adapt and refine a pharm tech-based model of LA-CAB/RPV delivery (PHARM ART) for the community-based federally qualified health center (FQHC) setting, 2) implement and evaluate the refined PHARM ART model in a Type 3 hybrid implementation-effectiveness study and 3) assess the cost, budget, cost-effectiveness, and population-level equity impacts of the PHARM ART model.

maternal child health
Maternal and Child Health

The overarching aim of this study is to determine the optimal patient-centered strategy to improve care for children with acute otitis media and reduce unnecessary antibiotic use to mitigate antibiotic-associated harms. Funder: Patient-Centered Outcomes Research Institute (PCORI)

This study will test a technology-based strategy to promote preconception care and diabetes self-management among English and Spanish-speaking women with type 2 diabetes in primary care. Aims 1. Test the medication reconciliation (MedRec) tool and deliver low literacy print tools to support diabetes self-care as well as post-visit text messaging to encourage healthy lifestyle behaviors to eligible patients 2. Analyze EHR data (e.g., HbA1c, blood pressure) on enrolled participants 3. Request feedback (via brief electronic survey) from 10 CHC personnel on their experience with the project. Funder: NIH

The REACH-OUT Trial has been funded by the National Heart, Lung, and Blood Institute (NHLBI). AllianceChicago will work with Northwestern University on this study to achieve the following aims: 1) Test the effectiveness of REACH-OUT, compared to usual care, to lower systolic blood pressure within 3 months, improve adherence to antihypertensive therapy reduce use of contraindicated medications; 2) Assess the reach, adoption, implementation, maintenance, and costs of REACH-OUT components; and 3) Explore the dose-response effect of REACH-OUT on blood pressure, adherence to antihypertensive therapy, and use of contraindicated antihypertensives and/or contraceptives over 12 months.

The Illinois Maternal Health Innovation (MHI) Program aims to 1) Maintain a State Maternal Health Task Force and draft a new five-year Maternal Health Strategic Plan; 2) Improve the State-Level Maternal Health Data and Surveillance; and, 3) Promote and Execute Innovation in Maternal Health Service Delivery.

Through the Maternal Health Research Center of Excellence, the University of Illinois Chicago and AllianceChicago will establish a new program to develop, train, and support community health center researchers to study maternal health.

This is a longitudinal cohort study among English- and Spanish-speaking postpartum patients recruited from academic and community health centers in Chicago, IL to capture modifiable, multilevel factors affecting postpartum contraceptive use and unintended short inter-pregnancy intervals. Funder: Eunice Kennedy Shriver National Institute of Child Health and Human Development

 The EXamining Postpartum Access to primary care following exteNDed insurance coverage (EXPAND) retrospective cohort study seeks to fill gaps regarding the impact of Medicaid extensions on improving maternal outcomes, focusing on access to care and care quality. This study has two aims: 1) examine the relationship between continuous Medicaid coverage through 12-months postpartum and healthcare utilization for FQHC patients in the first year postpartum; and 2) explore how FQHC and patient characteristics interact with healthcare utilization for FQHC patients in the first year postpartum following postpartum Medicaid extensions. Funder: Commonwealth Fund

mental health
Mental/Behavioral Health
pediatrics
Pediatrics
The goal of this study is to partner with stakeholders: NACHC, the Public Health Institute and CHC partners on an initiative focused on pediatric and maternal healthy weight and nutrition. Building on previous quality improvement efforts, this project aims to understand provider practices, beliefs, and barriers related to pediatric obesity and maternal-child nutrition in community health centers.
Participating sites will help inform the development of a new pediatric clinical quality measure by conducting provider interviews, distributing surveys, and sharing deidentified aggregate data. This collaboration will support efforts to improve screening and care practices related to healthy weight and nutrition in pregnancy and childhood.
Funder: NACHC
practice optimization
Practice Optimization

This project will study the adaptation and implementation of an evidence-based secure firearm storage program, S.A.F.E. Firearm, in community health center settings.

social determinants of health
Social Determinants of Health

This study will examine the impact of structural and interpersonal racism on the development of suicidal thoughts and behavior (STB) among school-age Black children with ADHD, the impact of clinical and contextual protective factors on future STB, and parent and child-reported perspectives on and experiences with racism and STB.

Collaboration
Social impact
This study will have two phases. Phase I will entail an Evaluation Readiness Assessment and Phase II will entail an Implementation Evaluation of the Accelerating Rapid Rehousing Outcomes (ARRO) model. The ARRO model links each participant to three case managers: one manager who specializes in housing, another manager who specializes in employment services, and a third case manager, who specializes in asset building. Case managers work together to ensure a participant has access to resources, education, and a network of support and referral for needs other than housing.
Funder: Heartland Human Care Services

individuals are removed from the Medicaid program and are then required to re-apply. Funder: Robert Wood Johnson Foundation

Smoking cessation
Substance Use
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