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Courtney Lyles, PhD

TitleAssistant Professor
SchoolUCSF School of Medicine
DepartmentMedicine
Address1001 Potrero Ave
San Francisco CA 94110
Phone415-206-6483
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    Collapse Biography 
    Collapse Education and Training
    Stanford UniversityBA2003Human Biology
    University of WashingtonPhD2010Health Services

    Collapse Overview 
    Collapse Overview
    Courtney Lyles, PhD, is an Assistant Professor in the UCSF Division of General Internal Medicine at San Francisco General Hospital and the UCSF Center for Vulnerable Populations. A trained health services researcher, she uses quantitative and qualitative methods to examine quality of care, health behavior, and health outcomes. Her research focuses on harnessing health information technology to improve patient-provider communication for chronic disease self-management to ultimately reduce disparities in health and healthcare outcomes. She is currently on a career development award from the Agency for Healthcare Research and Quality to engage patients in using online patient portals for healthcare management, including leveraging user-centered design and implementation science principles to create as well as spread technologies that are relevant for diverse patient populations.


    Collapse Research 
    Collapse Research Activities and Funding
    Engaging Diverse Patients in Using an Online Patient Portal
    AHRQ R00HS022408Aug 1, 2015 - Jul 31, 2018
    Role: Principal Investigator
    Overcoming Health Disparities by Engaging Patients with the Personal Health Record, MYSFHEALTH
    NIH/NLM G08LM012166May 1, 2015 - Apr 30, 2018
    Role: Principal Investigator
    Engaging Diverse Patients in Using an Online Patient Portal
    AHRQ K99HS022408Aug 1, 2013 - Jul 31, 2015
    Role: Principal Investigator

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    Collapse Global Health

    Collapse Bibliographic 
    Collapse Publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help.
    List All   |   Timeline
    1. Lyles C, Sarkar U. Seeing the Effect of Health Care Delivery Innovation in the Safety Net. JAMA Intern Med. 2017 Mar 27. PMID: 28346579.
      View in: PubMed
    2. Ackerman SL, Sarkar U, Tieu L, Handley MA, Schillinger D, Hahn K, Hoskote M, Gourley G, Lyles C. Meaningful use in the safety net: a rapid ethnography of patient portal implementation at five community health centers in California. J Am Med Inform Assoc. 2017 Mar 15. PMID: 28340229.
      View in: PubMed
    3. Lyles C, Ratanawongsa N, Bolen SD, Samal L. mHealth and Health Information Technology Tools for Diverse Patients with Diabetes. J Diabetes Res. 2017; 2017:1704917. PMID: 28326330.
      View in: PubMed
    4. Clarity C, Gourley G, Lyles C, Ackerman S, Handley MA, Schillinger D, Sarkar U, Conigliaro J. Implementation Science Workshop: Barriers and Facilitators to Increasing Mammography Screening Rates in California's Public Hospitals. J Gen Intern Med. 2017 Feb 10. PMID: 28188571.
      View in: PubMed
    5. Schillinger D, McNamara D, Crossley S, Lyles C, Moffet HH, Sarkar U, Duran N, Allen J, Liu J, Oryn D, Ratanawongsa N, Karter AJ. The Next Frontier in Communication and the ECLIPPSE Study: Bridging the Linguistic Divide in Secure Messaging. J Diabetes Res. 2017; 2017:1348242. PMID: 28265579.
      View in: PubMed
    6. Muller I, Rowsell A, Stuart B, Hayter V, Little P, Ganahl K, Müller G, Doyle G, Chang P, Lyles CR, Nutbeam D, Yardley L. Effects on Engagement and Health Literacy Outcomes of Web-Based Materials Promoting Physical Activity in People With Diabetes: An International Randomized Trial. J Med Internet Res. 2017 Jan 23; 19(1):e21. PMID: 28115299.
      View in: PubMed
    7. Fontil V, McDermott K, Tieu L, Rios C, Gibson E, Sweet CC, Payne M, Lyles CR. Adaptation and Feasibility Study of a Digital Health Program to Prevent Diabetes among Low-Income Patients: Results from a Partnership between a Digital Health Company and an Academic Research Team. J Diabetes Res. 2016; 2016:8472391. PMID: 27868070.
      View in: PubMed
    8. Lyles CR, Allen JY, Poole D, Tieu L, Kanter MH, Garrido T. "I Want to Keep the Personal Relationship With My Doctor": Understanding Barriers to Portal Use among African Americans and Latinos. J Med Internet Res. 2016 Oct 03; 18(10):e263. PMID: 27697748.
      View in: PubMed
    9. Sarkar U, Lyles C, Steinman M, Huang ES, Moffet HH, Whitmer RA, Warton EM, Karter AJ. Changes in Medication Use After Dementia Diagnosis in an Observational Cohort of Individuals with Diabetes Mellitus. J Am Geriatr Soc. 2017 Jan; 65(1):77-82. PMID: 27642180.
      View in: PubMed
    10. Lyles CR, Altschuler A, Chawla N, Kowalski C, McQuillan D, Bayliss E, Heisler M, Grant RW. User-Centered Design of a Tablet Waiting Room Tool for Complex Patients to Prioritize Discussion Topics for Primary Care Visits. JMIR Mhealth Uhealth. 2016; 4(3):e108. PMID: 27627965.
      View in: PubMed
    11. Sarkar U, Gourley GI, Lyles C, Tieu L, Clarity C, Newmark L, Singh K, Bates DW, et al. Usability of Commercially Available Mobile Applications for Diverse Patients. J Gen Intern Med. 2016 Jul 14. PMID: 27418347.
      View in: PubMed
    12. Ippolito MM, Lyles C, Prendergast K, Marshall MB, Waxman E, Seligman HK, et al. Food insecurity and diabetes self-management among food pantry clients. Public Health Nutr. 2016 Jul 13; 1-7. PMID: 27406399.
      View in: PubMed
    13. Tieu L, Schillinger D, Sarkar U, Hoskote M, Hahn KJ, Ratanawongsa N, Ralston JD, Lyles C, et al. Online patient websites for electronic health record access among vulnerable populations: portals to nowhere? J Am Med Inform Assoc. 2016 Jul 8. PMID: 27402138.
      View in: PubMed
    14. Lyles CR, Godbehere A, Le G, El Ghaoui L, Sarkar U. Applying Sparse Machine Learning Methods to Twitter: Analysis of the 2012 Change in Pap Smear Guidelines. A Sequential Mixed-Methods Study. JMIR Public Health Surveill. 2016; 2(1):e21. PMID: 27288093.
      View in: PubMed
    15. Ratanawongsa N, Barton JL, Lyles C, Wu M, Yelin EH, Martinez D, Schillinger D, et al. Computer use, language, and literacy in safety net clinic communication. J Am Med Inform Assoc. 2016 Jun 6. PMID: 27274017.
      View in: PubMed
    16. Lyles C. Capsule Commentary on Moreno et al., Disparities in the Use of Internet and Telephone Medication Refills Among Linguistically Diverse Patients. J Gen Intern Med. 2016 Mar; 31(3):322. PMID: 26391031.
      View in: PubMed
    17. Garg SK, Lyles CR, Ackerman S, Handley MA, Schillinger D, Gourley G, Aulakh V, Sarkar U. Qualitative analysis of programmatic initiatives to text patients with mobile devices in resource-limited health systems. BMC Med Inform Decis Mak. 2016; 16(1):16. PMID: 26851941.
      View in: PubMed
    18. Ratanawongsa N, Barton JL, Lyles C, Wu M, Yelin EH, Martinez D, Schillinger D. Association Between Clinician Computer Use and Communication With Patients in Safety-Net Clinics. JAMA Intern Med. 2016 Jan 1; 176(1):125-8. PMID: 26619393.
      View in: PubMed
    19. Tuot DS, Leeds K, Murphy EJ, Sarkar U, Lyles CR, Mekonnen T, Chen AH. Facilitators and barriers to implementing electronic referral and/or consultation systems: a qualitative study of 16 health organizations. BMC Health Serv Res. 2015; 15(1):568. PMID: 26687507.
      View in: PubMed
    20. Tieu L, Sarkar U, Schillinger D, Ralston JD, Ratanawongsa N, Pasick R, Lyles CR. Barriers and Facilitators to Online Portal Use Among Patients and Caregivers in a Safety Net Health Care System: A Qualitative Study. J Med Internet Res. 2015; 17(12):e275. PMID: 26681155.
      View in: PubMed
    21. Seligman HK, Lyles C, Marshall MB, Prendergast K, Smith MC, Headings A, Bradshaw G, Rosenmoss S, Waxman E. A Pilot Food Bank Intervention Featuring Diabetes-Appropriate Food Improved Glycemic Control Among Clients In Three States. Health Aff (Millwood). 2015 Nov 1; 34(11):1956-63. PMID: 26526255.
      View in: PubMed
    22. Rowsell A, Muller I, Murray E, Little P, Byrne CD, Ganahl K, Müller G, Gibney S, Lyles CR, Lucas A, Nutbeam D, Yardley L. Views of People With High and Low Levels of Health Literacy About a Digital Intervention to Promote Physical Activity for Diabetes: A Qualitative Study in Five Countries. J Med Internet Res. 2015; 17(10):e230. PMID: 26459743.
      View in: PubMed
    23. Lyles C, Sarkar U, Schillinger D, Ralston JD, Allen JY, Nguyen R, Karter AJ. Refilling medications through an online patient portal: consistent improvements in adherence across racial/ethnic groups. J Am Med Inform Assoc. 2016 Apr; 23(e1):e28-33. PMID: 26335983.
      View in: PubMed
    24. Mirsky JB, Tieu L, Lyles C, Sarkar U. A Mixed-Methods Study of Patient-Provider E-Mail Content in a Safety-Net Setting. J Health Commun. 2016 Jan; 21(1):85-91. PMID: 26332306.
      View in: PubMed
    25. Lyles C, Seligman HK, Parker MM, Moffet HH, Adler N, Schillinger D, Piette JD, Karter AJ. Financial Strain and Medication Adherence among Diabetes Patients in an Integrated Health Care Delivery System: The Diabetes Study of Northern California (DISTANCE). Health Serv Res. 2016 Apr; 51(2):610-24. PMID: 26256117.
      View in: PubMed
    26. Mirsky JB, Tieu L, Lyles C, Sarkar U. Readability assessment of patient-provider electronic messages in a primary care setting. J Am Med Inform Assoc. 2016 Jan; 23(1):202-6. PMID: 26177659.
      View in: PubMed
    27. Lyles C, Schillinger D, Sarkar U. Connecting the Dots: Health Information Technology Expansion and Health Disparities. PLoS Med. 2015 Jul; 12(7):e1001852. PMID: 26172977; PMCID: PMC4501812.
    28. Lyles CR, Sarkar U. Health literacy, vulnerable patients, and health information technology use: where do we go from here? J Gen Intern Med. 2015 Mar; 30(3):271-2. PMID: 25588688; PMCID: PMC4351277 [Available on 03/01/16].
    29. Rosland AM, Piette JD, Lyles CR, Parker MM, Moffet HH, Adler NE, Schillinger D, Karter AJ. Social support and lifestyle vs. medical diabetes self-management in the diabetes study of Northern California (DISTANCE). Ann Behav Med. 2014 Dec; 48(3):438-47. PMID: 24794624; PMCID: PMC4218888.
    30. Lyles CR, Schafer AL, Seligman HK. Income, food insecurity, and osteoporosis among older adults in the 2007-2008 National Health and Nutrition Examination Survey (NHANES). J Health Care Poor Underserved. 2014 Nov; 25(4):1530-41. PMID: 25418225.
      View in: PubMed
    31. Chavez LJ, Ornelas IJ, Lyles CR, Williams EC. Racial/ethnic workplace discrimination: association with tobacco and alcohol use. Am J Prev Med. 2015 Jan; 48(1):42-9. PMID: 25441232; PMCID: PMC4274219 [Available on 01/01/16].
    32. Lyles CR, Sarkar U, Osborn CY. Getting a technology-based diabetes intervention ready for prime time: a review of usability testing studies. Curr Diab Rep. 2014 Oct; 14(10):534. PMID: 25173689; PMCID: PMC4164626.
    33. Berkowitz SA, Karter AJ, Lyles CR, Liu JY, Schillinger D, Adler NE, Moffet HH, Sarkar U. Low socioeconomic status is associated with increased risk for hypoglycemia in diabetes patients: the Diabetes Study of Northern California (DISTANCE). J Health Care Poor Underserved. 2014 May; 25(2):478-90. PMID: 24858863; PMCID: PMC4034138.
    34. Sarkar U, Lyles CR, Parker MM, Allen J, Nguyen R, Moffet HH, Schillinger D, Karter AJ. Use of the refill function through an online patient portal is associated with improved adherence to statins in an integrated health system. Med Care. 2014 Mar; 52(3):194-201. PMID: 24374412; PMCID: PMC4005993.
    35. Moffet HH, Warton EM, Parker MM, Liu JY, Lyles C, Karter AJ. The DISTANCE model for collaborative research: distributing analytic effort using scrambled data sets. Inf Secur Comput Fraud. 2014; 2(3):33-38. PMID: 25584364.
      View in: PubMed
    36. Lyles CR, Aulakh V, Jameson W, Schillinger D, Yee H, Sarkar U. Innovation and transformation in California's safety net health care settings: an inside perspective. Am J Med Qual. 2014 Nov-Dec; 29(6):538-45. PMID: 24170938.
      View in: PubMed
    37. Lyles CR, Drago-Ferguson S, Lopez A, Seligman HK. Nutritional assessment of free meal programs in San Francisco. Prev Chronic Dis. 2013; 10:E90. PMID: 23721791; PMCID: PMC3675796.
    38. Lyles CR, Sarkar U, Ralston JD, Adler N, Schillinger D, Moffet HH, Huang ES, Karter AJ. Patient-provider communication and trust in relation to use of an online patient portal among diabetes patients: The Diabetes and Aging Study. J Am Med Inform Assoc. 2013 Nov-Dec; 20(6):1128-31. PMID: 23676243; PMCID: PMC3822118.
    39. Lyles CR, Schillinger D, Lopez A, Handley M, Ratanawongsa N, Sarkar U. Safety events during an automated telephone self-management support intervention. J Diabetes Sci Technol. 2013 May; 7(3):596-601. PMID: 23759391; PMCID: PMC3869126.
    40. Yu MK, Lyles CR, Bent-Shaw LA, Young BA. Sex disparities in diabetes process of care measures and self-care in high-risk patients. J Diabetes Res. 2013; 2013:575814. PMID: 23671877; PMCID: PMC3647593.
    41. Lyles CR, Sarkar U. Additional considerations for 'Harnessing the cloud of patient experience'. BMJ Qual Saf. 2013 Aug; 22(8):698. PMID: 23476069.
      View in: PubMed
    42. Baxi S, Lakin J, Lyles CR, Berkowitz S, Horton C, Sarkar U. Points for improvement: performance measurement for glycemic control in diabetes patients in a safety-net population. Jt Comm J Qual Patient Saf. 2013 Mar; 39(3):109-13. PMID: 23516760.
      View in: PubMed
    43. Lyles CR, López A, Pasick R, Sarkar U. "5 mins of uncomfyness is better than dealing with cancer 4 a lifetime": an exploratory qualitative analysis of cervical and breast cancer screening dialogue on Twitter. J Cancer Educ. 2013 Mar; 28(1):127-33. PMID: 23132231.
      View in: PubMed
    44. Schickedanz A, Huang D, Lopez A, Cheung E, Lyles CR, Bodenheimer T, Sarkar U. Access, interest, and attitudes toward electronic communication for health care among patients in the medical safety net. J Gen Intern Med. 2013 Jul; 28(7):914-20. PMID: 23423453; PMCID: PMC3682038.
    45. Ratanawongsa N, Karter AJ, Parker MM, Lyles CR, Heisler M, Moffet HH, Adler N, Warton EM, Schillinger D. Communication and medication refill adherence: the Diabetes Study of Northern California. JAMA Intern Med. 2013 Feb 11; 173(3):210-8. PMID: 23277199; PMCID: PMC3609434.
    46. Lyles CR, Wolf MS, Schillinger D, Davis TC, Dewalt D, Dahlke AR, Curtis L, Seligman HK. Food insecurity in relation to changes in hemoglobin A1c, self-efficacy, and fruit/vegetable intake during a diabetes educational intervention. Diabetes Care. 2013 Jun; 36(6):1448-53. PMID: 23275354; PMCID: PMC3661820.
    47. Lyles CR, Grothaus L, Reid RJ, Sarkar U, Ralston JD. Communication about diabetes risk factors during between-visit encounters. Am J Manag Care. 2012 Dec; 18(12):807-15. PMID: 23286610.
      View in: PubMed
    48. Kirchhoff AC, Lyles CR, Fluchel M, Wright J, Leisenring W. Limitations in health care access and utilization among long-term survivors of adolescent and young adult cancer. Cancer. 2012 Dec 1; 118(23):5964-72. PMID: 23007632.
      View in: PubMed
    49. Yu MK, Lyles CR, Bent-Shaw LA, Young BA. Risk factor, age and sex differences in chronic kidney disease prevalence in a diabetic cohort: the pathways study. Am J Nephrol. 2012; 36(3):245-51. PMID: 22964976; PMCID: PMC3510352.
    50. Lyles CR, Harris LT, Jordan L, Grothaus L, Wehnes L, Reid RJ, Ralston JD. Patient race/ethnicity and shared medical record use among diabetes patients. Med Care. 2012 May; 50(5):434-40. PMID: 22354209.
      View in: PubMed
    51. Katon W, Lyles CR, Parker MM, Karter AJ, Huang ES, Whitmer RA. Association of depression with increased risk of dementia in patients with type 2 diabetes: the Diabetes and Aging Study. Arch Gen Psychiatry. 2012 Apr; 69(4):410-7. PMID: 22147809; PMCID: PMC3558525.
    52. Spigner C, Lyles CR, Galvin G, Sabin J, Davis C, Dick A, Young BA. A qualitative assessment of personal and social responsibility for kidney disease: the Increasing Kidney Disease Awareness Network Transplant Project. J Natl Med Assoc. 2011 Sep-Oct; 103(9-10):879-84. PMID: 22364056.
      View in: PubMed
    53. Moskowitz D, Lyles CR, Karter AJ, Adler N, Moffet HH, Schillinger D. Patient reported interpersonal processes of care and perceived social position: the Diabetes Study of Northern California (DISTANCE). Patient Educ Couns. 2013 Mar; 90(3):392-8. PMID: 21855266; PMCID: PMC3226874.
    54. Lyles CR, Karter AJ, Young BA, Spigner C, Grembowski D, Schillinger D, Adler N. Provider factors and patient-reported healthcare discrimination in the Diabetes Study of California (DISTANCE). Patient Educ Couns. 2011 Dec; 85(3):e216-24. PMID: 21605956; PMCID: PMC3178668.
    55. Lyles CR, Karter AJ, Young BA, Spigner C, Grembowski D, Schillinger D, Adler N. Patient-reported racial/ethnic healthcare provider discrimination and medication intensification in the Diabetes Study of Northern California (DISTANCE). J Gen Intern Med. 2011 Oct; 26(10):1138-44. PMID: 21547610; PMCID: PMC3181298.
    56. Lyles CR, Harris LT, Le T, Flowers J, Tufano J, Britt D, Hoath J, Hirsch IB, Goldberg HI, Ralston JD. Qualitative evaluation of a mobile phone and web-based collaborative care intervention for patients with type 2 diabetes. Diabetes Technol Ther. 2011 May; 13(5):563-9. PMID: 21406018.
      View in: PubMed
    57. Lyles CR, Karter AJ, Young BA, Spigner C, Grembowski D, Schillinger D, Adler NE. Correlates of patient-reported racial/ethnic health care discrimination in the Diabetes Study of Northern California (DISTANCE). J Health Care Poor Underserved. 2011 Feb; 22(1):211-25. PMID: 21317516; PMCID: PMC3075840.
    58. Harris LT, Tufano J, Le T, Rees C, Lewis GA, Evert AB, Flowers J, Collins C, Hoath J, Hirsch IB, Goldberg HI, Ralston JD. Designing mobile support for glycemic control in patients with diabetes. J Biomed Inform. 2010 Oct; 43(5 Suppl):S37-40. PMID: 20937484.
      View in: PubMed
    59. Rees CA, Karter AJ, Young BA. Race/ethnicity, social support, and associations with diabetes self-care and clinical outcomes in NHANES. Diabetes Educ. 2010 May-Jun; 36(3):435-45. PMID: 20332281; PMCID: PMC2878375.
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