David Thom, MD, PhD, MPH
|Title||Professor in Residence|
|School||UCSF School of Medicine|
|Department||Family & Community Medicine|
|Address||1001 Potrero Ave, SFGH 80|
San Francisco CA 94143
My interest in patient-centered care and doctor-patient interactions spans almost 20 years and includes research in several areas closely related to patient decision making, including patient trust, patient preferences, cultural competency, and most recently health coaching. I have been a co-investigator on 3 studies of health coaching to support patient self-management of chronic disease and am currently the principal investigator on a fourth study evaluating the impact of training medical assistants and health coaches to improvement patients’ management of diabetes.
During the past 2 years I have sought to restructure my research program to focus on the investigation of innovative models for delivery of primary care. During this period I have been a co-investigator on a study of use of personal health records by patients with HIV (Kahn et al J Am Med Inform Assoc 2010;25:593-600) and a co-investigator or PI on 3 studies examining the impact of health coaching on outcomes of care for patients with diabetes, hypertension and/or hyperlipidemia. Results from the first health coaching study were published (Bennett et al, BMC Pub Hlth 2009;9:456) The second study, a randomized controlled trial of health coaching alone vs. health coaching plus an algorithm-driven home medication titration has been described in one publication and results are reported in a second article in press at Annals of Family Medicine. The third study, a larger randomized controlled trial of lay peer coaches for patients with diabetes (Ghorab et al BMC Pub Hlth 2011;11:208) finished data collection in May of 2011 and several papers are in process. I am working with two primary care fellows, Dave Moskowtiz, MD and Beth Rogers, MD who are using this data as part of their fellowship research. A fourth study, for which I am the UCSF PI, is a randomized trial of clinic-based health coaching by trained medical assistants. Data acquisition will be completed in early 2013.
While I am gradually shifting my focus to the above areas, I am also continuing to work in the area of risk factor and etiologic epidemiology of female urinary incontinence, as evidence by my continued work as PI of the RO1 funded Reproductive Risks for Urinary Incontinence Study at Kaiser and as a co-investigator on another NIH-funded study of risk factors for lower urinary tract symptoms using data from the CARDIA study. I am a co-investigator on a recently submitted NIH center grant to examine the genetic risk factors for urinary incontinence.
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