Francesca Nicosia, PhD

Title(s)Associate Professor, Institute for Health & Aging
SchoolSchool of Nursing
Address490 Illinois Street, #001
San Francisco CA 94158
Phone415-221-4810 ext. 23446
ORCID ORCID Icon0000-0003-4040-7625 Additional info
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    Collapse Biography 
    Collapse Education and Training
    University of California, San Francisco, San Francisco, CAPhD06/2017Medical Anthropology
    University of Colorado, Denver, Denver, COMA05/2010Medical Anthropology
    DePauw University, Greencastle, INBA05/2002Sociology & Anthropology

    Collapse Overview 
    Collapse Overview
    As a medical anthropologist, health services researcher, and certified yoga therapist, my research focuses on improving pain, function, and quality of life outcomes for older adults, women, and veterans through nonpharmacologic and complementary and integrative health (CIH) interventions and care models. I have broad expertise in research methodology related to the design of mixed methods studies in aging, CIH, and implementation science.

    Collapse Research 
    Collapse Research Activities and Funding
    Preventing Loss of Independence through Exercise in Community Living Centers: An Effectiveness-Implementation Trial
    VA HSR 1I01HX003817-01Jan 1, 2025 - Dec 31, 2028
    Role: Co-Principal Investigator
    Description: The goal of this stepped-wedge hybrid Type 2 trial is to evaluate effectiveness and implementation outcomes of a multi-site PLIE training program in VA nursing homes.
    The Center for Data to Discovery and Delivery Innovation (3DI)
    VA HSR 1I50HX004001-01Oct 1, 2024 - Sep 1, 2029
    Role: Director, Veteran Engagement Core
    A Randomized Trial of a Telehealth-Based Group Yoga Program for Women with Chronic Pelvic Pain Syndrome
    NIH/NCCIH R01AT012461Aug 1, 2024 - Jul 30, 2029
    Role: Co-Investigator
    Description: The goal of this randomized trial is to evaluate the effects of a yoga intervention involving group videoconference-based instruction and individual practice of trauma-informed yoga techniques for chronic pelvic pain syndrome in women.
    Gaps in Identification, Referral and Treatment of Cannabis Use in VA Primary Care
    VA HSR 1 I01 HX003522-01Jan 1, 2024 - Dec 31, 2028
    Role: Co-Investigator
    Description: The goal of this study is to further understanding of the prevalence of cannabis use in VA primary care patients, the current gaps in care, the need for screening, and improve our understanding of the harms associated with use.
    Development and Feasibility of a Telehealth Mind-Body Menopause Program
    VA Office of Rural Health NOMAD PROJ-04118Oct 1, 2023 - Sep 30, 2026
    Role: Principal Investigator
    Description: This project will develop and test a nonpharmacologic program to support rural women Veterans’ physical and mental health through the menopause transition.
    A Partnered Evaluation to Improve Identification and Management of Functional Impairment and Frailty for Older Veterans in VA Primary Care
    VA HSR/QUERI 1I50HX003771-01Oct 1, 2023 - Sep 20, 2026
    Role: Co-Principal Investigator
    Description: The purpose of this QUERI Partnered Evaluation Initiative is to implement and evaluate a patient-centered, low-burden intervention to improve measurement of functional status in VA primary care settings nationally. We hypothesize that implementing this intervention will increase identification and improve management of functional impairment among older Veterans while providing key data to inform VHA strategic planning related to long-term services and supports. We will use a hybrid effectiveness-implementation adaptive trial design.
    Telehealth delivery of the Preventing Loss of Independence through Exercise Program (Tele-PLIÉ) for rural Veterans with dementia and their caregivers
    VA Office of Rural Health PROJFY-009807Oct 1, 2023 - Sep 20, 2026
    Role: Principal Investigator
    Description: This project will adapt and test the evidence-based Preventing Loss of Independence through Exercise (PLIÉ) Program for VA telehealth delivery (Tele-PLIÉ) for rural Veterans with dementia and their caregivers.
    Yoga as a therapeutic modality for women across the aging spectrum: advancing understanding of self-efficacy, observed success, and barriers to practicing yoga
    NIH/NCATS P0541014Jul 1, 2021 - Jun 30, 2022
    Role: Principal Investigator
    Description: The goal of this mixed-methods project is to evaluate the effects of age and functional status on midlife and older women’s self-confidence and experience with learning and sustaining a therapeutic yoga practice in the context of a multi-site trial of yoga for urinary incontinence.
    TeleYoga: Expanding Access to Complementary and Integrative Health for Rural Veterans
    VA Office of Rural Health OMAT 16016Oct 1, 2020 - Sep 30, 2023
    Role: Principal Investigator
    Description: The Veterans Health Administration has included yoga as part of the standard medical benefits package, yet rural Veterans have limited access to yoga instruction. The TeleYoga Program will increase rural Veteran access to yoga and aims to improve rural Veterans’ experience, satisfaction, and patient-reported outcome measures, including overall physical and mental health and well-being. This study includes external implementation for 8 sites and a mixed-methods evaluation to assess implementation and effectiveness outcomes.
    Preventing Loss of Independence through Exercise in Community Living Centers (PLIÉ -CLC)
    VA Health Services Research & Development 1I01HX002764Jun 1, 2020 - May 31, 2023
    Role: Co-Investigator
    Extending Independence and Quality of Life for People with Alzheimer’s disease or dementia through Telehealth Program Delivery
    NIH/NIA R43 AG059520Apr 1, 2020 - Mar 31, 2022
    Role: Co-Investigator

    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. to make corrections and additions.
    Newest   |   Oldest   |   Most Cited   |   Most Discussed   |   Timeline   |   Field Summary   |   Plain Text
    Altmetrics Details PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
    1. Implementation of Virtual, Livestream Yoga Classes for Veterans at Home During the COVID-19 Pandemic: A Mixed-Methods Pilot Program Evaluation. Glob Adv Integr Med Health. 2024 Jan-Dec; 13:27536130241268107. Pham C, Hildebrand C, Tarasovsky G, Purcell N, Seal K, Nicosia F. PMID: 39429898; PMCID: PMC11489906.
      View in: PubMed   Mentions:
    2. Implementing a new multidisciplinary, remote, dementia staff training program for Veterans affairs nursing homes. BMC Health Serv Res. 2024 Oct 03; 24(1):1178. Shirsat NR, Lee JA, Pham C, Miller MJ, Chesney MA, Nicosia FM, Chao L, Barnes DE. PMID: 39363198; PMCID: PMC11450980.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    3. Evaluation of a New Integrative Health and Wellness Clinic for Veterans at the San Francisco VA Health Care System: A Mixed-Methods Pilot Study. Glob Adv Integr Med Health. 2024 Jan-Dec; 13:27536130241260034. Nicosia FM, Purcell N, Bertenthal D, Usman H, Seidel I, McGrath S, Hildebrand C, McCarthy B, Seal KH. PMID: 38867941; PMCID: PMC11168048.
      View in: PubMed   Mentions:
    4. Improving measurement of functional status among older adults in primary care: A pilot study. PLoS One. 2024; 19(5):e0303402. Brown RT, Zamora K, Rizzo A, Spar MJ, Fung KZ, Santiago L, Campbell A, Nicosia FM. PMID: 38739582; PMCID: PMC11090365.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    5. Livestream, group movement program for people living with cognitive impairment and care partners: A randomized clinical trial. Alzheimers Dement (N Y). 2024 Apr-Jun; 10(2):e12467. Barnes DE, Jiang F, Benjamin C, Lee JA, Sudore RL, Mehling WE, Chesney MA, Chao LL, Nicosia FM. PMID: 38698931; PMCID: PMC11064212.
      View in: PubMed   Mentions:
    6. Remote Delivery of Mindful Movement Within Healthcare Systems: Lessons Learned From the Veterans Health Administration. Glob Adv Integr Med Health. 2024 Jan-Dec; 13:27536130241235908. Whitehead AM, Mullur R, Sullivan MB, Nicosia FM. PMID: 38501126; PMCID: PMC10946065.
      View in: PubMed   Mentions: 1  
    7. Caring for Patients with Functional Impairment in Middle Age: Perspectives from Primary Care Providers and Geriatricians. J Gen Intern Med. 2024 Sep; 39(12):2292-2299. Schmucker AM, Reyes-Farias D, Nicosia FM, Xu E, B Potter M, Karliner LS, Brown RT. PMID: 38489004; PMCID: PMC11347537.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    8. Livestream, group movement program for people living with cognitive impairment and care partners: A randomized clinical trial. Alzheimer's & Dementia: Translational Research & Clinical Interventions. 2024; 2(10):e12467. Deborah E Barnes, Fei Jiang, Cynthia Benjamin, Jennifer A Lee, Rebecca L Sudore, Wolf E Mehling, Margaret A Chesney, Linda L Chao, Francesca M Nicosia. . View Publication.
    9. Improving measurement of functional status among older adults in primary care: A pilot study. PLOS ONE. 2024; 5(19):e0303402. Rebecca T. Brown, Kara Zamora, Anael Rizzo, Malena J. Spar, Kathy Z. Fung, Lea Santiago, Annie Campbell, Francesca M. Nicosia. . View Publication.
    10. Adaptation of an In-Person Mind-Body Movement Program for People with Cognitive Impairment or Dementia and Care Partners for Online Delivery: Feasibility, Satisfaction and Participant-Reported Outcomes. Glob Adv Integr Med Health. 2023 Jan-Dec; 12:27536130231202989. Nicosia FM, Lee JA, Chesney MA, Benjamin C, Lee AN, Mehling W, Sudore RL, Barnes DE. PMID: 37745819; PMCID: PMC10515582.
      View in: PubMed   Mentions: 1  
    11. Using multiple qualitative methods to inform intervention development: Improving functional status measurement for older veterans in primary care settings. PLoS One. 2023; 18(8):e0290741. Nicosia FM, Zamora K, Rizzo A, Spar MJ, Silvestrini M, Brown RT. PMID: 37616266; PMCID: PMC10449158.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    12. When Functional Impairment Develops Early: Perspectives from Middle-Aged Adults. J Gen Intern Med. 2023 01; 38(1):90-97. Xu E, Nicosia FM, Zamora K, Barrientos M, Spar MJ, Reyes-Farias D, Karliner LS, Potter MB, Brown RT. PMID: 35391621; PMCID: PMC9849615.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    13. "You have to be sure that the patient has the full picture": Adaptation of the Best Case/Worst Case communication tool for geriatric oncology. J Geriatr Oncol. 2022 06; 13(5):606-613. Wong ML, Nicosia FM, Smith AK, Walter LC, Lam V, Cohen HJ, Loh KP, Mohile SG, Ursem CJ, Schwarze ML. PMID: 35123919; PMCID: PMC9232997.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    14. Rapid Conversion of a Group-Based Yoga Trial for Diverse Older Women to Home-Based Telehealth: Lessons Learned Using Zoom to Deliver Movement-Based Interventions. J Integr Complement Med. 2022 Feb; 28(2):188-192. Huang AJ, Chesney MA, Schembri M, Pawlowsky S, Nicosia F, Subak LL. PMID: 35167358; PMCID: PMC8867109.
      View in: PubMed   Mentions: 3     Fields:    Translation:HumansCellsPHPublic Health
    15. Barriers and facilitators to older adults' use of nonpharmacologic approaches for chronic pain: a person-focused model. Pain. 2021 11 01; 162(11):2769-2779. Garrett SB, Nicosia F, Thompson N, Miaskowski C, Ritchie CS. PMID: 33902095; PMCID: PMC8426428.
      View in: PubMed   Mentions: 6     Fields:    Translation:Humans
    16. Implementation of an integrative movement program for residents with dementia in a VA nursing home. BMC Geriatr. 2021 10 27; 21(1):607. Akram A, Nicosia F, Lee J, Lee M, Martin L, Martinez S, Ordoñez C, Woo M, Barnes DE. PMID: 34706658; PMCID: PMC8549425.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    17. Women Veterans' Experiences with Integrated, Biopsychosocial Pain Care: A Qualitative Study. Pain Med. 2021 09 08; 22(9):1954-1961. Nicosia FM, Gibson CJ, Purcell N, Zamora K, Tighe J, Seal KH. PMID: 33547797.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    18. Advancing health equity through a theoretically critical implementation science. Transl Behav Med. 2021 08 13; 11(8):1617-1625. Snell-Rood C, Jaramillo ET, Hamilton AB, Raskin SE, Nicosia FM, Willging C. PMID: 33904908; PMCID: PMC8367016.
      View in: PubMed   Mentions: 36     Fields:    Translation:Humans
    19. Guys and dolls: Two case reports of spontaneous interactions with dolls in male veterans with dementia. Psychol Serv. 2022 Aug; 19(3):527-533. Malinowski SD, Nicosia F, Mehling W, Woodstock R, Barnes DE. PMID: 34197161; PMCID: PMC8720118.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    20. Resilience in the Face of Disaster: Psychosocial Effects of the 2017 Northern California Wildfires in Caregivers and Persons with Cognitive Impairment Participating in an Integrative Group Movement Program at an Adult Day Center. Activities, Adaptation & Aging. 2021. Nicosia FM, Williams SL, Dannenbaum TP, Barnes DE. View Publication.
    21. Leveraging Telehealth to improve access to care: a qualitative evaluation of Veterans' experience with the VA TeleSleep program. BMC Health Serv Res. 2021 Jan 21; 21(1):77. Nicosia FM, Kaul B, Totten AM, Silvestrini MC, Williams K, Whooley MA, Sarmiento KF. PMID: 33478497; PMCID: PMC7818059.
      View in: PubMed   Mentions: 9     Fields:    Translation:Humans
    22. A Biopsychosocial Model of Chronic Pain for Older Adults. Pain Med. 2020 09 01; 21(9):1793-1805. Miaskowski C, Blyth F, Nicosia F, Haan M, Keefe F, Smith A, Ritchie C. PMID: 31846035.
      View in: PubMed   Mentions: 36     Fields:    Translation:Humans
    23. Patient Perspectives on Declining to Participate in Home-Based Cardiac Rehabilitation: A MIXED-METHODS STUDY. J Cardiopulm Rehabil Prev. 2020 09; 40(5):335-340. Schopfer DW, Nicosia FM, Ottoboni L, Whooley MA. PMID: 32084030.
      View in: PubMed   Mentions: 9     Fields:    Translation:Humans
    24. An Integrated Pain Team Model: Impact on Pain-Related Outcomes and Opioid Misuse in Patients with Chronic Pain. Pain Med. 2020 09 01; 21(9):1977-1984. Gibson CJ, Grasso J, Li Y, Purcell N, Tighe J, Zamora K, Nicosia F, Seal KH. PMID: 32100002.
      View in: PubMed   Mentions: 7     Fields:    Translation:Humans
    25. "The More They Know, the Better Care They Can Give": Patient Perspectives on Measuring Functional Status in Primary Care. J Gen Intern Med. 2020 10; 35(10):2947-2954. Nicosia FM, Spar MJ, Neumann A, Silvestrini MC, Barrientos M, Brown RT. PMID: 32749552; PMCID: PMC7573015.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    26. Strategies for evaluating self-efficacy and observed success in the practice of yoga postures for therapeutic indications: methods from a yoga intervention for urinary incontinence among middle-aged and older women. BMC Complement Med Ther. 2020 May 14; 20(1):148. Nicosia FM, Lisha NE, Chesney MA, Subak LL, Plaut TM, Huang A. PMID: 32408868; PMCID: PMC7227071.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    27. "We Have a Long Way to Go:" A Case Study Examination of Older Women Veterans' Experiences in VA Primary Care. Inquiry. 2020 Jan-Dec; 57:46958020931311. Silvestrini M, Nicosia F, Spar MJ, Gibson CJ, Brown RT. PMID: 32525421; PMCID: PMC7290258.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    28. What Is a Medication-Related Problem? A Qualitative Study of Older Adults and Primary Care Clinicians. J Gen Intern Med. 2020 03; 35(3):724-731. Nicosia FM, Spar MJ, Stebbins M, Sudore RL, Ritchie CS, Lee KP, Rodondi K, Steinman MA. PMID: 31677102; PMCID: PMC7080912.
      View in: PubMed   Mentions: 10     Fields:    Translation:Humans
    29. Making Function Part of the Conversation: Clinician Perspectives on Measuring Functional Status in Primary Care. J Am Geriatr Soc. 2019 03; 67(3):493-502. Nicosia FM, Spar MJ, Steinman MA, Lee SJ, Brown RT. PMID: 30506667; PMCID: PMC6402957.
      View in: PubMed   Mentions: 12     Fields:    Translation:Humans
    30. Nurses' Perspectives on Lean Redesigns to Patient Flow and Inpatient Discharge Process Efficiency. Glob Qual Nurs Res. 2018 Jan-Dec; 5:2333393618810658. Nicosia FM, Park LG, Gray CP, Yakir MJ, Hung DY. PMID: 30480041; PMCID: PMC6249655.
      View in: PubMed   Mentions: 7  
    31. Hospital-Community Partnerships to Aid Transitions for Older Adults: Applying the Care Transitions Framework. J Nurs Care Qual. 2018 Jul/Sep; 33(3):221-228. Hung D, Truong Q, Yakir M, Nicosia F. PMID: 29035905.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    32. Current approaches to measuring functional status among older adults in VA primary care clinics. Fed Pract. 2017 Sep; 34(9):26-31. Spar MJ, Nicosia FM, Steinman MA, Brown RT. PMID: 29706753; PMCID: PMC5915328.
      View in: PubMed   Mentions: 4  
    33. The Turn Toward Value: An ethnography of efficiency and satisfaction in the American hospital. 2017. Nicosia, FM. View Publication.
    34. Documentary Effects on Medical Student Attitudes and Skills Regarding Nutrition at the End of life. Creative Education. 2014; 5(2). Scott De La Cruz, Francesca Nicosia, Eva Aagaard . View Publication.
    35. Ecology, embodiment and aesthetics of death in Hurricane Katrina. Mortality. 2009; 14(1). Nicosia, FM. View Publication.
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