
Past Community Medicine Student Research Projects
Community Team
GRACE Outreach Community Clinic : Griselle Estrada, Cheryl Mart, R.N.,
Fellow: Robert Martin
Research Mentor: Mark DeHaven, Ph. D.
(2008)
This project was conducted in collaboration with GRACE Outreach Community Clinic, in order to examine perception, knowledge, and behaviors related to obesity in Hispanics living in Grapevine, TX, as well as the health care providers that volunteer at the clinic. Acquisition of project data used an ethnographic approach, including interviews and observations. Interviews with patients assessed perceptions, Explanatory Models (EMs) of obesity and overweight and behaviors relating to the management of patient body weight. Additional data assessed how the medical professionals with these patient at the time of the patient’s visit.
Community Team
Paso del Norte Foundation : Jon Law
Fellow: Marlene Garcia
Research Mentor: Florence J. Dallo, Ph. D., MPH
(2008)
Partnering with Paso del Norte Foundation, a medical student assessed the prevalence of depression in relation to the knowledge and behaviors toward mental health care among Mexican American women in a colonia outside of El Paso, Texas. The study also identified sociodemographic and physical health conditions associated with the prevalence of depression. A face-to-face questionnaire was administered to a random sample of households in the Montana Vista community. In addition, patient charts from the Montana Vista Community Partnership Clinic were analyzed to evaluate the number of patients that utilize the clinic for depression.
Community Team
The New Connections Program: Emily West, MSW
Fellow: Kirtan Nautiyal
Research Mentor: Margaret Caughy, Sc. D.
(2008)
A medical student worked with the New Connections Family Intervention program to determine the attitudes, beliefs, behaviors, and knowledge regarding childhood obesity among participating mothers in A short survey was administered to address current parental behavior, attitudes, and beliefs regarding nutrition and exercise involving themselves as well as their children, current parental knowledge of proper nutrition and exercise, and parental attitudes towards learning additional information about proper nutrition and exercise.
Community Team
North Dallas Shared Ministries: Susan Briner, M.D.,
Fellow: Andrea Quintana
Research Mentor: Mark DeHaven, Ph. D.
(2007)
Collaborating with North Dallas Shared Ministries (NDSM), a medical student assessed the patient care-seeking behaviors, perceptions, and health awareness at the NDSM Clinic. The results of the study improved health care services, understanding, and communication between the NDSM staff and patients.
Community Team
West Dallas Clinic: Anne Hardeman
North Dallas Clinic: Kristin Kaser
Fellow: Suratha Elango
Research Mentor: Nora Gimpel, M.D.,
(2007)
A medical student partnered with the City of Dallas’ West Dallas Clinic and North Dallas Clinic to identify the characteristics of childhood obesity education program participants versus non-program participants. The study results improve the effectiveness of the West Dallas and North Dallas Clinics in childhood obesity education.
Community Team
Dallas County Health and Human Services: Karine Lancaster
Fellow: Elizabeth Newsom
Research Mentor: Florence J. Dallo, Ph. D., MPH
(2007)
Working with Dallas County Health and Human Services, a medical student assessed the attitudes, perceived barriers, and preferences in regard to immunizations in the Dallas Hispanic community. The results of the study facilitate promoting the immunization program throughout the Dallas Hispanic community.
Community Team
Parkland Community Oriented Primary Care (COPC) Clinics: Brad Walsh, MPH, Renuka Khurana, M.D., MPH,
Fellow: Kalpana Manthiram
Research Mentor: Mark DeHaven, Ph. D., Nora Gimpel, M.D.
(2006)
Working with Parkland’s Community Oriented Primary Care Clinics, a medical student evaluated the clinical effectiveness of Shared Medical Appointments (SMA). Studies indicated high levels of patient and provider satisfaction with SMAs, although few studies have examined the clinical outcomes of SMAs. The results of the study showed that many of the clinical outcomes improved following SMA attendance.
Community Team
Agape Clinic: Charles Kemp, F.N.P.
Fellow: Liz Ramirez
Research Mentors: Mark DeHaven, Ph. D., Nora Gimpel, M.D.
(2006)
Through work with the Agape Clinic, a medical student administered surveys to patients to assess their level of diabetes self-management knowledge. The results of the study indicated a low level of knowledge regarding diabetes self-management. In addition, the results of the study were instrumental in developing recommendations for a culturally competent diabetes education program.
Community Team
Mission East Dallas: Danica Simmons, R.N., Jenny Williams, R.N.
Fellow: Nehdia Mumuni
Research Mentors: Mark DeHaven, Ph. D., Nora Gimpel, M.D.
(2006)
A medical student worked with Mission East Dallas, a clinic that provides healthcare to low-income and uninsured patient populations, to describe patients’ understanding of their hypertension and providers’ awareness of their patients’ education needs, in order to develop an effective hypertension patient education and self-management program. The results of the study implicated that patients’ would like to know more about hypertension and self-management. In addition, results showed that a development of an effective hypertension patient education program in this clinic would be well received by their patients.
Community Team
Collin County Adult Clinic: Julia Grenier, R.N. Mitzi Yavoski, R.N., Terry Abla, Jerry Weis, Albert Grenier
Fellow: Sarah Kuykendall
Research Mentor: Mark DeHaven, Ph. D., Nora Gimpel, M.D.
(2006)
Through work with the Collin County Adult Clinic, a medical student examined the prioritization of needs for a free health clinic in a county without a public healthcare system. The results of the study were instrumental in making connections with the outside medical community, provider education, patient education and increasing quality of patient care.
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Community Team
Agape Clinic, Dallas: Lupe Springer and Leslie Kemp
Collin County Adult Clinic, Collin County: Trini Barreras, R.N.; Mitzi Yavoski, R.N.; Julia Grenier, R.N.
Fellow: Ramesh Bhagat
Research Mentor: Nora Gimpel, M.D.
(2005)
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A collaborative project was conducted to investigate the strengths and resources of the Agape Clinic in Central Dallas and the Collin County Adult Clinic (CCAC) both serving a low-income Hispanic patient population. Agape uses a Promotora (lay health promoter) program and CCAC relies on a system of educating patients using the services of a volunteer certified diabetes educator. An assessment was conducted describing the structure, strengths, and effectiveness of these alternative approaches to managing the needs of patients with diabetes.
These data will be used to guide the development of a collaborative approach applying the strengths of the Promotora model with the diabetes educator model. The desired outcome was the development of a program for establishing linkages between the two clinics, in a way that will enhance understanding of the most efficient and effective means for improving patient outcomes.
Community Team
The Dallas Concilio: Silvia Gallegos, Monica Lugo
GRACE: Cheryl Mart, R.N., B.S.N., Pat Frosch
Mission East Dallas: Danica Simmons, R.N.
Fellow: Juan Olivares
Research Mentor: Nora Gimpel, M.D.
(2005)
The Dallas Concilio addresses the goal of reducing the incidence and complications of diabetes in Hispanics by providing diabetes awareness presentations, presenting a chronic disease management program titled "Viviendo con la Diabetes" (Living with Diabetes), and offering support groups. A comprehensive study was developed for assessing the effectiveness of the Dallas Concilio's program. Three components were examined: 1) structure and content of the "Vivendo con la Diabetes" program, 2) two separate case studies in clinic(s) where the program has been offered, and 3) a summary qualitative assessment of the program's effectiveness based on the results of the case study(s) performed in one of the Dallas Metroplex free clinics.
Community Team
Parkland Health & Hospital System Community Oriented Primary Clinics (COPC)
Angelique Ramirez, M.D. and Jaquelne Stephens, Ph.D.
Fellow: Cindy Chavez
Research Mentor: Mark DeHaven, Ph.D.
(2005)
The Parkland COPC seeks to improve primary and preventive care delivery among pediatric patients seeking care in their eight community-based clinics. A study was developed to gather data from pediatric caregivers using the "Promoting Healthy Development Survey," developed by the National Initiative for Children's Healthcare Quality. This project provided information for redesigning pediatric preventive care delivery in the Parkland COPC system, from the health promotion perspective.
Community Team
Agape Clinic, Dallas: Charles Kemp
Fellow: Miguel Terrazas
Research Mentor: Mark DeHaven, Ph.D.
(2004)
At the Agape Clinic in Dallas, a medical student conducted interviews to assess the barriers that both patients and providers face in receiving care, specifically diabetes care, in a free clinic with a unique indigent Latino population. The results of the study were instrumental in the implementation of a Promotores de Salud Program in increasing health education for the patients.
Community Team
Church Health Center, Memphis: Teresa Cutts, Ph.D.
Fellow: Kimbell Kornu
Research Mentor: Mark DeHaven, Ph.D.
(2004)
Working with a multi-dimensional, non-profit, faith-based clinic in Memphis, TN, Church Health Center, a medical student conducted a qualitative study to identify Church Health Center's community health assets, determine the perceived level of integration among the assets, and develop the best means for combining them in an effort to build stronger partnerships for a healthier community. Several conclusions and recommendations were developed based on the study results that will aid the leaders in clearly formulating a common vision across ministries and the community.
Community Team
Parkland Health & Hospital System Community Oriented Primary Clinics (COPC): Linda Galindo, Ph.D.
Fellow: Stephanie Van Rooy
Research Mentors: Mark DeHaven, Ph.D.; Nora Gimpel, M.D.
(2004)
Working with the DeHaro Salvidar Community Oriented Primary Care Health Center, a medical student evaluated the effectiveness of the diabetes educational program, specifically the stress-management class. The study identified the major stressors faced by the Latino diabetic population and the ways in which the program could be improved to better target the Latino population it serves.
Community Team
UT Southwestern Medical Center
Fellow: Erica Ruger
Research Mentor: Ronald Victor, M.D.
(2003)
Working with the UTSW Community Prevention and Intervention Unit: Division of Hypertension, a medical student studied the health and behavioral effects of a barbershop-based intervention on hypertensive African-American men. The intervention significantly impacted awareness, treatment, and control of hypertension in this high-risk population. The student presented her project orally at the 42nd Annual UTSW Medical Student Research Forum.
Community Team
The Islamic Association of North Texas Clinic
Fellow: Osamah Saeedi
Research Mentor: Amer Shakil, M.D.
(2003)
At the Islamic Association of North Texas Clinic, a medical student developed and translated surveys to assess baseline knowledge of diabetes and hypertension in a predominantly South Asian community. The results helped clarify what information should be emphasized in patient education programs for diabetes and hypertension.
Community Team
Parkland Health & Hospital System
Fellow: Edward Schiller
Research Mentor: David Faris, M.D.
(2003)
Through the Parkland Health and Hospital System, the student conducted telephone surveys to measure the short-term and long-term effectiveness of Parkland's QuitSmart smoking cessation program. Other factors affecting the patients' success rates were also analyzed to determine their relative importance to the program.
Community Team
UT Southwestern Medical Center
Secretary of Health, Oportunidades Program, Chihuahua, Mexico
Fellow: Tariq Ibrahim
Research Mentors: Mark DeHaven, Ph.D., James Walton, D.O.
(2003)
At community-based health care clinics in NC, TX, TN, and Mexico, the student administered questionnaires to examine the use of preventive medicine services and the effect of biological, psychological, sociological, and spiritual factors on care delivery. This descriptive study helped evaluate the association between preventive care delivery and care providers' beliefs.