Summaries of Independent Scientist (K) Awards

Bayliss, Elizabeth A.

Institution: Kaiser Foundation Research Institute
Grant Title: Assessing Barriers to Self-Management of Comorbilities
Grant Number:  K08 HS15476
Duration: 4 years (2006-2010)
Total Award: $501,100

Project Description: This research will develop and pilot test a questionnaire designed to assess barriers to self-management for persons with multiple chronic medical conditions.  Based on results from the pilot, Dr. Bayliss will refine the questionnaire into a clinically useful tool.  Finally, she will conduct a small, multi-method feasibility study in which the clinical tool is used by providers in clinical settings.

Career Goals: Dr. Bayliss is a clinician investigator at Kaiser Permanente, Colorado and Assistant Professor at the University of Colorado Health Sciences Center.  She is a board certified family physician and has completed a primary care research fellowship and M.S.P.H. degree.  Her long term goal is to generate evidence-based recommendations for the care of persons with multiple chronic medical conditions by identifying issues relevant to the process of care for this population and by designing practical tools and interventions to improve this process.  Further, she would like to encourage providers and policy makers to investigate alternatives to exclusive use of disease-specific models.

Progress to Date: In addition to completion of the survey of seniors with multi-morbidites, the grantee has conducted interviews with 26 of the participants to explore their desires for care in more details.  Additional the survey in the renal disease population has been used as an assessment tool in over 60 patients.  Dr. Bayliss has submitted an R21 application to AHRQ.  She has articles in review and in press.

Future Plans: Work will continue with the chronic kidney disease population.  After all data has been collected, Dr. Bayliss will assess the feasibility of using the tool in a clinical environment.

Highlights and Specific Accomplishments:

• Peer reviewer for Annals of Family Medicine, Diabetic Medicine, Health and Quality of Life Outcomes, and Patient Education Counseling.
• National Research Service Award (NRSA) Primary Care Research Fellow, UCHSC, Denver.

K-Generated Publications:

Bayliss EA, Ellie JL, Steiner JF. Barriers to self-management and quality of life outcomes in seniors with multimorbidities. Annals of Family Medicine 2007. 5(5):395-402.

Bayliss EA, Bosworth HB, et al. Supporting self-management for patients with complex medical needs: Recommendations of a working group.  Chronic Illness 2007. 3(2):167-75.

McGinnis B, Olson KL, Magid D, Balyiss EA, et al.  Factors related to patient adherence to statin therapy. Annals of Pharmacotherapy 2007. 41(11):1805-11.

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