Cara C. Lewis, PhD

“My research seeks to develop new, pragmatic, and rigorous measures and methods for supporting the implementation and evaluation of new clinical programs.”

Cara C. Lewis, PhD

Associate Investigator, Kaiser Permanente Washington Health Research Institute

Biography

Cara C. Lewis, PhD, is a clinical psychologist and Beck Scholar recognized by the Beck Institute for Cognitive Behavioral Therapy. She is interested in developing strategies to improve the integration of evidence-based practices, such as cognitive behavioral therapy, into real-world settings, such as community mental health centers.

Dr. Lewis is an international leader in implementation science, serving as past president of the Society for Implementation Research Collaboration. She has also served as expert faculty for the Implementation Research Institute, scientific advisory board member for AcademyHealth’s 10th Annual Conference on Dissemination and Implementation Research in Health, and panelist for the Dissemination and Implementation Research in Health study section. She was recently recognized by three of psychology’s largest associations for her early career accomplishments:

  • a Rising Star of the Association for Psychological Science,
  • Theodore Blau Early Career Award for Distinguished Professional Contributions to Clinical Psychology for the American Psychological Association, and
  • President’s New Research Award for the Association of Behavioral and Cognitive Therapy.

Dr. Lewis’ research is funded by the National Institute of Mental Health (NIMH) and the Agency for Healthcare Research and Quality (AHRQ). She is the principal investigator (PI) of a NIMH-funded multi-site implementation trial with the goal of comparing the effectiveness of standardized versus tailored approaches to implementing measurement-based care for depression.

Dr. Lewis is PI of a second R01 grant seeking to advance implementation science by developing and evaluating measures. Her team developed new pragmatic and psychometrically strong measures of implementation outcomes. This work will also contribute a repository of quantitative measures for scientists and practitioners to integrate into their implementation efforts.

Dr. Lewis is site PI and steering committee member for SONNET: the Social Needs Network for Evaluation and Translation, funded by national Kaiser Permanente Community Benefit, which aims to address the social, economic, and behavioral needs (SEBN) of Kaiser Permanente members. She is leading a survey of Kaiser Permanente members to understand their SEBN and their perceptions of the role of the health system in addressing these needs.

She is PI of an AHRQ-funded R13 conference grant bringing together a Mechanisms Network of Expertise to develop and disseminate an implementation research agenda for streamlining and increasing the impact of strategies to integrate evidence-based programs into routine care.

Dr. Lewis is also an affiliate associate professor of psychiatry and behavioral sciences at the University of Washington School of Medicine.

Research interests and experience

  • Implementation Science

    Measures and methodologies; tailored approaches; measurement-based care; health information technologies; cluster randomized trials; systematic reviews

  • Cognitive Behavioral Therapy

    Mechanisms of change; adolescent and adult depression; predictors, moderators and mediators of outcome; therapy knowledge and competence; training; supervision

  • Social Determinants of Health

    Social needs-targeted care; social needs-informed care; community resource specialist; screening tools

Recent publications

King KM, Pullmann MD, Lyon AR, Dorsey S, Lewis CC. Using implementation science to close the gap between the optimal and typical practice of quantitative methods in clinical science. J Abnorm Psychol. 2019;128(6):547-562. doi: 10.1037/abn0000417. PubMed

Shields-Zeeman L, Lewis C, Gottlieb L. Social and mental health care integration: the leading edge. JAMA Psychiatry. 2019 Jun 19. doi: 10.1001/jamapsychiatry.2019.1148. [Epub ahead of print]. PubMed

Rodriguez-Quintana N, Lewis CC. Ready or not? transitions of depressed adolescents during acute phase of treatment. Child Psychiatry Hum Dev. 2019 May 18. pii: 10.1007/s10578-019-00895-4. doi: 10.1007/s10578-019-00895-4. [Epub ahead of print]. PubMed

Lewis CC, Lyon AR, McBain SA, Landes SJ. Testing and exploring the limits of traditional notions of fidelity and adaptation in implementation of preventive interventions. J Prim Prev. 2019 Jan 25. doi: 10.1007/s10935-019-00539-2. [Epub ahead of print]. PubMed

Powell BJ, Fernandez ME, Williams NJ, Aarons GA, Beidas RS, Lewis CC, McHugh SM, Weiner BJ. Enhancing the impact of implementation strategies in healthcare: a research agenda. Front Public Health. 2019 Jan 22;7:3. doi: 10.3389/fpubh.2019.00003. eCollection 2019. PubMed

Scott K, Lewis CC, Marti CN. Trajectories of symptom change in the Ttreatment for Adolescents with Depression Study. J Am Acad Child Adolesc Psychiatry. 2019 Jan 8. pii: S0890-8567(19)30003-6. doi: 10.1016/j.jaac.2018.07.908. [Epub ahead of print]. PubMed

Stanick CF, Halko HM, Dorsey CN, Weiner BJ, Powell BJ, Palinkas LA, Lewis CC. Operationalizing the 'pragmatic' measures construct using a stakeholder feedback and a multi-method approach. BMC Health Serv Res. 2018 Nov 22;18(1):882. doi: 10.1186/s12913-018-3709-2. PubMed

McKenzie CA, Meitinger T, Metspalu A, Milaneschi Y, Milani L, Mohlke KL, Momozawa Y, Nalls MA, Nelson CP, Sotoodehnia N, Norris JM, O'Connell JR, Palmer ND, Perls T, Pedersen NL, Peters A, Peyser PA, Poulter N, Raffel LJ, Raitakari OT, Roll K, Rose L+++. A Method for Tracking Implementation Strategies: An Exemplar Implementing Measurement-Based Care in Community Behavioral Health Clinics. PLoS One. 2018 Jun 18;13(6):e0198166. doi: 10.1371/journal.pone.0198166. eCollection 2018. PubMed

Lewis CC, Scott K, Marriott BR. A methodology for generating a tailored implementation blueprint: an exemplar from a youth residential setting. Implement Sci. 2018 May 16;13(1):68. doi: 10.1186/s13012-018-0761-6. PubMed

Walsh LM, Roddy MK, Scott K, Lewis CC, Jensen-Doss A. A meta-analysis of the effect of therapist experience on outcomes for clients with internalizing disorders. Psychother Res. 2018 May 3:1-14. doi: 10.1080/10503307.2018.1469802. [Epub ahead of print]. PubMed

 

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