If you’re like most people, your health depends more on what you do every day than on what your health care provider can do for you. Nonetheless, making healthy lifestyle choices can be difficult, especially when it means changing your daily routine and then maintaining these changes over time. That’s why Kaiser Permanente Washington Health Research Institute (KPWHRI) researchers want to make the right choices the easy and sustainable ones.
“The evidence is clear,” says Jennifer B. McClure, PhD, KPWHRI senior investigator and director of research, faculty, & development. “The most effective way to prevent the leading causes of death in the United States is to address their underlying behavioral risk factors: physical inactivity, poor nutrition, tobacco use, and excessive alcohol use. Collectively, these four behaviors account for over one third of all deaths.” But other behaviors are also critical to health and well-being, such as not misusing prescription opioids or marijuana, getting routine cancer screenings, and following your providers’ medical advice. That’s why KPWHRI scientists focus not only on individual behavior but also on ways to change health care systems.
“Our research is not just about empowering people to adopt healthy habits,” says Joe Glass, PhD, MSW, assistant investigator. “It’s also about changing medical systems to best support these behavior changes.”
KPWHRI’s behavioral medicine research includes:
“Historically our work has tested different forms of behavioral counseling or novel ways to deliver this counseling,” Dr. McClure says. “Increasingly, we are now testing digital therapeutic interventions delivered via smartphone app or text—for example, to help people set and achieve their health goals. People like the convenience of digital interventions, but it remains to be seen how effective they are and for whom they work best. Our research is helping to answer these important questions.”
Heffner JL, Watson NL, McClure JB, Anthenelli RM, Hohl S, Bricker JB. "I Smoke Like This to Suppress These Issues That Are Flaws of My Character": Challenges and Facilitators of Cessation Among Smokers With Bipolar Disorder. J Dual Diagn. 2018 Jan 19:1-8. doi: 10.1080/15504263.2017.1390278 [Epub ahead of print] PubMed
Williams EC, Bryson CL, Sun H, Au DH, Bradley KA. Association between alcohol use and angina symptoms among outpatients from the Veterans Health Administration. J Addict Med. 2018 Jan 12. doi: 10.1097/ADM.0000000000000379. [Epub ahead of print]. PubMed
Thakral M, Walker RL, Saunders K, Shortreed SM, Dublin S, Parchman M, Hansen RN, Ludman E, Sherman KJ, Von Korff M. Impact of opioid dose reduction and risk mitigation initiatives on chronic opioid therapy patients at higher risk for opioid-related adverse outcomes. Pain Med. 2017 Dec 6. pii: 4689184. doi: 10.1093/pm/pnx293.[Epub ahead of print]. PubMed
Lapham GT, Lee AK, Caldeiro RM, McCarty D, Browne KC, Walker DD, Kivlahan DR, Bradley KA. Frequency of cannabis use among primary care patients in Washington state. J Am Board Fam Med. 2017 Nov-Dec;30(6):795-805. doi: 10.3122/jabfm.2017.06.170062. PubMed
Heffner JL, Mull KE, McClure JB, Bricker JB. Positive affect as a predictor of smoking cessation and relapse: does it offer unique predictive value among depressive symptom domains? Subst Use Misuse. 2017 Nov 21:1-9. doi: 10.1080/10826084.2017.1387569. [Epub ahead of print]. PubMed
![]() Katharine A. Bradley, MD, MPHSenior Investigator |
![]() Paula Lozano, MD, MPHSenior Investigator, Kaiser Permanente Washington Health Research Institute; |
![]() Jennifer B. McClure, PhDDirector of Research, Faculty, & Development; Senior Investigator |
![]() Dori E. Rosenberg, PhD, MPHAssociate Investigator |
![]() James D. Ralston, MD, MPHSenior Investigator |
![]() Nora Henrikson, PhD, MPHAssistant Investigator |
![]() Ben Balderson, PhDResearch Associate |
![]() Gwen Lapham, PhD, MPH, MSWAssistant Investigator |
![]() Melissa L. Anderson, MSBiostatistician III |
![]() Paula R. Blasi, MPHResearch Associate |
![]() Leah Tuzzio, MPHSenior Research Associate |
![]() Cara C. Lewis, PhD, HSPPAssociate Investigator |
![]() Joseph E. Glass, PhD, MSWAssociate Investigator |
![]() Amy K. Lee, MPHResearch Associate |
![]() Beverly B. Green, MD, MPHSenior Investigator |
![]() Julie E. Richards, PhD, MPHResearch Associate II |
![]() Lynn DeBar, PhDSenior Investigator |
Sheryl L. Catz, PhD
Professor, Health Care Innovation and Technology, Betty Irene Moore School of Nursing
University of California–Davis
Elizabeth Lin, MD, MPH
Kaiser Foundation Health Plan of Washington Family Practice;
Kaiser Permanente Washington Research Institute
Sue McCurry, PhD
University of Washington (UW) Department of Psychosocial and Community Health
Emily Williams, PhD, MPH
UW Department of Health Services; VA Health Services Research & Development Center of Excellence