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Dissemination and Implementation for Health Equity (Berkel)

Keywords: dissemination & implementation research; health disparities; prevention; culture; primary care; parenting

Lab Research Area:

Dr. Berkel’s focus is on how evidence-based programs can be used to reduce disparities across a wide array of outcomes, including HIV and other sexually transmitted diseases, substance use, childhood obesity, and mental health problems. To achieve this goal, programs must be implemented with high quality in systems that disadvantaged groups routinely access, such as primary care. She is currently working on a number of funded projects which will further dissemination and implementation science and practice.

The New Beginnings Program (NBP) is an evidence-based parenting program to improve child adjustment in families experiencing divorce/separation. Dr. Berkel was a Co-Investigator on a recent effectiveness trial in which NBP was tested in partnership with four county-level family courts across Arizona. Her role on the grant was to study the variability in implementation, including how the program was delivered by community-based providers and engagement of a population who is diverse with respect to race/ethnicity and gender (mothers and fathers). Because of the variability in implementation, effectiveness trials are ideal conditions for examining the links between implementation and participant outcomes. Through a subsequent R01 from the National Institute of Drug Abuse (NIDA), she is currently testing several theoretical models of these links, how implementation changes over time, and what measures could be used to monitor implementation in community settings. She has also received a diversity supplement to her R01 to support the development of automated coding of implementation using machine learning methods in partnership with researchers at Northwestern University’s Center for Prevention Implementation Methodology (Ce-PIM).

The Family Check-Up (FCU) is an adaptive and tailored evidence-based parenting program that reduces child behavior problems and adolescent substance use. Collateral effects have been found on pediatric obesity and related health behaviors. The FCU has been tested in a number of settings, including schools, community mental health centers, and WIC offices. Primary care is an untapped system for prevention with potential for reaching families in need based on its wide reach and sustainable funding mechanisms. Dr. Berkel has received funding from the Centers for Disease Control and Prevention (CDC) to test an adapted version of the FCU called the Family Check-Up 4 Health (FCU4Health) in primary care settings, including Phoenix Children’s Hospital’s outpatient primary care clinic and two Federally Qualified Healthcare Centers (FQHCs), Valle del Sol and Terros.

Lab Director & Principal Investigator: Cady Berkel, PhD, Assistant Research Professor

Dr. Berkel received her BA in psychology from the George Washington University in 1999 and her PhD in Child and Family Development from the University of Georgia in 2006. Prior to ASU, she held positions at the National Institute of Child Health and Human Development (NICHD) and the Centers for Disease Control and Prevention (CDC). Her work focuses on reducing health disparities through the dissemination and implementation of evidence-based programs. She has received several grants supported by the National Institute of Drug Abuse (NIDA) and the CDC to identify ways of embedding programs in service settings used by families (e.g., Family Courts: the New Beginnings Program; Primary Care: the Family Check-Up 4 Health) and monitoring programs to ensure high quality implementation necessary for public health impact. Curriculum Vitae.

Graduate Student(s)

Jenna Rudo-Stern, Doctoral Student, Clinical Psychology, Department of Psychology
Jenna conducts implementation research at the Arizona State University REACH Institute, where she assists with scale-up, dissemination, and implementation of the Family Check-Up. She graduated in 2004 from Wellesley College with a BA in Russian and minor in economics. Jenna received her MA in Psychology from ASU in 2015. Before coming to ASU, she worked as a puppeteer, teacher, psychometrist, and study coordinator while steadily developing her skills and interest in interventions for children and families. Her current work focuses on measures of implementation fidelity and on the relationship between the family environment, child health behaviors, and child health status.

 

Select Publications

Below are a sample of recent publications from Dr. Berkel's research and lab. A more complete listing may be found in Dr. Berkel's curriculum vitaeStudent co-authors appear with an asterisk*.

In press / online first

Smith, J.D., Berkel, C., Jordan, N., Atkins, D., Narayanan, S., *Gallo, C., Grimm, K., Dishion, T. J., Mauricio, A. M., Rudo-Stern, J., Meacham, M. K., Winslow, E., & Bruening, M. (in press). An individually tailored family-centered intervention for pediatric obesity in primary care: Study protocol of a randomized type II hybrid implementation–effectiveness trial (Raising Healthy Children study). Implementation Science. 

Berkel, C., Mauricio, A. M., Sandler, I. N., *Gallo, C. G., Brown, C. H. & Wolchik, S. A., (in press). Cascading effects of implementation: Test of a multidimensional model. Prevention Science.  

Murry, V. M., Berkel, C., & Liu, N. (in press). The closing digital divide: Delivery modality and family engagement the Pathways for African American Success (PAAS) program. Prevention Science, Invited submission to the special issue on Participation in Preventive Interventions: Advancing Conceptualization and Theoretical Models. 

 Sandler, I. N., *Gunn, H., *Mazza, G., Tein, J.-Y., Wolchik, S. A., Berkel, C., Jones, S., & Porter, M. M. (online first). Effects of a program to promote high quality parenting by divorced and separated fathers. Prevention Science. 

 Mauricio, A. M., *Mazza, G., Berkel, C., Tein, J.-Y., Wolchik, S. A., Sandler, I. N., & Winslow, E. B. (online first). Parent variation in attendance patterns: Differential exposure to program mediators and effects on outcomes. Prevention Science, Invited Submission to the Special Issue on Participation in Preventive Interventions: Advancing Conceptualization and Theoretical Models.

Berkel, C., Sandler, I.N., Brown, C.H., Gallo, C.G., *Chiapa, A., Mauricio, A. M., Wolchik, S.A., & Jones, S. (in press). “Home Practice Is the Program:” Parents' practice of program skills as predictors of outcomes in the New Beginnings Program effectiveness trial. Prevention Science, Invited submission to the Special Issue on Participation in Preventive Interventions: Advancing Conceptualization and Theoretical Models.

Barrera, M., Berkel, C., & Castro, F.G. (online first). Directions for the advancement of culturally adapted preventive interventions: Local adaptations, engagement, and sustainability. Prevention Science, Invited submission to the Special Issue on Challenges to the Dissemination and Implementation of Evidence Based Prevention and Interventions for Diverse Populations.

Smith, J.D., Berkel, C., Dishion, T.J., Shaw, D.S., & Wilson, M.N. (online first). Predictors of participation in the Family Check-Up program: A randomized trial of yearly services from Age 2 to 10 Years. Prevention Science, Invited submission to the special issue on Participation in Preventive Interventions: Advancing Conceptualization and Theoretical Models.

Sandler, I.N., Wolchik, S.A., Berkel, C., Jones, S., Mauricio, A.M., Tein, J.-Y., & Winslow, E. (in press). Effectiveness trial of the New Beginnings Program (NBP) for divorcing and separating parents: Translation from and experimental prototype to an evidence-based community service. In M. Israelashvili & J. L. Romano (Eds.), Cambridge Handbook of International Prevention Science. Cambridge: Cambridge University Press.

2015
Murry, V.M., Hill, N.E., Witherspoon, D., Berkel, C., & Bartz, D. (2015). Children in diverse social contexts. In M. H. Bornstein & T. Leventhal (Eds.), Handbook of Child Psychology and Developmental Science (7th ed., Vol. 4, pp. 416-454). Hoboken, NJ: Wiley.

2014
Murry, V.M., Berkel, C., Simons, R.L., Simons, L., & Gibbons, F.X. (2014). A twelve-year longitudinal analysis of Positive Youth Development among rural African American males. Journal of Research on Adolescence, 24(3), 512-525.

2013
Berkel, C., Murry, V.M. Roulston, K.J. & Brody, G.H. (2013). Understanding the art and science of program implementation in the Strong African American Families program. Health Education, 113(4), 297-323.

Murry, V.M., Satterwhite Mayberry, L., & Berkel, C. (2013). Gender and family relations. In G. W. Peterson & K. R. Bush (Eds.), Handbook of Marriage and Family (3rd ed., pp. 401-422). New York: Springer.

2012
Murry, V.M., Berkel, C., Pantin, H., & Prado, G. (2012). Family-based HIV prevention with African American and Latino youth. In W. Pequegnat & C. C. Bell (Eds.), Family and HIV/AIDS: Cultural and contextual issues in prevention and treatment (pp. 229-247). New York: Springer Publishing.

2011 and older
Berkel, C., Mauricio, A. M., *Schoenfelder, E., & Sandler, I. N. (2011). Putting the pieces together: An integrated model of program implementation. Prevention Science, 12(1), 23–33.

Knight, G.P., Berkel, C., Umaña-Taylor, A.J., Gonzales, N.A., *Ettekal, I., *Jaconis, M., & *Boyd, B.M. (2011). The familial socialization of culturally related values in Mexican American families. Journal of Marriage and Family, 73, 913-925.

Knight, G.P., Berkel, C., Carlo, G., & *Basilio, C. (2011). The socialization of culturally related values and the mental health outcomes of Latino youth. In N. J. Cabrera & F. A. Villarruel (Eds.), Latina/o American children’s mental health: Prevention and treatment (pp. 109-131). Westport, CT: Praeger Press.

Murry, V. M., Berkel, C., Chen, Y.-f., Brody, G., Gibbons, F., & Gerrard, M. (2011). Intervention induced changes on parenting practices, youth self-pride and sexual norms to reduce HIV-related behaviors among rural African American youths. Journal of Youth and Adolescence, 40(9), 1147-1163.

Murry, V.M., Berkel, C., Linder, N., Gaylord-Harden, N., & Nation, M. (2011). Neighborhood poverty and adolescent development. Journal of Research on Adolescence, 21(1: Decade in Review Special Issue), 114-128.

Murry, V.M., Berkel, C., & Copeland-Linder, N. (2010). Ecological and sociocultural determinants of risk and health-promoting behaviors among African American youth. In T. L. Mann, N. E. Hill & H. E. Fitzgerald (Eds.), African American children’s mental health: Prevention, intervention, and social policy (pp. 93-121). Westport, CT: Praeger Press

 

 

 

 

 

 

 

 

 

 

News & more!

Dr. Berkel has received funding from the Centers for Disease Control and Prevention (CDC) to test an adapted version of the FCU called the Family Check-Up 4 Health (FCU4Health) in primary care settings, including Phoenix Children’s Hospital’s outpatient primary care clinic and two Federally Qualified Healthcare Centers (FQHCs), Valle del Sol and Terros. With her collaborators at Ce-PIM, University of Washington, and University of Southern California, she will test the effectiveness of the program on pediatric obesity, expand her work on automated methods of implementation monitoring, and conduct a cost-effectiveness study to provide evidence to clinics and payors (Medicaid and private insurers) in support of sustainable funding for access to the program in primary care.