Research Projects

QualCore partners with investigators across a wide range of disciplines and throughout the research continuum, from writing grants to disseminating findings.

CANCER

Patient Centered Aspects of Treatment Switching Behavior among Multiple Myeloma Patients

QualCore is partnering with principal investigator Juan Marcos Gonzalez, PhD, Assistant Professor in Population Health Sciences, to identify aspects of multiple myeloma therapies that affect patients’ preferences for treatment continuation, including health-related quality of life aspects. Findings will be used to inform a subsequent discrete choice experiment survey.

In collaboration with Dr. Gonzalez, a QualCore faculty member contributes to question guide development and writes study findings. Interviewers conduct qualitative concept elicitation interviews with patients and analysts analyze data thematically.

CARDIOLOGY

Educational Videos to Address Racial Disparities in Implantable Cardioverter Defibrillator Therapy via Innovative Designs

QualCore is partnering with principal investigator Kevin Thomas, MD, Associate Professor of Medicine in the Division of Cardiology, to describe factors impacting African American patients’ decision-making for implantable cardioverter defibrillators (ICD) implantation and the potential effect of racial concordance on the decision for ICD implantation.

In collaboration with Dr. Thomas, QualCore interviewers and analysts lead efforts to recruit patients, conduct in-depth interviews, and analyze data thematically. A faculty member writes the study findings.

CARDIOLOGY AND HIV

Pathways to Cardiovascular Disease Prevention and Impact of Specialty Referral in Under-Represented Racial/Ethnic Minorities with HIV

QualCore is partnering with principal investigator Gerald Bloomfield, MD, Associate Professor of Medicine in the Division of Cardiology, and co-investigator, Charles Muiruri, PhD, MPH, Medical Instructor in the Department of Population Health Sciences, to identify facilitators and barriers to optimal cardiovascular prevention among under-represented racial and ethnic minorities living with HIV.

A QualCore faculty member provides mentorship to the study team in developing question guides. Interviewers conduct interviews with providers and provide tailored training for site teams to build capacity in conducting in-depth interviews with patients. Analysts conduct both rapid and formal thematic analyses of data.

GASTROENTEROLOGY

The Impact of Race and Ethnicity on Listing for Liver Transplant after Referral

QualCore is partnering with principal Investigator Julius Wilder, MD, PhD, Assistant Professor of Medicine in the Division of Gastroenterology, to describe patients’  experience in the liver transplant referral process, perceived barriers to liver transplant referral and listing, and understanding of the liver transplant referral and listing process among racially diverse populations

QualCore faculty members provide mentorship in study design, grant proposal and question guide development, and writing of study findings. Interviewers and analysts conduct in-depth interviews with patients and analyze findings thematically. Interviewers also provide tailored training for Dr. Wilder to build capacity in conducting in-depth interviews.

CLERGY HEALTH

Seminary to Ministry

QualCore is partnering with principal investigator David Eagle, PhD, Assistant Research Professor in the Duke Global Health Institute and the Clergy Health Initiative (CHI) at Duke Divinity School, to implement a longitudinal study examining how the health and wellbeing of students entering seminary changes throughout their schooling and early career. Multiple cohorts of Duke seminary students are enrolled. The research documents their physical, mental, emotional and spiritual health over a five-year period through quantitative surveys, biomarkers, and serial qualitative in-depth interviews.

In collaboration with Dr. Eagle, a QualCore faculty member contributes to protocol development, leads development of the qualitative question guides, and writes the qualitative study findings. Interviewers conduct in-depth interviews with students and recent graduates and analysts analyze the data thematically from each year of follow-up. The QualCore team also provides tailored training for CHI staff to build capacity in conducting in-depth interviews and thematic analysis.

NEPHROLOGY

Integrated Mineral Metabolism Treatment Strategies in Patients with End-Stage Kidney Disease on Dialysis

QualCore is partnering with Julia Scialla, MD, MHS, an Associate Professor in the Division of Nephrology at the University of Virginia, to determine factors that influence patients' and providers' initial choice of mineral metabolism treatments and treatment changes over time for patients with end stage kidney disease on hemodialysis.

In collaboration with Dr. Scialla, a QualCore faculty members contributes to study design, leads development of question guides, and writes the study findings. Interviewers and analysts conduct in-depth interviews with patients and providers and analyze data thematically.

OBSTETRICS & GYNECOLOGY

Understanding Barriers and Facilitators to Prompt Presentation in Women Eligible for 17-P

QualCore is partnering with principal investigator Sarah Wheeler, MD, Assistant Professor of Obstetrics and Gynecology, to identify patient-perceived barriers and facilitators to timely presentation for initiation of weekly 17-hydroxprogesterone caproate (17-P) injections aimed at preventing recurrence of preterm birth.

A QualCore faculty member provides mentorship in grant proposals and question guide development and in writing the findings. Interviewers and analysts conduct the interviews and assist with thematic data analysis. Interviewers also provide tailored training for Dr. Wheeler’s team to build capacity in conducting in-depth interviews.

OPIOID EPIDEMIC

Toward Effective Cooperation between Clinical and Other Community Stakeholders Committed to Stemming the Opioid Epidemic

QualCore is partnering with principal investigator Farr Curlin, MD, Professor of Medicine, and co-principal investigator Brett McCarty, ThD, Instructor in Population Health Sciences, to identify perceived barriers that prevent institutions from responding collaboratively to the opioid epidemic and to develop stakeholder-derived recommendations for overcoming barriers and responding collaboratively to the opioid epidemic

A QualCore faculty member provides mentorship in developing the study protocol and question guides and in writing the findings. Analysts assist the principal investigators in thematically analyzing the data.

PEDIATRICS

What Matters to You Matters to Us: Development of a Patient/Family Centered Health Model for Complex Pediatric Populations

QualCore is partnering with principal investigator David Ming, MD, Assistant Professor of Pediatrics and of Medicine and Director of Duke Children’s Complex Care Services, to describe the experiences and needs of children with medical complexity from the perspectives of their family and members of their support and social networks.

In partnership with Dr. Ming, a QualCore faculty member contributes to grant proposal, study design, and protocol development and leads question guide development. Interviewers conduct in-depth interviews with caregivers and members of caregivers’ support networks and analysts analyze data thematically.

Infant Feeding

QualCore is partnering with principal investigator Charles Wood, MD, MPH, Assistant Professor of Pediatrics, to understand modifiable risk factors for rapid infant weight gain and obesity among infants of racial and ethnic minority families.

A QualCore faculty member provides mentorship in developing the study design and question guide and in writing the findings. Interviewers and analysts provide tailored training for Dr. Wood to build capacity in conducting in-depth interviews and thematically analyzing interview data.

RHEUMATOLOGY AND IMMUNOLOGY

Reducing Disparities in Medication Adherence of Patients with Systemic Lupus Erythematosus

QualCore is partnering with principal investigator Kai Sun, MD, MS, Medical Instructor in the Division of Rheumatology and Immunology, to identify key contributors to disparities in medication adherence among patients with systemic lupus erythematosus, including patient self-efficacy, patient-provider communication, and racial discordance.

A QualCore faculty member provides mentorship in developing the grant proposal and question guides and in writing the findings. Interviewers conduct in-depth interviews with patients and provide tailored training for Dr. Sun to build capacity in conducting interviews. Analysts analyze interview data thematically.

Utilizing Qualitative and Quantitative Methods to Understand a New Model of Type 1 and 2 Systemic Lupus Erythematosus

QualCore is partnering with principal investigator Amanda Eudy, PhD, MSPH, Assistant Professor of Medicine in the Division of Rheumatology and Immunology, to describe lupus patients’ experiences with physician- and patient-reported signs and symptoms of systemic lupus erythematosus.  

A QualCore faculty member provides mentorship in developing the study protocol and question guide and in writing the findings. Interviewers and analysts provide tailored training for Dr. Eudy to build capacity in conducting in-depth interviews and data analysis. Analysts analyze data thematically.

SURGERY

The Older Adult Trauma Patient’s Experience

QualCore is partnering with principal investigator Krista Haines, DO, MA, Assistant Professor of Surgery, to conduct a longitudinal, qualitative descriptive study to identify aspects of quality of life among older adult trauma patients and their caregivers. 

A QualCore faculty member provides mentorship in developing the grant proposals, study protocol, and question guides and in writing the findings. Interviewers conduct in-depth interviews with patients and their caregivers over four time periods, and analysts conduct a formal thematic analysis of the interview data.

UROLOGY

STudy to Enhance uNderstanding of sTent-associated Symptoms (STENTS)

QualCore is partnering with principal investigator Charles Scales, Jr., MD, MSHS, Associate Professor of Surgery, to conduct a qualitative nested study that describes patient-reported experiences of stent-associated symptoms in the short term, following ureteroscopy for renal/ureteral stones, in the domains of pain, urinary symptoms, and interference.

In partnership with Dr. Scales, a QualCore faculty member contributes to question guide development and writing the study findings. Interviewers conduct the in-depth interviews with patients and analysts lead thematic data analysis.

VETERANS HEALTH CARE

Institutional Support for Family Caregivers of Veterans

QualCore is partnering with principal investigator Megan Shepherd-Banigan, PhD, Research Scientist at the Durham Veteran’s Administration (VA) Health Care System and Assistant Professor in Population Health Sciences, and co-investigator Courtney Van Houtven, PhD, Research Scientist at the Durham VA Health Care System and Professor in Population Health Sciences, to identify factors related to institutional support for family caregivers. The overall purpose of the research is to identify how health and social service delivery systems can be aligned to meet veterans’ physical, mental, and social needs. 

In collaboration with the investigators, a QualCore interviewer/analyst contributes to conducting in-depth interviews with caregivers, analyzing data thematically, and writing study findings.

The Campaign for Inclusive Care

QualCore is partnering with principal investigator Nina Sperber, PhD, Research Scientist in the Durham VA Health Care System and Assistant Professor in Population Health Sciences, to examine provider and caregiver perspectives on the inclusion of family caregivers in VA-provided medical care.

In collaboration with Dr. Sperber, a QualCore interviewer/analyst contributes to designing question guides, conducting interviews, and analyzing data thematically.