The Outcomes & Measurement Science Division within the Department of Medical Social Sciences (MSS) works to better human health through improving measurement and implementation in healthcare.
Our faculty are experts in their respective fields:
- Qualitative methodologists delve into the experiences of people living with illness or disability to understand their priorities.
- Quantitative experts design and refine surveys and other tools to measure health outcomes.
- Clinicians use these tools to enhance patient care and overall healthcare systems.
- Health informaticians create technology solutions to support both clinical practice and research in healthcare.
Research Programs & Labs
Michael Bass, MS Developing Patient-Reported Outcomes (PROs) software
Bass’ area of research focuses on the develop and integration of PRO software. This includes the implementation and dissemination of Item Response Theory–based algorithms for the selection and scoring of PRO measures. Bass developed and supports the Assessment Center API, software that administers and score PROMIS measures. This software has been incorporated into both clinical patient portals such as EPIC’s MyChart and research-based data collection platforms such as REDCap.
Another software project has been the implementation of a text-message software component for the delivery of behavior interventions that integrate into REDCap. This software is currently being used in multiple EMA-based studies and clinical trials. Bass has also had leadership roles, acting as research site PI and member of advisory panels in multiple SBIR Phase I and II grants.
For more information, see Bass' faculty profile.
Publications
See Bass’ publications on PubMed.
Contact
michael-bass@northwestern.edu
312-503-3618
David Cella, PhD Patient-centered measurement tools for health outcomes
Over the past 30 years, Cella has built a scientific enterprise around the development and application of questionnaires that precisely indicate symptom severity, functional limitations and general perceptions of health and well-being. His mission has been to bring the voice of the patient into consideration of treatment value and to identify opportunities for improving quality of life. Cella developed and is continually refining the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System for outcome evaluation in patients with chronic medical conditions.
As a clinical psychologist and measurement scientist with expertise in applied health status measurement, Cella has led the development of numerous item banks and instruments, intended for both normal and clinical populations including paper-and-pencil and computer administered instruments. Cella led the PROMIS and Neuro-QoL item banking initiatives from 2004 to 2014 and is now charged with sustaining them as part of the HealthMeasures distribution. In this capacity, he enables countless others to meaningfully apply patient-centered measurement tools in their research and clinical care.
Cella’s work includes areas of high-stakes decision-making such as regulatory review, payer negotiations and individual clinical care. A major focus of many of these initiatives has been ensuring measurement sensitive to diverse populations, including issues of health literacy and health disparities and developmentally sensitive measurement across the lifespan. Most recently, Cella has been engaged in implementing patient-centered supportive oncology care, providing learning health system research and training opportunities at Northwestern Medicine and elsewhere.
For more information, see Cella's faculty profile.
Publications
See Cella’s publications on PubMed.
Contact
d-cella@northwestern.edu
312-503-1086
Program Staff
- September Cahue
Clinical Research Associate
312-503-3577 - Victoria Morken
Senior Program Administrator
312-503-5197 - Amy Sparling
Senior Program Coordinator
312-503-4928
Richard Gershon, PhD Developing and validating assessment tools
Gershon often turns to Item Response Theory and Computer Adaptive Testing to increase test efficiency and to enable comparisons over time and across studies. He has leveraged this expertise to serve as an investigator and/or consultant on more than 100 assessment development projects in healthcare, education and medical certification. He is the PI and continues to manage the distribution and further development of the NIH Toolbox for the Assessment of Neurological and Behavioral Function. For example, Gershon is MPI (with David Cella, PhD) of the ECHO (Environmental Influences on Child Health Outcomes PRO Measurement) Core to oversee measurement integration and new measure development for 50,000 children and their parents.
At the other end of the age spectrum, he is MPI (with Sandy Weintraub, PhD) for Advancing Reliable Measurement in Alzheimer's Disease and Cognitive Aging (ARMADA), which is validating and expanding the NIH Toolbox for use in studies of cognitive aging beginning with normal cognition through progression into MCI and into early stages of AD. Gershon also is active in the development and distribution of Patient-Reported Outcomes (PRO) measures. He oversaw the development of Assessment Center, served as the PROMIS Technical Center PI and currently works as the Technology Core Lead for the National Person-Centered Assessment Resource. His team is also now working on the development and distribution of self-administered performance and PRO measures on smartphones in his role as contact MPI for Mobile Toolbox.
For more information, see Gershon's faculty profile.
Publications
See Gershon’s publications on PubMed.
Contact
gershon@northwestern.edu
312-503-3453
Program Staff
- Ellen Roney
Program Assistant
312-503-3601 - Maria Varela
Director of Information Technology
312-503-3032 - Michelle Langer, PhD
PROMIS/Assessment-Center API Product Manager - Julie Hook, PhD
NIH Toolbox Product Manager - Vitali Ustsinovich
Project Manager: ARMADA, Mobile Toolbox, MyCog
312-810-9476 - Amanda Summers
ECHO Project Manager
312-503-5247 - David Ortiz
Assistant Manager, Customer Service
George J. Greene, PhD Eliminating health disparities through community-based programs
Greene’s research and program evaluation activities focus on identifying and eliminating health disparities related to race/ethnicity, sexual orientation, gender identity and age. These activities are informed by social ecological and intersectional perspectives and are driven by community-based participatory research approaches and mixed methods research frameworks.
As a faculty member of the Northwestern University Center on Outcomes Research and Education group, Greene’s program includes research on patient-reported outcomes (PROs), including studies on the development of PRO measures, disease- and treatment-related symptoms and health status in patients with chronic illnesses. At the community-level, Greene is engaged in a number of projects investigating healthcare access, service utilization and program improvement. He is currently leading a multisite implementation and outcome evaluation of HIV pre-exposure prophylaxis (PrEP) and HIV care re-engagement (Data to Care) demonstration projects focusing on health disparity communities in collaboration with the Chicago Department of Public Health.
In collaboration with Howard Brown Health and the EDIT Program in the Institute for Sexual and Gender Minority Health and Wellbeing, Greene is evaluating the use of social media and mobile technology to engage and retain patients in HIV care and to improve health outcomes. He is also co-leading the CURE HIV project to establish foundational knowledge for the development of a community-based research agenda in collaboration with the AIDS Foundation of Chicago and Ann & Robert H. Lurie Children’s Hospital of Chicago. These research and program evaluation activities span collaborations with community-based organizations and healthcare clinics, hospitals, health departments, academic research centers and industry partners.
For more information, see Greene's faculty profile page.
Publications
See Greene’s publications on PubMed.
Contact
george-greene@northwestern.edu
312-503-3603
Aaron Kaat, PhD Measure development and validation for special populations
Kaat’s primary research interests relate to measure development, adaptation and validation in special populations, particularly for child chronic conditions. However, his research has expanded to include other special populations such as other adult orthopaedic outcomes and cancer outcomes.
Kaat’s research emphasizes psychometrics and latent variable models related to the instruments within the HealthMeasures suite (i.e., the NIH Toolbox, PROMIS, PROMIS Pediatric, Neuro-QoL and ASCQ-Me). He is particularly interested in multiple-group item response theory. Kaat is the site-PI on a grant funded by NICHD to develop a social communication outcome measure, the site-PI on a foundation grant related to children with medical complexity and has served as a co-investigator on several other projects.
For more information, see Kaat's faculty profile.
Publications
See Kaat’s publications on PubMed.
Contact
aaron.kaat@northwestern.edu
312-503-3477
Sarah Pila-Leiderman, PhD, Research Program How technology can support healthy child development
As a developmental scientist and researcher, Pila-Leiderman is most interested in the intersection of technology and healthy child development. For her, that means identifying ways in which technology and media can be used for “good” rather than villainized and weaponized as has been done in the news. Her work examines how digital tools and media can support learning and other positive developmental outcomes in young children, specifically within areas such as parent-child interactions and in the early childhood education space. Her research also includes significant contributions to the development and validation of developmental assessment batteries.
One of her notable projects is support of the Mobile Toolbox Battery (MTB), designed to remotely and effectively collect data on cognitive functions such as executive function, language, memory, and processing speed. This tool aims to facilitate early detection of cognitive impairments, including those due to neurodegenerative diseases. Another is the NIH Infant and Toddler Toolbox (“Baby Toolbox,” NBT), an iPad-based assessment tool designed to evaluate various developmental domains in children aged 1 to 42 months. Pila-Leiderman's work on these products has spawned several evaluation and protocol manuscripts. A true mixed methodologist, she thrives on finding just the appropriate technique to answer research questions around technology, developmental science, and beyond.
Key Research Focus
Psychometrics and Statistics Core Outcomes measurement, research design and statistical analysis
The Psychometrics and Statistics Core provides research design and analytical support across MSS and in collaboration with other research institutions and industry partners. Core staff and faculty have expertise in complex data management, wrangling, and storage, as well as advanced statistical methods for data analysis, including longitudinal studies, clinical trials, measure development, and psychometrics. Core members work with investigators on various aspects of research, including development of study protocols, measure selection, analysis plans, and power/sample size determinations; managing and maintaining data and data quality; applying statistical and psychometric analytic methods; and reporting, writing, and presenting analytic methods and results.
For more information see the Psychometrics and Statistics Core page.
Recent Publications
- Shared decision-making and disease management in advanced cancer and chronic kidney disease using patient-reported outcome dashboards. Cella D, et al. Among authors: garcia sf.
J Am Med Inform Assoc. 2024 Oct 1;31(10):2190-2201. doi: 10.1093/jamia/ocae180.
- Development of an electronic health record-integrated patient-reported outcome-based shared decision-making dashboard in oncology. Mohindra NA, et al. Among authors: garcia sf, cella d.
JAMIA Open. 2024 Jul 24;7(3):ooae056. doi: 10.1093/jamiaopen/ooae056. eCollection 2024 Oct.
- Public Mass Shootings: Counterfactual Trend Analysis of the Federal Assault Weapons Ban. Lundberg AL, Fox JA, Mohammad H, Mason M, Salina D, Victorson D, Parra-Cardona R, Post LA.
JMIR Public Health Surveill. 2024 Sep 20;10:e62952. doi: 10.2196/62952.
- Intergenerational transmission of adverse and positive childhood experiences and associations with child well-being. Blackwell CK, Cella D, Mansolf M.
Child Abuse Negl. 2024 Sep 19;157:107050. doi: 10.1016/j.chiabu.2024.107050. Online ahead of print.
- Risk of significant functional impairment across cancer diagnosis and care continuum. Flores AM, Shah M, Bedjeti K, Franklin PD, Peipert JD, Garcia SF, Lancki N, Webster KA, O'Connor M, Cella D.
Cancer. 2024 Sep 19. doi: 10.1002/cncr.35571. Online ahead of print.
- Validation of Patient-Reported Outcomes in Patients With Nonmetastatic Breast Cancer Receiving Comprehensive Nodal Irradiation in the RadComp Trial. Hahn EA, et al. Among authors: cella d.
Int J Radiat Oncol Biol Phys. 2024 Sep 1;120(1):149-161. doi: 10.1016/j.ijrobp.2024.03.020. Epub 2024 May 13.
- Effectiveness of Behavioral and Pharmacologic Interventions for Depressive Symptoms After Spinal Cord Injury: Findings From a Systematic Review. Cotter R, Burns J, Kaufman K, Kudla A, Ehrlich-Jones L, Wafford QE, Heinemann AW.
Arch Phys Med Rehabil. 2024 Sep;105(9):1733-1755. doi: 10.1016/j.apmr.2024.01.004. Epub 2024 Jan 22.
- Surveillance Metrics and History of the COVID-19 Pandemic in Central Asia: Updated Epidemiological Assessment. Lundberg AL, et al. Among authors: post la.
JMIR Public Health Surveill. 2024 Aug 28;10:e52318. doi: 10.2196/52318.
- South Asia's COVID-19 History and Surveillance: Updated Epidemiological Assessment. Post LA, et al.
JMIR Public Health Surveill. 2024 Aug 26;10:e53331. doi: 10.2196/53331.
- Facilitators and barriers to employment for people with adult-onset physical disabilities: results from a U.S.A. survey. Dinelli EJ, Crown D, Kudla A, Capraro P, Sheth M, Trierweiler R, Munsell E, Heinemann AW.
Work. 2024 Aug 23. doi: 10.3233/WOR-240087. Online ahead of print.