Courtney Lyles, PhD

Assoc Professor

Center for Vulnerable Populations, General Internal Medicine UCSF Health, General Internal Medicine ZSFG

Courtney Lyles, PhD, is an Associate Professor in the UCSF Division of General Internal Medicine at Zuckerberg San Francisco General Hospital, the UCSF Center for Vulnerable Populations, and the Department of Epidemiology and Biostatistics. A trained health services researcher, she uses quantitative and qualitative methods to examine quality of care, health behavior, and health outcomes. She is also an Associate Director of the UCSF program Implementation Science program based in the Department of Epidemiology and Biostatistics. Finally, she holds an affiliate investigator appointment at the Kaiser Permanente Northern California Division of Research.

Her research specifically focuses on harnessing health information technology to improve patient-provider communication for chronic disease self-management to ultimately reduce disparities in health and healthcare outcomes for low-income and racial/ethnic minority populations. She currently is co-PI of an R01 from the Agency for Healthcare Research and Quality to use machine learning to send personalized text messages to patients motivate physical activity, including leveraging user-centered design and implementation science principles.

Certificate, 2020 - Diversity, Equity, and Inclusion Training, UCSF
PhD, 2010 - Health Services, University of Washington
BA, 2003 - Human Biology, Stanford University
  1. Challenges and Solutions to Employing Natural Language Processing and Machine Learning to Measure Patients' Health Literacy and Physician Writing Complexity: The ECLIPPSE Study.
  2. Evaluation of Neighborhood Socioeconomic Characteristics and Advance Care Planning Among Older Adults.
  3. Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases: A pragmatic randomized trial.
  4. Descriptive examination of secure messaging in a longitudinal cohort of diabetes patients in the ECLIPPSE study.
  5. Real-world insights from launching remote peer-to-peer mentoring in a safety net healthcare delivery setting.
  6. Patient interest in and barriers to telemedicine video visits in a multilingual urban safety-net system.
  7. mHealth app using machine learning to increase physical activity in diabetes and depression: clinical trial protocol for the DIAMANTE Study.
  8. Devil in the details: understanding the effects of providing electronic health record access to patients and families.
  9. An Untapped Potential in Primary Care: Semi-Structured Interviews with Clinicians on How Patient Portals Will Work for Caregivers in the Safety Net.
  10. Using Electronic Health Record Portals to Improve Patient Engagement: Research Priorities and Best Practices.
  11. Patient characteristics associated with objective measures of digital health tool use in the United States: A literature review.
  12. In-Home Technology Training Among Socially Isolated Older Adults: Findings From the Tech Allies Program.
  13. Association Between Patient Portal Use and Broadband Access: a National Evaluation.
  14. mHealth Interventions for Disadvantaged and Vulnerable People with Type 2 Diabetes.
  15. Are Patients Electronically Accessing Their Medical Records? Evidence From National Hospital Data.
  16. Engaging users in the design of an mHealth, text message-based intervention to increase physical activity at a safety-net health care system.
  17. Assessing Mobile Phone Digital Literacy and Engagement in User-Centered Design in a Diverse, Safety-Net Population: Mixed Methods Study.
  18. Secure Messaging with Physicians by Proxies for Patients with Diabetes: Findings from the ECLIPPSE Study.
  19. Evaluation of a Health Information Technology-Enabled Collective Intelligence Platform to Improve Diagnosis in Primary Care and Urgent Care Settings: Protocol for a Pragmatic Randomized Controlled Trial.
  20. Social Media as a Tool to Promote Health Awareness: Results from an Online Cervical Cancer Prevention Study.
  21. Adapting Patient Experience Data Collection Processes for Lower Literacy Patient Populations Using Tablets at the Point of Care.
  22. Perspectives of English, Chinese, and Spanish-Speaking Safety-Net Patients on Clinician Computer Use: Qualitative Analysis.
  23. Translating/Creating a Culturally Responsive Spanish-Language Mobile App for Visit Preparation: Case Study of "Trans-Creation".
  24. Disparities in Patient-Reported Interest in Web-Based Patient Portals: Survey at an Urban Academic Safety-Net Hospital.
  25. After-visit summaries in primary care: mixed methods results from a literature review and stakeholder interviews.
  26. Abstract P084: Neighborhood Deprivation is Associated With Diabetes Complications: Results From the UCSF Population Health Data Initiative.
  27. A Randomized Trial to Train Vulnerable Primary Care Patients to Use a Patient Portal.
  28. Visit Planning Using a Waiting Room Health IT Tool: The Aligning Patients and Providers Randomized Controlled Trial.
  29. Using natural language processing and machine learning to classify health literacy from secure messages: The ECLIPPSE study.
  30. Perceptions of cervical cancer prevention on Twitter uncovered by different sampling strategies.
  31. Testing and improving the acceptability of a web-based platform for collective intelligence to improve diagnostic accuracy in primary care clinics.
  32. Chapter 3 Collaborating to Connect the Underserved With Patient Portals.
  33. Redesigning primary care in the safety net: A qualitative analysis of team-based care implementation.
  34. Evaluation of an health-IT-enabled collective intelligence platform to improve diagnosis in primary care and urgent care settings: Study Design (Preprint).
  35. Digital Diabetes Congress 2018.
  36. Innovative Implementation Studies Conducted in US Safety Net Health Care Settings: A Systematic Review.
  37. A Comparison of Electronic Patient-Portal Use Among Patients with Resident and Attending Primary Care Providers.
  38. The new era of precision population health: insights for the All of Us Research Program and beyond.
  39. Safety-net institutions in the US grapple with new cholesterol treatment guidelines: a qualitative analysis from the PHoENIX Network.
  40. Using Social Media to Target Cancer Prevention in Young Adults: Viewpoint.
  41. Finding Meaning in Medication Reconciliation Using Electronic Health Records: Qualitative Analysis in Safety Net Primary and Specialty Care.
  42. Selecting and Improving Quasi-Experimental Designs in Effectiveness and Implementation Research.
  43. 'The Hand on the Doorknob': Visit Agenda Setting by Complex Patients and Their Primary Care Physicians.
  44. Racial/ethnic variation in devices used to access patient portals.
  45. Meaningful use in the safety net: a rapid ethnography of patient portal implementation at five community health centers in California.
  46. Multitasking and Silent Electronic Health Record Use in Ambulatory Visits.
  47. Legal, Practical, and Ethical Considerations for Making Online Patient Portals Accessible for All.
  48. Implementation Science Workshop: Barriers and Facilitators to Increasing Mammography Screening Rates in California's Public Hospitals.
  49. Performance Measurement and Target-Setting in California's Safety Net Health Systems.
  50. Effect of Out-of-Pocket Cost on Medication Initiation, Adherence, and Persistence among Patients with Type 2 Diabetes: The Diabetes Study of Northern California (DISTANCE).
  51. Seeing the Effect of Health Care Delivery Innovation in the Safety Net.
  52. Online patient websites for electronic health record access among vulnerable populations: portals to nowhere?
  53. mHealth and Health Information Technology Tools for Diverse Patients with Diabetes.
  54. The Next Frontier in Communication and the ECLIPPSE Study: Bridging the Linguistic Divide in Secure Messaging.
  55. Effects on Engagement and Health Literacy Outcomes of Web-Based Materials Promoting Physical Activity in People With Diabetes: An International Randomized Trial.
  56. The Case for Jointly Targeting Diabetes and Depression Among Vulnerable Patients Using Digital Technology.
  57. Adaptation and Feasibility Study of a Digital Health Program to Prevent Diabetes among Low-Income Patients: Results from a Partnership between a Digital Health Company and an Academic Research Team.
  58. "I Want to Keep the Personal Relationship With My Doctor": Understanding Barriers to Portal Use among African Americans and Latinos.
  59. Changes in Medication Use After Dementia Diagnosis in an Observational Cohort of Individuals with Diabetes Mellitus.
  60. User-Centered Design of a Tablet Waiting Room Tool for Complex Patients to Prioritize Discussion Topics for Primary Care Visits.
  61. Usability of Commercially Available Mobile Applications for Diverse Patients.
  62. Food insecurity and diabetes self-management among food pantry clients.
  63. Applying Sparse Machine Learning Methods to Twitter: Analysis of the 2012 Change in Pap Smear Guidelines. A Sequential Mixed-Methods Study.
  64. Computer use, language, and literacy in safety net clinic communication.
  65. Capsule Commentary on Moreno et al., Disparities in the Use of Internet and Telephone Medication Refills Among Linguistically Diverse Patients.
  66. Qualitative analysis of programmatic initiatives to text patients with mobile devices in resource-limited health systems.
  67. Association Between Clinician Computer Use and Communication With Patients in Safety-Net Clinics.
  68. Facilitators and barriers to implementing electronic referral and/or consultation systems: a qualitative study of 16 health organizations.
  69. Barriers and Facilitators to Online Portal Use Among Patients and Caregivers in a Safety Net Health Care System: A Qualitative Study.
  70. Coordinated performance measurement and improvement efforts in California's safety net systems: early experience and lessons.
  71. A Pilot Food Bank Intervention Featuring Diabetes-Appropriate Food Improved Glycemic Control Among Clients In Three States.
  72. Views of People With High and Low Levels of Health Literacy About a Digital Intervention to Promote Physical Activity for Diabetes: A Qualitative Study in Five Countries.
  73. A Mixed-Methods Study of Patient-Provider E-Mail Content in a Safety-Net Setting.
  74. Refilling medications through an online patient portal: consistent improvements in adherence across racial/ethnic groups.
  75. Financial Strain and Medication Adherence among Diabetes Patients in an Integrated Health Care Delivery System: The Diabetes Study of Northern California (DISTANCE).
  76. Readability assessment of patient-provider electronic messages in a primary care setting.
  77. Connecting the Dots: Health Information Technology Expansion and Health Disparities.
  78. The San Francisco Chinese Food Security Module: Validation of a Translation of the US Household Food Security Survey Module.
  79. Health literacy, vulnerable patients, and health information technology use: where do we go from here?
  80. Social support and lifestyle vs. medical diabetes self-management in the diabetes study of Northern California (DISTANCE).
  81. Income, food insecurity, and osteoporosis among older adults in the 2007-2008 National Health and Nutrition Examination Survey (NHANES).
  82. Racial/ethnic workplace discrimination: association with tobacco and alcohol use.
  83. Getting a technology-based diabetes intervention ready for prime time: a review of usability testing studies.
  84. Perceived Health Status Is Associated with Barriers to Diabetes Self-Management in Food Pantry Clients.
  85. Low socioeconomic status is associated with increased risk for hypoglycemia in diabetes patients: the Diabetes Study of Northern California (DISTANCE).
  86. Use of the refill function through an online patient portal is associated with improved adherence to statins in an integrated health system.
  87. The DISTANCE model for collaborative research: distributing analytic effort using scrambled data sets.
  88. Innovation and transformation in California's safety net health care settings: an inside perspective.
  89. Nutritional assessment of free meal programs in San Francisco.
  90. Patient-provider communication and trust in relation to use of an online patient portal among diabetes patients: The Diabetes and Aging Study.
  91. Patient–provider communication and diabetes medication adherence: where do we go from here?.
  92. Safety events during an automated telephone self-management support intervention.
  93. Sex disparities in diabetes process of care measures and self-care in high-risk patients.
  94. Additional considerations for 'Harnessing the cloud of patient experience'.
  95. "5 mins of uncomfyness is better than dealing with cancer 4 a lifetime": an exploratory qualitative analysis of cervical and breast cancer screening dialogue on Twitter.
  96. Points for improvement: performance measurement for glycemic control in diabetes patients in a safety-net population.
  97. Access, interest, and attitudes toward electronic communication for health care among patients in the medical safety net.
  98. Communication and medication refill adherence: the Diabetes Study of Northern California.
  99. Food insecurity in relation to changes in hemoglobin A1c, self-efficacy, and fruit/vegetable intake during a diabetes educational intervention.
  100. Communication about diabetes risk factors during between-visit encounters.
  101. Limitations in health care access and utilization among long-term survivors of adolescent and young adult cancer.
  102. Risk factor, age and sex differences in chronic kidney disease prevalence in a diabetic cohort: the pathways study.
  103. Patient race/ethnicity and shared medical record use among diabetes patients.
  104. Association of depression with increased risk of dementia in patients with type 2 diabetes: the Diabetes and Aging Study.
  105. A qualitative assessment of personal and social responsibility for kidney disease: the Increasing Kidney Disease Awareness Network Transplant Project.
  106. Patient reported interpersonal processes of care and perceived social position: the Diabetes Study of Northern California (DISTANCE).
  107. Provider factors and patient-reported healthcare discrimination in the Diabetes Study of California (DISTANCE).
  108. Patient-reported racial/ethnic healthcare provider discrimination and medication intensification in the Diabetes Study of Northern California (DISTANCE).
  109. Qualitative evaluation of a mobile phone and web-based collaborative care intervention for patients with type 2 diabetes.
  110. Correlates of patient-reported racial/ethnic health care discrimination in the Diabetes Study of Northern California (DISTANCE).
  111. Designing mobile support for glycemic control in patients with diabetes.
  112. Race/ethnicity, social support, and associations with diabetes self-care and clinical outcomes in NHANES.