91大神

Center for Pediatric Healthcare Delivery Science

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Driving Pediatric Health Care Innovation

The Center for Healthcare Delivery Science is a team of scientists who partner with health care systems, families, schools, and communities. Through these collaborations we aim to explore, uncover, and transform how children and families thrive. Changing systems is a big job, and each scientist on our team is working on a different piece of the puzzle. 听

Our researchers from sites in Delaware and Florida use innovative and varied approaches, like family and learning health systems science, behavioral science, implementation science, informatics, health policy, and behavioral economics.听

We also train future academic researchers in a variety of fields, including psychology, nursing, medicine and public health through our two-year intensive fellowship program. Together, we nurture healthy children today, and for generations to come.

Advancing Research: By the Numbers

Recognized for excellence, research at the Center for Healthcare Delivery Science translates to better health and quality of life for kids everywhere. With robust funding and a wide range of projects, we鈥檙e making progress in several areas.

$50 million +

Research funding since 2013

$23 million +

Active National Institutes of Health funding in 2023

20+

Investigators conducting research

175+

Annual publications and poster presentations听

Our center has received numerous grants, including听one from the National Institution of Health for $10.9 million. Our researchers have also been individually recognized with various prestigious honors and awards.


Our research has had significant impact.听We lead the development of international practice guidelines, have highly cited publications, and develop innovative interventions.


We use听innovative methodologies across multiple fields听to optimize care delivery for children and their families.


奥别听advance pediatric health care delivery through research,听community engagement, and interdisciplinary collaborations.

Our Leadership

Headshot of Anne E. Kazak, PhD

Anne E. Kazak, PhD, ABPP听

Enterprise Director, Center for Healthcare Delivery Science

Principal Research Scientist

Headshot of Melissa Alderfer, PhD

Melissa A. Alderfer, PhD听

Center Director, Center for Healthcare Delivery Science 鈥� Delaware Valley

Principal Research Scientist

Headshot of Susana R. Patton, PhD

Susana R. Patton, PhD, ABPP, CDCES听

Center Director, Center for Healthcare Delivery Science 鈥� Florida听

Principal Research Scientist

Headshot of Jessica S. Pierce, PhD

Jessica S. Pierce, PhD听

Director of Fellowship Training, Center for Healthcare Delivery Science

Senior Research Scientist

Clinical Psychologist

Headshot of Dana Berger, MPH

Dana Berger, MPH

Research Program Administrator

Alison Taggi-Pinto, MEd

Clinical Research Manager

Priscilla Jones, BS听

Program Manager听

Research Team

Focus Areas

Doctor listening to the heart of a baby sitting on his mothers lap

Our center concentrates research efforts within key focus areas:

Health Care Delivery
Using varied research methodologies to enhance the delivery of care for children with medical conditions and their families.

Health Outcomes
Conducting research that provides data to promote healthy outcomes and opportunities in care delivery, inclusive of populations facing multiple barriers to optimal health and addressing differences in access to care.听

Psychosocial & Behavioral Factors in Pediatric Health
Leveraging expertise in factors that influence outcomes in pediatric care.

Addressing Unique Needs Across the Care Journey
Researching the integration and implementation of evidence-based care for youth, families, and health providers.

Technology-Enhanced Pediatric Health Care Interventions
Developing and evaluating technology-enhanced interventions to improve health care delivery.

Adherence to Medical Treatments
Researching methods to enhance our assessment of adherence and to deliver adaptive interventions to promote adherence. 听

Research Themes

We pursue projects that intersect with our main focus areas within the following themes:听

  • Improving pediatric care delivery听
  • Digital health interventions
  • Implementation science
  • Family/sibling adaptation听
  • Psychosocial risk screening
  • Community and stakeholder engagement
  • Transition from pediatric to adult health care
  • Developing and testing interventions and care models
  • Medical traumatic stress and trauma-informed care
  • Risk and resilience factors in pediatric conditions
  • COVID-19 impacts

Related Research & Clinical Focus

Centers at 91大神 often align with research areas, affiliated labs, and clinical programs to support discovery and care systemwide.

How We Make a Difference

Our center has made significant strides in improving care for children and families. Our leadership, innovation, and impacts are recognized.

International Practice Guidelines & Editorial Influence

  • Psychosocial Standards of Care in Pediatric Cancer听鈥� Evidence-based guidelines establishing minimum standards for psychosocial care of children with cancer and their families
  • Standards of Care in Pediatric Type 1 Diabetes听鈥� Comprehensive guidelines for addressing needs of children with diabetes and their families
  • 听鈥� Collaborative network advancing care for injured children through research, education, and advocacy
  • Editorials in leading medical and psychology journals
  • More than 300 highly cited publications

Innovations & Resources

  • (PAT)听鈥� Validated screening tool identifying psychosocial risk in families of children with serious illness
  • Surviving Cancer Competently Intervention Program (SCCIP)听鈥� Evidence-based family intervention reducing distress in childhood cancer survivors and their families
  • eSCCIP听鈥� Web-based Surviving Cancer Competently Intervention Program
  • Surviving Cancer CAMPetently听鈥� Camp-based intervention integrating evidence-based psychosocial care into recreational settings for families affected by childhood cancer
  • REACH Center of Biomedical Research Excellence听鈥� NIH-funded center advancing research on childhood adversity and health outcomes
  • National Child Traumatic Stress 听鈥� Treatment development center creating interventions for medically-based traumatic stress in children
  • Remedy to Diabetes Distress (R2D2)听鈥� Scalable screening and intervention program addressing diabetes-related distress in school-age children
  • Mobile-integrated care for childhood obesity intervention听
  • HEARTPrep听鈥� A virtually-delivered psychosocial intervention for mothers expecting a baby with congenital heart disease
  • Leaders in community-based participatory research (CBPR) approach

Policy & Funding Agencies

  • Participants on NIH study sections听鈥� Expert reviewers evaluating grant proposals and shaping national research priorities

Building Research Networks

  • (SPARC)听鈥� Collaborative network studying siblings of children with serious illness and developing supportive interventions
  • Studies on COVID-19 impacts on pediatric populations听

Publications

91大神 researchers constantly contribute to advancing scientific understanding. We share our knowledge, insights, and discoveries to encourage collaboration and inspire further research.

Grants & Affiliations

Our impact extends beyond 91大神 through collaborative relationships, funded initiatives, and recognized excellence. These are the foundational aspects that help us advance pediatric health care delivery science and create meaningful improvements for children and families everywhere

Research Partnerships

Our center focuses on research partnerships to expand knowledge and leverage varied perspectives within and outside our field of study. We specifically work with these organizations to conduct research that can improve health care delivery systems and patient outcomes.

  • 听鈥� Founding PEDSnet member collaborating on pediatric health care delivery research initiatives听
  • 听鈥� Academic partner supporting research methodology and education initiatives in health care delivery science听
  • 听鈥� Focuses on听addressing health and developing integrated care models for populations facing specific health risks
  • 听鈥� Collaborates on improving health care delivery systems and patient outcomes through evidence-based research听
  • 鈥斕齈artners on trauma-informed care approaches and psychosocial assessment tools for pediatric populations
  • 听鈥� Joint research on pediatric health care delivery optimization and quality improvement initiatives听
  • 听鈥� Collaborates on research related to child development, family well-being, and听health-related social needs
  • 听鈥� Regional partnership focusing on care coordination and transitions between pediatric and adult health care systems
  • 听鈥� PEDSnet member conducting collaborative research on pediatric health outcomes and healthcare delivery models
  • 听鈥� Partnership focused on pediatric oncology care delivery and survivorship research initiatives
  • 听鈥� National pediatric learning health system with 91大神 as a founding member, collaborating on multi-institutional research to improve child health outcomes听
  • 听鈥� Academic partnership supporting research training, methodology development, and interdisciplinary collaboration
  • 听鈥� Collaborative research on health care innovations and implementation science across pediatric populations听
  • 听鈥� Partnership focused on behavioral health integration and family-centered care delivery models听
  • 听鈥� Collaborates on health care quality improvement and systems-level approaches to pediatric care delivery

Major Grants

Mom comforting son in hospital bed

Our research is recognized and validated through generous grants. This support moves us forward and allows us to meaningfully contribute to scientific discovery. Our team has recently been awarded:听

National Institute of General Medical Sciences Center of Biomedical Research Excellence (NIGMS COBRE)

Research Expanding Access to Child Health (2022-2027) |听Kazak, A.E. & Alderfer, M. (MPIs) | $10,929,735

REACH Administrative Supplement: Take the Lead: Mentoring to Foster DEIA in Health Equity Research (2023-2024) |听Alderfer, M (PI) | $108,097

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)听

R01 Grants
Remedy to Diabetes Distress (R2D2): A Scalable Screen to Treat Program for School-Age Families (2020-2025) |听Patton, S. (PI) | $3,200,000

Home-based video telemedicine to reduce parental fear of hypoglycemia in young kids with T1D (2019-2025) |听Patton, S. (PI) | $2,246,623

Coin2Dose: Behavioral economics to promote insulin bolus activity and improve HbA1c in teens (2021-2025) |听Patton, S. (PI) | $900,000

K23 Grants
Uptake of Evidence-Based Behavioral Intervention for Pediatric Type 1 Diabetes (2020-2025) |听Price, J. (PI) | $724,869

Adapting Single Sessions Interventions for Type 1 Diabetes (ASSIsTeD): Integrated Pediatric Care to Reduce Depression and HbA1c.听(2024-2029) | Monzon, A. (PI) | $754,176

National Cancer Institute (NCI)听

R01 Grant听|听A randomized controlled trial of eSCCIP: An eHealth psychosocial intervention for English and Spanish speaking parents of children with cancer (2022-2027) |听Canter, K. (PI) | $3,745,635

National Heart, Lung and Blood Institute (NHLBI)

R01 Grant听|听AIM2ACT: A Mobile Health Tool to Facilitate Asthma Self-Management during Early Adolescence听(2020鈥�2025) | Fedele, D. (Site PI) | $3,379,666

R34 Grant听|听Optimizing a Sensor-Enabled mHealth Intervention for Adolescents with Suboptimal Asthma Control听(2023-2025) | Fedele, D. (Site PI) | $727,641

National Institute of Child Health and Human Development (NICHD)听

K23 Grant听|听Study of Healthy Adaptation and Resilience to Pain in Emerging Adulthood (SHARPE) (2022-2027) |听Palit, S. (PI) | $835,000

National Institute of Nursing Research (NINR)听

R01 Grant听|听A socio-ecological approach for improving self-management in adolescents with SCD (2023-2028) |听Hildenbrand, A. (Site PI) | $190,000

Agency for Healthcare Research and Quality (AHRQ)听

PedsNet K12听|听Identifying and Addressing Social Risk in Congenital Heart Disease Using a Stakeholder Engaged Approach (2024-2026) |听Wawrzynski, S. (PI) | $305,169

U.S. Department of Education

Institute of Education Services |听Developing a Coordinated System to Identify and Support Students Experiencing Homelessness (2024-2028) |听Cutuli, J.J. (PI) | $1,998,599

Private Research Foundations

American Cancer Society |听Cross Cultural Psychosocial Risk Screening in Pediatric Cancer (2020-2025)
Kazak, A.E. (PI) |听$1,834,913

Breakthrough T1D |听Transdisciplinary Care for Young Adults with Type 1 Diabetes Transitioning to Adult Healthcare (2023-2026) | Pierce, J. (PI) | $628,819

Cystic Fibrosis Foundation |听TIDES 2.0: Prevalence and Longitudinal Course of Depression, Anxiety, and Behavior Problems in Children with Cystic Fibrosis (CF) under 12 Years of Age. (2024-2028) | Fedele, D. (Site PI) | $258,822

Donaghue Foundation |听Leveraging Virtual Reality to Improve Shared Decision Making for Sickle Cell Disease Treatments (2022 -2025) | Hildenbrand, A. (PI) | $311,738

William Penn Foundation |听Pilot Evidence-Based Trainings in Childhood Grief and Bereavement for Child- and Family-Serving Organizations in Philadelphia (2023-2025) | Cutuli, J.J. (PI) | $109,909

Awards & Recognition

Researchers at 91大神 are often recognized for their exceptional contributions to pediatric research. Our team鈥檚 passion to advance children鈥檚 health and wellbeing is celebrated in these recent awards:

Leadership, Research Excellence & Career Achievement

Anne E. Kazak听PhD, ABPP
2023 Research Excellence Award, 91大神 Children鈥檚 Health -Medical Staff physician recognition award
2023 R. Bob Smith III Excellence in Psychological Assessment Award, American Psychological Association
2020 Compassionate Champion Award, State of Delaware

Melissa Alderfer, PhD
2023 DE CTR-ACCEL Seema S. Sonnad Mentor-of-the-Year Award
2022 Society of Pediatric Psychology, Division 54 of the American Psychological Association Michael Roberts Mentorship Award, Society of Pediatric Psychology
2020 Lifetime Achievement Award, Society of Behavioral Medicine SIG

Susana R. Patton, PhD, ABPP, CDCES
2024 Society of Pediatric Psychology Dennis Drotar Distinguished Research Award

Erica Sood, PhD
2024 91大神 Jennifer Pendley Mentorship Award
2024 National IDeA Symposium of Biomedical Research Excellence (NISBRE) Scientific Merit Award
2021 Newburger-Bellinger Cardiac Neurodevelopmental Award

Benjamin Bear, MSW
2024 91大神 Outstanding Research Contribution Award 鈥� Professional Excellence

Dana Berger, MPH
2023 91大神 Outstanding Research Contribution Award 鈥� Professional Excellence

Early Career Development

Kimberly Canter, PhD
National Institutes of Health Loan Repayment Programs Recipient

Aimee Hildenbrand, PhD
National Institutes of Health Loan Repayment Programs Recipient

Alexandra Monzon, PhD
2024 NIH Summer Institute on Randomized Clinical Trials
National Institutes of Health Loan Repayment Programs Recipient

Shreela Palit, PhD
2022 North American Pain School
National Institutes of Health Loan Repayment Programs Recipient

Thoa-Ly Phan, MD
National Institutes of Health Loan Repayment Programs Recipient

Research Publications

Courtney Thomas, MS
2024 Society of Pediatric Psychology Diversity Poster Award

Kim Canter, PhD, Alejandra Perez Ramirez, PhD, Gaby Vega, MS, Aimee Hildenbrand, PhD, Anne E. Kazak, PhD, ABPP
2022 Clinical Practice in Pediatric Psychology Manuscript of the Year, Honorable Mention

Alexandra Monzon, PhD
2022 Student Poster Award, Society of Pediatric Psychology

Jessica S. Pierce, PhD
2021 Journal of Pediatric Psychology, Most Cited Paper Award