91´óÉñ

Center for Healthcare Delivery Science

CONTACT US
Center for Healthcare Delivery Science
ON THIS PAGE:

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. Ìý

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

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’re 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 presentationsÌý

Our center has received numerous grants, includingÌýone 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.ÌýWe lead the development of international practice guidelines, have highly cited publications, and develop innovative interventions.


We useÌýinnovative and diverse methodologies across multiple fieldsÌýto optimize care delivery for children and their families.


WeÌýadvance pediatric health care delivery through research,Ìýcommunity engagement, and interdisciplinary collaborations.

Our Leadership

Anne E. Kazak, PhD

Anne E. Kazak, PhD, ABPPÌý

Enterprise Director, Center for Healthcare Delivery Science

Principal Research Scientist

Melissa Alderfer, PhD

Melissa A. Alderfer, PhDÌý

Center Director, Center for Healthcare Delivery Science – Delaware Valley

Principal Research Scientist

Susana R. Patton, PhD

Susana R. Patton, PhD, ABPP, CDCESÌý

Center Director, Center for Healthcare Delivery Science – FloridaÌý

Principal Research Scientist

Jessica S. Pierce, PhD

Jessica S. Pierce, PhDÌý

Director of Fellowship Training, Center for Healthcare Delivery Science

Senior Research Scientist

Clinical Psychologist

Dana Berger, MPH

Dana Berger, MPH

Research Program Administrator

Allison Taggi-Pinto, MEd

Clinical Research Manager

Priscilla Jones, BSÌý

Program ManagerÌý

Research Team

Focus Areas

Doctor with baby and mother

Our center concentrates research efforts within key focus areas:

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

Health Equity
Conducting research that provides data to promote equitable health care delivery, inclusive of underserved populations and addressing disparities in care.Ìý

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

Addressing Diverse 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. Ìý

Research Themes

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

  • Improving pediatric care deliveryÌý
  • Digital health interventions
  • Implementation science
  • Family/sibling adaptationÌý
  • 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´óÉñ 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 CancerÌý— Evidence-based guidelines establishing minimum standards for psychosocial care of children with cancer and their families
  • Standards of Care in Pediatric Type 1 DiabetesÌý— Comprehensive guidelines for addressing needs of children with diabetes and their families
  • Ìý— 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)Ìý— Validated screening tool identifying psychosocial risk in families of children with serious illness
  • Surviving Cancer Competently Intervention Program (SCCIP)Ìý— Evidence-based family intervention reducing distress in childhood cancer survivors and their families
  • eSCCIPÌý— Web-based Surviving Cancer Competently Intervention Program
  • Surviving Cancer CAMPetentlyÌý— Camp-based intervention integrating evidence-based psychosocial care into recreational settings for families affected by childhood cancer
  • REACH Center of Biomedical Research ExcellenceÌý— NIH-funded center advancing research on childhood adversity and health outcomes
  • National Child Traumatic Stress Ìý— Treatment development center creating interventions for medically-based traumatic stress in children
  • Remedy to Diabetes Distress (R2D2)Ìý— Scalable screening and intervention program addressing diabetes-related distress in school-age children
  • Mobile-integrated care for childhood obesity interventionÌý
  • HEARTPrepÌý— 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 sectionsÌý— Expert reviewers evaluating grant proposals and shaping national research priorities

Building Research Networks

  • (SPARC)Ìý— Collaborative network studying siblings of children with serious illness and developing supportive interventions
  • Studies on COVID-19 impacts on pediatric populationsÌý

Publications

91´óÉñ 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 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 diverse 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.

  • Ìý— Founding PEDSnet member collaborating on pediatric healthcare delivery research initiativesÌý
  • Ìý— Academic partner supporting research methodology and education initiatives in healthcare delivery scienceÌý
  • Ìý— Focuses on addressing social determinants of health and developing integrated care models for vulnerable populations
  • Ìý— Collaborates on improving healthcare delivery systems and patient outcomes through evidence-based researchÌý
  • —ÌýPartners on trauma-informed care approaches and psychosocial assessment tools for pediatric populations
  • Ìý— Joint research on pediatric healthcare delivery optimization and quality improvement initiativesÌý
  • Ìý—Collaborates on research related to child development, family well-being, and social determinants of health
  • Ìý— Regional partnership focusing on care coordination and transitions between pediatric and adult health care systems
  • Ìý— PEDSnet member conducting collaborative research on pediatric health outcomes and healthcare delivery models
  • Ìý— Partnership focused on pediatric oncology care delivery and survivorship research initiatives
  • Ìý— National pediatric learning health system with 91´óÉñ as a founding member, collaborating on multi-institutional research to improve child health outcomesÌý
  • Ìý— Academic partnership supporting research training, methodology development, and interdisciplinary collaboration
  • Ìý— Collaborative research on healthcare innovations and implementation science across pediatric populationsÌý
  • Ìý— Partnership focused on behavioral health integration and family-centered care delivery modelsÌý
  • Ìý— 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:Ìý

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

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

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

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

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

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

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

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

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

National Cancer Institute (NCI)Ìý

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

National Heart, Lung and Blood Institute (NHLBI)

R01 GrantÌý|ÌýAIM2ACT: A Mobile Health Tool to Facilitate Asthma Self-Management during Early AdolescenceÌý(2020–2025) | Fedele, D. (Site PI) | $3,379,666

R34 GrantÌý|ÌýOptimizing a Sensor-Enabled mHealth Intervention for Adolescents with Suboptimal Asthma ControlÌý(2023-2025) | Fedele, D. (Site PI) | $727,641

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

K23 GrantÌý|ÌýStudy of Healthy Adaptation and Resilience to Pain in Emerging Adulthood (SHARPE) (2022-2027) |ÌýPalit, S. (PI) | $835,000

National Institute of Nursing Research (NINR)Ìý

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

Agency for Healthcare Research and Quality (AHRQ)Ìý

PedsNet K12Ìý|ÌýIdentifying and Addressing Social Risk in Congenital Heart Disease Using a Stakeholder Engaged Approach (2024-2026) |ÌýWawrzynski, S. (PI) | $305,169

U.S. Department of Education

Institute of Education Services

Developing a Coordinated System to Identify and Support Students Experiencing Homelessness (2024-2028) |ÌýCutuli, J.J. (PI) | $1,998,599

Private Research Foundations

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

Breakthrough T1DÌý
Transdisciplinary Care for Young Adults with Type 1 Diabetes Transitioning to Adult Healthcare (2023-2026) | Pierce, J. (PI) | $628,819

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

William Penn Foundation
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´óÉñ are often recognized for their exceptional contributions to pediatric research. Our team’s passion to advance children’s health and wellbeing is celebrated in these recent awards:

Leadership, Research Excellence & Career Achievement

Anne E. KazakÌýPhD, ABPP
2023 Research Excellence Award, 91´óÉñ Children’s 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´óÉñ 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´óÉñ Outstanding Research Contribution Award – Professional Excellence

Dana Berger, MPH
2023 91´óÉñ Outstanding Research Contribution Award – 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