Courtney R Lyles
Biographic Data
| ID | 5128450 |
|---|---|
| NAME | Courtney R Lyles |
| GIVEN NAMES | Courtney R |
| FAMILY NAME | Lyles |
| SIGNATURE | LYLES C R |
| AFFILIATIONS | San Francisco General Hospital |
| ORCID | 0000-0002-1111-8595 |
| VERIFIED | Yes |
| TOTAL WORKS | 14 |
| TOTAL CITATIONS | 10 |
| AUTHOR COUNT | 14 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2011 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
Interdisciplinary expertise to advance human-centered explainable AI
The field of artificial intelligence (AI) is rapidly influencing health and healthcare, but bias and inadequate subgroup performance persists. Previous work has clearly outlined the need for more rigorous attention to data representativeness and model performance to advance population health and reduce bias. However, there is an opportunity to leverage best practices of social epidemiology, behavior science, and health services research to help d…
Patient Acceptability of Telehealth Medication Abortion Care in the United States, 2021‒2022
Objectives. Despite the recent expansion of direct-to-patient telehealth abortion care in the United States, patient experiences with the service are not well understood. Methods. We described care experiences of 1600 telehealth abortion patients in 2021 to 2022 and used logistic regression to explore differences by race or ethnicity and between synchronous (phone or video) and asynchronous (secure messaging) telehealth abortion care. Results. Mo…
Neighborhood-level Covid vaccination and booster disparities
Examining neighborhood-level factors associated with COVID-19 vaccination and booster rates uncovered significant variation within the large and geographically and demographically diverse state of California. Equity-based approaches to vaccination must ensure a robust consideration of multiple social determinants of health
Racial and sociodemographic predictors of Covid-19 compared with influenza, appendicitis, and all-cause hospitalization
Racial/ethnic and sociodemographic inequities in diagnosed COVID-19 and hospitalization differed from those for diagnosed influenza and other medical conditions, with consistently higher odds among Latine and Spanish-speaking patients. This work highlights the need for disease-specific public health efforts in at-risk communities in addition to structural upstream interventions
Impacts of Individual Patient Language and Neighborhood Ethnic Enclave on Covid-19 Test Positivity Among Hispanic/Latinx Patients in San Francisco
BACKGROUND: Given the known disparities in COVID-19 within the Hispanic/Latinx community, we sought to examine the interaction between individual-level and neighborhood-level social determinants of health using linked electronic health record data. METHODS: We examined electronic health record data linked to neighborhood data among Hispanic/Latinx patients tested for COVID-19 between March 1, 2020, and February 28, 2021, from 2 large health care …
Impact of gentrification on asthma visits to the emergency department
Google Street View-Derived Neighborhood Characteristics in California Associated with Coronary Heart Disease, Hypertension, Diabetes
Characteristics of the neighborhood built environment influence health and health behavior. Google Street View (GSV) images may facilitate measures of the neighborhood environment that are meaningful, practical, and adaptable to any geographic boundary. We used GSV images and computer vision to characterize neighborhood environments (green streets, visible utility wires, and dilapidated buildings) and examined cross-sectional associations with ch…
Adapting Patient Experience Data Collection Processes for Lower Literacy Patient Populations Using Tablets at the Point of Care
BACKGROUND: Patient experience surveys are widely used to capture the patient-reported quality of care and are increasingly being used for formal reporting purposes. There is evidence that certain patient subgroups are less likely to respond to traditional CAHPS surveys. As patient-facing technologies become more common, it is important to examine whether tablet-based patient experience surveys have the potential to promote responses from more di…
Selecting and Improving Quasi-Experimental Designs in Effectiveness and Implementation Research
Interventional researchers face many design challenges when assessing intervention implementation in real-world settings. Intervention implementation requires holding fast on internal validity needs while incorporating external validity considerations (such as uptake by diverse subpopulations, acceptability, cost, and sustainability). Quasi-experimental designs (QEDs) are increasingly employed to achieve a balance between internal and external va…
Food insecurity and diabetes self-management among food pantry clients
Objective To examine the association between level of food security and diabetes self-management among food pantry clients, which is largely not possible using clinic-based sampling methods. Design Cross-sectional descriptive study. Setting Community-based food pantries in California, Ohio and Texas, USA, from March 2012 through March 2014. Subjects Convenience sample of adults with diabetes queuing at pantries ( n 1237; 83 % response). Sampled a…
Legal, Practical, and Ethical Considerations for Making Online Patient Portals Accessible for All
Largely driven by the financial incentives of the HITECH Act’s Meaningful Use program as part of federal US health care reform, access to portal Web sites has rapidly expanded, allowing many patients to view their medical record information online. Despite this expansion, there is little attention paid to the accessibility of portals for more vulnerable patient populations—especially patients with limited health literacy or limited English profic…
Use of the Refill Function Through an Online Patient Portal is Associated With Improved Adherence to Statins in an Integrated Health System
BACKGROUND: Online patient portals are being widely implemented, but their impact on health behaviors are not well-studied. OBJECTIVE: To determine whether statin adherence improved after initiating use of the portal refill function. RESEARCH DESIGN: Observational cohort study within an integrated health care delivery system. SUBJECTS: Diabetic patients on statins who had registered for online portal access by 2010. A total of 8705 subjects initi…
Patient Race/Ethnicity and Shared Medical Record Use Among Diabetes Patients
BACKGROUND: Previous studies have documented racial/ethnic differences in patients' use of websites providing shared electronic medical records between patients and health care professionals. Less is known about whether these are driven by patient-level preferences and/or barriers versus broader provider or system factors. METHODS: Cross-sectional study of diabetes patients in an integrated delivery system in 2008-2009. Primary measures were race…
Correlates of Patient-Reported Racial/Ethnic Health Care Discrimination in the Diabetes Study of Northern California (Distance)
In addition to race/ethnicity, health literacy and English proficiency may be bases of discrimination. Evaluation is needed to determine whether patients are treated differently or more apt to perceive discrimination, and whether depression fosters and/or follows perceived discrimination
Correlates of Patient-Reported Racial/Ethnic Health Care Discrimination in the Diabetes Study of Northern California (Distance)
In addition to race/ethnicity, health literacy and English proficiency may be bases of discrimination. Evaluation is needed to determine whether patients are treated differently or more apt to perceive discrimination, and whether depression fosters and/or follows perceived discrimination
Patient Acceptability of Telehealth Medication Abortion Care in the United States, 2021‒2022
Objectives. Despite the recent expansion of direct-to-patient telehealth abortion care in the United States, patient experiences with the service are not well understood. Methods. We described care experiences of 1600 telehealth abortion patients in 2021 to 2022 and used logistic regression to explore differences by race or ethnicity and between synchronous (phone or video) and asynchronous (secure messaging) telehealth abortion care. Results. Mo…
Legal, Practical, and Ethical Considerations for Making Online Patient Portals Accessible for All
Largely driven by the financial incentives of the HITECH Act’s Meaningful Use program as part of federal US health care reform, access to portal Web sites has rapidly expanded, allowing many patients to view their medical record information online. Despite this expansion, there is little attention paid to the accessibility of portals for more vulnerable patient populations—especially patients with limited health literacy or limited English profic…
Correlates of Patient-Reported Racial/Ethnic Health Care Discrimination in the Diabetes Study of Northern California (Distance)
In addition to race/ethnicity, health literacy and English proficiency may be bases of discrimination. Evaluation is needed to determine whether patients are treated differently or more apt to perceive discrimination, and whether depression fosters and/or follows perceived discrimination
Patient Race/Ethnicity and Shared Medical Record Use Among Diabetes Patients
BACKGROUND: Previous studies have documented racial/ethnic differences in patients' use of websites providing shared electronic medical records between patients and health care professionals. Less is known about whether these are driven by patient-level preferences and/or barriers versus broader provider or system factors. METHODS: Cross-sectional study of diabetes patients in an integrated delivery system in 2008-2009. Primary measures were race…
Use of the Refill Function Through an Online Patient Portal is Associated With Improved Adherence to Statins in an Integrated Health System
BACKGROUND: Online patient portals are being widely implemented, but their impact on health behaviors are not well-studied. OBJECTIVE: To determine whether statin adherence improved after initiating use of the portal refill function. RESEARCH DESIGN: Observational cohort study within an integrated health care delivery system. SUBJECTS: Diabetic patients on statins who had registered for online portal access by 2010. A total of 8705 subjects initi…
Food insecurity and diabetes self-management among food pantry clients
Objective To examine the association between level of food security and diabetes self-management among food pantry clients, which is largely not possible using clinic-based sampling methods. Design Cross-sectional descriptive study. Setting Community-based food pantries in California, Ohio and Texas, USA, from March 2012 through March 2014. Subjects Convenience sample of adults with diabetes queuing at pantries ( n 1237; 83 % response). Sampled a…
Legal, Practical, and Ethical Considerations for Making Online Patient Portals Accessible for All
Largely driven by the financial incentives of the HITECH Act’s Meaningful Use program as part of federal US health care reform, access to portal Web sites has rapidly expanded, allowing many patients to view their medical record information online. Despite this expansion, there is little attention paid to the accessibility of portals for more vulnerable patient populations—especially patients with limited health literacy or limited English profic…
Selecting and Improving Quasi-Experimental Designs in Effectiveness and Implementation Research
Interventional researchers face many design challenges when assessing intervention implementation in real-world settings. Intervention implementation requires holding fast on internal validity needs while incorporating external validity considerations (such as uptake by diverse subpopulations, acceptability, cost, and sustainability). Quasi-experimental designs (QEDs) are increasingly employed to achieve a balance between internal and external va…
Adapting Patient Experience Data Collection Processes for Lower Literacy Patient Populations Using Tablets at the Point of Care
BACKGROUND: Patient experience surveys are widely used to capture the patient-reported quality of care and are increasingly being used for formal reporting purposes. There is evidence that certain patient subgroups are less likely to respond to traditional CAHPS surveys. As patient-facing technologies become more common, it is important to examine whether tablet-based patient experience surveys have the potential to promote responses from more di…
Google Street View-Derived Neighborhood Characteristics in California Associated with Coronary Heart Disease, Hypertension, Diabetes
Characteristics of the neighborhood built environment influence health and health behavior. Google Street View (GSV) images may facilitate measures of the neighborhood environment that are meaningful, practical, and adaptable to any geographic boundary. We used GSV images and computer vision to characterize neighborhood environments (green streets, visible utility wires, and dilapidated buildings) and examined cross-sectional associations with ch…
Impact of gentrification on asthma visits to the emergency department
Neighborhood-level Covid vaccination and booster disparities
Examining neighborhood-level factors associated with COVID-19 vaccination and booster rates uncovered significant variation within the large and geographically and demographically diverse state of California. Equity-based approaches to vaccination must ensure a robust consideration of multiple social determinants of health
Racial and sociodemographic predictors of Covid-19 compared with influenza, appendicitis, and all-cause hospitalization
Racial/ethnic and sociodemographic inequities in diagnosed COVID-19 and hospitalization differed from those for diagnosed influenza and other medical conditions, with consistently higher odds among Latine and Spanish-speaking patients. This work highlights the need for disease-specific public health efforts in at-risk communities in addition to structural upstream interventions
Impacts of Individual Patient Language and Neighborhood Ethnic Enclave on Covid-19 Test Positivity Among Hispanic/Latinx Patients in San Francisco
BACKGROUND: Given the known disparities in COVID-19 within the Hispanic/Latinx community, we sought to examine the interaction between individual-level and neighborhood-level social determinants of health using linked electronic health record data. METHODS: We examined electronic health record data linked to neighborhood data among Hispanic/Latinx patients tested for COVID-19 between March 1, 2020, and February 28, 2021, from 2 large health care …
Patient Acceptability of Telehealth Medication Abortion Care in the United States, 2021‒2022
Objectives. Despite the recent expansion of direct-to-patient telehealth abortion care in the United States, patient experiences with the service are not well understood. Methods. We described care experiences of 1600 telehealth abortion patients in 2021 to 2022 and used logistic regression to explore differences by race or ethnicity and between synchronous (phone or video) and asynchronous (secure messaging) telehealth abortion care. Results. Mo…
Interdisciplinary expertise to advance human-centered explainable AI
The field of artificial intelligence (AI) is rapidly influencing health and healthcare, but bias and inadequate subgroup performance persists. Previous work has clearly outlined the need for more rigorous attention to data representativeness and model performance to advance population health and reduce bias. However, there is an opportunity to leverage best practices of social epidemiology, behavior science, and health services research to help d…
Medicine (13 works) · Health care (8 works) · Internal Medicine (7 works) · Ethnic group (6 works) · Environmental health (5 works) · Gerontology (5 works) · Nursing (5 works) · Public health (5 works) · Demography (4 works) · Family medicine (4 works)