1. Promoting Intrafamily Accountability for Reducing Cellphone Use While Driving in Adults and their Teen Children: A Pilot Randomized Trial, University of Pennsylvania NIA Roybal Center Pilot Grant (PI). The goal of this study to conduct a pilot trial randomizing teen-parent dyads to parental monitoring of teen cellphone use while driving to bidirectional teen-parent monitoring of cellphone use while driving.
2. Pilot trial leveraging smartphone-paired breathalyzers, incentives, and rideshare credits for reducing binge drinking and drinking and driving. University of Pennsylvania ITMAT/CHIBE Pilot Grant (PI). The goal of this project is to test a behavioral economic intervention for reducing risky drinking among high-risk, but non-dependent drinkers.
3. Capturing symptom progression and the physical and cognitive activities of patients daily following concussion using Way To Health. University of Pennsylvania ITMAT/CHIBE Pilot Grant (Co-PI). The goal of this project to demonstrate the feasibility of remotely monitoring concussion symptoms with the long-term goal of providing real-time return to work/school/play guidance based on progression of symptoms.
4. Potential impact of reducing outpatient physician-level variation in opioid analgesic prescribing amounts for acute painful conditions. NIDA CHERISH P30DA040500 pilot grant (PI). The goal of this project is to establish the level of variation in new prescription orders for acute injuries and the economic and public health impact of reducing this variation.
5. Changing opioid prescription default orders. Penn Medicine Nudge Unit (PI). The goal of this project is to make strategic changes to default electronic medical record discharge order settings to safely reduce excesssive prescribing of opioid analgesics in ambulatory and post-operative settings.
6. Understanding the benefit of trauma center triage for injured older adults. NIA R03AG052117 (PI). The team will analyze the records of over 30,000 injured adults > 55 years old with linked prehospital EMS electronic records, hospital data, and death certificates from New Jersey to determine the effect triage and transport to a trauma center on 60-day mortality. This work is collaboration with Rutgers University.
M. Kit Delgado, MD, MS, is an emergency physician investigator committed to discovering innovative approaches to improve the outcomes of acutely ill and injured patients and also reduce the occurrence of injuries and the short-sighted behaviors that lead to them in the first place.
Dr. Delgado has two complementary lines of research. First, he analyses large existing datasets and uses decision analytic modeling to guide policy aimed at improving trauma and emergency care. Currently funded work includes: 1) state dataset analyses to better understand the benefit of trauma center triage for seriously injured older adults and children; 2) insurance claims analyses examining the impact of reducing excessive variation in opioid prescribing for acute injuries; and 3) and collaborative work to develop regional geographic units for benchmarking variation in population-level outcomes for emergency care sensitive conditions. Second, he is developing a novel research program leveraging smartphones, connected devices, and insights from behavioral economics for injury prevention. He is currently testing interventions to reduce cellphone use and drinking and driving.
Prior to joining the faculty, Dr. Delgado completed an NHLBI K12 Career Development Award at Penn with a focus on clinical epidemiology and an AHRQ T32 post-doctoral fellowship in health services research at Stanford.
Delgado, MK, Wanner, KJ, McDonald, CM. Adolescent cellphone use while driving: promising future directions for intervention. Media and Communication 4(3): 79-89, June 2016.
Newgard CD, Yang Z, Nishijima D, McConnell KJ, Trent SA, Holmes JF, Daya M, Mann NC, Hsia RY, Rea TD, Wang NE, Staudenmayer K, Delgado MK: Cost-Effectiveness of Field Trauma Triage among Injured Adults Served by Emergency Medical Services. Journal of the American College of Surgeons 222(6): 1125-37, June 2016.
Delgado M Kit, Yokell Michael A, Staudenmayer Kristan L, Spain David A, Hernandez-Boussard Tina, Wang N Ewen: Factors associated with the disposition of severely injured patients initially seen at non–trauma center emergency departments: disparities by insurance status. JAMA Surgery 149(5): 422-30, May 2014.
Delgado MK, Wang NE, Owens DK, Weir SM, Goldhaber-Fiebert JD: Cost-effectiveness of helicopter versus ground emergency medical services for trauma scene transport in the United States. Annals of Emergency Medicine 62(4): 351-364.e19, Apr 2013.