Chronic Disease Management

Despite rapidly increasing medical advancements, chronic disease management continues to be a major public health concern in the United States and abroad. Patients with chronic diseases such as diabetes, heart disease, and asthma often fail to take advantage of the treatments available to them, or they behave in ways that contribute to the worsening of symptoms.

CHIBE researchers investigate the ways in which the predictable, irrational behavior of individuals with chronic disease can be leveraged to optimize health outcomes. CHIBE’s investigators test interventions to increase medication adherence, physical activity, and healthy eating to reduce the burden of chronic disease on patients, their families, and health systems. Some of our success stories include: using shared decision-making to improve asthma control in Black patients, leveraging financial incentives to improve glucose monitoring adherence in patients with type 1 diabetes, and using tailored education and facilitated discharge medication filling to reduce rehospitalizations and visits to the emergency department in a high-risk pediatric asthma population.