Kelsey Mayo

All of Us Program Operational Use

2 active projects

*Duplicate* of Mental health and deaf patients - registered tier

We propose to study if there are any measurable differences between deaf, Deaf, or Hard of Hearing (d/DHH) patients and hearing patients with respect to mental health treatment. As primary goal, we are interested in how doctors treat the d/DHH…

Scientific Questions Being Studied

We propose to study if there are any measurable differences between deaf, Deaf, or Hard of Hearing (d/DHH) patients and hearing patients with respect to mental health treatment. As primary goal, we are interested in how doctors treat the d/DHH patients with medication compared to hearing people. Evidence suggests that d/DHH patients have a greater health burden compared to hearing people. Of particular concern, d/DHH who have mental health disorders including bipolar, major depressive disorder, and PTSD (with or without diagnoses) face barriers to proper treatment such as:

- Language barriers
- Lack of interpreters who understands medical background / literacy
- Discrimination
- Lack of counselors / psychologists who has knowledge about Deaf culture and ASL
- Discomfort; some deaf people are uncomfortable with going to counseling with an interpreter because of privacy reasons

Project Purpose(s)

  • Disease Focused Research (disease of mental health, social and behavioral health)
  • Social / Behavioral
  • Methods Development

Scientific Approaches

- Describe the prevalence of d/DHH patients within the All of Us cohort using electronic health record phenotype definitions

- Describe the prevalence of patients with bipolar, major depressive disorder, and PTSD (with or without diagnoses) using electronic health record phenotype definitions

- Describe the demographics of d/DHH patients with bipolar, major depressive disorder, or PTSD

- Describe the demographics of hearing patients with bipolar, major depressive disorder, or PTSD

- Compare medication treatment pathways for the three mental health disorders between d/DHH patients and hearing patients. The comparison will be primarily descriptive and based on evidence-based recommendations for treatment by professional societies.

Anticipated Findings

The primary hypothesis is that d/DHH patients receive less evidence-based mediation therapy for the three conditions of interest then hearing patients with a similar mental health status and background (i.e., accounting for age, sex at birth, sociodemographic variables, and disease co-morbidity).

Demographic Categories of Interest

  • Disability Status
  • Access to Care

Data Set Used

Registered Tier

Research Team

Owner:

  • Richard Boyce - Mid-career Tenured Researcher, University of Pittsburgh
  • Michael Lyons - Project Personnel, All of Us Program Operational Use
  • Kelsey Mayo - Other, All of Us Program Operational Use

Collaborators:

  • Christopher Lord - Project Personnel, All of Us Program Operational Use

Systemic Disease and Glaucoma (Cloned)

We have previously published a predictive model of glaucoma progression using electronic health record (EHR) data pertaining to systemic attributes from a single institution. We aim to use the All of Us dataset to 1) serve as external validation for…

Scientific Questions Being Studied

We have previously published a predictive model of glaucoma progression using electronic health record (EHR) data pertaining to systemic attributes from a single institution. We aim to use the All of Us dataset to 1) serve as external validation for this single-center model and 2) to train new models focused on predicting glaucoma progression using systemic predictors. This is important to understand whether the original findings are generalizable and provide additional knowledge about the utility of systemic predictors on a national-level dataset.

Project Purpose(s)

  • Disease Focused Research (Primary open angle glaucoma)
  • Other Purpose (This work is the result of an All of Us Research Program Demonstration Project. Demonstration Projects are efforts by the All of Us Research Program designed to meet the goal of ensuring the quality and utility of the Research Hub as a resource for accelerating precision medicine. This work has been approved, reviewed, and overseen by the All of Us Research Program Science Committee and Data and Research Center to ensure compliance with program policy. )

Scientific Approaches

We plan to primarily work with EHR data contained in All of Us for a cohort of adult participants diagnosed with primary open-angle glaucoma. We will extract data on systemic conditions and medications for this cohort, as well as physical measurements and vital signs. We will clean the data such that the format is consistent with the data from our previously published model. Then, we will use this data as an external validation of a logistic regression model derived from our prior study that was based at a single academic center. Next, we will use All of Us data to train a new set of models, using techniques such as logistic regression, random forests, and artificial neural networks. We will optimize these models using feature selection methods and class balancing procedures. By evaluating performance metrics such as area under the curve (AUC), precision, recall, and accuracy, we will assess whether we can achieve superior predictive performance when training models using All of Us.

Anticipated Findings

We anticipate that the All of Us data will validate the findings from the model, which demonstrated that blood pressure-related metrics and certain medication classes had predictive value for glaucoma progression. In addition, we anticipate that the models trained with All of Us data will outperform the model trained with single institution data due to larger sample size and greater diversity. These findings will support further investigation in understanding the relationship between systemic conditions like blood pressure with glaucoma progression.

Demographic Categories of Interest

This study will not center on underrepresented populations.

Data Set Used

Registered Tier

Research Team

Owner:

Collaborators:

  • Chenjie Zeng - Research Fellow, National Institutes of Health (NIH)
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