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University of Colorado Denver

Pediatric Injury Prevention, Education and Research Program | PIPER

Research Projects

One of the PIPER Program's primary goals is to conduct cutting edge research on injury and violence issues to further our mission of driving evidence-based practice through discovery, translation and workforce development. Descriptions of current and past projects are included here to provide an introduction to the work being conducted by our faculty and program. These projects are organized by injury intentionality and subject area.

​The PIPER Program also includes a focus on increasing the involvement of faculty and staff in research activities to advance the science and practice of injury and violence prevention and control. We seek to identify scientists already involved in injury research and those who are interested in developing research on injury or expanding related work to encompass injury topics. In so doing, we work to develop new collaborations among and link interested faculty with each other and with ideas, and funding opportunities. To the extent possible, we work to help investigators find the research support they need to develop successful proposals and projects (e.g., pilot funding, mentoring of junior investigators through review of proposals, statistical support).

To support this goal, we have launched the Injury and Violence Research and Evaluation (IVRE) group, which is a monthly meeting of researchers focused on building collaborations. To learn more about IVRE or to join the group, email Sara Brandspigel at

Aurora P.A.R.T.Y. (Prevent Alcohol and Risk Related Trauma in Youth) Program
The goal of the Aurora Prevent Alcohol and Risk Related Trauma in Youth (P.A.R.T.Y) program is to promote injury prevention through reality education about injury awareness and prevention by means of an interactive program that helps teenagers recognize risk and make informed choices about activities and behaviors. Participating youths experience a full-day session following the path of an automobile injury survivor from crash occurrence through transport, treatment, rehabilitation, and community re-integration, meeting the professionals who would care for them in a trauma situation, and learning about the impact such injuries could have on their futures (health, legal, and financial) and everyone around them. P.A.R.T.Y presentations held through 2013 on the University of Colorado campus and on the road have reached over 3,800 youth across Colorado.
PIPER Contact: Marian Betz, MD, MPH (Scientific Advisor/Consultant)
Funder: Colorado Department of Transportation
HIV Risk Behavior in Drug-Involved Former Inmates
The criminal justice population is large, growing, and has a high prevalence of HIV/AIDS and substance use disorders. After release from prison to the community, drug-involved former inmates have considerable opportunities to engage in high-risk behaviors that put themselves and community members at risk for HIV. Risk behavior in this context is likely influenced by pre-incarceration, incarceration, and re-entry factors, including community supervision status and gender. This study utilized a longitudinal cohort design in a random sample of 200 drug-involved former inmates to investigate HIV risk behaviors over time after release from prison, test whether drug-involved former inmates on community supervision have a lower prevalence of HIV risk behaviors than those released without supervision, test whether women have a higher prevalence of HIV risk behaviors than men, and determine whether HIV risk behaviors correlate with other health risk behaviors. This study also examined HIV as a risk factor for overdose and history of overdose among former prison inmates. Findings will lead to a better understanding of the patterns of HIV risk behavior among drug-involved former inmates to develop targeted, timely and appropriate interventions to reduce HIV transmission.
PIPER Contact: Ingrid Binswanger, MD, MPH, MS (PI)
Funder: National Institute on Drug Abuse
Drug-Related Risk for Death After Release from Prison
Prior research by Dr. Binswanger (PI) demonstrated that former inmates are at high risk for death, especially in the first two weeks after release from prison. Nearly one quarter of all deaths was due to drug overdose; many other causes of death were related to substance abuse. However, little is known about drug-related risk factors for death after release from prison. This study examined the drug-related risk and protective factors associated with death after release from prison over a ten year period, with an emphasis on substance dependence, narcotic prescriptions shortly before release, HIV status, and in-prison substance dependence treatment. The study aims included determining if substance dependence, prescribed narcotic use prior to release, and HIV are associated with an elevated risk of death after release from prison, and if substance dependence treatment in prison is protective, as well as the risk of death from all causes (including overdose) after release. The results will inform further research into substance dependence screening and treatment in correctional facilities and the development of a targeted intervention to reduce the risk of drug-related deaths after release from prison.
PIPER Contact: Ingrid Binswanger, MD, MPH, MS (PI)
Funder: National Institute on Drug Abuse
The Impact of Medical Marijuana in Metropolitan Denver
Colorado has an estimated 100,000 medical marijuana patients, and this widespread use raises concerns about marijuana abuse, diversion, and other consequences of use. Unfortunately, there are few data describing the impact of medical marijuana legalization. This research helps to fill this gap by investigating the marijuana industry in Colorado using qualitative and quantitative methods. Phase I of this project will study how the evolving medical marijuana industry operates and the views of drug treatment and health care providers concerning how medical marijuana impacts their responsibilities. Phase II will involve an ongoing assessment of the epidemiology of medical marijuana, while Phase III will assess the prevalence of marijuana abuse and dependence, diversion, other drug use, general health and health care utilization among medical and non-medical marijuana users. Phase III will also include assessment of HIV-related sex risk behaviors among medical and non-medical marijuana users.
PIPER Contact: Ingrid Binswanger, MD, MPH, MS (Co-I)
Funder: National Institute on Drug Abuse
Interdisciplinary Collaboration to Enhance Safe Storage of Opioids in the Home
This exploratory project supports faculty in the Schools of Medicine and Engineering to investigate engineering options for a wirelessly monitored opioid safe storage device.
PIPER Contact: Ingrid Binswanger, MD, MPH, MS (PI)
Funder: University of Colorado School of Medicine GIM Small Grant
Let’s talk about life: Empowering our Community to Prevent Deaths from Overdose
Fatal unintentional poisoning from opioids is a major problem in Colorado and nationwide. The number of drug related overdose deaths has increased 59 percent since 1999 in Colorado. One proposed solution to high overdose rates has been widening access to naloxone, a short-acting opioid antagonist. Supported by an NIH/NCATS Colorado CTSI grant, we developed a community-academic partnership between the Harm Reduction Action Center (HRAC) and the University of Colorado School of Medicine to investigate overdose education and naloxone take-home use. The aims of the study include assessing the effectiveness of overdose education and naloxone training, describing contextual factors that influence safe and effective naloxone administration in the community, and describing how trained drug users make the decision to administer naloxone during overdose reversals in community settings.
PIPER Contact: Ingrid Binswanger, MD, MPH, MS (Academic PI)
Funder: Colorado Clinical and Translational Sciences Institute
Overdose Risk Assessment, Counseling and Naloxone Prescription in Health Care
Fatal unintentional poisonings from pharmaceutical opioids have increased more than three-fold in the last decade. Naloxone is an effective, Food and Drug Administration approved opioid antidote usually administered by first responders in emergency settings to reverse respiratory depression due to opioid poisoning. Widespread
prescribing of naloxone for take-home use to patients on prescription opioids may prevent overdose deaths through earlier treatment. Primary care settings in large health care systems offer the opportunity to reach many individuals at risk for opioid overdose, particularly individuals on high dose opioids. In the primary care setting, patients at risk can be identified and counseled on overdose risk, as well as prescribed naloxone. This study will examine barriers and facilitators to prescribing naloxone for take-home use and develop and pilot test an overdose risk assessment, counseling, and naloxone prescription intervention for delivery in primary care settings. This study will develop a feasible overdose prevention intervention for use in large health care systems, and preliminary data will be collected to support a future multi-site randomized controlled trial of this intervention.
PIPER Contact: Ingrid Binswanger, MD, MPH, MS (PI)
Funder: National Institute on Drug Abuse

Senior Driver Cohort Study (Pilot Study)
The U.S. Census Bureau reports that 10,000 people will turn 65 every day from now until 2030. Understanding the safety and mobility needs of these newly-minted seniors is a pressing concern. This pilot study (completed) is part of a long-term project that will generate a wealth of data by tracking a large group of older drivers (roughly 3,000) for a period of 5-10 years, collecting information on the effects of aging on safe driving, specific risk factors, circumstances surrounding driving cessation, and mobility options for seniors who no longer drive. This large study will provide the scientific backing needed to implement effective policies and programs, will support fair treatment of older drivers, and the database it creates will serve as a unique resource for answering questions about senior safety and mobility.
PIPER Contacts: Carolyn DiGuiseppi, MD, MPH, PhD (Site Co-PI) and Marian Betz, MD, MPH (Site Co-PI)
Funder: AAA Foundation for Traffic Safety
Physician Screening of Older Drivers: Decision Rules for Geriatric Injury Prevention
With the aging of the U.S. population, there is an urgent need for efficient, effective and acceptable methods of identifying, retraining or restricting unsafe older drivers without unfairly restricting the mobility of those who are safe. This project applies the model of a clinical decision rule to a public health program through the development of tiered older driver assessment, with widespread brief screening followed by referral for additional evaluation of those with a positive screen. The research plan aims to examine the viewpoints of older drivers, their families, and providers concerning driver assessment, to validate and refine a brief question-based screening tool, and to examine the feasibility of pilot program implementation in order to prepare for future implementation of a model tiered older driver assessment program (planned R01). This project is part of a Paul B. Beeson Patient-Oriented Research Career Development Award in Aging (K23) awarded to Dr. Betz.
PIPER Contact: Marian Betz, MD, MPH (PI)
Funder: National Institute on Aging

High School Sports Injury Surveillance Study [Expansion]
The National High School Sports-Related Injury Surveillance Study uses an internet-based data collection tool called the High School RIO™ to capture US high school athletes’ exposure, injury, and injury event data weekly throughout the academic year across 20 sports. These data are used to describe the rates, patterns, and trends of high school sports-related injuries as the necessary first step toward the development, implementation, and evaluation of evidence-based, targeted prevention programs to reduce the number and/or severity of injuries among high school athletes. The goal is that High School RIO™ data will continue to be used to encourage students to safely play sports, which will in turn increase physical activity, improve physical fitness levels, and lead to life-long healthy behaviors. Annual funding continuations of the expansion of the study have allowed data collection to continue since its inception in 2005.
PIPER Contact: Dawn Comstock, MS, PhD (PI)
Funder: National Federation of State High School Associations
Evaluating the Effectiveness/Outcomes of State Level Concussion Policies
The goal of this study is to evaluate the effectiveness of state level concussion legislation and specific components of state level concussion legislation using High School RIO concussion outcomes data. As High School RIO has collected data since the 2005/06 academic year and the first state level legislation was passed in 2009, the data from this surveillance system is uniquely situated to conduct pre-post comparison evaluation of concussion outcomes including concussion rates, severity, and compliance with return to play guidelines.
PIPER Contact: Dawn Comstock, MS, PhD (PI)
Funder: National Center for Injury Prevention and Control (Centers for Disease Control and Prevention), through a subcontract from the Nationwide Children’s Hospital Center for Injury Research and Policy ICRC grant
Functional Evaluation to Predict Lower Extremity Musculoskeletal Injury
The National Federation of State High School Associations considers pre-participation physical evaluations (PPE) a prerequisite to athletics participation, yet there are no large-scale controlled trials confirming the effectiveness of the PPE as it relates to musculoskeletal injuries. Recently updated PPE guidelines promote a "functional" aspect of testing by incorporating performance-based tests, but limitations exist concerning the best recommended functional test components, their ability to predict injury, and effectiveness as compared to a traditional PPE. To address this knowledge gap, this study will determine if a functional pre-participation physical evaluation (F-PPE) will better predict lower extremity injury than traditional PPE. This project includes developing a cost-effective and time-efficient F-PPE for use in clinical settings, recording injury occurrence using the High School RIO™ to identify which F-PPE measurement(s) are best associated with injury risk, and developing operational procedures for the F-PPE. The findings will help to understand the parameters of functional performance testing and evaluate methods for improving risk prediction of musculoskeletal lower extremity injury.
PIPER Contact: Dawn Comstock, MS, PhD (Co-I)
Funder: National Institute of Arthritis, Musculoskeletal and Skin Diseases
Evaluation of Spot Light: A Concussion Injury Management App for Youth Sports
Sports-related traumatic brain injuries, including concussions, are a serious public health concern. Diagnostic criteria and consensus return to play (RTP) guidelines exist, but these guidelines are almost completely unsupported by an evidence base. However, it is well known that by increasing awareness of concussion signs and symptoms as well as the importance of addressing this injury, improving coaching on proper techniques and good sportsmanship, providing appropriate protective equipment, and quickly responding to injuries, the incidence, severity, and long-term negative health effects of sports-related concussion among children and adolescents can be reduced. Thus, there is a critical need for tools for prevention. Spot Light is a free and easy-to-use application (app) that coordinates diagnosis, management, and RTP procedures from concussion injury to safe return to sport. This project will evaluate whether Spot Light increases reporting rates of sports-related concussion, increases referrals to physicians, and increases athlete compliance with RTP guidelines. This research has potential impacts in the areas of sports injury prevention and the related use of mobile app technology, and is the first step toward attaining the long-term goal of reducing the negative consequences of sports-related concussion, specifically in youth sports.
PIPER Contact: Dawn Comstock, MS, PhD (Co-PI)
Funder: National Institute of Child Health and Human Development


Marketing Fall Prevention Classes to Older Adults in Faith-Based Congregations: Cluster Randomized Controlled Trial
Injuries from falls are a leading cause of emergency visits, hospitalizations, and deaths in older US adults, resulting in total lifetime costs of more than $19 billion in 2000. Fall injuries reduce independence and mobility, and increase the risk of disability and institutionalization. There is good evidence that community-based group exercise classes focusing on strength and balance prevent older adult falls, but uptake is limited. This study will test a new approach to promote participation in group balance-retraining exercise classes, using social marketing to target older adults in faith-based congregations (FBCs). Following formative research consisting of focus groups and key informant interviews, a targeted social marketing program will be developed to motivate participation by increasing class attractiveness, usability, and uptake and reducing barriers or costs, and using incentives or other benefits to reinforce participation. Sixty-two diverse FBCs will be randomly allocated to intervention or control groups to test whether seniors from intervention FBCs are more likely to join balance-retraining classes. If the marketing program is effective, it may be widely implemented and/or inform the development of similar programs with other target audiences.
PIPER Contact: Carolyn DiGuiseppi, MD, MPH, PhD (PI)
Funder: Centers for Disease Control and Prevention, Colorado Injury Control Research Center
National Children’s Study - Douglas County, CO
The National Children's Study (NCS) is a prospective longitudinal cohort study of the individual and combined effects of environmental exposures and gene environmental interactions on child health and development in a representative sample of approximately 100,000 children born in the United States and followed from before birth until age
21. The study is the largest long-term study of children's health ever conducted in the United States. The primary aim of the NCS is to investigate the separate and combined effects of environmental exposures (chemical, biological, physical, psychosocial) as well as gene-environment interactions on pregnancy outcomes, child health and development, and precursors of adult disease. Injury risk is one of the factors being examined in the cohort.
PIPER Contact: Carolyn DiGuiseppi, MD, MPH, PhD (Co-I, Lead Evaluator)
Funder: National Institute of Child Health and Human Development
Longitudinal Approach to Examining Deaths in Correctional Facilities
This is a Visiting Fellowship in the Criminal Justice Statistics Program to examine mortality among prisoners in the United States and develop a framework for future data collections on health in correctional populations. The overall purpose of this fellowship is to support the scholarly use of Bureau of Justice Statistics data collections, expand the body of policy-relevant research that uses these data, and enhance or inform bureau programs. The focus of the first project in this Visiting Fellowship is to assess the impact of tobacco control policies on tobacco-related deaths in prisons. The second project develops a framework for data collections on health and health care delivery across the spectrum of criminal justice involvement.
PIPER Contact: Ingrid Binswanger, MD, MPH, MS (PI)
Funder: U.S. Bureau of Justice Statistics
Centers for Autism and Developmental Disabilities Research and Epidemiology (CADDRE): Study to Explore Early Development (SEED) II
While diagnostic practices are improving, little is known about the causes or correlates of the neurodevelopmental disorders known collectively as Autism Spectrum Disorders (ASDs). The Centers for Autism and Developmental Disabilities Research and Epidemiology were established to address the magnitude, incidence, and causes of autism and related developmental disabilities and recently completed Phase I of the Study to Explore Early Development (SEED I) with more than 3500 children enrolled. The current project, SEED Phase II, involves recruiting another 1080 children in each study group across six national study sites to address hypotheses in five domains: phenotype, infection and immune function, reproductive and hormonal features, genetic features, and socio-demographic features. A sub-study examines injuries and injury hospitalizations in children with autism, including self-injurious behavior. The combined SEED phases will provide clinical, risk factor, and biological specimens and data on over 6000 families – the largest study of ASDs of this kind – and is poised to make significant contributions to our understanding of ASDs. This is a joint project with Pediatrics and Psychiatry (School of Medicine), Colorado School of Public Health, and Colorado Department of Public Health and Environment.
PIPER Contact: Carolyn DiGuiseppi, MD, MPH, PhD (Co-PI)
Funder: Centers for Disease Control and Prevention
Harmonizing Child Unintentional Injury Research Through Shared Instrumentation
As the field of injury has grown, more investigators are examining patterns of child injury in different settings. In 2011, for example, there were more than 6000 papers listed in SafetyLit®.org with a focus on child and adolescent injury. Yet, no central compendium of data collection instruments accessible to the community of researchers exists, and there has never been a systematic method to compile, on an ongoing basis, measures used in injury research. To address this need, we created a searchable database of data collection instruments so that investigators can benefit from prior work and enhance the consistency across studies. This database has been made available to the community of scholars through Dr. David Lawrence of, Inc.
PIPER Contact: Carol Runyan, MPH, PhD (PI)
Funder: National Center for Injury Prevention and Control, through a contract with the Society for the Advancement of Violence and Injury Research


2009-2013 Evaluating Population-Based Approaches to Suicide Prevention through Systematic Reviews
Suicide is the most common cause of violent death in the US, and the eleventh leading cause of all deaths. The identification of biological, psychological, and socio-environmental risk factors has prompted many disciplines to develop interventions to prevent suicide. This project comprehensively identified high-quality studies of suicide prevention programs and used the identified studies to conduct two systematic reviews of suicide prevention strategies to determine whether they are effective. This project will contribute to the available evidence base for policy makers, public health, and other professionals to use when making decisions about program implementation. The systematic reviews include a study of social connectedness interventions for preventing suicide in young and middle aged adults (analyses in progress) and a study of interventions for primary prevention of suicide in the post-secondary educational setting (found insufficient evidence to support widespread implementation of any studied programs or policies for primary suicide prevention in post-secondary educational settings). This was a joint project with CSPH and CSU.
PIPER Contact: Carolyn DiGuiseppi, MD, MPH, PhD (PI)
Funder: National Center for Injury Prevention and Control, Colorado Injury Control Research Center
Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE)
The goals of this quasi-experimental clinical trial are to develop and test a standardized approach to screening ED patients for suicide risk, to refine and test an ED-initiated intervention to reduce suicidal behavior and associated morbidity and mortality, and to complete a comparative economic analysis of treatment as usual, screening, and the intervention. The ED-SAFE study tests the concept that not all patients with suicidal ideation need to be evaluated by a psychiatrist or to be hospitalized. We hypothesized that ED clinicians can provide a brief intervention during the visit and that in-person or telephone counseling sessions after the ED visit can be used to reinforce the treatment received during the ED visit and to facilitate linkage with specialized care, thereby improving patient outcomes. ED-SAFE consisted of three phases of data collection (now complete, with analysis ongoing) and also included three rounds of surveys to providers at the eight participating EDs.
PIPER Contact: Marian Betz, MD, MPH (Site-PI)
Funder: National Institute of Mental Health
Lethal Means Restriction for Suicide Prevention: Beliefs and Behaviors of Emergency Department Providers
As part of the Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE) study, ED providers completed three rounds of surveys. These surveys included a module on “lethal means restriction,” or the
restriction of access to medications and firearms. The purpose of this study is to learn the beliefs and behaviors of providers in EDs regarding lethal means restriction for suicide prevention.
PIPER Contact: Marian Betz, MD, MPH (PI)
Funder: American Foundation for Suicide Prevention

Academic Centers for Excellence in Youth Violence Prevention
The overall aim of this grant is to develop an Academic Center of Excellence (ACE) in Denver to initiate a multifaceted, evidence-based approach to addressing youth violence. The study will enhance the body of research associated with studies on community-wide prevention efforts and will advance our understanding of "what works" at this level of implementation by targeting the reduction of youth violence in a high risk Denver community. Immediate and long-term goals are to reduce levels of youth violence, implement and evaluate a multifaceted, evidence-based primary prevention/intervention approach, provide training for junior researchers in a variety of related fields, provide training to medical practitioners to recognize and treat youth violence, and embed activities coordinated through the ACE into the existing community infrastructure of youth services to ensure sustainability after completion of the grant. The sites participating in this study are two of Denver's most high-risk residential neighborhoods: Montbello and Northeast Park Hill.
PIPER Contact: Eric Sigel, MD (Co-I)
Funder: National Center for Injury Prevention and Control
Means Restriction Education for Adolescent Suicide Prevention: A Quality Improvement Pilot Project at Children’s Hospital Colorado
This project was designed to enhance the care of patients in the Psychiatric Emergency Service (PES) by implementing a structured protocol for addressing suicide prevention. Using an evidence-based approach, providers educated parents/guardians of children and adolescents seen in the PES about restricting access to medications and firearms and provided them with the means to better secure medications and firearms (e.g., lock boxes, trigger locks); this approach to suicide prevention is referred to as means restriction. All providers in the PES who handle discharge planning received standardized, on-line training developed in partnership with the Colorado Department of Public Health and Environment.
PIPER Contact: Carol Runyan, MPH, PhD (Co-I and lead evaluator)
Funders: The O’Shaunessy Foundation; Colorado Department of Public Health and Environment; Children’s Hospital Colorado
Reducing Youth Access to Firearms through the Health Care Setting
This randomized control trial examines the implementation and effectiveness of an intervention, delivered in a health care setting, to decrease home firearm access by youth aged 12-17. Health care providers are initially trained to provide means restriction education to parents, focused on the risk of having access to firearms for youth who live in a home with firearms. Youth and their families will be screened for firearm access, complete a violence risk and depression screening survey, and be randomized to either a non-intervention control group, a group that receives means restriction counseling alone, or a group that receives means restriction education and free safe storage devices (lock boxes or trigger locks). Parental behaviors to follow firearm means restriction recommendations will be examined, as will whether the distribution of free lock boxes leads to greater reduction of firearm access compared to counseling alone. The implementation process will be assessed to guide future dissemination. We expect to demonstrate that the health care setting can be used effectively to reduce youth access to guns. By doing so, youth will have less opportunity to perpetrate crime using firearms and will be less likely to use a guns for self-harm or experience an unintentional shooting.
PIPER Contacts: Eric Sigel, MD (PI) and Carol Runyan, MPH, PhD (Co-I)
Funders: National Institute of Justice
2013-2018 Nurse Family Partnership – Keeping Kids Safe and Families Healthy 2.0
The Nurse Family Partnership ® (NFP) is a home visitation program for low-income mothers having their first babies. The goals are to improve pregnancy outcomes via enhanced prenatal health, to improve children’s health and development by helping parents provide competent care, and to improve economic self-sufficiency by helping parents make choices consistent with their values regarding their educations, work, and planning subsequent pregnancies. The NFP is grounded in the highest standards of scientific evidence and is of high clinical and social value, but always will be a work in progress. In the original trial of the NFP, there was found a reduction in the rates of substantiated reports of child abuse and neglect, and nurse-visited cases were identified at lower thresholds of severity. The current project incorporates these findings: its aims are to increase statewide NFP referrals of Medicaid eligible pregnant women bearing first children, increase voluntary NFP enrollment rates, consolidate NFP nurses’ skills in the primary prevention of child abuse and neglect and in reducing maltreatment recidivism among those identified as having abused or neglected their children, and strengthen child welfare agencies’ understanding of the value of collaborating with NFP nurses to address the needs of families in which maltreatment appears imminent or has occurred.
PIPER Contact: Gregory Tung, MPH, PhD (Co-I)
Funder: Colorado Department of Human Services

Injury Prevention Activities at UCDHSC, Colorado Injury Control Research Center
The purpose of the Colorado Injury Control Research Center (CICRC) is to reduce the occurrence, severity, and adverse consequences of injuries through research, education, and service, primarily in Public Health Service Region VIII, which includes Colorado, Wyoming, Montana, South Dakota, Utah and North Dakota. Death rates from all injuries are higher than US rates in all the states except North Dakota; unintentional injury death rates are higher than US rates in all states except Utah; motor vehicle occupant death rates are higher than US rates in all states except Colorado and Utah; and suicide death rates are higher than US rates in all states in the region. In addressing these injury issues, emphasis is placed on reducing disparities in injury outcomes while working in community partnerships alongside underserved populations. The CICRC also values innovation in education, training, community programs, and research, as well as identification of evidence-based, efficient approaches to preventing injuries. This CICRC subcontract covers injury prevention activities at University of Colorado Denver Health Sciences Center.
PIPER Contact: Carolyn DiGuiseppi, MD, MPH, PhD (Deputy Director of Center)
Funder: Centers for Disease Control and Prevention, Colorado Injury Control Research Center
National Research Service Award
The National Research Service Award training programs are designed to train individuals to conduct research and to prepare for research careers. Institutional NRSA programs allow the Program Director to select the trainees and develop a program of coursework, research experiences, and technical and/or professional skills development appropriate for the selected trainees, providing high-quality research training and offering opportunities in addition to conducting mentored research. This program at UC-Denver trains physicians in outcomes and health services research methods.
PIPER Contact: Ingrid Binswanger, MD, MPH, MS (Program Director)
Funder: Health Resources and Services Administration
Monitoring Services for Tribal Injury Prevention Cooperative Agreements – Training Workshop Component
The Tribal Injury Prevention Cooperative Agreement Program (TIPCAP) provides funds to American Indian and Alaska Native Tribal organizations to develop their infrastructure and capacity in injury prevention. Econometrica assists the Indian Health Service (IHS) by serving as an outside monitor, providing oversight and technical assistance to the 33 current TIPCAP grantees in support of IHS’s priority of increasing accountability. Econometrica is responsible for a variety of rolls related to training, resource development, and technical assistance, including annual site visits. Subcontracted by Econometrica, the PIPER program is responsible for planning and participating in an annual 2-day training workshop for grantees.
PIPER Contact: Carol Runyan, MPH, PhD (PI)
Funder: U.S. Indian Health Service, through a subcontract with Econometrica
Developing Infrastructure for Patient-Centered Outcomes Research at Denver Health
The proposed Center for Health Systems Research at Denver Health, an integrated safety net health system, directly addresses two national priorities for patient-centered outcomes research: addressing disparities and improving healthcare systems. The Center will partner with an academic research unit and an applied healthcare research organization to develop a research infrastructure and to create collaborations that will sustain meaningful patient-centered outcomes research well into the future. Such infrastructure includes teaching and mentorship and development of a cross-institution data integration structure that will connect the Center with much larger research networks. Specific projects target the "healthcare required to achieve best outcomes" among socioeconomically disadvantaged groups, including racial and ethnic minorities; designs effective in a safety net can inform high-value design in other systems.
PIPER Contact: Ingrid Binswanger, MD, MPH, MS (Co-I, Director of PCOR Scholars Program)
Funder: U.S. Department of Health & Human Services, Agency for Healthcare Research and Quality
In collaboration with Children's Hospital Colorado 
School of Medicine
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