We support well-being through research on treatments and care for many conditions, as well as disease prevention programs and initiatives to improve experience.

Faculty Position
  • Anderson, Paul J. II, MD, Research Investigator
  • Hooker, Stephanie A., PhD, MPH, MS, Research Investigator
  • Kottke, Thomas E., MD, MSPH, Sr. Research Investigator
  • Spoonheim, Joel B., Director of Operations, Health Promotion
  • Publications
    selected publications
    Journal Article
  • A new pandemic of loneliness
    Journal of the American Board of Family Medicine. 2022
  • An email coaching option increases participant program utilization and coach productivity
    American Journal of Health Promotion. 2022
  • Association of an automated blood pressure measurement quality improvement program with terminal digit preference and recorded mean blood pressure in 11 clinics
    JAMA network open. 2022
  • Behaviors, beliefs, and recommendations to optimize promotion of safe fish consumption before and during pregnancy: a physician survey
    Journal of Primary Care & Community Health. 2022
  • Cardiovascular risk for patients with and without schizophrenia, schizoaffective disorder, or bipolar disorder
    Journal of the American Heart Association. 2022
  • Change that matters: a health behavior change and behavioral health curriculum for primary care
    Journal of Clinical Psychology in Medical Settings. 2022
  • Comparing pharmacist-led telehealth care and clinic-based care for uncontrolled high blood pressure: the Hyperlink 3 Pragmatic Cluster-Randomized Trial
    Hypertension (Dallas, Tex.. 2022
  • Depression and cardiovascular risk in primary care patients
    Journal of Psychosomatic Research. 2022
  • Effect of clinical decision support on cardiovascular risk among adults with bipolar disorder, schizoaffective disorder, or schizophrenia: a cluster randomized clinical trial
    JAMA network open. 2022
  • Effects of devotional prayer and secular meditation on cardiovascular response to a faith challenge among Christians
    Psychology of Religion and Spirituality. 2022
  • Findings and future directions from a smoking cessation trial utilizing a clinical decision support tool
    Journal of Evidence-Based Dental Practice. 2022
  • Gaing the upper hand
    MetroDoctors. 2022
  • Patient expectations of and experiences with a suicide risk identification algorithm in clinical practice
    BMC psychiatry. 2022
  • Using advanced racial and ethnic identity demographics to improve surveillance of work-related conditions in an occupational clinic setting
    American Journal of Industrial Medicine. 2022
  • What is success in treatment for opioid use disorder? Perspectives of physicians and patients in primary care settings
    Journal of Substance Abuse Treatment. 2022
  • Brief report: Meaning in life is mediated by self-efficacy in the prediction of physical activity
    Journal of Health Psychology. 2021
  • Building capacity for integrated occupational safety, health, and well-being initiatives using guidelines for Total Worker Health® approaches
    Journal of Occupational and Environmental Medicine. 2021
  • Change in perceived stress and health behaviors of emerging adults in the midst of the COVID-19 pandemic
    Annals of Behavioral Medicine. 2021
  • Clinician perceptions about a decision support system to identify and manage opioid use disorder
    Journal of the American Board of Family Medicine. 2021
  • Comparison of medical school financing plans among matriculating US medical students from 2017 to 2019
    JAMA network open. 2021
  • Cultural and structural features of zero-burnout primary care practices
    Health Affairs. 2021
  • Impact of demographic survey questions on response rate and measurement: a randomized experiment
    Survey Practice. 2021
  • Improving health and well-being at work: a case report from the field
    ACSMs Health Fitness J. 2021
  • It's important to hear and learn from youth experiencing homelessness in the Twin Cities
    MinnPost. 2021
  • It’s important to hear and learn from youth experiencing homelessness in the Twin Cities
    MinnPost. 2021
  • Longitudinal assessment of mental health and well-being in patients being treated with medications for opioid use disorder in primary care
    Addictive behaviors reports. 2021
  • Pragmatic evaluation of a health system-based employee weight management program
    International Journal of Environmental Research and Public Health. 2021
  • Promoting fish consumption messages: perspectives of hmong women of childbearing age
    American Journal of Health Behavior. 2021
  • Promoting the public's health with personal commitment and gun safety policies
    Creative Nursing. 2021
  • Psychosocial needs of parents engaged in treatment for opioid use disorder
    Substance Use and Misuse. 2021
  • Using a brief tool to assess healthy school environments: a pilot study
    American Journal of Managed Care. 2021
  • A strategy to promote population-wide life satisfaction while advancing equity
    American Journal of Managed Care. 2020
  • Awareness of meaning in life is protective against burnout among family physicians: a CERA study
    Family Medicine. 2020
  • Do physical activity, caloric intake, and sleep vary together day to day? Exploration of intraindividual variability in 3 key health behaviors
    Journal of physical activity & health. 2020
  • Engaging in personally meaningful activities is associated with meaning salience and psychological well-being
    Journal of Positive Psychology. 2020
  • Integrating meaning in life and self-determination theory to predict physical activity adoption in previously inactive exercise initiates enrolled in a randomized trial
    Psychology of Sport and Exercise. 2020
  • Mental health and psychosocial needs of patients being treated for opioid use disorder in a primary care residency clinic
    Journal of Primary Care & Community Health. 2020
  • Multiple dimensions of wellness: development and psychometric properties of the Anschutz Wellness Evaluation 360 (AWE360)
    J Well Being Assess. 2020
  • Patient loneliness in an urban, underserved family medicine residency clinic: prevalence and relationship to health care utilization
    Family Practice. 2020
  • Predictors of family medicine patient retention in opioid medication-assisted treatment
    Journal of the American Board of Family Medicine. 2020
  • Recognizing our local COVID-19 heroes
    MetroDoctors. 2020
  • Using self-determination theory to understand eating behaviors and weight change in emerging adults
    Eating behaviors. 2020
  • Values-based behavioral activation for chronic pain in primary care: a pilot study
    Journal of Clinical Psychology in Medical Settings. 2020
  • A behavioural economics approach to improving healthy food selection among food pantry clients
    Public Health Nutrition. 2019
  • Occupational medicine clinical practice data reveal increased injury rates among Hispanic workers
    American Journal of Industrial Medicine. 2019
  • Predictors of intervention interest among individuals with short sleep duration
    Journal of Clinical Sleep Medicine. 2019
  • Relationship of activity patterns to acute mountain sickness in south pole workers
    International Journal of Sports Medicine. 2019
  • Responses to a social media campaign promoting safe fish consumption among women
    Preventing Chronic Disease. 2019
  • The health and well-being of an ACO population
    American Journal of Managed Care. 2019
  • The predicted impact of adopting health-promoting behaviors on disease burden in a commercially insured population
    Journal of Occupational and Environmental Medicine. 2019
  • Validating a method to assess disease burden from insurance claims
    American Journal of Managed Care. 2019
  • A psychometric approach to theory-based behavior change intervention development: example from the Colorado Meaning-Activity Project
    Annals of Behavioral Medicine. 2018
  • Burnout among physicians, advanced practice clinicians and staff in smaller primary care practices
    Journal of General Internal Medicine. 2018
  • Daily meaning salience and physical activity in previously inactive exercise initiates
    Health Psychology. 2018
  • Do monetary incentives increase fitness center utilization? It depends
    American Journal of Health Promotion. 2018
  • Encouraging health behavior change: eight evidence-based strategies
    Family Practice Management. 2018
  • Healthy nutrition and dietary considerations for the workplace
    ACSMs Health Fitness J. 2018
  • Mutuality and heart failure self-care in patients and their informal caregivers
    European Journal of Cardiovascular Nursing. 2018
  • Piquing their “Pinterest”: a qualitative study to format and deliver complex fish consumption guidelines to women who are or could become pregnant
  • Psychometric properties of the postpartum depression screening scale beyond the postpartum period
    Research in Nursing and Health. 2018
  • Supporting families managing parental mental illness: challenges and resources
    International Journal of Psychiatry in Medicine. 2018
  • Denver Spirited Heart: mixed-methods pilot study of a psychospiritual intervention for heart failure patients
    Journal of Cardiovascular Nursing. 2017
  • Health status and health behaviors among citizen endurance Nordic skiers in the United States
    BMC Research Notes. 2017
  • Use and customization of risk scores for predicting cardiovascular events using electronic health record data
    Journal of the American Heart Association. 2017
  • "Well-Being in All Policies": promoting cross-sectoral collaboration to improve people's lives
    Preventing Chronic Disease. 2016
  • A survey of social support for exercise and its relationship to health behaviours and health status among endurance Nordic skiers
    BMJ open. 2016
  • Concordance between life satisfaction and six elements of well-being among respondents to a health assessment survey, HealthPartners Employees, Minnesota, 2011
    Preventing Chronic Disease. 2016
  • Identifying groups at risk for 1-year membership termination from a fitness center at enrollment
    Preventive medicine reports. 2016
  • Modeled health and economic impact of team-based care for hypertension
    American Journal of Preventive Medicine. 2016
  • New summary measures of population health and well-being for implementation by health plans and accountable care organizations
    Preventing Chronic Disease. 2016
  • Proton pump inhibitor use by aspirin-treated coronary artery disease patients is not associated with increased risk of cardiovascular events
    European heart journal. Cardiovascular pharmacotherapy. 2016
  • Purpose in life is associated with physical activity measured by accelerometer
    Journal of Health Psychology. 2016
  • The financial impact of team-based care on primary care
    American Journal of Managed Care. 2016
  • Using principles of complex adaptive systems to implement secondary prevention of coronary heart disease in primary care
    The Permanente journal. 2016
  • Wellness Champions Networks: a best practice resource for workplace wellness programs
    ACSMs Health Fitness J. 2016
  • A qualitative study of processes used to implement evidence-based care in a primary care practice
    Family Practice. 2015
  • Persistence of smoking-cessation decision support use in a dental practice
    American Journal of Preventive Medicine. 2015
  • Provider and staff perceptions of veterans' attrition from a national primary care weight management program
    Primary Health Care Research & Development. 2015
  • Veterans Health Administration's MOVE! Weight Management Program: primary care clinicians' perceptions of program implementation
    Military Medicine. 2015
  • Honoring choices Minnesota: preliminary data from a community-wide advance care planning model
    Journal of the American Geriatrics Society. 2014
  • Lipid abnormalities in foreign-born and US-born patients in a medical group
    Journal of Clinical Lipidology. 2014
  • An algorithm that identifies coronary and heart failure events in the electronic health record
    Preventing Chronic Disease. 2013
  • Leveraging lifestyle medicine and social policy to extend the triple aim from the clinic into the community
    American Journal of Lifestyle Medicine. 2013
  • Meeting the million hearts goal
    Minnesota Medicine. 2013
  • Simple rules that reduce hospital readmission
    The Permanente journal. 2013
  • The effect of price reduction on salad bar purchases at a corporate cafeteria
    Preventing Chronic Disease. 2013
  • Accuracy of heart disease prevalence estimated from claims data compared with an electronic health record
    Preventing Chronic Disease. 2012
  • The simple health system rules that create value
    Preventing Chronic Disease. 2012
  • Adherence to optimal lifestyle behaviors is related to emotional health indicators among employees
    Population health management. 2011
  • Five payment models: the pros, the cons, the potential
    Minnesota Medicine. 2011
  • Identifying opportunities for a medical group to improve outcomes for patients with coronary artery disease and heart failure: an exploratory study
    The Permanente journal. 2011
  • Incidence and symptoms of high altitude illness in south pole workers: Antarctic Study of Altitude Physiology (ASAP)
    Clinical Medicine Insights: Circulatory, Respiratory and Pulmonary Medicine. 2011
  • The predicted impact of heart disease prevention and treatment initiatives on mortality in Lithuania, a middle-income country
    Preventing Chronic Disease. 2011
  • Measuring health care access and quality to improve health in populations
    Preventing Chronic Disease. 2010
  • Reasons for not meeting coronary artery disease targets of care in ambulatory practice
    The Permanente journal. 2010
  • The association between optimal lifestyle adherence and short-term incidence of chronic conditions among employees
    Population health management. 2010
  • Does prevention save money?
    Health Affairs. 2009
  • Physical activity promotion as a strategic corporate priority to improve worker health and business performance
    Preventive Medicine. 2009
  • Preventing and managing cardiometabolic risk: the logic for intervention
    International Journal of Environmental Research and Public Health. 2009
  • Readiness of US health plans to manage cardiometabolic risk
    Preventing Chronic Disease. 2009
  • Taking on the social determinants of health: a framework for action
    Minnesota Medicine. 2009
  • The comparative effectiveness of heart disease prevention and treatment strategies
    American Journal of Preventive Medicine. 2009
  • Optimizing practice through research: a new perspective to solve an old problem
    Annals of Family Medicine. 2008
  • Partnering care delivery and research to optimize health
    Clinical Medicine & Research. 2008
  • Preventing chronic disease risk factors: rationale and feasibility
    Medicina (Kaunas, Lithuania). 2008
  • Optimizing practice through research: a preventive services case study
    American Journal of Preventive Medicine. 2007
  • CardioVision 2020: program acceptance and progress after 4 years
    American Journal of Preventive Medicine. 2006
  • Physical activity optimizing practice through research
    American Journal of Preventive Medicine. 2006
  • Preventing sudden death with n-3 (omega-3) fatty acids and defibrillators
    American Journal of Preventive Medicine. 2006
  • Obesity: another wolf at the door?
    Clinical Obstetrics and Gynecology. 2004
  • Variation in clinical preventive services
    Effective Clinical Practice. 2001
  • Failure of a continuous quality improvement intervention to increase the delivery of preventive services. A randomized trial
    Effective Clinical Practice. 2000
  • Improving prevention is difficult
    Effective Clinical Practice. 2000
  • Lessons from experienced guideline implementers: attend to many factors and use multiple strategies
    Joint Commission Journal on Quality Improvement. 2000
  • Editorial Article
  • Failing cardiovascular health: a population code blue [editorial]
    Journal of the American College of Cardiology.  80. 2022
  • Gun laws: enough is enough [editorial]
  • Heart disease and stroke: down, but not out [editorial]
    Lancet Reg Health Eur.  7. 2021
  • Bring back the notepads: drawing as an underutilized approach to improving patient comprehension and recall [editorial]
    Patient Education and Counseling.  103. 2020
  • Multiples of median income: a tool to call out drugs that are high cost and low value [editorial]
    The Permanente journal.  24. 2020
  • A body of work, a missed opportunity: dyadic research in older adults [editorial]
    Journal of the American Geriatrics Society.  67. 2019
  • Access to affordable housing promotes health and well-being and reduces hospital visits [editorial]
    The Permanente journal.  22. 2018
  • Philanthropy and beyond: creating shared value to promote well-being for individuals in their communities [editorial]
    The Permanente journal.  21. 2017
  • Strategies to prioritize clinical options in primary care [editorial]
    Annals of Family Medicine.  15. 2017
  • Counterpoint: Teamwork is the best medicine, not "autonomy" [editorial]
  • Here's how we can end extortionate drug price increases. Runaway medication costs are the fastest-growing driver of health-care expenses [editorial]
  • A paradox of well-being [editorial]
  • A commentary on: "Comparative health systems research among Kaiser Permanente and other integrated delivery systems: a systematic literature review" [editorial]
    The Permanente journal.  18. 2014
  • Prevent the next generation of nicotine addiction [editorial]
  • The adoption of quality indicators [editorial]
    Health Affairs.  33. 2014
  • Four opportunities to prevent diabetes and coronary heart disease [editorial]
    Diabetes Spectrum.  26. 2013
  • Optimizing the health of mothers, infants, and communities through research [editorial]
    Mayo Clinic Proceedings.  88. 2013
  • Reversing the slide in US health outcomes and deteriorating health care economics [editorial]
    Mayo Clinic Proceedings.  88. 2013
  • Medicine is a social science in its very bone and marrow [editorial]
    Mayo Clinic Proceedings.  86. 2011
  • The lessons of COURAGE (Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation)
    Journal of the American College of Cardiology.  58. 2011
  • The need for social epidemiology: now as much as ever [editorial]
    Annals of Epidemiology.  21. 2011
  • Chapter
  • Case study: the power of community in population health: PowerUp for kids
    Population health: creating a culture of wellness. 2015
  • Causation of common cardiovascular problems
    AMA guides to the evaluation of diseases and injury causation. 2013
  • Health promotion in health systems
    Lifestyle medicine. 2013
  • Review
  • Pharmacist interventions for medication adherence: Community Guide economic reviews for cardiovascular disease [review]
    American Journal of Preventive Medicine. 2022
  • Harnessing centred identity transformation to reduce executive function burden for maintenance of health behaviour change: the Maintain IT model [review]
    Health Psychology Review. 2018
  • Family caregiving for persons with heart failure at the intersection of heart failure and palliative care: a state-of-the-science review [review]
    Heart Failure Reviews. 2017
  • Obesity treatment at HealthPartners: adaptation of clinical guidelines into systems for practice operations [review]
  • Clinical decision support systems and prevention: a Community Guide cardiovascular disease systematic review [review]
    American Journal of Preventive Medicine. 2015
  • Economics of team-based care in controlling blood pressure: a Community Guide systematic review [review, systematic review]
    American Journal of Preventive Medicine. 2015
  • Reducing medication costs to prevent cardiovascular disease: a community guide systematic review [review, systematic review]
    Preventing Chronic Disease. 2015
  • The impact of relationship quality on health-related outcomes in heart failure patients and informal family caregivers: an integrative review [review]
    Journal of Cardiovascular Nursing. 2015
  • Team-based care and improved blood pressure control: a Community Guide systematic review [review, systematic review]
    American Journal of Preventive Medicine. 2014
  • Policy Briefs
    Audio-Visual Document
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