Cancer Screening; Community Based Participatory Research; Community Based Research; Community Health Research; Environmental Health; Health Services Research; Health Services Research; Patient Centered Outcomes; Program Evaluation
UB Downtown Gateway Department of Family Medicine 77 Goodell Street, Suite 220N Buffalo, New York 14203 Phone: 716-816-7278 Fax: 716-845-6899 tumiel@buffalo.edu
My research is focused on patients with multiple chronic diseases and has several goals: 1.) to improve care delivery for these patients, 2.) to improve self-management and increase receipt of preventive services and 3.) to reduce the care disparities that exist for this population. I center my research efforts in underserved communities, where challenges are compounded because of limited resources, high levels of chronic disease and elevated risk factors.
To address my research goals, I serve as a liaison between UB researchers and our community partners. With 20 years community-based experience, I have a network of collaborators throughout Western New York. I work with primary care practices and their patients to design and implement research, using a mixed-method approach founded on epidemiology and qualitative analysis, to measure outcomes within the context of individuals’ personal experiences. Together, we conduct community education and build and evaluate community programs.
I work closely with the the Patient Voices Network (PVN) on interventions to help patients in underserved communities. The PVN is a community of informed patients living with chronic conditions. Members of the PVN are instrumental in designing and implementing these interventions and encouraging others to participate in research projects.
In our mammography outreach project, PVN patients identified barriers preventing women in their neighborhoods from getting screened. We partner with a mobile mammography unit so that women can be screened in the comfort of their own primary care office. To ensure that cost is not a deterrent, we also partner with the free Cancer Services Program of Erie County to help enroll women who are uninsured or underinsured. Patient Ambassadors from the PVN work on screening days to offer participants support and encouragement.
This project has had community impact in several ways. It supports effective chronic-disease self-management by connecting patients to the right resources; it provides patient-centered care by connecting primary care with community resources; it empowers patients to become more active in their health care and take charge of their own health and it encourages patients to partner with their doctors.
Additionally, the project created a sustainable model for preventive screening: the system we put in place is meant to endure, and the service will continue after the grant ends.
I also serve as the Director of Community Engagement for UB's Clinical and Translational Science Institute. In this role, I strive to create infrastructure for other faculty and trainees to engage community in their research.
Undergraduate, graduate and medical students interested in community-based and practice-based research are welcome to conduct research with me.
Education and Training:
PhD, Epidemiology and Community Health, University at Buffalo (2000)
MS, Epidemiology and Community Health, University at Buffalo (1995)
BS, Biochemistry, SUNY Geneseo (1992)
Employment:
Director of Community Translational Research, Family Medicine, University at Buffalo Jacobs School of Medicine & Biomedical Sciences (2012-present)
Associate Professor with Tenure, Family Medicine, University at Buffalo Jacobs School of Medicine & Biomedical Sciences (2009-present)
Director of Community Engaged Research, Buffalo Clinical and Translational Research Center, University at Buffalo Jacobs School of Medicine & Biomedical Sciences (2009-present)
Adjunct Graduate Faculty, Physician Assistant Department, D'Youville College (2007-present)
Voluntary Appointment, Social and Preventive Medicine, University at Buffalo School of Public Health and Health Professions (2002-present)
Director of the Primary Care Research Institute, Family Medicine, University at Buffalo Jacobs School of Medicine & Biomedical Sciences (2004–2012)
Vice Chair of Research and Development, Family Medicine, University at Buffalo Jacobs School of Medicine & Biomedical Sciences (2004–2012)
Assistant Professor, tenure track, Family Medicine, University at Buffalo Jacobs School of Medicine & Biomedical Sciences (2006–2009)
Associate Editor/Methods Journal of Rural Health, Family Medicine, University at Buffalo Jacobs School of Medicine & Biomedical Sciences (2002–2009)
Research Assistant Professor, Family Medicine, University at Buffalo Jacobs School of Medicine & Biomedical Sciences (2005–2006)
Assistant Professor, tenure track, Family Medicine, University at Buffalo Jacobs School of Medicine & Biomedical Sciences (2001–2005)
Interim Vice Chair of Research and Development, Family Medicine, University at Buffalo Jacobs School of Medicine & Biomedical Sciences (2003)
Associate Director, Center for Urban Research in Primary Care, Family Medicine, University at Buffalo Jacobs School of Medicine & Biomedical Sciences (2000–2001)
Research Assistant Professor, Family Medicine, University at Buffalo Jacobs School of Medicine & Biomedical Sciences (2000–2001)
Research Associate, Family Medicine, University at Buffalo Jacobs School of Medicine & Biomedical Sciences (1995–2000)
Voluntary Clinical Faculty Appointment, Physical Therapy and Exercise Science, University at Buffalo School of Health Related Professions (1996–1999)
Research Assistant, Family Medicine, University at Buffalo Jacobs School of Medicine & Biomedical Sciences (1993–1995)
Student Research Assistant, Social and Preventive Medicine, University at Buffalo School of Public Health and Health Professions (1992–1993)
2020 NAPCRG Pearl for the presentation entitled “Impact of COVID-19 on Colorectal, Breast and Cervical Cancer Screening Rates in Primary Care Practices: a PBRN Initiative” (2020)
Population Health Collaborative SOPHI Award. Patient Voices Network (2018)
UB Community Partners Award with Jericho Road Ministries: Patient Voices Network (2011)
The Joint American Academy of Family Physicians Foundation and American Academy of Family Physicians Grant Awards Council (2003)
The Community Health Network of Western New York Certificate of Appreciation for outstanding contribution to the success of the Annual Stakeholders’ Meeting (2002)
American Lung Association Certificate of Recognition for outstanding contribution in the conquest of lung disease and the promotion of lung health (2001)
New York State Public Health Association Student Award (1995)
North American Primary Care Research Group (1995)
Research Expertise:
Cancer Screening
Community Health and Chronic Disease
Community-Based Participatory Research
Environmental Health
Health Disparities
Health Services Research
Measuring Impact of Partnerships
Patient Satisfaction
Patient Self-Management
Patient-Centered Outcomes
Program Evaluation
Refugee Health
Translational Research in Communities
Translational Research in Practice
Grants and Sponsored Research:
September 2016–September 2026 Tonawanda Coke Environmental Health Study US District Court for the Western District of New York Role: Co-Investigator $11,100
December 2017–November 2022 Effectiveness And Implementation Of A Research Tested Mobile Produce Market Designed To Improve Diet In Underserved Communities. NCI Role: Co-Investigator $3,254,105
October 2019–September 2022 You Can’t Change Family History But You Can Change what You Do With It Patricia S. Brown Breast Cancer Role: Principal Investigator $210,000
July 2017–June 2022 NAVIGATE NSF Role: Co-Investigator $450,203
September 2018–September 2021 Erie County, NY Opioid Mortality Review Board Department of Justice Role: Co-Principal Investigator $999,999
June 2016–June 2021 Primary care training and enhancement : “The Buffalo Interprofessional Advanced Primary Care Training Program” Health Resources and Services Administration Role: Co-Investigator
April 2020–March 2021 Susan G. Komen of Upstate New York- Engaging Patients in Breast Health through Patient Ambassadors, Mobile Mammography, and Education Role: Principal Investigator $45,567
June 2016–June 2020 Increasing Cancer Screening through Academic Detailing and Practice Facilitation Upstate Medical Center Role: Co-Investigator $89,999
July 2019–March 2020 Patient Voices Fights Cancer Erie County Department of Health Role: Principal Investigator $240,000
August 2015–March 2019 Buffalo Clinical and Translational Research Center NCATS Role: Contributor $16,000,000
January 2016–January 2019 Clinical Translational Science Award (CTSA) National Institutes of Health Role: Co-Investigator $16,000,000
September 2017–May 2018 Genetic Predisposition for Breast Cancer Among African American Women: Development of Educational Messaging UB GEM Community of Excellence Role: Co-Principal Investigator $5,000
January 2014–January 2018 Peer-Led Asthma Self-Management for Adolescents PLASMA A Multi-site Study Subaward University of Rochester School of Nursing Role: Co-Investigator
January 2015–December 2017 Development of a Patient Directed Queries Network to Engage Patients and Prioritize Their Questions to Inform the PCORI Research Agenda PCORI Role: Co-Investigator $894,012
July 2015–June 2017 UB’s Community-Based Disparities Research Mentoring Fellowship Boston College on behalf of NIMHD Role: Principal Investigator $45,510
September 2011–September 2016 Academic Administrative Units in Primary Care Health Resources and Services Admin Role: Co-Investigator $765,239
January 2013–December 2015 Patient Action Teams to Reduce Health Disparities NCMHD Role: Co-Principal Investigator $811,599
January 2013–November 2015 Patient Voices Network for Addressing Health Disparities National Institute on Minority Health & Health Disparities Role: Principal Investigator $1,060,527
October 2010–September 2015 Center to Reduce Disparities (Roswell Park Cancer Institute) NCI/NCRD Role: Co-Investigator $4,746,605
September 2014–August 2015 Increasing Mammography Screening in the Patient-Centered Medical Home WNY Affiliate of Susan G. - Komen for the Cure Role: Co-Principal Investigator $62,840
September 2014–August 2015 Expansion of Mammography Screening in the Patient-Centered Medical Home WNY Affiliate of Susan G. - Komen for the Cure Role: Principal Investigator $62,840
March 2014–February 2015 Concerned About You: What do African American Men Want to Know About Prostate Cancer American Academy of Family Physicians Foundation Role: Co-Investigator $7,500
September 2010–August 2014 Western New York Cancer Coalition (WNYC2) Center to Reduce Disparities - Training Program Health Research, Inc. Role: Principal Investigator $180,698
April 2013–March 2014 Increasing Mammography Screening in the Patient-Centered Medical Home Susan G Komen Foundation Western New York Affiliat Role: Co-Investigator $70,435
June 2013–September 2013 Concerned About You: Breast Cancer Awareness walk & Wellness Event Susan G Komen Foundation Western New York Affiliat Role: Principal Investigator $5,000
July 2008–March 2013 UB Clinical Research Fellowship in Health Disparity HRSA, NRSA Role: Principal Investigator $893,661
September 2009–June 2011 Cancer Prevention among Urban Poor with Complex Chronic Conditions NCMHD Role: Co-Principal Investigator $1,044,374
July 2008–June 2011 Predoctoral Training Program in Disabilities: A Model for Professionalism HRSA Role: Co-Investigator $218,333
July 2008–June 2011 University at Buffalo Primary Care Master Educator Program HRSA Role: Co-Investigator $166,666
July 2008–June 2011 Residency Training Program for Developing Leadership in Quality Improvement HRSA Role: Co-Investigator $153,333
October 2008–March 2009 Colorectal Cancer Professional Education Project: An Independent Evaluation American Cancer Society Role: Principal Investigator $49,983
July 2003–June 2008 UB Clinical Research Fellowship in Health Disparity HRSA, NRSA Role: Principal Investigator $858,034
September 2005–January 2007 Community Based Research of Autoimmune Disease and Asthma NIEHS Role: Principal Investigator $1,670,649
January 2004–December 2005 Cross-sectional Study of Asthma Medication Adherence PhRMA Foundation 2004 Health Outcomes Research Starter Grant Role: Co-Investigator $60,000
September 2001–August 2005 Community Based Research of Autoimmune Disease and Asthma NIEHS Role: Co-Investigator $1,670,649
March 2000–February 2001 Asthma Intervention for Inner-City Children ACHP/CDC Role: Principal Investigator $100,000
February 1995–December 1995 “Understanding Patients’ Use Of Breast and Cervical Cancer Screening in Family Practice Offices with Low Income Populations” NYSAFP AAFP Grants Award Council Role: Co-Investigator $8,535
Patient Ambassadors to Maintain a Project to Increase Screening Mammography Susan G Komen Foundation Western New York Affiliate Role: Co-Investigator
Sloand E, Butz A, Rhee H, Walters L, Breuninger K, Pozzo RA, Barnes CM, Wicks MN, Tumiel-Berhalter L. (2021) Influence of social support on asthma self-management in adolescents. The Journal of asthma : official journal of the Association for the Care of Asthma (Mar), 58(3): 386-394. doi:10.1080/02770903.2019.1698601
Kahn LS, Cadzow RB, Tumiel LM, Watkins R, Leonard K. M., Taylor JS. (2007) Providing health insurance to small-businesses through a subsidy demonstration program. Social Work in Public Health (Jan), 23: 143-155.
Kahn LS, Cadzow RB, Tumiel LM, Watkins R, Leonard KM, Taylor JS. (2007) Changes in Employees‘ Preventive Health Practices in Response to a Subsidized Health Insurance Program. Evaluation and the Health Professions (Jan), 30(1): 22-34.
"Engaging Patients in Research: Methods and Lessons Learned" 43rd Annual Meeting of the North American Primary Care Research Group (2015)
"Erie County NYSDOH Maternal Infant Community Health Collaborative: Process Assessment" 43rd Annual Meeting of the North American Primary Care Research Group (2015)
"Evaluation of the “New Americans” Lead Risk Reduction Program" 43rd Annual Meeting of the North American Primary Care Research Group (2015)
"Impact of a Patient-Powered Research Intervention on Patient Activation, Communication and Chronic Disease Self Management" 43rd Annual Meeting of the North American Primary Care Research Group (2015)
"Learning From “Research-Engaged” Patient and Community Organizations: First Year Findings From a PCORI Methods Study" 43rd Annual Meeting of the North American Primary Care Research Group (2015)
"Patient Engagement in Cancer Research" 43rd Annual Meeting of the North American Primary Care Research Group (2015)
"The Impact of Patient Powered Recruitment Strategies on Retention in a Study to Improve Chronic Disease Self-Management" 43rd Annual Meeting of the North American Primary Care Research Group (2015)
"Development an Appointment Planning Worksheet by patients to improve management of chronic disease" 42nd Annual Meeting of the North American Primary Care Research Group (2014)
"Results of a School-based Intervention: the Fit and Fun Program" 42nd Annual Meeting of the North American Primary Care Research Group (2014)
"Patients as Experts: Comparative Analysis of a Patient-Developed Healthcare Visit Planning Tool" University at Buffalo Scholarly Exchange Day (2014)
"Leadership of the Patient Voices Network: The Role of the Steering Committee" 41st Annual Meeting of the North American Primary Care Research Group (2013)
"The Patient Voices Network: Engaging Patients in Primary Care" 41st Annual Meeting of the North American Primary Care Research Group (2013)
"What Patient Voices Means to Me: A qualitative exploration of the participant experience in an ongoing CBPR project" 41st Annual Meeting of the North American Primary Care Research Group (2013)
"Engaging Patients in Primary Care: The Patient Voices Network" NAPCRG PBRN Annual Conference (2013)
"Tell Me More: Patients' Knowledge of CKD and Health Information Preferences" ; 40th Annual Meeting of the North American Primary Care Research Group (2012)
"Community Mentors: Engaging in Outreach and Education" CHCRD Cancer Health Disparities Annual Program Meetings (2012)
"The Community-Driven Approach to Environmental Exposures: How a Community-Based Participatory Research Program Analyzing Impacts of Environmental Exposure on Lupus Led to a Toxic Site Cleanup" Healthy Eating in Context: Local Solutions, Global Challenges (2012)
"Comparing a Patient-centered Group Diabetes Education Model With Traditional Diabetes Classes in a Safety-net Family Medicine Health Center" 39th Annual Meeting of the North American Primary Care Research Group (2011)
"Developing Successful Academic Community Partnerships: Lessons Learned From Patient Voices" 39th Annual Meeting of the North American Primary Care Research Group (2011)
"Living With Diabetes on Buffalo's Culturally Diverse West Side" 39th Annual Meeting of the North American Primary Care Research Group (2011)
"Patterns of Cancer Screening Among Low-income Minority Patients With Complex Chronic Disease" 39th Annual Meeting of the North American Primary Care Research Group (2011)
"Refugee Perceptions of Cancer and Cancer Screenings to Inform Primary Care and Health Education in Buffalo, NY" 39th Annual Meeting of the North American Primary Care Research Group (2011)
"Utilizing Your Electronic System and Creating Registries: Building a Foundation for a Medical Home" 39th Annual Meeting of the North American Primary Care Research Group (2011)
"Integrating Practice Based Research Networks and Community Based Participatory Research" 38th Annual Meeting of the North American Primary Care Research Group (2010)
"Patterns of Complex Chronic Disease in Two Family Practices Serving Low-Income Minority Patients" 38th Annual Meeting of the North American Primary Care Research Group (2010)
"Barriers and Solutions to Commercially Insured Adolescents Accessing Confidential Sexual Health Services" Annual Meeting of the Society of Adolescent Medicine (2010)
"Patient Voices to Improve Primary Care. Taking it to the Curbside: Engaging Communities to Create Sustainable Change for Health" Association and Prevention Teaching and Research Regional Workshop (2010)
"Barriers and Solutions to Commercially Insured Adolescents Accessing Confidential Sexual Health Services" Annual Meeting of the National STD Prevention Conference (2010)
"Assessing the Impact of a Provider Education Intervention to Improve Colorectal Cancer Screening" 37th Annual Meeting of the North American Primary Care Research Group (2009)
"Good for the Neighborhood: A Partnership to Improve the Health of Underserved Communities" 37th Annual Meeting of the North American Primary Care Research Group (2009)
"Good for the Neighborhood: An Evaluation of a Dynamic Community Health Intervention" 37th Annual Meeting of the North American Primary Care Research Group (2009)
"Translating a Diabetes Lifestyle Change Program for Individuals Living With Serious Mental Illness and Diabetes" International Conference of the Society for Medical Anthropology of the American Anthropological Association; Yale University (2009)
"Complex Chronic Disease in a Primary Care Setting: A Pilot Study to Inform Design of Self-Management Interventions" 36th Annual Meeting of the North American Primary Care Research Group (2008)
"The Community-Driven Approach to Environmental Exposures: How a Community-Based Participatory Research Program Analyzing Impacts of Environmental Exposure on Lupus Led to a Toxic Site Cleanup" Think Tank for African American Progress (2008)
"A Geographic Information Assessment of Exposure to a Toxic Waste Site and Development of Systemic Lupus Erythematosus (SLE): Findings from the Buffalo Lupus Project" URISA’s 4th Caribbean GIS Conference (2008)
"A Western New York Regional Adult Behavioral Health Risk Assessment: A Public/Private Partnership" CDC Assessment Initiative Conference (2008)
"Racial Disparities Related to Cancer Prevention and Access to Care Among Women with Chronic Joint Pain: Findings from the National Health Interview Survey" 41st Annual Meeting of the Society for Epidemiologic Research (2008)
"Reviving UB Family Medicine Journal Club: A reformatted approach to enriching EBM content and addressing ACGME competencies" AAFP 2008 Workshop for Directors of Family Medicine Residencies (2008)
"Community Involvement Influences Policy Decisions: Victories of a Community-Based Participatory Research Partnership" 135th Annual Meeting of the American Public Health Association (2007)
"A Review of Asthma Needs in Buffalo’s West Side Community" 35th Annual Meeting of the North American Primary Care Research Group (2007)
"Improvement of Mammography Referral Implementation Among African American Women" Preventive Medicine (2007)
"Community-Driven Research on Environmental Exposure and Autoimmune Diseases" 134th Annual Meeting of the American Public Health Association (2006)
"Community Driven Research on Environmental Exposure and Autoimmune Disease" 34th Annual Meeting of the North American Primary Care Research Group (2006)
"Evaluation of Project INHALE: A Program to Improve Asthma Outcomes Through the Reduction of In-Home Triggers" 34th Annual Meeting of the North American Primary Care Research Group (2006)
"Health Care Fragmentation Among African American Women with Lupus" 34th Annual Meeting of the North American Primary Care Research Group (2006)
"Keys to Success: The Real-World Implementation of the Inner-City Asthma Intervention" Pediatric Academic Society Annual Meeting (2006)
"A Western New York Regional Adult Behavioral Health Risk Assessment: A Public/Private Partnership" 133rd Annual Meeting of the American Public Health Association (2005)
"Health Insurance for the Working Uninsured" 33rd Annual Meeting of the North American Primary Care Research Group (2005)
"Impact of Providers’ Knowledge and Attitudes on Self- Reported Implementation of National Asthma Guidelines" 33rd Annual Meeting of the North American Primary Care Research Group (2005)
"The Impact of On-Site Mammography for Primary Care Offices" 33rd Annual Meeting of the North American Primary Care Research Group (2005)
"Patient Experiences with Asthma in a Puerto Rican Inner-City Community" 32nd Annual Meeting of the North American Primary Care Research Group (2004)
"Mapping Asthma on the Lower West Side of Buffalo: A Community-Based Asthma Registry" NIEHS and NIOSH Environmental Justice/ Community-Based Participatory Research Grantee Meeting (2004)
"Asthma and Smoking in an Urban Native American Population" 31st Annual Meeting of the North American Primary Care Research Group (2003)
"Correlates of Hospitalization and Emergency Department Use for Asthma Among Children with Access to Primary Care" 30th Annual Meeting of the North American Primary Care Research Group (2002)
"Building Blocks of a Community Coalition for Asthma and the Environment" National Asthma Conference (2002)
"Correlates of Asthma Among Adults in Western New York" 29th Annual Meeting of the North American Primary Care Research Group (2001)
"Public Health Priorities: Hearing the Voice of the Community" 28th Annual Meeting of the North American Primary Care Research Group (2000)
"Birthweight and Gestational Age as Criteria for Classifying SIDS Cases and Live Controls" Society for Epidemiologic Research (2000)
"Validity of Self-Reported Mammography and Pap Smear Screening Among Low-Income Urban Women" 27th Annual Meeting of the North American Primary Care Research Group (1999)
"Targeting Women of Color for Intervention of Breast and Cervical Cancer Screening Using a Single Question" 26th Annual Meeting of the North American Primary Care Research Group (1998)
"Asthma in the Lower West Side of Buffalo, New York: Environmental triggers" 25th Annual Meeting of the North American Primary Care Research Group (1997)
"Patients’ Referral for Drug and Alcohol Help in a Predominantly Puerto Rican Community" 25th Annual Meeting of the North American Primary Care Research Group (1997)
"Perception of the Risk of HIV Infection in an Inner-City Urban Community" 25th Annual Meeting of the North American Primary Care Research Group (1997)
"Perceptions of the Value of Physicians’ Advice and Maintenance of Cervical Cancer Screening Among Poor Urban Women" 24th Annual Meeting of the North American Primary Care Research Group (1996)
"Risk of Low Birth Weight and Preterm Delivery among Hispanic Mothers" 29th Annual Meeting of the Society for Epidemiologic Research (1996)
"Using Large Data Sets" 29th Annual Spring Conference of the Society of Teachers of Family Medicine (1996)
"Meeting the Health Needs of Buffalo’s West Side Community. Health Professions Schools in Service to the Nation." Community Partnerships in Health Professions Education: Service Learning Conference (1996)
"Risk of Low Birth Weight and Preterm Delivery" 23rd Annual Meeting of the North American Primary Care Research Group (1995)
"Lessons from Puerto Rican Patients with Diabetes: Measuring Adherence" 22nd Annual Meeting of the North American Primary Care Research Group (1994)
"Proportion of Community Residents with Chronic Diseases Served by an Urban Family Practice Office" 22nd Annual Meeting of the North American Primary Care Research Group (1994)
UB Downtown Gateway Department of Family Medicine 77 Goodell Street, Suite 220N Buffalo, New York 14203 Phone: 716-816-7278 Fax: 716-845-6899 tumiel@buffalo.edu