Anjali Gopalan, MD, MS

People

Kaiser Permanente Division of Research
2000 Broadway
Oakland, CA 94612

anjali.gopalan@kp.org
Kaiser Permanente Researcher Profiles

Anjali Gopalan, MD, MS, is a research scientist in the Division of Research, Kaiser Permanente Northern California. Dr. Gopalan received her undergraduate degree in biochemistry and biology from Rice University. She completed medical school at Washington University in St. Louis. She then went on to complete an internal medicine residency at the University of Pennsylvania and was a member of the program's primary care track. Following residency she was a Robert Wood Johnson Clinical Scholar at the University of Pennsylvania and earned a Master's degree in Health Policy Research. Her current research interests include the roles of information and communication for patients with chronic disease. Specifically, she is interested in researching alternative, more effective ways to present medical information to patients regarding chronic disease management, particularly diabetes.

Current Position(s):

Research Scientist II, Division of Research, Kaiser Permanente Northern California
Physician, Kaiser Permanente Oakland Medical Center

Section Affiliations:

Health Care Delivery and Policy

Primary Research Interests:

Type 2 diabetes and pre-diabetes
Patient-provider communication
Information and risk presentation strategies
Behavioral economics

Studies

Tailoring initial type 2 diabetes care to meet the needs of younger Latinx adults: A randomized pilot study

Our goal is to evaluate the effectiveness of a proactive, tailored care intervention in improving early outcomes for Latinx individuals with younger-onset type 2 diabetes. We will also conduct post-intervention interviews with study participants to identify components of the intervention that may have contributed to the observed outcomes and perform an environmental scan of type 2 diabetes care and resources in our partner Kaiser Permanente regions to lay the groundwork for future dissemination of the intervention.
Investigator: Gopalan, Anjali
Funder: American Diabetes Association

Tailoring care to meet the needs of younger Latinx adults with newly diagnosed type 2 diabetes

We will evaluate a culturally responsive community health worker (CHW) intervention targeting younger-onset Latinx individuals with a new type 2 diabetes (T2D) diagnosis (AURORA [Active Outreach to Younger Latinx]). The AURORA strategy centers on a CHW who will proactively conduct three telemedicine visits tailored to with the following five goals: 1) T2D self-management education, 2) assessment of individual’s self-management support needs, 3) motivational interviewing to support behavior change, 4) pragmatic skills training, including use of crucial technologies to support self-management, and 5) matching member's needs with existing KPNC T2D resources.
Investigator: Gopalan, Anjali
Funder: Garfield Memorial Fund

Using predictive analytics to tailor care for patients with newly diagnosed type 2 diabetes

In a population of adults newly diagnosed with type 2 diabetes (T2D) from 2010-2015 and followed for 5 years this study will use machine learning-based predictive analytic methods to develop and validate predictive models using EHR-derived patient data available at the time of T2D diagnosis to identify patients at increased risk for suboptimal 1-year and 5-year glycemic trends. Secondary predictive models will be developed to identify individuals at increased risk for other adverse T2D-outcomes, including microalbuminuria, microvascular disease, and macrovascular disease. The study will also develop and validate predictive models that include data from the first year following T2D diagnosis to identify patients at increased risk for suboptimal 5-year glycemic trends.
Investigator: Gopalan, Anjali
Funder: National Institute of Diabetes and Digestive and Kidney Diseases

Age- and race/ethnic-based disparities in diabetes outcomes among younger adults with newly diagnosed Type 2 Diabetes

This study will conduct focus groups with KPNC members (age 45) with newly diagnosed Type 2 diabetes to learn about members’ experiences with this new diagnosis and to identify early facilitators of and barriers to effective diabetes management in this group.
Investigator: Gopalan, Anjali
Funder: Northern California Community Benefit Programs

Metformin Initiation and Early Adherence among Kaiser Permanente Northern California Members with Newly Diagnosed Type 2 Diabetes

Aim 1: Identify patient-level predictors of metformin treatment during the year following type 2 diabetes diagnosis. Examined factors will include: demographics, such as age, race/ethnicity, gender, and rural versus urban; clinical characteristics, such as A1c at diagnosis, diabetes-related comorbidities (hypertension, renal disease), number/type of other medications used, and gastrointestinal comorbidities (irritable bowel, H. pylori); and other care-related factors, such as medication copays, in-person visit copays, flu vaccination (proxy for openness to traditional treatment approaches), length of Kaiser Permanente Northern California membership, and primary care physician (PCP) contact/empanelment time. Aim 2: Identify provider-level predictors of early metformin treatment during the year following type 2 diabetes diagnosis. Examined factors will include: ordering provider type, such as PCP vs. other medical doctor versus other (e.g., population manager); PCP characteristics, such as PCP-member race concordance, PCP years in practice, and number of type 2 diabetes patients in panel; and primary Kaiser Permanente Northern California facility.
Investigator: Gopalan, Anjali
Funder: Northern California Community Benefit Programs

The Initial Care of Younger Adults with Newly Diagnosed Type 2 Diabetes

In a population of adults with newly diagnosed, early onset type 2 diabetes, this study will identify patient-, provider-, and system-level predictors of inadequate glycemic control within one year following diagnosis. A longitudinal, retrospective cohort analysis of electronic health record data will be conducted to examine associations between select factors and early glycemic control. This study will also explore barriers to and facilitators of type 2 diabetes care; patients and providers will be engaged in a qualitative process to identify barriers and facilitators affecting early diabetes care. Lastly, this project will examine associations between patient-reported factors and early glycemic control. To extend characterization of potentially modifiable care barriers in this population, validated instruments (selected based on existing literature and study findings) will be used to survey a cohort of patients and follow this cohort prospectively for one year to assess relationships between responses and glycemic control.
Investigator: Gopalan, Anjali
Funder: National Institute of Diabetes and Digestive and Kidney Diseases

Highlighted Publications

No results found matching criteria

Publications

Racial and Ethnic Differences in Medication Initiation Among Adults Newly Diagnosed with Type 2 Diabetes

Author(s): Gopalan, Anjali; Winn, Aaron N; Karter, Andrew J; Laiteerapong, Neda

J Gen Intern Med. 2023 Mar;38(4):994-1000. Epub 2022-08-04.

Current Position(s):

Section Affiliations:

Primary Research Interests:

Studies

Tailoring initial type 2 diabetes care to meet the needs of younger Latinx adults: A randomized pilot study

Tailoring care to meet the needs of younger Latinx adults with newly diagnosed type 2 diabetes

Using predictive analytics to tailor care for patients with newly diagnosed type 2 diabetes

Age- and race/ethnic-based disparities in diabetes outcomes among younger adults with newly diagnosed Type 2 Diabetes

Metformin Initiation and Early Adherence among Kaiser Permanente Northern California Members with Newly Diagnosed Type 2 Diabetes

The Initial Care of Younger Adults with Newly Diagnosed Type 2 Diabetes

Highlighted Publications

Publications

Racial and Ethnic Differences in Medication Initiation Among Adults Newly Diagnosed with Type 2 Diabetes

Cross-Sectional Association of Patient Language and Patient-Provider Language Concordance with Video Telemedicine Use Among Patients with Limited English Proficiency

Primary care video and telephone telemedicine during the COVID-19 pandemic: treatment and follow-up health care utilization

The association between video or telephone telemedicine visit type and orders in primary care

Identifying modifiable obesogenic behaviors among Latino adolescents in primary pediatric care.

Primary Care Visits Are Timelier When Patients Choose Telemedicine: A Cross-Sectional Observational Study

Video Telehealth Access and Changes in HbA1c Among People With Diabetes

Primary care telemedicine during the COVID-19 pandemic: patient's choice of video versus telephone visit

All in the Family: A Qualitative Study of the Early Experiences of Adults with Younger Onset Type 2 Diabetes

Engaging patients in population-based chronic disease management: A qualitative study of barriers and intervention opportunities

Racial and Ethnic Differences in Age at Diabetes Diagnosis-A Call for Action

Disparities in Use of Video Telemedicine Among Patients With Limited English Proficiency During the COVID-19 Pandemic

Updated USPSTF Screening Recommendations for Diabetes: Identification of Abnormal Glucose Metabolism in Younger Adults

The Role of Community-Based Organizations in Improving Chronic Care for Safety-Net Populations

Disclosure of New Type 2 Diabetes Diagnoses to Younger Adults: a Qualitative Study

Visit Content Analysis: Doctor-Patient Communication in Patients with Type 2 Diabetes

Initial Glycemic Control and Care Among Younger Adults Diagnosed With Type 2 Diabetes

Testing patient-informed approaches for visually depicting the hemoglobin A1c value to patients with poorly controlled diabetes: a randomized, controlled trial

Use and Discontinuation of Insulin Treatment Among Adults Aged 75 to 79 Years With Type 2 Diabetes

Use of financial incentives and text message feedback to increase healthy food purchases in a grocery store cash back program: a randomized controlled trial

Prevalence and predictors of delayed clinical diagnosis of Type 2 diabetes: a longitudinal cohort study

Exploring how patients understand and assess their diabetes control

Research to Change Health Delivery Systems: On the Outside Looking in?

Identifying Geographic Disparities in Diabetes Prevalence Among Adults and Children Using Emergency Claims Data

A systematic review of care management interventions targeting multimorbidity and high care utilization

Population Health Management for Diabetes: Health Care System-Level Approaches for Improving Quality and Addressing Disparities

Randomised controlled trial of alternative messages to increase enrolment in a healthy food programme among individuals with diabetes

Health-Specific Information and Communication Technology Use and Its Relationship to Obesity in High-Poverty, Urban Communities: Analysis of a Population-Based Biosocial Survey