Esti M. Iturralde, PhD

People

Kaiser Permanente Division of Research
2000 Broadway
Oakland, CA 94612

(510) 891-3440 (phone)
estibaliz.m.iturralde@kp.org

Estibaliz (Esti) Iturralde, PhD, is a licensed clinical psychologist and research scientist at the Kaiser Permanente Northern California Division of Research, which she joined as a delivery science fellow in 2017. Her work examines how psychological and mental health factors affect individuals' long-term physical health, including their management of obesity, diabetes, and cardiovascular disease risks. Her recent work has focused on health system-based approaches to addressing the intersection between behavioral and physical health. She received her BA in the History of Science from Harvard University and her MA and PhD in Clinical Psychology from the University of Southern California, where her dissertation work was supported by a National Research Service Award from the National Institute of Child Health and Human Development. She completed clinical training in evidence-based mental health treatment and behavioral medicine at the Veterans Affairs Northern California Health Care System and the Stanford University School of Medicine. Her research uses observational, clinical trial, and mixed quantitative and qualitative methods to inform the implementation of evidence-based behavioral health interventions in specialty and primary care clinical settings.

Current Position(s):

Research Scientist I

Section Affiliations:

Behavioral Health and Aging

Primary Research Interests:

Mental health factors in chronic disease prevention and management
Integration of behavioral health interventions into medical settings
Dissemination of evidence-based mental health treatments
Longitudinal data analysis
Mixed quantitative and qualitative methods

Studies

Diabetes Management in Addiction Medicine

Substance use disorder is a major risk factor for type 2 diabetes, diabetes complications, early diabetes-related mortality, and high use of costly medical care for individuals with diabetes. This study examines the clinical needs and potential care gaps that distinguish patients with comorbid diabetes and substance use disorder from those with one of these conditions alone.
Investigator: Iturralde, Estibaliz
Funder: KP National Office of Community Health

Naturalistic longitudinal examination of electroconvulsive therapy, transcranial magnetic stimulation, and intravenous ketamine for treatment-resistant depression in a large integrated healthcare system

This prospective observational study including 1,500 KPNC adult members with treatment-resistant depression will characterize factors related to selection of electroconvulsive therapy, transcranial magnetic stimulation, or ketamine; examine success rates and predictors of each treatment type; and examine inter-facility differences in referral patterns, treatment parameters, and outcomes.
Investigator: Iturralde, Estibaliz
Funder: TPMG Delivery Science Projects Program

Optimizing Care to Prevent Diabetes and Promote Cardiovascular Health Among Younger Adults with Severe Mental Illness

This K23 career development project seeks to leverage electronic health record data from KPNC and 2 health system collaborators within the Mental Health Research Network to investigate population health management strategies to prevent diabetes and improve cardiovascular health among people with serious mental health conditions. Specific aims of this project are to: (1) develop a risk prediction tool using early-stage treatment data; (2) conduct a pre-implementation qualitative study with health system stakeholders; and (3) pilot-test a clinical decision tool based on findings from Aims 1 and 2. These specific aims are supported by a training plan focused on advanced predictive analytics and machine learning; qualitative methods in implementation science; and, pragmatic clinical trial design.
Investigator: Iturralde, Estibaliz
Funder: National Institute of Mental Health

Improve Quality and Overall Health Outcomes Through Population Management to Treat Schizophrenia, Schizoaffective Disorder and Bipolar Disorder

This study aims to use population management to improve the quality and overall health outcomes of people with schizophrenia, schizoaffective disorder, and bipolar disorder.
Investigator: Iturralde, Estibaliz
Funder: TPMG Delivery Science Projects Program

Highlighted Publications

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Publications

Cardiometabolic Monitoring and Sociodemographic and Clinical Characteristics of Youths Prescribed Antipsychotic Medications

Author(s): Hsueh, Loretta; Iturralde, Esti; Slama, Natalie E; Spalding, Scott R; Sterling, Stacy A

Psychiatr Serv. 2023 Apr 05:appips20220151.

Current Position(s):

Section Affiliations:

Primary Research Interests:

Studies

Diabetes Management in Addiction Medicine

Naturalistic longitudinal examination of electroconvulsive therapy, transcranial magnetic stimulation, and intravenous ketamine for treatment-resistant depression in a large integrated healthcare system

Optimizing Care to Prevent Diabetes and Promote Cardiovascular Health Among Younger Adults with Severe Mental Illness

Improve Quality and Overall Health Outcomes Through Population Management to Treat Schizophrenia, Schizoaffective Disorder and Bipolar Disorder

Highlighted Publications

Publications

Cardiometabolic Monitoring and Sociodemographic and Clinical Characteristics of Youths Prescribed Antipsychotic Medications

Racial-Ethnic Differences in Treatment Initiation for New Diagnoses of Perinatal Depression

Performance of a Prediction Model of Suicide Attempts Across Race and Ethnicity

Evaluating Implementation and Outcomes of the Achieving Depression and Anxiety Patient-Centered Treatment Collaborative Care Program in a Large, Integrated Health Care System: A Mixed Methods Observational Study Protocol

Electroconvulsive Therapy Anesthetic Choice and Clinical Outcomes

Perceptions About Cannabis Following Legalization Among Pregnant Individuals With Prenatal Cannabis Use in California

Patterns of Health Care Use 5 Years After an Intervention Linking Patients in Addiction Treatment With a Primary Care Practitioner

Closing the Care Gap for People with Severe and Persistent Mental Illness: Collaborative Care, Telehealth, and Clinical Pharmacy

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

Emergency Department Encounters Among Youth With Suicidal Thoughts or Behaviors During the COVID-19 Pandemic

Adult Suicide-Related emergency department encounters during the COVID-19 Pandemic a Cross-Sectional study

Adult Suicide-Related emergency department encounters during the COVID-19 Pandemic: a Cross-Sectional study

Opportunities to Integrate Mobile App-Based Interventions Into Mental Health and Substance Use Disorder Treatment Services in the Wake of COVID-19

Psychotropic medication prescribing during the COVID-19 pandemic

Physical, Mental Health and Developmental Conditions, and Sociodemographic Characteristics Associated With Adverse Childhood Experiences Among Young Children in Pediatric Primary Care

Engagement in perinatal depression treatment: a qualitative study of barriers across and within racial/ethnic groups

Perceived Barriers and Motivators for Physical Activity in Women With Perinatal Depression

Do Youth Want Psychosocial Screenings in Diabetes Clinic? Profiles of Acceptability

Changes in Diagnostic and Demographic Characteristics of Patients Seeking Mental Health Care During the Early COVID-19 Pandemic in a Large, Community-Based Health Care System

Premature mortality associated with severe mental illness or substance use disorder in an integrated health care system

Treatment for Anxiety and Substance Use Disorders During the COVID-19 Pandemic: Challenges and Strategies

Changing Results-Engage and Activate to Enhance Wellness: A Randomized Clinical Trial to Improve Cardiovascular Risk Management

Assessing strengths of children with type 1 diabetes: Validation of the Diabetes Strengths and Resilience (DSTAR) measure for ages 9 to 13

Association of Anxiety With High-Cost Health Care Use Among Individuals With Type 2 Diabetes

Optimizing the use of continuous glucose monitoring in young children with type 1 diabetes with an adaptive study design and multiple randomizations

Barriers and facilitators to healthy eating among low-income Latino adolescents

Diabetes-Related Emotional Distress Over Time

From Wary Wearers to d-Embracers: Personas of Readiness to Use Diabetes Devices

The Diabetes Strengths and Resilience Measure for Adolescents With Type 1 Diabetes (DSTAR-Teen): Validation of a New, Brief Self-Report Measure.

Expectations and Attitudes of Individuals With Type 1 Diabetes After Using a Hybrid Closed Loop System.

Avoidant coping and diabetes-related distress: Pathways to adolescents' Type 1 diabetes outcomes.

​Diabetes Technology: Uptake, Outcomes, Barriers, and the Intersection With Distress.

​A randomized clinical trial aimed at preventing poor psychosocial and glycemic outcomes in teens with type 1 diabetes (T1D).

Positive and Negative Interactions Observed Between Siblings: Moderating Effects for Children Exposed to Parents' Conflict.

​Youth exposed to violence: stability, co-occurrence, and context.

Diabetes Technology: Uptake, Outcomes, Barriers, and the Intersection With Distress.

A randomized clinical trial aimed at preventing poor psychosocial and glycemic outcomes in teens with type 1 diabetes (T1D).

Youth exposed to violence: stability, co-occurrence, and context.