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Esti M. Iturralde, PhD


Kaiser Permanente Division of Research
2000 Broadway
Oakland, CA 94612

(510) 891-3440 (phone)

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:

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

    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
    No results found matching criteria

    Psychotropic medication prescribing during the COVID-19 pandemic

    Author(s): Hirschtritt ME; Slama N; Sterling SA; Olfson M; Iturralde E

    Medicine (Baltimore). 2021 Oct 29;100(43):e27664.

    PubMed abstract

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

    Author(s): Satre DD; Meacham MC; Asarnow LD; Fisher WS; Fortuna LR; Iturralde E

    Am J Health Promot. 2021 Oct 15:8901171211055314.

    PubMed abstract

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

    Author(s): Ridout KK; Alavi M; Ridout SJ; Koshy MT; Awsare S; Harris B; Vinson DR; Weisner CM; Sterling S; Iturralde E

    JAMA Psychiatry. 2021 Sep 01.

    PubMed abstract

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

    Author(s): Iturralde E; Hsiao CA; Nkemere L; Kubo A; Sterling SA; Flanagan T; Avalos LA

    BMC Pregnancy Childbirth. 2021 Jul 16;21(1):512. Epub 2021-07-16.

    PubMed abstract

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

    Author(s): Sterling S; Iturralde E; Young-Wolff K; Metz VE; Espinas P; et al.

    J Pediatr Health Care. 2021 Jul 02.

    PubMed abstract

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

    Author(s): Badon SE; Iturralde E; Nkemere L; Nance N; Avalos LA

    J Phys Act Health. 2021 May 12:1-10.

    PubMed abstract

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

    Author(s): Fang A; Abdelgadir D; Gopalan A; Ross T; Uratsu CS; Sterling SA; Grant RW; Iturralde E

    Patient Educ Couns. 2021 May 04.

    PubMed abstract

    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

    Author(s): Ridout KK; Alavi M; Ridout SJ; Koshy MT; Harris B; Dhillon I; Awsare S; Weisner CM; Campbell CI; Iturralde E

    J Clin Psychiatry. 2021 03 03;82(2). Epub 2021-03-03.

    PubMed abstract

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

    Author(s): Wong JJ; Hanes S; Iturralde E; Lanning MS; Naranjo D; Tanenbaum M; Hood KK

    J Pediatr Psychol. 2020 Dec 14.

    PubMed abstract

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

    Author(s): Satre DD; Iturralde E; Ghadiali M; Young-Wolff KC; Campbell CI; Leibowitz AS; Sterling SA

    J Addict Med. 2020 12;14(6):e293-e296.

    PubMed abstract

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

    Author(s): Iturralde E; Slama N; Kline-Simon AH; Young-Wolff KC; Mordecai D; Sterling SA

    Gen Hosp Psychiatry. 2020 Nov 10;68:1-6. Epub 2020-11-10.

    PubMed abstract

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

    Author(s): Iturralde E; Sterling SA; Uratsu CS; Mishra P; Ross TB; Grant RW

    J Am Heart Assoc. 2019 Dec 03;8(23):e014021. Epub 2019-11-30.

    PubMed abstract

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

    Author(s): Berget C; Iturralde E; Toddler Diabetes Technology Study Group; et al.

    Contemp Clin Trials. 2019 07;82:60-65. Epub 2019-05-23.

    PubMed abstract

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

    Author(s): Iturralde E; Chi FW; Grant RW; Weisner C; Van Dyke L; Pruzansky A; Bui S; Madvig P; Pearl R; Sterling SA

    Diabetes Care. 2019 Jun 18.

    PubMed abstract

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

    Author(s): Hilliard ME; Iturralde E; Weissberg-Benchell J; Hood KK;

    J Pediatr Psychol. 2017 May 26. doi: 10.1093/jpepsy/jsx086. [Epub ahead of print]

    PubMed abstract

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

    Author(s): Iturralde E; Tanenbaum ML; Hanes SJ; Suttiratana SC; Ambrosino JM; Ly TT; Maahs DM; Naranjo D; Walders-Abramson N; Weinzimer SA; Buckingham BA; Hood KK;

    ​Diabetes Educ. 2017 Apr;43(2):223-232. doi: 10.1177/0145721717697244.

    PubMed abstract

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

    Author(s): Iturralde E; Weissberg-Benchell J; Hood KK;

    ​Health Psychol. 2017 Mar;36(3):236-244. doi: 10.1037/hea0000445. Epub 2016 Nov 3.

    PubMed abstract

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

    Author(s): Naranjo D; Tanenbaum ML; Iturralde E; Hood KK;

    ​J Diabetes Sci Technol. 2016 Jun 28;10(4):852-8. doi: 10.1177/1932296816650900. Print 2016 Jul.

    PubMed abstract

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

    Author(s): Weissberg-Benchell J; Rausch J; Iturralde E; Jedraszko A; Hood K;

    ​Contemp Clin Trials. 2016 Jul;49:78-84. doi: 10.1016/j.cct.2016.05.006. Epub 2016 Jun 4.

    PubMed abstract

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

    Author(s): Iturralde E; Margolin G; Spies Shapiro LA

    ​J Res Adolesc. 2013 Dec 1;23(4). doi: 10.1111/jora.12020.

    PubMed abstract

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

    Author(s): Margolin G; Vickerman KA; Ramos MC; Serrano SD; Gordis EB; Iturralde E; Oliver PH; Spies LA

    ​Clin Child Fam Psychol Rev. 2009 Mar;12(1):39-54. doi: 10.1007/s10567-009-0040-9.

    PubMed abstract