Vanderbilt University School of
Osborn, Chandra Y. , PhD, MPH
Assistant Professor of Medicine
Assistant Professor of Biomedical Informatics
Phone Number: 615-936-8468
2525 West End Ave, #370
Division of General Internal Medicine and Public Health & Center for Health Behavior and Health Education 2525 West End Ave, #370 37203
Behavior Change, Behavioral Informatics, Diabetes, Health Disparities, Health Literacy & Numeracy, Medication Adherence
Dr. Osborn is an Assistant Professor of Medicine and Biomedical Informatics and an investigator in the Center for Diabetes Translational Research, Center for Health Services Research, and Center for Effective Health Communication. She graduated summa cum laude from California State University, San Marcos with a BA in psychology and sociology. She earned an MA and PhD in social/health psychology and graduate certificate in quantitative research methods from the University of Connecticut. Finally, she earned an MPH and completed a post-doctoral fellowship in health services research at Northwestern University, Feinberg School of Medicine.
Dr. Osborn's research focuses on theory-based, technology-assisted behavioral intervention design and evaluation for adults with diabetes, including how to leverage patient portals and mobile devices to promote patient self-care (e.g., medication adherence). Her research investigates disparities in technology use and adherence to self-care, how to leverage technology to reach diverse patients, and whether and when technology works to exacerbate or reduce health disparities. Methodologically, she uses qualitative methods to inform intervention design, and a cadre of quantitative techniques to validate instruments, test mechanisms, and evaluate intervention efficacy.
Cavanaugh, KL, Osborn, CY, Tentori, F, Rothman, RL, Ikizler, TA, Wallston, KA. Performance of a brief survey to assess health literacy in patients receiving hemodialysis. Clin Kidney J, 8(4), 462-8, 2015.
Heerman, W, Wallston, KA, Osborn, CY, Bian, A, Schlundt, D, Barto, SD, Rothman, R. Educational and psychological aspects Food insecurity is associated with diabetes self-care behaviours and glycaemic control. Diabet Med, , , 2015.
Mayberry, LS, Egede, LE, Wagner, JA, Osborn, CY. Stress, depression and medication nonadherence in diabetes: test of the exacerbating and buffering effects of family support. J Behav Med, 38(2), 363-71, 2015.
Nelson, LA, Mulvaney, SA, Gebretsadik, T, Ho, YX, Johnson, KB, Osborn, CY. Disparities in the use of a mHealth medication adherence promotion intervention for low-income adults with type 2 diabetes. J Am Med Inform Assoc, , , 2015.
Wright Nunes, JA, Osborn, CY, Ikizler, TA, Cavanaugh, KL. Health numeracy: perspectives about using numbers in health management from African American patients receiving dialysis. Hemodial Int, 19(2), 287-95, 2015.
Bailey, SC, Brega, AG, Crutchfield, TM, Elasy, T, Herr, H, Kaphingst, K, Karter, AJ, Moreland-Russell, S, Osborn, CY, Pignone, M, Rothman, R, Schillinger, D. Update on health literacy and diabetes. Diabetes Educ, 40(5), 581-604, 2014.
Chakkalakal RJ, Kripalani S, Schlundt DG, Elasy TA, Osborn CY. Disparities in using technology to access health information: Race versus health literacy. Diabetes Care, 37(3), e53-e54, 2014.
Lyles, CR, Sarkar, U, Osborn, CY. Getting a technology-based diabetes intervention ready for prime time: a review of usability testing studies. Curr Diab Rep, 14(10), 534, 2014.
Mayberry, LS, Osborn, CY. Family involvement is helpful and harmful to patients'' self-care and glycemic control. Patient Educ Couns, 97(3), 418-25, 2014.
Mayberry, LS, Osborn, CY. Empirical Validation of the Information-Motivation-Behavioral Skills Model of Diabetes Medication Adherence: A Framework for Intervention. Diabetes Care, , , 2014.
Mayberry, LS, Rothman, RL, Osborn, CY. Family members'' obstructive behaviors appear to be more harmful among adults with type 2 diabetes and limited health literacy. J Health Commun, 19 Suppl 2, 132-43, 2014.
Meyers, AG, Salanitro, A, Wallston, KA, Cawthon, C, Vasilevskis, EE, Goggins, KM, Davis, CM, Rothman, RL, Castel, LD, Donato, KM, Schnelle, JF, Bell, SP, Schildcrout, JS, Osborn, CY, Harrell, FE, Kripalani, S. Determinants of health after hospital discharge: rationale and design of the Vanderbilt Inpatient Cohort Study (VICS). BMC Health Serv Res, 14(1), 10, 2014.
Osborn, CY, Mayberry, LS, Wagner, JA, Welch, GW. Stressors May Compromise Medication Adherence Among Adults With Diabetes and Low Socioeconomic Status. West J Nurs Res, , , 2014.
Wagner, JA, Tennen, H, Feinn, R, Osborn, CY. Self-Reported Discrimination, Diabetes Distress, and Continuous Blood Glucose in Women with Type 2 Diabetes. J Immigr Minor Health, , , 2014.
Wallston, KA, Cawthon, C, McNaughton, CD, Rothman, RL, Osborn, CY, Kripalani, S. Psychometric properties of the brief health literacy screen in clinical practice. J Gen Intern Med, 29(1), 119-26, 2014.
Mayberry, LS, Gonzalez, JS, Wallston, KA, Kripalani, S, Osborn, CY. The ARMS-D out performs the SDSCA, but both are reliable, valid, and predict glycemic control. Diabetes Res Clin Pract, 102(2), 96-104, 2013.
Osborn, CY, Mayberry, LS, Wallston, KA, Johnson, KB, Elasy, TA. Understanding patient portal use: implications for medication management. J Med Internet Res, 15(7), e133, 2013.
Osborn, CY, Mulvaney, SA. Development and feasibility of a text messaging and interactive voice response intervention for low-income, diverse adults with type 2 diabetes mellitus. J Diabetes Sci Technol, 7(3), 612-22, 2013.
Osborn, CY, Wallston, KA, Shpigel, A, Cavanaugh, K, Kripalani, S, Rothman, RL. Development and validation of the General Health Numeracy Test (GHNT). Patient Educ Couns, 91(3), 350-6, 2013.
Osborn, CY, de Groot, M, Wagner, JA. Racial and ethnic disparities in diabetes complications in the northeastern United States: the role of socioeconomic status. J Natl Med Assoc, 105(1), 51-8, 2013.
Wade-Vuturo, AE, Mayberry, LS, Osborn, CY. Secure messaging and diabetes management: experiences and perspectives of patient portal users. J Am Med Inform Assoc, 20(3), 519-25, 2013.
Wagner, JA, Tennen, H, Feinn, R, Finan, PH. Racial discrimination and metabolic control in women with type 2 diabetes. Ethn Dis, 23(4), 421-7, 2013.
White, RO, Osborn, CY, Gebretsadik, T, Kripalani, S, Rothman, RL. Health literacy, physician trust, and diabetes-related self-care activities in Hispanics with limited resources. J Health Care Poor Underserved, 24(4), 1756-68, 2013.
Cawthon, C, Walia, S, Osborn, CY, Niesner, KJ, Schnipper, JL, Kripalani, S. Improving care transitions: the patient perspective. J Health Commun, 17 Suppl 3, 312-24, 2012.
Mayberry, LS, Osborn, CY. Family support, medication adherence, and glycemic control among adults with type 2 diabetes. Diabetes Care, 35(6), 1239-45, 2012.
Osborn, CY. How do we reduce racial/ethnic disparities in diabetes medication adherence?. Diabetes Management, 2(5), 357-359, 2012.
Salanitro, AH, Osborn, CY, Schnipper, JL, Roumie, CL, Labonville, S, Johnson, DC, Neal, E, Cawthon, C, Businger, A, Dalal, AK, Kripalani, S. Effect of patient- and medication-related factors on inpatient medication reconciliation errors. J Gen Intern Med, 27(8), 924-32, 2012.
Salanitro, AH, Osborn, CY, Schnipper, JL, Roumie, CL, Labonville, S, Johnson, DC, Neal, E, Cawthon, C, Businger, A, Dalal, AK, Kripalani, S. Erratum to: effect of patient- and medication-related factors on inpatient medication reconciliation errors. J Gen Intern Med, 27(10), 1393, 2012.
Singh, R, Simons, JP, Self, WT, Tetlock, PE, Zemba, Y, Yamaguchi, S, Osborn, CY, Fisher, JD, May, J, Kaur, S. Association, culture, and collective imprisonment: Tests of a two-route causal-moral model. Basic and Applied Social Psychology, 34, 269-277, 2012.
Kripalani, S, Osborn, CY, Vaccarino, V, Jacobson, TA. Development and evaluation of a medication counseling workshop for physicians: can we improve on ''take two pills and call me in the morning''. Med Educ Online, 16, , 2011.
Mayberry, LS, Kripalani, S, Rothman, RL, Osborn, CY. Bridging the digital divide in diabetes: family support and implications for health literacy. Diabetes Technol Ther, 13(10), 1005-12, 2011.
Mulvaney, SA, Hood, KK, Schlundt, DG, Osborn, CY, Johnson, KB, Rothman, RL, Wallston, KA. Development and initial validation of the barriers to diabetes adherence measure for adolescents. Diabetes Res Clin Pract, 94(1), 77-83, 2011.
Mulvaney, SA, Rothman, RL, Osborn, CY, Lybarger, C, Dietrich, MS, Wallston, KA. Self-management problem solving for adolescents with type 1 diabetes: intervention processes associated with an Internet program. Patient Educ Couns, 85(2), 140-2, 2011.
Osborn, CY, Amico, KR, Cruz, N, Perez-Escamilla, R, Kalichman, SC, O''Connell, AA, Wolf, SA, Fisher, JD. Development and Implementation of a Culturally Tailored Diabetes Intervention in Primary Care. Transl Behav Med, 1(3), 568-479, 2011.
Osborn, CY, Cavanaugh, K, Wallston, KA, Kripalani, S, Elasy, TA, Rothman, RL, White, RO. Health literacy explains racial disparities in diabetes medication adherence. J Health Commun, 16 Suppl 3, 268-78, 2011.
Osborn, CY, Egede, LE. The relationship between depressive symptoms and medication nonadherence in type 2 diabetes: the role of social support. Gen Hosp Psychiatry, 34(3), 249-53, 2011.
Osborn, CY, Patel, KA, Liu, J, Trott, HW, Buchowski, MS, Hargreaves, MK, Blot, WJ, Cohen, SS, Schlundt, DG. Diabetes and Co-morbid Depression Among Racially Diverse, Low-Income Adults. Ann Behav Med, 41(3), 300-9, 2011. PMCID:3098929
Osborn, CY, Rosenbloom, ST, Stenner, SP, Anders, S, Muse, S, Johnson, KB, Jirjis, J, Jackson, GP. MyHealthAtVanderbilt: policies and procedures governing patient portal functionality. J Am Med Inform Assoc, 18 Suppl 1, i18-23, 2011. PMCID:3171175
Wagner, JA, Osborn, CY, Mendenhall, EA, Budris, LM, Belay, S, Tennen, HA. Beliefs about racism and health among African American women with diabetes: a qualitative study. J Natl Med Assoc, 103(3), 224-32, 2011. PMCID:3082367
Wallston, KA, Osborn, CY, Wagner, LJ, Hilker, KA. The Perceived Medical Condition Self-Management Scale applied to persons with HIV/AIDS. J Health Psychol, 16(1), 109-15, 2011. PMCID:3102598
White, RO, Osborn, CY, Gebretsadik, T, Kripalani, S, Rothman, RL. Development and Validation of a Spanish Diabetes-Specific Numeracy Measure: DNT-15 Latino. Diabetes Technol Ther, , , 2011.
Ciampa, PJ, Osborn, CY, Peterson, NB, Rothman, RL. Patient numeracy, perceptions of provider communication, and colorectal cancer screening utilization. J Health Commun, 15 Suppl 3, 157-68, 2010. PMCID:3075203
Egede, LE, Osborn, CY. Role of motivation in the relationship between depression, self-care, and glycemic control in adults with type 2 diabetes. Diabetes Educ, 36(2), 276-83, 2010. PMCID:3085853
Osborn, CY, Amico, KR, Cruz, N, O''Connell, AA, Perez-Escamilla, R, Kalichman, SC, Wolf, SA, Fisher, JD. A brief culturally tailored intervention for Puerto Ricans with type 2 diabetes. Health Educ Behav, 37(6), 849-62, 2010. PMCID:3082938
Osborn, CY, Bains, SS, Egede, LE. Health literacy, diabetes self-care, and glycemic control in adults with type 2 diabetes. Diabetes Technol Ther, 12(11), 913-9, 2010. PMCID:3086814
Osborn, CY, Cavanaugh, K, Kripalani, S. Strategies to address low health literacy and numeracy in diabetes. Clinical Diabetes, 28(4), 171-175, 2010.
Osborn, CY, Cavanaugh, K, Wallston, KA, Rothman, RL. Self-efficacy links health literacy and numeracy to glycemic control. J Health Commun, 15 Suppl 2, 146-58, 2010. PMCID:3082364
Osborn, CY, Davis, TC, Bailey, SC, Wolf, MS. Health literacy in the context of HIV treatment: introducing the Brief Estimate of Health Knowledge and Action (BEHKA)-HIV version. AIDS Behav, 14(1), 181-8, 2010. PMCID:2732142
Osborn, CY, Egede, LE. Validation of an Information-Motivation-Behavioral Skills model of diabetes self-care (IMB-DSC). Patient Educ Couns, 79(1), 49-54, 2010. PMCID:3042801
Osborn, CY, Kozak, C, Wagner, J. Theory in practice: helping providers address depression in diabetes care. J Contin Educ Health Prof, 30(3), 172-9, 2010. PMCID:3093133
Osborn, CY, Mayberry, LS, Mulvaney, SA, Hess, R. Patient web portals to improve diabetes outcomes: a systematic review. Curr Diab Rep, 10(6), 422-35, 2010. PMCID:3086814
Osborn, CY, Paasche-Orlow, MK, Bailey, SC, Wolf, MS. The mechanisms linking health literacy to behavior and health status. Am J Health Behav, 35(1), 118-28, 2010. PMCID:3085858
Osborn, CY, Rivet Amico, K, Fisher, WA, Egede, LE, Fisher, JD. An information-motivation-behavioral skills analysis of diet and exercise behavior in Puerto Ricans with diabetes. J Health Psychol, 15(8), 1201-13, 2010. PMCID:3086815
Osborn, CY, Trott, HW, Buchowski, MS, Patel, KA, Kirby, LD, Hargreaves, MK, Blot, WJ, Cohen, SS, Schlundt, DG. Racial disparities in the treatment of depression in low-income persons with diabetes. Diabetes Care, 33(5), 1050-4, 2010. PMCID:2858173
Wagner, JA, Tennen, H, Osborn, CY. Lifetime depression and diabetes self-management in women with Type 2 diabetes: a case-control study. Diabet Med, 27(6), 713-7, 2010. PMCID:3086788
Waldrop-Valverde, D, Osborn, CY, Rodriguez, A, Rothman, RL, Kumar, M, Jones, DL. Numeracy skills explain racial differences in HIV medication management. AIDS Behav, 14(4), 799-806, 2010. PMCID:2891293
White, RO, DeWalt, DA, Malone, RM, Osborn, CY, Pignone, MP, Rothman, RL. Leveling the field: addressing health disparities through diabetes disease management. Am J Manag Care, 16(1), 42-8, 2010. PMCID:2914617
Wynia, MK, Johnson, M, McCoy, TP, Griffin, LP, Osborn, CY. Validation of an organizational communication climate assessment toolkit. Am J Med Qual, 25(6), 436-43, 2010. PMCID:3086815
Wynia, MK, Osborn, CY. Health literacy and communication quality in health care organizations. J Health Commun, 15 Suppl 2, 102-15, 2010. PMCID:3086818
Osborn, CY. Shared decision making requires statistical literacy. American Medical Association - Virtual Mentor (Clinical Pearl), 11(4), 301-305, 2009.
Osborn, CY, Cavanaugh, K, Wallston, KA, White, RO, Rothman, RL. Diabetes numeracy: an overlooked factor in understanding racial disparities in glycemic control. Diabetes Care, 32(9), 1614-9, 2009. PMCID:2732142
Osborn, CY, Fisher, JD. Diabetes education: Integrating theory, cultural considerations, and individually-tailored content. Clinical Diabetes, 26(4), 148-150, 2008.
Khankari, K, Eder, M, Osborn, CY, Makoul, G, Clayman, M, Skripkauskas, S, Diamond-Shapiro, L, Makundan, D, Wolf, MS. Improving colorectal cancer screening among the medically underserved: a pilot study within a federally qualified health center. J Gen Intern Med, 22(10), 1410-4, 2007. PMCID:2305844
Osborn, CY, Paasche-Orlow, MK, Davis, TC, Wolf, MS. Health literacy: an overlooked factor in understanding HIV health disparities. Am J Prev Med, 33(5), 374-8, 2007.
Osborn, CY, Weiss, BD, Davis, TC, Skripkauskas, S, Rodrigue, C, Bass, PF, Wolf, MS. Measuring adult literacy in health care: performance of the newest vital sign. Am J Health Behav, 31 Suppl 1, S36-46, 2007.
Persell, SD, Osborn, CY, Richard, R, Skripkauskas, S, Wolf, MS. Limited health literacy is a barrier to medication reconciliation in ambulatory care. J Gen Intern Med, 22(11), 1523-6, 2007. PMCID:2219798
Wolf, MS, Davis, TC, Osborn, CY, Skripkauskas, S, Bennett, CL, Makoul, G. Literacy, self-efficacy, and HIV medication adherence. Patient Educ Couns, 65(2), 253-60, 2007. PMCID:2219798
Osborn, CY, Johnson, BT, Fisher, JD. After 9/11 at ground zero: The anxiety-buffering effects of worldview support on the first anniversary of 9/11. Basic Appl Soc Psych, 28(4), 303-310, 2006.
Fisher, JD, Cornman, DH, Osborn, CY, Amico, KR, Fisher, WA, Friedland, GA. Clinician-initiated HIV risk reduction intervention for HIV-positive persons: Formative Research, Acceptability, and Fidelity of the Options Project. J Acquir Immune Defic Syndr, 37 Suppl 2, S78-87, 2004. PMCID:3086788
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