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Implementing Social Drivers of Health Screening and Interventions to Reduce Health Disparities in Chronic Liver Disease

Award Number: K23DK143313
ORGANIZATION: NATIONAL INSTITUTE OF DIABETES & DIGESTIVE & KIDNEY DISEASES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 03/15/2026
PERIOD OF PERFORMANCE END DATE: 01/31/2031

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Implementing Social Drivers of Health Screening and Interventions to Reduce Health Disparities in Chronic Liver Disease - PROJECT SUMMARY/ABSTRACT This K23 award application is for Dr. Rebecca Kim, a board certified hepatologist with advanced training in clinical research methods and implementation science, who is establishing herself as an early career investigator in health services research. Dr. Kim’s long-term goal is to use social drivers of health (SDoH) screening and interventions to improve outcomes among populations with chronic liver disease (CLD) who face social challenges. This K23 award will provide Dr. Kim with the support necessary to accomplish her Training Aims: 1) acquire training in data science, specifically informatics methods 2) gain expertise in community-engaged methods, 3) apply prior training in implementation science and expand it to health policy, and 4) obtain advanced skills to design and lead pragmatic clinical trials. To achieve these goals, Dr. Kim has assembled an interdisciplinary mentoring team comprised of two co-primary mentors: Dr. Molly Conroy, a clinician researcher with expertise in pragmatic clinical trial design and Dr. Jennifer Price, a physician-scientist and expert in community-based interventions; and two co-mentors: Dr. Andrew Gawron, a health services researcher with expertise in applying informatics methods to clinical research, and Dr. John Inadomi, a prominent researcher and leader whose studies have led to changes in guidelines and health policy. CLD is a leading cause of morbidity and mortality, and disproportionately impacts individuals with low income and education, rural populations, and others with increased social risks. Due to the impact of SDoH, these populations suffer worse health outcomes related to their CLD. Intervening on modifiable SDoH has been shown to improve health in other chronic diseases. Therefore, to improve CLD outcomes, understanding and intervening on SDoH for CLD patients must be prioritized. Dr. Kim’s objective is to use electronic medical record data to define SDoH patterns associated with poor CLD-related outcomes. Then, Dr. Kim plans to use these data, in addition to feedback from CLD patients, to modify and compare interventions to reduce social needs like food insecurity. This study’s Specific Aims are: 1) Train and test a natural language processing model to extract SDoH data on CLD patients to identify SDoH prevalence and patterns associated with specialty liver care access; 2) Modify two established SDoH interventions for use among CLD patients with food insecurity; and 3) Conduct a pilot feasibility study comparing a CLD-specific Food Pharmacy intervention that provides fresh food and health coaching to address food insecurity with and without a clinic-based intervention that connects patients to community resources to address food insecurity and other social needs. Completion of these aims will lead to novel interventions to improve care for CLD patients. Dr. Kim’s new skillsets, combined with the data obtained, will provide the foundation for a future multi-site R01 study to test SDoH interventions among CLD patients on a larger scale.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $210,189 )
2026	2026	UNIVERSITY OF UTAH	201 PRESIDENTS CIR	SALT LAKE CITY	UT	84112	SALT LAKE	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	1	3/19/2026	NEW	$210,189
														Subtotal = $210,189

Grand Total All Awards = $210,189

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Implementing Social Drivers of Health Screening and Interventions to Reduce Health Disparities in Chronic Liver Disease

Award Number: K23DK143313

ORGANIZATION: NATIONAL INSTITUTE OF DIABETES & DIGESTIVE & KIDNEY DISEASES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 03/15/2026

PERIOD OF PERFORMANCE END DATE: 01/31/2031

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