COIN Investigators & Staff
COIN Investigators
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Lisa S. Callegari, MD, MPH
- Title: Core Investigator
Associate Professor, University of Washington School of Medicine - Contact: Lisa.Callegari@va.gov
- Location: Seattle
- University of Washington webpage
Research Interests
See Dr. Callegari's Dimensions profile that includes: publications, grants, datasets, patents and clinical trials
Dr. Callegari is an obstetrician gynecologist and health systems researcher. Her work focuses on developing and testing interventions to improve provider-patient communication, patient-centered care, and equity in reproductive health. Funded by an HSR Career Development Award, she developed and piloted a web-based tool to facilitate shared decision making conversations about pregnancy and contraceptive decisions and, ultimately, to support reproductive autonomy and improve reproductive health outcomes among women Veterans. She is now conducting a multicenter randomized controlled trial of the tool in VA primary care settings.
She also studies mechanisms of racial disparities in gynecologic outcomes in the VA to inform interventions to promote equity in VA gynecologic and surgical care. She attended Harvard University for medical school and the University of California, San Francisco for her residency in Obstetrics & Gynecology. After working in clinical practice for several years, she completed an MPH in epidemiology at the University of Washington and a VA postdoctoral fellowship in health systems research. She is currently Associate Professor of Obstetrics & Gynecology and Adjunct Associate Professor of Health Services at the University of Washington and a Core Investigator at the VA HSR Seattle-Denver Center of Innovation for Veteran-Centered and Value-Driven Care.
Current Grants & Funding
MyPath: A Patient-Centered Web-Based Intervention to Improve Reproductive Planning for Women Veterans
Women Veterans who use VA healthcare face elevated risks of poor pregnancy outcomes compared to civilians due to higher rates of chronic medical and mental health conditions. Proactive planning and optimization of health before pregnancy can mitigate these risks; however, nearly 40% of pregnancies among Veterans are unplanned. Although national guidelines recommend routine assessment of women’s childbearing goals followed by tailored contraceptive and preconception counseling in primary care, these reproductive planning services are delivered infrequently in VA.
This study is a multicenter pragmatic randomized controlled trial of “MyPath,” a novel web-based patient-facing decision support tool. MyPath is designed to be used by women Veterans before clinic visits to increase patient-centered reproductive planning discussions and facilitate high-quality decisions. If effective, this innovative, scalable intervention will improve the delivery of guideline-recommended services as well as reproductive health outcomes in Veterans nationally.
Funder: Veterans Administration
NIH Reporter: NIH website
More information from HSR on MyPath
Understanding Racial/Ethnic Disparities in Uterine Fibroid Outcomes among Women Veterans: A mixed-methods study
Uterine fibroids (UF) are a widespread and costly gynecologic condition that disproportionately affects Black women concerning incidence, severity, treatment, and outcomes. Recent data suggest substantial Black/White disparities in UF exist within VA. As one-third of women Veterans using VA health care are Black, and this proportion is increasing, understanding the drivers of these disparities within the VA is of critical importance.
This study will use mixed methods to investigate mechanisms underlying Black/White disparities in UF-related outcomes in VA, including modifiable differences by race in pathways to treatment and interactions with the healthcare system.
This work addresses multiple HSR priority areas, including women’s health, health equity, and healthcare access. It will make a substantial impact by informing the development of patient-centered interventions to eliminate disparities. The steps that follow will include partnering with VA women’s health and health equity leaders to design programs and policies that can accelerate progress toward quality and equity in gynecology care in VA.
Co-PI: Jodie Katon, PhD
Funder: Veterans Administration
NIH Reporter: NIH website
Publications of note:
— "I Wasn't Presented With Options": Perspectives of Black Veterans Receiving Care for Uterine Fibroids in the Veterans Health Administration
Recent Publications
2024
O'Connor-Terry C, Zhao X, Mor MK, Chang JC, Callegari LS, Borrero S, Quinn DA. Abortion After Pregnancy Occurrence with Contraceptive Use Among Veterans. J Womens Health (Larchmt). 2024 Jul 1. doi: 10.1089/jwh.2023.0829. Epub ahead of print. PMID: 38946661
Mog AC, Benson SK, Sriskantharajah V, Kelly PA, Gray KE, Callegari LS, Moy EM, Katon JG. "You want people to listen to you": Patient experiences of women's healthcare within the Veterans Health Administration. Health Serv Res. 2024 May 28. doi: 10.1111/1475-6773.14324. Epub ahead of print. PMID: 38804072
Riley T, Enquobahrie DA, Callegari LS, Hajat A. Structural gendered racism and preterm birth inequities in the United States. Soc Sci Med. 2024 Mar 21;348:116793. doi: 10.1016/j.socscimed.2024.116793. Epub ahead of print.
PMID: 38547809
Dehlendorf C, Perry JC, Borrero S, Callegari L, Fuentes L, Perritt J. Meeting People's Pregnancy Prevention Needs: Let's Not Force People to State an "Intention". Contraception. 2024 Feb 16:110400. doi: 10.1016/j.contraception.2024.110400. Epub ahead of print.
PMID: 38369272
2023
Wang AS, Bossick AS, Lamvu GM, Callegari L, Katon JG. (2023). Preexisting Gynecologic Conditions Associated with Chronic Pelvic Pain in Veterans Undergoing Hysterectomy for Benign Indications: Impact on Minimally Invasive Hysterectomy. Journal of Gynecologic Surgery. October 2023. https://doi.org/10.1089/gyn.2023.0089
https://doi.org/10.1089/gyn.2023.0089
Kazmerski TM, Stransky OM, Wright CE, Albanowski M, Pilewski JM, Talabi MB, Callegari LS, Chang JC, Abebe KZ, Miller E, Deal A, O'Leary R, Borrero S. Feasibility Testing of a Web-Based Reproductive Decision Support Tool for Cystic Fibrosis. J Cyst Fibros. 2023 Oct 11:S1569-1993(23)00924-4. doi: 10.1016/j.jcf.2023.10.003. Epub ahead of print.
PMID: 37833123
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Carey C, Silvestrini M, Callegari LS, Katon JG, Bossick AS, Doll KM, Christy A, Washington DL, Owens S. "I Wasn't Presented With Options": Perspectives of Black Veterans Receiving Care for Uterine Fibroids in the Veterans Health Administration. Womens Health Issues. 2023 Sep 7:S1049-3867(23)00134-2. doi: 10.1016/j.whi.2023.07.006. Epub ahead of print.
PMID: 37689493
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Mahorter S, Vinekar K, Shaw JG, Mor MK, Pleasure ZH, Gawron LM, Callegari LS. Variations in Provision of Long-Acting Reversible Contraception Across Veterans Health Administration Facilities. J Gen Intern Med. 2023 Jun 20. doi: 10.1007/s11606-023-08123-5. Epub ahead of print.
PMID: 37340270
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Katon JG, Bossick A, Carey C, Christy A, Doll K, Gatsby E, Gray KE, Lynch KE, Moy E, Owens S, Washington DL, Callegari LS. Racial Disparities in Uterine Fibroid Treatment Among Veterans Using VA Health Care. Womens Health Issues. 2023 Apr 25:S1049-3867(23)00073-7. doi: 10.1016/j.whi.2023.03.005. Epub ahead of print.
PMID: 37105835
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Benson LS, Holt SK, Gore JL, Callegari LS, Chipman AK, Kessler L, Dalton VK. Early Pregnancy Loss Management in the Emergency Department vs Outpatient Setting. JAMA Netw Open. 2023 Mar 1;6(3):e232639. doi: 10.1001/jamanetworkopen.2023.2639. PMID: 36920395
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Gawron LM, Young J, Yang S, Galyean P, Callegari LS, Gero A, Simmons RG, Millar MM, Zickmund SL. Women's Health Provider Perspectives on Reproductive Services Provision in the Veterans Health Administration. South Med J. 2023 Feb;116(2):181-187. doi: 10.14423/SMJ.0000000000001513. PMCID: PMC9906969. PMID: 36724533
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Quinn DA, Sileanu FE, Borrero S, Callegari LS. Reproductive health services: A missed opportunity in VA primary care? Contraception. 2023 Jan 14:109957. doi: 10.1016/j.contraception.2023.109957. Epub ahead of print. PMID: 36649750
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2022
Carey CM, Katon JG, Bossick AS, Gray KE, Doll KM, Christy AY, Callegari LS. Uterine Weight as a Modifier of Black/White Racial Disparities in Minimally Invasive Hysterectomy Among Veterans with Fibroids in the Veterans Health Administration. Health Equity. 2022 Dec 16;6(1):909-916. doi: 10.1089/heq.2022.0130. PMCID: PMC9811843. PMID: 36636115
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Monty GR, Benson SK, Deeds SA, Callegari LS, Katon JG, Cordasco KM, Gray KE. "We Are Working Harder, Not Smarter:" a Qualitative Inquiry Into Care Coordination for Department of Veterans Affairs Mammograms Referred to the Community. Womens Health Issues. 2022 Dec 15:S1049-3867(22)00140-2. doi: 10.1016/j.whi.2022.11.004. Epub ahead of print. PMID: 36528428
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Callegari LS, Borrero S. Abortion Care for Veterans-A Historic Step Forward. JAMA Health Forum. 2022 Nov 4;3(11):e224621. doi: 10.1001/jamahealthforum.2022.4621. PMID: 36318458
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Callegari L, Benson S, Mahorter S, Nelson K, Arterburn D, Hamilton A, Taylor L, Hunter-Merrill R, Gawron L, Dehlendorf C, Borrero S. Evaluating the MyPath web-based reproductive decision support tool in VA primary care: Protocol for a pragmatic cluster randomized trial. Contemp Clin Trials. 2022 Sep 27:106940. doi: 10.1016/j.cct.2022.106940. Epub ahead of print. PMID: 36179982
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Birru Talabi M, Callegari LS, Kazmerski TM, Krishnamurti T, Mosley EA, Borrero S. A Blueprint for a New Model of Sexual and Reproductive Healthcare in Subspecialty Medicine. Health Serv Res. 2022 Sep 24. doi: 10.1111/1475-6773.14074. Epub ahead of print. PMID: 36151999
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Callegari LS, Mahorter SS, Benson SK, Zhao X, Schwarz EB, Borrero S. Perceived Contraceptive Counseling Quality Among Veterans Using VA Primary Care: Data from the ECUUN Study. J Gen Intern Med. 2022 Aug 30. doi: 10.1007/s11606-022-07586-2. Epub ahead of print. PMID: 36042079
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Bossick AS, Bossick NR, Callegari LS, Carey CM, Johnson H, Katon JG. Experiences of racism and postpartum depression symptoms, care-seeking, and diagnosis. Arch Womens Ment Health. 2022 May 3. doi: 10.1007/s00737-022-01232-w. Epub ahead of print. PMID: 35504987
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Krishnamurti T, Birru Talabi M, Callegari LS, Kazmerski TM, Borrero S. A Framework for Femtech: Guiding Principles for Developing Digital Reproductive Health Tools in the United States. J Med Internet Res. 2022 Apr 28;24(4):e36338. doi: 10.2196/36338. PMID: 35482371
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2021
Rothschild CW, Richardson BA, Guthrie BL, Kithao P, Omurwa T, Mukabi J, Callegari LS, Lokken EL, John-Stewart G, Unger JA, Kinuthia J, Drake AL. Contributions of side effects to contraceptive discontinuation and method switch among Kenyan women: a prospective cohort study. BJOG. 2021 Nov 28. doi: 10.1111/1471-0528.17032. Epub ahead of print. PMID: 34839583
Benson LS, Magnusson SL, Gray KE, Quinley K, Kessler L, Callegari LS. Early pregnancy loss in the emergency department, 2006-2016. J Am Coll Emerg Physicians Open. 2021 Nov 5;2(6):e12549. doi: 10.1002/emp2.12549. PMCID: PMC8571073. PMID: 34766105
Birru Talabi M, Callegari LS, Borrero S. Redefining Primum Non Nocere to Include Reproductive Autonomy: A New Paradigm in Subspecialty Medicine. Womens Health Rep (New Rochelle). 2021 Oct 26;2(1):497-499. doi: 10.1089/whr.2021.0079. PMCID: PMC8713502. PMID: 34970654
Quinn DA, Edmonds SW, Zhao X, Borrero S, Ryan GL, Zephyrin LC, Callegari LS. Veteran-Reported Receipt of Prepregnancy Care: Data from the Examining Contraceptive Use and Unmet Need (ECUUN) Study. Matern Child Health J. 2021 Apr 30. doi: 10.1007/s10995-021-03131-5. Epub ahead of print. PMID: 33929654
Callegari LS, Nelson KM, Arterburn DE, Dehlendorf C, Magnusson SL, Benson SK, Schwarz EB, Borrero S. Development and Pilot Testing of a Patient-Centered Web-Based Reproductive Decision Support Tool for Primary Care. J Gen Intern Med. 2021 Feb 4. doi: 10.1007/s11606-020-06506-6. Epub ahead of print. PMID: 33538956
Quinn DA, Mor MK, Sileanu FE, Zhao X, Callegari LS, Zephyrin LC, Frayne DJ, Borrero S. Measuring Female Veterans' Prepregnancy Wellness Using Department of Veterans Affairs' Health Record Data. Obstet Gynecol. 2021 Feb 4. doi: 10.1097/AOG.0000000000004293. Epub ahead of print. PMID: 33543894
Dehlendorf C, Akers AY, Borrero S, Callegari LS, Cadena D, Gomez AM, Hart J, Jimenez L, Kuppermann M, Levy B, Lu MC, Malin K, Simpson M, Verbiest S, Yeung M, Crear-Perry J. Evolving the Preconception Health Framework: A Call for Reproductive and Sexual Health Equity. Obstet Gynecol. 2021 Jan 7;Publish Ahead of Print. doi: 10.1097/AOG.0000000000004255. Epub ahead of print. PMID: 33416289
2020
Bossick AS, Katon JG, Gray KE, Ma EW, Callegari LS. Concomitant Bilateral Salpingo-Oophorectomy at Hysterectomy: Differences by Race and Menopausal Status in the Veterans Affairs Health Care System, 2007-2014. J Womens Health (Larchmt). 2020 Oct 23. doi: 10.1089/jwh.2020.8503. Epub ahead of print. PMID: 33095114
Katon JG, Callegari LS, Bossick AS, Fortney J, Gerber MR, Lehavot K, Lynch KE, Ma E, Smith R, Tartaglione E, Gray KE. Association of Depression and Post-Traumatic Stress Disorder with Receipt of Minimally Invasive Hysterectomy for Uterine Fibroids: Findings from the U.S. Department of Veterans Affairs. Womens Health Issues. 2020 Sep-Oct;30(5):359-365. doi: 10.1016/j.whi.2020.06.005. Epub 2020 Jul 22. PMID: . PMID: 32712008
Gray KE, Ma EW, Callegari LS, Magnusson SL, Tartaglione EV, Christy AY, Katon JG. Understanding Variation in Availability and Provision of Minimally Invasive Hysterectomy: A Qualitative Study of Department of Veterans Affairs Gynecologists. Womens Health Issues. 2020 May-Jun;30(3):200-206. doi: 10.1016/j.whi.2020.02.003. Epub 2020 Apr 3. PMID: . PMID: 32253057
Quinn DA, Sileanu FE, Zhao X, Mor MK, Judge-Golden C, Callegari LS, Borrero S. History of unintended pregnancy and patterns of contraceptive use among racial and ethnic minority women veterans. Am J Obstet Gynecol. 2020 Oct;223(4):564.e1-564.e13. doi: 10.1016/j.ajog.2020.02.042. Epub 2020 Mar 3. PMID: ; PMCID: PMC7528209. PMID: 32142832
Arora KS, Zhao X, Judge-Golden C, Mor MK, Callegari LS, Borrero S. Factors Associated with Choice of Sterilization Among Women Veterans. J Womens Health (Larchmt). 2020 Jul;29(7):989-995. doi: 10.1089/jwh.2019.8036. Epub 2020 Feb 4. PMID: ; PMCID: PMC7371549. PMID: 32017866
2019
Katon JG, Bossick AS, Doll KM, Fortney J, Gray KE, Hebert P, Lynch KE, Ma EW, Washington DL, Zephyrin L, Callegari LS. Contributors to Racial Disparities in Minimally Invasive Hysterectomy in the US Department of Veterans Affairs. Med Care. 2019 Dec;57(12):930-936. doi: 10.1097/MLR.0000000000001200. PMID: 31730567
Wolgemuth TE, Cuddeback M, Callegari LS, Rodriguez KL, Zhao X, Borrero S. Perceived Barriers and Facilitators to Contraceptive Use Among Women Veterans Accessing the Veterans Affairs Healthcare System. Womens Health Issues. 2020 Jan-Feb;30(1):57-63. doi: 10.1016/j.whi.2019.08.005. Epub 2019 Sep 23. PMID: 31558352; PMCID: PMC7197290
Callegari LS, Aiken ARA, Dehlendorf C, Borrero S. Reproductive Life Planning and Patient-Centered Care: Can the Inconsistencies be Reconciled?. Matern Child Health J. 2019 Jul;23(7):869-870. doi: 10.1007/s10995-019-02734-3. PMID: 31152282.
Katon JG, Zephyrin L, Meoli A, Hulugalle A, Bosch J, Callegari L, Galvan IV, Gray KE, Haeger KO, Hoffmire C, Levis S, Ma EW, Mccabe JE, Nillni YI, Pineles SL, Reddy SM, Savitz DA, Shaw JG, Patton EW. Reproductive Health of Women Veterans: A Systematic Review of the Literature from 2008 to 2017. Semin Reprod Med. 2018 Nov;36(6):315-322. doi: 10.1055/s-0039-1678750. Epub 2019 Apr 19. PMID: 31003246. PMC6613775
Callegari LS, Edmonds SW, Borrero S, Ryan GL, Cusack CM, Zephyrin LC. Preconception Care in the Veterans Health Administration. Semin Reprod Med. 2018 Nov;36(6):327-339. doi: 10.1055/s-0039-1678753. Epub 2019 Apr 19. PMID: 31003248.
Callegari LS, Tartaglione EV, Magnusson SL, Nelson KM, Arteburn DE, Szarka J, Zephyrin L, Borrero S. Understanding Women Veterans' Family Planning Counseling Experiences and Preferences to Inform Patient-Centered Care. Womens Health Issues. 2019 May-Jun;29(3):283-289. doi: 10.1016/j.whi.2019.03.002. Epub 2019 Apr 10. PMID: 30981559.
