Randa M Kutob
- Associate Professor, Family and Community Medicine
- Director, Continuing Medical Education
- MPH Public Health
- Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, United States
- “Diabetes Type 2 in Mexican Americans: Physicians’ Perceptions”
- M.D. Medicine
- College of Medicine, University of Arizona, Tucson, Arizona, United States
- B.A. History
- University of Arizona, Tucson, Arizona, United States
- B.S. Microbiology
- University of Arizona, Tucson, Arizona, United States
- Department of Family and Community Medicine, University of Arizona (2014 - Ongoing)
- Department of Family and Community Medicine, University of Arizona (2007 - 2014)
- Department of Family and Community Medicine, University of Arizona (2002 - 2007)
- Department of Family and Community Medicine, University of Arizona (1997 - 2007)
- Department of Family and Community Medicine, University of Arizona (1997 - 2002)
- University of Arizona, Tucson, Arizona (1995 - 1997)
- Department of Surgery, University of Arizona (1995 - 1997)
- Nominee, Commission on the Status of Women Visionary Leadership Award
- University of Arizona, Spring 2018 (Award Nominee)
- Nominee, University of Arizona 2018 Billy Joe Varney Award for Excellence
- University of Arizona, Spring 2018 (Award Nominee)
- Operational Excellence Award
- Cenpatico, Spring 2017
- Cenpatico, Spring 2016
- 2016 Excellence in Wellness Award, Camp Wellness
- Substance Abuse and Mental Health Services Administration (SAMSHA), Fall 2016
- University of Arizona Team Excellence Award, Camp Wellness Team
- University of Arizona, Spring 2016
Licensure & Certification
- American Board of Family Medicine (2019)
- Certification, American Board of Family Medicine (2009)
- Diplomate, American Board of Obesity Medicine (2015)
Cross-cultural communication and care, obesity, diabetes prevention, lifestyle change
Cross-cultural communication and care, obesity, diabetes prevention, lifestyle change
No activities entered.
- Cunningham, J. K., De La Rosa, J. S., Quinones, C. A., McGuffin, B. A., & Kutob, R. M. (2020). Gender, psychiatric disability, and dropout from peer support specialist training. Psychological services.More infoAlthough research indicates that the prevalence of psychiatric disability differs depending on gender, a paucity of information exists as to whether men and women with psychiatric disability also differ regarding service program outcomes. For a United States Southwest peer support specialist training program, this study examines whether gender moderates the association between psychiatric disability and a key outcome-training dropout. Data were collected for 78 men and 157 women with psychiatric disability and 137 men and 203 women with mental illness only. Logistic regression was used to examine the association between psychiatric disability and dropout, with gender as a moderator variable, and age, education, race/ethnicity, and substance use disorder as control variables. Of trainees with psychiatric disability, dropout was greater among men than women (34.6% and 20.4%, respectively; < .05). Dropout was also greater among men with psychiatric disability than among men with mental illness only (34.6% and 15.3%; < .01). In contrast, dropout was similar for women with psychiatric disability and mental illness only (20.4% and 18.7%; > .05), and dropout was comparable among men and women with mental illness only (15.3% and 18.7%; > .05). In summary, risk of dropout was substantially higher among men with psychiatric disability than women with psychiatric disability. Gender tailoring of the program's services should be considered to better support training completion. This study's findings also raise questions as to possible underrepresentation of men with psychiatric disability in the peer support workforce training pipeline. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
- Hingle, M. D., Turner, T., C, U., Roe, D., Kutob, R. M., Stump, C. S., & Going, S. B. (2019). Feasibility of a family-focused YMCA-based diabetes prevention program in youth: the E.P.I.C. Kids (Encourage, Practice, and Inspire Change) Study. Preventive Medicine Reports. doi:10.1016/j.pmedr.2019.100840
- Hingle, M. D., Turner, T., Going, S., Ussery, C., Roe, D. J., Saboda, K., Kutob, R., & Stump, C. (2019). Feasibility of a family-focused YMCA-based diabetes prevention program in youth: The E.P.I.C. Kids (Encourage, Practice, and Inspire Change) Study. Preventive medicine reports, 14, 100840.More infoEfficacious lifestyle modification programs for children at risk of type 2 diabetes (T2D) have not been well established outside of clinical settings. In this study, the feasibility of a family-focused, YMCA-based prevention program for children at risk of T2D was evaluated between September 2015 and July 2016 in Tucson, Arizona. A 12-week YMCA-led lifestyle intervention was adapted for 9-12-year-old children and their families to encourage healthy eating, physical activity, and supportive home environments. Two YMCA locations were randomized to offer either a face-to-face lifestyle coach-led intervention or an alternating face-to-face and digitally-delivered intervention. Program feasibility and preliminary effects on child anthropometric and behavioral outcomes were assessed at baseline and post-intervention. Changes were assessed using linear regression combining delivery formats, with adjustment for clustering of participants within site/format. Forty-eight children (10.9 ± 1.2 years old; 45% female; 40% Hispanic; 43% White; 87% obese) and their parents enrolled, and 36 (75%) completed 12-week measures. Weekly program attendance averaged 61%. Participants and coaches highly rated program content and engagement strategies. Statistically significant changes in child BMI-z score (-0.05, 0.03) and family food and physical activity environment (+5.5% family nutrition and physical activity score, = 0.01) were observed. A YMCA-led family-focused T2D intervention was feasible for the YMCA and participants and effects on child weight, behavior, and the home environment warranted further investigation.
- Huang, M., Quddus, A., Stinson, L., Shikany, J., Howard, B., Kutob, R. M., Lu, B., Manson, J., & Eaton, C. (2017). Associations Between Artificially Sweetened Beverages, Sugar Sweetened Beverages, Plain Water and Incident Diabetes Mellitus in Postmenopausal Women: the Prospective Women's Health Initiative Observational Study. The American Journal of Clinical Nutrition, 106(2), 614-621. doi:.
- Kutob, R. M., Yuan, N. P., Wertheim, B. C., Sbarra, D. A., Loucks, E. B., Nassir, R., Bareh, G., Kim, M. M., Snetselaar, L. G., & Thomson, C. A. (2017). Relationship Between Marital Transitions, Health Behaviors, and Health Indicators of Postmenopausal Women: Results from the Women's Health Initiative. Journal of women's health (2002), 26(4), 313-320.More infoHistorically, marital status has been associated with lower mortality and transitions into marriage were generally accompanied by improved health status. Conversely, divorce has been associated with increased mortality, possibly mediated by changes in health behaviors.
- Hingle, M. D., Turner, T., Kutob, R., Merchant, N., Roe, D. J., Stump, C., & Going, S. B. (2015). The EPIC Kids Study: a randomized family-focused YMCA-based intervention to prevent type 2 diabetes in at-risk youth. BMC public health, 15, 1253.More infoIt is well established that behavioral lifestyle interventions resulting in modest weight reduction in adults can prevent or delay type 2 diabetes mellitus; however in children, successful weight management interventions are rarely found outside of controlled clinical settings. The lack of effective community-based programs is a barrier to reducing obesity prevalence and diabetes risk in children. The objective of our study is to develop and test a group-randomized family-centered community-based type 2 diabetes prevention intervention targeting at-risk children, 9- to 12-years-old.
- Kutob, R. M., Siwik, V. P., Aickin, M., & Ritenbaugh, C. (2014). Families United/Familias Unidas: family group office visits to reduce risk factors for type 2 diabetes. The Diabetes educator, 40(2), 191-201.More infoThe purpose of the Families United/Familias Unidas study was to evaluate the feasibility and efficacy of group office visits on reducing diabetes risk in a multiethnic, primary care population.
- Ryan, A. M., & Kutob, R. M. (2014). A Visit to the Patients' Lawyer Can Reduce Stress, Co-authored by Anne M. Ryan, JD and Randa M. Kutob, MD, MPH. HUFFPOST Healthy Living, The Blog, Ellen Lawton; Posted: 07/11/2014, Updated: 09/10/2014., http://www.huffingtonpost.com/ellen-lawton/a-visit-to-the-patients-l_b_5578432.html.
- Kutob, R. M., Bormanis, J., Crago, M., Harris, J. M., Senf, J., & Shisslak, C. M. (2013). Cultural competence education for practicing physicians: lessons in cultural humility, nonjudgmental behaviors, and health beliefs elicitation. The Journal of continuing education in the health professions, 33(3), 164-73.More infoAlthough numerous studies have examined cultural competence training, debate still exists about efficacious approaches to this training. Furthermore, little focus has been placed on training and evaluating practicing physicians.
- Kutob, R. M., Bormanis, J., Crago, M., Senf, J., Gordon, P., & Shisslak, C. M. (2013). Assessing culturally competent diabetes care with unannounced standardized patients. Family medicine, 45(6), 400-8.More infoMore effective diabetes care is desperately needed, especially for ethnic minority populations. Provider cultural competence promises to be an important means for reducing disparities in outcomes for patients with diabetes. The objectives of this study were to understand the role of cultural competence in the diabetes office visit.
- Siwik, V., Kutob, R., Ritenbaugh, C., Cruz, L., Senf, J., Aickin, M., Going, S., & Shatte, A. (2013). Intervention in overweight children improves body mass index (BMI) and physical activity. Journal of the American Board of Family Medicine : JABFM, 26(2), 126-37.More infoChildhood obesity is a growing epidemic in family medicine with few clinical treatment options. We implemented and evaluated a group office-visit intervention by family physicians for overweight children and their parents, emphasizing nutrition and physical activity within a resiliency psychosocial model.
- Kutob, R. M., Bormanis, J., Crago, M., Gordon, P., & Shisslak, C. M. (2012). Using standardized patients to teach cross-cultural communication skills. Medical teacher, 34(7), 594.
- Perez Siwik, V., Kutob, R. M., Ritenbaugh, C., Aickin, M., & Gordon, J. S. (2012). Families United/Familias Unidas: development and implementation of a family-based group office visit model for the primary prevention of type 2 diabetes. The Diabetes educator, 38(6), 811-21.More infoThe purpose of this study is to describe the development and implementation of a new diabetes prevention intervention that combines the benefits of family support with the group office model. Intensive lifestyle modification can effectively delay the onset of type 2 diabetes, yet health providers are challenged in translating these results to their patients. The group outpatient visit model can provide a means to address prevention issues in a financially sustainable manner.
- Ryan, A. M., Kutob, R. M., Suther, E., Hansen, M., & Sandel, M. (2012). Pilot study of impact of medical-legal partnership services on patients' perceived stress and wellbeing. Journal of health care for the poor and underserved, 23(4), 1536-46.More infoMedical-legal partnerships (MLPs) bring legal services into health care settings to address patients' unmet legal needs. This pilot project examined whether MLP services impact patients' perceptions of stress and wellbeing.
- Kutob, R. M., Senf, J. H., Crago, M., & Shisslak, C. M. (2010). Concurrent and longitudinal predictors of self-esteem in elementary and middle school girls. The Journal of school health, 80(5), 240-8.More infoThe purpose of this study was to analyze the effects of factors related to self-esteem, both cross-sectionally and longitudinally, among 2 cohorts of girls over a period of 4 years, from elementary through middle school.
- Kutob, R. M., Senf, J. H., & Harris, J. M. (2009). Teaching culturally effective diabetes care: results of a randomized controlled trial. Family medicine, 41(3), 167-74.More infoIncreased cultural competence is a tool in the fight to eliminate health disparities in people with diabetes. However, questions remain regarding the best cultural competence teaching, evaluation, and dissemination methods. An Internet-based approach requires less facilitator time and provides greater ease of dissemination. We developed and tested a skills-focused, Internet-based course on cultural competence in the context of type 2 diabetes.
- Harris, J. M., Fulginiti, J. V., Gordon, P. R., Elliott, T. E., Davis, B. E., Chabal, C., & Kutob, R. M. (2008). KnowPain-50: a tool for assessing physician pain management education. Pain medicine (Malden, Mass.), 9(5), 542-54.More infoDespite a need for better physician pain management education, there are no widely accepted assessment or outcome measures to support this work.
- Kutob, R. M., Senf, J. H., & Campos-Outcalt, D. (2006). The diverse functions of role models across primary care specialties. Family medicine, 38(4), 244-51.More infoThis study investigated the relationship of role models to primary care specialty and gathered information on the attributes and functions of role models.
- Senf, J. H., Campos-Outcalt, D., & Kutob, R. (2005). Family medicine specialty choice and interest in research. Family medicine, 37(4), 265-70.More infoThis study investigated interest in research related to declining interest in family medicine by US medical school graduates.
- Senf, J. H., Kutob, R., & Campos-Outcalt, D. (2005). Increasing research in family medicine. Family medicine, 37(9), 611; author reply 611-2.
- Campos-Outcalt, D., Senf, J., & Kutob, R. (2004). A comparison of primary care graduates from schools with increasing production of family physicians to those from schools with decreasing production. Family medicine, 36(4), 260-4.More infoThis study investigated factors related to declining interest in family medicine by US medical school graduates.
- Senf, J. H., Kutob, R., & Campos-Outcalt, D. (2004). Which primary care specialty? Factors that relate to a choice of family medicine, internal medicine, combined internal medicine-pediatrics, or pediatrics. Family medicine, 36(2), 123-30.More infoThis study was conducted to examine factors used by medical students to select a primary care specialty that may differentiate students who choose the primary care specialties of family medicine, internal medicine, pediatrics, and combined internal medicine-pediatrics.
- Campos-Outcalt, D., Senf, J., & Kutob, R. (2003). Comments heard by US medical students about family practice. Family medicine, 35(8), 573-8.More infoThis study was conducted to explore the hypothesis that negative comments from faculty and residents about family practice are related to the recent decline in student selection of this specialty.
- Kutob, R. M., Senf, J. H., & Campos-Outcalt, D. (2003). Declining interest in family medicine: perspectives of department heads and faculty. Family medicine, 35(7), 504-9.More infoIn 2003, US seniors filled 42% of family practice residency positions, the lowest percentage in the specialty's recent history. We hypothesized that institutional support, contact with family medicine faculty, and faculty satisfaction would be positively related to choice of family practice and that faculty satisfaction would be negatively affected by increasing pressure for clinical productivity.
- Senf, J. H., Campos-Outcalt, D., & Kutob, R. (2003). Factors related to the choice of family medicine: a reassessment and literature review. The Journal of the American Board of Family Practice / American Board of Family Practice, 16(6), 502-12.More infoRecent decreases in the number of students entering family medicine has prompted reconsideration of what is known about the factors affecting specialty choice.
- Harris, J. M., Kutob, R. M., Surprenant, Z. J., Maiuro, R. D., & Delate, T. A. (2002). Can Internet-based education improve physician confidence in dealing with domestic violence?. Family medicine, 34(4), 287-92.More infoDomestic violence (DV) is a common, under-recognized source of visits to health care professionals. Even when recognized, physicians are reluctant to deal with DV, citing a lack of education and lack of confidence in addressing issues presented by DV patients. Only a small number of DV education programs have been shown to lead to improvements in professional knowledge and confidence, and these are intensive, multi-day courses. We sought to develop an on-line DV education program that could achieve improvements in physician confidence and attitudes in managing DV patients comparable to classroom-based courses.
- Senf, J. H., Campos-Outcalt, D., & Kutob, R. M. (2002). Lessons not learned from the generalist initiatives. Academic medicine : journal of the Association of American Medical Colleges, 77(8), 774-5.More infoThe grouping of the primary care specialties (general internal medicine, general pediatrics, and family medicine) for research purposes is at best limiting the value of the information that is found and, at worst, leading researchers to erroneous conclusions. For example, three large studies each showed differences in abilities to predict students' specialty choices in primary care (e.g., in one study, the investigators correctly predicted 3% of those choosing general internal medicine, 29% considering general pediatrics, and 51% considering family medicine). These and related findings suggest that medical students entering the three primary care specialties are not a homogeneous group. While there were some factors predictive for all primary care specialties, there were more factors that were unique to the individual specialties Grouping the specialties may not reveal factors that are significantly related to only one of the specialties. In addition, when a variable operates in different ways for different specialties, findings where the specialties are combined can show a reduced effect of that variable or even no effect, because the directions of effects cancel each other. Researchers can fruitfully examine the primary care specialties as a group but at the same time report their data for the individual specialties, which would greatly increase our knowledge both of primary care and also about the similarities and dissimilarities of its component specialties. However, the best models continue to be either research in which the sample size is large enough to compare specialty groups statistically or research with a focus on just one of the primary care specialties.
- Campos-Outcalt, D., Watkins, A., Fulginiti, J., Kutob, R., & Gordon, P. (1999). Correlations of family medicine clerkship evaluations and Objective Structured Clinical Examination scores and residency directors' ratings. Family medicine, 31(2), 90-4.More infoThis study validated the evaluation methods used in a family medicine clerkship by comparing students' scores to how students are rated in their first year of residency by residency directors. The clerkship evaluations consisted of three components: problem solving in small groups, clinical evaluations, and a final examination. These components were combined to form a composite clerkship score. Residency director ratings consisted of 20 individual scores and an overall average.
- Bierhaus, A., Hemmer, C. J., Mackman, N., Kutob, R., Ziegler, R., Dietrich, M., & Nawroth, P. P. (1995). Antiparasitic treatment of patients with P. falciparum malaria reduces the ability of patient serum to induce tissue factor by decreasing NF-kappa B activation. Thrombosis and haemostasis, 73(1), 39-48.More infoSerum from patients with P. falciparum malaria at day 1 (pretherapy) induces tissue factor (TF) in cultured endothelial cells. TF induction depends on de novo transcription as shown in Nuclear Run On assays. Electrophoretic mobility shift assays demonstrated binding of AP-1 and NF-kappa B/Rel proteins to their recognition sites in the TF promotor. After therapy (day 28), stimulation of TF antigen by patient serum is reduced by 70%. When serum obtained before and after therapy was compared, a decrease of NF-kappa B activation was evident. Activation of NF-kappa B-like proteins was in part dependent on TNF alpha in patient serum, since a TNF alpha neutralizing antibody reduced induction of TF transcription and translation and induction of NF-kappa B-like proteins. Induction of TF activity was suppressed by pDTC, an inhibitor of NF-kappa B activation. When different promotor constructs of the TF gene were tested, induction was dependent upon the presence of the intact NF-kappa B-like binding site in the TF promotor. A mutant with deleted NF-kappa B, but intact AP-1 sites was not inducible. Mutation of the AP-1 sites did not prevent induction, but reduced inducibility by pretherapy serum. Therefore, NF-kappa B/Rel proteins are responsible for induction of TF transcription by pretherapy serum, but AP-1 is needed for highest inducibility. The effect of antiparasitic therapy on the induction of TF by serum from patients with complicated P. falciparum malaria is dependent on a therapy-mediated loss of activation of NF-kappa B-like proteins in post-treatment patient serum.
- Ussery, C., Ussery, C., Hingle, M. D., Going, S. B., Going, S. B., Merchant, N. C., Roe, D., Roe, D., Stump, C. S., Kutob, R. M., Kutob, R. M., Kutob, R. M., Stump, C. S., Stump, C. S., Roe, D., Merchant, N. C., Merchant, N. C., Going, S. B., Ussery, C., , Hingle, M. D., et al. (2016, April 6). Metabolic Risk Factor Prevalence in Children Participating in a Family-Based Community Diabetes Prevention Program. In Experimental Biology Conference.
- Kutob, R. M., Campbell, C., & McMahon, G. (2020, February). Personal Reflections on What It Means to Be a Leader in Chang. The Society for Academic Continuing Medical Education Annual Conference. Miami, Florida.
- Ben-Ari, R., & Kutob, R. M. (2018, April). Direct Observation of Learners: A Guide for Faculty and Program Leaders Across the Continuum. Western Group on Educational Affairs Annual Conference. Denver, Colorado: Western Group on Educational Affairs.
- Kutob, R. M. (2017, April 10, 2017). Relationship between Marital Transitions, Health Behaviors, and Health Indicators of Postmenopausal Women: Results from the Women’s Health Initiative. University of Arizona Geriatric Grand Rounds. April 10th, 2017. University of Arizona Geriatric Grand Rounds-Invited Presentaton.
- Kutob, R. M. (2017, September 2017). Opioid Treatment Options and Best Practices. Southern Arizona Opioid Abuse Prevention Symposium. Tucson, Arizona: The Arizona Center for Rural Health, the Pima County Prevention Coalition, Tucson Medical Center, and other community organizations.
- Kutob, R. M., & Bormanis, J. C. (2017, May 3, 2017). Improving Your Practice and Advocacy of Cultural Competence through the Skills-based ASCN Model. National Webinar-Invited Presentation.
- Kutob, R. M., Schroedl, C., Vinas, E., & Fornari, A. (2020, February). What is Continuing Professional Development. The Society for Academic Continuing Medical Education, Annual Conference. Miami, Florida.
- Holmes, K., Kutob, R. M., Saboda, K., Stump, C., Roe, D., Ussery, C., & Hingle, M. (2017, May 2017). Comparison of Methods Used to Detect Insulin Resistance in Overweight and Obese Children. UA FCM Resident Research Poster Forum. UA: FCM.More infoMentor for project and co-author
- Muramoto, M. L., Kutob, R. M., Howerter, A., & Algotar, A. (2017, Oct/2017). Group visits are effective in lowering blood pressure in an under served population. American College of Lifestyle Medicine Annual Conference. Tucson, AZ: American College of Lifestyle Medicine.
- Turner, T., Kutob, R. M., Going, S. B., Merchant, N. C., Roe, D., Stump, C., & Hingle, M. D. (2014, November). E.P.I.C. Kids study: a family-focused community program to prevent type 2 diabetes in youth. The University of Arizona CALS 2014 Research Forum. University of Arizona: College of Agriculture and Life Sciences.More infoThe University of Arizona CALS 2014 Research Forum. E.P.I.C. Kids study: a family-focused community program to prevent type 2 diabetes in youth. T Turner* (presenting author), R Kutob, S Going, N Merchant, D Roe, C Stump, M Hingle
Other Teaching Materials
- Kutob, R. M., Sam, A., Bijin, T., & Gail, P. (2020. Professionalism and the Patient Care Team. The University of Arizona College of Medicine- Tucson.More infoA project by members of COM-T CME Committee in collaboration with Banner’s Continuing Inter-professional Education Committee funded through a BUMC-Tucson Medical Staff Grant)
- Ellsworth, M., & Hustedt, M. (2017. Managing Opioid Misuse Disorder in Pregnancy and Neonatal Care. The University of Arizona College of Medicine-Tucson.More infoEllsworth M, Hustedt M. Managing Opioid Misuse Disorder in Pregnancy and Neonatal Care. Kutob RM, Derksen D, Ianni B, Starikov R, eds. The Virtual Lecture Hall. www.vlh.com. 2017 (Interactive online program founded by the Mel and Enid College of Public Health via the Arizona Department of Health Services as part of Governor’s response to the Arizona Opioid Epidemic.)
- Kutob, R. M. (2017. Introduction to Safe Prescribing of Opioids for Pain Management. The University of Arizona College of Medicine-Tucson.
- Kutob, R. M. (2017. The Knee Exam. University of Arizona College of Medicine-Tucson.More infoIntructional video to be used by all COM-T students
- Kutob, R. M. (2016. • Motivational Interviewing for Patients with Obesity , The Western Region Public Health Training Center of the Mel and Enid Zuckerman College of Public Health.. Western Region Public Health Training Center of the Mel and Enid Zuckerman College of Public Health.
- Bormanis, J. C., & Kutob, R. M. (2015. 6. Bormanis J. Using Culturally and Linguistically Appropriate Service (CLAS) Standards and Cultural Competence to Mitigate Health Disparities: An Introduction. Kutob RM, ed. The Virtual Lecture Hall. www.vlh.com. 2015.. Office of Continuing Medical Education, University of Arizona.
- Harris, J., Elliot, T., & Kutob, R. M. (2015. 7. Elliot T, Harris JM. Safe and Effective Opioid Prescribing While Managing Acute and Chronic Pain. Kutob RM, ed. The Virtual Lecture Hall. www.vlh.com. 2015.. Office of Continuing Medical Education, College of Medicine, University of Arizona.
- Mortazavi, M., Kutob, R. M., & Derksen, D. (2018, June). Opioid Issues in Youth Pain Management for Orthopedic Injuries. The Virtual Lecture Hall.
- Kutob, R. M. (2017, 12/2017). Camp Wellness U: A Wellness & Recovery Pilot Program for People with Diabetes and Behavioral Illnesses. Research Report to University of Arizona Health Plans.More infoResearch report on participant results for Camp Wellness U pilot.