Maricela Cruz, PhD

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“Developing flexible yet pragmatic and robust statistical methodology that can accommodate the intricacies of real-world circumstances is paramount in addressing public health concerns.”

Maricela Cruz, PhD

Assistant Biostatistics Investigator, Kaiser Permanente Washington Health Research Institute

Biography

Maricela Cruz, PhD, strives to create useful and widely applicable methodology to tackle real-world problems in public health. Her research primarily focuses on developing novel statistical methods to assess and evaluate the impact of complex health care interventions. In her research, she uses statistical techniques for interrupted time series, time series, correlated data, change point detection, longitudinal data and interventions research.

Dr. Cruz received her PhD in statistics from the University of California Irvine. During her time there, she was a National Science Foundation Graduate Research Fellowship awardee and Eugene Cota-Robles fellow. She worked with care delivery experts and practitioners to design and conduct statistical analyses that assessed health care interventions across multiple hospitals and hospital units. She developed two novel interrupted time series models that allow for complex correlation structures that can change post intervention and are adequate for single- and multi-unit continuous data. To communicate and encourage access to her methods by non-statisticians in the broader public health community, Dr. Cruz produced an application in R Shiny that analyzes interrupted time series data. As a graduate student, she was a summer associate at the RAND Corporation. While at RAND, she led a collaborative study examining the relationship between group cohesion and climate with alcohol use outcomes in a group therapy intervention for individuals with a first-time offense for driving under the influence.

At KPWHRI, Dr. Cruz works alongside researchers in behavioral health, mental health, and insurance design. She explores the relationship between weight change and diabetes measures and the built environment, aids in the development of suicide risk prediction algorithms, and evaluates interventions that encourage high-value use of health care services.

Recent Publications

Angerhofer Richards J, Cruz M, Stewart C, Lee AK, Ryan TC, Ahmedani BK, Simon GE. Effectiveness of integrating suicide care in primary care: secondary analysis of a stepped-wedge, cluster randomized implementation trial. Ann Intern Med. 2024 Oct 1. doi: 10.7326/M24-0024. [Epub ahead of print]. PubMed

Wolock CJ, Williamson BD, Shortreed SM, Simon GE, Coleman KJ, Yeargans R, Ahmedani BK, Daida Y, Lynch FL, Rossom RC, Ziebell RA, Cruz M, Wellman RD, Coley RY. Importance of variables from different time frames for predicting self-harm using health system data. medRxiv [Preprint]. 2024:2024.04.29.24306260. doi: 10.1101/2024.04.29.24306260. PubMed

Lozano PM, Bobb JF, Kapos FP, Cruz M, Mooney SJ, Hurvitz PM, Anau J, Theis MK, Cook A, Moudon AV, Arterburn DE, Drewnowski A. Residential Density Is Associated With BMI Trajectories in Children and Adolescents: Findings From the Moving to Health Study.  AJPM Focus. 2024 Mar 15;3(3):100225. doi: 10.1016/j.focus.2024.100225. eCollection 2024.  PubMed

Cruz M, Wei A, Hardin J, Radunskaya A. Long-term averages of the stochastic logistic map. J Differ Equ Appl.1-29. https://doi.org/10.1080/10236198.2024.2316379. PubMed

Rosenberg DE, Cruz MF, Mooney SJ, Bobb JF, Drewnowski A, Moudon AV, Cook AJ, Hurvitz PM, Lozano P, Anau J, Theis MK, Arterburn DE. Neighborhood built and food environment in relation to glycemic control in people with type 2 diabetes in the moving to health study.  Health Place. 2024;86:103216. doi: 10.1016/j.healthplace.2024.103216. Epub 2024 Feb 23.  PubMed

 

Research

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Suicide attempts decreased after adding suicide care to primary care

Safety planning and risk screening improved outcomes for adult patients.

Research

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Neighborhood density connected to changes in body mass index for children

Study uses geographic data to track change over time.

KPWHRI in the media

Addressing structural racism in clinical prediction models

How structural racism is impacting clinical prediction models

JSM TV, Aug. 6, 2024