Projects to Advance Integrative Health Equity throughout the Osher Center FY25-26

Crowd-sourcing innovative ideas to support and improve access to integrative health through cross-program collaboration to benefit the Osher Center for Integrative Health community.

Enhancing Equity in Long COVID Management Through Integrative Medicine Education

Project Idea Status: 

Names of Project Lead(s) and Key Team Members

  • Project Leads: Carla Kuon, MD; University of California at San Francisco (clinic, education)
  • Key Team Members:
  • Michael Peluso, MD, MPh, MHS; Zuckerberg San Francisco General Hospital (clinic, research)
  • Nikki Gentile, MD, PhD; University of Washington (education and research)
    • Kathryn Hansen, ANP-BC; Vanderbilt University
    • Iman Majd, MD, LAc; University of Washington
    • Aiko Bailey, LAc; University of Washington
    • Wu-Hsun Tom Yang, ND, LAc; University of Washington
    • Other collaborators from the Long COVID Interest Group (affiliated with the International Congress on Integrative Medicine and Health).
    • Additional contributing interdisciplinary members from the Osher Centers at UW, UCSF, and other interested Centers (via Open Proposal engagement).

Brief Project Description (150 words maximum):

Long COVID disproportionately affects women, marginalized communities, and low-income individuals, who face higher rates of infection, limited access to specialized care, and prolonged disability, economic hardship, and productivity loss. Lack of familiarity with integrative medicine approaches—effective for managing symptoms such as fatigue, brain fog, persistent pain, and emotional stress—among clinicians further limits exposure to these helpful modalities, exacerbating existing health disparities.

This project addresses these disparities by increasing access to integrative care through evidence-informed educational resources. Deliverables include (1) CME-accredited guidance statements with pre- and post-training evaluations to measure changes in clinician knowledge, confidence, and competency, and (2) creation of video content for patients with Long COVID describing dietary recommendations, helpful supplements, mind/body exercises, pacing, addressing post-exercise fatigue, symptom management (3) patient-facing educational materials in Spanish and English, published online for widespread access.

By piloting these resources through UCSF in Collaboration with San Francisco Zuckerberg General Hospital, and the University of Washington Osher Centers and Long COVID clinics, this initiative aims to improve access to integrative medicine for underserved populations, inform future education projects, and enhance health equity across programs.


Brief Statement on Feasibility and Anticipated Impact (150 words maximum):

The proposed project is feasible within the 12-month timeline and aligns with the Osher Collaborative’s mission to advance integrative health equity through education. Collaborators bring multidisciplinary expertise to develop evidence-informed, accessible materials for diverse clinical settings.

Dr Kuon, Director of UCSF’s Long COVID OPTIMAL clinic and co-investigator in the Long COVID Care AHRQ Network, is a leading expert in clinical care for Long COVID. She provides international expertise in the clinical management of Long COVID and as creator of UCSF’s group medical visits, is an expert in developing and delivering protocolized care in a group setting. 

Dr. Peluso, Director of Zuckerberg General Long COVID Clinic, Division of HIV, Infectious Diseases and Global Medicine, UCSF, is a clinician and researcher in long COVID through the LIINC (Long-term Impact of Novel Coronavirus). He provides expertise in Long COVID research.  He is the PI on the Long COVID Care AHRQ Network.

The team’s combined expertise ensures the creation, piloting, and dissemination of resources to address clinician and patient education gaps in integrative care.

Impact:

  1. Clinicians: Increased knowledge and confidence in applying integrative techniques to manage Long COVID, improving access for underserved and marginalized populations.
  2. Patients: Empowerment through actionable education, addressing gaps in care and tailoring resources for adults, children, and disadvantaged groups.

This collaboration strengthens health equity by improving access to integrative care for Long COVID patients across diverse communities.

 

Total Budget Requested: $20,000

 

Comments

This is an exciting project! What are the integrative approaches that you will highlight in the materials created? Will the patient-facing materials be available in multiple languages?

Thanks Ariana!  Integrative approaches include dietary changes, like the anti-inflammatory or low histamine diet, and some anti-inflammatory supplements which have been helpful like Quercetin, fish oil, D, C, correcting low iron, etc.  Then adding mind/body components like breathwork, vagal exercises, etc.  

The idea of adding patient-facing materials is a great thought.  I am able to translate those into Spanish and will definitely add to the list of deliverables. Thanks!

Your study details a great double-pronged clinician & patient-centered approach to increase IHE for patients with Long COVID. I'm especially intrigued by the nutritional management piece!

Curious how findings from piloting the resources that will be created through this initiative might factor back into the design and development of the materials - especially thinking about the videos, which might be harder to edit and/or reshoot footage for? Also curious if all integrative approaches that you mentioned would each have a CME-statement as well as video and educational materials in English & Spanish? or, are videos the educational materials?

Great proposal, Carla! If you plan to film video content in SF, I recommend using Educational Technology Services (ETS). They provide affordable, in-house video services for UCSF. You can view their rates here: https://edtech.ucsf.edu/video-production

This proposal is a fantastic initiative to tackle health disparities in Long COVID care by boosting access to integrative medicine through educational resources. The partnership between UCSF, ZSFG, and the University of Washington looks promising, combining different areas of expertise to create really practical, evidence-based materials. It’s great to see a focus on training clinicians and educating patients, with resources available in Spanish and English (Thanks, Ariana, for highlighting this!). 

Could you share a bit more about how you’ll structure the pre- and post-training evaluations for clinicians? I’m curious about the metrics you’ll use to measure changes in their knowledge, confidence, and competency.

It would be great to have resources for parents navigating this for their kids/teens as well!