Our Team


Academic Collaborators

Freya Spielberg, MD, MPH

Freya Spielberg and Ann Kurth first conceptualized the CARE tool and co-designed its computerized behavioral interventions. Together, they have led multiple evaluations of the CARE tool both in the US and internationally, and have demonstrated the impact the CARE tool has on testing, HIV risk reduction, and medication adherence.

Freya is currently an Associate Professor and the Director of Community Oriented Primary Care in the Department of Prevention and Community Health at the George Washington University School of Public Health. She is also an Associate Professor in the School of Medicine and the Director of Research and Evaluation for the Rodham Institute in the George Washington University Department of Medicine.

In 2018, Freya will become the inaugural Chief of Family Medicine at the Dell Medical School at the University of Texas in Austin.

Previously (2008-2012) Dr. Spielberg was a Senior Health Scientist in the Center for Advancement of Health IT at RTI International, and she was the Director of Research Mentorship for the Stanford Clinical Excellence Research Center. She is also a practicing family medicine physician and a Rainer Arnhold-trained social entrepreneur. Prior to moving to San Francisco (1998-2007), Dr. Spielberg served as a faculty member in the Family Medicine Department and the Center for AIDS Research at the University of Washington School of Medicine. Most recently, in the US Dr. Spielberg developed a research agenda to improve the health of urban underserved populations through web-based home counseling and testing services. In India and Bangladesh she launched HealthBox, a program to provide mobile tools to health workers to increase the quality and scope of the health care that they provide to include full health assessments, guided point-of-care testing, targeted counseling, and critical referrals.

Currently Dr. Spielberg has a $23.8 million CMS Innovations award to impact the HIV and STI epidemics in Washington, DC. She is developing an integrated IT system that connects patients, community health workers, and health care providers to optimize the HIV/STI prevention-to-care continuum. The program will use mobile health tools to provide patients with education and counseling, home testing for early detection, and triggers to notify community health workers when a patient needs support overcoming barriers to care. Dr. Spielberg is building a multidisciplinary research and education center that will bring together faculty, community leaders, fellows, students, and patients to design health innovations that will improve health outcomes and patient satisfaction while lowering health care costs and eliminating health disparities.

Ann Kurth, PhD, CNM, FAAN

Dean, Yale University School of Nursing

Dr. Kurth is Professor of Nursing, Medicine, and Public Health at New York University (NYU). At NYU College of Nursing she is the founder and Executive Director of NYUCN Global, and she holds the inaugural Paulette Goddard Chair in Global Health Nursing. She is Associate Dean for Research at the NYU Global Institute of Public Health (GIPH), and Professor of Medicine in the NYU Department of Population Health. Dr. Kurth is Affiliate Professor at the University of Washington School of Nursing and at the UW Department of Global Health. As of fall 2015, Dr. Kurth is Dean-designate of the Yale University School of Nursing, and will assume full-time duties as Dean of the School of Nursing in January 2016.

An epidemiologist and clinically trained nurse-midwife Dr. Kurth focuses on HIV/sexual and reproductive health, prevention, screening, and care, as well as on global health system-strengthening, using information and communication technologies (among other approaches) for health-intervention implementation and workforce training. Her work has been funded by the National Institutes of Health (NIAID, NIDA, NIMH, NICHD), the Bill & Melinda Gates Foundation, UNAIDS, CDC, HRSA, and others, for studies conducted in the United States and internationally. Dr. Kurth has consulted for the NIH, the Gates Foundation, the World Health Organization, and the Centers for Disease Control & Prevention, among others; and she has reviewed for the NIH as a standing study section member.

Dr. Kurth has published over 130 peer-reviewed articles, book chapters, and scholarly monographs, and she edited one of the first books published on women and HIV (Until the Cure, Yale Univ. Press, 1993). She regularly reviews for nursing, medical, and public health journals. Dr. Kurth received a Ph.D. in epidemiology from the University of Washington, a MSN in nurse-midwifery from Yale University (RN, CNM), and an MPH in population and family health from Columbia University. Ann’s undergraduate work was done at Princeton University (AB magna cum laude).

Dr. Kurth was a member of the Institute of Medicine/National Academy of Science Committee on PEPFAR Evaluation (report to Congress 2/2013), where she led the Health System Strengthening workgroup. She has received awards for her science and leadership, including the International Nurse Researcher Hall of Fame award from Sigma Theta Tau International, the global nursing honor society. Dr. Kurth is a board member and Treasurer of the Consortium of Universities in Global Health, and a Fellow of the American Academy of Nursing and of the New York Academy of Medicine. Dr. Kurth was elected as a Fellow to the Institute of Medicine (IOM) in 2013. She is a member of the 2014-2018 US Preventive Services Task Force.

The CARE Team

Jim Larkin

CEO, Resources Online

Jim is the founder and principal of Resources Online, a content and technology consultancy that has completed thousands of successful projects for Fortune 500 companies, government agencies, and nonprofits. He is the driving force behind the development of the CARE platform, and is a writer and editor, businessperson, and entrepreneur. For decades he has specialized in technology and learning, the social aspects of technology, and technology and public health.

As a social science researcher at Brown University’s Institute for Research and Information in Scholarship (IRIS), Jim was part of an interdisciplinary team researching technology and learning, including a hypermedia system developed by the Institute that was a forerunner of the Web.


Bob Boiko, Chief Technologist

Bob Boiko is the chief architect of the CARE system. He is also founder and president of Metatorial Services Inc. and a faculty member of the University of Washington Information School.

Metatorial Services is a microconsultancy specializing in content and information-management strategy and design. With a broad range of commercial, governmental, and nonprofit clients, Metatorial Services has worked on just about every aspect of information management.

The University of Washington’s Information School is dedicated to helping shape the emerging electronic-information discipline. At the iSchool, Bob has trained thousands of information professionals and designed programs in content management, metadata, business analysis, information initiative planning, information architecture, information-system design, and public access to information.

Recognized worldwide as a leader in the field of content management, he has more than 25 years of experience designing and building web, hypertext, and multimedia systems and tools. He counts among his technology clients such industry leaders as Microsoft, Motorola, and Boeing. Bob has sat on many advisory boards and is the recipient of numerous awards, including the 2005 EContent 100 Award for leadership in the content management industry. He is author of two editions of The Content Management Bible and Laughing at the CIO: A Parable and Prescription for IT Leadership. Bob is also internationally known for his lectures and workshops.



CARE is a packaged and reusable intervention.

Resources Online provides a full suite of services to customize CARE to your project or organization.