- Child and Adolescent Psychosocial and Emotional Development
- Digital Mental Health Interventions
- COVID-19 and Mental Health
- Mindfulness and Compassion Interventions
- Virtual Reality Applications and Impacts
- Mobile Health and mHealth Applications
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Early Childhood Education and Development
- BRCA gene mutations in cancer
- Genetic factors in colorectal cancer
- Resilience and Mental Health
- Music Therapy and Health
- Genomics and Rare Diseases
- Impact of Technology on Adolescents
- Heart Rate Variability and Autonomic Control
- Pediatric Pain Management Techniques
- Intensive Care Unit Cognitive Disorders
- Pharmaceutical industry and healthcare
- Autism Spectrum Disorder Research
- Child Abuse and Trauma
- Telemedicine and Telehealth Implementation
- Sleep and related disorders
- Perfectionism, Procrastination, Anxiety Studies
- Scientific and Historical Analyses
- Education and Learning Interventions
University of Colorado Anschutz Medical Campus
2019-2024
Colorado School of Public Health
2024
University of Colorado Boulder
2010-2021
Scripps Health
2014-2018
Scripps Research Institute
2014-2018
La Jolla Alcohol Research
2015
University of Chicago
2007-2010
Institute for Behavioral Medicine
2010
Despite strong evidence of effectiveness, exposure therapy is an underutilized treatment for anxiety disorders at a time when effective greatly needed. The significant worldwide prevalence and negative impact are documented highlight the importance increasing therapist patient use treatment. Obstacles to explored steps lessen these obstacles proposed. In particular, virtual reality (VR) technology discussed as way increase availability therapy. Incorporating VR in can ease, acceptability,...
The present study examined the role of positive parenting on externalizing behaviors in a longitudinal, genetically informative sample. It often is assumed that prevents behavior problems children via an environmentally mediated process. Alternatively, association may be due to either evocative gene-environment correlation, which parents react children's genetically-influenced way, or passive where passively transmit risk environment and genetic factor for behavioral outcome their children....
Background. Mobile health and digital medicine technologies are becoming increasingly used by individuals with common, chronic diseases to monitor their health. Numerous devices, sensors, apps available patients consumers–some of which have been shown lead improved management outcomes. However, no randomized controlled trials conducted examine care costs, most failed provide study participants a truly comprehensive monitoring system. Methods. We prospective trial adults who had submitted...
Background: Prediction of antisocial behavior is important, given its adverse impact on both the individuals engaging in and society. Additional research identifying early predictors future behavior, or propensity, needed. The present study tested hypothesis that concern for others active disregard distress toddlers young children predict during middle childhood adolescence. Methods: A representative sample same‐sex twins ( N = 956) recruited Colorado was examined. Mother‐rated...
Background: Diagnostic validity of oppositional defiant and conduct disorders (ODD CD) for preschoolers has been questioned based on concerns regarding the ability to differentiate normative, transient disruptive behavior from clinical symptoms. Data concurrent have accumulated, but predictive is limited. Predictive critical refuting hypothesis that diagnosing ODD CD in young children leads pathologizing normal behavior. emerged as gateway many forms adult psychopathology. Establishing how...
A number of benefits have been described for the long-term practice meditation, yet little is known regarding immediate neurological and cardiovascular responses to meditation. Wireless sensor technology allows, first time, multi-parameter quantitative monitoring an individual's during The present study examined inter-individual variations meditation through continuous EEG, blood pressure, heart rate its variability (HRV) in novice experienced meditators.Participants were 20 meditators...
Background: As a result of the digital revolution coming to medicine, number new tools are becoming available and starting be introduced in clinical practice. Objective: We aim assess health care professional consumer attitudes toward medical technology including smartphones, genetic testing, privacy, patient-accessible electronic records. Methods: performed survey with 1406 providers 1102 responders. Results: Consumers who completed were more likely prefer technologies for diagnosis...
Background: Music therapy (MT) and virtual reality (VR) have shown favorable patient-reported outcomes during serious illness. Objectives: To evaluate implementation measures of feasibility, usability, acceptability a VR-based MT intervention. Design: A pilot study two-day VR-MT intervention using mixed methods. Patients created personalized soundtrack with music therapist, then paired the 360° VR environment. Setting/Subjects: Hospitalized patients palliative care needs. Results: Of 23...
Individuals who undergo multiplex direct-to-consumer (DTC) genomic testing receive genetic risk results for multiple conditions. To date, research has not investigated the influence of individual differences in disease perceptions among consumers on outcomes. A total 2037 participants received DTC and completed baseline follow-up surveys assessing health behaviors. Participants were asked to indicate their most feared those tested. Perceived seriousness controllability via lifestyle or...
We examined the associations between language skills and concern disregard for others in young children assessed longitudinally at ages 14, 20, 24, 36 months, testing hypothesis that have a specific role (distinct from of general cognitive ability) development others. found higher predicted lower even after controlling ability, whereas association ability concern/disregard was not significant skills. Language 14 months results suggested relations begin early development. Gender differences...
The Scripps Idiopathic Diseases of Man (IDIOM) study aims to discover novel gene-disease relationships and provide molecular genetic diagnosis treatment guidance for individuals with diseases using genome sequencing integrated clinical assessment multidisciplinary case review. Here we describe the operational protocol initial results IDIOM study.A total 121 cases underwent first-tier review by principal investigators determine whether primary inclusion criteria were satisfied, 59 (48.8%)...
Background: Hospitalized patients with palliative care needs often have high levels of physical and psychological symptom distress. Virtual reality (VR) a music therapy intervention may improve symptoms.
To explore the feasibility, acceptability, engagement, and impact of a virtual reality (VR) mindfulness program for students, residents, fellows at university medical campus. A total 30 participants consented to participate in study from September 13, 2021 November 12, 2022. They completed baseline assessment were trained use VR headset access content. Participants instructed 3-5 times per week, or as often they found helpful, midline endline assessments semistructured interview about their...
ABSTRACT Background Mobile health and digital medicine technologies are becoming increasingly used by individuals with common, chronic diseases to monitor their health. Numerous devices, sensors, apps available patients consumers – some of which have been shown lead improved management outcomes. However, no randomized controlled trials conducted examine care costs, most failed provide study participants a truly comprehensive monitoring system. Methods We prospective trial adults who had...
This study assessed perspectives on whole-genome sequencing (WGS) for rare disease diagnosis and the process of receiving genetic results. Semistructured interviews were conducted with adult patients parents minor affected by idiopathic diseases (n = 10 cases). Three main themes identified through qualitative data analysis interpretation: perceived benefits WGS; drawbacks perceptions return results from WGS. Findings suggest that their families have important use WGS in diagnostic odyssey...
Objective: Critical care nurses work in a challenging intensive (ICU) environment that results work-related psychological distress. Our objective was to pilot an in-person or virtual mindfulness-based cognitive therapy (MBCT) program enhanced resilience and similarly designed attention control group. Methods: We randomized ICU with symptoms of burnout syndrome decreased MBCT formatted book club control. primary outcome change as measured by the Connor-Davidson Resilience Scale (CD-RISC)....
This study was conducted to estimate the magnitude of genetic and environmental influences on association between three indices subjective well-being (i.e., life satisfaction, positive affect, negative affect) components marital adjustment spousal support, strain) in a sample adult married twin pairs (N = 453 pairs). Results indicated that were significantly associated (particularly women), there gender differences this covariation, largely influenced by factors women nonshared men. These...
Most adolescents in the United States engage with technology. Social isolation and disruptions activities owing to COVID-19 pandemic have been linked worsening mood overall decreased well-being adolescents. Although studies on direct impacts of technology adolescent mental health are inconclusive, there both positive negative associations depending various factors, such as how is used by whom under certain settings.This study applied a strengths-based approach focused potential leverage...
Existing research in consumer behavior suggests that perceptions and usage of a product post-purchase depends, part, on how the was marketed, including price paid. In current study, we examine effect providing an out-of-pocket co-payment for genomic testing (CGT) using both correlational field evidence hypothetical online experiment. Participants were enrolled longitudinal cohort study impact CGT completed behavioral assessments before after receipt results. Most participants provided test...