A5074705165- Health Literacy and Information Accessibility
- Colorectal Cancer Screening and Detection
- Global Cancer Incidence and Screening
- Obesity and Health Practices
- Obesity, Physical Activity, Diet
- Mobile Health and mHealth Applications
- Diabetes Management and Education
- Vaccine Coverage and Hesitancy
- Ethics in Clinical Research
- Patient-Provider Communication in Healthcare
- Food Security and Health in Diverse Populations
- Healthcare Policy and Management
- Global Health Care Issues
- Dietetics, Nutrition, and Education
- Nutritional Studies and Diet
- Nutrition and Health in Aging
- Health Sciences Research and Education
- Gastric Cancer Management and Outcomes
- Breastfeeding Practices and Influences
- Health disparities and outcomes
- Child and Adolescent Health
- Bariatric Surgery and Outcomes
- Chronic Disease Management Strategies
- COVID-19 epidemiological studies
- HIV/AIDS Research and Interventions
Louisiana State University
1996-2024
Louisiana State University Health Sciences Center Shreveport
2015-2024
Office of Multidisciplinary Activities
2024
Pennington Biomedical Research Center
2024
Louisiana State University in Shreveport
1998-2023
Tulane University
2023
Xavier University of Louisiana
2023
Louisiana Christian University
2023
Louisiana State University Health Sciences Center New Orleans
2001-2022
University of Ulster
2022
BACKGROUND Low-income women utilize screening mammography less frequently, present at more advanced stages of disease, and have higher breast cancer mortality rates than with incomes. The purpose this study was to examine the relationship reading ability knowledge attitudes that low-income regarding mammography. METHODS A convenience sample 445 were interviewed for study. These women, age 40 years older, had not a mammogram in past year. They waiting see doctor one two outpatient clinics...
The magnitude and consequences of low literacy in adolescent health care are unknown. purpose this study was to validate the Rapid Estimate Adolescent Literacy Medicine (REALM-Teen), a word-recognition test English that can be used as brief literacy-screening tool settings.A total 1533 adolescents aged 10 19 years attending 1 5 middle schools, 3 high pediatric clinic, or 2 summer programs Louisiana North Carolina participated face-to-face interviews. Demographic information solicited,...
OBJECTIVES. The aims of this study were to determine parent and provider knowledge awareness newborn screening; gather opinions from parents, providers, screening professionals about the content timing education; use consensus data formulate recommendations develop educational materials for parents providers. METHODS. We conducted 22 focus groups 3 individual interviews between October 2003 May 2004, with English- Spanish-speaking infants <1 year age who had experience initial...
Evidence of the effectiveness treatment for obesity delivered in primary care settings underserved populations is lacking.
Disparities exist in enrollment clinical trials and biorepositories among adults with low socioeconomic status, racial ethnic minority groups individuals who live rural areas. Diverse participation is necessary to identify the most effective treatments different groups. The purpose of this study was use qualitative methods factors that may affect likelihood members underrepresented choose participate and/or biobanking. We conducted 14 focus 7 telephone interviews urban areas Louisiana to: 1)...
Medical information pamphlets often are written using language that requires a reading level higher than parents of many pediatric patients have achieved. Anecdotal reports suggest may not readily understand the federally mandated Public Health Service vaccine prepared by Centers for Disease Control and Prevention (CDC) in 1991. The at which need to be low-reading-level is undetermined, as whether levels will accept materials.To determine simple pamphlet low qualitative adult education...
To describe a process for developing low-literacy health education materials that increase knowledge and activate patients toward healthier behaviors.We developed theoretically informed educational materials. This included convening multidisciplinary creative team, soliciting stakeholder input, identifying key concepts to be communicated, mapping behavioral theory, creating supporting intervention, designing refining materials, assessing efficacy.We the use of this develop diabetes...
Background: Limited health literacy is a barrier for understanding information and has been identified as risk factor overuse of the emergency department (ED). The association with access to primary care services in patients presenting ED not fully explored. Objective: To examine relationship between literacy, care, reasons use among adults care. Methods: Structured interviews that included assessment were performed involving 492 at one Southern academic medical center. Unadjusted...
Abstract Methamphetamine-associated cardiomyopathy is the leading cause of death linked with illicit drug use. Here we show that Sigmar1 a therapeutic target for methamphetamine-associated and defined molecular mechanisms using autopsy samples human hearts, mouse model “binge crash” methamphetamine administration. expression significantly decreased in hearts users those methamphetamine-treated mice. The also signs cardiomyopathy, including cellular injury, fibrosis, enlargement heart. In...
Communication about childhood vaccine risks and benefits has been legally required in pediatric health care for over a decade. However, little is known the actual practice of risk/benefit communication. Objectives. This study was conducted to identify current practices communication private physician office settings nationally. Specifically, we wanted determine what written materials were given, by whom, when; information providers thought parents wanted/needed know, content nurse doctor...
Reinterpreting ethnicity's role in the prevailing behavioral model of health services usage reveals among older Americans a patient pattern inequality favoring Anglo-American population. Demand for hospital and physicians' care minority elderly is far more constrained sensitive to needs than it their counterparts. The findings underscore importance examining ethnic differences determinants behavior as well service utilization. Such results also appear strengthen grounds developing new...
OBJECTIVE. The purpose of this study was to measure the readability and user-friendliness (clarity, complexity, organization, appearance, cultural appropriateness materials) parent education brochures on newborn screening. METHODS. We studied English-language versions that state screening programs prepare distribute. obtained from 48 states Puerto Rico. evaluated each brochure for with Flesch reading ease formula. User-friendliness assessed an instrument we created contained 22 specific...
This article examines the relationship between literacy and colorectal cancer (CRC) screening knowledge, beliefs, experiences, with a focus on fecal occult blood tests (FOBTs). Participants were 975 patients in 8 Louisiana federally qualified health centers. 50 years of age or older not up to date CRC screening; approximately half (52%) had low (less than 9th-grade level). less likely those adequate be aware advertisements promoting (58.7% vs. 76.3%, p < .0001) believe it was very helpful...
Background: Intensive lifestyle interventions (ILIs) are the first-line approach to effectively treat obesity and manage associated cardiometabolic risk factors. Because few people have access ILIs in academic health centers, primary care must implement similar approaches for a meaningful effect on disease prevalence. To date, however, effective lifestyle-based treatment is limited. We examined effectiveness of pragmatic ILI weight loss delivered among racially diverse, low-income population...
Background: The coronavirus disease 2019 pandemic ushered in rapid adoption of telehealth services. This study examines patient and provider experience provides recommendations for facilitating the use digital health interventions among socially disadvantaged populations. Methods: qualitative was conducted from May to July 2021 via semistructured interviews. Forty patients 30 primary care providers (PCPs) Louisiana were recruited within an integrated delivery system a rural center....
Abstract Successful management of HIV requires patient understanding and ability to act on treatment information. We examined the relationship between literacy treatment. Literacy, knowledge CD4 count viral load, correct identification medications in regimen were evaluated 204 patients receiving care Shreveport, Louisiana Chicago, Illinois. One-third had limited skills. These less able describe (p<0.001), load (p < 0.001) correctly identify their (p<0.001). In multivariate analysis, was an...
BACKGROUND The authors evaluated the effectiveness and cost of 2 interventions designed to promote colorectal cancer (CRC) screening in safety‐net settings. METHODS A 3‐arm, quasi‐experimental evaluation was conducted among 8 clinics Louisiana. Screening efforts included: 1) enhanced usual care, 2) literacy‐informed education patients, 3) plus nurse support. Overall, 961 average‐risk patients ages 50 85 years were eligible for routine CRC recruited. Outcomes included completion incremental...