- Renal Transplantation Outcomes and Treatments
- Religion, Spirituality, and Psychology
- Resilience and Mental Health
- Cancer survivorship and care
- Mindfulness and Compassion Interventions
- Suicide and Self-Harm Studies
- Musculoskeletal pain and rehabilitation
- Pregnancy and Medication Impact
- Posttraumatic Stress Disorder Research
- Psychological Well-being and Life Satisfaction
- Organ Donation and Transplantation
- Liver Disease and Transplantation
- Acupuncture Treatment Research Studies
- Psychology of Moral and Emotional Judgment
- Grief, Bereavement, and Mental Health
- Racial and Ethnic Identity Research
- Patient Satisfaction in Healthcare
- Dialysis and Renal Disease Management
- Complementary and Alternative Medicine Studies
- Medication Adherence and Compliance
- Opioid Use Disorder Treatment
- Biofield Effects and Biophysics
- Bipolar Disorder and Treatment
- Hepatitis C virus research
- Migration, Health and Trauma
Durham VA Medical Center
2022-2024
University of New Mexico
2019-2023
Durham VA Health Care System
2022-2023
UNM Comprehensive Cancer Center
2019
New Mexico Cancer Center
2019
Black patients have a higher incidence of kidney failure but lower rate deceased- and living-donor transplantation compared with White patients, even after taking differences in comorbidities into account. We assessed whether social determinants health (e.g., demographics, cultural, psychosocial, knowledge factors) could account for race receiving transplantation.Via medical record review, we prospectively followed 1056 referred transplant (2010-2012), who completed an interview soon...
Background. African Americans (AA) have lower rates of kidney transplantation (KT) compared with Whites (WH), even after adjusting for demographic and medical factors. In this study, we examined whether the racial disparity in KT waitlisting persists social determinants health (eg, cultural, psychosocial, knowledge). Methods. We prospectively followed a cohort 1055 patients who were evaluated between 3 10 to 12 through 8 18. Participants completed semistructured telephone interview shortly...
Racial/ethnic minorities have lower rates of deceased kidney transplantation (DDKT) and living donor (LDKT) in the United States. We examined whether social determinants health (eg, demographics, cultural, psychosocial, knowledge factors) could account for differences Veterans Affairs (VA) Kidney Transplantation (KT) Program.We conducted a multicenter longitudinal cohort study 611 undergoing evaluation KT at all National VA Centers (2010-2012) using an interview after tracking participants...
Fatigue is often one of the most commonly reported symptoms in prostate cancer survivors, but it also least understood cancer-related symptoms. associated with psychological distress, disruptions sleep quality, and impairments health-related quality life. Moreover, inflammatory processes changes related to hypothalamic-pituitary-adrenal (HPA) axis and/or autonomic nervous system may play a role fatigue. Thus, effective treatments for fatigue survivors represent current unmet need. Prior...
Background. Barriers to medication adherence may differ from barriers in other domains of adherence. In this study, we assessed the association between pre–kidney transplantation (KT) factors with nonadherent behaviors 3 different post-KT. Methods. We conducted a prospective cohort study patient interviews at initial KT evaluation (baseline—nonadherence predictors sociodemographic, condition-related, health system, and patient-related psychosocial factors) ≈6 mo post-KT (adherence outcomes:...
In United States military veterans, chronic pain represents a risk factor for opioid and alcohol misuse, yet few studies have examined interactions among pain, prescription, misuse. Previous work found substantial of co-morbid misuse in community sample opioid-prescribed individuals with finding expanded upon here. Specifically, 211 veterans assessed within treatment service completed self-report measures intensity, depression, catastrophizing, post-traumatic stress symptoms (PTS). Based on...
Abstract Background Post‐transplant health‐related quality of life (HRQOL) is associated with health outcomes for kidney transplant (KT) recipients. However, pretransplant predictors improvements in post‐transplant HRQOL remain incompletely understood. Namely, important cultural factors, such as experience discrimination, perceived racism healthcare, or mistrust the healthcare system, have not been examined potential predictors. Also, few decline post‐transplant. Methods Using data from a...
Moral reasoning is an underexamined and potentially useful area of research relative to the care moral injury in veterans. However, most widely used measure reasoning, foundations questionnaire (MFQ), has not been validated this population.Post-9/11 veterans (N = 311) completed questionnaires which included MFQ. Veterans' scores were compared general US population. Confirmatory factor analysis was test existing models MFQ sample. Exploratory (EFA) also examine improved model fits.The two...
The Department of Veterans Affairs (VA) has prioritized improving the identification veterans at risk for suicide and ensuring adequate staffing personnel to assist in need. It is imperative that prevention efforts make use full range available resources, including diverse professionals with distinctive skillsets. Chaplains are engaged VA, but literature lacks examples chaplain-involved clearly describe how chaplains engaged, training and/or qualifications possess area prevention, reach...