- Diabetes Management and Education
- Diabetes Management and Research
- Chronic Disease Management Strategies
- Adolescent and Pediatric Healthcare
- Mobile Health and mHealth Applications
- Obesity, Physical Activity, Diet
- Childhood Cancer Survivors' Quality of Life
- Mental Health and Patient Involvement
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Global Cancer Incidence and Screening
- Primary Care and Health Outcomes
- Innovations in Medical Education
- Cultural Competency in Health Care
- Diabetes Treatment and Management
- Obesity and Health Practices
- Patient-Provider Communication in Healthcare
- Colorectal Cancer Screening and Detection
- Health Policy Implementation Science
- Cardiac Health and Mental Health
- Ethics in medical practice
- Child Development and Digital Technology
- Physical Activity and Health
- Nutritional Studies and Diet
- Food Security and Health in Diverse Populations
- Digital Mental Health Interventions
University of British Columbia
2016-2025
Xi'an Jiaotong University
2025
Charlottesville Medical Research
2023-2024
Stornoway Diamond (Canada)
2024
British Columbia Children's Hospital
2020-2023
Eli Lilly (Canada)
2020
Eli Lilly (United States)
2020
Analysis Group (United States)
2020
University of California, San Diego
2020
University of California, San Francisco
2020
The purpose of this study was to examine social support and its relationship diabetes-specific quality life self-care behaviors in African Americans with type 2 diabetes.
To compare a peer leader (PL) versus community health worker (CHW) telephone outreach intervention in sustaining improvements HbA1c over 12 months after 6-month diabetes self-management education (DSME) program.One hundred and sixteen Latino adults with type 2 were recruited from federally qualified center randomized to (1) DSME program followed by of weekly group sessions delivered PLs those unable attend or (2) monthly CHWs. The primary outcome was HbA1c. Secondary outcomes cardiovascular...
This study evaluated the effectiveness of a community health worker (CHW) diabetes self-management education (DSME) program, followed by two different approaches to maintain improvements in HbA1c and other clinical patient-centered outcomes over 18 months.The randomized 222 Latino adults with type 2 poor glycemic control from federally qualified center 1) CHW-led, 6-month DSME program or 2) enhanced usual care (EUC). After participants CHW-led were further 12 months CHW-delivered monthly...
We compared a 3-month diabetes self-management education (DSME) program followed by 12-month peer support intervention with DSME alone in terms of initial and sustained improvements glycated hemoglobin (HbA1c). Secondary outcomes were risk factors for cardiovascular disease (CVD), distress, social support.We randomized 106 community-dwelling African American adults type 2 to 12 months weekly group sessions supplementary telephone delivered leaders or no follow-up support. Assessments...
Objective Most conceptualizations of chronic pain acknowledge the importance culture and social circumstances. Cultural influences may differ for persons different racial or ethnic groups, this circumstance lead them to experience adjust differently pain. The current study compared adjustment by blacks whites seeking treatment Subjects Measures Fifty-seven black 207 white patients completed measures anxiety, depression, disability, pain, physical symptoms during their initial visit a...
Diabetes educators are challenged to develop culturally appropriate, integrated, behaviorally based, effective education programs. This article describes the intervention used in a problem-based educational program for urban African Americans with diabetes. The consisted of six 2-hour, weekly group and data collection sessions. No lectures were used, content was determined by participants’ questions concerns. Culturally tailored written materials also provided.
In Brief Diabetes education has changed a great deal in recent years. self-management (DSME) programs have become more patient-centered and theoretically based, there is greater emphasis on providing ongoing support to sustain the gains made by patients as result of education. Based frameworks self-determination autonomy support,empowerment served philosophical basis for diabetes than 15 This article describes evolution empowerment-based from DSME provides practical strategies educators use...
OBJECTIVES: This study was conducted to determine if an empowerment-based Diabetes Self-Management Consultant (DSMC) more effective than a group receiving Mailed metabolic Assessments Only (MAO) in improving diabetes-related quality of life and blood glucose control. MATERIALS AND METHODS: A two-year clinical trial, which 310 patients with type 2 diabetes were randomized the DSMC intervention or MAO group. The met patient review baseline assessments, then this patient's physician....
The study examined the feasibility, acceptability, and potential impact of an innovative, community-based, ongoing self-management intervention aimed at enhancing sustaining self-care behaviors over long term among urban African Americans with type 2 diabetes.
Diabetes-related health improvements achieved from self-management education interventions are not sustained long-term. We examined the effects at 1 year follow-up of a 2-year, empowerment-based, diabetes support intervention designed for African Americans.We collected data 52 American adults with type 2 who completed 3-year study. The consisted weekly groups led by care professionals and emphasized experiential learning, emotional coping, problem solving, goal setting, action planning;...
Despite substantially higher rates of posttraumatic stress disorder (PTSD) among male inmates than men in the general population, there is a dearth research on PTSD incarcerated men. The current study addresses traumatic events that precede and psychiatric disorders are comorbid with an inmate sample. Seeing someone seriously injured or killed, being sexually abused, physically assaulted were three most commonly reported antecedent traumas to PTSD. Lifetime mood disorders, anxiety antisocial...
Abstract Background: The sociocultural medicine teaching experience examines the viability and efficacy of a peer model in enhancing diversity-focused attitudes, knowledge, skills among advanced level medical students. Description: This recruited 4th year students to facilitate case-based discussions for 2nd Peer teachers participated training session that addressed personal exploration background, health care disparities, biosociocultural aspects patient case, facilitation skills....
In Brief Empowerment-based diabetes group education emphasizes strategies that are patient centered, problem based, culturally relevant, integrative, and evidence based. These programs can be conducted across a variety of educational clinical settings with the goal responding to unique diabetes-related needs each patient.
Purpose The goal of this study is to describe the process developing a program that trains peers facilitate an empowerment-based diabetes self-management support intervention. Methods To guide and advise development process, authors formed peer leader training action committee. committee was interdisciplinary group (principal investigator, nurse—certified educators, dietitian— certified nutritionist, physician, 3 community members) met every months over 1-year period for continuous quality...