A5068910796- Mobile Health and mHealth Applications
- Digital Mental Health Interventions
- Health Literacy and Information Accessibility
- Child and Adolescent Psychosocial and Emotional Development
- Asthma and respiratory diseases
- Attention Deficit Hyperactivity Disorder
- Respiratory and Cough-Related Research
- Inhalation and Respiratory Drug Delivery
- Behavioral Health and Interventions
- Breastfeeding Practices and Influences
- Rheumatoid Arthritis Research and Therapies
- Children's Physical and Motor Development
- Pharmacy and Medical Practices
- Perfectionism, Procrastination, Anxiety Studies
- Medication Adherence and Compliance
- Child Development and Digital Technology
- Diabetes Management and Education
- Vaccine Coverage and Hesitancy
- Neural and Behavioral Psychology Studies
- Problem Solving Skills Development
- Technology Adoption and User Behaviour
- Healthcare Systems and Technology
- Media Influence and Politics
- Media Influence and Health
- Pathogenesis and Treatment of Hiccups
Oregon Health & Science University
2017-2019
University of North Carolina at Chapel Hill
2014-2017
Health Economics and Outcomes Research (United Kingdom)
2016
University of North Carolina at Asheville
2015
University of South Carolina
2012-2013
Objective: Investigate the prevalence and impact of psychiatric comorbidities in community-based samples schoolchildren with/without ADHD. Method: Teachers parents screened children South Carolina (SC; n = 4,604) Oklahoma (OK; 12,626) for Parents high-screen selected low-screen received diagnostic interviews (SC: 479; OK: 577). Results: Psychiatric disorders were increased among with ADHD associated low academic performance. Conduct disorder/oppositional defiant disorder (CD/ODD) grade...
Abstract Conflicting health information is increasing in amount and visibility, as evidenced most recently by the controversy surrounding risks benefits of childhood vaccinations. The mechanisms through which conflicting affects individuals are poorly understood; thus, we unprepared to help people process when making important decisions. In this viewpoint article, describe problem, summarize insights from existing literature on prevalence effects information, identify knowledge gaps. We...
Objective: To describe the epidemiology of ADHD in communities using a DSM-IVTR case definition. Method: This community-based study used multiple informants to develop and apply DSM -IVTR-based definition screening diagnostic interview data collected for children 5-13 years age. Teachers screened 10,427 (66.4%) four school districts across two states (SC OK). ratings by teachers parent reports diagnosis medication treatment were stratify into high low risk ADHD. Parents (n = 855) gender...
Our goals were to describe the balance of social support negative interactions (i.e. constraint) for autoimmune disease patients and determine whether constraint from spouses non-spousal family friends interact influence patients' psychological adjustment. Using crosssectional survey data 109 married vasculitis lupus patients, we found that reported family/friends provided more than constraint. In regression models, (β= -0.45, p
Asthma apps often lack strong theoretical underpinnings. We describe how specific features of asthma influenced adolescents' self-observation, self-judgment, and self-reactions, which are key constructs Self-Regulation Theory (SRT). Adolescents (ages 12–16) with persistent (n = 20) used two self-management over a 1-week period. During semi-structured interviews, participants identified their goals the app that best promoted fostered positive self-reactions. Interviews were digitally...
This primary objective of this pilot randomized, controlled trial was to determine whether a brief video intervention delivered after pediatric office visit could improve inhaler technique in children with asthma immediately and one month later. The intervention's effect on children's self-efficacy control also evaluated.
This study examines: 1) adolescent preferences for using asthma self-management mobile applications (apps) to interact with their friends, caregivers, medical providers, and other adolescents 2) how caregivers friends would use apps communicate the serve as sources of support management.We recruited 20 aged 12-16 years persistent asthma, (n = 20), 3) from two suburban pediatric practices in North Carolina. We gave participants iPods preloaded asked them 1 week. Adolescents provided app...
Self-regulation theory suggests people learn to influence their own behavior through self-monitoring, goal-setting, feedback, self-reward, and self-instruction, all of which smartphones are now capable facilitating. Several mobile apps exist manage asthma; however, little evidence exists about whether these employ user-centered design processes that adhere government usability guidelines for apps.Building upon a previous study documented adolescent preferences an asthma self-management app,...
Most youth asthma apps are not designed with parent and clinician use in mind, rarely is the app development process informed by or input.
Objective: The objectives of this study were to quantify the extent which children with asthma are overconfident that they using their inhalers correctly and determine whether demographic clinical characteristics associated being overconfident. Methods: Children (n = 91) ages 7–17 persistent recruited at two pediatric practices in North Carolina demonstrated inhaler technique for metered dose during an office visit. dichotomized into groups based on how confident correctly: "completely...
Approximately 10% of adolescents in the United States have asthma. Adolescents widely use apps on mobile phones and tablet technology for social networking gaming purposes. Given increase recreational app among adolescents, leveraging to support adolescent asthma disease management seems warranted. However, little empirical research has influenced development; users are seldom involved design process.The aim this mixed-methods study was assess preferences recommendations an self-management...
Little is known about factors associated with the receipt of medication information among arthritis patients. This study explores source and associations between demographic clinical/patient characteristics amount patients receive. Adult osteoarthritis (OA) or rheumatoid (RA; n = 328) completed an online cross-sectional survey. Patients reported received from 15 sources. Bivariate multivariate linear regression analyses were used to investigate whether those received. Arthritis most health...
The aim of this study was to investigate the relationship between attentional coping styles (monitoring and blunting) rheumatoid arthritis (RA) osteoarthritis (OA) patients and: (a) receipt medication information; (b) conflicting (c) ambiguity aversion; (d) medication-related discussions with doctors spouse/partners; (e) adherence.A sample 328 adults a self-reported diagnosis (RA n=159; OA n=149) completed an Internet-based survey. Coping style assessed using validated short version Miller...
Objective: This study examines (1) whether youth and their caregivers have different preferences for asthma education video topics (2) if topic vary by caregiver sociodemographic characteristics. Methods: Youth (n = 83) ages 7–17 years with persistent were recruited at two pediatric practices in North Carolina. Sociodemographic information nine collected during in-person interviews. Bonferroni-corrected Chi-square or McNemar tests (α 0.0056) used to compare differences characteristics,...
Objective: Mobile health apps hold potential to support and reinforce positive behaviours, especially among young people with chronic diseases like asthma that require continual self-management. We aimed gain feedback from adolescents on two existing self-management guide the development of an evidence- theory-based app meets their management needs. Design: A qualitative interview study was conducted persistent ( n = 20), aged 12–16. Setting: Interviews took place after individual’s clinic...
Abstract Introduction Systemic vasculitis (SV) is associated with substantial economic impact to patients and the healthcare system but little known about burden of SV on informal caregivers. We evaluated objective caregiving experienced by caregivers SV. Methods surveyed adult their physical, emotional, social impacts asked extent which they felt were a identified Caregivers reported direct indirect SV, including employment disturbance, income loss relative time investment for care...