- Adolescent Sexual and Reproductive Health
- HIV/AIDS Research and Interventions
- Food Security and Health in Diverse Populations
- Primary Care and Health Outcomes
- HIV, Drug Use, Sexual Risk
- Reproductive tract infections research
- Colorectal Cancer Screening and Detection
- Obesity and Health Practices
- Chronic Disease Management Strategies
- Interprofessional Education and Collaboration
- Complementary and Alternative Medicine Studies
- Pain Management and Placebo Effect
- Mobile Health and mHealth Applications
- Diverticular Disease and Complications
- Musculoskeletal pain and rehabilitation
- Public Health Policies and Education
- Gastric Cancer Management and Outcomes
- Data Quality and Management
- Biomedical Text Mining and Ontologies
- Mental Health and Patient Involvement
- Child Development and Digital Technology
- Innovative Human-Technology Interaction
- Semantic Web and Ontologies
- Cervical Cancer and HPV Research
Kaiser Permanente Washington Health Research Institute
2010-2018
Group Health Cooperative
2001-2004
University of Puget Sound
2001
Objectives: The goal of this research was to provide insight into the full range meaningful outcomes experienced by patients who participate in clinical trials complementary and alternative medicine (CAM) therapies. Design: Data for study were assembled from five randomized evaluating six different CAM treatments back pain. A conventional qualitative content analysis conducted on responses open-ended questions asked at end telephone interviews assessing treatment outcomes. Subjects: total...
Smoking remains the leading cause of preventable disease and death in United States. Therefore, researchers are constantly exploring new ways to promote smoking cessation. Mobile health (mHealth) technologies could be effective cessation tools. Despite availability commercial quit-smoking apps, little research date has examined smokers' preferred treatment intervention components (ie, design features). Honoring these preferences is important for designing programs that appealing smokers may...
Long-term adherence to colorectal cancer (CRC) screening is particularly important for fecal testing. Some U.S. studies report that only 25% of individuals repeat testing annually. The purpose this qualitative study was identify barriers and facilitators reported by patients with suboptimal refine interventions starting ongoing CRC screening. We also explored whether participants, never screeners, would be willing do a blood test.Forty-one who previously enrolled in the Systems Support...
Discomfort, lack of confidence in skills, and environmental constraints may cause primary care providers to miss opportunities discuss human immunodeficiency virus (HIV) risk with patients. We used a systems approach address both intrapersonal barriers HIV assessment prevention counseling managed clinical setting. The design was one-group pretest/posttest. study took place two clinics large Pacific Northwest organization. Participants (n = 49) included physicians, physician assistants, nurse...
Health systems increasingly recognize the impact of social determinants health such as access to housing, transportation, and nutritious food. Lay workers have been used address patients' through resource referral goal setting in targeted populations, individuals with diabetes. However, we know no studies that evaluate this type role for a general primary care population.To assess implementation Community Resource Specialist (CRS) Kaiser Permanente Washington.We analyzed data from staff...
Background/Aims: Obesity is a common condition seen in primary care. However, there have been few programs for obese patients within existing care infrastructure. We sought to develop program train medical assistants provide brief health coaching on weight management and help set goals.
Background/Aims: Social determinants of health play a critical role in both the prevalence and outcomes wide range chronic illnesses. The growing recognition that social population need to address these requires stronger partnerships between primary care teams community organizations. In support this goal, Learning Integrate Neighborhoods Clinical Care (LINCC) project, funded by Patient-Centered Outcomes Research Institute implemented at Group Health, convened patients staff co-design new on...
Background/Aims: The widespread adoption of modern electronic heath records (EHR) has digitized medical information previously captured on paper. However, research and analysis requires use narrative text involves resource intensive chart review and/or natural language processing. An emerging alternative solution is to SmartTools in Epic's EHR. We present a case study project using linked Epic create structured data from describe the strengths challenges these tools.
Background: Long-term adherence to colorectal cancer (CRC) screening is particularly important for fecal testing. As few as a quarter of patients repeat testing the next year in some U.S. settings. The purpose this qualitative study was identify barriers and facilitators reported by with suboptimal refine interventions ongoing CRC screening. We also explored whether participants, never screeners, would be willing do blood test.