A5091792047- Diabetes Management and Education
- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Breastfeeding Practices and Influences
- Chronic Disease Management Strategies
- Gestational Diabetes Research and Management
- Food Security and Health in Diverse Populations
- Health Policy Implementation Science
- Obesity, Physical Activity, Diet
- Birth, Development, and Health
- Health disparities and outcomes
- Child and Adolescent Health
- Public Health Policies and Education
- Migration, Health and Trauma
- Obesity and Health Practices
- Pregnancy and preeclampsia studies
- Racial and Ethnic Identity Research
- Global Health Workforce Issues
- Cardiovascular and Diving-Related Complications
- Diabetes Management and Research
- Respiratory Support and Mechanisms
- Cardiac, Anesthesia and Surgical Outcomes
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Airway Management and Intubation Techniques
- Global Maternal and Child Health
University of Michigan–Ann Arbor
2015-2025
South University
2013-2022
Michigan United
2020
Ann Arbor Center for Independent Living
2018
Health Services Center
2013-2015
VA Center for Clinical Management Research
2011-2013
Public Health Department
2007
Henry Ford Health System
2006
University of Hawaiʻi at Mānoa
1992-2003
Michigan Department of Health and Human Services
1996-2002
We tested the effectiveness of a culturally tailored, behavioral theory-based community health worker intervention for improving glycemic control.
We sought to determine the effects of a community-based, culturally tailored diabetes lifestyle intervention on risk factors for complications among African Americans and Latinos with type 2 diabetes.
Providing safe and high-quality health care for children whose parents have limited English proficiency (LEP) remains challenging. Reports of parent perspectives on navigating language discordance in are limited. We analyzed portions 48 interviews focused barriers from 2 qualitative interview studies the pediatric experiences LEP Latina mothers urban US cities. found experienced frustration with reported suboptimal accommodation barriers. Six themes emerged relevant to across settings:...
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...
<h3>Importance</h3> Navigating health insurance and care choices requires considerable literacy. Although recommended preventive services are exempt from out-of-pocket costs under the Affordable Care Act, many people may remain unaware of this provision its effect on their required payment. Little is known about association between individuals’ literacy use or nonpreventive services. <h3>Objective</h3> To assess self-reported avoidance owing to cost. <h3>Design, Setting, Participants</h3> In...
Depression during the prenatal and postpartum periods is associated with poor maternal, perinatal child outcomes. This study examines effectiveness of a culturally linguistically tailored, social support-based, healthy lifestyle intervention led by trained community health workers in reducing depressive symptoms among pregnant early Latinas. A sample 275 Latinas was randomized to Healthy MOMs Lifestyle Intervention (MOMs) or Pregnancy Education (control) group. More than one-third...
Impaired glucose tolerance and diabetes are prevalent among Latino women of childbearing age. Physical activity during after pregnancy may contribute to weight control improved metabolic status, but recommended activities not be perceived as appropriate or feasible. To plan realistic acceptable interventions, pregnant postpartum in Detroit met a focus group series discuss their beliefs about factors influencing participation regular physical postpartum. Women believed that was primarily...
The purpose of this article was to describe the development, implementation, and process evaluation findings a culturally tailored diabetes lifestyle intervention for African Americans Latinos.
To examine the associations between 2 potential facilitators of healthy behaviors (self-efficacy and social support), both physical activity body mass index (BMI) among women with histories gestational diabetes mellitus (GDM).Two hundred twenty-eight GDM who were enrolled in a managed care plan surveyed. A cross-sectional analysis was used to assess association women's support from family friends for self-efficacy levels. The diet not overeating their dietary habits also examined. Finally,...
To estimate the prevalence of several health-related behaviors among women reproductive age with and without a history gestational diabetes mellitus (hGDM).We performed cross-sectional study using 2001-2003 Behavioral Risk Factor Surveillance System, national population-based random sample telephone survey. Participants were 177,420 aged 18-44 years self-reported hGDM. Outcome measures included meeting physical activity fruit vegetable guidelines, sedentary level, current...
This study examines baseline levels and correlates of diabetes-related emotional distress among inner-city African Americans Hispanics with type 2 diabetes. The Problem Areas in Diabetes (PAID) scale, which measures distress, was administered to 180 American Hispanic adults participating the REACH Detroit Partnership. We examined bivariate multivariate associations between biological, psychosocial, quality health care variables for Hispanics. Scores were significantly higher than Americans....
This study explores gender values and beliefs among Latino African American men with diabetes examines how these may influence their health behaviors. Participants were recruited from individuals who participated in one of three Racial Ethnic Approaches to Community Health Detroit Partnership self-management interventions. One focus group was conducted ( n = 10) two groups 12) over a 3-month period. Sessions lasted 90 minutes, audiotaped, analyzed using thematic content analysis techniques....
<h3>Importance</h3> To date, 32 states and the District of Columbia have expanded Medicaid programs under Patient Protection Affordable Care Act. It is vital to understand whether health insurance coverage low-income individuals improves access family planning services as a first step toward improving reproductive outcomes. <h3>Objective</h3> evaluate association expansion with birth control among women age enrolled in Michigan plan. <h3>Design, Setting, Participants</h3> In survey study,...
OBJECTIVES: This study investigated the birth outcomes of Japanese Americans, focusing on role mother's place birth. METHODS: Single live births to US-resident American mothers (n = 37,941) were selected from 1983 through 1987 US linked birth-infant death files. RESULTS: US-born more likely than foreign-born be less 18 years old and not married, start prenatal care early, adequately use care. Infants Americans had a slightly lower risk low birthweight.No significant differences found between...
We evaluated the effectiveness of a community-based healthy lifestyle intervention in improving dietary behaviors pregnant Latinas from 2004 to 2006 Detroit, Michigan.The 11-week, culturally tailored, Spanish-language Healthy Mothers on Move (MOMs) offered home visits, group classes, related activities, and social support trained community health workers (CHWs) peers. Dietary were measured by food frequency questionnaire. Linear mixed models estimated pre- post-intervention changes, within...