A5048804416- Medication Adherence and Compliance
- Sleep and related disorders
- Dietary Effects on Health
- Diet and metabolism studies
- Diabetes Management and Education
- Mobile Health and mHealth Applications
- Economic and Financial Impacts of Cancer
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Policy and Management
- Global Cancer Incidence and Screening
- Health and Wellbeing Research
- Acute Ischemic Stroke Management
- Global Health Workforce Issues
- Diabetes Management and Research
- Obstructive Sleep Apnea Research
- Peripheral Artery Disease Management
- Pharmaceutical studies and practices
- Ethics in Clinical Research
- Mindfulness and Compassion Interventions
- Sleep and Work-Related Fatigue
- Healthcare professionals’ stress and burnout
- Sleep and Wakefulness Research
- Health Literacy and Information Accessibility
- BRCA gene mutations in cancer
- Diversity and Career in Medicine
University of Illinois Chicago
2014-2024
Roosevelt University
2020-2024
University of Illinois Urbana-Champaign
2023
Medical College of Wisconsin
2014-2016
National Center for Chronic Disease Prevention and Health Promotion
2005-2006
Centers for Disease Control and Prevention
2005-2006
Clinical pharmacists and health coaches using mobile (mHealth) tools, such as telehealth text messaging, may improve blood glucose levels in African American Latinx populations with type 2 diabetes.To determine whether clinical mHealth tools can hemoglobin A1c (HbA1c) levels.This randomized trial included 221 or patients diabetes elevated HbA1c (≥8%) from an academic medical center Chicago. Adult aged 21 to 75 years were enrolled March 23, 2017, through January 8, 2020. Patients the...
Early-onset colorectal cancer (EOCRC) is defined as a diagnosis of (CRC) in individuals younger than 50 years age. While overall CRC rates the United States (US) decreased between 2001 and 2018, EOCRC have increased. This research project aims to evaluate feasibility acceptability Time-Restricted Eating (TRE), Mindfulness, or TRE combined with Mindfulness among young middle-aged adults at risk EOCRC. Forty-eight participants will be randomly assigned one four groups: TRE, Control. Data on...
Aromatase inhibitors (AIs) substantially reduce breast cancer mortality in clinical trials, but high rates of nonadherence to these long-term oral therapies have reduced their impact outside trials. We examined the association generic AI availability with adherence among a large national cohort. Using quasi-experimental prepost design, we effect introductions (7/2010 and 4/2011) on cohort women incident 2006 2007 who were enrolled Medicare D pharmaceutical coverage program. claims used...
Purpose To investigate the role of out-of-pocket cost supports through Medicare Part D Low-Income Subsidy on disparities in breast cancer hormonal therapy persistence and adherence by race or ethnicity. Methods A nationwide cohort women age ≥ 65 years with a operation between 2006 2007 at least one prescription filled for oral was identified from all enrollees. The association ethnicity nonpersistence (90 consecutive days no claims prescription) nonadherence (medication possession rate <...
Early-onset colorectal cancer (EOCRC) is defined as a diagnosis of (CRC) in individuals younger than 50 years age. While overall CRC rates the United States (US) decreased between 2001 and 2018, EOCRC have increased. This research project aims to evaluate feasibility acceptability Time-Restricted Eating (TRE), Mindfulness, or TRE combined with Mindfulness among young middle-aged adults at risk EOCRC. Forty-eight participants will be randomly assigned one four groups: TRE, &amp;amp;...
BACKGROUND The US Preventive Services Task Force (USPSTF) endorses routine screening for genetic risk of breast and/or ovarian cancer as a component primary health care. Implementation this recommendation may prove challenging, especially in clinics serving disadvantaged communities. METHODS authors tested the feasibility implementing USPSTF mandate at federally qualified center (FQHC) to identify women who were eligible counseling (GC). A 12‐month usual‐care phase was followed by...
We analyzed two cohorts of people with type 2 diabetes to evaluate the relationships between depression, sleep quality, and history hypoglycemia. Two adult from Chicago (n = 193) Bangkok, Thailand 282) completed questionnaires assess depressive symptoms, hypoglycemia frequency. Proportional odds logistic regression models for each cohort adjusted duration therapy, insulin sulfonylurea management, other factors. Those in both had a longer diabetes, greater use insulin, worse quality. The used...
Background Aggressive management of blood glucose, pressure, and cholesterol through medication lifestyle adherence is necessary to minimize the adverse health outcomes type 2 diabetes. However, numerous psychosocial environmental barriers prevent low-income, urban, ethnic minority populations from achieving their goals, resulting in diabetes complications. Health coaches working with clinical pharmacists represent a promising strategy for addressing common barriers. Mobile (mHealth) tools...
Background Community Health Workers (CHW) play a critical role in promoting the health of their communities. During COVID-19 pandemic, need to educate CHW on literacy and cultural humility became pivotal.
We propose to evaluate an 8-wk mindfulness intervention delivered in a hybrid format (synchronous and asynchronous sessions) among 40 Black women at elevated risk of CRC who reside vulnerable communities report moderate high perceived stress. The specific aims are assess the feasibility acceptability explore changes on stress, weight, fasting glucose, inflammation markers, gut microbiota—risk markers pathways associated with CRC.
Text messaging (TM) may provide an inexpensive and convenient method for self-reported sleep assessment. This pilot study evaluated the feasibility of a TM diary among racial/ethnic minority population with uncontrolled type 2 diabetes.A convenience sample 40 participants diabetes was recruited. Participants wore Actiwatch (Philips Spectrum Plus, Philips Respironics, Murrysville, Pennsylvania) 7 consecutive days during both wake intervals completed daily including 10 questions adapted from...
2 Background: Breast cancer outcomes are worse among black than white women, but the role of income and out-of-pocket costs (OOPCs) in these disparities is understudied. The Medicare D program provided medication insurance for older women also included a low-income subsidy (LIS) which eliminated or reduced OOPCs with low assets limited (based on federal poverty level). We examined differences adherence to HT by race/ethnicity population, hypothesizing that LIS might reduce racial adherence....
6534 Background: Breast cancer outcomes are worse among black than white women, but the role of income and out-of-pocket costs (OOPCs) in these disparities is understudied. The Medicare D program provided medication insurance for older women also included a low-income subsidy (LIS) which eliminated or reduced OOPCs with low assets limited (based on federal poverty level). We examined differences adherence to HT by race/ethnicity population, hypothesizing that LIS might reduce racial...
We explored the relationship between Sleep Hygiene Practices Scale (SHPS) and sleep quality sleep-related impairment in Black Latinx adults with type 2 diabetes (T2DM).Forty T2DM participated. Self-reported measures include Pittsburg Quality Index (PSQI), Patient Reported Outcomes Measurement Information System (PROMIS) Disturbance (SD) Sleep-Related Impairment (SRI) measures, SHPS (domains schedule timing, arousal-related behaviors, poor eating/drinking habits prior to sleep,...
<sec> <title>BACKGROUND</title> Aggressive management of blood glucose, pressure, and cholesterol through medication lifestyle adherence is necessary to minimize the adverse health outcomes type 2 diabetes. However, numerous psychosocial environmental barriers prevent low-income, urban, ethnic minority populations from achieving their goals, resulting in diabetes complications. Health coaches working with clinical pharmacists represent a promising strategy for addressing common barriers....