A5102753602- Health Policy Implementation Science
- Colorectal Cancer Screening and Detection
- Global Cancer Incidence and Screening
- Primary Care and Health Outcomes
- Public Health Policies and Education
- Food Security and Health in Diverse Populations
- Community Health and Development
- Clinical practice guidelines implementation
- Estrogen and related hormone effects
- Gastric Cancer Management and Outcomes
- Economic and Financial Impacts of Cancer
- Cancer survivorship and care
- Evaluation and Performance Assessment
- Diverse Education Studies and Reforms
- Total Knee Arthroplasty Outcomes
- Health, Environment, Cognitive Aging
- Mentoring and Academic Development
- Advanced Breast Cancer Therapies
- Cancer Treatment and Pharmacology
- Digital Marketing and Social Media
- Male Breast Health Studies
- Technology Adoption and User Behaviour
- Healthcare and Environmental Waste Management
- Diverticular Disease and Complications
- Cultural Competency in Health Care
University of North Carolina at Chapel Hill
2008-2024
University of North Carolina at Greensboro
2022
Marshall University
2022
Central Washington University
2018-2021
Medical Center Hospital
2018
Public Health Department
2016-2017
RTI International
2016
Indiana University School of Medicine
2015
Black & Veatch (United Kingdom)
2015
Segeberger Kliniken
2013
Abstract Purpose We assessed fecal immunochemical test (FIT) uptake following a mailed FIT intervention among 45–49-year-olds newly eligible for colorectal cancer (CRC) screening based on 2021 United States Preventive Services Task Force recommendations. also tested the effect of an enhanced versus plain mailing envelope uptake. Methods In February 2022 we FITs to at one Federally Qualified Health Center (FQHC) clinic. determined proportion who completed within 60 days. conducted nested...
Importance Colorectal cancer (CRC) screening is effective but remains underused in federally qualified health centers (FQHCs). Objective To assess the effectiveness of a centralized CRC outreach intervention involving mailed fecal immunochemical testing (FIT) and patient navigation to colonoscopy after abnormal results FIT. Design, Setting, Participants A pragmatic randomized clinical trial was conducted, using intention-to-treat analysis. were enrolled from July 6, 2020, September 17, 2021,...
Background: Community Care of North Carolina (CCNC) initiated an innovative medical home program in the 1990s to improve primary care Medicaid-insured populations. CCNC has been successful improving asthma, diabetes, and cardiovascular outcomes but not evaluated context cancer care. We explored whether enrollment was associated with guideline-concordant follow-up among breast survivors. Methods: Using state registry records matched Medicaid claims, we identified women 18 64 years old who...
Despite a growing body of evidence concerning effective approaches to increasing breast cancer screening, the gap between research and practice continues. The North Carolina Breast Cancer Screening Program (NC-BCSP) is an example evidence-based intervention that uses trained lay health advisors (LHA) promote screening. Partnerships link academic researchers knowledgeable about specific programs with community-based practitioners offer model for their use. This article describes partnership...
Many women do not get mammography screenings at the intervals recommended for early detection and treatment of breast cancer. The Guide to Community Preventive Services (Community Guide) recommends a range evidence-based strategies improve rates. However, nurses others working in community-based settings make only limited use these strategies. We report on dissemination intervention that partnered University North Carolina with Susan G. Komen Triangle Affiliate disseminate cancer screening...
Abstract Background Although colorectal cancer (CRC) screening is effective in reducing CRC mortality, rates vulnerable populations served by community health centers (CHCs) remain below national targets. CHCs North Carolina are challenged to reach targets as they tend be under-resourced, have limited capacity implement and sustain population interventions, typically operate independently from one another regional colonoscopy providers. The Scaling Colorectal Cancer Screening Through...
In Brief Innovative models to facilitate more rapid uptake of research findings into practice are urgently needed. Community members who engage in can accelerate this process by acting as adoption agents. We implemented an Evidence Academy conference model bringing together researchers, health care professionals, advocates, and policy makers across North Carolina discuss high-impact, life-saving study results. The overall goal is develop dissemination implementation strategies for...
The transtheoretical model (TTM) is a commonly applied theoretical perspective for understanding mammography behaviors and improving the effectiveness of one-on-one counseling. North Carolina Breast Cancer Screening Program (NC-BCSP) developed training curriculum to incorporate TTM into advising practices lay health advisors (LHAs). helped “natural helper” LHAs understand that women in their rural communities were likely be different stages screening hence required messages. NC-BCSP staff...
The goal of this study was to assess acceptability using process flow diagrams (or maps) depicting a previously implemented evidence-based intervention (EBI) inform the implementation similar interventions in new settings.We developed three different versions maps, each visualizing same multicomponent colorectal cancer (CRC) screening EBI community health centers but including varying levels detail about how it implemented. Interviews with professionals and practitioners at other sites not...
Little is known about public health practitioners' capacity to change policies, systems, or environments (PSEs), in part due the absence of measures. To address this need, we partnered with Alliance for a Healthier Generation (Alliance) develop and test theory-derived measure out-of-school time program providers improve students' level nutrition physical activity through changes PSEs.
Abstract Background Adoption of colorectal cancer (CRC) screening has lagged in community health center (CHC) populations the USA. To address this implementation gap, we developed a multilevel intervention to improve CHCs our region. We used Exploration, Preparation, Implementation, Sustainment (EPIS) framework guide effort. Here, describe use strategies outlined Expert Recommendations for Implementing Change (ERIC) compilation both Exploration and Preparation phases project. During these...
Background Economic inequity systematically affects Black emerging adults (BEA), aged 18–24, and their healthy trajectory into adulthood. Guaranteed income (GI)–temporary, unconditional cash payments–is gaining traction as a policy solution to address the inequitable distribution of resources sewn by decades structural racism disinvestment. GI provides recipients with security, time, support enable transition adulthood shows promise for improving mental physical health outcomes. To date, few...
The use of routine mammography screening is associated with earlier breast cancer detection and decreased mortality. Several researchers have identified mammographers as potentially effective agents for encouraging patients to engage in screening. Mammographers are particularly well situated within the health care system address patients' knowledge, psychological, cultural barriers Few opportunities exist, however, acquire skills providing culturally-sensitive patient education emotional...
Apply It! After reading this article, the health and fitness professional should be able to: Describe macronutrient micronutrient recommendations for active individuals. Recommend whole-food options their nutrient profile replacing supplements in diets of
ncmedicaljournal.com 392 treatment of diabetes and its many comorbidities, providing resources at the local level to enhance built environment promote healthy behaviors might prove be cost-efficient would have a broad impact. Providing opportunities availability cultural competency health care providers, another recommendation Institute Medicine key element Affordable Care Act, is also critical piece in addressing disparities. Finally, effective interventions need adapted for disseminated...