- Mobile Health and mHealth Applications
- Diabetes Management and Education
- Health Policy Implementation Science
- Health Systems, Economic Evaluations, Quality of Life
- Obesity, Physical Activity, Diet
- Dementia and Cognitive Impairment Research
- Obesity and Health Practices
- Diabetes Management and Research
- Smoking Behavior and Cessation
- Behavioral Health and Interventions
- Primary Care and Health Outcomes
- Telemedicine and Telehealth Implementation
- Chronic Disease Management Strategies
- Health and Lifestyle Studies
- Migration, Health and Trauma
- Racial and Ethnic Identity Research
- Sexuality, Behavior, and Technology
- Global Cancer Incidence and Screening
- Nutrition and Health in Aging
- Frailty in Older Adults
- Health Literacy and Information Accessibility
- Physical Activity and Health
- Healthcare cost, quality, practices
- Public Health Policies and Education
- Workplace Health and Well-being
University of Nebraska Medical Center
2016-2025
Nebraska Medical Center
2016-2021
Augusta University
2018
Fred and Pamela Buffett Cancer Center
2018
University of Minnesota
2014-2016
<b><i>Background:</i></b> It remains unclear how demographic and clinical characteristics are related to the risk of incident mild cognitive impairment (MCI) by its subtypes. Moreover, contribution subtypes MCI progression dementia puzzling. <b><i>Methods:</i></b> We used data collected National Alzheimer Coordinating Center. Our analysis sample included cognitively normal subjects at baseline. The associations were examined using...
In light of the need to expand reach and access clinically proven digital Diabetes Prevention Programs (d-DPPs) for rigorous evidence effectiveness, purpose this study was determine effectiveness a Program improving weight, HbA1c, cardiovascular risk factors among people with prediabetes compared enhanced standard care plus waitlist control.This single-blind RCT participants at developing type 2 diabetes included 12 months follow-up.A total 599 volunteer patients were recruited primarily...
Background:The documented efficacy and promise of telemedicine in diabetes management does not necessarily mean that it can be easily translated into clinical practice. An important barrier concerns patient activation engagement with technology.Objective:To assess the importance remote monitoring technology among patients type 2 diabetes.Methods:Ordinary least squares logistic regression analyses were used to examine how related changes hemoglobin A1c (HbA1c) for 1,354 monitored remotely 3...
The persistent high prevalence of e-cigarette use among young adults remains a significant public health concern, with limited evidence and guidance on effective vaping cessation programs targeting this population. This study aims to outline the design protocol pilot randomized controlled trial aimed at investigating feasibility assessing whether media literacy education or financial incentives enhance effectiveness evidence-based text message support in promoting abstinence adult users....
This study evaluated the performance of urine reagent strips (URSs) in detecting Schistosoma haematobium infection individual and pooled samples. Between June 2022 April 2023, 2634 samples (10 mL each) from school-age children (5–15 years) 15 villages across Ethiopia’s Afar, Benishangul-Gumuz, Gambella regions were tested using filtration microscopy (UFM) URSs for blood, a marker S. eggs. Pooled 5, 10, 20, 40 individuals (one positive, others negative) examined with both methods. UFM results...
Background: Despite the growing use of remote patient monitoring (RPM) in diabetes management, few studies have assessed program enrollment and attrition. This study adopted a mixed-methods approach to examining factors linked attrition amongst large sample patients who went through RPM management. Methods: Based on quantitative data from Remote Interventions Improving Specialty Complex Care conducted Nebraska 2014 2018, chi-squared or t tests were used compare three groups with had been...
Despite escalating racism in the United States during COVID-19, few studies have identified correlates of experience among Americans using nationally representative data. This study seeks to quantitatively identify and qualitatively categorize its coping survey data.Based on data from "Health, Ethnicity Pandemic Survey" (N=2,506), a conducted October 2020, multivariable logistic regression was estimated examine association between self-reported selected correlates. Thematic analysis classify...
BACKGROUND Despite the increasing prevalence of vaping e-cigarettes among adolescents, there remains a lack population-level assessments regarding objective measurement nicotine exposure. METHODS This study analyzed nationally representative sample adolescents aged 13 to 17 years from Wave 5 Population Assessment Tobacco and Health Study conducted between 2018 2019. Urinary metabolites, including cotinine trans-3′-hydroxycotinine (3-HC), were assessed exclusive nonnicotine e-cigarette users...
Background:Association between high adiposity and the clinical progression of dementia remains puzzling. Objective:To separately examine association body mass index (BMI) cognitive, functional, behavioral declines before, at, after diagnosis dementia, further stratifi ed by age groups, sex. Methods:A total 1,141 individuals with incident were identified from Uniform Data Set National Alzheimer’s Coordinating Center. Cognitive function was evaluated Mini-Mental State Exam, functional...
Introduction: Despite growing documentation of the efficacy telemedicine in diabetes management, racial disparities telemedicine-facilitated management remain underexplored. This study examined outcomes between black and white patients with type 2 (T2D) a remote monitoring program. Methods: The analysis sample included 914 T2D 365 Nebraska who completed 3-month patient coaching after hospital discharge from 2014 to 2017. Ordinary least squares regression was estimated examine differences...
The objective of this study was to evaluate changes in clinical outcomes for patients with type 2 diabetes (T2D) after a 3-month remote patient monitoring (RPM) program, and examine the relationship between hemoglobin A1c (HbA1c) participant characteristics. sample included 955 T2D who were admitted an urban Midwestern medical center any reason from 2014 2017, used RPM 3 months discharge. Clinical HbA1c, weight, body mass index (BMI), activation scores. Logistic regression estimate...
Abstract Introduction This study sought to examine reasons for youth e-cigarette use in association with vaping patterns and cessation behaviors. Aims Methods A national representative sample of current (past 30-day) users grades 6–12 was analyzed using the National Youth Tobacco Survey (NYTS), conducted from January March 2020. An exploratory oblique factor analysis a rotated pattern matrix select salient variable-factor relationships yielded four subscales related use. Multivariate...
Abstract Although technology-assisted diabetes prevention programs (DPPs) have been shown to improve glycemic control and weight loss, information are limited regarding relevant costs their cost-effectiveness. To describe a retrospective within-trial cost cost-effectiveness analysis (CEA) compare digital-based DPP (d-DPP) with small group education (SGE), over 1-year study period. The were summarized into direct medical costs, nonmedical (i.e., times that participants spent engaging the...
E-cigarette industry's marketing and social media efforts have promoted adolescent vaping. We developed pilot-tested an anti-vaping literary program - MediaSense.