A5063397442- Mental Health Treatment and Access
- Child and Adolescent Psychosocial and Emotional Development
- Digital Mental Health Interventions
- Opioid Use Disorder Treatment
- Substance Abuse Treatment and Outcomes
- COVID-19 and Mental Health
- Primary Care and Health Outcomes
- Health Policy Implementation Science
- Health disparities and outcomes
- Pain Management and Opioid Use
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Treatment of Major Depression
- Health and Lifestyle Studies
- Suicide and Self-Harm Studies
- Attention Deficit Hyperactivity Disorder
- Maternal Mental Health During Pregnancy and Postpartum
- Telemedicine and Telehealth Implementation
- Cultural Competency in Health Care
- Food Security and Health in Diverse Populations
- Mental Health and Patient Involvement
- Medication Adherence and Compliance
- Prenatal Substance Exposure Effects
- Resilience and Mental Health
- Psychological Well-being and Life Satisfaction
- Bipolar Disorder and Treatment
Baylor Scott & White Health
2018-2025
Baylor Medical Center at Garland
2019-2024
Kaiser Permanente Center for Health Research
2024
Nationwide Children's Hospital
2024
The University of Texas Southwestern Medical Center
2014-2023
Southwestern Medical Center
2020-2023
The University of Texas at Arlington
2014-2023
Community Care
2023
The University of Texas Health Science Center at Houston
2023
Baylor Scott & White Medical Center - Temple
2023
We aimed to perform an observational study of age at loss independent ambulation (LoA) and side-effect profiles associated with different glucocorticoid corticosteroid (GC) regimens in Duchenne muscular dystrophy (DMD).We studied 340 participants the Cooperative International Neuromuscular Research Group Natural History Study (CINRG-DNHS). LoA was defined as continuous wheelchair use. Effects prednisone or prednisolone (PRED)/deflazacort (DFZ), administration frequency, dose were analyzed by...
Mental health literacy consists of knowledge a mental disorder and the associated stigma. Barriers to depression treatment among Hispanic populations include persistent stigma which is primarily perpetuated by inadequate disease cultural factors. U.S.-born Hispanics are more likely have compared born in Latin America less follow plan non-Hispanic whites. women access through primary care provider, making it an ideal setting for early interventions.Baseline data from 319 female patients...
The COVID-19 pandemic has caused disproportionate suffering among vulnerable and socioeconomically disadvantaged portions of the population. Low-income minority populations are likely to experience disparate disease mental health burdens. Currently, there is little evidence regarding how early months US outbreak differed by income level, that related symptoms. present study used data from a national sample adults (n = 5023) who completed measures COVID experience, Fear Scale, Generalized...
Abstract Task-sharing holds promise for bridging gaps in access to mental healthcare; yet there remain significant challenges scaling up task-sharing models. This formative study aimed develop a digital platform training non-specialist providers without prior experience healthcare deliver brief psychosocial intervention depression community settings Texas. A 5-step development approach was employed, consisting of: blueprinting, scripting, video production and content creation, uploading...
Integrated care holds promise for reducing mental health disparities racial and ethnic minority groups, but studies are lacking. The authors consider critical components of effective integrated models populations, including cultural linguistic competence a diverse workforce, describe emerging best practices. To successfully implement into practice with populations will require guidance from communities, consumers family members, national experts.
Background: The collaborative care model is a systematic approach to the treatment of depression and anxiety in primary settings that involves integration managers consultant psychiatrists, with physician oversight, more proactively manage mental disorders as chronic diseases, rather than treating acute symptoms. While has been shown be effective usual improving outcomes number studies, less known about factors support translation this evidence-based intervention real-world program...
Sharing of research data derived from health system records supports the rigor and reproducibility primary can accelerate progress through secondary use. But public sharing such create risk re-identifying individuals, exposing sensitive information.We describe a framework for assessing re-identification that includes: identifying elements in dataset overlap with external sources, small classes defined by unique combinations those elements, considering pattern population between an source. We...
The study "Strategies for Pre-professional Practices and Graduate Profile in the Early Childhood Development Program at an Institute Ecuador, 2024" assesses effectiveness of a methodological strategies program aimed enhancing graduate profiles. Employing quantitative approach pre-experimental design, it analyzed responses from 35 students through surveys conducted before after educational intervention. Descriptive inferential statistics, including Mann-Whitney U test, indicated significant...
Background: Severity of alopecia areata (AA) has been commonly defined by clinician assessment scalp hair loss. Objective: To characterize patient-reported factors beyond loss that contribute to AA severity, while modifying for socioeconomic factors. Methods: Patients with were recruited take a survey. Multivariable linear regression was performed evaluate lifetime severity adjusting variables, current at the time survey, and disease burden. Results: Patient-reported associated (OR 4.19, 95%...
Abstract Introduction: The Connect for Cancer Prevention Study is a new prospective cohort with repeated exposure assessment and long-term follow-up to study the cancer continuum from initiation, multi-step carcinogenesis, diagnosis, outcomes in diverse US population. Over 50, 000 participants towards goal of 200, have been recruited so far at 10 integrated healthcare sites across United States. Goals include studies etiology, risk prediction, early detection. Biospecimens are critical...
Abstract Background: Reaching the national goal of reducing cancer mortality by 50% within 25 years will require improvements in early detection and prevention addition to treatment. Modern prospective cohorts that capture new emerging exposures research etiology are critical achieve these goals. Profound societal technological changes last decade present opportunities challenges for recruitment, engagement, retention participants cohorts. Methods: The Connect Cancer Prevention Study is a...
Abstract: Patient-centered care and self-management of chronic disease are optimally characterized by distinct adjunct services such as education, support for the behavioral psychosocial elements managing disease. The collaborative model treatment depression anxiety in primary includes integration a health specialist, collaboration with provider, psychiatric consultation to effectively screen treat common mental problems. Dissemination sustainability have encountered numerous barriers across...
Abstract Background Low use of anti-depressant medication, poor doctor-patient communication, and persistent stigma are key barriers to the treatment depression in Hispanics. Common concerns include fears about addictive harmful properties antidepressants, worries taking too many pills, attached medications seeking mental health treatments. In 2014, Center for Medicare Medicaid Services (CMS) funded Depression Screening Education: Options Reduce Barriers Treatment (DESEO) project implement...
To examine rates of clozapine use among people with psychotic disorders who experience specific indications for clozapine.
This report is the outcome of an expert consensus meeting sponsored by United States Deparment Health and Human Services Office Minority Health, which was convened to formulate statements, provide recommendations identify key strategies from practice for implementing integrated health behavioral care intended improve status underserved populations.
Research analyzing behavioral activation (BA) teletherapy outcomes is limited. Among low-income real-world primary care patients receiving a brief BA program for depression and anxiety, we analyzed descriptive statistics changes in anxiety scores throughout treatment.One hundred thirty completed an intake assessment from June 2015 to August 2016; included the Patient Health Questionnaire-9 (PHQ-9) Generalized Anxiety Disorder-7 (GAD-7). Data 74 low-income, completing at least one therapy...
Illness stigma has been observed across previous outbreaks including Ebola, SARS, HIV/AIDS, and now COVID-19. Although both the of having COVID-19 as well mental health impacts have studied, limited research exists regarding relationship in this population. Thus, primary purpose present study was to examine between adults with COVID-19.Adult respondents a diagnosis (N = 632) completed an online questionnaire distributed April 17, 2020, 18, 2021. The measures included Patient Health...
Barriers to depression treatment among Hispanic populations include persistent stigma, inadequate doctor patient communication (DPC) and resultant sub-optimal use of anti-depressant medications. Stigma is primarily perpetuated due disease literacy cultural factors. Common concerns about treatments Hispanics fears the addictive harmful properties antidepressants, worries taking too many pills, stigma attached psychotropic The current manuscript presents study protocol for Depression Screening...