A5102796383- Dementia and Cognitive Impairment Research
- Mental Health Treatment and Access
- Geriatric Care and Nursing Homes
- Health disparities and outcomes
- Intergenerational Family Dynamics and Caregiving
- Family Caregiving in Mental Illness
- Mental Health and Patient Involvement
- Health Policy Implementation Science
- Cultural Competency in Health Care
- Ethics in Clinical Research
- Schizophrenia research and treatment
- Palliative Care and End-of-Life Issues
- Migration, Health and Trauma
- Health and Well-being Studies
- Counseling Practices and Supervision
- Health Systems, Economic Evaluations, Quality of Life
- Mobile Health and mHealth Applications
- Digital Mental Health Interventions
- Aging and Gerontology Research
- Aging, Elder Care, and Social Issues
- Employment and Welfare Studies
- Interprofessional Education and Collaboration
- Urban, Neighborhood, and Segregation Studies
- Mental Health Research Topics
- Patient-Provider Communication in Healthcare
University of California, Davis
2015-2024
UC Davis Health System
2018
Institute of Behavioral Sciences
2006-2014
University of California, San Diego
2005
Direct-to-consumer (DTC) advertising of prescription drugs in the United States is both ubiquitous and controversial. Critics charge that it leads to overprescribing, while proponents counter helps avert underuse effective treatments, especially for conditions are poorly recognized or stigmatized.To ascertain effects patients' DTC-related requests on physicians' initial treatment decisions patients with depressive symptoms.Randomized trial using standardized (SPs). Six SP roles were created...
Despite growing interest in mobile mental health and utilization of smartphone technology to monitor psychiatric symptoms, there remains a lack knowledge both regarding patient ownership smartphones their using such health.To provide data on outpatients' prevalence run applications health.We surveyed 320 outpatients from four clinics around the United States order capture geographically socioeconomically diverse population. These comprised state clinic Massachusetts (n=108), county...
OBJECTIVE: HTo determine the association between acculturation, immigration, and prevalence of depression in older Mexican Americans. DESIGN: Cross‐sectional analysis from a cohort study. SETTING: Urban rural counties Central Valley Northern California. PARTICIPANTS: One thousand seven hundred eighty‐nine Latinos recruited population‐based sample (85% Americans) with mean age 70.6 (range 60–100; standard deviation (SD) = 7.13); 58.2% were women. MEASUREMENTS: Depressive symptoms assessed...
In later adulthood brain pathology becomes common and trajectories of cognitive change are heterogeneous. Among the multiple determinants late-life course, reserve has been proposed as an important factor that modifies or buffers impact on function. This article presents investigates a novel method for measuring investigating such factors. The core concept is in population where variably present, 'reserve' may be defined difference between performance predicted by individual's level actual...
Understanding variability in conceptions of dementia multiethnic populations is important to improve care and guide research. The objectives this study were describe caregiver using a previously developed typology examine the correlates sample. This cross‐sectional conducted Boston San Francisco Bay area. Participants convenience sample 92 family caregivers from four ethnic/racial groups: African‐American, Anglo European‐American, Asian‐American, Latino. In‐depth, qualitative interviews...
We describe the history, development, and success of recruitment screening procedures used by researchers at University California, Davis Alzheimer's Disease Center (UCD ADC) to facilitate minority enrollment in research. After an initial, unsuccessful approach with satellite clinics neighborhoods, ADC shifted active community outreach approach. Multiple strategies were implemented remove barriers research participation such as providing transportation clinical appointments offering in-home...
Abstract Neurocognitive deficits in fragile X‐associated tremor/ataxia syndrome (FXTAS) involve attentional control, working memory, executive functioning, and declarative procedural learning. To date, no studies comparing FXTAS with other dementias have been done. We characterize the dementia FXTAS, it Alzheimer's disease. Retrospective chart review of 68 adults (50 men, 18 women) FXTAS. 20 men were matched by age, gender, education to patients mild (AD). Neuropsychological measures...
Caregiving for elderly relatives with dementia is described as a stressful and challenging obligation that disproportionately befalls women in families. Studies of Latina caregivers tend to focus on how the cultural value familism shapes caregiving expectations experiences. However, these studies not distinguish between ideology practice evaluate may or conform prescribed scripts nor examine ethics care utilized by family caregivers. Through case study second-generation daughter, we explore...
Abstract Introduction Clinical research focused on aging, Alzheimer's disease and related dementias (ADRD), caregiving often does not recruit Asian Americans Pacific Islanders (AAPIs). Methods With funding from the National Institute Aging, we designed launched Collaborative Approach for AAPIs Research Education (CARE), a recruitment registry to increase AAPIs’ participation in ADRD, research. We present design of this novel program. Results CARE uses community‐based participatory methods...
Comparatively less research has been done on caregiving for persons with cardiovascular disease (CVD) than in other chronic conditions, leaving gaps guidance clinical care and interventions. We aimed to describe the needs of older adults CVD United States identify determinants stress mental health their partners. This was a cross-sectional analysis using National Health Aging Trends Study (n = 1011 CVD) Caregiving 510 partners). compared differences without described partners' activities....
Objectives This study aims (i) to compare depression frequency and self‐reported treatment in Mexican‐origin white men; (ii) examine ethnic differences prior diagnosis types of treatment; (iii) determine whether men (both English Spanish language preferring) are less likely than report receiving after controlling for potential confounders. Methods is a cross‐sectional, observational (60 years old over) presenting primary care visits at six outpatient clinics California's Central Valley....
Although individual-level socioeconomic status is associated with poor outcomes, less known regarding how the social context might affect cognitive outcomes. We examined effect of neighborhood (NSES) on baseline function and trajectories decline.The sample (N = 480) came from a longitudinal cohort recruited to study function. Mixed effects models influence NSES rate change in executive function, semantic memory, episodic memory.NSES was positively memory scores at baseline, but not or...
Studying the brain through autopsy is an essential component of Alzheimer's disease research. Racial and ethnic minorities are underrepresented in research generally and, particular, number completed autopsies. We explored beliefs about attitudes toward donation among African American, Chinese, Caucasian, Latino subjects their family members focus groups at 4 NIH-funded Disease Centers. Eighteen were conducted with 61 34 members. Because primary purpose was to identify range considerations...
Racial and ethnic groups are under-represented among research subjects who assent to brain donation in Alzheimer disease studies. There has been little on this important topic. Although there some studies that have investigated the barriers African American study volunteers, is no known factors influence whether or not Asians Latinos willing donate their brains for research.African American, Caucasian, Asian, Latino volunteers were surveyed at 15 Disease Centers identify predictors of...
Embedded pragmatic clinical trials (ePCTs) advance research on Alzheimer's disease/Alzheimer's disease and related dementias (AD/ADRD) in real‐world contexts; however, health equity issues have not yet been fully considered, assessed, or integrated into ePCT designs. Health disparity populations may be well represented ePCTs without special efforts to identify successfully recruit sites of care that serve larger numbers these populations. The National Institute Aging (NIA) Imbedded Pragmatic...
The symbolic framework guiding primary care physicians’ (PCPs) practice is crucial in shaping the quality of for those with degenerative dementia. Examining relationship between cure and models offers a unique opportunity exploring change toward more holistic approach to health care. aims this study were (a) explore how PCPs patients Alzheimer’s disease (AD), (b) describe unfolds from perspectives. This was cross-sectional 40 who completed semistructured interviews as part dementia...