A5069893733- Food Security and Health in Diverse Populations
- Homelessness and Social Issues
- Sleep and related disorders
- Geriatric Care and Nursing Homes
- Health disparities and outcomes
- Patient Satisfaction in Healthcare
- Primary Care and Health Outcomes
- Housing, Finance, and Neoliberalism
- Retirement, Disability, and Employment
- Obesity, Physical Activity, Diet
- Healthcare Policy and Management
- Substance Abuse Treatment and Outcomes
- Spinal Cord Injury Research
- Urban, Neighborhood, and Segregation Studies
- Indigenous Health, Education, and Rights
- Community Health and Development
- Opioid Use Disorder Treatment
- Cerebral Palsy and Movement Disorders
- Racial and Ethnic Identity Research
- Terrorism, Counterterrorism, and Political Violence
- Prenatal Substance Exposure Effects
- Resilience and Mental Health
- Patient-Provider Communication in Healthcare
- Disability Rights and Representation
- Telemedicine and Telehealth Implementation
RAND Corporation
2019-2025
Kaiser Permanente
2023
Southern California Clinical and Translational Science Institute
2023
UCLA Clinical and Translational Science Institute
2023
University of California, Los Angeles
2016-2023
Los Angeles County Department of Public Health
2023
Agency for Healthcare Research and Quality
2022
Fielding Graduate University
2018-2019
UCLA Health
2017-2018
Hays Medical Center
2017
Policy Points Narratives about patients’ experiences with outpatient care are essential for quality improvement because they convey ample actionable information that both elaborates on existing domains within patient experience surveys and describes multiple additional important to patients. The content of narrative feedback from patients can potentially be translated improved in ways: clinicians learn their own patients, groups the peers’ health system administrators identify respond...
Background COVID-19 has profoundly affected sleep, although little research focused on high-risk populations for poor sleep health, including American Indian/Alaska Native (AI/AN) adolescents.Methods This is the first longitudinal study to examine changes in with surveys completed before pandemic and during early months of a sample urban AI/AN adolescents (N = 118; mean age 14 years at baseline; 63% female). We use mixed-methods approach explore how adolescents' daily routines, interactions...
Nonmedical use of prescription opioids (defined as taking opioid medications for hedonic effects or in a manner other than prescribed) and the heroin have emerged recent years major public health concerns United States. Of particular concern is prevalence among emerging adults (ages 18-25), this developmental period heightened vulnerability critical social, neurological, psychological development. Data from 2015 show that American Indian/Alaska Native (AI/AN) people highest rates diagnosis...
Importance Adolescent sleep problems are prevalent, particularly among racial and ethnic minority groups, can increase morbidity. Despite the numerous strengths of their group, urban American Indian Alaska Native adolescents face significant health disparities but rarely included in research. Understanding how associated with outcomes may elucidate novel targets for interventions to promote equity. Objective To assess whether baseline changes behavioral cardiometabolic 2 years later. Design,...
American Indians and Alaska Natives suffer disproportionately from poverty other inequities are vulnerable to adverse health socioeconomic effects of COVID-19. Using surveys interviews (May–July 2020), we examined urban Indian/Alaska Native adolescents’ (N=50) behaviors, family dynamics, community cohesion, traditional practice participation during About 20% teens reported clinically significant anxiety depression, 25% food insecurity, 40% poor sleep. Teens also high many engaged in...
Many cities across the United States are experiencing homelessness at crisis levels, including rises in number of unhoused emerging adults (18–25). Emerging may be higher risk negative outcomes, given that being increases for a variety behaviors. To better understand current living circumstances with history homelessness, as well their perceptions about associations between housing stability and quality life (QOL), we conducted 30 semistructured in-depth interviews individuals recruited from...
Abstract Background Black Americans have disproportionately higher rates and earlier onset of Alzheimer’s disease related dementias (ADRD) relative to White Americans. We currently lack a comprehensive understanding how the lived experience broader societal factors, including cumulative exposure structural racism mechanisms underlying risks, may contribute elevated ADRD risk in Methods The Think PHRESH study builds on existing, community-based research infrastructure, from ongoing Pittsburgh...
OBJECTIVES Quality improvement (QI) requires data, indicators, and national benchmarks. Knowledge about the usefulness of Child Hospital Consumer Assessment Healthcare Providers Systems (Child HCAHPS) data are lacking. We examined quality leader frontline staff perceptions patient experience measurement use HCAHPS for QI. METHODS surveyed children’s hospital leaders their QI, including measures from other studies. compared scale item means to RESULTS Almost all leaders, but only one-third...
To evaluate the measurement properties of a set six items designed to elicit narrative accounts pediatric inpatient experience.Data came from 163 participants recruited probability-based online panel U.S. adults. Participants were family members child who had an overnight hospital stay in past 12 months.Cross-sectional survey with follow-up phone interviews.Participants completed (n = 129) or 34) about their child's hospitalization experience. The contained closed-ended Child Hospital...
Food insecurity is a major public health problem in the United States which was exacerbated by COVID-19 pandemic. We used multi-method approach to understand barriers and facilitators implementing food screening referrals at safety net care clinics Los Angeles County before pandemic.In 2018, we surveyed 1013 adult patients across eleven safety-net clinic waiting rooms County. Descriptive statistics were generated characterize status, attitudes toward receiving assistance, use of assistance...
Emerging adulthood shapes personal, professional, and overall well-being through identity exploration. This study addresses a gap in the minority literature by investigating how urban AI/AN emerging adults think about their discussing challenges protective factors associated with exploring holistically. mixed-methods created sampling framework based on discrimination experiences, cultural identity, social network support, mental health, problematic substance use. We recruited 20 for...
Objective: Examine practice leaders' perceptions and experiences of how patient-centered medical home (PCMH) transformation improves patient experience. Subjects: Thirty-six interviews with lead physicians (n = 13), site clinic administrators nurse supervisors 10). Methods: Semi-structured at 14 primary care practices within a large urban Federally Qualified Health Center (FQHC) delivery system to identify critical experience domains mechanisms change. Identified were compared Consumer...