- Obesity, Physical Activity, Diet
- Mobile Health and mHealth Applications
- Obesity and Health Practices
- Eating Disorders and Behaviors
- Health Literacy and Information Accessibility
- Blood Pressure and Hypertension Studies
- Social Media in Health Education
- Cancer Research and Treatments
- Electronic Health Records Systems
- Cancer, Hypoxia, and Metabolism
- Bariatric Surgery and Outcomes
- Healthcare Systems and Technology
- Health Promotion and Cardiovascular Prevention
- Colorectal Cancer Screening and Detection
- Acute Ischemic Stroke Management
- Chronic Myeloid Leukemia Treatments
- Cancer-related Molecular Pathways
- Hospital Admissions and Outcomes
- Patient Satisfaction in Healthcare
- Chronic Lymphocytic Leukemia Research
- Cancer therapeutics and mechanisms
- Emergency and Acute Care Studies
- Cancer Mechanisms and Therapy
- Nutritional Studies and Diet
- Medication Adherence and Compliance
The University of Texas Health Science Center at Houston
2009-2025
Memorial Hermann
2012-2022
Yale University
2017
The University of Texas at Austin
2007-2010
The University of Texas MD Anderson Cancer Center
2004
The University of Texas Medical Branch at Galveston
1998-2000
Guidelines recommend that physicians screen all adults for obesity and offer an intensive counseling behavioral interventions weight loss obese adults. Current trends of weight-related are unknown in the setting US epidemic.To describe primary care physician (PCP) counseling, comparing rates 1995-1996 2007-2008.Data analysis outpatient PCP visits 2007-2008, as reported National Ambulatory Medical Care Survey.A total 32,519 adult with PCPs.Rates weight, diet, exercise, a composite variable,...
Background: Online weight loss programs are increasingly popular. However, little is known about outcomes and associations with website usage among members of free online programs. Objective: This retrospective cohort study examined the association between a commercial program (SparkPeople). Methods: We conducted analysis systematic random sample who joined during February 1 to April 30, 2008, included follow-up data through May 10, 2010. The main outcome was net change based on...
Weight management after breast cancer (BC) treatment in African American (AA) women is crucial to reduce comorbid conditions and health disparities. We examined feasibility potential efficacy of commercial eHealth/mHealth tools for weight AA BC survivors New Jersey. Participants (N = 35) were randomized an intervention (SparkPeople) plus activity tracker, Fitbit Charge (n 18), or wait-list active control group (Fitbit only, n 17). Anthropometric, behavioral, quality life (QOL) outcomes...
BackgroundHypertension is the most important modifiable risk factor for secondary stroke prevention; however, blood pressure (BP) remains uncontrolled at least 50% of survivors following an incident stroke. Accurate in-clinic assessment BP appropriate medication titration. We evaluated misclassification clinic control in a racially diverse population using two measurement methods.ObservationsWe followed ischemic stroke, intracerebral hemorrhage, and transient attack patients after hospital...
Although overweight and obese individuals are turning to Internet communities for social support weight loss, there is no validated online instrument measuring the subjective experiences of participants in these communities. The authors' objective was determine whether an version a paper questionnaire, Weight Management Support Inventory, appropriate among members loss authors administered versions questionnaire random, counterbalanced fashion 199 large community. Scores were comparable...
Background: Despite the high prevalence of blood pressure (BP) measurement errors in outpatient setting, little is known about why primary care clinics struggle to achieve consistently accurate BP measurements routine practice. We investigated barriers affecting for adult patients care. Methods: conducted a qualitative evaluation 6 clinics. was observed during 54 patient encounters. Six managers completed semistructured interviews and 18 clinical staff members participated focus group...
Providers currently rely on universal screening to identify health-related social needs (HRSNs). Predicting HRSNs using EHR and community-level data could be more efficient less resource intensive. Using machine learning models, we evaluated the predictive performance of HRSN status from determinants health (SDOH) for Medicare Medicaid beneficiaries participating in Accountable Health Communities Model. We hypothesized that insurance coverage would predict status. All models significantly...
Abstract Background Online weight loss programmes allow members to use social media tools give and receive support for loss. However, little is known about the relationship between of perception specific types support. Objective To test hypothesis that frequency using (structural support) directly related perceptions Encouragement, Information Shared Experiences (functional support). Design survey. Participants Members an online programme. Methods The outcome was Encouragement (motivation,...
The well-known hazards of repurposing data make Data Quality (DQ) assessment a vital step towards ensuring valid results regardless analytical methods. However, there is no systematic process to implement DQ assessments for secondary uses clinical data. This paper presents DataGauge, designing and implementing evaluate repurposed specific use. DataGauge composed five steps: (1) Define information needs, (2) Develop formal Needs Model (DNM), (3) Use the DNM theory develop goal-specific...
There is minimal understanding of the potential for coaction, defined as action on one behavior increasing likelihood taking another behavior, between physical activity (PA) and fruit vegetable (FV) intake. The purpose this study was to assess bidirectional coaction FV intake PA, well self-efficacy these behaviors, in a racially diverse sample obese adults.This secondary analysis using data collected from Path Health study, randomized controlled trial. ClinicalTrials.gov Identifier:...
There is a lack of research on how to best incorporate home-based self-measured blood pressure (SMBP) measurements, combined with other patient-generated health data (PGHD), into electronic record (EHR) systems in way that promotes primary care workflow without burdening the team irrelevant or superfluous data.The purpose this study was explore perspectives providers utilizing SMBP measurements and integrating clinical for management hypertension setting.A total 13 physicians were...
Background: Most strokes and cardiovascular diseases (CVDs) are potentially preventable if their risk factors identified well controlled. Digital platforms, such as the PreventS-MD web app (PreventS-MD) may aid health care professionals (HCPs) in assessing managing promoting lifestyle changes for patients. Methods: This is a mixed-methods cross-sectional two-phase survey using largely positivist (quantitative qualitative) framework. During Phase 1, prototype of was tested internationally by...
Abstract Rationale Doctors frequently give non‐critically ill patients unjustified stress ulcer prophylaxis (SUP). It is unknown if this practice also occurs during residency training. Objective To evaluate the pattern of SUP given to medical on teaching service an internal medicine programme. Methods This was a retrospective cohort study adults admitted community hospital from August 2003 July 2004. We assessed receipt SUP, association with risk factors for bleeding; appropriateness...
Integrating online weight-loss programs into the primary care setting could yield substantial public health benefit. Little is known about providers' perspectives on programs.To assess programs.We conducted focus group discussions with providers in family medicine, internal and combined medicine/pediatrics Texas Pennsylvania, USA. Open-ended questions addressed their experience attitudes toward programs; useful characteristics of existing barriers to referring patients preferred an ideal...