A5058394190- Diabetes Management and Research
- Adolescent and Pediatric Healthcare
- Diabetes Management and Education
- Mobile Health and mHealth Applications
- Chronic Disease Management Strategies
- Childhood Cancer Survivors' Quality of Life
- Global Cancer Incidence and Screening
- Child and Adolescent Health
- Patient-Provider Communication in Healthcare
- Health Literacy and Information Accessibility
- Child and Adolescent Psychosocial and Emotional Development
- Child Abuse and Trauma
- Diabetes and associated disorders
- Traumatic Brain Injury and Neurovascular Disturbances
- Legal Systems and Judicial Processes
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Family and Disability Support Research
- Teacher Education and Assessments
- Intracranial Aneurysms: Treatment and Complications
- Smoking Behavior and Cessation
- Intracerebral and Subarachnoid Hemorrhage Research
- Wireless Body Area Networks
- Pancreatic function and diabetes
- Scientific Research and Philosophical Inquiry
- Healthcare Policy and Management
Oregon Health & Science University
2016-2025
Oregon Medical Research Center
2020-2022
University of Massachusetts Chan Medical School
2017-2021
UCSF Benioff Children's Hospital
2020
University of California, San Francisco
2020
UMass Memorial Medical Center
2017-2019
UMass Memorial Health Care
2017
University at Albany, State University of New York
2015-2016
Albany State University
2016
Georgetown University Medical Center
2012-2013
IMPORTANCE-The conflicting recommendations for prostate cancer (PCa) screening and the mixed messages communicated to public about effectiveness make it critical assist men in making informed decisions.OBJECTIVE-To assess of 2 decision aids helping PCa decisions.
Background:There is growing evidence for the feasibility of text-based interventions pediatric patients with type 1 diabetes (T1D). However, less known regarding whether use personalized text messages high-risk youth and their caregivers associated improvements in health. This study examines diabetes-specific texts health outcomes participants Novel Interventions Children's Healthcare (NICH) program. Methods:Text sent to T1D during NICH intervention were coded relevance adherence-related...
Background/Objectives: Youth with type 1 diabetes (T1D) who experience avoidable complications often have dangerously high and consistently elevated HbA1c values. Novel Interventions in Children’s Healthcare (NICH), a program designed to effectively intervene this population, has demonstrated success reducing improving these youth. However, prior examinations of outcomes not included comparison group. This is the first study compare electronic health record (EHR) (i.e., values, hospital...
The impact of lung cancer screening on smoking behavior is unclear. aims this ancillary study the Prostate Lung Colorectal and Ovarian Cancer Screening Trial were to produce risk prediction models identify individuals at relapse or continued evaluate whether cancer-screening variables affect long-term outcomes. Participants completed a baseline questionnaire trial enrollment supplemental 4–14 years after enrollment, which assessed several cancer-related variables, including family history...
Most medical organizations recommend informed decision making before undergoing prostate cancer screening. The authors conducted a detailed evaluation of men's use an interactive, Web-based screening aid. Participants (N = 531) were 57 years old (SD 6.8), 37% African American, and 92% had Internet access. Men completed 2 telephone interviews, pre- 1-month post–Web site availability. Half the sample (n 256) accessed Web site. Multivariate analysis revealed that users more likely than nonusers...
The American Diabetes Association recommends psychosocial screening for individuals with type 1 diabetes (T1D). purpose of this study is to present (a) several high priority decisions that program developers may encounter when building a new and (b) both the development process results one mental health within multidisciplinary pediatric clinic, particular emphasis on parent-youth agreement changes elevation status over time.Youth T1D ages 12-17 parents youth 8-17 were administered screeners...
Youth with type 1 diabetes (T1D) experiencing self-management difficulties are at risk of irreversible long-term health problems and consume a disproportionate amount care resources. Behavioral interventions for this population have shown limited effects, perhaps because research on intervention in relevant environments. To effectively intervene, providers must first thoroughly understand how factors interact various contexts (e.g., school, home, hospital) to determine opportunities the...
Background: Text message interventions are feasible, preferable, and sometimes effective for youth with diabetes. However, few, if any studies, have examined the personalized use of text messages repeatedly hospitalized diabetic ketoacidosis (DKA) their caregivers. This study characterizes in Novel Interventions Children’s Healthcare (NICH). Methods: Approximately 2 months sent to repeat DKA caregivers were logged regarding following characteristics: (1) content, (2) intervention type, (3)...
Recent research efforts have focused on examining the relationship between environmental and physiological factors to better understand effect that childhood chronic stress might adult health outcomes. This study examines relation parental aggression exposure sympathetic nervous system (SNS), as measured by resting skin conductance levels (SCLs). Participants (N = 155) completed retrospective self-report measures of interparental physically aggressive parenting. The 2-way interaction...
This is a retrospective chart review to ascertain the rates of neurosurgical intervention following transfer patients with non-traumatic intracerebral hemorrhage (ICH) Comprehensive Stroke Center (CSC) and characterize predictors need for surgical intervention. Introduction: While required in minority cases, it has become standard practice all ICH be transferred our tertiary care center, without consideration additional factors. creates significant burden stress families as well hospital...
A provider of mental health services on multiple sites experienced major problems availability with traditional paper records and commenced development an electronic patient record (EPR) clinical information system in order to provide integrated, real time based information. The process, including technical considerata is described draw conclusions about the ways which EPR’s can be a vehicle for change from practice multidisciplinary, community practise developments recent years....
Objective: The present study examines the relationship between parenting self-efficacy, social support in tasks, and parenting-related stress for parents with without type 1 diabetes (T1D).Research Design Methods: Parents T1D completed self-report measures addressing demographic, (e.g., parental stress, support, self-efficacy), diabetes-related variables. One-way ANOVAs examined effect of parent diagnosis on demographic data. In addition, regression analyses main interactive effects...
Objective: A subset of youth with T1D are at high risk preventable acute events, such as DKA, and associated emergency department (ED) visits. Although studies have identified social factors utilization between all T1D, less is known about how to distinguish amongst those already demonstrating poor health outcomes. This study examines the association complications in struggling self-management. Methods: Youth (n=50) by medical providers exhibiting chronic self-management difficulties were...
Integrated behavioral healthcare (IBH) is recommended as the gold standard to address psychosocial factors in diabetes management. While it well documented that interventions improve outcomes, there a dearth of literature on benefits integrating health providers (BHP) into care. IBH involves collaborating with physicians, nurses, educators, and dieticians formulate comprehensive treatment plans, has potential have substantial impact management beyond any standalone intervention. The purpose...
Objective: Youth with T1D and high social risk experience health disparities, including acute complications. Novel Interventions in Children’s Healthcare (NICH) , designed to target risk, is associated improved health, fewer complications, lower medical costs. This the first study compare NICH outcomes youth a control group using claims data. Methods: Using state-based database, difference-in-differences matched comparison was conducted, comparing served by (n=25) referred but denied access...
Objective: Novel Interventions in Children’s Healthcare (NICH) was developed for youth with T1D who experience avoidable DKAs. Previous findings suggest that NICH participation is associated fewer PICU visits, hospital admissions, and DKA events, but interpretation limited due to possibility of regression the mean. This study examines whether acute events during wait period following referral NICH. Methods: Retrospective chart reviews were conducted (n=63) participated services. Youth mean...
Objective: Novel Interventions in Children’s Healthcare (NICH) is a community-based, family-focused intervention for youth with T1D who experience self-management difficulty due to social challenges. Previous findings suggest that NICH participation associated improved glycemic control. However, conclusions are limited possibility these outcomes influenced by regression the mean and not reflective of effect. This study examines whether control regresses during wait period following referral...