A5059154139- Global Cancer Incidence and Screening
- Food Security and Health in Diverse Populations
- Colorectal Cancer Screening and Detection
- Cervical Cancer and HPV Research
- Health disparities and outcomes
- Chronic Disease Management Strategies
- Geriatric Care and Nursing Homes
- Diabetes Management and Education
- Primary Care and Health Outcomes
- Smoking Behavior and Cessation
- Palliative Care and End-of-Life Issues
- Obesity and Health Practices
- Obesity, Physical Activity, Diet
- Intergenerational Family Dynamics and Caregiving
- Pharmaceutical Practices and Patient Outcomes
- Health Policy Implementation Science
- Nutrition, Health and Food Behavior
- Behavioral Health and Interventions
- Patient-Provider Communication in Healthcare
- Migration, Aging, and Tourism Studies
- Substance Abuse Treatment and Outcomes
- Health and Wellbeing Research
- Health, psychology, and well-being
- Healthcare Policy and Management
- Aging and Gerontology Research
University of Kentucky
2016-2025
Markey Cancer Center
2015-2024
Jimma University
2019
Georgia Southern University
2019
Moffitt Cancer Center
2019
University of South Florida
2019
National Heart Lung and Blood Institute
2018
Johns Hopkins University
2018
University of Virginia
2018
National Institutes of Health
2018
The radiographs of fifty fractures the proximal part humerus were used to assess interobserver reliability and intraobserver reproducibility Neer classification system. A trauma series consisting scapular anteroposterior, lateral, axillary was available for each fracture. reviewed by an orthopaedic shoulder specialist, traumatologist, a skeletal radiologist, two residents, in their fifth second years postgraduate training. on different occasions, six months apart. Interobserver assessed...
This article describes the use of vignettes, or hypothetical scenarios, with semi-structured follow-up questions. The vignette approach offers a number benefits, particularly for eliciting data on awareness and attitudes, including: (1) flexibility that allows researcher to design an instrument uniquely responsive specific topical foci; (2) enjoyment creativity informant; (3) depersonalization encourages informant think beyond his her own circumstances, important feature sensitive topics...
Researchers have long held that fatalism (the belief in a lack of personal power or control over destiny fate) constitutes major barrier to participation positive health behaviors and, subsequently, adversely affects outcomes. In this article, we present two in-depth, ethnographic studies rural women's decisions surrounding cancer treatments illustrate the complexity and contestability long-established construct. Narrative analyses suggest for these women, numerous complex factors—including...
On average, adults aged 60 years or older have 2.2 chronic diseases, contributing to the over million Americans with multiple morbidities. We aimed understand financial implications of most frequent morbidities among adults.We analyzed Health and Retirement Study data, determining out-of-pocket medical expenses from 1998 2002 separately examining differences in impact multiple-morbidity constellations on these expenses. paid particular attention common disease - hypertension, arthritis,...
Nearly three quarters of older adults have multiple morbidities (MM). This study investigated which prioritize, why, and how they accommodate these conditions, focusing on elders with two or more chronic conditions low socioeconomic status. Methods . In-depth interviews were conducted 41 (most being African American women from the southeastern U.S., illnesses). Results Many participants reported worrying most about their heart disease, diabetes, disability/mobility problems, synergistic...
Abstract There are meaningful cancer-related disparities in the Appalachian region of U.S. To address these disparities, Appalachia Community Cancer Network (ACCN), a collaboration investigators and community partners five states (Kentucky, Ohio, Pennsylvania, Virginia, West Virginia), is involved increasing cancer education awareness, conducting community-based participatory research (CBPR), creating mentorship training opportunities. The primary objective this paper to describe as an...
BackgroundThe purpose of this study was to learn community members' perspectives about digital storytelling after viewing a story created by Community Health Aide/Practitioner (CHA/P).MethodsUsing qualitative research design, we explored likeability as health-messaging tool, health information viewers reported learning and, if viewing, cancer-related stories facilitated increased comfort in talking cancer. In addition, enquired the affected how felt cancer, well resulted behaviour change or...
Objectives/Hypothesis The purpose of this study was to examine the timing diagnostic and therapeutic services in cochlear implant recipients from a rural Appalachian region with healthcare disparity. Study Design Retrospective analysis. Methods Cochlear tertiary referral center born severe congenital sensorineural hearing loss were examined. Rural status their county origin recorded. A log‐rank test used differences distributions time definitive diagnosis loss, initial amplification fitting,...
This qualitative study explored social-cultural factors that shape treatment seeking behaviors among depressed rural, low-income women in Appalachia-a region with high rates of depression and a shortage mental health services. Recent research shows increasingly rural are receiving some form identifying their symptoms as depression. Using purposive sampling, investigators recruited 28 living Appalachian Kentucky conducted semistructured interviews on participants' perceptions seeking. Even...
Objectives To examine adherence to the American College of Sports Medicine and Cancer Society guidelines on leisure‐time aerobic muscle‐strengthening physical activity ( PA ) older cancer survivors. Design Cross‐sectional study based 2014 National Health Interview Survey. Setting United States. Participants Young‐old (65–74) (n = 627), old‐old (≥75) 656), middle‐aged (45–64) 786) survivors adults without 18,369), stratified according same age groups. Measurements Weighted percentages were...
Background: Cervical cancer (CC) rates have declined nationally but remain high in Black women with most cases occurring among unscreened and under-screened women. This paper describes the adaptation, acceptability, useability of an education intervention, “Health is Wealth: A Health Intervention”, to promote cervical screening reduce perceived barriers CC two subgroups women: African American (AA) sub-Saharan immigrant (SAI) Methods: In this paper, we describe process adapting Wealth...
This study describes parents' understanding, or explanatory models, of attention-deficit/hyperactivity disorder (ADHD) and examines how such models differ by ethnicity, child gender, treatment status, sociodemographic status. Children with ADHD were identified through a two-stage school district special education population; this included screening diagnostic phase. In addition, survey concerning parent-reported knowledge attitudes about ADHD, ethnographic interviews—based on Kleinman's...
Approximately three fourths of middle-aged and older adults have at least two simultaneously occurring chronic conditions (“multiple morbidity,” or MM), a trend expected to increase dramatically throughout the world. Rural residents, who tend fewer personal health resources, are more likely experience MM. To improve our understanding ways in which vulnerable, rural residents United States manage MM, we interviewed 20 Appalachian with We identified following themes: (a) MM has multifaceted...
Abstract Purpose Extensive attention has been focused on improving the dietary intake of Americans. Such focus is warranted due to increasing rates overweight, obesity, and other dietary‐related disease. To address suboptimal requires an improved, contextualized understanding multiple intersecting influences healthy eating, particularly among those populations at greatest risk from poor diet, including rural residents. Methods During 8 groups (N = 99) 6 group key informant interviews 20),...