- Hearing Impairment and Communication
- Global Cancer Incidence and Screening
- Interpreting and Communication in Healthcare
- Ethics in Clinical Research
- Cancer survivorship and care
- Cancer-related cognitive impairment studies
- Colorectal Cancer Screening and Detection
- Subtitles and Audiovisual Media
- Patient-Provider Communication in Healthcare
- Health Literacy and Information Accessibility
- BRCA gene mutations in cancer
- Smoking Behavior and Cessation
- Family Support in Illness
- Health and Wellbeing Research
- Health Systems, Economic Evaluations, Quality of Life
- Biomedical Ethics and Regulation
- Breast Cancer Treatment Studies
- Problem Solving Skills Development
- Health Policy Implementation Science
- Child and Adolescent Psychosocial and Emotional Development
- Cervical Cancer and HPV Research
- Childhood Cancer Survivors' Quality of Life
- Cultural Competency in Health Care
- Health disparities and outcomes
- Economic and Financial Impacts of Cancer
University of California, San Diego
2015-2024
San Diego State University
2005-2022
Moores Cancer Center
2008-2022
West Virginia University
2022
UC San Diego Health System
2016
Universidad Católica Santo Domingo
2010-2012
University of California San Diego Medical Center
2007-2009
Barts Health NHS Trust
2008
Conquest Hospital
2006-2008
University of California, Los Angeles
2008
Nurse researchers and educators often engage in outreach to narrowly defined populations. This article offers examples of how variations on the snowball sampling recruitment strategy can be applied creation culturally appropriate, community-based information dissemination efforts related health education programs research studies. Examples from primary author's program are provided demonstrate adaptations used effectively members traditionally underserved or vulnerable The adaptation...
The neuropsychological performance of 85 women with early stage breast cancer scheduled for chemotherapy, 43 endocrine therapy and/or radiotherapy and 49 healthy control subjects was assessed at baseline (T1), postchemotherapy (or 6 months) (T2) 18 months (T3). Repeated measures analysis found no significant interactions or main effect group after controlling age intelligence. Using a calculation to examine an individual level, reliable decline on multiple tasks seen in 20% chemotherapy...
This study examined the psychometric properties of Perceived Stress Scale-10 among 436 community-dwelling Hispanic Americans with English or Spanish language preference. Multigroup confirmatory factor analysis factorial invariance across groups. Results supported a two-factor model (negative, positive) equivalent response patterns and item intercepts but different covariances languages. Internal consistency reliability total subscale scores was good in both Convergent validity by expected...
Smokers (N = 3,030) were randomized to receive 1 of 3 interventions: (a) a self-help quit kit, (b) kit plus telephone counseling session, or (c) up 6 sessions, scheduled according relapse probability.Both groups achieved significantly higher abstinence rates than the group.The for having at least 12 months by intention treat 5.4% self-help, 7.5% single counseling, and 9.9% multiple counseling.The 12-month continuous those who made attempt 14.7% 19.8% 26.7% counseling.A dose-response relation...
Abstract Objective : The concept of symptom clusters is relatively new in cancer patients' management. This study, which spanned four cycles chemotherapy, combined three commonly seen pre‐treatment symptoms patients (i.e. sleep disturbances, fatigue and depression) into one cluster, to explore the associations between cluster categories longitudinal profiles these same during chemotherapy. Methods was a prospective study. Seventy‐six women with newly diagnosed stage I–III breast cancer,...
We used a population based cancer registry to examine trends in renal cell carcinoma incidence and survival among 4 racial/ethnic groups (white, black, Hispanic Asian/Pacific Islander) both genders.
Depression is a significant problem for ethnic minorities that remains understudied partly due to lack of strong measures with established psychometric properties. One screening tool, the Patient Health Questionnaire-9 (PHQ-9), which was developed use in primary care has also gained popularity research settings. The reliability and validity PHQ-9 been well among predominantly Caucasian samples, addition many minority groups. However, there little evidence regarding its utility Hispanic...
REPORT insomnia symptoms. 1,2 There is also evidence suggesting that breast cancer patients constitute the subgroup of most at risk for experiencing sleep difficulties. 3,4 In addition to resulting in restless (i.e., increased activity during night), and its treatment may reduce daytime activity.Although data are rather sparse, there some suggest have disturbed circadian rhythms.6][7][8][9] But few examined variables before patients.Some on rhythms be altered even prior initiation...
The Generalized Anxiety Disorder-7 scale (GAD-7) is a self-report questionnaire that widely used to screen for anxiety. GAD-7 has been translated into numerous languages, including Spanish. Previous studies evaluating the structural validity of English and Spanish versions indicate unidimensional factor structure in both languages. However, psychometric properties language version have yet be evaluated samples outside Spain, measure not tested use among Hispanic Americans. This study...
Fatigue and sleep disturbances are two of the most common distressing symptoms cancer patients. A relationship between was reported in symptom cluster studies; however, only subjective measurements were examined studies cross-sectional. In this study women with breast undergoing chemotherapy, we explored longitudinal fatigue measured both subjectively objectively.Prospective study. Data collected at 7 time points: before (baseline) during 3 weeks cycle 1 4 chemotherapy.Ninety-seven newly...
Education programs have been developed to promote adherence recommended breast cancer screening guidelines. Few studies assessed the degree which ethnic subgroups are perceiving and acting on proffered information. Such assessment is vital creation of efficient public health interventions. This paper describes reported knowledge, attitudes, behaviors 194 American Asian Indian women. While monthly self exam was low, only 40.7%, 61.3% women 40 older, 70% 50 having had a mammogram within past...
Intracystic papillary carcinoma (IPC) is an uncommon breast neoplasm. To the authors' knowledge there are limited data regarding its epidemiology and only small studies focusing on outcomes. By using a large, population-based database, this study aimed to identify specific characteristics of patients with IPC, investigate natural history, determine long-term prognosis.The California Cancer Registry (CCR), registry, was reviewed from years 1988 through 2005. The were analyzed regard patient...
African American women have higher rates of breast cancer mortality than their white counterparts. Studies suggested that this is partly caused by discovery at a later stage, highlighting the importance encouraging early detection in population. To guide creation education intervention and help focus other health educators' clinicians' promotion efforts, study explored whether cohort living San Diego would demonstrate possession adequate baseline knowledge about screening adherence to widely...
The Medical Students, Cancer Control, and the Deaf Community Training program (DCT) intended to create physicians who were culturally competent care for deaf patients evaluated. DCT medical students (n = 22), UCSD faculty 131), non-DCT 211) anonymously surveyed about their perceptions related patients, cultural competency, interpreter use. displayed less knowledge than students. These findings suggest that training in competency can significantly increase capacity community members reduce...
This study examined the longitudinal relation between health-related quality of life (HR-QOL) and subjective objective sleep in 166 women with newly diagnosed Stage-1 through Stage-3 breast cancer, who were scheduled to receive ≥ 4 cycles adjuvant/neoadjuvant chemotherapy. HR-QOL was assessed Medical Outcomes Study 36-item Short Form, Physical Component Scale (PCS), Mental (MCS) scores; Pittsburgh Sleep Quality Index; measured actigraphy. Data collected before starting chemotherapy during...
Purpose/Objectives: To explore Korean American women's symbolic meanings related to their breasts and cervix, examine attitudes beliefs about breast cervical cancer, find relationships between the participants' cancer screening behaviors.
We examined the incidence rates of bladder cancer using California Cancer Registry data to determine if any trends exist.Complete records 55,159 cases invasive were from original 92,677 recorded in between 1988 and 2004.California showed a universal late age peak specific men women, across ethnic boundaries. The rate annual increase percent individuals 85 years or older was increasing about 10 times as rapidly population that (slope = 0.395 vs 0.0336). Furthermore, during all 17 proportion...