A5012282673- Health Policy Implementation Science
- Public Health Policies and Education
- Religion, Spirituality, and Psychology
- Food Security and Health in Diverse Populations
- Obesity, Physical Activity, Diet
- Obesity and Health Practices
- Health and Medical Research Impacts
- Primary Care and Health Outcomes
- Service-Learning and Community Engagement
- Health Sciences Research and Education
- Eating Disorders and Behaviors
- School Health and Nursing Education
- Ethics in Clinical Research
- Mental Health and Patient Involvement
- Evaluation and Performance Assessment
- Dietetics, Nutrition, and Education
- Diabetes Management and Education
- Organic Food and Agriculture
- Health Systems, Economic Evaluations, Quality of Life
- Community Development and Social Impact
- Religion, Society, and Development
- Health and Lifestyle Studies
- Community Health and Development
- Health disparities and outcomes
- Global Health Workforce Issues
University of North Carolina at Chapel Hill
2013-2024
University of New Mexico
2024
Kaiser Permanente
2022-2024
Kresge Foundation
2023
E Ink (South Korea)
2023
Schenck Process (Germany)
2023
Technical Directions Incorporation (United States)
2023
Edwards (United Kingdom)
2007-2023
University of North Carolina Health Care
2012-2017
Kaiser Permanente Center for Health Research
1999-2017
We measured ambulatory blood pressure (ABP) in 354 participants the Dietary Approaches to Stop Hypertension (DASH) Trial determine effect of dietary treatment on ABP (24-hour, day and night) assess participants' acceptance compliance with monitoring (ABPM) technique. After a 3-week run-in period control "typical" American diet, subjects (diastolic [BP], 80 95 mm Hg; systolic BP, <160 mean age, 45 years) were randomly assigned 1 3 diets for an 8-week intervention period: continuation diet;...
The field of public health is increasingly implementing initiatives intended to make policies, systems, and environments (PSEs) more supportive healthy behaviors, even though the evidence for many these strategies only emerging. Our objective was 3-fold: 1) describe evaluations PSE-change programs in which evaluators followed steps Centers Disease Control Prevention's (CDC's) Framework Program Evaluation Public Health, 2) share resulting lessons learned, 3) assist future with their...
Participating in community-engaged dissemination and implementation (CEDI) research is challenging for a variety of reasons. Currently, there not specific guidance or tool available researchers to assess their readiness conduct CEDI research. We propose conceptual framework that identifies detailed competencies participating maps these domains. The necessary step toward developing survey measures researcher's attitudes, willingness, self-reported ability acquiring the knowledge performing...
This study evaluated the relationship between perceived social support among African American women with type 2 diabetes and self-management.
Postpartum weight retention can contribute to obesity. There may be unique barriers loss in this period. Cases are presented for three postpartum women who declined participate a intervention. Despite their desire engage healthier behaviors, or partake an intervention uniquely designed promote healthy lifestyles women, some find it too difficult make such commitments. Barriers face adopting lifestyle period include 1) time availability; 2) prioritizing other competing life responsibilities...
We explored the role of price in food purchasing patterns Black adults and youths.
The Clinical and Translational Science Award (CTSA) initiative calls on academic health centers to engage communities around a clinical research relationship measured ultimately in terms of public health. Among few initiatives involving university accountability for advancing interests, small CTSA workgroup devised community engagement (CE) logic model that organizes common activities within university-community infrastructure facilitate CE research. Whereas the focuses range institutional...
Purpose This qualitative study examined fiscal and administrative (i.e., pre- post-award grants process) barriers facilitators to community-engaged research among stakeholders across 4 Clinical Translational Science Awards (CTSA) institutions. Method A purposive sample of 24 key informants from 3 stakeholder groups—community partners, academic researchers, administrators—from the CTSA institutions at University North Carolina Chapel Hill, Medical South Carolina, Vanderbilt Center, Yale...
Rural, minority populations are disproportionately affected by overweight and obesity may benefit from lifestyle modification programs that tailored to meet their unique needs. Obesity interventions commonly use goal setting as a behavior change strategy; however, few have investigated the specific contribution of and/or identified mechanisms which an impact on change. Furthermore, studies not examined processes among racial/ethnic minorities. Using data intervention for predominately women...
Background: Relatively little is known about differences in the prevalence of urinary incontinence (UI) by race and region United States. Objectives: To use 1999-2002 Centers for Medicare Medicaid Services (CMS) Minimum Data Set (MDS), Atlanta Region, to investigate UI among African American Caucasian residents nursing homes (NH) southeastern Methods: A repeated-measures, two time-period design was employed. 95,911 7,640 NH were extracted using study's inclusion exclusion criteria....
In Brief Despite public health efforts to address burden of diseases within communities such as diabetes, disparities remain. Traditional lay advisor models help these issues. Yet, few, if any, have a statewide focus that includes education credit and involves broad-based partnerships. The Community Health Ambassadors Program (CHAP) is training demonstration program designed engage leaders from diverse eliminate in North Carolina. program's current on improving diabetes awareness,...
Body image (BI) and body satisfaction may be important in understanding weight loss behaviors, particularly during the postpartum period. We assessed these constructs among African American white overweight women.
**background** The national and international epidemic of chronic disease, including among children, is largely fueled by increasing obesity. It recommended that primary care play a key role in the treatment pediatric **methods** A written survey was administered to providers staff at 13 practices across North Carolina, assessing perceptions on multiple dimensions obesity knowledge dietitian services. **results** response rate for 66.9% (*n* = 273). Although reported feeling comfortable...
In the United States, about two thirds of women reproductive age are overweight or obese. Postpartum is a transitional period. Life changes during this time can put mothers under high levels stress when interpersonal support inadequate. This study sought to explore predictors unmet social (support inadequacy) for healthy behaviors among postpartum who were obese before pregnancy.Potential derived from baseline and 6-month data Active Mothers (AMP) study. The Support Questionnaire queried...
Food marketing environments of Black American consumers are heavily affected by ethnically-targeted sugar sweetened beverages, fast foods, and other products that may contribute to caloric overconsumption. This qualitative study assessed consumers’ responses targeted marketing. adults (2 mixed gender groups; total n = 30) youth specific 35) from two U.S. communities participated before after a sensitization procedure—a critical practice used understand social justice concerns....
Tobacco use is a major health risk that requires comprehensive response by healthcare professionals. Nurse educators can contribute to the reduction of tobacco educating nursing students about and smoking cessation strategies. The authors examine breadth depth content in Kansas registered programs providing insight into resources needed teach faculty how assist individuals cessation.
Individuals with coronary artery disease are at high risk for adverse health outcomes. This can be diminished by aggressive lipid management, but adherence to management guidelines is far from ideal and substantial racial disparities in care have been reported. Lipid treatment goal attainment information not readily available large patient populations seen the fee-for-service setting. As a result, national programs improve this setting may focus on testing as an indicator of management. We...