A5039543489- Global Cancer Incidence and Screening
- Colorectal Cancer Screening and Detection
- Lymphatic System and Diseases
- Cancer survivorship and care
- Cervical Cancer and HPV Research
- Gastric Cancer Management and Outcomes
- Diagnosis and Treatment of Venous Diseases
- Systemic Sclerosis and Related Diseases
- Food Security and Health in Diverse Populations
- Ethics in Clinical Research
- Biomedical Ethics and Regulation
- Health Systems, Economic Evaluations, Quality of Life
- Cancer Risks and Factors
- Diverticular Disease and Complications
- Telemedicine and Telehealth Implementation
- Genetic factors in colorectal cancer
- Primary Care and Health Outcomes
- Sympathectomy and Hyperhidrosis Treatments
- Balance, Gait, and Falls Prevention
- Patient-Provider Communication in Healthcare
- COVID-19 and healthcare impacts
- Venous Thromboembolism Diagnosis and Management
- Cancer Treatment and Pharmacology
- Cleft Lip and Palate Research
- Nail Diseases and Treatments
The Ohio State University
2015-2024
Abstract Objective : Improving diet and exercise can reduce survivors' risk of cancer‐related fatigue, poor physical functioning, potential recurrence. A cancer diagnosis represent a ‘teachable moment’, leading survivors to make positive changes in behaviors; however, little is known about how often this occurs or factors that enhance limit ability these changes. This cross‐sectional descriptive study investigated both the prevalence clustering self‐reported related ongoing symptoms, social...
There is a growing need for diversity, equity, and inclusion (DEI) in cancer care, particularly with respect to equal access accrual clinical trials. This commentary describe steps taken address disparities the authors' own practice proposes actions at patient, provider, community, institution levels improve DEI
Abstract Background: Cervical cancer is a significant health disparity among women in Ohio Appalachia. The goal of this study was to evaluate the efficacy lay advisor (LHA) intervention for improving Papanicolaou (Pap) testing rates, reduce cervical cancer, need screening. Methods: Women from 14 Appalachian clinics Pap test were randomized receive either usual care or an LHA over 10-month period. consisted two in-person visits with LHA, phone calls, and four postcards. Both self-report...
Cervical cancer incidence and mortality rates are disproportionally high among women living in Appalachia Ohio. This study used the Transtheoretical Model to examine screening barriers before after a lay health advisor (LHA) intervention (2005–2009) increase cervical rates. Ohio Appalachian (n = 90) who were need of Pap test, based on risk-appropriate guidelines, randomized 10-month LHA received two in-person visits, phone calls, four mailed postcards targeted participant's stage change....
Background Lymphedema affects many women who are treated for breast cancer. We examined the effectiveness of an education‐only (EO) versus education plus sleeve compression/exercise intervention (lymphedema and prevention [LEAP]) on lymphedema incidence range motion (ROM) in a group‐randomized trial across 38 cooperative group sites. Methods The treating institution was randomly assigned to either EO or LEAP by study statistician. All patients at participated same (EO LEAP) minimize...
Although patient navigation has shown promise for increasing participation in colorectal cancer screening and follow-up, little evidence is available to guide implementation of clinical practice. We characterize 8 programs being implemented as part multi-component interventions the National Cancer Institute's Moonshot Accelerating Colorectal Screening Follow-Up Through Implementation Science (ACCSIS) initiative.We developed a data collection template organized by ACCSIS framework domains....
Abstract Objectives We determined the validity of self‐reported colorectal cancer ( CRC ) screening data provided by A ppalachian O hio residents and identified correlates providing accurate data. Design Sample conducted cross‐sectional telephone interviews between S eptember 2009 pril 2010. Our study included Appalachian Ohio n = 721) ages 51–75 years. Measures compared to medical records determine validity. Multivariable logistic regression was used identify Results About 68% participants...
First-degree relatives (FDR) of patients with colorectal cancer are at risk for cancer, but may not be up to date screening. We sought determine whether a one-time recommendation about needing screening using patient navigation (PN) was better than just receiving the only.Participants were FDRs Lynch syndrome-negative from participating Ohio hospitals. 259 families randomized website intervention (528 individuals), which included survey and personal recommendation, while those 254 plus...
Objective . To test the effectiveness of a colorectal cancer (CRC) screening intervention among adults living in Ohio Appalachia. Methods We conducted group-randomized trial county-level 12 Appalachian counties who received media campaign and clinic focused on either CRC or fruits vegetables. Participants’ percentage within guidelines was assessed with cross-sectional surveys annually for four years, validated medical record review screening. Results On average, data were obtained 564 559...
Background Lymphedema is an adverse effect of breast cancer treatment that causes swelling and pain in the arm hand. We tested 2 lymphedema prevention interventions their impact on health‐related quality life (HRQOL) a group‐randomized trial at 38 cooperative group sites within United States. Methods Patients were recruited before surgery. Sites randomly assigned to education‐only (EO) or education plus exercise physical therapy (LEAP). was defined as ≥10% difference volume any time from...
Colorectal cancer (CRC) screening rates are lower in Appalachian regions of the United States than non-Appalachian regions. Given availability various modalities, there is critical need for culturally relevant interventions addressing multiple socioecological levels to reduce regional CRC burden. In this report, we describe development and baseline findings from year 1 "Accelerating Cancer Screening through Implementation Science (ACCSIS) Appalachia," a 5-year, National Institute Moonshot
Abstract Oropharyngeal human papillomavirus (HPV) cancers are prevalent, but HPV education in dental clinics is uncommon. The purpose of this study was to evaluate provider and patient knowledge from, attitudes towards, preferences for education, then assess perceptions existing educational materials use at visits. Appalachian Ohio patients ( n = 13) general/pediatric providers 10) completed an initial, close-ended survey on current attitudes, participation, resource preferences. Select...
Background: Disparities in rates of cancer screening are observed underserved populations. Lack stable health insurance may contribute to these disparities. The goal this study was examine the association between stability and up-to-date Methods Findings: We enrolled 333 community participants aged 40-74 years across four different sites three states: Chinese Americans Boston, Massachusetts; Hispanics Columbus, Ohio; Appalachian populations from Ohio's counties; Blacks African Philadelphia,...
Leveraging cancer screening tests, such as the fecal immunochemical test (FIT), that allow for self-sampling and postal mail invitations, delivery, return can increase participation in colorectal (CRC) screening. The range of approaches use promoting CRC screening, including recommended best practices, has not been widely investigated.
SUMMARY Lymphedema is one of the late effects breast cancer treatment that affects many survivors. Despite an increased focus on morbidity among this survivor population, our understanding risk reduction, prevention, diagnosis and lymphedema remain poorly understood. This article provides overview current state research (2009–2014) cancer-related offers future directions for research. A greater emphasis must be placed reducing impact to improve quality life
104 Background: Lymphedema (LE), a side effect of BC treatment, affects 8%–56% women. The study tested the effectiveness an education only vs + exercise intervention on LE incidence in group randomized trial (NCT00376597) 38 cooperative sites. Methods: Newly diagnosed women with stage I-III were consented and arm circumference range motion measured pre-surgery. After surgery, patients (pts) enrolled based randomization assignment their treating institution, stratified by type node dissection...
123 Background: Lymph node dissection, axillary or sentinel, often results in restrictions of arm movement, including range motion (ROM), either temporarily permanently. The objective this secondary analysis was to determine if a lymphedema (LE) prevention program would also impact ROM both the affected as well unaffected arm. Methods: As part Lymphedema Education and Prevention study (CALGB 70305), women from participating sites (N=41) were randomized “education only” (n=253) (information...