A5063333997- Obesity, Physical Activity, Diet
- Child Nutrition and Water Access
- Obesity and Health Practices
- Smoking Behavior and Cessation
- Geriatric Care and Nursing Homes
- Dementia and Cognitive Impairment Research
- Health and Lifestyle Studies
- Ethics in Clinical Research
- Food Security and Health in Diverse Populations
- Behavioral Health and Interventions
- Family Caregiving in Mental Illness
- Racial and Ethnic Identity Research
- Global Health Workforce Issues
- Dental Health and Care Utilization
- Air Quality and Health Impacts
- Child Nutrition and Feeding Issues
- Primary Care and Health Outcomes
- Indigenous Health, Education, and Rights
- Gestational Diabetes Research and Management
- LGBTQ Health, Identity, and Policy
- Clostridium difficile and Clostridium perfringens research
- Gut microbiota and health
- African Sexualities and LGBTQ+ Issues
- Bariatric Surgery and Outcomes
- HIV, Drug Use, Sexual Risk
University of Oklahoma Health Sciences Center
2015-2025
University of California, San Diego
2023
Alaska Native Tribal Health Consortium
2021
University of Hawaiʻi at Mānoa
2021
Southcentral Foundation
2021
University of Oklahoma
2015-2019
Oklahoma State University Center for Health Sciences
2018
Oklahoma City University
2015
Dementia can be overwhelming to families and their caregivers. Informal caregiving is a widespread mode of providing dementia care in African American communities, yet impact on informal or family caregivers communities burdensome. This study aimed describe the lived experiences People Living with (PLWD) understand perceptions care, caregiver support needs, service needs. Interpretive phenomenological qualitative inquiry guided this caregivers' Ten PLWD community participated study. Data...
Determine the relationship between obesogenic characteristics of childcare and child adiposity in tribally-affiliated centers Oklahoma.
We measured biomarkers of exposure among American Indian (AI) ENDS users, smokers, and dual users.
Background American Indian adults have a higher risk of atrial fibrillation (AF) compared with other racial groups. We implemented opportunistic screening to detect silent AF in attending tribal health system using mobile, single‐lead ECG device. Methods and Results patients aged ≥50 years followed primary care clinic no history underwent 30‐second ECG. A cardiologist overread all tracings confirm the diagnosis AF. After was confirmed, were referred their physician for initiation...
Minority communities are disproportionately affected by diabetes, and minority women at an increased risk for glucose intolerance (dysglycemia) during pregnancy. In pregnant American Indian women, the objectives of study were to use current criteria estimate prevalence first-trimester (Tr1) dysglycemia second-trimester (Tr2) incidence gestational diabetes mellitus (GDM) explore new candidate measures identify associated clinical factors. This was a prospective cohort study. Tr1 we performed...
Clear health disparities have emerged in the rates of COVID-19 exposure, hospitalization, and death among Black, Hispanic, American Indian (BHAI) individuals, relative to non-Hispanic White (NHW) individuals. BHAI populations been disproportionately affected by lower behavioral access heightened negative mental outcomes during pandemic.This project directly addresses care pandemic via an adaptation established, initially validated, low-cost, mobile app Easing Anxiety Sensitivity for Everyone...
Introduction: The purpose of this study was to develop an understanding how stakeholders, specifically early care and education (ECE) teachers, perceive their role in the development young American Indian children, envision working with health providers parents order enhance children’s health. Methodology: Twenty tribally affiliated ECE teachers from Oklahoma participated interviews. Thematic analysis conducted, three main themes, each two subthemes, emerged. Results: Teachers felt that...
Many cancers in American Indians (AIs) are not diagnosed early leading to effects on physical, social, and emotional well-being or quality of life (QOL). Little research has been done QOL AIs Oklahoma. This study examined the experience living with cancer Oklahoma gain greater understanding issues provide a basis for interventions improve QOL. Twenty receiving care participated this pilot through semistructured interviews. Data were analyzed using thematic analysis. Themes identified...
American Indians (AI) have a high prevalence of electronic nicotine delivery system (ENDS) use. However, little information exists on use, either alone or in combination with cigarettes (dual use), among AI. The objective this small-scaled study was to examine use behaviours and dependence exclusive ENDS users dual AI descent. Exclusive smokers were included for comparison purposes. Oklahoma, USA. Adults descent who reported being (n=27), (n=28) cigarette (n=27). Participants completed...
We provide guidance for conducting clinical trials with Indigenous children in the United States. drew on extant literature and our experience to describe 3 best practices ethical effective conduct of children. Case examples pediatric research conducted American Indian, Alaska Native, Native Hawaiian communities are provided illustrate these practices. Ethical require early sustained community engagement, building capacity research, supporting oversight ownership research. Effective...
Purpose: Oral health disparities related to access persist for American Indian/Alaska Native (AI/AN) communities compared the general population, especially in rural areas of United States. The objective this study was better understand community perspectives oral health, how rurality impacts care, and attitudes towards implementation dental therapists Oklahoma, particularly among AI/AN population. Methods: A descriptive, observational design utilized. An exploratory survey conducted online...
American Indian (AI) children suffer from high rates of obesity, obesity-related disease, obesogenic behaviors, and depressive symptoms.Study was designed to determine the associations between symptoms behaviors in school-aged AI Oklahoma.Study design cross-sectional. Depressive symptoms, beverage intake, fruit vegetable meal frequency, physical activity, screen time were self-reported.Mean participant age 10.5 ± 1.6 years (n = 121); 64% overweight/obese. associated with dieting time.AI...
The primary purpose of this study was to explore the needs and challenges African American family caregivers People living with dementia (PLWD) from perspective service providers including healthcare social providers. conducted three online semi-structured focus group interviews (n = 15). Data were analyzed using Braun & Clarke's guide thematic analysis approach. Five themes emerged data: (i) Inadequate information about resources; (ii) Dementia education; (iii) Burden on families; (iv)...
Little is known about the environmental health-related policies and practices of early care education (ECE) programs that contribute to childhood asthma, particularly in Oklahoma where child asthma rates (9.8%) uncontrolled among children with (60.0%) surpass national (8.1% 50.3%, respectively). We conducted a cross-sectional survey directors Oklahoma-licensed ECE assess related control evaluate potential differences between Centers Family Childcare Homes (FCCHs). Surveyed ECEs (
Introduction: Health care providers (HCPs) serving American Indian (AI) populations are critical stakeholders in promoting healthy weight-related behaviors of young AI children. The purpose this study is to develop an understanding how HCP perceive their role the development children, and they envision working with early education teachers parents enhance children’s health. Method: Twenty that serve children Oklahoma participated individual interviews. Thematic analysis was conducted on...