- Global Maternal and Child Health
- Neurotransmitter Receptor Influence on Behavior
- Mobile Health and mHealth Applications
- Treatment of Major Depression
- Maternal and Perinatal Health Interventions
- Gastrointestinal motility and disorders
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Attention Deficit Hyperactivity Disorder
- Breastfeeding Practices and Influences
- Emergency and Acute Care Studies
- Music Therapy and Health
- ICT in Developing Communities
- Infant Health and Development
- Migration, Health and Trauma
- Health and Wellbeing Research
- Neuroscience and Neuropharmacology Research
- Neural and Behavioral Psychology Studies
- Vaccine Coverage and Hesitancy
- EEG and Brain-Computer Interfaces
- Neural dynamics and brain function
- Trauma and Emergency Care Studies
- Intergenerational Family Dynamics and Caregiving
- Assisted Reproductive Technology and Twin Pregnancy
- Maternal Mental Health During Pregnancy and Postpartum
- COVID-19 Impact on Reproduction
University of Michigan
2016-2024
Michigan United
2021-2023
Wayne State University
2000-2018
Wayne State College
2018
Abstract Patients with fibromyalgia (FM) experience increased lifetime levels of psychosocial adversity, trauma, and emotional conflict. To address these risk factors, we developed emotion awareness expression therapy (EAET) tested its benefits against an active control condition, FM education, the field's gold standard intervention for FM, cognitive behavioral (CBT) symptom management. Adults (N = 230) formed 40 treatment groups, which were randomized to EAET, CBT, or education given 8,...
Article AbstractBackground: This cross-sectional study sought to determine the prevalence of attention-deficit/hyperactivity disorder (ADHD) and conduct among adults admitted 2 chemical dependency treatment centers. It was hypothesized that ADHD alone or in combination with would be overrepresented a population patients psychoactive substance use disorders. Method: Two hundred one participants were selected randomly from Standardized clinical interviews conducted using Structured Clinical...
In this 12-week double-blind placebo-controlled trial of methylphenidate (MTP) versus placebo in 48 cocaine-dependent attention-deficit/hyperactivity disorder (ADHD) adults, the authors sought to determine whether MTP would be safe, control ADHD symptoms, and affect cocaine use. Efficacy indexes revealed significantly greater symptom relief group. There were no group differences self-reported use, urinalysis results, or craving. Because relatively small sample size, results are preliminary....
Current clinical guidelines identify several psychological treatments for irritable bowel syndrome (IBS). IBS patients, however, have elevated trauma, life stress, relationship conflicts, and emotional avoidance, which few therapies directly target. We tested the effects of awareness expression training (EAET) compared to an evidence-based comparison condition-relaxation training-and a waitlist control condition.
Abstract Background Although the majority of Ghanaian women receive antenatal care (ANC), many exhibit low health literacy by misinterpreting and incorrectly operationalizing ANC messages, leading to poor maternal newborn outcomes. Prior research in low-resource settings has found group (G-ANC) feasible for providers. This study aims determine effect G-ANC on increasing literacy. We hypothesized that pregnant randomized into would a greater increase than routine, individual ANC. Methods A...
During lucid dreaming, the dreamer is aware that they are dreaming. In past years, numerous studies have explored characteristics of dreams, which link dreams to vivid visual perception, positive emotions, and wake-like metacognition executive functions. To determine brain network activity associated with conscious experience during we analyzed 39 sleep recordings (non-lucid REM vs. REM) 32-channel polysomnography from 8 dreamers, using EEG microstate analysis. We found microstates A G...
Introduction and Aims Most women cut down or quit alcohol use during pregnancy, but return to pre-pregnancy levels of after giving birth. Universal screening brief intervention for has shown promise, proven challenging implement rarely been evaluated with postpartum women. This trial a single 20-min, electronic (e-SBI) among Design Methods In this parallel group randomised trial, 123 postpartum, low-income, primarily African–American meeting criteria unhealthy were randomly assigned either...
Background: Maternal mortality continues to disproportionately affect low- and middle-income countries, including Liberia. Though the relationship between obstetric triage systems improved maternal outcomes is well documented, standardized protocols are lacking in rural Mobile health interventions a promising method patients. Objectives: This study explores acceptability of WhatsApp Triage, Referral, Transfer (WAT-RT) system among Liberian midwives community assistants. Methods: Individual...
This study indicates a higher rate of facility delivery at clinics with maternity waiting home in rural Zambia.
While group antenatal care (ANC) has been delivered and studied in high-income countries for over a decade, it only recently introduced as an alternative to individual sub-Saharan Africa. Although the experimental design of studies from high-resource have scientifically rigorous, findings cannot be generalized low-resource with low literacy rates high maternal newborn morbidity mortality. The Group Antenatal Care Delivery Project (GRAND) is collaboration between University Michigan United...
Abstract Background Obstetric referrals thrive on rapid transfer of information and data, effective communication in order to reduce delays receiving quality care once the woman reaches facility. We explored health workers’ perception feasibility acceptance WhatsApp messaging technology facilitate obstetric selected facilities rural Ghana. Methods The study used a qualitative research method adheres interpretivist ideology. This was conducted Sene East District (SED) West (SWD) Bono region...
Abstract Objective Liberia experiences an unmet need for cesarean section with about 5% population coverage, lower than 9%–19% coverage associated improved maternal and newborn outcomes. Delays in the referral process comprehensive emergency obstetric care (CEmONC) services due to ineffective communication between a rural health facility (RHF) district hospital contribute low CS rate. This study examined association mobile system (MORES) implementation time emergencies as well...
Ten cocaine-dependent participants were trained to discriminate between intravenous saline and 20 mg/70 kg cocaine. During the first session, cocaine injections alternated twice, with each separated by 1 hr. The identified letter codes. next 3 sessions, 12 trials conducted, administered 6 times in pseudorandom order. Thirty minutes following injection, asked identify injection code. Seven of 10 learned discrimination (at least correct). To evaluate sensitivity, investigators tested different...
Objective We explored and document healthcare workers’ (HCWs’) perspectives on the challenges encountered during obstetric referrals. Design The study adopted a qualitative research approach descriptive phenomenology design. HCWs permanently working in 16 rural facilities Sene East West Districts composed of target population for this study. Using purposive sampling technique, participants were recruited enrolled in-depth individual interviews (n=25) focused group discussions (n=12). Data...
Background An essential component to improving maternal and newborn outcomes is antenatal care. A trial of group care was implemented in Ghana where 7 health facilities were randomized be intervention sites control continued traditional Group care, 10–14 women with similar due dates meet together for visits, includes components such as risk assessment increased opportunity education peer support. The study aim assess report the process evaluation implementation a intervention. Methods...
As highlighted in the International Year of Nurse and Midwife, access to quality nursing midwifery care is essential promote maternal-newborn health improve survival. One intervention aimed at improving reducing underutilization pregnancy services construction maternity waiting homes (MWHs). The purpose this study was assess whether there a significant change antenatal (ANC) postnatal (PNC) attendance, family planning use, vaccination rates before after implementation Core MWH Model rural...
Objective: To report on the effectiveness of a standardized core Maternity Waiting Home (MWH) model to increase facility deliveries and access reproductive health services among women living farthest from (>10km) using facility-based data. Design: Quasi-experimental design. Setting: Seven rural districts in Zambia. Population: Women delivering at 40 facilities between June 2016 August 2018. Methods: 20 intervention sites comparison were used test if MWHs increased for The...
Objective: The purpose of this study was to examine the association between implementation a mobile obstetric emergency system (MORES) and referral time for emergencies as well maternal/newborn outcomes. Design: Pre/post intervention descriptive study. Setting: Liberia’s caesarean section (CS) coverage is about 5%, lower than 9-19% associated with decreased maternal mortality. Delays in process from rural health facility (RHF) district hospital comprehensive newborn care (CEmONC) services...
<title>Abstract</title> <bold>Background: </bold>Disrespect and patient mistreatment are identified as barriers to care-seeking low uptake of facility-based deliveries. These mitigating factors have led slow progress in the achievement maternal child health targets, especially Ghana. Group antenatal care, an alternative individual was implemented explore impact on outcomes, including mothers' perception respectful care. <bold>Methods:</bold>A cluster randomized controlled trial conducted 14...