- SARS-CoV-2 detection and testing
- Respiratory viral infections research
- Health Policy Implementation Science
- School Health and Nursing Education
- Acute Ischemic Stroke Management
- Child and Adolescent Health
- COVID-19 and Mental Health
- SARS-CoV-2 and COVID-19 Research
- Smoking Behavior and Cessation
- Education and Critical Thinking Development
- Health, Environment, Cognitive Aging
- Cancer survivorship and care
- Viral Infections and Outbreaks Research
- Ethics and Legal Issues in Pediatric Healthcare
- Vaccine Coverage and Hesitancy
- Ethics in Clinical Research
- Palliative Care and End-of-Life Issues
- Dental Research and COVID-19
- COVID-19 Clinical Research Studies
- Asthma and respiratory diseases
- Health, psychology, and well-being
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Community Health and Development
- Pediatric health and respiratory diseases
- Evaluation and Performance Assessment
Kansas City Public Schools
2024
ICF International (United States)
2011-2023
University of Missouri–Kansas City
2022
Centers for Disease Control and Prevention
2011
New Mexico Department of Health
2011
Charlotte-Mecklenburg Schools
2010-2011
University of Illinois Urbana-Champaign
2010
Centers for Disease Control and Prevention
2010
Evidence suggests that coronavirus disease 2019 (COVID-19) testing in schools can add a layer of protection to reduce the spread Severe Acute Respiratory Syndrome Coronavirus 2 and facilitate safer return in-person learning. Despite this evidence, implementation school settings has been challenging initially because lack funding limited availability testing, but, as pandemic progressed more resources have devoted other challenges arisen. We describe key barriers strategies operationalized...
OBJECTIVES The Centers for Disease Control and Prevention identifies in-school COVID-19 testing as a key mitigation strategy to protect students staff during the pandemic. Both nasal saliva samples are acceptable, but existing school guidance does not state preferred test method. METHODS From May 2021 through July 2021, we performed randomized, crossover study in kindergarten 12th grade (K-12) schools evaluate student preference self-collected or testing. Participants both collection types...
OBJECTIVES Outbreaks in vaccine-preventable diseases among children have increased, primarily under- or unvaccinated subgroups. The influence and interaction of a child’s school community on parental health care decisions, such as vaccination, has not been explored. Our study examined childhood coronavirus disease 2019 (COVID-19) vaccine hesitancy within the context communities. METHODS This combines data from 4 independent research studies funded by National Institutes Health Rapid...
Abstract Purpose We conducted a 12‐month pilot study of 2 complementary strategies for improving rural cancer survivorship outcomes: (1) Project ECHO, telementoring model to increase knowledge and skills about among multidisciplinary health care provider teams in areas (2) patient navigation (PN) services connect survivors with resources enhancing wellness. Methods recruited 4 CDC‐funded National Comprehensive Cancer Control Program sites implement ECHO PN interventions defined population...
The community readiness model (CRM) was used to assess changes in across four counties Georgia that were targeted as part of a 3-year Childhood Obesity Prevention Program. Key respondent interviews conducted with stakeholders 2012 (n = 20) and 2017 18) using semistructured questionnaire assessing six dimensions (i.e., efforts, knowledge leadership, climate, about the issue, resources available support efforts). Interviews analyzed CRM scoring protocol qualitative methods. Paired t tests...
Abstract Background Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) screening testing is a recommended mitigation strategy for schools, although few descriptions of program implementation are available. Methods Kindergarten through 12th grade (K–12) students and staff practicing universal masking during the delta omicron variant waves from five schools in Durham, North Carolina eight Kansas City, Missouri participated; Durham’s was structured as public health initiative...
In April 2021, the US government made substantial investments in students' safe return to school by providing resources for school-based coronavirus disease 2019 (COVID-19) mitigation strategies, including COVID-19 diagnostic testing. However, testing uptake and access among vulnerable children with medical complexities remained unclear.
Charlotte-Mecklenburg Schools (CMS), with assistance from the Centers for Disease Control and Prevention (CDC), conducted an evaluation of CMS Asthma Program. Data were collected during 2007-2008 school year through surveys students asthma (n = 286), interviews nurses 11), reviews administrative records that included service provision nurse ratings need services (based on a set clinical indicators symptom frequencies) each student asthma. Ninety percent high-need students, 75.8% medium-need...
Schools vary in their capacity to implement recommended strategies prevent infectious diseases, such as COVID-19. Professional development (PD) and technical assistance (TA) are well-established tools used strengthen school infrastructure for healthier environments.
The high prevalence of asthma among school-aged youth places a significant burden on students, families, and communities. Secondhand smoke (SHS) exacerbates symptoms attacks. Parental smoking is likely the most common recurring source SHS exposure children. School-based management programs can play major role in educating students their families about how to reduce, eliminate, cope with exposure. Between January 2007 May 2008, total 121 middle 248 elementary school who participated...
OBJECTIVES Understanding the motivators and barriers to testing enrollment from different stakeholder perspectives is essential increasing participation in school-based programs, particularly among underserved populations. This multistudy analysis aimed identify facilitators for coronavirus disease 2019 (COVID-19). METHODS Four independent studies collected analyzed qualitative data study participants regarding: (1) motivators, benefits, and/or reasons enrolling participating COVID-19...
OBJECTIVES The Centers for Disease Control and Prevention recommend that schools can offer severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) diagnostic (on-demand) testing students staff with disease 2019 symptoms or exposures. Data related to the uptake, implementation, effect of school-associated on-demand have not been described. METHODS Rapid Acceleration Diagnostics Underserved Populations Return School program provided resources researchers implement SARS-CoV-2 in schools....
OBJECTIVES To provide recommendations for future common data element (CDE) development and collection that increases community partnership, harmonizes interpretation, continues to reduce barriers of mistrust between researchers underserved communities. METHODS We conducted a cross-sectional qualitative quantitative evaluation mandatory CDE among Rapid Acceleration Diagnostics-Underserved Populations Return School project teams with various priority populations geographic locations in the...
Since 2003, 38 US states and Washington, DC have adopted legislation and/or regulations to strengthen stroke systems of care (SSOCs). This study estimated the impact SSOC laws on outcomes. We used a coded legal dataset 50 (years 2003-2018), national accreditation information 1997-2018), data from Healthcare Cost Utilization Project 2012-2018), National Vital Statistics System 1979-2019). applied natural experimental design paired with longitudinal modeling estimate having one or more...
Introduction: Stroke systems of care (SSOC) laws have been adopted across the US as early 2002 to improve access time- sensitive, life-saving treatments and for stroke patients. However, impact these on delivery patient outcomes remains largely unknown. The study goal was determine whether policy interventions are associated with improved by examining SSOC implemented states. Methods: We developed a surveillance dataset 50 states D.C. in effect at any time from 2002-2018. A stakeholder group...