A5014806202- Child and Adolescent Health
- Food Security and Health in Diverse Populations
- Obesity, Physical Activity, Diet
- Child and Adolescent Psychosocial and Emotional Development
- School Health and Nursing Education
- Health and Lifestyle Studies
- Ethics and Legal Issues in Pediatric Healthcare
- Emergency and Acute Care Studies
- Homelessness and Social Issues
- Vaccine Coverage and Hesitancy
- Cultural Competency in Health Care
- Ethics in Clinical Research
- Health Literacy and Information Accessibility
- Child Nutrition and Water Access
- Pediatric health and respiratory diseases
- Obesity and Health Practices
- Health disparities and outcomes
- Interpreting and Communication in Healthcare
- Ethics in medical practice
- Adolescent and Pediatric Healthcare
- Patient-Provider Communication in Healthcare
- Ocular Surface and Contact Lens
- Urologic and reproductive health conditions
- Health, psychology, and well-being
- Pharmaceutical studies and practices
New York Hospital Queens
2015-2024
Columbia University Irving Medical Center
2014-2024
Morgan Stanley Children's Hospital
2012-2024
Columbia University
2005-2024
NewYork–Presbyterian Hospital
2014-2020
New York University
2015
Dominican College of Blauvelt
2005
Universal screenings for social determinants of health (SDOH) are feasible at the system level and enable institutions to identify unmet needs that would otherwise go undiscovered. NewYork-Presbyterian Hospital implemented SDOH together with clinical in four outpatient primary care sites. Aligning screening was crucial establishing provider buy-in ensuring sustainability SDOH. Despite some challenges, universal has allowed improve population health.
In October 2022 a multisite social determinants of health screening initiative was expanded across seven emergency departments large, urban hospital system. The aim the to identify and address those underlying needs that frequently interfere with patient's well-being, often resulting in increased preventable system utilization. Building on an established Patient Navigator Program, existing process, long-standing community-based partnerships, interdisciplinary workgroup formed develop...
ABSTRACT: Objective: To implement comprehensive screening for child behavior and social determinants of health in an urban pediatric practice explore rates referrals follow-up positive screens. Method: Quality improvement methodology was used to routine using adapted version the Survey Well Being Young Children, a screen, all children aged 6 months 10 years. Rates screen administration documentation were assessed 18 months. Medical records convenience sample (N = 349) reviewed track A...
Completion rates among adolescents who initiate the human papillomavirus (HPV) vaccine 3-dose series are low. SMS text message reminders effective, but less is known about best types for HPV completion or ability to assess and target decision-making stage.The aim of this study compare effectiveness in minority received precision educational versus conventional reminders.Enrolled parents aged 9-17 years first dose at 1 4 academic-affiliated community health clinics New York City were...
Summary Objective To test the hypothesis that children in Food FARMacia—a six‐month food insecurity intervention from May 2019 to January 2020—would have smaller age‐adjusted, sex‐specific body mass index (BMI z ) gains than matched counterparts. Methods In this proof‐of‐concept study, we performed a difference‐in‐differences (DiD) analysis of propensity‐score cohort among paediatric primary care patients aged <6 years with household insecurity. Children anthropometric measures prior and...
In cross-sectional studies, food insecurity is associated with adverse health and dietary outcomes. Whether self-reported outcomes change in response to improvements security has not been examined. We sought examine how increases are related changes factors. this longitudinal, observational study, we included adult participants a clinical-community emergency assistance program New York City from July 2020 November 2021. Program staff measured validated six-item measure at enrollment...
Journal Article Turn 2 Us: Outcomes of an Urban Elementary School–based Mental Health Promotion and Prevention Program Serving Ethnic Minority Youths Get access Evelyn Montañez, Montañez PhD, LCSW, is program manager, Ambulatory Care Network, New York Presbyterian Hospital, 622 West 168th Street, VC-417, York, NY 10032. Berger-Jenkins, MD, MPH, assistant professor pediatrics, Children's Hospital Columbia University Medical Center, York. James Rodriguez, senior research scientist, McSilver...
ABSTRACT BACKGROUND Turn 2 Us (T2U) is an elementary school‐based mental health promotion and prevention program in New York City. It targets fourth‐ fifth‐grade students at risk for social/emotional behavioral problems provides a range of services to students, staff, parents. The purpose this study determine if T2U decreases internalizing externalizing behaviors participating students. METHODS Teachers measured students' symptoms before after participation using the strengths difficulties...
Covid-19 testing and disease outcomes according to demographic neighborhood characteristics must be understood.Using aggregate administrative data from a multi-site academic healthcare system in New York March 1 - May 14, 2020, we examined patient outcomes.Among the 23,918 patients, higher proportions of those over 65 years old, male sex, Hispanic ethnicity, Medicare, or Medicaid insurance had positive tests, were hospitalized, died than with younger age, non-Hispanic private insurance....
Social determinants of health (SDOH) account for 80% modifiable factors in a population's health. Addressing SDOH healthcare setting can improve care, patient experience, outcomes, and decrease cost. Therefore, screening SODH the pediatric has become an essential evidence-based component preventative care. Multiple barriers exist its implementation, particularly trainees.Using resident-driven quality improvement (QI) methodology, we aimed to increase >90% 9 individual questions at newborn...
Objective. To understand attitudes and decision making regarding neonatal male circumcision. Methods. Parents (n = 150) with a son 3 years old were interviewed demographics, communication medical provider, attitudes, process by which the circumcision was made. Results. Thirty-three percent of sons circumcised. In univariate analyses, choosing associated parents being in English, father circumcised, positive informed advantages circumcision, before birth, offered choice. final model, who came...
AbstractBackgroundParents exert a significant effect on children's eating behaviors and physical activity levels, so it is imperative to find successful obesity prevention programs that target whole families in underserved communities.PurposeTo investigate the effects of Coordinated School Health Program (CSHP) parents program over 2-year period.MethodsParents kindergarteners (n = 277) 7 schools participating CSHP served an underserved, predominantly minority community were surveyed at 3...
OBJECTIVES: To evaluate the effectiveness of an educational intervention to decrease pediatric emergency department (PED) visits and adverse care practices for upper respiratory infections (URI) among predominantly Latino Early Head Start (EHS) families. METHODS: Four EHS sites in New York City were randomized. Families at received 3 1.5-hour education modules their parent-child group focusing on URIs, over-the-counter medications, medication management. Standard curriculum families standard...
Despite recommendations for systematic food insecurity screening in pediatric primary care, feasible interventions clinical settings are lacking. The goal of this study was to examine reach, feasibility, and retention Food FARMacia, a pilot clinically based intervention among children aged <6 years. We examined electronic health record data assess reach performed prospective, longitudinal families FARMacia (May 2019 January 2020) attendance retention. used descriptive statistics bivariate...
Objective: Addressing family psychosocial and mental health needs in the perinatal early childhood period has a significant impact on long-term maternal child is key to achieving equity. We aimed (1) describe evaluate role of an Early Childhood Community Health Worker (EC-CHW) address improve well-being for families period, (2) examine factors associated with completion goals. Methods: An EC-CHW program was modeled after existing hospital CHW children special healthcare chronic disease....
Disaggregating performance metrics by patients' race, ethnicity, and language (REaL) can identify health care disparities. However, electronic record (EHR) data are often inaccurate not representative of self-identified REaL, the gold standard.1–3 We assessed REaL validity in our pediatric emergency department (ED) comparing EHR-documented to survey-reported data.As part a quality improvement project, we surveyed convenience sample 92 patients ED between December 2022 April 2023. excluded...
Abstract Purpose: The aims for this paper are to summarize the current state of disparities in clinical research participation, discuss regulatory and interpersonal causes these disparities, suggest an approach address problem by standardized training consent administrators. Organizing Construct: A program based on Precede‐Proceed model administrators is proposed described. Conclusions: process informed unstandardized inadequate, may contribute racial ethnic disparities. Researchers urged...