- Cervical Cancer and HPV Research
- Health Policy Implementation Science
- Vaccine Coverage and Hesitancy
- Global Cancer Incidence and Screening
- Community Health and Development
- Public Health Policies and Education
- Hepatitis B Virus Studies
- Primary Care and Health Outcomes
- Obesity, Physical Activity, Diet
- Genital Health and Disease
- Health disparities and outcomes
- Food Security and Health in Diverse Populations
- Evaluation and Performance Assessment
- Hemoglobinopathies and Related Disorders
- Ethics in Clinical Research
- HIV/AIDS Research and Interventions
- Colorectal and Anal Carcinomas
- COVID-19 epidemiological studies
- Colorectal Cancer Screening and Detection
- BRCA gene mutations in cancer
- Health Literacy and Information Accessibility
- Interprofessional Education and Collaboration
- Smoking Behavior and Cessation
- Health Sciences Research and Education
- Children's Physical and Motor Development
The University of Texas Health Science Center at Houston
2016-2025
National University Toribio Rodríguez de Mendoza
2024
University of Texas Health Science Center at Dallas
2021-2022
Hospital Pedro de Elizalde
2005-2021
Hospital Luis Calvo Mackenna
2020
Kuwait College of Science and Technology
2019
University of Monterrey
2019
Universidad de Oriente
2019
Universidad Ateneo de Monterrey
2019
Icesi University
2017
Evidence-informed health intervention planning that incorporates theoretical and empirical evidence engages key stakeholders community members or patients in the process results interventions are more effective. Nevertheless, exactly how when to use evidence, theory, community-based participation during represents a challenge. In this Perspective, we describe Intervention Mapping (IM), framework for theory- evidence-based promotion program addresses challenge by providing systematic stepwise...
<h3>Importance</h3> In the US, safety concern has been identified as a primary barrier to initiating human papillomavirus (HPV) vaccine. It is unclear if public's sentiment concerning HPV vaccine aligns with postmarketing surveillance data. <h3>Objective</h3> To perform parallel assessment of trends in concerns and adverse event (AE) reporting. <h3>Design, Setting, Participants</h3> This study was cross-sectional analysis National Immunization Survey (NIS) Vaccine Adverse Event Reporting...
The past decade of research has seen theoretical and methodological advances in both implementation science health equity research, opening a window opportunity for facilitating accelerating cross-disciplinary exchanges across these fields that have largely operated siloes. In 2019 2020, the National Cancer Institute's Consortium Implementation Science convened an action group focused on 'health context' to identify opportunities advance science. this paper, we present narrative review...
Community engagement is critical to accelerate and improve implementation of evidence-based interventions reduce health inequities. Community-engaged dissemination research (CEDI) emphasizes engaging stakeholders (e.g., community members, practitioners, organizations, etc.) with diverse perspectives, experience, expertise provide tacit knowledge regarding the local context, priorities, needs, assets. Importantly, CEDI can help inequities through incorporating unique perspectives from...
To address obesity and related morbidities, community-based participatory research (CBPR) strategies were employed to design evaluate a Spanish-language media campaign promoting physical activity healthful food choices among Mexican Americans. Process evaluation including content analyses on types focus of messages was conducted. Focus groups assessed appeal trustworthiness messages. All products featured role models experts. Campaign primarily (91%) appeared in TV morning show segments....
Cervical cancer incidence and mortality are higher for Hispanic women than in other population groups. However, the could be reduced if teenaged girls received human papillomavirus (HPV) vaccine before they become sexually active. Unfortunately, few receive this vaccine, which prevents cervical cancer. This study assessed mothers' girls' perceptions about cancer, HPV, HPV vaccine. Results show factors that affect whether high school vaccine.Twenty-four mothers 28 from an urban district...
Sickle cell disease (SCD) is a neglected burden of growing importance. >312,000 births are affected annually by sickle anaemia (SCA). Early interventions such as newborn screening, penicillin prophylaxis and hydroxyurea can substantially reduce the mortality morbidity associated with SCD. Nevertheless, their implementation in African countries has been mostly limited to pilot projects. Recent development low-cost point-of-care testing (POCT) devices for haemoglobin (HbS) could greatly...
<b><i>Background:</i></b> Most biospecimens in the US are collected from non-Hispanic Whites, limiting generalizability of findings. There is a need to increase participation biobanking among ethnic and racial minorities. The purpose this study was use qualitative methods identify factors that may influence Mexican-American individuals' willingness participate biobanking. <b><i>Methods:</i></b> We conducted 15 focus groups three Texas cities...
Remote patient monitoring (RPM) for hypertension management has become increasingly popular, demonstrating benefits both clinics and patients. However, engagement in self-measured blood pressure (SMBP) remains low despite healthcare providers' efforts. This study aimed to assess adherence acceptance of RPM SMBP among Texas Federally Qualified Health Center Participants enrolled the program were recruited at three health centers. Data was collected from records, a questionnaire assessed...
Geospatial data science can be a powerful tool to aid the design, reach, efficiency, and impact of community-based intervention trials. The project titled Take Care Texas aims develop test an adaptive, multilevel, increase COVID-19 testing vaccination uptake among vulnerable populations in 3 regions: Harris County, Cameron Northeast Texas. We aimed novel procedure for adaptive selections census block groups (CBGs) include randomized trial project. CBG selection was conducted across regions...
<sec> <title>BACKGROUND</title> Population-wide genomic screening (PGS) for genetic conditions such as Hereditary Breast and Ovarian Cancer Syndrome, Lynch Familial Hypercholesterolemia presents opportunities to reduce morbidity mortality among the 1-2% of population at elevated risk these serious, preventable diseases. With decreasing sequencing costs growing support from national bodies, there are increasing numbers PGS programs in US. However, guidelines strategies implementation limited,...
The incidence of human papillomavirus (HPV) infection and cervical cancer can be reduced by increasing vaccination for HPV. Yet uptake completion the 3-dose series remain low among Puerto Rican females. This study explored psychosocial factors associated with HPV decisions mothers daughters.
Abstract Although self-efficacy, a construct from social cognitive theory, has been shown to influence other screening behaviors, few measures currently exist for measuring Papanicolaou test self-efficacy. This article describes the development and psychometric testing of such measure Mexican American women. Data two separate samples women ages ≥50 years, obtained as part study develop evaluate breast cervical cancer educational program, were used in current study. Exploratory factor...
Background: Gendered perspectives may be particularly important in shaping norms and values around HPV vaccination, as previous research suggests that sexuality taboos (e.g. promiscuity) contribute to low perceived risk among adolescent young adult Hispanic females. However, date focuses primarily on mothers, females, women of vaccine-eligible age. father's are relatively unknown despite role for their female children.Objective: To close this gap, study examines gendered knowledge, beliefs,...
Considerable racial and socio-economic disparities exist in breast cancer. In spite of the existence numerous evidence-based interventions (EBIs) aimed at reducing cancer screening barriers among underserved, there is a lack uptake or sub-optimal EBIs community clinical settings. This study evaluates theoretically based, systematically designed implementation strategy to support adoption patient navigation-based intervention, called Peace Mind Program (PMP), improving underserved women. The...
Patient-centered health risk assessments (HRAs) that screen for unhealthy behaviors, prioritize concerns, and provide feedback may improve counseling, goal setting, health. To evaluate the effectiveness of routinely administering a patient-centered HRA, My Own Health Report, diet, exercise, smoking, alcohol, drug use, stress, depression, anxiety, sleep, 18 primary care practices were randomized to ask patients complete Report (MOHR) before an office visit (intervention) or continue usual...
Background Hydroxyurea prevents disease complications among patients with sickle cell (SCD). Although its efficacy has been endorsed by the National Health Lung and Blood Institute evidence-based guidelines, adoption is low, both SCD providers. Mobile health (mHealth) apps provide benefits in improving medication adherence self-efficacy chronic diseases have facilitated prescription medical However, mHealth not systematically tested as a tool to increase hydroxyurea nor combination of...