A5048878525- Obesity, Physical Activity, Diet
- Health disparities and outcomes
- Diabetes Management and Education
- Food Security and Health in Diverse Populations
- Nutritional Studies and Diet
- Physical Activity and Health
- Workplace Health and Well-being
- Consumer Attitudes and Food Labeling
- Obesity and Health Practices
- Health and Lifestyle Studies
- Cardiovascular Health and Risk Factors
- Intensive Care Unit Cognitive Disorders
- Diabetes Management and Research
- Eating Disorders and Behaviors
- Family and Patient Care in Intensive Care Units
- Homelessness and Social Issues
- Dementia and Cognitive Impairment Research
- Chronic Disease Management Strategies
- Mobile Health and mHealth Applications
- Stroke Rehabilitation and Recovery
- Nutrition, Genetics, and Disease
- Global Health Care Issues
- Optimism, Hope, and Well-being
- Music Therapy and Health
- Behavioral Health and Interventions
San Diego State University
2015-2025
Massachusetts General Hospital
2018-2023
Harvard University
2018-2023
Brigham and Women's Hospital
2023
Academy of Nutrition and Dietetics
2023
University of California, San Diego
2016-2019
Scripps Whittier Diabetes Institute
2014-2017
Scripps Health
2017
Ventura County Health Care Agency
2017
Vanderbilt University
2012
Abstract Background A stroke is a sudden, life-altering event with potentially devastating consequences for survivors and their loved ones. Despite advances in endovascular neurocritical care approaches to treatment recovery, there remains considerable unmet need interventions targeting the emotional impact of both patients informal caregivers. This important because untreated distress becomes chronic negatively impacts quality life Our team previously used mixed methods iteratively develop...
Health systems are increasingly addressing health-related social needs. The Massachusetts Flexible Services program (Flex) is a 3-year pilot to address food insecurity and housing by connecting Medicaid accountable care organization (ACO) enrollees community resources.
Background Domestic and international migrants along the United States–Mexico border are at increased risk for diabetes due to structural psychosocial adversities. Objectives This study assessed prevalence of prediabetes in a low-income community; examined relationships between depression, anxiety, andadverse childhood experiences (ACEs) glucose regulation; explored indirect effects social support on these relationships. Results. Participants were 220 adults ages 19–83 years (M.47.2,...
Abstract Diabetes prevalence is rising rapidly, and diabetes disproportionately affects Hispanics other underserved groups. Chronic stress may contribute to risk, but few studies have examined this relationship in U.S. Hispanics. We associations of chronic with fasting glucose, glucose tolerance, glycosylated hemoglobin (HbA1c) without diabetes, also assessed indirect effects through inflammation (CRP). Participants were 3,923 men women, aged 18–74, from the four field centers (Bronx, NY;...
<h3>Importance</h3> Nearly one-third of the 150 million US adults who are employed obese. A workplace program that reduces employees’ caloric intake could help prevent obesity. <h3>Objective</h3> To determine if implementation a hospital cafeteria healthy eating was associated with reduction in calories purchased by employees over 2 years. <h3>Design, Setting, and Participants</h3> longitudinal cohort study 5695 food their employee identification card before after conducted from December 1,...
Neurofibromatoses (NF) are rare genetic conditions associated with substantial psychosocial burden and impaired quality of life (QoL). We developed the first NF-tailored mind-body program (the Relaxation Response Resiliency Program for NF) adapted it delivery via live videoconferencing to decrease participation barriers increase its reach. In a pilot randomized controlled trial (RCT), we found that NF had excellent feasibility acceptability when delivered videoconferencing; furthermore,...
Objectives Mounting evidence links positive psychological functioning to restorative health processes and favourable medical outcomes. However, very little is known about the relationship between optimism, an indicator of American Heart Association (AHA)-defined concept cardiovascular (CVH), particularly in Hispanics/Latinos diverse backgrounds. To address limitations existing literature, this study investigated association dispositional optimism CVH a heterogeneous sample residing USA....
Abstract Background U.S. Hispanics/Latinos experience high lifetime risk for Type 2 diabetes and concurrent psychological depression. This comorbidity is associated with poorer self-management, worse disease outcomes, higher mortality. Syndemic theory a novel social epidemiological framework that emphasizes the role of economic adversity in promoting health disparities. Purpose Informed by syndemic framework, this study explored associations socioeconomic psychosocial (low income/education,...
Introduction/Objectives: Systematic screening for social determinants of health (SDOH), such as food and housing insecurity, is increasingly implemented in primary care, particularly the context Accountable Care Organizations (ACO). Despite importance developing effective systems SDOH resource linkage, there limited research examining these processes. The objective study was to explore facilitators barriers addressing identified by systematic a healthcare system participating Medicaid ACO....
Background The influence of genetic risk for obesity on food choice behaviors is unknown and may be in the causal pathway between weight gain. aim this study was to examine associations using objectively assessed workplace purchases. Methods findings This a secondary analysis baseline data collected prior start "ChooseWell 365" health-promotion intervention randomized control trial. Participants were employees large hospital Boston, MA, who enrolled September 2016 February 2018. Cafeteria...
<h3>Importance</h3> Personalized interventions that leverage workplace data and environments could improve effectiveness, sustainability, scalability of employee wellness programs. <h3>Objective</h3> To test an automated behavioral intervention to prevent weight gain diet using cafeteria purchasing data. <h3>Design, Setting, Participants</h3> This individual-level randomized clinical trial a 12-month with 12 months follow-up was conducted among employees hospital in Boston, Massachusetts,...
U.S. Hispanics/Latinos display a high prevalence of metabolic syndrome (MetSyn), group co-occurring cardiometabolic risk factors (abdominal obesity, impaired fasting glucose, dyslipidemia, elevated blood pressure) associated with higher cardiovascular disease and mortality risk. Low socioeconomic status (SES) is for MetSyn in Hispanics/Latinos, psychosocial may play role this relationship. This cross-sectional study examined the association SES components 4,996 Hispanic/Latino adults from...
Prior studies indicate that chronic stress is associated with obesity in adults. However, whether parental/caregiver their offspring has not been widely examined Hispanic/Latino populations. In this study, we evaluated the role of caregiver on child and home food environment or lifestyle behaviors explained association.The study included a sample youth caregivers (n = 473) from Study Latinos (SOL) Youth Hispanic Community Health Study/SOL Sociocultural Study, which enrolled children aged...
Emerging data suggest that adults with low income are at highest risk for COVID-19-related stressors and mental health disorders. This study aimed to determine if were associated worsening depression anxiety in a cohort of low-income one year after the start pandemic. Participants included 253 Medicaid commercial accountable care organization recipients from 5 community centers around Boston, MA who enrolled December 2019-March 2020 larger longitudinal program. completed surveys baseline...
The risk of mortgage foreclosure disproportionately burdens Hispanic/Latino populations perpetuating racial disparities in health. In this study, we examined the relationship between area-level risk, homeownership, and prevalence cardiovascular disease factors among participants Hispanic Community Health Study/Study Latinos (HCHS/SOL). HCHS/SOL were age 18–74 years when recruited from four U.S. metropolitan areas. Mortgage was obtained Department Housing Urban Development. Homeownership,...