A5083390719- Food Security and Health in Diverse Populations
- Health disparities and outcomes
- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Obesity and Health Practices
- Diet and metabolism studies
- Nutrition and Health in Aging
- Obesity, Physical Activity, Diet
- Global Public Health Policies and Epidemiology
- Public Health Policies and Education
- Health Policy Implementation Science
- Mobile Health and mHealth Applications
- Adolescent and Pediatric Healthcare
- Cardiac Health and Mental Health
- Geriatric Care and Nursing Homes
- Health and Lifestyle Studies
- Blood Pressure and Hypertension Studies
- Physical Activity and Health
- Cardiovascular Health and Risk Factors
- Metabolomics and Mass Spectrometry Studies
- School Health and Nursing Education
- Digital Mental Health Interventions
- Obsessive-Compulsive Spectrum Disorders
- Health and Wellbeing Research
- Telemedicine and Telehealth Implementation
Duke University
2016-2024
Community Health Center
2015-2022
Duke Medical Center
1988-2022
Trinity College
2022
Penn State Milton S. Hershey Medical Center
2022
University of Pennsylvania
2022
Harvard University
2022
Crowder College
2020
Lincoln Medical Center
2020
Duke University Hospital
1988-2015
Abstract Background Screening in primary care for unmet individual social needs (e.g., housing instability, food insecurity, unemployment, isolation) is critical to addressing their deleterious effects on patients’ health outcomes. To our knowledge, this the first study apply an implementation science framework identify factors and best practices screening response. Methods Guided by Health Equity Implementation Framework (HEIF), we collected qualitative data from clinicians patients...
To determine whether binge eating disorder (BED) impacts weight-related quality of life in obese individuals seeking weight loss treatment and to investigate the role psychological symptoms, BMI, demographic variables relationship between BED life.Three hundred seventeen women (BMI = 37.6) 213 men 41.3) completed questionnaires on admission into an intensive residential lifestyle modification program. Weight-related was assessed using Impact Weight Quality Life-Lite (IWQOL-Lite). The...
<strong>Introduction:</strong> While unmet social needs are major drivers of health outcomes, most systems not fully integrated with the care sector to address them. In this case study, we describe development and implementation a model utilizing student volunteer community resource navigators help patients connect community-based organizations (CBOs). We then detail initial outcomes practical considerations for future work. <strong>Methods:</strong> used Ten Essential Public Health Services...
<h3>Introduction:</h3> Many primary care clinics screen patients for their unmet social needs, such as food insecurity and housing instability, refer them to community-based organizations (CBOs). However, the ability have needs met is difficult evaluate address. This study explores patient-reported barriers accessing referred resources using a conceptual framework that identifies opportunities intervening optimize success. <h3>Methods:</h3> Patients who participated in screening referral...
Introduction: In an effort to improve health outcomes and promote equity, healthcare systems have increasingly begun screen patients for unmet social needs refer them relevant services community-based organizations. This study aimed identify factors associated with the successful connection (ie, started) resources, as well attempt connect a secondary, intermediate outcome. Methods: retrospective cohort included who had been screened, referred, subsequently reached follow-up navigation from...
The COVID-19 pandemic has highlighted the importance of social determinants health in affecting outcomes. Populations with high risk are disproportionately impacted by virus and its economic consequences. Primary care practices have a unique opportunity to implement interventions mitigate their patients' unmet needs, such as food income insecurity. In this commentary, we outline key considerations for clinics implementing programs that identify address needs way promotes equity, quality,...
Abstract Background Health systems are increasingly using standardized social needs screening and response protocols including the Protocol for Responding to Assessing Patients’ Risks, Assets, Experiences (PRAPARE) improve population health equity; despite established relationships between determinants of outcomes, little is known about associations assessment information patients’ clinical condition. Methods In this cross-sectional study, we examined relationship data measures...
Social determinants of health, including food insecurity, housing instability, social isolation, and unemployment are important drivers health outcomes utilization. To inform implementation needs screening response protocols, there is a need to identify the associated costs in routine primary care encounters.We interviewed key stakeholders four diverse community centers that had adopted widely used protocol. We evaluated using an activity-based costing tool across both initial phase ongoing...
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Introduction Few resources are available to train students provide patients assistance for obtaining needed community-based services. This toolkit outlines a curriculum student volunteers become “community resource navigators” serve via telephone at partner health sites. Methods University co-designed the Help Desk navigator program and training volunteer navigators as part of an academic-community partnership with local Federally Qualified Health Center (FQHC). The multi-modal curricula...
SummaryHealth care leaders and clinicians strongly support incorporating social determinants of health in delivery, according to an NEJM Catalyst Insights Council survey. But there are many pitfalls along the way better health.
Background The relationships between body mass index (BMI) and sleep disturbance, disturbance pain, obesity pain are documented; however, there is a paucity of research exploring how relates to in obese populations. Method participants comprized 386 (234 women, 152 men) (BMI M=40.7) adult (age M=51.0 y) patients enrolling 4-week residential treatment program. All information was gathered as part the initial program evaluation. Results prevalence reporting at least 1 disturbed symptom 84.8%....
Abstract Background and purpose Obese adults are at an increased risk for mobility‐related problems. National guidelines recommend calorie restrictions exercise obese as a means to improve functional fitness capacity increase mobility. Yet, lifestyle weight loss interventions often fail measure changes. The aim of this study was assess whether 1‐month, intensive behavioural change, diet intervention overweight would result in statistically significant clinically meaningful changes exercise....
Uncontrolled hypertension disproportionately affects Black men. Patient engagement with health promotion and behavior programs for control is low. We held evidence-based classes at a Federally Qualified Health Center.The aim of this project was to elicit patient preferences expectations community-based classes.Group were Center. The priority population men hypertension. Semi-structured interviews conducted the group class attendees. Two independent coders performed content analysis using...
Health care providers are increasingly screening patients for unmet social needs (eg, food, housing, transportation, and isolation) referring to relevant community-based resources services. Patients' connection referred services is often low, however, suggesting the need additional support facilitate engagement with resources. SMS text messaging presents an opportunity address barriers related contacting in accessible, scalable, low-cost manner.In this multi-methods pilot study, we aim...
Introduction. Our purpose was to develop and test a brief, self-report, scorable survey instrument for measuring population health from the individual respondent's perspective. We defined as: "Population is state of physical, mental, social well-being group individuals, including determinants their well-being." Materials methods. Subjects were multicultural underprivileged adult patients in community center. Instrument items, an overall scale, two subscales developed evaluated. Reliability...
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field integrated care on a continuous basis.IJIC has Impact Factor 5.120 (2020 JCR, received June 2021)The IJIC 20th Anniversary Issue was published 2021.