A5087350599- Food Security and Health in Diverse Populations
- Child and Adolescent Health
- Homelessness and Social Issues
- Adolescent and Pediatric Healthcare
- Healthcare Policy and Management
- Health disparities and outcomes
- Primary Care and Health Outcomes
- Child Nutrition and Feeding Issues
- Obesity and Health Practices
- Child Nutrition and Water Access
- Maternal Mental Health During Pregnancy and Postpartum
- Childhood Cancer Survivors' Quality of Life
- Child and Adolescent Psychosocial and Emotional Development
- Obesity, Physical Activity, Diet
- Attention Deficit Hyperactivity Disorder
- School Health and Nursing Education
- Hemoglobinopathies and Related Disorders
- Migration, Health and Trauma
- Musculoskeletal pain and rehabilitation
- Ergonomics and Musculoskeletal Disorders
- Infant Development and Preterm Care
- Children's Physical and Motor Development
- Global Health Care Issues
- Gender, Labor, and Family Dynamics
- Asthma and respiratory diseases
University of Massachusetts Chan Medical School
2020-2025
Children's Medical Center
2022-2025
UMass Memorial Medical Center
2021-2025
UMass Memorial Health Care
2022-2025
Boston University
2014-2024
Memorial Medical Center
2023-2024
Children's Center
2022-2023
Boston Medical Center
2012-2022
Johns Hopkins University
2007-2022
Worcester Memorial Hospital
2022
To evaluate the effect of a clinic-based screening and referral system (Well Child Care, Evaluation, Community Resources, Advocacy, Referral, Education [WE CARE]) on families' receipt community-based resources for unmet basic needs.We conducted cluster randomized controlled trial at 8 urban community health centers, recruiting mothers healthy infants. In 4 WE CARE clinics, completed self-report instrument that assessed needs child care, education, employment, food security, household heat,...
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Social determinants affect health, yet there are few systematic clinical strategies in primary care that leverage electronic health record (EHR) automation to facilitate screening for social needs and resource referrals. An EHR-based of (SDOH) referral model, adapted from the WE CARE model pediatrics, was implemented urban adult care.This study aimed to: (1) understand burden SDOH among patients at Boston Medical Center; (2) evaluate feasibility implementing a strategy screen new SDOH, use...
Our goal was to evaluate the feasibility and impact of an intervention on management family psychosocial topics at well-child care visits a medical home for low-income children.A randomized, controlled trial 10-item self-report screening instrument conducted urban hospital-based pediatric clinic. Pediatric residents parents were randomly assigned either or control group. During 12-week period, children aged 2 months 10 years presenting visit enrolled. The components included provider...
BACKGROUND AND OBJECTIVES: Fifteen percent of US children live in households with inadequate food. Children who are food insecure often experience worse physical, emotional, and developmental health outcomes. Authors previous studies have not examined the quality cost implications insecurity children. METHODS: This is a retrospective study 7959 nationally representative (aged 1–17 years) 2016 Medical Expenditure Panel Survey. Households were identified by ≥3 positive responses to 30-day,...
This Viewpoint discusses recently established quality measures designed to screen patients for health-related social needs and how they may not only come up short, but impede progress in health equity.
Food insecurity has been associated with the health care expenditures of individuals, but it can affect entire family. Evaluating relationship between food and family provides a better understanding financial implications interventions. Our primary objective was to evaluate association in one year (2016) expenditures—for all members, for children only, adults only—in next (2017). We also evaluated whether this varied across types insurance coverage within families: private, public, or mixed...
Abstract A laboratory study was conducted to evaluate five different manual techniques (two-person lifting; rocking and pulling the patient using a gait belt with two persons; walking one persons) three mechanical hoists (Hoyer lift, Trans-Aid Ambulift) for transferring patients from wheelchair shower chair wheelchair. Six female nursing students prior transfer experience served both as nurses passive patients. Static biomechanical evaluation showed that mean trunk flexion moments, erector...
The goals of this cross-sectional study were to ( a) describe the prevalence 5 basic social needs in a cohort parents attending an urban teaching hospital—based pediatric clinic, b) assess parental attitudes toward seeking assistance from their child's provider, and c) examine resident providers' behaviors addressing these needs. Parents (n = 100) reported median 2 at visit. most common was employment (52%), followed by education (34%), child care (19%), food (16%), housing (10%). Most (67%)...
Although the medical home is promoted by American Academy of Pediatrics and Affordable Care Act, its impact on children without special health care needs unknown. We examined whether associated with beneficial utilization health-promoting behaviors in this population.This study was a secondary data analysis 2003 National Survey Children's Health. Data were available for 70 007 needs. operationalized according to Health design. Logistic regression complex sample surveys used model each...
Purpose: Screening for social determinants of health (SDOH) during primary care office visits is recommended by pediatric and internal medicine professional guidelines. Less known about how SDOH screening service referral can be successfully integrated into clinical practice. Methods: Key informant interviews with 11 community center (CHC) clinicians staff members (medical assistants case managers) were analyzed to identify themes related integrating a process (augmented WE CARE model) their...
BACKGROUND AND OBJECTIVE Addressing adverse social determinants of health is an upstream approach to potentially improve child outcomes and equity. We aimed determine if systematically screening referring for needs in hospitalized pediatric patients increased families’ enrollment publicly available resources. METHODS Randomized controlled trial at a large urban children’s hospital enrolled English-speaking caregivers 0 36 months age on the general pediatrics service from June 2016 July 2017....
This Viewpoint describes how pediatric health care systems can use health-related social needs screening implementation as an opportunity to reimagine more healing-centered systems.
OBJECTIVES To assess the implementation and effectiveness of augmented WE CARE social care system on low-income children’s health utilization child maltreatment outcomes. METHODS We conducted a type 1 hybrid effectiveness-implementation cluster randomized controlled trial at 6 community centers. Full-term infants were followed from birth to age 3. The 3 experimental clinics implemented well-child visits, consisting self-report screening instrument for 7 basic needs; an electronic...
Abstract A laboruiory study was conducted to determine if job specific static strength can be used predict dynamic lifting capability (maximum acceptable weight of lift) based on psychophysical methodology. Nine male college students were required lift three different tote boxes (containers) from a 38 cm height 81 high table using semi-squat body posture. For each boxsialic measured in ways. These (i) maximum voluntary isometric (MVIS) at the origin vertical direction, (ii) MVIS close and...