A5005692020- Palliative Care and End-of-Life Issues
- Diabetes Management and Education
- Cancer survivorship and care
- Metabolism, Diabetes, and Cancer
- Childhood Cancer Survivors' Quality of Life
- Chronic Disease Management Strategies
- Patient Dignity and Privacy
- Pain Management and Opioid Use
- Medication Adherence and Compliance
- Pharmaceutical Practices and Patient Outcomes
- Diabetes Treatment and Management
- Food Security and Health in Diverse Populations
- Stroke Rehabilitation and Recovery
- Family Caregiving in Mental Illness
- Grief, Bereavement, and Mental Health
- Obesity, Physical Activity, Diet
- Gestational Diabetes Research and Management
- Health and Wellbeing Research
- Health disparities and outcomes
- Cancer Risks and Factors
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Colorectal Cancer Screening and Detection
- Global Cancer Incidence and Screening
- Cancer Diagnosis and Treatment
- Diabetes, Cardiovascular Risks, and Lipoproteins
University of Florida
2017-2025
Florida College
2017-2024
WiLAN (Canada)
2019
Gainesville Obstetrics & Gynecology
2019
Indiana University Bloomington
2014-2017
University of Cincinnati Medical Center
2017
Indiana University – Purdue University Indianapolis
2014-2017
Knoxville College
2017
University of Tennessee at Knoxville
2017
Indiana University
2015
We summarize the risk factors that may significantly contribute to racial disparities in pancreatic cancer, which is now third leading cause of cancer deaths and projected be second around 2030 12 years. For decades, incidence rate among Blacks has been 30% 70% higher than other groups United States 5-year survival approximately 5%. Diabetes obesity have identified as potentially predisposing both are more common Blacks. Smoking continues one most important for smoking rates compared groups....
The use of telehealth to deliver healthcare remotely has increased significantly over the past two decades. Despite among certain demographic groups, uptake rural populations continues lag when compared urban populations. Barriers such as limited access internet and patient perceptions regarding lower quality remote visits on patient-provider relationships may contribute Telehealth delivered in community settings like County Extension offers an innovative opportunity reduce these barriers...
Indigenous women experience disproportionately higher rates of adverse health outcomes. Few studies have explored the root these problems or defined and wellness from perspectives women. Our objective was to elicit views on women's who are and/or working with communities across Turtle Island Hawai'i (e.g., United States). Informed by intersectionality as a social critical theory, we convened workshop engage in co-creative consensus-building expert decision process using design thinking. The...
The rise in prevalence of cardiometabolic multimorbidity indicates the need for more research examining associated risk factors. Identifying multilevel factors is especially critical U.S. health disparity populations who have been shown to experience a disproportionate burden chronic disease-related morbidity and mortality. This study examines differences with status among representative sample adults. Additionally, we investigate role perceived discrimination as mediator relationship...
Abstract Background: Colorectal cancer (CRC) is a devastating disease with CRC patients experiencing physical and treatment-related symptoms that seriously impact the quality of life psychological health. These often require supportive care medications (SCM) to manage improve health-related throughout illness trajectory. This study explores racial ethnic differences in using SCMs nonmetastatic CRC, aiming uncover barriers promote equitable care. Methods: Data from SEER-Medicare-linked...
Abstract Background: This study investigates disparities in the use of adjunctive supportive care medications (SCM) among metastatic colorectal cancer (CRC) patients across different racial and ethnic groups. SCMs are central to symptom management improving health-related quality life treatment. Our goal was identify potential medication for neurological symptoms that may impact end-of-life patients. Methods: Data were acquired from Surveillance, Epidemiology, End Results...
Our goal is to improve psychosocial and spiritual care outcomes for elderly patients with cancer by optimizing an intervention focused on dignity conservation tasks such as settling relationships, sharing words of love, preparing a legacy document. These are central needs cancer. Dignity therapy (DT) has clear feasibility but inconsistent efficacy. DT could be led nurses or chaplains, the 2 disciplines within palliative that may most available provide this intervention; however, it remains...
To examine HbA1c levels and adherence to oral glucose-lowering medications their association with future among American Indian adults type 2 diabetes (T2D) receiving at no cost from a tribal health care system.
Objective: To compare treatment fidelity among arms in the Telephone Assessment and Skill-Building Kit study for stroke caregivers (TASK II) with respect to: 1) protocol adherence; 2) intervention dosage 3) nurse intervener perspectives. Design: A randomized controlled clinical trial design. Setting: Urban, community, midwestern United States. Subjects: total of 254 (mean ±SD age, 54.4 ±11.8 years), 55 (22.0%) males 199 (78.4%) females) to TASK II ( n=123) or an Information, Support,...
Background: Feasibility of dignity therapy (DT) is well established in palliative care. Evidence its efficacy, however, has been inconsistent and may stem from DT’s primary effects differing the outcomes measured previous studies. We proposed that DT were spiritual domain created a new outcome measure, Dignity Impact Scale (DIS), items previously used large randomized controlled trial (RCT). Objective: The purpose this secondary analysis study was to examine properties measure impact....
Background In several studies, investigators have successfully used an internet-enabled PAIN Report It tablet to allow patients report their pain clinicians in real-time, but it is unknown how acceptable this technology and caregivers when homes. Objective The aims of study were examine computer use acceptability scores with end-stage cancer hospice compare the for differences by age, gender, race, experience. Intervention/Methods Immediately after using tablet, 234 231 independently...
The co-occurrence of mental and physical conditions has increased significantly during the last decade. However, research examining influence social factors such as food insecurity is limited. purpose this study was to examine association between mental-physical comorbidity status among U.S. adults. Data for analysis were drawn from National Health Nutrition Examination Survey (NHANES) years 2013-2016. Respondents ages 18 older who reported at least one three chronic (i.e., type 2 diabetes...
Today's nursing workforce is expected to know how identify and understand research methods procedures apply the most current evidence into daily practice. However, teaching evidence-based practice (EBP) in an undergraduate curriculum poses unique challenges overcoming students' perception of content relevancy their educational experience, but also offers opportunities for innovation facilitate critical thinking clinical application.The aim this article report on learning was infused a course...
Although type 2 diabetes is a chronic illness affecting the entire family, scant literature exists in this area. This study’s purpose was to identify needs of family caregivers persons with across cultures. Using semi-structured interview guide open-ended questions, convenience sample 33 American Indians ( n = 14), African Americans 11), and Caucasians 8) were interviewed by telephone. Qualitative content analysis conducted based on five pre-determined categories derived from an existing...
Cancer is a major health problem in the U.S and type 2 diabetes mellitus (T2DM) known to increase risk for development of many cancers. Metformin, first-line therapy treating T2DM, increasingly being used its anticancer effects; however, literature limited on effect metformin dose overall survival patients with stage IV cancer. Overall was defined as time interval from date diagnosis last follow-up or death any cause. Subjects who were alive December 31, 2016 censored. In this cohort study...
AI/AN communities are disproportionately impacted by food insecurity and gestational diabetes mellitus (GDM). Decreasing the risk of GDM can interrupt intergenerational cycle in families, decrease diabetes-related health disparities. The goal this study was to explore ways supporting holistic reducing among young American Indian Alaska Native (AI/AN) females prior pregnancy. Semi-structured interviews were conducted with adult women (>18 years) who had or have female relatives (e.g.,...
Purpose The purpose of this study was to develop and psychometrically test the Diabetes Caregiver Activity Support Scale (D-CASS), a measure how difficult or easy caregiver activity supportive behaviors are for family caregivers persons with type 2 diabetes (T2DM). Methods Internal consistency reliability, test-retest criterion-related validity, construct validity were examined in 101 T2DM. Participants recruited using brochures distributed at large hospital Midwest statewide American Indian...