A5040486560- Health Literacy and Information Accessibility
- Digital Mental Health Interventions
- Mobile Health and mHealth Applications
- COVID-19 and Mental Health
- Pharmaceutical Practices and Patient Outcomes
- Pharmaceutical studies and practices
- Misinformation and Its Impacts
- Pharmacovigilance and Adverse Drug Reactions
- BRCA gene mutations in cancer
- Health disparities and outcomes
- Patient Satisfaction in Healthcare
- Medication Adherence and Compliance
- Health Systems, Economic Evaluations, Quality of Life
- Nausea and vomiting management
- Global Cancer Incidence and Screening
- Vaccine Coverage and Hesitancy
- Health Promotion and Cardiovascular Prevention
- Smoking Behavior and Cessation
- Social Media in Health Education
- Mental Health via Writing
- Patient-Provider Communication in Healthcare
- Emergency and Acute Care Studies
- Health Policy Implementation Science
- Media Influence and Health
- Healthcare Policy and Management
University of Pennsylvania Health System
2018-2022
University of Pennsylvania
2018-2022
Penn Center for AIDS Research
2021-2022
Philadelphia University
2021
California University of Pennsylvania
2020
Brigham and Women's Hospital
2013-2018
University of California, San Francisco
2016
Harvard University
2014-2016
University of Michigan
2016
University of Minnesota
2014
With rising smartphone ownership, mobile health applications (mHealth apps) have the potential to support high-need, high-cost populations in managing their health. While number of available mHealth apps has grown substantially, no clear strategy emerged on how providers should evaluate and recommend such patients. Key stakeholders, including medical professional societies, insurers, policy makers, largely avoided formally recommending apps, which forces patients obtain recommendations from...
Widening socioeconomic disparities in mortality the United States are largely explained by slower declines tobacco use among smokers of low status (SES) than those higher SES, which points to need for targeted cessation interventions. Documentation smoking electronic health records (EHRs) provides tools systems proactively offer treatment socioeconomically disadvantaged smokers.To evaluate a proactive strategy that addresses sociocontextual mediators low-SES smokers.This prospective,...
Patients generate large amounts of digital data through devices, social media applications, and other online activities. Little is known about patients' perception the they its relatedness to health, their willingness share for research, preferences regarding use.Patients at an academic urban emergency department were asked if would donate any 19 different types health researchers views on types' relatedness. Factor analysis was used identify structure in perceptions data, relatedness.Of 595...
Objective To test patients’ willingness to share and link their prior Google search histories with data from electronic medical record (EMR), explore associations between clinical conditions. Design Cross-sectional study of emergency department (ED) patients 2016 2017. Setting Academic centre ED. Participants A total 703 were approached; 334 a volunteer sample 411 (81%) reported having account; 165 those (49%) consented EMR data; 119 (72%) able do so. 16 (13%) had no not included in the...
Deer keds (Lipoptena cervi) are thought to have been introduced into New England from Europe during the 1800s. We sought determine whether L. cervi Massachusetts deer contained evidence of infection by Bartonella schoenbuchensis, which appears be maintained in Europe. Five 6 were found contain B. schoenbuchensis DNA, and 2 ticks cofeeding on with such did as well. The detection DNA probably represents contamination infected blood.
Project CLIQ (Community Link to Quit) was a proactive population-outreach strategy using an electronic health records-based smoker registry and interactive voice recognition technology connect low- moderate-income smokers with cessation counseling, medications, social services. A randomized trial demonstrated that the program increased cessation. We evaluated cost-effectiveness of from provider organization's perspective if implemented outside framework.We calculated cost, cost per smoker,...
In Brief Objective: The objective of this study was to determine predictors Trichomonas vaginalis among women and their partners in Moshi, Tanzania. Study Design: Women (N = 1440) 588) were interviewed specimens for detection T. sexually transmitted infections (STIs) collected. Results: Prevalence 10.7% 6.3% men. Having a partner with the strongest risk factor (adjusted odds ratio [OR], 19.44; 95% confidence interval [CI], 7.84–48.25) men OR, 19.01; CI, 6.8–52.40). Risk infection increased...
Digital health and technologies are essential to curbing the novel coronavirus 2019 (COVID-19) pandemic especially with shelter-in-place social distancing orders. Epidemiologists public officials tapping into frequently used like wearables, digital devices, media data detect validate COVID-19 symptoms throughout pandemic, during early stages when were evolving. In this article, we review how platforms can identify inform our understanding of surveillance recovery efforts. We analyze Reddit...
To characterize Yelp reviews about pain management and opioids.We manually coded applied natural language processing to 836 of US hospitals mentioning an opioid medication.Yelp by patients caregivers describing experiences with opioids had lower ratings compared other reviews. Negative descriptions opioid-related were more commonly described than positive experiences, the number themes they reflected was diverse.Yelp offer insights into use that are not assessed traditional surveys. As a...
The quality of care in labor and delivery is traditionally measured through the Hospital Consumer Assessment Healthcare Providers Systems but less known about experiences reported by patients caregivers on online sites that are more easily accessed public.The aim this study was to generate insight into experience using hospital reviews Yelp.We identified all Yelp US hospitals posted from May 2005 March 2017. We used a machine learning tool, latent Dirichlet allocation, identify 100 topics or...
Objective: To analyze the differences between ondansetron and palonosetron in healthcare resource use (i.e., inpatient/ outpatient encounters) among patients receiving intraperitoneal cisplatin. Method: A medical record review was performed. Intraperitoneal cisplatin administrations for gynecological cancers from January through June 2006 October 2007 2008 were divided into two groups based on serotonin-receptor antagonist used. The occurrence of chemotherapy-induced nausea vomiting...
Practice-Based Research Networks (PBRNs) and health systems may provide timely, reliable data to guide the development distribution of public resources promote healthy behaviors, such as quitting smoking. The objective this study was determine if PBRN could be used make neighborhood-level estimates smoking prevalence.We estimated prevalence in 32 greater Boston neighborhoods (population = 877,943 adults) by using electronic record adults who 2009 visited one 26 Partners Primary Care...
Background: Accurate awareness of common disease risk is necessary to promote healthy lifestyles and prevent unnecessary anxiety evaluation. Our objective identify characteristics patients who do not accurately perceive their developing coronary heart (CHD), diabetes (DM), breast cancer (BC) colorectal (CRC). Methods: Using personalized reports perception surveys, subjects (n = 4703) were classified as high or low/average perceived for each condition. Models used examine factors associated...
Abstract An understanding of healthcare super-utilizers’ online behaviors could better identify experiences to inform interventions. In this retrospective case-control study, we analyzed patients’ social media posts understand their day-to-day and emotions expressed online. Patients included those receiving care in an urban academic emergency department who consented share access historical Facebook electronic health records. Super-utilizers were defined as patients with more than six visits...
Background: Patient advocacy has fostered the implementation of mammographic breast density (MBD) notification legislation in many states. Little is known about perspectives women, primary care physicians (PCPs), and radiologists response to this legislation. The objective research was elicit qualitative information from these multiple stakeholders understand varied on subject MBD inform best practices around implementation. Methods: Content analysis narrative data focus groups with women (2...