- Eating Disorders and Behaviors
- Diabetes Management and Education
- Obesity, Physical Activity, Diet
- Migration, Health and Trauma
- Cardiac Health and Mental Health
- Digital Mental Health Interventions
- Chronic Disease Management Strategies
- Mobile Health and mHealth Applications
- Mental Health Treatment and Access
- Cultural Competency in Health Care
- Diet and metabolism studies
- Obesity and Health Practices
- Cardiovascular Health and Risk Factors
- Cardiovascular Disease and Adiposity
- Child and Adolescent Psychosocial and Emotional Development
- Nutritional Studies and Diet
- Tryptophan and brain disorders
- Food Security and Health in Diverse Populations
- Healthcare Systems and Practices
- Behavioral Health and Interventions
- Cannabis and Cannabinoid Research
- Family and Disability Support Research
- Diabetes Management and Research
- Blood Pressure and Hypertension Studies
- Opioid Use Disorder Treatment
Feinstein Institute for Medical Research
2022-2025
Northwell Health
2022-2025
Health Data Research UK
2023
University of Cambridge
2023
Johns Hopkins Medicine
2018-2022
Johns Hopkins University
2018-2022
University of Baltimore
2020
Indianapolis Zoo
2019
University of Indianapolis
2015-2018
Indiana University – Purdue University Indianapolis
2015-2018
Continuous glucose monitors (CGMs) have become an important tool to aid self-management of blood for many patients with diabetes in the U.S., and benefits CGM use are well-documented. However, disparities exist, lower certain marginalized racial ethnic groups. may be underutilized help reduce inequities. Evidence supporting CGMs as a part virtual care is discussed, emphasis on designing programs promote health equity. Recommendations clinical practice research presented. In practice, should...
Although depression has been linked to insulin resistance, few studies have examined depressive symptom clusters.We whether certain clusters are more strongly associated with resistance in a nationally representative sample, and we evaluated potential moderators mediators.Respondents were 4487 adults from NHANES 2005-2010. Depressive symptoms measured the Patient Health Questionnaire-9 (PHQ-9), was indexed by homeostatic model assessment (HOMA) score.Positive relationships between PHQ-9...
Introduction Cardiovascular disease (CVD) is the leading cause of mortality worldwide, though it may be prevented by increasing physical activity (PA). When behaviour change techniques (BCTs) are bundled together, they increase PA, which individual BCTs PA (and behavioural mechanism action (MoA) responsible for said increase) have not been studied. The aim this study to conduct a randomised factorial experiment determine four significantly engage proposed MoA—self-efficacy PA—in adults at...
We compared the relative importance of atypical major depressive disorder (MDD), nonatypical MDD, and dysthymic in predicting 3-year obesity incidence change body mass index determined whether race/ethnicity moderated these relationships. examined data from 17,787 initially nonobese adults National Epidemiologic Survey on Alcohol Related Conditions waves 1 (2001-2002) 2 (2004-2005) who were representative US population. Lifetime subtypes disorders using a structured interview, outcomes...
Methods. Using 1999–2004 National Health and Nutrition Examination Survey (NHANES) data, prevalence of chronic pain, analgesic medication use, substance use were examined among MA, non-Hispanic White (NHW), Black (NHB) respondents. Logistic linear regression models racial/ethnic differences in: 1) pain all respondents, 2) location number sites respondents with 3) pain.
Abstract Background Several mechanisms underlying the depression-to-cardiovascular disease (CVD) relationship have been proposed; however, few studies examined whether depression promotes CVD through potentiating traditional cardiovascular risk factors. Purpose To test combined influence of three factors and lifetime depressive disorder on incident in a large, diverse, nationally representative sample U.S. adults. Methods Respondents were 26,840 adults without baseline who participated Waves...
Abstract Social needs contribute to persistent diabetes disparities; thus, it is imperative address social optimize management. The purpose of this study was determine the feasibility and acceptability health system-based care versus + behavioral intervention improve self-management among patients with type 2 diabetes. Black/African American, Hispanic/Latino, low-income White recent hemoglobin A1C (A1C) ≥ 8%, ≥1 need were recruited from an integrated system. Patients randomized one-of-two...
Low-cost, automated interventions that increase knowledge and skills around diet lifestyle modifications are recommended for cardiovascular disease risk reduction.We initiated a quality improvement program to assess the impact of web-based intervention utilizing short animated videos in adults with high blood pressure (BP) at primary care clinic Saudi Arabia. We enrolled elevated BP, not on BP medications, who were identified using electronic medical record. delivered web-linked covering...
Researchers have established the long-term negative impact of adverse childhood experiences (ACEs) on mental health. Evidence also shows that different types ACEs often co-occur and profiles differential However, this prior research has omitted first-generation Latino immigrants—a growing segment population, with potentially higher risk for ACEs, decreased access to health services, increased remaining in poor In study, we conducted a cluster analysis using sample 336 Latina immigrant...
Objectives: Although treatment disparities in diabetes have been documented along racial/ethnic lines, it is unclear if immigrant groups the U.S. experience similar disparities.Our primary objective was to determine whether status associated with differences pharmacological of a nationally representative sample adults diabetes.We were specifically interested oral hypoglycemic agents (OHA) and insulin.Methods: Respondents 2,260 from NHANES 2003-2012 self-reported diagnosis.Immigrant indicated...
This paper describes the adaptation of a self-management program for chronic conditions - DECIDE (Decision-making Education Choices in Diabetes Everyday) to focus on mental health and be both trauma-informed culturally appropriate Latina immigrant ACE survivors with depression and/or anxiety symptoms.
To develop a cultural and trauma-informed mental health self-management program for immigrant Latina survivors of adverse childhood experiences with depression or anxiety symptoms.
Introduction: Psychological distress can have a significant impact on cardiovascular disease (CVD) and efforts to treat psychological may improve CVD risk factors. Therefore, we conducted retrospective feasibility of implementation study assess the utilization short-term psychotherapy in patients engaged prevention program. Methods: Participants included Women’s Health or Preventive Cardiology programs from January 2019 June 2022. Patients were referred for psychology services if deemed...
Although depression is associated with poorer overall diet quality, few studies have examined its association levels of particular macronutrients, and none moderation by race/ethnicity. The present study (a) associations between depressive symptom severity nine indices composition (b) whether race/ethnicity moderates these associations.Participants were 28,940 adults (mean age = 49 years, 52% female, nonwhite) from NHANES 2005-2018. Depressive was measured using the Patient Health...