A5075665562- Childhood Cancer Survivors' Quality of Life
- Patient-Provider Communication in Healthcare
- Vaccine Coverage and Hesitancy
- Cervical Cancer and HPV Research
- Cancer Risks and Factors
- Cancer survivorship and care
- Palliative Care and End-of-Life Issues
- Family Support in Illness
- Patient Satisfaction in Healthcare
- Colorectal Cancer Screening and Detection
- Health and Medical Research Impacts
- Acute Lymphoblastic Leukemia research
- Ethics and Legal Issues in Pediatric Healthcare
- Diversity and Career in Medicine
- Global Cancer Incidence and Screening
- Adolescent and Pediatric Healthcare
- Advances in Oncology and Radiotherapy
- Health Systems, Economic Evaluations, Quality of Life
- Innovations in Medical Education
- Health Literacy and Information Accessibility
- Media Influence and Health
- Pharmaceutical Practices and Patient Outcomes
- Economic and Financial Impacts of Cancer
- Operations Management Techniques
- Mentoring and Academic Development
The University of Texas Health Science Center at Houston
2015-2025
The University of Texas Health Science Center at San Antonio
2017-2024
University of Texas Health Science Center at Dallas
2017-2022
The University of Texas at San Antonio
2016-2018
Texas Medical Center
2017
Virginia Commonwealth University
2012-2016
The University of Texas at Austin
2015
: media-1vid110.1542/5754332185001PEDS-VA_2017-2312Video Abstract OBJECTIVES: To prevent human papillomavirus (HPV)-related cancers, providers must effectively communicate with HPV vaccine-hesitant parents. Here, we developed a typology characterizing parent-provider communication around vaccine hesitancy.We audio-recorded 43 visits unvaccinated adolescents at 6 pediatric clinics in Dallas, Texas which parents were undecided about vaccination. We qualitatively coded how verbally expressed...
To examine whether survivorship care planning (receipt of written treatment summary or instructions for follow-up care) is associated with unmet needs among adolescent and young adult (AYA) cancer survivors (aged 15-39 at diagnosis).We used data from the 2010 LIVESTRONG Survey People Affected by Cancer. Outcome variables were survivor reports needs, including information on late effects treatment, fertility issues, recurrence, family risk. We multivariable logistic regression models to...
Parents' stigmatizing beliefs about the HPV vaccine, such as that it promotes adolescent sexual activity, constitute a notable barrier to vaccine uptake. The purpose of this study is describe associations between parents' psychosocial antecedents vaccination, and intentions vaccinate their children. Parents vaccine-eligible children (n = 512) were surveyed in large urban clinical network. Results indicate two significantly associated with self-efficacy talking doctor vaccine. Believing would...
Few studies have examined childbirth and adverse perinatal outcomes among male adolescents young adults with cancer (AYAs, diagnosed at age 15-39 years). We conducted a population-based assessment of these in large, diverse sample.
Objectives/Goals: Translational researchers often struggle to navigate a complex constellation of institutional resources spanning the IRB bioinformatics units. We had two aims 1) Systematically map all institution-wide research support units and 2) leverage this database within generative AI virtual concierge tailored local investigator queries needs. Methods/Study Population: This study leveraged mixed methods approach. First, we conducted needs assessments teams identify barriers...
Abstract Background: Primary care clinicians (PCCs) play a critical role in delivering comprehensive to patients with chronic conditions, including cancer survivors. Community health centers (CHCs) serve as primary healthcare facilities, providing accessible and affordable underserved vulnerable populations, Despite the essential of CHCs, significant gaps remain knowledge research training regarding survivorship within these settings. Given rising population survivors United States,...
Long-term adherence to colorectal cancer (CRC) screening is particularly important for fecal testing. Some U.S. studies report that only 25% of individuals repeat testing annually. The purpose this qualitative study was identify barriers and facilitators reported by patients with suboptimal refine interventions starting ongoing CRC screening. We also explored whether participants, never screeners, would be willing do a blood test.Forty-one who previously enrolled in the Systems Support...
With the emerging use of speech technology in consumer goods, we experimented with application conversational agents for communication health information relating to HPV vaccine. Research have stated that one-to-one contact between providers and patients a variety positive influences on patients' perception towards vaccines, even leading uptake, compared paper-based methods. We implemented Wizard Oz experiment counsels adults children (n=18) vaccine, using an iPad tablet dialogue script...
We examined adverse birth outcomes among adolescent and young adult women diagnosed with cancer (AYA women, ages 15-39 years) during pregnancy.
HPV vaccination is recommended for children beginning at age 9 to prevent several types of cancer. Many parents turn Facebook health information. This study describes changes in vaccine-related articles shared on amidst the COVID-19 pandemic.
Abstract Background The current study analyzed articles shared on Facebook between 2019 and 2021 that discuss the HPV vaccine. Results address a gap in knowledge about persuasive strategies used vaccine discourse Facebook. Methods Using Buzzsumo.com, we collected 138 articles, 2021, with highest “engagement scores,” or total number of reactions, comments, shares. content analysis methodology, three independent coders were trained using codebook, achieved acceptable inter-rater reliability...
Patient-clinician communication is thought to be central care outcomes, but when and how affects patient outcomes not well understood.We propose a conceptual model classification framework upon which the empirical evidence base for impact of patient-clinician can summarized further built.We use proposed summarize findings from two recent systematic reviews, one evaluating shared decision making (SDM) on cancer other role physician recommendation in screening use.Using this approach, we...
Background The use of physician office‐based tools such as electronic health records ( EHR s), risk appraisal HRA ) instruments, and written patient reminder lists is encouraged to support efficient, high‐quality, patient‐centered care. We evaluate the association exam room s, self‐generated with patient–physician communication behaviors, recommended preventive service delivery, visit length. Research Methods Observational study 485 office visits 64 primary care physicians practicing in a...
Despite its widespread advocacy, shared decision making (SDM) is not routinely used for cancer screening. To better understand the implementation barriers, we describe primary care physicians' (PCPs') support SDM across diverse screening contexts.Surveys were mailed to a random sample of USA-based PCPs. Using multivariable logistic regression analyses, tested associations PCPs' with US Preventive Service Task Force (USPSTF) assigned recommendation grade, assessed whether pertained older...