A5110682272- Health Policy Implementation Science
- Patient Satisfaction in Healthcare
- Health disparities and outcomes
- Primary Care and Health Outcomes
- Community Health and Development
- Healthcare Policy and Management
- Musculoskeletal pain and rehabilitation
- Migration, Aging, and Tourism Studies
- Health Systems, Economic Evaluations, Quality of Life
- Diverse Educational Innovations Studies
- Adolescent Sexual and Reproductive Health
- Healthcare professionals’ stress and burnout
- Child and Adolescent Psychosocial and Emotional Development
- HIV/AIDS Research and Interventions
- Advanced Causal Inference Techniques
- Nursing education and management
- Education Systems and Policy
- HIV, Drug Use, Sexual Risk
- Emergency and Acute Care Studies
- Corneal surgery and disorders
- Interprofessional Education and Collaboration
- Obesity, Physical Activity, Diet
- Substance Abuse Treatment and Outcomes
- Mental Health and Patient Involvement
- Ocular Surface and Contact Lens
Indiana University School of Medicine
2024
RAND Corporation
2015-2024
Indiana University – Purdue University Indianapolis
2024
Indiana University Bloomington
2022
Milken Institute
2022
George Washington University
2022
Penn State Milton S. Hershey Medical Center
2022
Pennsylvania State University
2022
Tufts University
2022
Riverside University Health System - Medical Center
2018
The use of propensity scores to control for pretreatment imbalances on observed variables in non‐randomized or observational studies examining the causal effects treatments interventions has become widespread over past decade. For settings with two conditions interest such as a treatment and control, inverse probability weighted estimation estimated via boosted models been shown simulation yield effect estimates desirable properties. There are tools (e.g., twang package R) guidance...
To define a new method for grading severity of keratoconus, the Keratoconus Severity Score (KSS).A rationale keratoconus was developed using common clinical markers plus 2 corneal topographic indices, creating 0 to 5 score. An initial test set 1012 eyes, including normal eyes with abnormal and findings but not having wide range severity, used determine cutpoints KSS. Validation 1, comprising data from 128 assigned KSS compared clinician's ranking termed "gold standard" if scale fairly...
Using data ( n = 60,775 women) from the Women's Health Initiative Clinical Trial (WHI CT)—a national study of postmenopausal women aged 50–79 years—we analyzed cross‐sectional associations between availability different types food outlets in 1.5 miles surrounding a woman's residence, census tract neighborhood socioeconomic status (NSES), BMI, and blood pressure (BP). We simultaneously modeled NSES using linear logistic regression models, adjusting for multiple sociodemographic factors,...
We examined whether neighborhood socioeconomic status (NSES) is associated with cognitive functioning in older US women and this relationship explained by associations between NSES vascular, health behavior, psychosocial factors.We assessed aged 65 to 81 years (n = 7479) who were free of dementia took part the Women's Health Initiative Memory Study. Linear mixed models cross-sectional association an index scores. A base model adjusted for age, race/ethnicity, education, income, marital...
Few empirical studies longitudinally examine evidence-based practice (EBP) sustainment and the hypothesized factors that influence it. In an effort to address this gap, current study examined of EBP for adolescent substance use called community reinforcement approach (A-CRA). A-CRA was assessed via information collected as part key informant interviews surveys with clinical staff from community-based treatment organizations had received federal funding implement A-CRA. Administrative data...
Research is needed to evaluate the impact of implementation support interventions over and above typical efforts by community settings deploy evidence-based prevention programs.Enhancing Quality Interventions Promoting Healthy Sexuality a randomized controlled trial testing Getting To Outcomes (GTO), 2-year intervention. It compares 16 Boys Girls Club sites implementing Making Proud Choices (MPC, control group), structured teen pregnancy program with similar MPC augmented GTO (intervention...
Implementation support models are increasingly being used to enhance the delivery of evidence-based treatments (EBTs) in routine care settings. Little is known about extent which these lead continued EBT use after implementation ends. Moreover, few empirical studies longitudinally examine hypothesized factors associated with long-term psychosocial (i.e., sustainment). In an effort address this gap, current study examined sustainment called Adolescent-Community Reinforcement Approach (A-CRA)...
ABSTRACT. Diabetic nephropathy (DN), a major cause of ESRD, is undoubtedly multifactorial and caused by environmental genetic factors. To identify basis for DN susceptibility, we are collecting multiplex families in the Caucasian (CA) African-American (AA) populations whole genome scanning candidate gene analysis. A search diabetic sibs discordantly affected, concordantly affected unaffected was performed with microsatellite markers genomic regions suspected to harbor susceptibility loci....
Studies have shown that communities not always been able to implement evidence-based prevention programs with quality and achieve outcomes demonstrated by science. Implementation support interventions are needed bridge this gap between science practice. The purpose of article is present two-year from an evaluation the Assets Getting To Outcomes (AGTO) intervention in 12 Maine engaged promoting Developmental Assets, a positive youth development approach prevention. AGTO implementation...
The influence of the sociodemographic context one's environment on cognitive ageing is not well understood.We examined differences in trajectories according to racial/ethnic characteristics residential environment. On basis 63 996 person-years data from a nationally representative cohort 6150 adults over age 50 years Health and Retirement Study, we used multivariate linear mixed models determine effect neighbourhood composition county-level segregation function decline 10-year period.In...
Purpose: The COVID-19 pandemic has drastically impacted everyday life. Not only it assailed the world’s populations with millions of deaths and cases, but also ravaged global economies affected lives women their children. purpose this study was to detail women’s experiences during solutions they came up deal problems encountered. Method: Data collection occurred in midwestern United States, State Indiana, from August 2020 2021. Sixty-six participated study. used open-ended survey questions....
Burnout among providers negatively impacts patient care experiences and safety. Providers at Federally Qualified Health Centers (FQHC) are high risk for burnout due to volumes; inadequate staffing; balancing the demands of patients, families, team members.
Adults' comments on patient experience surveys explain variation in provider ratings, with negative providing more actionable information than positive comments. We investigate if narrative the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey inpatient pediatric care (Child HCAHPS) account for global perceptions hospital beyond that explained by reports about specific aspects care.
<h3>Background/aims:</h3> To determine if disease severity is associated with a family history of keratoconus. <h3>Methods:</h3> Markers in the CLEK Study cohort were assessed to they could discriminate individuals and without history. Logistic regression was used examine association between corneal scarring, average power, flat steep keratometry readings, higher-order root mean square (RMS) wavefront error <h3>Results:</h3> In univariate analyses, none indices had any significant...
We examined the relationship between depression (symptom type, diagnostic severity, and change over time) adherence to HIV antiretroviral therapy (ART) with data from 3 longitudinal studies (N = 1021) of patients starting ART in Uganda. The Patient Health Questionnaire was used assess depressive symptoms (total score; somatic cognitive subscales) categorize severity level. At baseline, 9% had major 30% minor depression; 82% were adherent (reported no missed doses past 7 days) at month 6 85%...
Abstract This randomized, controlled field trial estimated the causal impact of a technology-based geometry curriculum on students' achievement, as well their attitudes toward mathematics and technology. The combines learner-centered classroom pedagogy with individualized, computer-based student instruction. Conducted over 3-year period in eight high schools within an urban fringe district, study found that students assigned to treatment scored 19% standard deviation lower posttest than...
Background: The complexity of health information frequently exceeds patients' skills to understand and use it. Improvement in hospital communication has the potential improve quality care. Objective: To develop a set items supplement Consumer Assessment Healthcare Providers Systems (CAHPS) Hospital Survey (HCAHPS) assess how well hospitals communicate inpatients. Methods: We conducted an environmental scan obtained input from stakeholders identify domains survey items, cognitively tested...