- Cannabis and Cannabinoid Research
- Substance Abuse Treatment and Outcomes
- Religion, Spirituality, and Psychology
- Prenatal Substance Exposure Effects
- Homelessness and Social Issues
- Health Policy Implementation Science
- Elder Abuse and Neglect
- Palliative Care and End-of-Life Issues
- Physical Activity and Health
- Opioid Use Disorder Treatment
- Grief, Bereavement, and Mental Health
- Health and Wellbeing Research
- Chronic Disease Management Strategies
- Food Security and Health in Diverse Populations
- Health Systems, Economic Evaluations, Quality of Life
- Mental Health Treatment and Access
- Community Health and Development
- Diabetes Management and Education
- Health and Lifestyle Studies
- Participatory Visual Research Methods
- Health and Well-being Studies
- Sleep and related disorders
- Workplace Health and Well-being
- Geriatric Care and Nursing Homes
- Pain Management and Opioid Use
University of Illinois Chicago
2020-2025
Illinois College
2024-2025
Cook County Health and Hospitals System
2025
Edward Hines, Jr. VA Hospital
2024
University of Illinois Urbana-Champaign
2014-2020
Universidade Estadual Paulista (Unesp)
2018
Northern Illinois University
2018
Universidade Federal do Triângulo Mineiro
2018
In Illinois, the Opioid Alternative Pilot Program (OAPP) was launched to expand access medical cannabis use as a direct substitute for opioids. Although therapeutic benefits have been reported in reducing opioid use, there is an absence of literature that examines how impacts individual's quality life (QoL). This study association with QoL among first enrollees OAPP. A survey sent between February and July 2019. Cannabis users (n=626) were compared non-users (n=234) determine whether within...
Access to recreational and medical marijuana is common in the United States, particularly states with legalized use. Here, we describe patterns of use self-reported health among older persons using a geographically sampled survey Colorado. The in-person or online was offered community-dwelling aged above 60 years. We assessed past-year including recreational, medical, both; methods use; source; reasons for sociodemographic factors; health. Of 274 respondents (mean age = 72.5 years, 65%...
Older adults in the U.S. are increasingly using cannabis. Theoretical perspectives of scholars who have explained cannabis use include subcultural theory, normalization thesis, and age-period-cohort paradigm. Our study examined what influences older adults' use, perceived outcomes use. From April 2018 to January 2019, we conducted 12 focus groups with 82 aged 60 Illinois, where medical was legally available beginning 2014. We used an inductive thematic analysis code theme group transcripts...
Cannabis use among older adults is on the rise. Despite growing interest in topic, there exists a paucity of standardized measures capturing cannabis-specific attitudes adults. Using data from survey Coloradans, we create two scales that separately measure medical and recreational cannabis attitudes. We also examine how these relate to individual-level characteristics. assess reliability using Cronbach's alpha item-rest correlations perform confirmatory factor analyses test attitude models....
Despite the burgeoning U.S. Latino population and their increased risk of chronic disease, little emphasis had been placed on developing culturally sensitive lifestyle interventions in this area. This article examines older Latinas' sociocultural context relative to health with goal a behavior intervention. Photo-elicitation indicated two emerging themes that influenced choices: family caregiving religion. Researchers partnered faith-based organization develop implement 6-month intervention...
Many U.S. Veterans are using cannabis for medical purposes. Modern research findings continue to point as a potentially effective alternative prescription medications treating range of conditions. While exists on the use levels cannabis, limited can be found perceived stigma especially among older Veterans. We surveyed 121 who were enrolled in Illinois Medical Cannabis Patient Program during Fall 2020. then used maximum variation sampling select subset 32 partake phone interview. Two...
Objectives To assess health-related outcomes associated with medical cannabis use among older patients in Colorado and Illinois enrolled their home state's program.Methods Cross-sectional data from anonymous surveys were collected 139 persons over the age of 60 using past year. We used structural equation modeling (SEM) to confirm hypothesized four-factor structure that includes quality life (HRQL), health-care utilization (HCU), symptom effects, adverse events. then examined associations...
Abstract Introduction and Aims Chronic pain is one of the most common health‐related conditions experienced by Americans over age 65. In this study, we examine intersection between pain, opioids cannabis use among older adults in Colorado Illinois how medical needs other variables associated with a persons' background attitudes influence choices concerning to treat pain. Design Methods Data were collected via survey about use, questions related individual need factors (e.g. quality life)...
While U.S. national policies have been developed to support evidence-based (EB) lifestyle programs for older adults, there has limited research determine the extent which these actually reach local communities. This study sought identify factors that impact implementation of EB physical activity, nutrition, and chronic disease management at regional (Area Agencies on Aging [AAAs]) community levels (senior Centers [SCs]). Interviews were conducted with directors four AAAs 12 SCs understand...
Preventing Chronic Disease (PCD) is a peer-reviewed electronic journal established by the National Center for Prevention and Health Promotion. PCD provides an open exchange of information knowledge among researchers, practitioners, policy makers, others who strive to improve health public through chronic disease prevention.
Although several studies have examined individual-level correlates of cannabis use in later life, there is scant evidence identifying heterogeneity among older users. Using data from Colorado, this study examines variability lifespan patterns individuals aged 60 years and older. Sample respondents reported the past year frequency four periods adulthood. Analyses used a multi-way contingency table to identify mutually exclusive subgroups users based on lifetime reports linear probability...
Abstract Background and Objectives Cannabis use among aging Americans continues to increase. We examine correlates of cannabis including attitudes, state residence, health status, service use. Research Design Methods Using the 2018 Health Retirement Study module completed by 1,372 respondents aged 50 older, we distinguished current users from those who have never used or some prior linked 2016 core HRS data multinomial regressions identify associations use, place as well (2018) past (2016)...
Providers in the Department of Veterans Affairs (VA) system are caught between two opposing sets laws regarding cannabis and cannabidiol (CBD) use by their patients. As VA is a federal agency, it must abide regulations, including that Food Drug Administration classifies as Schedule 1 drug therefore cannot recommend or help obtain it. Meanwhile, 38 states have passed legislation, legalizing medical cannabis.
Objective The state of Illinois' Opioid Alternative Pilot Program (OAPP) is the first and only official harm-reduction program in US to address opioid crisis via facilitation safe legal access medical cannabis. This study evaluates association cannabis use with pain level frequency cohort OAPP participants 2019.
Background: Older Veterans may experience injuries that result in chronic pain and mental health conditions. Given the increasing availability of medical cannabis, it is important to examine if serves as a viable or undesirable form care relative existing approaches.Objectives: We compared prescription opioids, benzodiazepines use between older Veteran non-Veterans, identified outcomes cannabis among Veterans. Because physical conditions experienced by we expected report higher opioids...
Although researchers have identified medications that relieve symptoms of multiple sclerosis (MS), none are entirely effective and some persons with (PwMS) use alternatives. Our study compared cannabis among PwMS (N = 135) diagnosed arthritis 582) or cancer 622) who were age 60 older, enrolled in the State Illinois Medical Cannabis Program, invited to complete a survey fielded between June September, 2019. We used logistic regression identify significant differences self-reported effects on...
Introduction . Older African American women are particularly vulnerable to unhealthy lifestyle behaviors such as physical inactivity and the resultant chronic diseases conditions. This study explored older women’s perception of activity well facilitators barriers being physically active in their local environment. Methods Using a participatory research approach, total 7 aged 65 years over had PA level assessed objectively through accelerometry. In addition, was discussed photo-elicitation...
There is a need to know more about cannabis use among terminally diagnosed older adults, specifically whether it operates as complement or alternative palliative care. The objective explore differences the terminal illness population within Illinois Medical Cannabis Program (IMCP) by their of care.The study uses primary, cross-sectional survey data from 708 patients, residing in Illinois, and enrolled IMCP. We compared sample on care utilization through logistic regression models, examined...
In 2015, the Administration for Community Living (ACL) established first federal "home" Adult Protective Services (APS). This leadership has included working collaboratively with state Service systems to ensure that older adults and disabilities are afforded same protections against abuse, neglect, financial exploitation regardless of where in country they live. As part leadership, ACL created draft Voluntary Consensus Guidelines State APS Systems. undertook a process public stakeholder...
The National Voluntary Consensus Guidelines for Adult Protective Services (APS) were released in 2016 by the Administration Community Living. These help standardize systems to ensure protection of older adults and with disabilities against abuse, neglect, financial exploitation. Since their release, extent which state APS programs are aware using is unknown. This study examined dissemination implementation across US. Researchers used Diffusion Innovations Theory develop a survey sent...