A5091795870- Child and Adolescent Health
- Obesity, Physical Activity, Diet
- Health Literacy and Information Accessibility
- Breastfeeding Practices and Influences
- Childhood Cancer Survivors' Quality of Life
- Mobile Health and mHealth Applications
- Healthcare Policy and Management
- Adolescent and Pediatric Healthcare
- Child Nutrition and Feeding Issues
- Child Development and Digital Technology
- Patient-Provider Communication in Healthcare
- Food Security and Health in Diverse Populations
- Ethics and Legal Issues in Pediatric Healthcare
- Infant Development and Preterm Care
- Palliative Care and End-of-Life Issues
- Migration, Health and Trauma
- School Health and Nursing Education
- Emergency and Acute Care Studies
- Pharmaceutical studies and practices
- Interpreting and Communication in Healthcare
- Family and Patient Care in Intensive Care Units
- Injury Epidemiology and Prevention
- Obesity and Health Practices
- Diabetes Management and Research
- Health and Lifestyle Studies
Stanford University
2016-2025
Palo Alto Institute
2024
Stanford Health Care
2024
Lucile Packard Children's Hospital
2017-2023
Stanford Medicine
2013-2022
St Vincent's Hospital
2020
The University of Melbourne
2020
Palo Alto University
2017-2020
Manchester University NHS Foundation Trust
2020
University of Miami
2006-2019
The diabetic Charcot foot syndrome is a serious and potentially limb-threatening lower-extremity complication of diabetes. First described in 1883, this enigmatic condition continues to challenge even the most experienced practitioners. Now considered an inflammatory syndrome, characterized by varying degrees bone joint disorganization secondary underlying neuropathy, trauma, perturbations metabolism. An international task force experts was convened American Diabetes Association Podiatric...
To assess the health literacy of US parents and explore role in mediating child disparities.A cross-sectional study was performed for a nationally representative sample from 2003 National Assessment Adult Literacy. Parent performance on 13 health-related tasks assessed by simple weighted analyses. Logistic regression analyses were to describe factors associated with low parent relationship between self-reported insurance status, difficulty understanding over-the-counter medication labeling,...
The nation's leading sources of morbidity and health disparities (eg, preterm birth, obesity, chronic lung disease, cardiovascular type 2 diabetes, mental disorders, cancer) require an evidence-based approach to the delivery effective preventive care across life course prenatal care, primary immunizations, physical activity, nutrition, smoking cessation, early diagnostic screening). Health literacy may be a critical modifiable factor for improving reducing disparities. Recent studies among...
<h3>Importance</h3> Medical errors and adverse events (AEs) are common among hospitalized children. While clinician reports the foundation of operational hospital safety surveillance a key component multifaceted research surveillance, patient family not routinely gathered. We hypothesized that novel family-reporting mechanism would improve incident detection. <h3>Objective</h3> To compare error AE rates (1) gathered systematically with vs without reporting, (2) reported by families...
Concerns about the safety and efficacy of over-the-counter cold medications have led to a recent US Food Drug Administration public health advisory against their use in children <2 years age. Our goal was examine caregiver understanding age indication medication labels identify factors, associated with understanding.Caregivers infant (< or =1 year old) were recruited from clinics at 3 institutions. Questions administered regarding 4 previously common "infant" cough medicines labeled consult...
Children with medical complexity (CMC) are a subset of children and youth special health care needs high resource use costs. Novel delivery models in which coordination other services to CMC provided focus national local policy initiatives. Current for can be grouped into 3 main categories: (1) primary care–centered models, (2) consultative- or comanagement-centered (3) episode-based models. Each model has unique advantages disadvantages. Evaluations these have demonstrated positive...
Poorly designed labels and packaging are key contributors to medication errors. To identify attributes of dosing tools that could be improved, we examined the extent which error rates affected by tool characteristics (ie, type, marking complexity) discordance between units measurement on tools; along with differences health literacy language.Randomized controlled experiment in 3 urban pediatric clinics. English- or Spanish-speaking parents (n = 2110) children ≤8 years old were randomly...
OBJECTIVES. Eighty million US adults have low health literacy, a risk factor for increased care use among adults. The purpose of this work was to assess the association between caregiver literacy and cost child services. METHODS. We conducted cross-sectional study caregiver-child dyads from sample children aged 12 months years presenting pediatric emergency department an urban, public hospital. Caregiver measured by Short Test Functional Health Literacy in their preferred language (English...
To describe pediatricians' self-reported experiences with health literacy, use of basic and enhanced communication techniques, perceived barriers to effective during office visits.A national, random sample 1605 nonretired, posttraining American Academy Pediatrics members were surveyed in 2007 about literacy patient as part the Periodic Survey Fellows. The response rate was 56% (N = 900).Eight-one percent pediatricians aware a situation previous 12 months which parent had not sufficiently...
Many adult patients with cancer who know they are dying choose less intense care; additionally, high-intensity care is associated worse caregiver outcomes. Little known about intensity of end-of-life in children cancer.By using the California Office Statewide Health Planning and Development administrative database, we performed a population-based analysis aged 0 to 21 died between 2000 2011. Rates sociodemographic clinical factors previously-defined indicators were determined. The included...
OBJECTIVE: To examine parental reports of feeding and activity behaviors in a cohort parents 2-month-olds how they differ by race/ethnicity. METHODS: Parents participating Greenlight, cluster, randomized trial obesity prevention at 4 health centers, were queried enrollment about thought to increase risk. Unadjusted associations between race/ethnicity the outcomes interest performed using Pearson χ2 Kruskal-Wallis tests. Adjusted analyses proportional odds logistic regressions. RESULTS: Eight...
Children who become overweight by age 2 years have significantly greater risks of long-term health problems, and children in low-income communities, where rates low adult literacy are highest, at increased risk developing obesity. The objective the Greenlight Intervention Study is to assess effectiveness a low-literacy, primary-care intervention on reduction early childhood At 4 pediatric residency training sites across US, 865 infant-parent dyads were enrolled 2-month well-child checkup...
BACKGROUND AND OBJECTIVES: Poorly designed labels and dosing tools contribute to errors. We examined the degree which errors could be reduced with pictographic diagrams, milliliter-only units, provision of more closely matched prescribed volumes. METHODS: This study involved a randomized controlled experiment in 3 pediatric clinics. English- Spanish-speaking parents (n = 491) children ≤8 years old were randomly assigned 1 4 groups given that varied label instruction format (text pictogram,...
Children with complex chronic conditions (CCCs) require a disproportionate share of health care services and have high mortality rates, but little is known about their end-of-life care.We performed retrospective population-based analysis using California State administrative database children aged 1 to 21 years CCC who died disease-related causes between 2000 2013. Rates sociodemographic clinical factors associated previously defined inpatient intensity indicators were determined. The...