A5064929756- Global Cancer Incidence and Screening
- Healthcare cost, quality, practices
- Health Systems, Economic Evaluations, Quality of Life
- Health Policy Implementation Science
- Colorectal Cancer Screening and Detection
- Patient-Provider Communication in Healthcare
- Community Health and Development
- Palliative Care and End-of-Life Issues
- Opioid Use Disorder Treatment
- Social Capital and Networks
- Childhood Cancer Survivors' Quality of Life
- Psychopathy, Forensic Psychiatry, Sexual Offending
- Health Sciences Research and Education
- Criminal Justice and Corrections Analysis
- Healthcare Policy and Management
- Mental Health and Patient Involvement
- Patient Satisfaction in Healthcare
- Evaluation and Performance Assessment
- Homelessness and Social Issues
- Colorectal Cancer Surgical Treatments
- Economic and Environmental Valuation
- Ethics in Clinical Research
- Mental Health Research Topics
- Optimism, Hope, and Well-being
- Behavioral Health and Interventions
University of Michigan
2022-2024
Columbia University
2017-2023
Columbia University Irving Medical Center
2021
Objective: To understand barriers and facilitators to the adaptation of programs reflecting changing scientific guidelines for breast/cervical cancer screening, including factors influencing de-implementation messaging, program components, or screening practices no longer recommended due new evidence.Design Methods: We conducted a convergent mixed-methods design in partnership with The National Witness Project (NWP), nationally implemented evidence-based lay health advisor (LHA)...
Introduction Despite decades of research on risk-communication approaches, questions remain about the optimal methods for conveying risks different outcomes across multiple time points, which can be necessary in applications such as discrete choice experiments (DCEs). We sought to compare effects 3 design factors: 1) separated versus integrated presentations outcomes, 2) use or omission icon arrays, and 3) vertical horizontal orientation dimension. Methods conducted a randomized study among...
The growth of dissemination and implementation (D&I) research over the last decade has produced a wealth theories, frameworks, methods, strategies, resources to inform translation evidence into wider practice. This article seeks frame orient researchers from behavioral sciences rapidly growing interdisciplinary field D&I science. We describe five domains across practice: context assessment intervention selection, dissemination, adaptation, implementation, sustainability. also discuss...
Professional guidelines in the U.S. do not recommend routine screening mammography for women ≥75 years with limited life expectancy and/or poor health. Yet, remains widely used older women. We examined women's experiences, beliefs, and opinions about relation to aging health.We performed thematic analysis of transcribed semi-structured interviews 19 who had a recent visit at clinic New York City (average age: 75 years, 63% Hispanic, 53% ≤high school education).Three main themes emerged: (1)...
African-American and Hispanic men are disproportionately affected by cancer experiencing higher rates of cancer-related morbidity mortality for many cancers (but not all). These challenges may be magnified a subpopulation who have been incarcerated. A survey assessing demographics, incarceration experience, psychosocial, behavioral, health information seeking was administered to 230 previously incarcerated aged 35 years older. Data analysis performed assess the association between fatalism,...
Using constructivist grounded theory, we conducted 15 semistructured interviews of men and women with criminal justice backgrounds, three focus groups to examine group level offender reentry strategies. Participants comprised 20 formerly incarcerated who were in a New York state prison or at Rikers Island, City's main jail complex. This study revealed four keys reintegration: (a) linking offenders society; (b) institutional community anchors; (c) social supports; (d) personal epiphany. The...
Abstract Background There is growing concern that routine mammography screening overused among older women. Successful and equitable de-implementation of will require a multi-level understanding the factors contributing to overuse. Methods This explanatory, sequential, mixed-methods study collected survey data ( n = 52, 73.1% Hispanic, Spanish-speaking) from women ≥70 years age at time mammography, followed by semi-structured interviews with subset completing =19, 63.2% providers =5, 4...
The opioid epidemic in the US continues to worsen. Opioid-only and polysubstance-involved overdose deaths are increasing among adolescents young adults, who have limited knowledge of prevention, including recognition response. College campuses infrastructure support national-level implementation evidence-based public health strategies for providing prevention naloxone training programs this priority population. However, college an underutilized, understudied setting programming. To address...
The decision to use adjuvant chemotherapy (ACT) after surgical resection for stage II colon cancer remains an area of clinical uncertainty. Many patients diagnosed with receive ACT, despite inconclusive evidence long-term benefit. This study investigates patient experiences and perceptions treatment decision-making shared making (SDM) ACT among cancer. Stage engaged in or follow-up care aged >18 years were recruited from two large NYC health systems. Patients participated 30-60-min...
This cross-sectional study examines whether older adults with limited vs longer estimated life expectancy accept guideline recommendations that patients stop getting screened for colon cancer once they reach age 75 years.
Abstract Introduction Nearly nine million Americans pass through the criminal justice system (i.e., prison, jail, parole, and probation). Several reports have indicated that approximately 60-80% of inmates in U.S. histories tobacco use, compared to 30% general population. This is significant, because, despite declining smoking rates population, use still leading cause preventable mortality morbidity nation. Moreover, by has not been focus cancer health studies. That being said, this study...
Abstract Background : The opioid epidemic in the United States continues to worsen. Opioid-only and polysubstance-involved overdose deaths are increasing among adolescents young adults, who have limited knowledge of prevention, including recognition response. College campuses infrastructure support national-level implementation evidence-based public health strategies for providing prevention naloxone training programs this priority population. However, college an underutilized, understudied...
Abstract Background There is growing concern that routine mammography screening overused among older women. Successful and equitable de-implementation of will require a multi-level understanding the factors contributing to overuse. Methods This explanatory, sequential, mixed-methods study collected survey data (n = 52, 73.1% Hispanic, Spanish-speaking) from women ≥ 70 years age at time mammography, followed by semi-structured interviews with subset completing 19, 63.2% providers 5, 4 primary...
Abstract Background There is growing concern that routine mammography screening overused among older women. Successful and equitable de-implementation of will require a multi-level understanding the factors contributing to overuse. Methods This explanatory, sequential, mixed-methods study collected survey data (n = 52, 73.1% Hispanic, Spanish-speaking) from women ≥ 70 years age at time mammography, followed by semi-structured interviews with subset completing 19, 63.2% providers 5, 4 primary...