A5075462047- Diabetes Management and Research
- Adolescent and Pediatric Healthcare
- Occupational Therapy Practice and Research
- Mental Health Research Topics
- Childhood Cancer Survivors' Quality of Life
- Pressure Ulcer Prevention and Management
- Diabetes Management and Education
- Chronic Disease Management Strategies
- Workplace Health and Well-being
- Spinal Cord Injury Research
- Diabetes and associated disorders
- Cerebral Palsy and Movement Disorders
- Diabetic Foot Ulcer Assessment and Management
- Behavioral Health and Interventions
- Sleep and related disorders
- Diabetes Treatment and Management
- Health, psychology, and well-being
- Mobile Health and mHealth Applications
- Musculoskeletal pain and rehabilitation
- Stress and Burnout Research
- Health and Lifestyle Studies
- Health Policy Implementation Science
- Cardiac Health and Mental Health
- Autism Spectrum Disorder Research
- Physical Activity and Health
University of Southern California
2016-2025
Southern California University for Professional Studies
2023
The Lundquist Institute
2014
Harbor–UCLA Medical Center
2014
Children's Hospital of Los Angeles
2014
Compared with their peers, historically excluded and marginalized adolescents young adults (AYAs) type 1 diabetes experience more adverse outcomes. CoYoT1 Care (a program offering person-centered care virtual peer groups) provided via telehealth can serve the unique needs of diverse AYAs by increasing engagement reducing A1C physician-related distress.
OBJECTIVE To evaluate the efficacy of a structured transition program compared with usual care in improving routine follow-up, clinical, and psychosocial outcomes among young adults type 1 diabetes. RESEARCH DESIGN AND METHODS Eighty-one their last year pediatric were recruited from three clinics. Intervention group (IG) participants (n = 51) received incorporating tailored diabetes education, case management, education classes, access to newly developed adult clinic website. Control (CG)...
Abstract Aim To examine challenges contributing to disruptions in care during the transition from paediatric adult among young adults with Type 1 diabetes who are primarily ethnic minority groups and have low socio‐economic status. Methods Participants ( n = 20) were newly enrolled patients a clinic for history of loss medical follow‐up. completed qualitative semi‐structured interviews detailing their experiences addition demographic, HbA 1c psychosocial measures. Descriptive statistics...
OBJECTIVETo assess the efficacy of a manualized occupational therapy (OT) intervention (Resilient, Empowered, Active Living with Diabetes [REAL Diabetes]) to improve glycemic control and psychosocial well-being among ethnically diverse young adults low socioeconomic status (SES) who have type 1 or 2 diabetes. RESEARCH DESIGN AND METHODSEighty-one (age 22.6 6 3.5 years; hemoglobin A 1c [HbA ] = 10.8%/95 mmol/mol 1.9%/20.8mmol/mol) were randomly assigned REAL group (IG) an attention (CG) over...
Purpose To assess the impact of a home telemedicine clinic model (CoYoT1 Clinic) on psychosocial and behavioral outcomes designed for young adults (YAs) with type 1 diabetes (T1D). Methods YAs self-selected to participate in CoYoT1 Clinic or serve as usual care control. visits consisted an individual appointment provider group other T1D using telemedicine. Psychosocial functioning was assessed by 4 measures: Diabetes Distress Scale, Self-Efficacy Self-Management Type Adolescence Center...
The purpose of this study was to explore motivations underlying nonadherent treatment decisions made by young adults with type 1 diabetes.Eight emerging each completed a series semi-structured interviews concerning their approaches diabetes care, relationships clinicians, and everyday activities routines. A narrative thematic analysis used develop initial themes refine them through continued data collection review the research literature.FIVE THEMES WERE IDENTIFIED AS MOTIVATING...
The purpose of this study was to analyze the impact virtual group appointments (VGA) on self-reported health-related outcomes and care activities for young adults (YA) with type 1 diabetes (T1D).Fifty-three YA (ages 18-25 years) T1D participated in a randomized controlled trial (RCT) Colorado Young Adults (CoYoT1) Clinic intervention, encompassing telehealth (TH) or without VGA. Both new patients (n = 32) those who pilot phase 26) were CoYoT1 (TH+VGA; n 23) TH-only 35) followed year....
I present the findings of a study aimed at developing an in-depth understanding how engagement in occupation influences young adults' ability to effectively manage diabetes and, conversely, their self-management strategies shape occupational participation. The qualitative interview-based 8 people ages 19-25 with Type 1 revealed that participants often experienced tension between and participation valued occupations, which required them make calculated decisions about balance these competing...
Although short-term blood glucose levels and variability are thought to underlie diminished function emotional well-being in people with type 1 diabetes (T1D), these relationships poorly understood. The Function Emotion Everyday Life T1D (FEEL-T1D) study focuses on investigating dynamic among levels, functional ability, adults T1D.The aim of this is present the FEEL-T1D design, methods, progress date, including adaptations necessitated by COVID-19 pandemic implement fully remotely.The will...
OBJECTIVE While there is evidence that functioning, or ability to perform daily life activities, can be adversely influenced by type 1 diabetes, the impact of acute fluctuations in glucose levels on functioning poorly understood. RESEARCH DESIGN AND METHODS Using dynamic structural equation modeling, we examined whether overnight (coefficient variation[CV], percent time <70 mg/dL, >250 mg/dL) predicted seven next-day outcomes (mobile cognitive tasks, accelerometry-derived...
The Glycemia Risk Index (GRI) was introduced as a single value derived from the ambulatory glucose profile that identifies patients who need attention. This study describes participants in each of five GRI zones and examines percentage variation scores is explained by sociodemographic clinical variables among diverse adults with type 1 diabetes.
Context/Objective: Medically serious pressure injuries (MSPrIs), a common complication of spinal cord injury (SCI), have devastating consequences on health and well-being are extremely expensive to treat. We aimed test the efficacy lifestyle-based intervention designed reduce incidence MSPrIs in adults with SCI. Design: A randomized controlled trial (RCT), separate study wing involving nonrandomized standard care control group. Setting: Rancho Los Amigos National Rehabilitation Center, large...
Background/Aims Research is needed to identify promising recruitment strategies reach and engage diverse young adults in diabetes clinical research. The aim of this study was examine the relative strengths weaknesses three used a self-management trial: social media advertising (Facebook), targeted mailing, in-person solicitation clinic patients. Methods Strategies were compared terms (1) cost-effectiveness (i.e. cost recruitment/number enrolled participants), (2) ability yield participants...
Our objective was to investigate the validity of four-item and six-item versions National Aeronautics Space Administration Task Load Index (NASA-TLX, or TLX for short) measuring workload over a
Abstract Importance: Lifestyle Redesign® originated as a preventive occupational therapy intervention for healthy older adults, and it was found to be both effective cost in the Well Elderly Studies initiated 1990s. Building on that empirical foundation, scope of Redesign has been greatly expanded general framework addressing prevention chronic condition management wide range populations, settings, conditions. Yet until now, its full scope, defining characteristics, supporting evidence have...
<p dir="ltr">Compared to their peers,<b> </b>historically excluded and marginalized adolescents young adults (AYAs) with type 1 diabetes experience more adverse outcomes. CoYoT1 Care (a program offering person-centered care virtual peer groups) provided via telehealth can serve the unique needs of diverse AYAs by increasing engagement reducing A1C physician-related distress.</p>
<p dir="ltr">Compared to their peers,<b> </b>historically excluded and marginalized adolescents young adults (AYAs) with type 1 diabetes experience more adverse outcomes. CoYoT1 Care (a program offering person-centered care virtual peer groups) provided via telehealth can serve the unique needs of diverse AYAs by increasing engagement reducing A1C physician-related distress.</p>
OBJECTIVE Despite established relationships between glycemia and cognition, few studies have evaluated within-person changes over time. We paired continuous glucose monitoring (CGM) with ambulatory cognitive testing to examine bidirectional associations among adults type 1 diabetes (T1D). RESEARCH DESIGN AND METHODS Participants wore blinded CGM completed tests of perceptual speed sustained attention five or six times daily for 14 days. metrics were calculated 3-h periods (mean glucose,...
Purpose The purpose of the study was to identify attitudes and topics relevant peer mentoring as an adherence-promoting intervention for adolescents young adults (YAs) with type 1 diabetes (T1D). Methods Self-administered survey data were collected in 2 clinics from a convenience sample prospective mentees (ages 13-18) YAs mentors 19-25) T1D. Survey included demographics, disease history, glycemic control, adherence, depression, barriers management, social support, interest mentoring....
Abstract Importance: Primary health care is rapidly developing as an occupational therapy practice area. Yet, to date, little evidence supports therapy’s feasibility and efficacy in primary settings. Objective: To report on the implementation preliminary clinical outcomes of a Lifestyle Redesign® (LR)–occupational (LR–OT) diabetes management intervention clinic. Design: Patients were randomized be offered LR–OT or no-contact comparison group (data not reported). We assessed using mixed...
Background: Adolescents and young adults (AYA) from diverse marginalized backgrounds with type 1 diabetes (T1D) generally have higher hemoglobin A1c (HbA1c) levels less frequent continuous glucose monitor (CGM) use than AYA more privileged backgrounds. Further, scant data address the impact of virtual peer groups (VPG) on health-related outcomes for ethnically racially T1D. Methods: CoYoT1 to California was a 15-month randomized controlled trial aged 16-25 years. In this study, were receive...
Various populations with chronic conditions are at risk for decreased cognitive performance, making assessment of their cognition important. Formal mobile assessments measure performance greater ecological validity than traditional laboratory-based testing but add to participant task demands. Given that responding a survey is considered cognitively demanding itself, information passively collected as by-product momentary (EMA) may be means through which people's in natural environment can...