A5072795223- Adolescent and Pediatric Healthcare
- Childhood Cancer Survivors' Quality of Life
- Cancer survivorship and care
- Family Support in Illness
- Sex work and related issues
- HIV, Drug Use, Sexual Risk
- Social Media in Health Education
- Global Cancer Incidence and Screening
- Sexual Assault and Victimization Studies
- Head and Neck Cancer Studies
- Pharmaceutical studies and practices
- Cancer Risks and Factors
- Ethics in Clinical Research
- Lung Cancer Diagnosis and Treatment
- Lung Cancer Treatments and Mutations
- Health Literacy and Information Accessibility
- Sexuality, Behavior, and Technology
- Palliative Care and End-of-Life Issues
- Cancer Treatment and Pharmacology
- Music Therapy and Health
- Cancer, Stress, Anesthesia, and Immune Response
- Healthcare cost, quality, practices
- Health Policy Implementation Science
- Acute Lymphoblastic Leukemia research
- Receptor Mechanisms and Signaling
Roswell Park Comprehensive Cancer Center
2021-2025
Children's Advocacy Center
2019-2025
We examined the social network support, composition, and structure of pediatric cancer caregivers.
Abstract Objective Although childhood cancer survivors require lifelong “risk-based” follow-up care, most adult do not receive such and many are lost during the transition from pediatric to care. The goal of this study was evaluate feasibility acceptability “Managing Your Health” self-management peer mentoring intervention improve readiness skills among young cancer. Methods Survivors ages 18–25 years were randomized 1:1 Managing Health (six video/phone calls with a mentor, another survivor,...
We examined profiles of young people who have been referred to a state child serving agency concerned with identifying commercial sexual exploitation children (CSE) in the Northeast United States before and since onset COVID-19 pandemic. Using comprehensive data from this agency, our study used latent class analyses regression explore changing for concerns CSE A profile minors whose social settings included CSE-involved was significantly less common pandemic compared Conversely, risky online...
Social support is an important factor in shaping healthcare navigation, coping, and psychological outcomes among pediatric cancer caregivers. Socioeconomic status positively associated with satisfaction social support, however, less understood about network features that contribute to these differences. networks are the context which resources exchanged. Networks can exacerbate inequalities by amplifying differences access resources. We examined types of composition caregivers understand how...
Despite an increasing awareness about the existence and harms of commercial sexual exploitation children (CSEC), identification victims remains a challenge for practitioners, hindering their ability to provide appropriate services. Tools that gauge risk CSEC support but are underdeveloped because most tools assess within general youth population. An understanding what predicts actual victimizations among youths at higher due experiences childhood adversities has been left unassessed....
Disadvantaged socioeconomic position (SEP), including lower educational attainment and household income, may influence cancer risk outcomes. We hypothesized that DNA methylation could function as an intermediary epigenetic mechanism internalizes reflects the biological impact of SEP. Based on tumor data from Illumina 450 K array 694 breast patients in Women's Circle Health Study, we conducted epigenome-wide analysis relation to income. Functional identified CpG sites was explored silico...
Over the past two decades, multiple studies have demonstrated important role that autonomic nervous system (ANS) plays in tumorigenesis and cancer progression. However, mechanisms by which this process occurs only recently begun to be elucidated. Further, extent of innervation various types its effects on tumor molecular, immunological, histopathological features, as well patient outcomes, are not yet fully characterized. In study, we analyzed intratumoral ANS gene expression signatures,...
Rural populations continue to experience persistent cancer disparities compared with urban particularly in cancers that can be prevented or detected early through screening and vaccination. Although the National Cancer Institute larger research community have identified rural partnerships as foundation for reducing disparities, we limited application of community-based participatory prevention control research. Guided by Community-Based Participatory Research Conceptual Model our collective...
This formative study leveraged a community-academic partnership to identify barriers care that are potential sources of breast cancer disparities in Black women. Through this and using community-based participatory research approach, the objective was develop community task force inform future interventions aimed at addressing increasing health equity.
We use end-of-life decision making as a case for examining processes of gatekeeping in medical settings. End-of-life is an exemplar broader context research professionalized and institutionalized Influences biomedicalization, increases consumer (patient) options, decreases physician authority, proliferation treatment options all contribute to which ethnographic study settings more complex, urgently needed, potentially difficult at the same time. Building on existing literature, we suggest...
Maintaining adequate amounts of physical activity is a critical component survivorship care for women with breast cancer. Increased associated increases in well-being, quality life, and longevity, but cancer face unique, cancer-related factors that might affect activity. Consistent the Competing Neurobehavioral Decision Systems model decision making, we proposed to decrease delay discounting increase by stimulating executive function system via high-frequency repetitive transcranial magnetic...
Abstract Introduction: Socioeconomic and racial disparities can limit access to health care. Prior studies suggest that living in a disadvantaged neighborhood results poorer outcomes several malignancies. ADI is an index categorizes areas based on socioeconomic variables. In this observational study, we aimed investigate the among patients (pts) with breast cancer (BC) seen at Roswell Park Comprehensive Cancer Center Buffalo, New York, study its association clinical identify highest unmet...
Abstract Introduction: Nonadherence to oral chemotherapy is a well-documented problem in pediatric oncology. Medical innovations have dramatically increased the range of treatment that can be administered at home, increasing responsibility placed on families contributing cancer outcomes. Yet, caregivers experience numerous barriers adherence. Using Health Belief Model, we developed MedSupport, multi-level medication adherence designed address root Design, Setting, Participants, and Measures:...
Abstract Introduction: While socioeconomic disparities in cancer outcomes have been well documented, it is less clear exactly what health care delivery systems can do to mitigate these disparities. To address this gap, we focus on cancer-related social support networks. Social networks are the context which resources and exchanged. Networks exacerbate inequalities by amplifying differences access resources. We examined composition of among pediatric caregivers understand how network dynamics...
Abstract The Witness Project® (NWP) was established in 1991 and has maintained its status as one of NCI’s Evidence Based Cancer Control Program (EBCCP) for decades. NWP is a self-sustaining, culturally competent, grass roots level community-based intervention program that uses breast cervical cancer survivors known Role Models Community Health Workers (CHW). With many locations unserved communities throughout the United States, provides relevant related education navigates minority residents...
In pediatric cancer care, medication non-adherence is a significant driver of avoidable suffering and death. There lack interventions designed for families young children, where patient refusal/avoidance common barrier to adherence. We developed the CareMeds intervention which focuses on caregiver skills training help children take medicine calmly without use restraint techniques. The goal this preliminary study was assess acceptability feasibility intervention. Caregivers patients (ages...
Currently, patients with peripheral, early-stage non-small cell lung cancer (NSCLC) can be treated surgery or stereotactic body radiation therapy (SBRT).Patients inoperable NSCLC receive SBRT.However, there are many who deemed operable but for whom poses increased risk and therefore SBRT is a reasonable option.For these patients, it unclear if provides better outcomes.Recent ongoing clinical trials have attempted to randomize radiation.Patients been hesitant allow randomization given the...