A5014192149- Cancer survivorship and care
- Global Cancer Incidence and Screening
- Family Support in Illness
- Stress Responses and Cortisol
- BRCA gene mutations in cancer
- Childhood Cancer Survivors' Quality of Life
- Tryptophan and brain disorders
- Cardiovascular Health and Risk Factors
- Palliative Care and End-of-Life Issues
- Cancer-related cognitive impairment studies
- Colorectal Cancer Screening and Detection
- Ethics in Clinical Research
- Health Policy Implementation Science
- Patient-Provider Communication in Healthcare
- Food Security and Health in Diverse Populations
- LGBTQ Health, Identity, and Policy
- Adipokines, Inflammation, and Metabolic Diseases
- Primary Care and Health Outcomes
- Racial and Ethnic Identity Research
- Frailty in Older Adults
- Gastric Cancer Management and Outcomes
- Regulation of Appetite and Obesity
- Vaccine Coverage and Hesitancy
- Public Health Policies and Education
- Mindfulness and Compassion Interventions
Huntsman Cancer Institute
2023-2025
University of Utah
2023-2025
Fred Hutch Cancer Center
2014-2023
Cape Town HVTN Immunology Laboratory / Hutchinson Centre Research Institute of South Africa
2008-2023
Huntsman (United States)
2023
University of Washington
2009-2022
Seattle University
2014-2020
North Seattle College
2013
Pennsylvania State University
2004-2010
Stress in numerous contexts may affect the risk for obesity through biobehavioral processes. Acute stress has been associated with diet and physical activity some studies; relationship between everyday such behavior is not clear. The objective of this study was to examine associations perceived stress, dietary behavior, activity, eating awareness, self-efficacy, body mass index (BMI) among healthy working adults. Secondary objectives were explore whether awareness modified BMI.Promoting...
Background: Polyunsaturated fatty acids (PUFA) have beneficial effects on cardiovascular risk, although the mechanisms are incompletely understood. In a previous article, we showed significant reductions in low-density lipoprotein cholesterol and several markers of inflammation with increasing intake alpha-linolenic acid (ALA) from walnuts flax.Objective: To examine ALA responses to acute stress, flow-mediated dilation (FMD) brachial artery, blood concentrations endothelin-1...
Although yoga is an effective treatment for chronic low back pain, little known about the mechanisms responsible its benefits. In a trial comparing to intensive stretching and self-care, we explored whether physical (hours of exercise/week), cognitive (fear avoidance, body awareness, self-efficacy), affective (psychological distress, perceived stress, positive states mind, sleep), physiological factors (cortisol, DHEA) mediated effects or on back-related dysfunction (Roland-Morris Disability...
Animal and human in vitro models suggest that stress-related B lymphocyte decrements are due to high levels of glucocorticoids which cause apoptosis pre-B-cells as they emerge from the bone marrow. The present study sought explore relationships among distress, salivary cortisol, lymphocytes vivo. Distress (perceived stress, negative affect, depressive symptoms), phenotype, cortisol were assessed first-year graduate students (n = 22) a community control sample 30) at start classes fall week...
Background and Aim Because most colorectal cancer patients survive beyond five years, understanding quality of life among these long-term survivors is essential to providing comprehensive survivor care. We sought identify personal characteristics associated with reported in survivors, sub-groups potentially vulnerable very low life. Methods assessed using the Veterans RAND 12-item Health Survey within a population-based sample 1,021 Seattle Colorectal Cancer Family Registry, approximately 5...
Abstract Introduction Epidemiologic data has documented elevated levels of smoking and vaping among transgender nonbinary (trans) adults. Yet, knowledge about nicotine tobacco harm perceptions are not well understood within this population. Methods Utilizing from a community-informed study conducted adults in Washington state March-April 2023, we explored gender differences the distribution (knowledge, addiction, perceptions). Using logistic multinomial regression models, tested predictors...
Latinos are under-represented in biomedical research conducted the United States, impeding disease prevention and treatment efforts for this growing demographic group. We gathered perceptions of gauged willingness to participate through elicitation interviews focus groups with living on U.S.-Mexico border. Themes that emerged included a strong studies suggested may be due limited formal education access health information, not distrust. The conflation clinical care was common motivated...
Objectives: This study aimed to identify demographic, psychological, health-related, and geographic predictors of adherence home-based supervised components a yoga intervention in breast cancer survivors. Methods: Participants were the 32 post-treatment survivors who randomized Viniyoga arm controlled trial. asked practice 5 times per week for 6 months, including at least one weekly facility-based session. Adherence was monitored using sign-in sheets logs. Height weight measured; other...
Marginalized racial and ethnic groups in the United States were disproportionally affected by COVID-19 pandemic. To study these disparities, we construct an age-and-race-stratified mathematical model of SARS-CoV-2 transmission fitted to data from 2020 Oregon analyze counterfactual vaccination strategies early 2021. We consider two groups: non-Hispanic White persons belonging BIPOC (including Black persons, Asian American-Indian or Alaska-Native Hispanic Latino persons). allocate a limited...
Women at risk for breast cancer report elevated psychological distress, which has been adversely associated with cancer-relevant behaviors and biology.
Among cancer survivors, physical activity (PA) is associated with reductions in recurrence, morbidity, and mortality. Most young adult (YA) survivors do not attain adequate PA. Digital modalities, specifically wearable monitors a paired mobile application private social media group for support offer promising approach promoting PA among YAs. We conducted pilot randomized controlled trial of this intervention. To evaluate its acceptability perceptions the intervention components, we...
Abstract Objective To examine sexual minority compared to heterosexual survivors' health‐related anxiety, and depression. Methods Four hundred eighty eligible survivors participated in a telephone survey, which measured their anxiety These were diagnosed with stage I, II, or III colorectal cancer an average of three years prior the survey recruited from four registries. As explanatory factors, we considered individual, social contextual characteristics, psychological responses cancer,...
Latino immigrant men are at increased risk for unhealthy alcohol use, yet few interventions have been designed to meet their unique needs. The current study assessed participant satisfaction and acceptability of a culturally adapted brief intervention reduce use in this population. Adaptations the included delivering it Spanish by promotores community setting. mixed methods approach surveys ( N = 73) in-depth interviews 20) with participants pilot randomized controlled trial. drew on...
Cancer-specific primary prevention efforts for the geriatric population are not understood well and currently underused despite rapidly growing elderly population. It has been established that lifestyle changes, such as smoking cessation, dietary increasing physical activity, decrease incidence of cancer in younger populations. However, a multitude conceptual, methodological, dissemination challenges arise when objective is to apply elderly. For this article, state science was reviewed...
Distributing CRC screening through pharmacies, a highly accessible health service, may create opportunities for more equitable access to screening. However, providing in new context introduces substantial implementation challenge.
A growing body of literature has demonstrated psychosocial factors enable mammography intentions and usage among Latinas. Although these (e.g., family recommendations, breast cancer perceptions) likely influence one another, little research examined interactive effects. The current study assessed the moderating effect perceived seriousness risk on associations between recommendations to obtain intentions. This sample included 97 Latinas in rural Eastern Washington State. After adjusting for...
Abstract Colorectal cancer (CRC) is a common and preventable cancer. CRC screening underutilized, particularly within medically underserved communities. Most interventions aimed at increasing are delivered through primary care clinics. Pharmacies more accessible than traditional settings may be ideally suited for delivering access. Fecal immunochemical test an at-home, stool-based that could distributed pharmacies. The purpose of our study was to assess patient perspectives on receiving...