A5082689777- Food Security and Health in Diverse Populations
- Gestational Diabetes Research and Management
- Obesity and Health Practices
- Obesity, Physical Activity, Diet
- Breastfeeding Practices and Influences
- Dietetics, Nutrition, and Education
- Mobile Health and mHealth Applications
- Diabetes Management and Education
- Prenatal Substance Exposure Effects
- Indigenous Health, Education, and Rights
- Library Science and Administration
- Indigenous Studies and Ecology
- Health Literacy and Information Accessibility
- ICT in Developing Communities
- Community Health and Development
- Impact of Technology on Adolescents
- Health Sciences Research and Education
- Cardiovascular Health and Risk Factors
- Adipose Tissue and Metabolism
- Homelessness and Social Issues
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Medical and Biological Sciences
- Child Nutrition and Water Access
- Diet and metabolism studies
- Birth, Development, and Health
Colorado State University
2007-2025
Swanson Center
2024
University of Colorado Anschutz Medical Campus
2013-2023
Native Health
2019-2023
Colorado School of Public Health
2019-2023
University of Colorado Denver
2006-2021
Pulmonary Associates
2021
Washington State University
2021
Food and Nutrition Service
2020
The Medical Center of Aurora
2018-2020
Data suggest women are more sensitive to the lipolytic action of epinephrine compared with men while maintaining similar glucoregulatory effects (Horton et al. J Appl Physiol 107: 200–210, 2009). This study aimed determine specific adrenergic receptor(s) that may mediate these sex differences. Lean ( n = 14) and 16) were studied on 4 nonconsecutive days during following treatment infusions: saline (S: control), [E: mixed β-adrenergic (lipolytic) α 2 -adrenergic (antilipolytic) stimulation],...
Produce prescription projects are becoming increasingly common. This study explores perspectives and experiences of a sample health care providers throughout the United States participating in implementing produce with funding from Department Agriculture. Surveys (N = 34) were administered to collect demographic descriptive data. Subsequently, individual key-informant interviews 16) conducted via videoconference. Participants this included physicians clinical staff (e.g., nursing, nutrition,...
Multilevel interventions (MLIs) are appropriate to reduce health disparities among Indigenous peoples because of their ability address these communities' diverse histories, dynamics, cultures, politics, and environments. Intervention science has highlighted the importance context-sensitive MLIs in communities that can prioritize local knowledge systems emphasize collective versus individual. This paradigm shift away from individual-level focus community-level underscores need for community...
ObjectiveTo characterize the nutrition education landscape among Gus Schumacher Nutrition Incentive Program (GusNIP) projects to inform future evaluations of GusNIP.MethodsNutrition activities provided by GusNIP-affiliated project sites were collected through annual data reports submitted via a secure web portal. A descriptive analysis was used calculate frequencies and percentages for all variables (e.g., site, activities) explore compare GusNIP (n = 93).ResultsGus employed diverse...
Indigenous women experience disproportionately higher rates of adverse health outcomes. Few studies have explored the root these problems or defined and wellness from perspectives women. Our objective was to elicit views on women's who are and/or working with communities across Turtle Island Hawai'i (e.g., United States). Informed by intersectionality as a social critical theory, we convened workshop engage in co-creative consensus-building expert decision process using design thinking. The...
Background: Produce prescription projects (PPRs) allow healthcare professionals to “prescribe” fruits and vegetables for patients experiencing food insecurity a diet-related chronic disease. Evaluation of outcomes, utilization, costs data is prudent understand the impact PPRs. However, substantial challenges exist. The objective this study facilitators, barriers, lessons learned, emergent best practices derived from electronic health records (EHR) among Design methods: A multiple methods...
Food insecurity, or lack of consistent access to enough food, is associated with low intakes fruits and vegetables (FVs) higher risk chronic diseases disproportionately affects populations income. Financial incentives for FVs are supported by the 2018 Farm Bill United States (U.S.) Department Agriculture's Gus Schumacher Nutrition Incentive Program (GusNIP) aim increase dietary quality food security among households participating in Supplemental Assistance (SNAP) Currently, there no shared...
Purpose American Indian and Alaska Native (AIAN) women are disproportionately affected by gestational diabetes mellitus (GDM). GDM is a risk factor for subsequent diagnosis of type 2 (T2D) in both mother offspring, yet there minimal research being conducted this population. The purpose portion larger 5-year study to examine AIAN women’s experiences having or T2D during pregnancy, inform the development reduction preconception counseling (PC) program tailored girls, enhance mother-daughter...
Online eLearning may be an innovative, efficient, and cost-effective method of providing nutrition education to a diverse low-income audience.The intent this project is examine perceptions educators regarding the feasibility program tailored Georgians.Semistructured individual interviews were conducted, guided by constructivist theory. The interview guide focused on three themes: accessibility, literacy, content. A prototype also served as talking point. Interviews conducted in two urban...
The National Heart, Lung, and Blood Institute developed the Honoring Gift of Heart Health (HGHH) curriculum to promote cardiovascular knowledge heart-healthy lifestyles among American Indians Alaska Natives (AI/ANs). Using data from a small randomized trial designed reduce diabetes disease (CVD) risk overweight/obese AI/ANs, we evaluated impact an adapted HGHH on knowledge. We also assessed whether was effective across levels health literacy (defined as 'capacity obtain, process understand...
American Indian and Alaska Native (AI/AN) adults have a higher prevalence of type 2 diabetes (T2D) related complications than non-AI/AN adults. As healthy eating is cornerstone self-management, nutrition education plays an important role in self-management education. To understand stakeholder perspectives on facilitators barriers to for AI/AN with T2D order inform the cultural adaptation existing curriculum. Individual interviews were conducted 9 national content experts (e.g. registered...
Objective: To examine stakeholder perspectives on food insecurity and associated challenges to healthy eating among American Indian Alaska Native (AI/AN) adults with type 2 diabetes (T2D). Methods: Focus groups interviews were conducted purposively selected stakeholders: AI/ANs T2D, their family members, healthcare administrators, nutrition educators, national content experts AI/AN health. Two coders analyzed transcripts using the constant-comparison method. Results: Key themes included (1)...
Background: American Indian/Alaska Native (AIAN) women have twice the risk compared to general US population of adolescent obesity, pregnancy, and gestational diabetes.The purpose this study was explore perspectives AIAN girls who are at for diabetes (GDM) on their awareness understanding GDM reproductive health; an existing validated preconception counseling (PC) education program non-AIAN teen with diabetes.Methods: Five semi-structured focus group interviews 13 females (age 15.5±1.8years)...
To explore the approaches applied by nutrition educators who work with US Department of Agriculture Gus Schumacher Nutrition Incentive Program (GusNIP), (NI), and Produce Prescription (PPR) programs.Multiple data collection methods, including descriptive survey (n = 41), individual interviews 25), 1 focus group 5). Interviewees were deliver education as a component GusNIP NI/PPR programs. Descriptive statistics calculated from responses. Transcripts coded using thematic qualitative analysis...
The purpose of the study was to describe, compare, and examine associations at baseline reproductive health awareness, knowledge, beliefs, communication behaviors related gestational diabetes (GDM) GDM risk reduction in a vulnerable population both American Indian/Alaska Native (AIAN) adolescent girls their mothers.