A5023174868- Chronic Disease Management Strategies
- Diabetes Management and Education
- Blood Pressure and Hypertension Studies
- Heart Failure Treatment and Management
- Primary Care and Health Outcomes
- Medication Adherence and Compliance
- Health Systems, Economic Evaluations, Quality of Life
- Cardiovascular Health and Risk Factors
- Health and Wellbeing Research
- Healthcare Policy and Management
- Healthcare Systems and Public Health
- Pharmaceutical Practices and Patient Outcomes
- Geriatric Care and Nursing Homes
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Long-Term Effects of COVID-19
- Diabetes Management and Research
- Coffee research and impacts
- Older Adults Driving Studies
- Cardiac pacing and defibrillation studies
- Family and Patient Care in Intensive Care Units
- Obesity and Health Practices
- Telemedicine and Telehealth Implementation
- Cardiac Arrest and Resuscitation
- Acute Ischemic Stroke Management
- Atrial Fibrillation Management and Outcomes
University of Alabama at Birmingham
2015-2024
Boston University
2020-2022
University of Utah
2019-2021
St. Vincent's Birmingham
2018-2019
University of South Carolina
2014
Heart failure with recovered ejection fraction (HFrecEF) is a recently recognized phenotype of patients history reduced left ventricular (LVEF) that has subsequently normalized. It unknown whether such LVEF improvement associated improvements in health status.To examine changes health-related quality life heart (HFrEF) whose normalized, compared those remains and HF preserved EF (HFpEF).This prospective cohort study was conducted at tertiary care hospital from November 2016 to December 2018....
Background Functional social support has a stronger association with medical treatment adherence than structural in several populations and disease conditions. Using contemporary U.S. population of adults treated medications for coronary heart (CHD) risk factors, the between medication was examined. Methods We included 17,113 black white men women CHD or factors aged ≥45 years recruited 2003–2007 from REasons Geographic Racial Differences Stroke (REGARDS) study. Participants reported their...
Few qualitative studies have explored factors influencing medication adherence among people with coronary heart disease (CHD) or CHD risk factors. We how related to the patient (e.g. self-efficacy), social/economic conditions social support and cost of medications), therapy side effects), health condition comorbidities), healthcare system/healthcare team from providers pharmacy access) influence adherence, based on World Health Organization Multidimensional Adherence Model (WHO-MAM).We...
This study examined whether the association between illness-related diabetes social support (IRDSS) and glycemic control among middle-aged older adults is different for men women. cross-sectional analysis included 914 with who completed Health Retirement Study's 2003 Mail Survey on Diabetes. IRDSS a composite score of 8 self-care measures. Hemoglobin A1c levels were obtained to measure good (<8.0%). Gender-stratified multivariate log-binomial regression models used estimate prevalence ratios...
Therapeutic inertia may contribute to racial and ethnic differences in blood pressure (BP) control.To determine the association between race ethnicity therapeutic Systolic Blood Pressure Intervention Trial (SPRINT).This cross-sectional study was a secondary analysis of data from SPRINT, randomized clinical trial comparing intensive (<120 mm Hg) vs standard (<140 systolic BP treatment goals. Participants were enrolled November 8, 2010, March 15, 2013, with median follow-up 3.26 years....
Poor neighborhood-level access to health care, including community pharmacies, contributes cardiovascular disparities in the United States. The authors quantified association between pharmacy proximity, antihypertensive and statin use, blood pressure (BP) low-density lipoprotein cholesterol (LDL-C) among a large, diverse US cohort.
Among nonelderly adults with diabetes, we compared hospitalizations for ambulatory care–sensitive conditions from 2013 (pre-Medicaid expansion) and 2014 (post-Medicaid 13 expansion 4 nonexpansion states using State Inpatient Databases. Medicaid was associated decreases in proportions of chronic (difference between −0.17 percentage points 0.37 states, P = .04), specifically diabetes short-term complications −0.05 0.21 .04). Increased access to care through may improve disease management diabetes.
Abstract Aims Diabetes distress affects approximately 36% of adults with diabetes and is associated worse self‐management poor glycaemic control. We characterized participants’ studied the relationship between social support distress. Methods In this cross‐sectional study, we surveyed a population‐based sample type 2 covered by Alabama Medicaid. used Distress Scale assessing emotional burden, physician‐related, regimen‐related interpersonal assessed level diabetes‐specific satisfaction...
Social determinants of health, in particular education and income, influence the incidence, management, outcomes cardiovascular diseases including atrial fibrillation (AF). Data are limited on associations socioeconomic status with lifetime risk incident AF.We selected 2172 FHS participants (51% women) who were free AF at index age 55 years. We assessed educational attainment (≥college) last exam prior to household income ($40k/50k/≥55k depending cohort). estimated as cumulative incidence...
Frequent rehospitalizations among patients with heart failure (HF) result in patient burden and high cost. Homebound HF qualify for home healthcare after hospital discharge. It is not known if nonhomebound could also benefit from nursing (HHN) visits to improve the transition home. The purpose of this quality-improvement pilot study was assess impact HHN provided discharge on 30-day rehospitalization rates. We included who were ineligible services due their status. Home nurses followed a...
Background: Patient-reported outcome (PRO) assessments are commonly used in clinical heart failure (HF) trials and have been shown to be valid, reliable, sensitive measures of patients’ symptoms, function quality life, as well prognostic events. To routine care, they also need interpretable providers patients. Patients’ perspectives on PRO collection results communication not studied. Methods: We conducted a mixed methods study 24 ambulatory adult HF patients (50% men) who completed PROs...
Background: Physician communication of lifetime risk prediction can improve patient understanding atrial fibrillation (AF) and motivate lifestyle changes preventive measures. Therefore, our objective was to assess how physicians perceive short-term risks (AF), using a survey. Methods: We invited American Heart Association (AHA) members complete an online survey via email from November 2-22, 2021. Respondents were randomized one 32 vignettes characterized by AF factors (height, weight,...
Prior research suggests that functional (e.g., practical support) social network components are more strongly associated with chronic disease health outcomes than structural size, frequency of contacts) components. Yet, it is unclear whether strong networks help improve by promoting medication adherence, particularly among those coronary heart (CHD) risk factors. We included 17,133 black and white adults aged ≥45 years from the REasons for Geographic Racial Differences in Stroke (REGARDS)...
Background: Chronic diseases like diabetes require constant and ongoing self-management. The Health Home model provides a unique platform to facilitate management connect patients community resources that support promote However, little is known about specific activities, barriers, needs exist in Homes particularly Alabama which suffers disparately high rates of compared other regions. To address this knowledge gap, the purpose study understand how Medicaid facilitates Alabama. Methods:...
Objective: To describe patterns of care use for adult Medicaid beneficiaries with diabetes and the association between primary utilization Ambulatory Care Sensitive (ACS) hospitalizations. Methods: This retrospective cohort study analyzes Alabama claims data from January 2010 to April 2018 52,549 covered adults ages 19 64 diabetes. Individuals were characterized by demographics, comorbidities, health including primary, specialty, mental health, pharmaceutical, laboratory hospital care....