A5056135236- Child and Adolescent Psychosocial and Emotional Development
- Child and Adolescent Health
- Maternal Mental Health During Pregnancy and Postpartum
- Skin Protection and Aging
- Childhood Cancer Survivors' Quality of Life
- Infant Development and Preterm Care
- Innovations in Medical Education
- Indoor Air Quality and Microbial Exposure
- Adolescent and Pediatric Healthcare
- Attachment and Relationship Dynamics
- Urban Green Space and Health
- Food Security and Health in Diverse Populations
- Patient-Provider Communication in Healthcare
- Patient Satisfaction in Healthcare
- Family and Disability Support Research
- Injury Epidemiology and Prevention
- Mobile Health and mHealth Applications
- Smoking Behavior and Cessation
- Primary Care and Health Outcomes
- Respiratory and Cough-Related Research
- Gun Ownership and Violence Research
- Telemedicine and Telehealth Implementation
- Global Health Workforce Issues
- Misinformation and Its Impacts
- Health Policy Implementation Science
Sanford Health
2025
University of North Dakota
2025
Dartmouth College
2005-2023
Dartmouth Hospital
2002-2023
Dartmouth–Hitchcock Medical Center
2002-2023
MGH Institute of Health Professions
2023
Huntsman Cancer Institute
2023
Dartmouth Cancer Center
2023
Dartmouth Psychiatric Research Center
2002-2020
Research Network (United States)
2019-2020
IntroductionThis study aimed to better understand patient and caregiver perspectives on social risk screening across different healthcare settings.MethodsAs part of a mixed-methods multisite study, the authors conducted semistructured interviews with subset adult patients caregivers pediatric who had completed Center for Medicare Medicaid Innovation Accountable Health Communities tool between July 2018 February 2019. Interviews, in English or Spanish, asked about reactions screening,...
Despite recent growth in healthcare delivery-based social risk screening, little is known about patient perspectives on these activities. This study evaluates and caregiver acceptability of screening. was a cross-sectional survey 969 adult patients caregivers pediatric recruited from 6 primary care clinics 4 emergency departments across 9 states. Survey items included the Center for Medicare Medicaid Innovation Accountable Health Communities' screening tool questions appropriateness comfort...
Objective. To describe the attitudes and approaches of primary care pediatricians in identification management postpartum other maternal depression. Methods. A national survey randomly selected reported their last recalled case or depression, barriers to care, about recognition management, confidence skills, willingness implement new strategies improve care. Results. Of 888 eligible pediatricians, 508 (57%) completed surveys. these 57% felt responsible for recognizing In case, respondents...
OBJECTIVES. The goals were (1) to determine the feasibility and yield of maternal depression screening during all well-child visits, (2) understand how pediatricians mothers respond information, (3) assess time required for discussion results. METHODS. Implementation brief at visits children ages was studied in 3 rural pediatric practices. Two trials introduced (1 month) then determined whether could be sustained (6 months). Screening used 2-question Patient Health Questionnaire. Practices...
To prevent early adolescent health risk behaviors and to maintain or improve safety behaviors, we compared the effects of 2 interventions, delivered through pediatric primary care practices. The based on an office systems' approach, sought drinking smoking influence bicycle helmet use, gun storage, seatbelt for children who were followed from fifth/sixth grades eighth/ninth grades.Settings Participants. Twelve practices in New England paired according practice size assigned randomly within...
Children with chronic health conditions spend most of their day in the school system. The complexity illness management and disease sequela can alter experience. However, little is known about what educators are concerned if these children classroom.To assess educators' perceptions impact having different classroom.Teachers other professionals 23 elementary schools were surveyed a child each 6 conditions--AIDS, asthma, congenital heart disease, diabetes mellitus, epilepsy, leukemia--in...
Computer-assisted instruction (CAI) holds significant promise for meeting the current challenges of medical education by providing consistent and quality teaching materials regardless training site. The Learning in Pediatrics Project (CLIPP) was created over three years (2000-2003) to meet this potential through multi-institutional development interactive Internet-based patient simulations that comprehensively teach North American core pediatrics clerkship curriculum. adhered four...
To describe the health issues reported using a personal digital assistant (PDA) to conduct screening at adolescent well visits, and determine effect of PDA tool on content quality clinical interaction.The was used record risk behaviors, cross-sectional exit surveys were administered before after introduction.Five primary care practices in New England.The completed by 1052 youth aged 11 19 years. In addition, seen (n = 65) 98) implementation surveys. Intervention Adolescents immediately...
Positive associations between having a pet dog and adult health outcomes have been documented; however, little evidence exists regarding the benefits of dogs for young children. This study investigates hypothesis that are positively associated with healthy weight mental among children.This cross-sectional accrued consecutive sample children over 18 months in pediatric primary care setting. The enrolled 643 (mean age, 6.7 years); 96% were white, 45% female, 56% privately insured, 58% had...
Objective. We evaluated the impact of an intervention promoting sun protection behavior among children 2 to 11 years age through schools and day care centers, primary practices, recreation areas. Methods. Ten towns in New Hampshire were paired, then assigned randomly or control status. The multicomponent SunSafe was provided caregivers schools, beach Training support materials by project, but project staff had no direct contact with parents providing intervention. All components promoted...
OBJECTIVE. Rising rates of skin cancer associated with early-life sun exposure make it important to improve adolescent sun-protection practices. Our study objective was determine if a multicomponent community-wide intervention could alter the decline in protection that begins early adolescence. METHODS. A randomized, controlled trial conducted 10 communities assess impact SunSafe Middle School Years program. The sought (1) educate and activate adults peers role model actively promote...
The US Preventive Services Task Force (USPSTF) has recommended depression screening for adults. Screening mothers special importance to pediatricians because of the impact maternal on children. two questions endorsed by USPSTF may allow screen during routine well child care. This study explores feasibility and yield interview- paper-based pediatric visits. A structured interview script was developed inquire about depression. It included two-question required less than 1 minute administer. An...
We studied the efficacy of (1) preventing development serous otitis media (SOM) by using an oral decongestant in children with acute and (2) treating SOM decongestant. In a randomized double-blind study, 190 were treated for antibiotics either pseudoephedrine hydrochloride (Sudafed) or placebo. They evaluated two weeks later tympanometry (independently) clinical evaluation pneumotoscopy. There no significant differences between groups, except that males developed significantly more often...
The value and appropriateness of universal postpartum depression (PPD) screening remains controversial in the United States. To date, several PPD programs have been introduced a few evaluated. Among those that evaluated, most report rates, diagnosis or treatment initiation rates. Only four studies included patient outcomes such as level depressive symptoms at 6 to 12 months postpartum, only two reported success improving outcomes. Program characteristics appear result low rates followup...
<h3>Objective</h3> To develop items to measure indoor tanning and sunless that can be used monitor trends in population surveys or assess changes behavior intervention studies. <h3>Design</h3> A group of experts on convened December 2005, as part a national workshop review the state evidence, define measurement issues, for ever tanned indoors, lifetime frequency, past-year frequency both tanning. Each item was subsequently assessed via in-person interviews clarity, specificity, recall,...
Background: Handgrip strength (HGS) is strongly recommended for use in clinical settings because it a convenient assessment of muscle and robust prognostic indicator health. However, may lack settings, not be well understood by healthcare providers patients. We sought to determine the provider patient perceptions HGS an internal medicine resident clinic. Methods: Healthcare were presented with didactic sessions engaged routine follow-up meetings. was measured on eligible older adult patients...
This study compared the functioning of 20 rural cancer survivors, aged 6 to 16 years, with that 40 age- and gender-matched school peers. Social competence emotional health were evaluated, along academic performance physical limitations. Eight measures used: teacher parent Child Behavior Check Lists, Health Resources Inventory, Vineland Revised Scale Maturity, Piers-Harris Child's Self-Concept Scale, Parcel Meyers' Locus Control, Moos' Family Environment Functional Status II (r) . Cancer...