A5065531218- Geriatric Care and Nursing Homes
- Obesity, Physical Activity, Diet
- Dementia and Cognitive Impairment Research
- Health disparities and outcomes
- Child Nutrition and Feeding Issues
- Physical Activity and Health
- Cardiovascular Health and Risk Factors
- Intensive Care Unit Cognitive Disorders
- Health and Lifestyle Studies
- Behavioral Health and Interventions
- Cutaneous Melanoma Detection and Management
- Food Security and Health in Diverse Populations
- Resilience and Mental Health
- Mobile Health and mHealth Applications
- Family and Patient Care in Intensive Care Units
- Skin Protection and Aging
- Climate Change and Health Impacts
- Music Therapy and Health
- Schizophrenia research and treatment
- Body Image and Dysmorphia Studies
- Nonmelanoma Skin Cancer Studies
- Head and Neck Cancer Studies
- Cancer Diagnosis and Treatment
- Dermatological diseases and infestations
- Optimism, Hope, and Well-being
Brown University
2016-2024
Providence College
2017-2024
RELX Group (Netherlands)
2024
Issues Research
2024
Community Living
2024
Rhode Island Department of Health
2017-2022
John Brown University
2019
Institute for Community Health
2016
Fruit and vegetable (F&V) intake can reduce risks for chronic disease, but is much lower than recommended amounts in most Western populations, especially those with low income levels. Rigorous research needed on practical, cost-effective interventions that address environmental as well personal determinants of F&V intake. This paper presents the results a cluster randomized controlled trial evaluating efficacy 'Live Well, Viva Bien' (LWVB), multicomponent intervention included discount,...
Early childhood is a crucial time to foster healthy eating and physical activity (PA) habits, which are critical for optimal child health, growth development. Child care facilities important settings promote PA prevent obesity; however, almost all prior intervention studies have focused on centers not family homes (FCCH), over 1.6 million U.S. children. This paper describes Healthy Start/Comienzos Sanos, cluster-randomized trial evaluating the efficacy of multicomponent improve nutrition...
Childcare settings are important environments for influencing child eating and physical activity (PA). Family childcare homes (FCCH) care many children of low-income diverse racial/ethnic backgrounds who at greater risk poor diet quality, low PA, obesity, but few interventions have targeted this setting. The aim study was to assess the efficacy a multicomponent intervention conducted in FCCH on quality PA 2-5 year old their care. Cluster randomized trial. cluster-randomized trial, Healthy...
Adequate fruit and vegetable (F&V) intake is important for disease prevention. Yet, most Americans, especially low-income racial/ethnic minorities, do not eat adequate amounts. These disparities are partly attributable to food environments in neighborhoods where residents often have limited access affordable, healthful easy inexpensive, unhealthful foods. Increasing affordable underserved through mobile markets a promising, year-round strategy improving dietary behaviors reducing F&V...
Screening for melanoma may save lives, but also cause patient distress. One key reason that preventative visual skin examinations cancer are not currently recommended is the inadequate available evidence to assess potential harm psychosocial wellbeing. We investigated psychological harms and benefits of by conducting telephone surveys in 2015 187 screened participants; all were ≥35 years old. Participants had their examined practitioners who completed INFORMED, a validated web-based training...
Child care settings play an important role in shaping children's eating behaviors; yet few studies have included family child homes (FCCHs). We examined provider-reported nutrition-related practices FCCHs and observed adherence to nutrition guidelines from the Nutrition Physical Activity Self-Assessment for Care (NAP SACC), exploring differences by provider ethnicity. assessed baseline data a cluster-randomized trial, including surveys with FCCH providers observational collected at FCCH. if...
Obesity prevalence among Hispanic children is twice that of non-Hispanic white children; may also engage in less physical activity (PA) compared to children. A large number U.S. preschool-aged are cared for Family Child Care Homes (FCCH), yet few studies have examined PA levels and ethnicity differences these We examine baseline data from a cluster-randomized trial (Healthy Start/Comienzos Sanos) improve food environments FCCHs. Children aged 2-to-5-years (n = 342) wore triaxial...
Standard measures of self-efficacy (SE) may confound perceived capability and motivation because respondents interpret the word "can" as "will". Objective: To test whether priming for meaning changes ratings. Design: In an experimental test, 134 university students responded to on-line standardized measure exercise SE provided definitions words One month later participants were randomized complete (a) same questionnaire (control), (b) but with presentation each participant's definition prior...
Social support may have benefits on cardiovascular health (CVH). CVH is evaluated using seven important metrics (Life's Simple 7; LS7) established by the American Heart Association (e.g., smoking, diet). However, evidence from longitudinal studies limited and inconsistent. The objective of this study to examine relationship between social CVH, assess whether psychosocial risks anger stress) modify in a racially/ethnically diverse population. Participants three harmonized cohort - Jackson...
Psychosocial stressors increase the risks for cardiovascular disease across diverse populations. However, neighborhood level resilience resources may protect against poor health (CVH). This study used data from three CVH cohorts to examine longitudinally associations of a resource, perceived social cohesion (hereafter referred as cohesion), with American Heart Association's Life's Simple 7 (LS7), and whether psychosocial modify observed relationships. We examined (measured in tertiles) LS7...
Background: Optimism has been shown to be positively associated with better cardiovascular health (CVH). However, there is a dearth of prospective studies showing the benefits optimism on CVH, especially in presence adversities, i.e., psychosocial risks. This study examines relationship between and CVH outcomes based Life's Simple 7 (LS7) metrics whether multilevel risks modify aforementioned relationship. Methods: We examined self-reported using harmonized data from two U.S. cohorts:...
Fruit and vegetable (F&V) consumption is an important contributor to chronic disease prevention. However, most Americans do not eat adequate amounts. The worksite advantageous setting reach large, diverse segments of the population with interventions increase F&V intake, but research gaps exist. No studies have evaluated implementation mobile markets at worksites nor compared effectiveness such or without nutrition education. This paper describes protocol for Good Go (GTG), a cluster...
Few prospective studies examine multilevel resilience resources and psychosocial factors in relation to cardiovascular health disease. Recent research indicates that are associated with a reduction the incidence of disease-related events, but few have examined this relationship across different racial/ethnic populations or large cohorts. Harmonization may address these limitations because it allows data from several cohorts be analyzed together, potentially increasing sample size turn power...
As food insecurity and healthcare costs are linked, entities (i.e., providers, systems, insurers) increasingly interested in identifying providing solutions to address among their patients. Home-delivered meals one long-standing solution homebound older adults. However, there is limited evidence about what mode of delivery most effective promoting community independence, reducing utilization, improving quality life as well how these outcomes may vary a function people's preferences for...
Abstract Prediction of mortality risk is a prognostic tool for identifying who may benefit the most from timely and appropriate end-of-life care. However, few prediction models have been developed community-dwelling older adults in assisted living centers (ALCs). To estimate individual all-cause Medicare beneficiaries living, we used data extracted electronic health records (EHR) linked with claims 2015-2022 to develop validate multivariable logistic regression on outcome occurring within...
Background Latino men in the United States report low physical activity (PA) levels and related health conditions (eg, diabetes obesity). Engaging regular PA can reduce risk of chronic diseases yield many benefits; however, there is a paucity interventions developed exclusively for men. Objective To address need culturally relevant interventions, this study aims to develop evaluate Hombres Saludables, 6-month theory-based, tailored web- text message-based intervention Spanish This protocol...