A5060485540- Global Cancer Incidence and Screening
- BRCA gene mutations in cancer
- Health Policy Implementation Science
- Ethics in Clinical Research
- Public Health Policies and Education
- Social Media in Health Education
- Advances in Oncology and Radiotherapy
- Colorectal Cancer Screening and Detection
- Economic and Financial Impacts of Cancer
- Nutrition, Genetics, and Disease
- Maternal Mental Health During Pregnancy and Postpartum
- Cardiovascular Health and Risk Factors
- Patient-Provider Communication in Healthcare
- Genomics and Rare Diseases
- Patient Satisfaction in Healthcare
- Cancer survivorship and care
- Healthcare Policy and Management
- Primary Care and Health Outcomes
- Digital Storytelling and Education
- Food Security and Health in Diverse Populations
- Maternal and Perinatal Health Interventions
- Mobile Health and mHealth Applications
- Genetic factors in colorectal cancer
- Diabetes Management and Education
- Misinformation and Its Impacts
Fred Hutch Cancer Center
2021-2025
Seattle University
2019-2025
University of Washington
2025
Cape Town HVTN Immunology Laboratory / Hutchinson Centre Research Institute of South Africa
2024
University of Illinois Chicago
2014-2022
University of Illinois Urbana-Champaign
2020-2021
Indo-American Center
2020
Chicago Department of Public Health
2020
Henderson Community College
2019
Coronado Unified School District
2019
Abstract Background While there is considerable variability with respect to attendance at the postpartum visit, not much known about women’s preferences care. Likewise, also limited information on providers’ practices regarding visit and care including delivery of contraception. To understand address deficits in utilization care, we examined perceptions low-income women barriers for timing location receipt We current prenatal postnatal promoting use their attitudes toward alternative...
Background: Together, community-based participatory research (CBPR), user-centered design (UCD), and health information technology (HIT) offer promising approaches to improve disparities in low-resource settings. Objectives: This article describes the application of CBPR UCD principles development iDecide/Decido, an interactive, tailored, web-based diabetes medication education decision support tool delivered by community workers (CHWs) African American Latino participants with Southwest...
Background Trends in breast cancer mortality the United States are decreasing, but racial disparities persist. Using an implementation science framework to inform evidence‐based screening and navigation within federally qualified health centers (FQHCs) with community stakeholders can mitigate barriers screening. Methods integrated theoretical of Practical, Robust Implementation Sustainability Model Social Ecological Model, University Illinois Cancer Center Mile Square Health Centers (MSHC)...
Lack of information, awareness, and misconceptions about clinical trials are major barriers to cancer trial participation. Digital social media dominant sources health information offer optimal opportunities improve public medical awareness education by providing accurate trust-worthy from reliable sources. Infotainment, material intended both entertain inform, is an effective strategy for engaging educating audiences that can be easily disseminated using may a novel way recruitment in...
Abstract Colonoscopy completion after abnormal fecal immunochemical test (FIT) results is inadequate, and patient fear a commonly reported barrier. We developed piloted video decision aid that addresses of colonoscopy among patients with FIT results. and, in pilot study, randomized safety-net healthcare system no follow-up to the intervention or usual care. Both groups completed baseline survey measured colonoscopy, knowledge about colorectal cancer (CRC), self-efficacy, intent complete...
Medical school graduates are poorly prepared to address health care inequities found in urban, underserved communities. The University of Illinois College Medicine developed the Urban Program (UMed) prepare students for roles advocate, researcher, policy maker, and culturally competent practitioner through a four-year curriculum integrating principles public with direct interventions local, This study assessed program's effectiveness evaluated early outcomes.The authors analyzed data UMed...
BACKGROUND African American women with hereditary breast cancer risk are less likely to undergo genetic counseling and testing compared non‐Hispanic White women. Inequities in the use of precision care exacerbate racial disparities outcomes. A culturally sensitive multimedia narrative intervention was developed motivate at for engage counseling. METHODS Development grounded Integrative Model Behavioral Prediction using a phenomenological, deductive approach employed multiple qualitative...
Preventing Chronic Disease (PCD) is a peer-reviewed electronic journal established by the National Center for Prevention and Health Promotion. PCD provides an open exchange of information knowledge among researchers, practitioners, policy makers, others who strive to improve health public through chronic disease prevention.
Black men are disproportionately impacted by lung cancer morbidity and mortality. Low-dose helical computed tomography (LDCT) screening has demonstrated benefits for reducing deaths identifying cancers at earlier, more treatable stages. Despite the known benefits, LDCT is underutilized in black men. Studies racially heterogeneous populations have found correlations between behaviors factors such as physician trust, referral, a desire to reduce uncertainty of not knowing if they had cancer;...
We developed a measure of family obligation stress and compared its relationship to health unmet care needs relative social support among sample US-based Latinas. Data come from randomized controlled trial within 4 clinics increase mammography Latinas (n = 539). The 1-factor had acceptable reliability construct validity. Family was associated with worse greater needs. varied by years in the United States country origin. Our contributes new venues research Latino populations.
African American men (AAM) are under-represented in prostate cancer (PCa) research despite known disparities. Screening with prostate-specific antigen (PSA) has low specificity for high-grade PCa leading to over diagnosis. The Prostate Health Index (PHI) higher lethal but needs validation AAM. Engaging AAM as citizen scientists (CSs) may improve participation of research.Results and Lessons Learned: Eight CSs completed all training modules 139 were recruited. Challenges included equity...
In recent years, the cancer research and care community has been more attuned to health equity, increasingly pursuing coordinated comprehensive action achieve equitable outcomes. addition its support of a joint agenda for disparities in 2017, National Cancer Institute (NCI) demonstrated commitment addressing inequities with 2012 requirement centers define address needs local "catchment area" 2016 mandate Community Outreach Engagement (COE). With several years experience COE requirements,...
Abstract Background Despite the benefits of genetic counseling and testing, uptake cancer services is generally low Black/African American (Black) women are substantially less likely to receive than non-Hispanic White women. Our team developed a culturally sensitive, narrative decision aid video promote among Black at risk for hereditary breast syndrome that can be incorporated in conjunction with population-based assessment clinical setting. We report here pilot study demonstrate changes...
Lung cancer is the leading cause of morbidity and mortality in U.S. racial/ethnic minorities carry greatest burden lung disparities with African Americans (AAs) impacted disproportionately. Inequities health are often associated multiple bio-behavioral socio-cultural factors among minorities. Epigenetic research has advanced understanding intersectionality between biological AAs. However, gaps exist engagement diverse populations epigenetic research, which poses a challenge ensuring...
Changes in health care provide unprecedented opportunities for collaboration across research, education, and practice the common goal of enhancing well-being older adults their caregivers. This article describes how a pilot project, Promoting Seniors' Health with Home Care Aides, has synergistic effects that enhance individual organizational capacities. is an innovative partnership home aides to deliver safe physical activity program appropriate frail seniors real-life public program. The...
While cancer mortality is declining in the United States, significant racial, ethnic, economic and geographic inequities persist. To help address treatment, care, support research, National Cancer Institute (NCI) instituted community outreach engagement (COE) mandate for NCI-designated comprehensive centers (CCCs). The Bristol Myers Squibb Foundation designed a convening listening session on COE with NCI leaders staff gathering representatives from CCCs broader community. This paper captures...
Community-engaged research (CEnR) is a potent tool for addressing health inequities and fostering equitable relationships among communities, researchers, institutions. CEnR involves collaboration throughout the process, demonstrating improvements in study recruitment retention, intervention efficacy, program sustainability, capacity building partners, enhanced cultural relevance. Despite increasing demand CEnR, institutional policies, particularly human participation protection training...
With the implementation of Affordable Care Act (ACA), it is essential for public health sector to elucidate its role with respect mission assuring population health, and clarify private care system. To that end, we examined value added enterprise successful public-private partnerships (PPPs) such as those found in Illinois Breast Cervical Cancer Program (IBCCP), Centers Disease Control Prevention's (CDC's) National Early Detection (NBCCEDP) Illinois. Key Informant (KI) interviews focused on...
Objectives Despite the benefits of genetic counseling and testing (GCT), utilization is particularly low among African American (AA) women who exhibit breast cancer features that are common in BRCA-associated cancer. Underutilization especially problematic for AA more likely to die from than any other race or ethnicity. Due medical mistrust, fear, stigma can be associated with services racial/ethnic minorities, reliance on trusted social networks may an impactful strategy increase...
Multiple evidence-based interventions (EBIs) have been developed to improve the completion of colorectal cancer (CRC) screening within Federally Qualified Health Centers (FQHCs) and other safety net settings in marginalized communities. Little effort has made, however, evaluate their relative effectiveness across different clinical contexts populations. To this end, we tested three EBIs (mailed birthday cards, lay navigation, provider-delivered education) among a convenience sample 1252...
African American women (AAW) are particularly at risk for deleterious health outcomes that might be mitigated through increased preventive care use. A mixed methods study examined relationships between knowledge of, beliefs about, and barriers to well-woman visits, flu vaccines, mammograms was conducted with midlife AAW who participated in an online survey (
Purpose: The U.S. Affordable Care Act (ACA) of 2010 included the Well-Woman Visit (WWV) as one preventive services, which must be covered without cost sharing. Despite concerted efforts to increase access WWV, data from early years ACA demonstrated ongoing barriers, including insufficient consumer and provider awareness ACA's no cost-sharing provision for services. As such, 2 after full implementation ACA, Project (WWP) used qualitative methods learn about women's perceptions WWV barriers...