A5101606020- Palliative Care and End-of-Life Issues
- HIV/AIDS Research and Interventions
- Global Cancer Incidence and Screening
- Geriatric Care and Nursing Homes
- HIV, Drug Use, Sexual Risk
- Family Support in Illness
- Cancer survivorship and care
- Adolescent Sexual and Reproductive Health
- Health disparities and outcomes
- LGBTQ Health, Identity, and Policy
- Patient-Provider Communication in Healthcare
- Substance Abuse Treatment and Outcomes
- Maternal and Perinatal Health Interventions
- Grief, Bereavement, and Mental Health
- Muscle activation and electromyography studies
- Smoking Behavior and Cessation
- Behavioral Health and Interventions
- Gestational Diabetes Research and Management
- Patient Satisfaction in Healthcare
- Cancer Risks and Factors
- Stroke Rehabilitation and Recovery
- Prosthetics and Rehabilitation Robotics
- BRCA gene mutations in cancer
- Opioid Use Disorder Treatment
- Colorectal Cancer Screening and Detection
Brown University
2016-2025
Providence College
2008-2024
University of Massachusetts Chan Medical School
2016-2023
Women & Infants Hospital of Rhode Island
2011-2023
Providence VA Medical Center
2016-2023
Rehabilitation Research and Development Service
2021-2023
Health Affairs
2022
Foundation for Physical Medicine and Rehabilitation
2021
Cancer Genetics (United States)
2021
Accreditation Council for Graduate Medical Education
2020
The COVID-19 pandemic and its consequences have been associated with an increase in poor population mental health. We assessed how depressive symptoms changed among U.S. adults over the course of identified key risk factors for these symptoms. Longitudinal panel study a nationally representative group ages 18 years older surveyed March-April 2020 (Time 1; N=1441) 2021 2; N=1161) Life Stressors Impact on Mental Health Well-being (CLIMB). Patient Questionnaire-9 (PHQ-9) was used to define...
Young women who undergo chemotherapy for breast cancer face serious consequences to their reproductive health. Research in this area has previously focused on men, or childhood survivors. We sought explore self-report of health counseling young undergoing cancer. A total 166 premenopausal aged < = 50 years were recruited from oncology offices academic and private practices four northeastern states, as part a randomized controlled clinical trial aimed at stress reduction. Women asked variety...
Given the large number of interventions uncertain effectiveness, research on communicating uncertainty is needed to examine its impact patients' health decisions.To physicians' communication and decisions decision satisfaction.Participants included female patients seen in a breast centre whose physicians were discussing with them, no clear 'best' choice based outcome evidence.Decision was measured using OPTION scale, measure degree which involve decision-making process. One-to-two weeks...
Objectives. We estimated differences in health behaviors among adults by sexual orientation. Methods. pooled 4 years of data (2001, 2003, 2005, and 2007) from the California Health Interview Survey. frequency smoking, alcohol use, healthy dietary behaviors, physical activity, care utilization, we used logistic regression modeling to determine odds each behavior with increasing age for 2 groups: younger than 50 old or older. Results. At any adult age, lesbians had greater smoking binge...
Managed care payment formulas commonly allocate more money for medically complex populations, but ignore most social determinants of health (SDH).To add SDH variables to a diagnosis-based formula that allocates funds managed plans and accountable organizations.Using data from MassHealth, the Massachusetts Medicaid Children's Health Insurance Program, we estimated regression models predicting spending using SDH-expanded model, compared accuracy their cost predictions overall vulnerable...
A comprehensive study to assess quality and outcomes of care for Veterans with upper limb amputation is needed. This paper presents methods summary findings from a national survey amputation. After completion pilot develop refine methods, computer-assisted telephone interviews were conducted 808 (response rate = 47.7%; cooperation 63.3%). Respondents 776 unilateral 32 bilateral amputees, 97.5% male, mean age 63.3 (sd 14.1). Prostheses used by 60% 91% bilateral, the majority body powered...
In Brief OBJECTIVE: To compare the effectiveness of hysterectomy and endometrial ablation in women with dysfunctional uterine bleeding. METHODS: The Surgical Treatments Outcomes Project for Dysfunctional Uterine Bleeding was a multicenter, randomized controlled trial. Eligible were premenopausal bleeding aged 18 years or older. Primary outcomes problems that led woman to seek care solved, bleeding, pain, fatigue at 12 months. Additional included quality life, adverse events, reoperation,...
The behavioral theory constructs most often used to study mammography utilization—perceived benefit, perceived susceptibility, self-efficacy, intention, and subjective norms—have neither been developed nor sufficiently tested among diverse racial/ethnic subgroups. authors explored these their underlying assumptions relating the social context of Filipina Latina women. mixed-methods included testing construct measures in multilingual surveys a concurrent intervention 1,463 women from five...
Purpose of the Study: To estimate prevalence culture change practice in U.S. nursing homes (NHs) and examine how state Medicaid policies may be associated with this prevalence. Design Methods: In 2009/2010, we conducted a survey stratified proportionate random sample NH directors (DONs) administrators (NHAs) at 4,149U.S. NHs; contact was achieved 3,695. Cooperation rates were 62.6% for NHAs 61.5% DONs. Questions focused on (physical) environment, resident-centered care, staff empowerment...
Few studies have focused on racial and ethnic differences in advance care planning other than directives among population-based samples of adults across the lifespan.Using data from a statewide random-digit dial telephone survey 18 years or older (n = 1851), we investigated (1) designation healthcare agent (HCA); (2) communication goals, values, preferences for end-of-life with providers, HCA, family members friends.Less half (44%, 95% confidence interval [CI] 41.3%-47.0%) all participants...
Young adult men-who-have-sex-with-men (YMSM) continue to have among the highest incidence of HIV infection in United States. Pre-exposure prophylaxis (PrEP) is an effective and safe method preventing infection; however, despite US Food Drug Administration approval, utilization remains low, part, due structural barriers, particularly access healthcare. In this study, we used social media recruit black, Hispanic, white HIV-uninfected 18- 24-year-old YMSM. Participants completed online survey...
This study considered the influence of misperceptions typical versus self-identified important peers' heavy drinking on personal intentions and frequency utilizing data from a complete social network college students. The sample included 1,313 students (44% male, 57% White, 15% Hispanic/Latinx) collected during fall spring semesters their freshman year. Students provided perceived for student peer up to 10 identified peers. Personal past-month was assessed all participants at both time...
Abstract Background: Most national-level mammography data are for ever-had and most-recent screening. There few on rates of repeat, on-schedule mammography, the prevalence correlates repeat mammography. It is also important to investigate similarity recent Methods: Analyses were from women ages 45 75 in 2002 2003 Health Information National Trends Survey (HINTS 2003; N = 1,581). The two dependent variables self-report (two exams schedule, based an every-other-year interval) only (one...
This article describes the influences of social context on women’s health behavior through illustration powerful capital (the benefits and challenges that accrue from participation in networks groups) experiences perceptions self-efficacy. The authors conducted inductive interviews with Latino Filipino academics service providers U.S.-born immigrant Latinas Filipinas to explore direct indirect behaviors such as mammography screening. Iterative thematic analysis identified themes (meanings...
A decade-long grassroots movement aims to deinstitutionalize nursing home (NH) environments and individualize care. Coined “NH Culture Change” the is often described by its resident-centered/directed care focus. While empirical data of “culture change’s” costs benefits are limited, it broadly viewed as beneficial widely promoted. Still, debate abounds regarding barriers adoption. We used from a Web-based survey 1,147 long-term specialists (including NH other providers, consumers/advocates,...
Substance use and exercise have opposite trajectories in young adulthood, research indicates that peers are influential for both of these health behaviors, but simultaneous investigations peer associations with substance not been conducted.Use a college residence hall network to examine between behaviors alcohol use, marijuana behavior.129 undergraduates (51.9% female, 48.1% non-Hispanic White; 84.5% first-year students) one completed Web-based survey identified up 10 students the who were...