Arlene Dalcin

ORCID: 0000-0001-9784-7854
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About
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Research Areas
  • Obesity, Physical Activity, Diet
  • Obesity and Health Practices
  • Eating Disorders and Behaviors
  • Diet and metabolism studies
  • Nutritional Studies and Diet
  • Cardiac Health and Mental Health
  • Schizophrenia research and treatment
  • Nutrition and Health in Aging
  • Health Policy Implementation Science
  • Mobile Health and mHealth Applications
  • Cancer Risks and Factors
  • Behavioral Health and Interventions
  • Dietary Effects on Health
  • Cancer survivorship and care
  • Cardiovascular Health and Risk Factors
  • Smoking Behavior and Cessation
  • Physical Activity and Health
  • Sodium Intake and Health
  • Mental Health Treatment and Access
  • Blood Pressure and Hypertension Studies
  • Bariatric Surgery and Outcomes
  • Child Nutrition and Feeding Issues
  • Cardiovascular and exercise physiology
  • Digital Mental Health Interventions
  • Metabolism, Diabetes, and Cancer

Johns Hopkins Medicine
2016-2025

Johns Hopkins University
2016-2025

Welch Foundation
2018-2021

Towson University
2017

Sheppard Pratt Health System
2011

Pennington Biomedical Research Center
2011

University of Pennsylvania
2011

University School
2010

University of Alabama at Birmingham
1995

Rutgers, The State University of New Jersey
1995

Overweight and obesity are epidemic among persons with serious mental illness, yet weight-loss trials systematically exclude this vulnerable population. Lifestyle interventions require adaptation in group because psychiatric symptoms cognitive impairment highly prevalent. Our objective was to determine the effectiveness of an 18-month tailored behavioral intervention adults illness.We recruited overweight or obese from 10 community rehabilitation outpatient programs randomly assigned them a...

10.1056/nejmoa1214530 article EN New England Journal of Medicine 2013-03-21

<h3>Importance</h3> Persons with serious mental illness have a cardiovascular disease mortality rate more than twice that of the overall population. Meaningful risk reduction requires targeted efforts in this population, who often psychiatric symptoms and cognitive impairment. <h3>Objective</h3> To determine effectiveness an 18-month multifaceted intervention incorporating behavioral counseling, care coordination, management for adults illness. <h3>Design, Setting, Participants</h3> This...

10.1001/jamanetworkopen.2020.7247 article EN cc-by-nc-nd JAMA Network Open 2020-06-12

<h3>Objective.</h3> —To test the short-term feasibility and efficacy of seven nonpharmacologic interventions in persons with high normal diastolic blood pressure. <h3>Design.</h3> —Randomized control multicenter trials. <h3>Setting.</h3> —Volunteers recruited from community, treated followed up at special clinics. <h3>Participants.</h3> —Of 16821 screenees, 2182 men women, aged 30 through 54 years, pressure 80 89 mm Hg were selected. Of these, 50 did not return for follow-up measurements....

10.1001/jama.267.9.1213 article EN JAMA 1992-03-04

Background: The Weight Loss Maintenance Trial (WLM) compared two long-term weight-maintenance interventions, a personal contact arm and an Internet arm, with no-treatment control after initial six-month Phase I weight loss program. focused on use of interactive website for support maintenance. There is limited information about patterns specific components that might help promote maintenance loss.

10.2196/jmir.1504 article EN cc-by Journal of Medical Internet Research 2010-07-27

Background/Aims: Despite widespread Internet adoption, online advertising remains an underutilized tool to recruit participants into clinical trials. Whether is a cost-effective method enroll compared other traditional forms of recruitment not known. Methods: Recruitment for the Survivorship Promotion In Reducing IGF-1 Trial, community-based study cancer survivors, was conducted from June 2015 through December 2016 via in-person community fairs, advertisements in periodicals, and direct...

10.1177/1740774517745829 article EN Clinical Trials 2018-01-24

Overweight and obesity are highly prevalent among persons with serious mental illness. These conditions likely contribute to premature cardiovascular disease a 20 30 percent shortened life expectancy in this vulnerable population. Persons illness need effective, appropriately tailored behavioral interventions achieve maintain weight loss. Psychiatric rehabilitation day programs provide logical intervention settings because health consumers often attend regularly exercise can take place...

10.1186/1471-244x-10-108 article EN cc-by BMC Psychiatry 2010-12-01

Racial disparities in blood pressure control have been well documented the United States. Research suggests that many factors contribute to this disparity, including barriers care at patient, clinician, healthcare system, and community levels. To date, few interventions aimed reducing hypertension addressed all of these This paper describes design Project ReD CHiP (Reducing Disparities Controlling Hypertension Primary Care), a multi-level system quality improvement project. By intervening on...

10.1186/1748-5908-8-60 article EN cc-by Implementation Science 2013-06-04

Abstract Purpose: We initiated a clinical trial to determine the proportion of breast cancer survivors achieving ≥5% weight loss using remotely delivered intervention (POWER-remote) or self-directed approach, and effects on biomarkers risk including metabolism, inflammation, telomere length. Experimental Design: Women with stage 0–III cancer, who completed local therapy chemotherapy, body mass index ≥25 kg/m2 were randomized 12-month versus approach. The primary objective was number women...

10.1158/1078-0432.ccr-19-2935 article EN Clinical Cancer Research 2020-02-18

Identifying effective, nonpharmacologic means of preventing or significantly delaying the onset hypertension would be a major advance in primary prevention cardiovascular disease. In first phase Trials Hypertension Prevention (TOHP I), adults with high-normal diastolic blood pressure were randomly assigned to one seven interventions. Only weight loss and reduction dietary sodium proved effective strategies for reducing pressure. The second TOHP II) will test effectiveness loss, sodium, their...

10.1016/1047-2797(94)00060-7 article EN cc-by-nc-nd Annals of Epidemiology 1995-03-01

The purpose of this study was to describe perceptions weight loss strategies, benefits, and barriers among persons with serious mental illness who lost in the ACHIEVE behavioral intervention.Semistructured interviews 20 participants were conducted analyzed using an inductive coding approach.Participants perceived tailored exercise sessions, social support, dietary strategies taught ACHIEVE-such as reducing portion sizes avoiding sugar-sweetened beverages-as useful strategies. Health improved...

10.1037/prj0000182 article EN other-oa Psychiatric Rehabilitation Journal 2016-04-07

Objective In the Weight Loss Maintenance (WLM) Trial, a personal contact (PC) intervention sustained greater weight loss relative to self‐directed (SD) group over 30 months. This study investigated effects of continued an additional months and overall change across entire WLM Trial. Methods had 3 phases. Phase 1 was 6‐month program. 2, those who lost ≥4 kg were randomized 30‐month maintenance trial. 3, PC participants ( n = 196, three sites) re‐randomized no further (PC‐Control) or...

10.1002/oby.21454 article EN Obesity 2016-03-15

Tobacco smoking is the leading cause of preventable death among individuals with serious mental illness (SMI) but few persons SMI are offered cessation treatment. The purpose this study was to pilot-test a multicomponent intervention increase delivery evidence-based treatment in community health clinics (CMHCs). This carried out at five CMHCs Maryland involving clinicians who participated training cessation. Other implementation activities included provision protocol, coaching, expert...

10.1177/07067437241309678 article EN The Canadian Journal of Psychiatry 2025-01-22

Populations with serious mental illness are less likely to receive evidence-based care for cardiovascular disease (CVD) risk factors. We sought characterize the implementation of an adapted team-based quality improvement strategy improve health providers' delivery CVD factor care. In a 12-month, single arm pre/post pilot study in four behavioral homes embedded within psychiatric rehabilitation programs, sites implemented Comprehensive Unit Safety Program (CUSP). Primary measures examined...

10.3389/fpsyt.2025.1446985 article EN cc-by Frontiers in Psychiatry 2025-01-31

Persons with serious mental illness (SMI) comprise a high-risk group for cardiovascular disease (CVD)-related mortality rates at least twice those of the overall US. Potentially modifiable CVD risk behaviors (tobacco smoking, obesity, physical inactivity, unhealthy diet) and factors (hypertension, diabetes, dyslipidemia) are all markedly elevated in persons SMI. Evaluations programs implementing integrated medical care into specialty health settings have not shown meaningful effects on...

10.3389/fpsyt.2018.00786 article EN cc-by Frontiers in Psychiatry 2019-02-08

Youth with mental illness have higher levels of obesity than children in the general population. Both regular physical activity and limited screen time been recommended to reduce prevent childhood obesity. This study examines accelerometer-based moderate–vigorous (MVPA) among youth overweight/obesity issues who are receiving health care. looked at a 12-month weight management randomized clinical trial for overweight/obese aged 8–18 years services. At baseline, MVPA was assessed using...

10.3390/ijerph19042261 article EN International Journal of Environmental Research and Public Health 2022-02-17
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