A5041410968- 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
Obesity and its cardiovascular complications are extremely common medical problems, but evidence on how to accomplish weight loss in clinical practice is sparse.
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...
<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...
<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....
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.
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...