- Mobile Health and mHealth Applications
- Physical Activity and Health
- Obesity and Health Practices
- Obesity, Physical Activity, Diet
- Eating Disorders and Behaviors
- Blood Pressure and Hypertension Studies
- Behavioral Health and Interventions
- Nutritional Studies and Diet
- Diabetes Management and Education
- Cardiovascular and exercise physiology
- Cardiovascular Health and Risk Factors
- Heart Rate Variability and Autonomic Control
- Cardiovascular Disease and Adiposity
- Digital Mental Health Interventions
- Bariatric Surgery and Outcomes
- Nutrition and Health in Aging
- Health and Wellbeing Research
- Chronic Disease Management Strategies
- Cardiovascular Health and Disease Prevention
- Health and Lifestyle Studies
- Menopause: Health Impacts and Treatments
- Cardiovascular Syncope and Autonomic Disorders
- Health Systems, Economic Evaluations, Quality of Life
- Diet and metabolism studies
- Health Literacy and Information Accessibility
University of Utah
2016-2025
Harvard University
2004-2023
Intermountain Healthcare
2020-2023
Borchard Foundation Center on Law and Aging
2022
National Center for Advancing Translational Sciences
2020
Quality and Reliability (Greece)
2018
University of Illinois Chicago
2018
University of Utah Health Care
2018
University of Pittsburgh
2008-2017
General Department of Preventive Medicine
2010-2017
Technology may improve self‐monitoring adherence and dietary changes in weight loss treatment. Our study aimed to investigate whether using a personal digital assistant (PDA) with exercise software, without feedback message, compared paper diary/record (PR), results greater improved adherence. Healthy adults ( N = 210) mean BMI of 34.01 kg/m 2 were randomized one three approaches: PR n 72), PDA software 68), or daily messages (PDA+FB, 70). All participants received standard behavioral...
The previously published results of the Systolic Blood Pressure Intervention Trial showed that among participants with hypertension and an increased cardiovascular risk, but without diabetes, rates events were lower those who assigned to a target systolic blood pressure less than 120 mm Hg (intensive treatment) 140 (standard treatment). Whether such intensive treatment affected patient-reported outcomes was uncertain; from trial are reported here.We randomly 9361 blood-pressure or Hg....
Background and Purpose —The aim of our study was to determine whether the National Institutes Health Stroke Scale (NIHSS) can be estimated retrospectively from medical records. The NIHSS is a quantitative measure stroke-related neurological deficit with established reliability validity for use in prospective clinical research. Recently, retrospective observational studies have scores records outcome analysis. estimation based on chart review has not been determined. Methods —Thirty-nine...
Despite growing evidence on benefits of increased physical activity in hemodialysis (HD) patients and safety intra-dialytic exercise, it is not part standard clinical care, resulting a missed opportunity to improve outcomes these patients. To develop successful exercise program for HD patients, critical understand patients', staff nephrologists' knowledge, barriers, motivators preferences patient exercise. In-depth interviews were conducted with purposive sample nephrologists from 4 dialysis...
Despite evidence-based recommendations for addressing obesity in the clinical setting, lifestyle interventions are lacking practice. The objective of this study was to translate an program into setting by adapting it delivery via Internet. We adapted Diabetes Prevention Program's curriculum online format, comprising 16 weekly and 8 monthly lessons, conducted a before-and-after pilot implementation feasibility. incorporates behavioral tools such as e-mail prompts self-monitoring diet,...
Journal Article Measuring Provider Adherence to Tobacco Treatment Guidelines: A Comparison of Electronic Medical Record Review, Patient Survey, and Survey Get access Molly B. Conroy, M.D., M.P.H., M.P.H. Division General Internal Medicine, University PittsburghPA Search for other works by this author on: Oxford Academic PubMed Google Scholar Nicola E. Majchrzak, M.S.W., Research Center Medicine Division, Massachusetts Hospital, Harvard SchoolBoston, MA Caroline Silverman, M.Sc., M.Sc....
Introduction: Weight loss has been associated with higher physical activity (PA) levels and frequent dietary self-monitoring. Less is known about how PA self-monitoring affects adherence to goals, levels, weight change. Methods: The SMART Trial a clinical trial in which 210 overweight adults were randomized equally one of three arms: 1) paper record (PR), 2) personal digital assistant software (PDA), 3) PDA daily tailored feedback message (PDA + FB). goals based on entries weekly submitted...
To translate the Diabetes Prevention Program (DPP) lifestyle intervention into a clinical setting and evaluate its effectiveness.The authors implemented group-based version of DPP curriculum in large academic medicine practice. It is delivered by nurse educator over 12 weekly sessions with optional reenrollment, available on self-pay basis, using existing resources (eg, electronic medical record referrals, scheduling, conference rooms, communication technology). The program was evaluated...
To examine the relationship between knee osteoarthritis (OA) and muscle parameters in a biracial cohort of older adults.Participants Health, Aging Body Composition Study (n = 858) were included this cross-sectional analysis. Computed tomography was used to measure area, quadriceps strength measured isokinetically. Muscle quality (specific torque) defined as per unit area for both entire thigh quadriceps. Knee OA assessed based on radiographic features pain. We compared those with without...
Objective To determine predictors of serious adverse events ( SAE s) involving syncope, hypotension, and falls, with particular attention to age, in the Systolic Blood Pressure Intervention Trial. Design Randomized clinical trial. Setting Academic private practices across United States (N = 102). Participants Adults aged 50 older a systolic blood pressure SBP ) 130 180 mmHg at high risk cardiovascular disease events, but without diabetes, history stroke, symptomatic heart failure or ejection...
The COVID-19 pandemic is a public health crisis, having killed more than 514 000 US adults as of March 2, 2021. mitigation strategies have unintended consequences on managing chronic conditions such hypertension, leading cause cardiovascular disease and disparities in the United States. During first wave States, combination observed racial/ethnic inequities deaths social unrest reinvigorated national conversation about systemic racism care society. 4th Annual University Utah Translational...
Objectives: In this paper, we present the results of changes in risk factors by use hormone therapy (HT) at 18 months Women On Move through Activity And Nutrition (WOMAN) randomized trial. Methods: The trial was designed to test hypothesis that aggressive dietary and increased physical activity reduce weight, waist circumference (WC), glucose, insulin, lipoproteins would progression subclinical atherosclerosis, carotid intimal media thickness plaque, coronary artery calcification, pulse wave...
Various modes of physical activity, combined with dieting, have been widely recommended to prevent or delay type 2 diabetes. Among these, yoga holds promise for reducing risk factors diabetes by promoting weight loss, improving glucose levels and blood pressure lipid levels. This pilot study aimed assess the feasibility implementing a 12-week program among adults at high Twenty-three (19 Whites 4 non-Whites) were randomly assigned intervention group educational group. The participated in...
Evidence supports the role of feedback in reinforcing motivation for behavior change. Feedback that provides reinforcement has potential to increase dietary self-monitoring and enhance attainment recommended intake.The aim this study was examine impact daily (DFB) messages, delivered remotely, on changes intake.This a secondary analysis Self- Monitoring And Recording using Technology (SMART) Trial, single-center, 24-month randomized clinical trial behavioral treatment weight loss....
The increase in maternal morbidity has resulted higher need for maternal-fetal medicine (MFM) subspecialty care. To meet the rising demand, particularly rural areas, use of MFM telemedicine services increased. This study describes structure, implementation, and patient child health outcomes associated with a large system's program.Observational electronic record data are used to compare childbirth between patients receiving care via or in-person visits through regression analysis. Average...
Bariatric surgery is the most effective treatment for severe obesity; yet it unclear whether long-term safety and comparative effectiveness of these operations differ across racial ethnic groups.To compare outcomes Roux-en-Y gastric bypass (RYGB) sleeve gastrectomy (SG) groups in National Patient-Centered Clinical Research Network (PCORnet) Study.This was a retrospective, observational, cohort study that comprised 25 health care systems PCORnet Study. Patients were adults adolescents aged 12...