- Palliative Care and End-of-Life Issues
- Geriatric Care and Nursing Homes
- Cancer survivorship and care
- Ethics in Clinical Research
- Family and Patient Care in Intensive Care Units
- Childhood Cancer Survivors' Quality of Life
- Cancer-related cognitive impairment studies
- Food Security and Health in Diverse Populations
- Psoriasis: Treatment and Pathogenesis
- Prenatal Screening and Diagnostics
- Dementia and Cognitive Impairment Research
- Technology Use by Older Adults
- Grief, Bereavement, and Mental Health
- BRCA gene mutations in cancer
- Patient-Provider Communication in Healthcare
- Emergency and Acute Care Studies
- Balance, Gait, and Falls Prevention
- Health Policy Implementation Science
- Telemedicine and Telehealth Implementation
- Maternal Mental Health During Pregnancy and Postpartum
- Health disparities and outcomes
- Muscle activation and electromyography studies
- Dermatology and Skin Diseases
- Musculoskeletal pain and rehabilitation
- Patient Dignity and Privacy
University of Utah
2016-2025
Huntsman Cancer Institute
2017-2018
The University of Texas MD Anderson Cancer Center
2018
National Cancer Institute
2018
United States Department of Health and Human Services
2018
University of North Carolina at Chapel Hill
2016
Emory University
2015
Utah Department of Health
2015
University of Maryland, Baltimore
2014
Sigma Theta Tau International
2014
Abstract Technology‐aided remote interventions for poorly controlled symptoms may improve cancer symptom outcomes. In a randomized trial, the efficacy of an automated management system was tested to determine if it reduced chemotherapy‐related symptoms. Prospectively, 358 patients beginning chemotherapy were Symptom Care at Home ( SCH ) intervention n = 180) or enhanced usual care UC 178). Participants called monitoring daily reporting severity 11 participants received self‐management...
<h3>Objective</h3> To study whether obesity increases the risk of psoriatic arthritis (PsA), given that is a factor for psoriasis and associated with more severe disease. <h3>Design</h3> Case series. We used Cox regression analysis to relationship between PsA while controlling age at onset, current body mass index (BMI), sex, family history psoriasis, worst-ever surface area (BSA) involvement, Koebner phenomenon, nail involvement. <h3>Setting</h3> Dermatology clinics University Utah School...
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.
Serious mental illness (SMI) represents a major risk for repeated incarceration, yet recidivism studies often do not specifically focus on persons with SMI as compared to non-SMI offenders. The study reported here systematically identified Utah State prisoners released from 1998 2002 ( N = 9,245) who meet criteria and offenders length of time prison return. Findings indicate that 23% the sample met n 2,112). Moreover, survival analyses demonstrated significant difference in return rates...
Despite the importance of social determinants in health outcomes, little is known about best practices for screening and referral during clinical encounters. This study aimed to implement universal needs community service referrals an academic emergency department (ED), evaluating feasibility, reach, stakeholder perspectives.Between January 2019 February 2020, ED registration staff screened patients using a 10-item, low-literacy, English-Spanish screener on touchscreens that generated...
Many state newborn screening (NBS) programs retain residual NBS bloodspots after the completion of screening. Potential uses for specimens include laboratory quality assurance, biomedical research, and, rarely, forensic applications. Our objective was to evaluate public opinion about policies and practices relevant retention use research.
A pilot study assessed an electronic informed consent model within a randomized controlled trial (RCT). Participants who were recruited for the parent RCT project randomly selected and to either group ( n = 32) or simplified paper-based 30). Results from reported significantly higher understanding of purpose study, alternatives participation, contact if they had questions concerns about study. However, participants in control mean scores on some survey items. This research suggests that...
Digital health and telemedicine are potentially important strategies to decrease care's environmental impact contribution climate change by reducing transportation-related air pollution greenhouse gas emissions. However, we currently lack robust national estimates of emissions savings attributable telemedicine.
To examine self-reported severity of fatigue and disturbed sleep experienced daily by women with breast cancer during multiple cycles chemotherapy, exploring potential classes experiencing similar symptom trajectories. .
Addressing muscle deficits within a multi-component exercise fall reduction program is priority, especially for the highest risk older adults, i.e., those who have fallen previously. Eccentric resistance with its high-force producing potential, at low energetic cost, may be ideally-suited to address impairments in this population. The purpose of study was compare effects via negative, eccentrically-induced, work (RENEW) versus traditional (TRAD) on mobility, balance confidence, power and...
Maternal psychosocial factors contribute to adverse pregnancy outcome, but very few studies have assessed associations of duration and experiences stress, depression, intimate partner violence (IPV) with maternal newborn outcomes.It was hypothesized that level IPV would predict increased risk maternal/newborn outcomes.A secondary data analysis a population-based set collected by the Utah Department Health Pregnancy Risk Assessment Monitoring System birth certificates for 4682 live births...
We evaluated the relationship between grief preparedness and experience in 106 family caregivers anticipating or who had experienced death of a member with dementia. Using phenomenological lens to discern process meaning-making narratives, we found preparation that included positive construction memories, as end suffering, resolution, shared meaning were associated grief. Those member's decline traumatic, caregiver role loss, unavailable support, difficulties creating new life reported...
Background: Postpartum is a critical period to interrupt weight gain across the lifespan, decrease weight-related risk in future pregnancies, promote healthy behaviors that are often adopted during pregnancy, and improve long-term health. Because postpartum marked by unique challenges person’s ability prioritize behaviors, multi-level/domain approach intervention beyond individual-level factors of diet activity needed. Objectives: The purpose this study was understand people’s perceptions...
Unaddressed grief and trauma may precipitate maintain problematic substance use, criminal behavior, resultant incarceration. We detail the implementation evaluation of an evidence-based support group model conducted in seven groups two substance-use disorder treatment programs within a state correctional facility. The three aims this project were to (1) train Department Corrections mental health clinicians model, (2) conduct facilitated by trained clinical social workers prison, (3) evaluate...
<sec> <title>BACKGROUND</title> Interventions that are self-administered and delivered online increasingly being seen as a flexible way to support family caregivers. Respite, defined planned break or time away from caregiving, is among the most needed requested forms of caregiver support; yet, few interventions address caregivers’ use respite. </sec> <title>OBJECTIVE</title> We describe methodology data used assess feasibility, usability, acceptability Time for Living Caring (TLC)...
Background: Retention of weight postpartum increases risk for long-term morbidity, including cardiometabolic disease. Although retained is a complex problem, interventions generally address individual diet and activity behaviors. Objectives: We investigated the impact social-network factors on health behaviors weight. Design: used an explanatory-sequential mixed-methods approach. This article reports our quantitative findings. Methods: Childbearing people receiving care at university-based...
<h3>Importance</h3> Research clearly indicates that current approaches to newborn blood spot screening (NBS) education are ineffective. Incorporating NBS into prenatal care is broadly supported by lay and professional opinion. <h3>Objective</h3> To determine the efficacy effect of about use residual dried spots (DBS) in research on parental knowledge, attitudes, behaviors. <h3>Design, Setting, Participants</h3> A randomized clinical trial educational interventions, with outcomes measured...