- Mental Health Research Topics
- Health disparities and outcomes
- Menopause: Health Impacts and Treatments
- Dementia and Cognitive Impairment Research
- Tryptophan and brain disorders
- Intergenerational Family Dynamics and Caregiving
- Geriatric Care and Nursing Homes
- Functional Brain Connectivity Studies
- Cancer survivorship and care
- Cancer-related cognitive impairment studies
- Health and Lifestyle Studies
- Obesity, Physical Activity, Diet
- Mental Health Treatment and Access
- Phytoestrogen effects and research
- Family Support in Illness
- Migration, Health and Trauma
- Blood Pressure and Hypertension Studies
- Cardiac Health and Mental Health
- Racial and Ethnic Identity Research
- Chronic Disease Management Strategies
- Obesity and Health Practices
- Machine Learning in Healthcare
- HIV/AIDS Research and Interventions
- Aging and Gerontology Research
- Eating Disorders and Behaviors
University of Pennsylvania
2024-2025
Columbia University
2023-2024
Duke University Health System
2023
ORCID
2023
University of Washington
2023
Duke University
2021-2022
National Institute of Nursing Research
2022
National Institutes of Health
2022
Yale University
2019
Abstract Our study was designed to update the HIV Knowledge Questionnaire by incorporating pre-exposure prophylaxis (PrEP) knowledge questions, as previous tools lack this focus. Four rounds of Delphi surveys were conducted with 47 expert participants, each extensive HIV-related expertise (mean experience: 18.94 years). Expert participants rated item relevance on a scale 0–3 and provided feedback. An removed if over 70% scored it two or less. The process continued until consensus reached,...
Midlife women in perimenopause and postmenopause experience a complex array of symptoms. However, there is conflicting evidence on how their symptom experiences differ by menopausal stage. Current studies have not examined the interconnected relationship among symptoms understood this may based This secondary data analysis using cross-sectional (visit 5) from Study Women's Health Across Nation. Network was used to visualize network structure identify key Then, comparison test conducted...
Previous studies have focused on identifying risk factors for older adults receiving home healthcare services without considering vital signs. This may provide important information deteriorating health conditions that lead to hospitalization and/or emergency department (ED) visits. Thus, it is understand the relationship between signs and ED visits critical sign points mitigating higher risks of secondary data analysis uses cross-sectional from a large, urban organization ( n = 61,615). A...
Background Daily preferences are a reflection of how adults wish to have their needs and values addressed, contributing joy satisfaction in daily lives. Clinical settings often regard older as uniform group, neglecting the diversity within this population, which results shortfall person-centered care that overlooks distinct preferences. At heart lies imperative comprehend integrate these into process. Recognizing addressing gender differences is critical customizing plans, thereby optimizing...
Background Midlife perimenopausal and postmenopausal women with metabolic syndrome experience multiple symptoms concurrently. Objective The study objectives were to examine the relationship among through network visualization identify compare symptom clusters key across occurrence severity dimensions in midlife without syndrome. Methods Cross-sectional data from Study of Women’s Health Across Nation (Visit 5) used for analysis. A machine-learning-based analysis Walktrap algorithm fulfill...
Metabolic syndrome is known as a lifestyle disease that results from poor health behaviors. Yet, little about the subgroups of midlife women with distinct behavior profiles who are at risk for developing metabolic syndrome.This study aims to identify latent (physical activity, alcohol, diet, and smoking), describe characteristics subgroups, examine association between class membership future development secondary data analysis using baseline follow-up years 1, 3, 5, 7 (N = 3,100) Study...
Studies investigating the association between C-reactive protein (CRP) and depression among older adults have yielded inconsistent results. We suspect that this may be due to varying associations CRP particular symptom criteria, we addressed challenge using network analysis.We used cross-sectional data from prepandemic National Health Nutrition Examination Survey questionnaires (2017-2020) included a sample of 1698 aged 65 years or older. Depression symptoms were assessed Patient...
Limited research studies have focused on examining the impact of technology-based interventions in changing symptom clusters among Asian American breast cancer survivors.
Introduction We introduce moderated network analysis as an integrative approach to assess the moderation effects of race on relationship between C-reactive protein (CRP) and depression symptoms in older adults. This study further explores how observed relationships differ adjusting for social relationships. Methods secondary cross-sectional data from National Social Life, Health, Aging Project (2010–2011) includes 2,880 used different symptom domains (depressed affect, low positive somatic...
Background: Midlife peri-menopausal and post-menopausal women with metabolic syndrome experience multiple co-occurring symptoms or symptom clusters, which often result in significant cluster burden. While they are a high-risk burden group, there no studies that have focused on identifying trajectories midlife syndrome. Objectives: The objectives were to identify meaningful subgroups of based their distinct trajectories, describe the demographic, social, clinical characteristics different...
Abstract Objective This study aimed to identify temporal risk factor patterns documented in home health care (HHC) clinical notes and examine their association with hospitalizations or emergency department (ED) visits. Materials Methods Data for 73 350 episodes of from one large HHC organization were analyzed using dynamic time warping hierarchical clustering analysis the factors notes. The Omaha System nursing terminology represented factors. First, characteristics compared between...
One-third of home healthcare patients are hospitalized or visit emergency departments during a 60-day episode care. Among all risk factors, psychological, cognitive, and behavioral symptoms often remain underdiagnosed undertreated in older adults. Little is known on subgroups adults receiving services with similar symptom profiles an at-risk subgroup for future hospitalization department visits. Our cross-sectional study used data from large, urban organization ( n = 87,943). Latent class...
The aim of this study was to identify and compare symptom clusters in midlife menopausal women with without metabolic syndrome based on occurrence severity dimension through secondary data analysis the Study Women's Health Across Nation. Exploratory factor used group symptoms that are highly correlated each other verified by confirmatory analysis. Midlife (n = 424) experienced mental health, vasomotor, somatic cluster across both dimensions. In contrast, 1022) health/sleep/urinary, for...
Network analysis provides a new method for conceptualizing interconnections among psychological and behavioral constructs.
Abstract Background Despite the agreement on significance of relationship between C-reactive protein (CRP) and depression, research results have been discrepant by gender. Objective We attempted to address this uncertainty via a generalized additive model (GAM) more carefully analyzed shape CRP-depression in terms sex. Methods This is secondary data analysis using National Health Nutrition Examination Survey (2017–2020) targeting 1,581 obese middle-aged adults (40–70 years; 51.4% women) with...
This study aimed to identify the different types of social networks among young-old adults, and examine transitions in as they become old-old adults.
African American (AA) women have the highest rate of obesity in United States. To date, there are mixed findings on AA women’s perception and their perceived changes health behaviors over time that may contributed to obesity. Therefore, aims this current qualitative descriptive study were explore: 1) related through reflection life; 2) facilitators barriers maintaining healthy behaviors; 3) suggestions for future promotion programs manage Semi-structured interviews with ended questions...