A5043250132- Health Literacy and Information Accessibility
- Breastfeeding Practices and Influences
- Obesity, Physical Activity, Diet
- Pharmaceutical studies and practices
- Mobile Health and mHealth Applications
- Child and Adolescent Health
- Child Nutrition and Feeding Issues
- Patient-Provider Communication in Healthcare
- Food Security and Health in Diverse Populations
- Infant Development and Preterm Care
- Respiratory and Cough-Related Research
- Pharmaceutical Practices and Patient Outcomes
- Patient Safety and Medication Errors
- Child Development and Digital Technology
- Long-Term Effects of COVID-19
- Emergency and Acute Care Studies
- Interpreting and Communication in Healthcare
- Childhood Cancer Survivors' Quality of Life
- Maternal Mental Health During Pregnancy and Postpartum
- Asthma and respiratory diseases
- Family and Patient Care in Intensive Care Units
- COVID-19 and Mental Health
- Injury Epidemiology and Prevention
- Migration, Health and Trauma
- Medication Adherence and Compliance
New York University
2016-2025
Academic Pediatric Association
2025
Bellevue Hospital Center
2015-2024
NYU Langone Health
2017-2024
Howard University
2024
Children's Hospital Association
2021
Agency for Healthcare Research and Quality
2021
American Academy of Pediatrics
2021
National Institute for Children’s Health Quality
2021
Atrium Medical Cente
2021
To assess the health literacy of US parents and explore role in mediating child disparities.A cross-sectional study was performed for a nationally representative sample from 2003 National Assessment Adult Literacy. Parent performance on 13 health-related tasks assessed by simple weighted analyses. Logistic regression analyses were to describe factors associated with low parent relationship between self-reported insurance status, difficulty understanding over-the-counter medication labeling,...
To assess parents' liquid medication administration errors by dosing instrument type and to examine the degree which health literacy influences accuracy.Experimental study.Interviews conducted in a public hospital pediatric clinic New York, between October 28, 2008, December 24, 2008.Three hundred two parents of children presenting for care were enrolled.Parents observed accuracy (5-mL dose) using set standardized instruments (2 cups [one with printed calibration markings, other etched...
Abstract Objective To determine whether medical errors, family experience, and communication processes improved after implementation of an intervention to standardize the structure healthcare provider-family on centered rounds. Design Prospective, multicenter before study. Setting Pediatric inpatient units in seven North American hospitals, 17 December 2014 3 January 2017. Participants All patients admitted study (3106 admissions, 13171 patient days); 2148 parents or caregivers, 435 nurses,...
Most research to understand postacute sequelae of SARS-CoV-2 infection (PASC), or long COVID, has focused on adults, with less known about this complex condition in children. Research is needed characterize pediatric PASC enable studies underlying mechanisms that will guide future treatment.
To evaluate the efficacy of a pictogram-based health literacy intervention to decrease liquid medication administration errors by caregivers young children.Randomized controlled trial.Urban public hospital pediatric emergency department.Parents and (N = 245) children aged 30 days 8 years who were prescribed medications (daily dose or "as needed").Medication counseling using plain language, instruction sheets. Control subjects received standard counseling.Medication knowledge practice, dosing...
<h3>Importance</h3> Medical errors and adverse events (AEs) are common among hospitalized children. While clinician reports the foundation of operational hospital safety surveillance a key component multifaceted research surveillance, patient family not routinely gathered. We hypothesized that novel family-reporting mechanism would improve incident detection. <h3>Objective</h3> To compare error AE rates (1) gathered systematically with vs without reporting, (2) reported by families...
Children of parents expressing limited comfort with English (LCE) or proficiency may be at increased risk adverse events (harms due to medical care). No prior studies have examined, in a multicenter fashion, the association between language and systematically, actively collected that include family safety reporting.To examine parent LCE cohort hospitalized children.This prospective study was conducted from December 2014 January 2017, concurrent data collection Patient Family Centered I-PASS...
Poorly designed labels and packaging are key contributors to medication errors. To identify attributes of dosing tools that could be improved, we examined the extent which error rates affected by tool characteristics (ie, type, marking complexity) discordance between units measurement on tools; along with differences health literacy language.Randomized controlled experiment in 3 urban pediatric clinics. English- or Spanish-speaking parents (n = 2110) children ≤8 years old were randomly...
Despite a heightened focus on improving quality, recent studies have suggested that children only receive half of the indicated preventive, acute, or chronic care. Two major areas in need improvement are illness care and prevention medical errors. Recently, health literacy has been identified as an important potentially ameliorable factor for quality Studies adults documented lower is independently associated with poorer understanding prescriptions other information worse disease knowledge,...
OBJECTIVE: To examine parental reports of feeding and activity behaviors in a cohort parents 2-month-olds how they differ by race/ethnicity. METHODS: Parents participating Greenlight, cluster, randomized trial obesity prevention at 4 health centers, were queried enrollment about thought to increase risk. Unadjusted associations between race/ethnicity the outcomes interest performed using Pearson χ2 Kruskal-Wallis tests. Adjusted analyses proportional odds logistic regressions. RESULTS: Eight...
Adopting the milliliter as preferred unit of measurement has been suggested a strategy to improve clarity medication instructions; teaspoon and tablespoon units may inadvertently endorse nonstandard kitchen spoon use. We examined association between used parent errors whether instruments mediate this relationship.Cross-sectional analysis baseline data from larger study provider communication errors. English- or Spanish-speaking parents (n = 287) whose children were prescribed liquid...
Children who become overweight by age 2 years have significantly greater risks of long-term health problems, and children in low-income communities, where rates low adult literacy are highest, at increased risk developing obesity. The objective the Greenlight Intervention Study is to assess effectiveness a low-literacy, primary-care intervention on reduction early childhood At 4 pediatric residency training sites across US, 865 infant-parent dyads were enrolled 2-month well-child checkup...
BACKGROUND AND OBJECTIVES: Poorly designed labels and dosing tools contribute to errors. We examined the degree which errors could be reduced with pictographic diagrams, milliliter-only units, provision of more closely matched prescribed volumes. METHODS: This study involved a randomized controlled experiment in 3 pediatric clinics. English- Spanish-speaking parents (n = 491) children ≤8 years old were randomly assigned 1 4 groups given that varied label instruction format (text pictogram,...
Medication administration errors that take place in the home are common, especially when liquid preparations used and complex medication schedules with multiple medications involved; children chronic conditions disproportionately affected. Parents other caregivers low health literacy and/or limited English proficiency at higher risk for making administering to their care. Recommended strategies reduce relate provider prescribing practices; literacy-informed verbal counseling (eg, teachback...