A5026880362- Health Policy Implementation Science
- Community Health and Development
- Service-Learning and Community Engagement
- Mental Health and Patient Involvement
- Mental Health Treatment and Access
- Food Security and Health in Diverse Populations
- Public Health Policies and Education
- Adolescent Sexual and Reproductive Health
- Diversity and Career in Medicine
- Resilience and Mental Health
- Prenatal Substance Exposure Effects
- Behavioral Health and Interventions
- Child and Adolescent Psychosocial and Emotional Development
- Impact of Technology on Adolescents
- Global Health Workforce Issues
- Higher Education Research Studies
- Perfectionism, Procrastination, Anxiety Studies
- Physical Activity and Health
- HIV, Drug Use, Sexual Risk
- HIV/AIDS Research and Interventions
- Glycosylation and Glycoproteins Research
- Opioid Use Disorder Treatment
- Innovations in Medical Education
- Cultural Competency in Health Care
- Digital Mental Health Interventions
University of Utah
2022-2025
Engage
2024
University of Nevada, Reno
2016-2021
University of New Mexico
1998-2015
Planned Parenthood
2006
Community-based participatory research (CBPR) and community-engaged have been established in the past 25 years as valued approaches within health education, public health, other social sciences for their effectiveness reducing inequities. While early literature focused on partnering principles processes, decade, individual studies, well systematic reviews, increasingly documented outcomes community support empowerment, sustained partnerships, healthier behaviors, policy changes,...
A national community-based participatory research (CBPR) team developed a conceptual model of CBPR partnerships to understand the contribution partnership processes improved community capacity and health outcomes. With primarily through academic literature expert consensus building, we sought input assess face validity acceptability. Our conducted semi-structured focus groups with six nationwide. Participants validated expanded on existing constructs identified new based “real-world” praxis,...
Community-based participatory research has a long-term commitment to principles of equity and justice with decades showcasing the added value power-sharing involvement community members for achieving health, capacity, policy, social outcomes. Missing, however, been clear articulation how power operates within partnership practices impact these on The National Institutes Health-funded Research Improved Health study (2009-2013), having surveyed 200 partnerships, then conducted seven in-depth...
This article describes a mixed methods study of community-based participatory research (CBPR) partnership practices and the links between these changes in health status disparities outcomes. Directed by CBPR conceptual model grounded indigenous-transformative theory, our nation-wide, cross-site showcases value approach for better understanding complexity partnerships across diverse community contexts. The then provides examples how an iterative, integrated to analysis yielded enriched...
Background: Since 2007, the National Congress of American Indians (NCAI) Policy Research Center (PRC) has partnered with Universities New Mexico and Washington to study science community-based participatory research (CBPR). Our goal is identify facilitators barriers effective community-academic partnerships in Indian other communities, which face health disparities. Objectives: We have described herein scientific design our Institutes Health (NIH)-funded (2009-2013) lessons learned by having...
The purpose of this study is to establish the psychometric properties 22 measures from a community-based participatory research (CBPR) conceptual model.The design was an online, cross-sectional survey academic and community partners involved in CPBR project.CPBR projects (294) United States with federal funding 2009.Of 404 invited, 312 (77.2%) participated. Of 200 principal investigators/project directors 138 (69.0%) participated.Twenty-two CBPR context, group dynamics, methods,...
Abstract Health education research emphasizes the importance of cultural understanding and fit to achieve meaningful psycho-social outcomes, community responsiveness external validity enhance health equity. However, many interventions address through competence sensitivity approaches that are often superficial. The purpose this study was better situate culture within by operationalizing testing new measures deeply grounded culture-centered approach (CCA) context community-based participatory...
Community-based participatory research (CBPR) partnerships exist as complex, dynamic relationships that incorporate shared decision supports trust development between communities and academics. Within CBPR, the interest in understanding concept of has grown with realization that, without trust, CBPR fracture. A barrier to monitoring health a partnership is lack operationalization concept, its antecedents, measurement tools. To address these barriers, six-category typology was created...
The purpose of this study was to understand the experiences historically underrepresented graduate students, more than half whom were enrolled in science, technology, engineering, and mathematics (STEM) disciplines, during COVID-19 pandemic. This focus group represents an initial stage developing intervention for students their families.Underrepresentation color STEM has been attributed a myriad factors, including lack support systems. Familial is endorsed reason persisting school. It...
The Mountain West Clinical and Translational Infrastructure Network Community Engagement Outreach (CEO) Core has fostered academic-community engagement since 2018. States historically receiving lower levels of NIH funding are characterized by significantly higher proportions rural remote populations, as well uniquely elevated percentages Native American/Alaska Hawaiian/Pacific Islander populations compared to most other states. This case study highlights the Core's efforts in advancing...
HIV risk is the product of social, cultural, economic, and interpersonal forces that create sex-role definitions expectations can lead to gender inequalities in health. Woman Woman: Coming Together for Positive Change an HIV/AIDS prevention intervention takes into account choices actions may be constrained by poverty, roles, cultural norms. This project educates empowers, promotes women's perspectives, reaches women "where they are," encourages speak their experience. The following study...
The purpose of this study was to identify factors associated with 4 clusters obstacles (self-reliance, privacy issues, quality care, and communication trust) mental health substance abuse treatment in 3 sectors for residents reservations the United States. Participants (N=3,084) disclosed whether they had sought emotional, drug, or alcohol problems past year and, if so, faced obtaining care from Indian Health Services, tribal services, other public private systems. Correlates these included...
The purpose of this study was to determine the relationship two types social support (emotional and instrumental) undermining (critical appraisal isolation) with five categories alcohol, drug, or mental disorders (ADM; any mood, anxiety, substance abuse, disorder, more disorders) in 169 American Indian women presenting for primary care at an Health Service facility. Social are often treated as opposite poles, but fact they distinct factors independent effects. findings illustrate that...
Background and Objectives: Despite increasing numbers of faculty identifying as underrepresented in medicine (URiM) over the last few decades, URiM representation academic leadership has changed little. The Society Teachers Family Medicine funded Leadership Through Scholarship Fellowship (LTSF) to target this population provide a framework for scholarly success. Based on responses open-ended questions from survey, we characterize how early-career family view assess attitudes perceptions...
Background: Although there is strong scientific, policy, and community support for community-engaged research (CEnR)—including community-based participatory (CBPR)—the science of CEnR still developing. Objective: To describe structural differences in federally funded projects by type (i.e., descriptive, intervention, or dissemination/policy change) race/ethnicity the population served. Methods: We identified 333 2009 that potentially involved CEnR, 294 principal investigators/project...
Academic medical center faculty members from historically underrepresented backgrounds in medicine the United States face multiple factors that limit their recruitment, retention, and advancement academic medicine. Although high-level system changes are needed to achieve an equitable diverse workforce, health systems do not change rapidly. Faculty minoritized must learn how continue working while advocating for implementing redesign. One approach career utilizes metaphor of personal finance...
Alcohol and drug use are associated with increased risk of HIV/AIDS. American Indians Alaska Natives (AI/AN) have high rates alcohol other use, as well a incidence unsafe sex behaviors injection practices. Indicators AI/AN HIV risks involving sexual activity include STDs, such gonorrhea, chlamydia, syphilis. Despite these facts, the prevalence infection among is not known. The present study part HRSA-funded SPNS HIV/AIDS health initiative, one goal which to increase number HIV-positive...
This study sought to identify obstacles associated with alcohol, drug, and mental (ADM) health care utilization in three treatment sectors for residents on reservations the United States. Participants (N 224) disclosed that they had ADM problems past year identified faced during this process. Four were identified: (a) self-reliance, (b) privacy issues, (c) quality of care, (d) communication/trust. A vast majority (71%) participants reported at least one these treatment, 61% two or more...
Abstract Objective Identify the role(s) and support(s), if any, that family members provide to first‐generation historically marginalized doctoral students, including strengths challenges of this support. Background Nonfinancial support is important for success retention graduate students. More empirical studies these students are needed. Method During an intervention designed their families, we conducted four focus groups with ( n = 22) three they chose accompany them 15). Transcripts were...
The study objective was to identify the barriers for Latinos accessing food pantries from pantry volunteer perspective. Interviews were conducted with eight volunteers in Washoe County, Nevada, coded and thematically analyzed using NVivo. perceived preventing identified included pantry-level (e.g., volunteers' perceptions of client backgrounds) built environment societal legal, transportation). Recognizing these can help intervention targets build systems that are culturally inclusive...
Background: Although a community-based participatory research (CBPR) approach is desired by American Indian/Alaska Native (AI/AN) tribes, many researchers and tribes experience challenges in partnerships. The aim of this project was to develop disseminate an evidence-based training toolkit help strengthen tribal–academic Our prior found that governance, trust, culture were essential pillars for successful community academic