A5043560122- Health Policy Implementation Science
- Primary Care and Health Outcomes
- Digital Mental Health Interventions
- Mental Health Treatment and Access
- Telemedicine and Telehealth Implementation
- Dementia and Cognitive Impairment Research
- Health disparities and outcomes
- Intergenerational Family Dynamics and Caregiving
- Musculoskeletal pain and rehabilitation
- Aging and Gerontology Research
- Food Security and Health in Diverse Populations
- Palliative Care and End-of-Life Issues
- Migration, Health and Trauma
- COVID-19 Impact on Reproduction
- Social Media in Health Education
- Counseling Practices and Supervision
- Urban Transport and Accessibility
- Urban Green Space and Health
- Cytomegalovirus and herpesvirus research
- Migration and Labor Dynamics
- Adolescent and Pediatric Healthcare
- Opioid Use Disorder Treatment
- Family Caregiving in Mental Illness
- Chronic Disease Management Strategies
- Pediatric Pain Management Techniques
University of Washington
2020-2025
Westmead Hospital
2024
Zhujiang Hospital
2024
Southern Medical University
2024
University of Kansas Medical Center
2024
DePaul University
2020
Oregon State University
2020
Structural racism manifests as an historical and continued invisibility of Asian Americans, whose experiences disparities diverse needs are omitted in research, data, policy. During the pandemic, this intersects with rising anti-Asian violence other persistent structural inequities that contribute to higher COVID-19 mortality older Americans compared non-Hispanic whites. This perspective describes how social determinants health—namely immigration, language telehealth access, economic...
Adoptive T-cell immunotherapy holds great promise for the treatment of viral complications in immunocompromised patients resistant to standard anti-viral strategies. We present a retrospective analysis 78 from 19 hospitals across Australia and New Zealand, treated over last 15 years with "off-the-shelf" allogeneic T cells directed combination Epstein–Barr virus (EBV), cytomegalovirus (CMV), BK polyomavirus (BKV), John Cunningham (JCV) and/or adenovirus (AdV) under Australian Therapeutic...
Abstract Background and Objectives Most persons with dementia experience behavioral psychological symptoms (BPSD). While there is evidence that structured activity programs can be beneficial for their caregivers, it not well understood how joint engagement in shared activities affects BPSD caregiver stress. The purpose of this study was to examine the moderating effect doing a on Research Design Methods This used an intensive longitudinal observational design which caregivers completed...
Purpose Despite the benefits of outdoor activity in older adults, a paucity research explores factors associated with frequency adults going outdoors. The aim current study was to investigate if cognitive status, physical performance, and neighborhood characteristics were among adults. Method This cross-sectional used National Health Aging Trends Study data characterize Medicare beneficiaries by participant demographics, health, characteristics, estimated relationships between frequency....
We performed a pragmatic, cluster randomized controlled trial of comprehensive practice-level, multistage practice transformation intervention aiming to increase behavioral health integration in primary care practices and improve patient outcomes. examined associations between completion stages outcomes across heterogeneous national sample practices. Forty-two the United States with colocated 2,945 patients multiple chronic medical conditions completed surveys at baseline, midpoint, 2-year...
The study aimed to identify key drivers of vaccine hesitancy among healthcare workers (HCWs) employed at Long-term care facilities (LTCF) within selected states. It also sought determine which interventions, policies, and programs effectively reduced HCW for COVID-19 influenza. a mixed methods approach, combining secondary analysis the Behavioral Risk Factor Surveillance System (BRFSS) data, survey research, focus groups. BRFSS data on influenza rates informed selection states qualitative...
Background Technological advancements have the potential to improve caregiving quality and alleviate caregiver burden by providing tools for real-time communication, monitoring, care coordination. To assist with technology adoption among 53 million unpaid caregivers nationwide, efforts are needed better understand caregivers’ perceptions about usefulness of certain technologies caregiving. Methods Data were analyzed from a national sample 483 using an internet-delivered questionnaire. All...
Loneliness among emerging adults is common and associated with poor physical mental health. Most loneliness interventions have not been adapted nor tested in primary care that can broadly reach this population. This study aims to pilot test the feasibility, acceptability, preliminary impact of two -cognitive behavioral therapy (CBT) social prescribing (SP) - on reducing care. Participants aged 18-25, who were seen met cut-off score UCLA-3 loneliness, assigned either CBT (N=6) or SP (N=9)....
This study examined the impact of advance care planning (ACP) on healthcare utilization among older adults with normal cognition and impaired cognition/dementia. Using datasets from Health Retirement Study, we conducted a cross-sectional 17,698 participants aged 51 years older. Our analyses included survey descriptive logistic regression procedures. ACP measures living will durable power attorney for healthcare. Healthcare was measured using days spent in hospitals, hospice care, nursing...
Patients with a substance use disorder (SUD) often present co-occurring chronic conditions in primary care. Despite the high co-occurrence of medical and SUD, little is known about whether condition outcomes or related service utilization care varies between patients versus without documented SUDs. This study examined having SUD influenced services common for diabetes, hypertension, obesity.A longitudinal cohort observational electronic health record data from 21 clinics Washington Idaho to...
Abstract Purpose A pragmatic, cluster-randomized controlled trial of a comprehensive practice-level, multi-staged practice transformation intervention aimed to increase behavioral health integration in primary care practices and improve patient outcomes. We examined association between the completion stages outcomes across heterogenous national sample practices. Methods Forty-two U.S. with co-located 2,426 patients multiple chronic medical conditions completed surveys at baseline, midpoint...
<h3>Background:</h3> The COVID-19 pandemic disrupted how primary care patients with chronic pain received care. Our study sought to understand long-term opioid therapy (LtOT) for changed over the course of overall and different demographic subgroups. <h3>Methods:</h3> We used data from electronic health records 64 clinics across Washington state Idaho identify who had a diagnosis were receiving therapy. defined 10-month periods in 2019 2021 as prepandemic, early late generalized estimating...
Recent value-based payment reforms in the U.S. called for empirical data on how primary care practices of varying characteristics fund their integrated behavioral health services. To describe strategies used by to integration and compare between with without hospital affiliation.Baseline were collected from 44 participating a cluster-randomized, pragmatic trial integration. Data included practice strategies-fee-for-service payment, pay-for-performance incentives, grants, graduate medical...
Digital therapeutics are growing as a solution to manage pain for patients; yet, they underused in primary care where over half of the patients with chronic seek care. Little is known about how successfully engage providers recommending digital their patients. Exploring provider motivations management would potentially help improve engagement and inform development therapeutics.This study examined providers' management, including strategies challenges, future pain-related tailored...
Integrating primary care and behavioural health services improves access to outcomes among individuals with serious mental illness. Integrated is particularly promising for racial ethnic minority given higher rates of chronic illnesses poorer quality compared Whites. However, little known about integrated implementation in non-White populations. The aim this study identify facilitators barriers successful care-behavioural integration a multilingual healthcare setting.Seven focus groups five...
Integrating behavioral health in primary care improves quality of and outcomes for patients with comorbid conditions. Shortage a trained workforce limits adoption. Professional psychology training programs contribute to recruitment, retention, development skilled providers, who value deliver services care. This study interviewed cohort established real-world, state-wide clinical settings identified their strategies challenges teaching practices program resources that impact the robust...
<h3>Context:</h3> Digital therapeutics are growing as a solution to improve access and quality of care. Increasing evidence has shown the efficacy digital in managing pain for patients, but they underutilized by primary care providers who see over half patients with chronic pain. Engaging develop use management become necessary. <h3>Objective:</h3> This study explored providers’ challenges strategies identify needs practice gaps that inform development <h3>Study Design:</h3> Qualitative...
People with dementia can have many family and friends who might be affected by their deaths. Pursuing the long-term aim of understanding how deaths affect close friends, this project lays groundwork through estimates those are, special attention to race ethnicity.
<h3>Context</h3> Primary care must address the complex needs of patients with multiple chronic conditions, given 40% seen in primary have behavioral health needs. Integrated Behavioral Health (IBH) is associated improved access and engagement mental services physical patient outcomes. <h3>Objective</h3> Increase integration practices improve reported outcomes through a practice-centric intervention targeting conditions. <h3>Study Design Analysis</h3> A pragmatic, cluster-randomized...
<h3>Context:</h3> Persistent pain is experienced among nearly half of the patients with long COVID (LC). However, associated LC has not been well understood and there are no current standardized treatments. <h3>Objective:</h3> To document lived experience pain, including how they access receive healthcare, to improve services for evaluation treatment. <h3>Study Design:</h3> We conducted seven semi-structured focus groups 25 adult who had a positive test, reported as one their primary...