2025
Multilevel Intervention to Increase Patient Portal Use in Adults With Type 2 Diabetes Who Access Health Care at Community Health Centers: Single Arm, Pre-Post Pilot Study
Whittemore R, Jeon S, Akyirem S, Chen H, Lipson J, Minchala M, Wagner J. Multilevel Intervention to Increase Patient Portal Use in Adults With Type 2 Diabetes Who Access Health Care at Community Health Centers: Single Arm, Pre-Post Pilot Study. JMIR Formative Research 2025, 9: e67293. PMID: 40131327, PMCID: PMC11979536, DOI: 10.2196/67293.Peer-Reviewed Original ResearchConceptsCommunity health centersPatient portal useDigital health literacyPortal useHealth literacyMultilevel interventionsType 2 diabetesSocial determinants of healthDiabetes self-management educationCommunity health workersImprove health equityDeterminants of healthSelf-management educationDiabetes self-efficacyHealth-related outcomesBarriers to clinical integrationPre-post designHemoglobin A<sub>1c</sub> levelDiabetes distressHealth equityPatient portalsSocial determinantsDeliver carePortal accountHealth apps
2024
Electronic Patient-Reported Outcome-Driven Symptom Management by Oncology Pharmacists in a Majority-Minority Population: An Implementation Study
Chan A, Ng D, Arcos D, Heshmatipour M, Lee B, Chen A, Duong L, Van L, Nguyen T, Green V, Hoang D. Electronic Patient-Reported Outcome-Driven Symptom Management by Oncology Pharmacists in a Majority-Minority Population: An Implementation Study. JCO Oncology Practice 2024, 20: 1744-1754. PMID: 39008806, PMCID: PMC11649175, DOI: 10.1200/op.24.00050.Peer-Reviewed Original ResearchConceptsOncology pharmacistsRacial/Ethnic MinoritiesSymptom managementImplementation outcomesPatient-Reported Outcomes Measurement Information System measuresImplementation studyRE-AIM frameworkSymptom management toolSevere pain interferenceUrgent care utilizationNon-Hispanic whitesSupportive care issuesGeneralized Estimating EquationsRE-AIMHealth disparitiesMultilevel interventionsPain interferenceCare utilizationNon-HispanicCare issuesSymptom screeningHigher RatesTreatment counselingSymptom assessmentSymptom trajectories
2023
A Patient-Centered Intervention Reduces Disparities in Remote Monitoring in Patients With Implanted Cardiac Devices
Rosman L, Mazzella A, Gu X, Vives C, Lanctin D, Natera A, Gehi A, Lampert R. A Patient-Centered Intervention Reduces Disparities in Remote Monitoring in Patients With Implanted Cardiac Devices. JACC Clinical Electrophysiology 2023, 10: 316-330. PMID: 37999668, DOI: 10.1016/j.jacep.2023.10.001.Peer-Reviewed Original ResearchPatient-centered interventionsIntervention groupClinic-level barriersGuideline-directed careRetrospective cohort analysisCardiovascular implantable electronic devicesImplantable electronic devicesIntervention launchMultivariable modelNeighborhood socioeconomic characteristicsCohort analysisU.S. clinicsPatientsControl groupMultilevel interventionsCardiac devicesLogistic regressionEarly activationAdherenceCareHome deliveryInterventionUnderserved groupsUnderserved communitiesClinic
2022
A Developmental Model of the Sexual Minority Closet: Structural Sensitization, Psychological Adaptations, and Post-closet Growth
Pachankis JE, Jackson SD. A Developmental Model of the Sexual Minority Closet: Structural Sensitization, Psychological Adaptations, and Post-closet Growth. Archives Of Sexual Behavior 2022, 52: 1869-1895. PMID: 35978203, PMCID: PMC9935753, DOI: 10.1007/s10508-022-02381-w.Peer-Reviewed Original ResearchConceptsDevelopmental modelSexual minority identity formationSexual minority individualsMental health effectsPsychological adaptationVicarious learningSources of supportTemporal contextFuture research directionsSensitive periodMinority individualsCentral identityIdentity formationSexual identityMultilevel interventionsSexual orientationResearch directionsTestable hypothesesOrientation awarenessAdolescenceStressorsLearningIdentityClosetIndividualsWhat works to protect, promote and support breastfeeding on a large scale: A review of reviews
Tomori C, Hernández‐Cordero S, Busath N, Menon P, Pérez‐Escamilla R. What works to protect, promote and support breastfeeding on a large scale: A review of reviews. Maternal And Child Nutrition 2022, 18: e13344. PMID: 35315573, PMCID: PMC9113479, DOI: 10.1111/mcn.13344.Peer-Reviewed Original ResearchConceptsIncome settingsBaby-Friendly Hospital InitiativeHealth systemEffective interventionsEvidence baseKangaroo mother careRisk of biasReview of interventionsBreastfeeding outcomesHospital InitiativeMother careBreastfeeding protectionReview of reviewsHome visitsAssessment of biasHealth settingsSkin careModerate qualityMultilevel interventionsSocial ecological modelImportance of continuityInterventionCareFamily settingsStructural interventions
2021
Pretreatment Invasive Nodal Staging in Lung Cancer Knowledge, Attitudes, and Beliefs Among Academic and Community Physicians
Henderson LM, Farjah F, Detterbeck F, Smith RA, Silvestri GA, Rivera MP. Pretreatment Invasive Nodal Staging in Lung Cancer Knowledge, Attitudes, and Beliefs Among Academic and Community Physicians. CHEST Journal 2021, 161: 826-832. PMID: 34801593, PMCID: PMC9069181, DOI: 10.1016/j.chest.2021.11.010.Peer-Reviewed Original ResearchConceptsInvasive nodalGuideline adherenceGuideline recommendationsNodal stagingTreatment decisionsThoracic surgeonsNon-small cell lung cancerCell lung cancerBetter patient outcomesAppropriate treatment decisionsLung cancer knowledgeLack of evidenceChest PhysiciansTreatment delayCancer knowledgeLung cancerPatient anxietyPatient outcomesCommunity physiciansAmerican CollegeMost physiciansInsufficient evidenceRoutine practiceWeb-based surveyMultilevel interventionsA State of the Science on HIV Prevention Over 40 Years Among Black and Hispanic/Latinx Communities
Ramos SR, Nelson LE, Jones SG, Ni Z, Turpin RE, Portillo CJ. A State of the Science on HIV Prevention Over 40 Years Among Black and Hispanic/Latinx Communities. Journal Of The Association Of Nurses In AIDS Care 2021, 32: 253-263. PMID: 33929978, PMCID: PMC8223201, DOI: 10.1097/jnc.0000000000000266.Peer-Reviewed Original ResearchConceptsHispanic/Latinx communitiesHIV preventionPrevention interventionsPre-exposure prophylaxis uptakeNew HIV infectionsBehavioral prevention interventionsHIV infectionHIV testingClinical practiceMultilevel interventionsPreventionInterventionLatinx personsPublic healthLatinx communitiesInfectionStructural inequities
2018
Healthcare Mistreatment and Avoidance in Trans Masculine Adults: The Mediating Role of Rejection Sensitivity
Hughto JMW, Pachankis JE, Reisner SL. Healthcare Mistreatment and Avoidance in Trans Masculine Adults: The Mediating Role of Rejection Sensitivity. Psychology Of Sexual Orientation And Gender Diversity 2018, 5: 471-481. PMID: 30637266, PMCID: PMC6328255, DOI: 10.1037/sgd0000296.Peer-Reviewed Original ResearchA multisite, longitudinal study of risk factors for incarceration and impact on mental health and substance use among young transgender women in the USA
Hughto JMW, Reisner SL, Kershaw TS, Altice FL, Biello KB, Mimiaga MJ, Garofalo R, Kuhns LM, Pachankis JE. A multisite, longitudinal study of risk factors for incarceration and impact on mental health and substance use among young transgender women in the USA. Journal Of Public Health 2018, 41: 100-109. PMID: 29474682, PMCID: PMC6490767, DOI: 10.1093/pubmed/fdy031.Peer-Reviewed Original ResearchConceptsYoung transgender womenIllicit drug useRisk factorsTransgender womenRecent incarcerationDrug useSignificant independent predictorsIndividual risk factorsSubstance use disordersIndependent predictorsDepressive symptomsGeneral populationUse disordersMultilevel interventionsSomatic symptomsPoor healthRecent homelessnessMental healthStudy periodSubstance useWomenMixed effects modelsLongitudinal studySymptomsEffects modelIntersectional experiences of discrimination in a low‐resource urban community: An exploratory latent class analysis
Earnshaw V, Rosenthal L, Gilstad‐Hayden K, Carroll‐Scott A, Kershaw T, Santilli A, Ickovics J. Intersectional experiences of discrimination in a low‐resource urban community: An exploratory latent class analysis. Journal Of Community & Applied Social Psychology 2018, 28: 80-93. DOI: 10.1002/casp.2342.Peer-Reviewed Original ResearchHealth inequitiesIntersectional experiencesTheoretical debatesWorse overall healthLatent class analysisCommunity Health SurveyLow-resource urban communitiesUrban community settingsSleep disruptionHealth SurveyClass analysisHealth outcomesOverall healthMultilevel interventionsExploratory latent class analysisIntersectionality frameworkCommunity settingsCommunity membersFrequent discriminationUrban communitiesHigh rateInequitiesDiscrimination experiencesDiverse communitiesClasses of participants
2017
Simulating the Impact of Crime on African American Women's Physical Activity and Obesity
Powell‐Wiley T, Wong M, Adu‐Brimpong J, Brown S, Hertenstein D, Zenkov E, Ferguson M, Thomas S, Sampson D, Ahuja C, Rivers J, Lee B. Simulating the Impact of Crime on African American Women's Physical Activity and Obesity. Obesity 2017, 25: 2149-2155. PMID: 29086471, PMCID: PMC5705259, DOI: 10.1002/oby.22040.Peer-Reviewed Original Research
2012
Multilevel Interventions: Study Design and Analysis Issues
Cleary PD, Gross CP, Zaslavsky AM, Taplin SH. Multilevel Interventions: Study Design and Analysis Issues. JNCI Monographs 2012, 2012: 49-55. PMID: 22623596, PMCID: PMC3482964, DOI: 10.1093/jncimonographs/lgs010.Peer-Reviewed Original ResearchMeSH KeywordsConfounding Factors, EpidemiologicContinuity of Patient CareData Interpretation, StatisticalDelivery of Health Care, IntegratedEarly Detection of CancerEducation, Medical, ContinuingFamilyHealth BehaviorHealth EducationHealth PromotionHealth Services ResearchHumansMedicaidMedicareNeoplasmsOrganizationsPatient Care TeamPrimary Health CareQuality of Health CareRandomized Controlled Trials as TopicResearch DesignResidence CharacteristicsRisk AssessmentSchoolsUnited StatesWorkplaceConceptsSingle-level interventionsMultilevel interventionsImpact of interventionsPatient outcomesCancer preventionIntervention componentsHealth care organizationsStudy designFocused interventionsHealth careInterventionSustained changesOutcomesKind of interventionLittle evidenceLevelsPatientsClinicCommunity levelCancerPhysiciansIndividualsCarePrevention
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