Margaret Holland, PhD, MPH
Assistant Professor AdjunctCards
About
Research
Publications
2024
Telehealth in Home Visiting for New Mothers: Are Outcomes Different if the First Visits Are in Person?
Holland M, Fitch D, Regmi D, Sadler L. Telehealth in Home Visiting for New Mothers: Are Outcomes Different if the First Visits Are in Person? Prevention Science 2024, 25: 1153-1163. PMID: 39349915, PMCID: PMC11519217, DOI: 10.1007/s11121-024-01731-5.Peer-Reviewed Original ResearchIntimate partner violenceHome visitsChild developmentLikelihood of elevated depressive symptomsNurse-Family PartnershipHome visiting programsElevated depressive symptomsIn-person visitsEvidence-based modelPartner violenceSecondary data analysisChild maltreatmentLikelihood of breastfeedingAged 6 monthsLikelihood of retentionVisiting programsChild healthNew mothersChildren aged 6 monthsDepressive symptomsVideo encountersIn-personNatural experimentScreening assessmentProgram involvementBenchmarking Emergency Physician EHR Time per Encounter Based on Patient and Clinical Factors
Iscoe M, Venkatesh A, Holland M, Krumholz H, Sheares K, Melnick E. Benchmarking Emergency Physician EHR Time per Encounter Based on Patient and Clinical Factors. JAMA Network Open 2024, 7: e2427389. PMID: 39136949, PMCID: PMC11322841, DOI: 10.1001/jamanetworkopen.2024.27389.Peer-Reviewed Original ResearchComparing in Person to Telehealth Delivery of a Family Violence Intervention
Stover C, Holland M, Martin E, Modanesi E, Fish M, Beebe R. Comparing in Person to Telehealth Delivery of a Family Violence Intervention. Clinical Psychology & Psychotherapy 2024, 31: e3034. PMID: 39089327, DOI: 10.1002/cpp.3034.Peer-Reviewed Original ResearchConceptsIntimate partner violenceTelehealth deliveryIn-personFamily violence interventionTested in-personSymptoms of depressionChild protective servicesMental health symptomsTelehealth-delivered interventionIn-person deliveryIPV interventionsPartner violenceTreatment engagementViolence interventionsHealth symptomsProtective servicesIntervention servicesTelehealthCompletion ratesFathersInterventionClinical outcome dataCompleted treatmentOutcome dataF4CParenting experiences and outcomes among former adolescent mothers: A mixed methods study
Flaherty S, Knobf M, Holland M, Slade A, Nelson L, Sadler L. Parenting experiences and outcomes among former adolescent mothers: A mixed methods study. PLOS ONE 2024, 19: e0303119. PMID: 38748745, PMCID: PMC11095697, DOI: 10.1371/journal.pone.0303119.Peer-Reviewed Original ResearchConceptsMixed methods studyParenting outcomesRandomized clinical trialsAdolescent mothersMethods studyParents' experiencesSequential mixed methods studyExplanatory sequential mixed methods studyHome visiting programsPositive parenting outcomesPhase involved interviewsVisiting programsParticipants' experiencesChild behavior problemsPromote personal growthParticipants 2Maternal experienceQuantitative phaseQualitative dataPersonal growthEarly adulthoodBehavior problemsMothersHostile parentingOutcomes
2023
Participation in an Attachment-Based Home Visiting Program Is Associated with Lower Child Salivary C-Reactive Protein Levels at Follow-Up
Tobón A, Condon E, Slade A, Holland M, Mayes L, Sadler L. Participation in an Attachment-Based Home Visiting Program Is Associated with Lower Child Salivary C-Reactive Protein Levels at Follow-Up. Journal Of Developmental And Behavioral Pediatrics 2023, 44: e292-e299. PMID: 37126599, PMCID: PMC10353420, DOI: 10.1097/dbp.0000000000001180.Peer-Reviewed Original ResearchConceptsSalivary inflammatory biomarkersInflammatory biomarkersEarly childhood adversityC-reactive protein levelsChildhood adversitySalivary cytokine levelsEarly adversityMaternal-child dyadsHome Visiting ProgramSalivary CRP levelsMother-infant dyadsBlack/African AmericanHispanics/LatinosRCT completionCRP levelsCytokine levelsFollow-upSalivary specimensVisiting ProgramEarly interventionNegative psychosocial outcomesPsychosocial outcomesLong-term biological effectsProtein levelsMtb
2020
Changes in Functional Status and Health-Related Quality of Life in Older Adults After Surgical, Interventional, or Medical Management of Acute Myocardial Infarction
Mori M, Djulbegovic M, Hajduk A, Holland ML, Krumholz HM, Chaudhry SI. Changes in Functional Status and Health-Related Quality of Life in Older Adults After Surgical, Interventional, or Medical Management of Acute Myocardial Infarction. Seminars In Thoracic And Cardiovascular Surgery 2020, 33: 72-81. PMID: 32439546, PMCID: PMC7983308, DOI: 10.1053/j.semtcvs.2020.05.001.Peer-Reviewed Original ResearchConceptsCoronary artery bypass graftPercutaneous coronary interventionAcute myocardial infarctionPhysical component scaleMedical managementFunctional statusOlder patientsMyocardial infarctionArtery bypass graftHealth-related qualityAge 75 yearsPatient-centered outcomesRisk of declinePredictors of declineQuality of lifeUnadjusted incidenceCoronary interventionADL declineCardiac surgeryMedical therapyBypass graftSF-12Multivariable modelHRQoLPatientsDifferences in Frequency of Visits to Pediatric Primary Care Practices and Emergency Departments by Body Mass Index
Kovalerchik O, Powers E, Holland ML, Sharifi M, Langhan ML. Differences in Frequency of Visits to Pediatric Primary Care Practices and Emergency Departments by Body Mass Index. Academic Pediatrics 2020, 20: 532-539. PMID: 31904438, DOI: 10.1016/j.acap.2019.12.011.Peer-Reviewed Original ResearchConceptsPrimary care visitsCare visitsBMI percentile categoryED visitsNormal BMISevere obesityBMI categoriesIndex primary care visitPediatric primary care practicesBody mass index categoriesEmergency department visitsRisk of hospitalizationPediatric weight managementPrevalence of overweightBody mass indexHealth care utilizationNormal BMI rangeCare-seeking patternsPrimary care practicesChildren’s BMI categoryHealth care settingsRace/ethnicityElectronic health recordsImpact of stigmaIndex visit
2019
Availability of Grocery Delivery to Food Deserts in States Participating in the Online Purchase Pilot
Brandt EJ, Silvestri DM, Mande JR, Holland ML, Ross JS. Availability of Grocery Delivery to Food Deserts in States Participating in the Online Purchase Pilot. JAMA Network Open 2019, 2: e1916444. PMID: 31790562, PMCID: PMC6902750, DOI: 10.1001/jamanetworkopen.2019.16444.Peer-Reviewed Original ResearchAssociations Between Maternal Experiences of Discrimination and Biomarkers of Toxic Stress in School-Aged Children
Condon EM, Holland ML, Slade A, Redeker NS, Mayes LC, Sadler LS. Associations Between Maternal Experiences of Discrimination and Biomarkers of Toxic Stress in School-Aged Children. Maternal And Child Health Journal 2019, 23: 1147-1151. PMID: 31222595, PMCID: PMC6660374, DOI: 10.1007/s10995-019-02779-4.Peer-Reviewed Original ResearchMeSH KeywordsAdultBiomarkersBlack or African AmericanBlood PressureC-Reactive ProteinChildChild, PreschoolConnecticutCross-Sectional StudiesFemaleHair AnalysisHispanic or LatinoHumansInterleukin-1betaInterleukin-6Interleukin-8MaleMothersRacismSalivaSocioeconomic FactorsStress, PsychologicalTumor Necrosis Factor-alphaConceptsSalivary interleukin-6 levelsInterleukin-6 levelsMaternal experienceCross-sectional studyMaternal-child dyadsPoor health outcomesEthnic health inequitiesToxic stressSchool-Aged ChildrenChild healthNoninvasive biomarkersImmune pathwaysChild biomarkersHealth outcomesHealth inequitiesBiomarkersChildrenIndirect exposureLow-income neighborhoodsVicarious racismBiological mechanismsAdditional researchMothersExperiences of discriminationPhysiological mechanismsMaternal Adverse Childhood Experiences, Family Strengths, and Chronic Stress in Children
Condon EM, Holland ML, Slade A, Redeker NS, Mayes LC, Sadler LS. Maternal Adverse Childhood Experiences, Family Strengths, and Chronic Stress in Children. Nursing Research 2019, Publish Ahead of Print: &na;. PMID: 30789545, PMCID: PMC6488406, DOI: 10.1097/nnr.0000000000000349.Peer-Reviewed Original ResearchConceptsMaternal adverse childhood experiencesAdverse childhood experiencesChronic stressMaternal posttraumatic stress disorder symptomsSystolic blood pressure percentileBody mass index z-scoreUrban community health centerPTSD symptomsBlood pressure percentilesHistory of ACEsMaternal experienceSalivary IL-6Prenatal risk factorsCommunity health centersIndex z-scoreCross-sectional studyMaternal PTSD symptomsPoor infant developmentMaternal-child dyadsMore child behavioral problemsBehavioral problemsPosttraumatic stress disorder (PTSD) symptomsChildhood experiencesAsthma historyIL-6