Amber Hromi-Fiedler, PhD, MPH
Research Scientist in Public Health (Social and Behavioral Sciences)Cards
Contact Info
About
Titles
Research Scientist in Public Health (Social and Behavioral Sciences)
Biography
Dr. Amber Hromi-Fiedler is currently a Research Scientist in the Department of Social and Behavioral Sciences in the Yale School of Public Health. Dr. Hromi-Fiedler obtained her B.A. in Psychobiology from Wheaton College in Norton, Massachusetts, in 1994. In 2002, she obtained her M.P.H. from the University of Connecticut and in 2007 she obtained her Ph.D. from the same university. Dr. Hromi-Fiedler specializes in community nutrition with emphasis in maternal and child health (MCH) both domestically and internationally. Internationally, she participated in the implementation of an MCH project with Save the Children in Uganda. In Ghana, with funding from the NIH, she developed and taught an intensive course to build the capacity of local Ghanaian health professional by enhancing their knowledge and skill of analyzing nutritional data using a public domain software available through the Centers for Disease Control. In Ghana, she also collaborated in the training of nutrition staff and the development of nutrition education materials for Liberian refugee caretakers at Buduburam Refugee Camp. The nutrition education materials focused on child nutrition as well as food safety and are currently being used and distributed to caretakers to improve nutritional outcomes among Liberian refugee children. She also conducted a postdoctoral summer fellowship in Ghana examining dietary practices, food availability, and nutritional status among Liberian refugees and Ghanaians living in and around Buduburam Refugee Camp. She continues to work in Ghana on infant and young child feeding projects. Domestically, she has taken the lead on the adaptation of the U.S. Food Security Scale, a national instrument to measure food insecurity, among pregnant Latina women. Dr. Hromi-Fiedler implemented one of the first longitudinal studies in Hartford, CT, examining the association between food insecurity during pregnancy and infant outcomes among Latinas. Dr. Hromi-Fiedler has also conducted feasibility research to develop a community-based intervention to increase fruit and vegetable consumption among low-income pregnant Latinas. Dr. Hromi-Fiedler has presented her work at national and international conferences. Dr. Hromi-Fiedler has authored or co-authored several research articles in the fields of interest.
Appointments
Social and Behavioral Sciences
Research ScientistPrimary
Other Departments & Organizations
- Becoming Breastfeeding Friendly
- Maternal and Child Health Promotion (MCHP) Program
- Social and Behavioral Sciences
Education & Training
- PhD
- University of Connecticut (2007)
- MPH
- University of Connecticut (2002)
- BA
- Wheaton College (1994)
Research
Research at a Glance
Yale Co-Authors
Publications Timeline
Rafael Pérez-Escamilla, PhD
Josefa L. Martinez, PhD, MHS
Kathleen O'Connor Duffany, PhD, MEd
Publications
2024
Clients’ experiences and satisfaction with produce prescription programs in California: a qualitative evaluation to inform person-centered and respectful program models
Rhodes E, Pérez-Escamilla R, Okoli N, Hromi-Fiedler A, Foster J, McAndrew J, Duran-Becerra B, Duffany K. Clients’ experiences and satisfaction with produce prescription programs in California: a qualitative evaluation to inform person-centered and respectful program models. Frontiers In Public Health 2024, 12: 1295291. PMID: 38572012, PMCID: PMC10990041, DOI: 10.3389/fpubh.2024.1295291.Peer-Reviewed Original ResearchAltmetricConceptsPrescription programClient experiencePerson-centeredFederally Qualified Health CentersFramework analysis approachQualified Health CentersImprove client experienceFocus group discussionsTreated with respectVegetable consumptionPerson-centrednessProgram usabilityHealth centersParticipants' program experiencesPositive experiencesGroup discussionsLife courseGift cardsPrescriptionParticipantsProgram designSatisfactionThemesProgram demandsFresh fruits
2021
Impact of breastfeeding interventions among United States minority women on breastfeeding outcomes: a systematic review
Segura-Pérez S, Hromi-Fiedler A, Adnew M, Nyhan K, Pérez-Escamilla R. Impact of breastfeeding interventions among United States minority women on breastfeeding outcomes: a systematic review. International Journal For Equity In Health 2021, 20: 72. PMID: 33676506, PMCID: PMC7936442, DOI: 10.1186/s12939-021-01388-4.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsSystematic reviewBF outcomesMinority womenSpecial Supplemental Nutrition ProgramImplementation research studySupplemental Nutrition ProgramMeta-Analyses (PRISMA) checklistPreferred Reporting ItemsCommunity-level interventionsMethodsThe systematic reviewCombination of interventionsImplementation science researchPublic health institutionsCross-sectional designGRADE methodologyMedicine guidelinesBF initiationStudy protocolSocioecological modelStudy interventionHispanic womenElectronical databasesExclusivity ratesReporting ItemsNutrition Program
2020
Analysis of stakeholder networks for breastfeeding policies and programs in Ghana
Aryeetey R, Harding K, Hromi-Fiedler A, Pérez-Escamilla R. Analysis of stakeholder networks for breastfeeding policies and programs in Ghana. International Breastfeeding Journal 2020, 15: 74. PMID: 32831116, PMCID: PMC7444079, DOI: 10.1186/s13006-020-00311-x.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsPolicies/programsUnited Nations Children's FundGovernment agenciesKey institutional actorsMulti-sectoral approachGhana Health ServiceInteractive social networksInstitutional actorsDiverse actorsUnique actorsActor groupsDonor agenciesNet-MapDevelopment partnersStakeholder networksFunding linksActor categoriesUnited NationsActorsRelevant institutionsInterview dataFinancial assistanceAppropriate policiesPolicySocial networksDevelopment and Testing of Responsive Feeding Counseling Cards to Strengthen the UNICEF Infant and Young Child Feeding Counseling Package
Hromi-Fiedler AJ, Carroll GJ, Tice MR, Sandow A, Aryeetey R, Pérez-Escamilla R. Development and Testing of Responsive Feeding Counseling Cards to Strengthen the UNICEF Infant and Young Child Feeding Counseling Package. Current Developments In Nutrition 2020, 4: nzaa117. PMID: 32885131, PMCID: PMC7447589, DOI: 10.1093/cdn/nzaa117.Peer-Reviewed Original ResearchCitationsAltmetricConceptsGroup education sessionsHealth care providersCare providersEducation sessionsYoung child feeding (IYCF) counselingCultural appropriatenessFocus group discussionsAdult mothersFathers of childrenFGD findingsHunger/satiety cuesIYCF counselingSatiety cuesInfantsCounselingRF messagesChildrenKey messagesNew foodsFood textureSessionsProvidersGroup discussions
2018
Factors Influencing Dietary Practices Among Ghanaian Residents and Liberians Living in a Protracted Refugee Situation in Ghana
Mandelbaum J, Pérez-Escamilla R, Sandow A, Gallego-Pérez DF, Lartey A, Hromi-Fiedler A. Factors Influencing Dietary Practices Among Ghanaian Residents and Liberians Living in a Protracted Refugee Situation in Ghana. Journal Of Nutrition Education And Behavior 2018, 51: 567-577. PMID: 30442569, DOI: 10.1016/j.jneb.2018.09.007.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsLiberian refugeesRefugee settlementRefugee situationsProtracted Refugee SituationsMixed-method cross-sectional studyNational identityHost communitiesDepth interviewsLocal communitiesRefugeesQualitative dataFood accessGhanaian residentsIterative codingGhanaian womenAccess issuesDietary practicesGhanaiansSocial supportSettlementSensitive programsNeighboring villagesPracticeGhanaCommunityPilot testing of the Becoming Breastfeeding Friendly toolbox in Ghana
Aryeetey R, Hromi-Fiedler A, Adu-Afarwuah S, Amoaful E, Ampah G, Gatiba M, Kwakye A, Otoo G, Plange-Rhule G, Sagoe-Moses I, Selenje L, Pérez-Escamilla R, Ghana Becoming Breastfeeding Friendly Committee. Pilot testing of the Becoming Breastfeeding Friendly toolbox in Ghana. International Breastfeeding Journal 2018, 13: 30. PMID: 30008793, PMCID: PMC6042403, DOI: 10.1186/s13006-018-0172-y.Peer-Reviewed Original ResearchCitationsAltmetricConceptsInsufficient government fundingBBF IndexBreastfeeding servicesAvailable evidenceTotal scoreProgram gapsScoresInadequate monitoringPilot testingInadequate coverageProgram deliveryProgram implementationCurrent studyAwareness initiativesModerate scalingSub-optimal coordinationBreastfeedingMaternity protectionCommittee
2017
Becoming Baby Friendly: A Complex Adaptive Systems Toolbox for Scaling up Breastfeeding Programs Globally
Perez‐Escamilla R, Hromi‐Fiedler A, Gubert M. Becoming Baby Friendly: A Complex Adaptive Systems Toolbox for Scaling up Breastfeeding Programs Globally. The FASEB Journal 2017, 31 DOI: 10.1096/fasebj.31.1_supplement.165.8.Peer-Reviewed Original ResearchConceptsBreastfeeding programBreastfeeding promotion programsEvidence-based toolboxYoung child feedingEvidence-based indexDelphi consensus methodologyAreas of infantNewborn survivalHigh-income countriesChild feedingPromotion programsHealth initiativesNutrition ProgramConsensus methodologyTotal scoreGrey literatureIncome countriesAdvisory CommitteeProgram deliverySteering CommitteeInternational agenciesInfantsBabiesFunding informationHow Ready Is Mexico to Launch an Effective National Program to Protect, Promote and Support Breastfeeding
de Cosio T, Ferre I, Alonso A, Bonvecchio A, Colmenares M, Cauich E, Gris P, Hernández S, Mendiola K, Piedras I, Villa A, Vilar M, Hromi‐Fiedler A, Pérez‐Escamilla R. How Ready Is Mexico to Launch an Effective National Program to Protect, Promote and Support Breastfeeding. The FASEB Journal 2017, 31 DOI: 10.1096/fasebj.31.1_supplement.312.8.Peer-Reviewed Original ResearchConceptsBreastfeeding programHealth care providersMonths of ageCivil societyPolitical willMexican health systemEffective national programmeLowest tertileExclusive breastfeedingBreastfeeding practicesSupport breastfeedingBreastfeeding protectionProgram deliveryHealth facilitiesCare providersHealth servicesMexican federal governmentHealth systemEvidence-based advocacyTotal scoreSocioeconomic statusBreastfeedingVulnerable groupsScoresFederal governmentFood insecurity, food coping strategies, and child health among Ghanaians and long term Liberian refugees living in Ghana
Hromi‐Fiedler A, Lartey A, Gallego‐Perez D, Sandow A, Perez‐Escamilla R. Food insecurity, food coping strategies, and child health among Ghanaians and long term Liberian refugees living in Ghana. The FASEB Journal 2017, 31 DOI: 10.1096/fasebj.31.1_supplement.639.35.Peer-Reviewed Original ResearchConceptsChild healthHousehold food insecurityChild health statusFood insecurePreventive health careCross-sectional surveyHousehold Food Security ScaleFamily/friendsSevere food insecurityFood insecurityChildren 6Household membersDiagnosis confirmationFood Security ScaleGhanaian childrenSectional surveyHealth problemsHealth statusGhanaian womenAdditive scoreLiberian childrenCoping strategiesHealth careMonthsHealth
2016
Barriers and Facilitators to Improve Fruit and Vegetable Intake Among WIC-Eligible Pregnant Latinas: An Application of the Health Action Process Approach Framework
Hromi-Fiedler A, Chapman D, Segura-Pérez S, Damio G, Clark P, Martinez J, Pérez-Escamilla R. Barriers and Facilitators to Improve Fruit and Vegetable Intake Among WIC-Eligible Pregnant Latinas: An Application of the Health Action Process Approach Framework. Journal Of Nutrition Education And Behavior 2016, 48: 468-477.e1. PMID: 27373861, PMCID: PMC4934128, DOI: 10.1016/j.jneb.2016.04.398.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsHealth Action Process Approach frameworkPregnant LatinasSpecial Supplemental Nutrition ProgramMaternal health statusSupplemental Nutrition ProgramSocial supportFamily/friendsSingleton pregnanciesVegetable intakePrenatal factorsHealth statusNutrition ProgramLarger studyIntakeWomenInterventionDistal factorsLatinasNonsmokersObeseOverweightTrimesterPregnancyOutcome expectationsInfants
News
News
- May 17, 2023
Jennifer Mandelbaum keeps a hand in academia as a lecturer
- May 02, 2022
Conversation with Focus
- July 20, 2021
Yale School of Public Health Partnership with Mexico Leads to New Online Implementation Science Course
- April 19, 2021
Yale School of Public Health Launches Maternal Child Health Promotion Track
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New Haven, CT 06510