Overview
I am a health services researcher and implementation scientist with a joint appointment at the Duke University School of Nursing (DUSON) and the Durham Veterans Affairs Health Care System (VHA). My expertise spans diabetes distress, qualitative research methods, and virtual care delivery (including telehealth and digital health).
My research examines how virtual care interventions can reduce distress, improve self-management, expand access to evidence-based care, and enhance patient and population health outcomes. I focus on patient-, provider-, and system-level factors that influence the use and effectiveness of virtual care. This work has been funded by competitive grants, published in high-impact journals, presented at national conferences, and used to inform health system decision-making. I am frequently sought by colleagues locally and nationally for expertise in diabetes distress, qualitative methods, and virtual care strategies for grants, projects, and manuscripts.
I strive to improve outcomes for individuals with chronic illness by developing equitable, sustainable virtual care solutions and evaluating their implementation. To optimize these interventions, I apply qualitative and implementation science approaches to ensure alignment among patient needs, care modalities, disease states, and social contexts. My work addresses critical questions: for whom and for what purposes are these interventions effective, in which contexts, and at what points in the care continuum. Ultimately, my research advances the implementation and adoption of virtual care to reduce psychosocial distress and improve health outcomes through patient-clinician interactions and system-level innovations.
Current Appointments & Affiliations
Recent Publications
Implementing Advanced Comprehensive Diabetes Care Within the Veterans Affairs Learning Health System.
Journal Article J Gen Intern Med · November 4, 2025 BACKGROUND: Telehealth can improve glycemic control for patients with type 2 diabetes (T2D), but programs must be designed in a manner that facilitates real-world uptake and effectiveness within learning health systems (LHS). OBJECTIVE: To highlight how th ... Full text Link to item CiteExperiences Receiving and Delivering Virtual Health Care For Women: Qualitative Evidence Synthesis.
Journal Article J Med Internet Res · May 15, 2025 BACKGROUND: Persisting sex- and gender-based disparities in access to high-quality, personalized health care in the United States can lead to devastating outcomes with long-lasting consequences. Strategic use of virtual resources could expand equitable hea ... Full text Link to item CiteRecent Grants
CCC: The Regional Approaches to Cardiovascular Emergencies- Cardiac ARreSt (RACE-CARS) Cluster-Randomized Trial 1/2
ResearchCo Investigator · Awarded by National Institutes of Health · 2020 - 2027EXpanding Technology-Enabled, Nurse-Delivered Chronic Disease Care (EXTEND)
ResearchCo Investigator · Awarded by National Institute of Nursing Research · 2021 - 2026Communication in an Internet Environment
FellowshipPI-Fellow · Awarded by National Institutes of Health · 2016 - 2017View All Grants
Recent Artistic Works
Breaking Research Barriers Podcast
Audio Recording January 1, 2022 https://sites.duke.edu/breakingresearchbarriers/View All Artistic Works