Scholars@Duke
Hannah Grace Lane

Hannah Grace Lane

Assistant Professor in Population Health Sciences
Population Health Sciences
Box 90517, Durham, NC 27708-0517
215 Morris Street, Suite 210, Durham, NC 27701

Scholarly Works - Journal articles

Identifying Contextual Barriers and Potential Solutions to Improving Hypertension Management in Rural Communities in the United States: Qualitative Study From 2 North Carolina Counties.

Journal article J Am Heart Assoc · June 16, 2026 BACKGROUND: Blood pressure-related deaths from cardiovascular disease are higher in rural than in urban areas in the Unites States, especially in southeastern states. However, the barriers and potential solutions to hypertension care are inadequately under ... Full text Link to item Cite

Transforming Access to Hearing Care: Community Perspectives on School-Based Telehealth in Rural Appalachia.

Journal article Ear Hear · March 2026 OBJECTIVES: School-based hearing screening serves as a critical resource for children in rural areas to be screened and connected to hearing healthcare. Telemedicine interventions in schools have shown promise in connecting children to providers; however, ... Full text Link to item Cite

"It's Just Our New Norm": A Qualitative Analysis of COVID-19 Pandemic Stressors and Protective Factors Among Caregivers of School-Aged Children.

Journal article Am J Health Promot · March 2026 PurposeTo understand general COVID-19 pandemic-related stressors among caregivers of children ages 3-15, and describe institutional, interpersonal, and personal protective factors used to cope with pandemic-related stress.DesignSemi-structured, in-depth in ... Full text Link to item Cite

Identifying CFIR Inner Setting Factors in the Implementation of a Salon-Based Intervention to Reduce Barriers and Improve Pre-Exposure Prophylaxis (PrEP) Uptake Among Black Women in US South.

Journal article Community Health Equity Res Policy · October 2025 US Black women are disproportionally represented in new HIV diagnoses. PrEP is effective in HIV prevention, but Black women's uptake is low. The UPDOs salon-based intervention is effective in overcoming barriers to care but scaling implementation is needed ... Full text Link to item Cite

Teams, Partners, or Champions? A Mixed-Methods Exploration of Potential Pathways of Implementation Success for Wellness Initiatives in Schools Using the Quality Implementation Framework.

Journal article J Acad Nutr Diet · October 2025 BACKGROUND: Local wellness policies (LWPs) promote healthy eating and physical activity practices in US schools. Achieving and sustaining quality implementation of LWPs is challenging, particularly in urban and rural schools which may lack implementation r ... Full text Link to item Cite

Improving Access to Specialty Care for Rural Children Using Enhanced Hearing Screening and Specialty Telehealth Follow-Up in Rural Kentucky Schools: Protocol for a Hybrid Effectiveness-Implementation Stepped Wedge, Cluster-Randomized Controlled Trial (Appalachian STAR Trial).

Journal article JMIR Res Protoc · August 26, 2025 BACKGROUND: Rural populations are disproportionately affected by preventable childhood hearing loss, which is associated with speech and language delays, impaired social development, and decreased educational attainment. Rural schools are critical access p ... Full text Link to item Cite

A Qualitative Secondary Analysis of Patient Health-Related Quality of Life in Bloodstream Infections by Source: Intra-abdominal, Urinary Tract, and Acute Bacterial Skin and Skin Structure Infection.

Journal article Clin Infect Dis · August 6, 2025 BACKGROUND: Despite the prevalence of intra-abdominal infections, urinary tract infections, and skin/skin structure infections, the relative impact of these syndromes on patient health-related quality of life (HRQoL) is unclear. This qualitative secondary ... Full text Open Access Link to item Cite

School-based enhanced hearing screening and specialty telehealth follow-up for hearing loss among children in rural Alaska: study protocol for a hybrid effectiveness-implementation stepped wedge, cluster-randomized controlled trial (North STAR trial).

Journal article Trials · May 27, 2025 BACKGROUND: Childhood hearing loss has well-known profound implications for language development, school achievement, and future employment opportunities. School-based health programs can provide hearing screening, but access to specialists for follow-up c ... Full text Link to item Cite

Implementation strategies used in policy, systems, and environmental interventions addressing obesity-related outcomes in early childhood education settings: a systematic review.

Journal article Implement Sci Commun · March 31, 2025 BACKGROUND: Policy, systems, and environmental (PSE) approaches, including those enacted in early childhood education (ECE) settings, can improve child health outcomes. The use of implementation strategies, or the ways in which these approaches are enacted ... Full text Link to item Cite

Recommendations for interdisciplinary research collaboration for early career dissemination and implementation researchers: A multi-phase study.

Journal article J Clin Transl Sci · 2025 INTRODUCTION: Dissemination and implementation (D&I) scientists are key members of collaborative, interdisciplinary clinical and translational research teams. Yet, early career D&I researchers (ECRs) have few guidelines for cultivating productive research ... Full text Open Access Link to item Cite

Student perceptions of U.S. based school day physical activity best practices in relation to accelerometer-based sedentary behavior and activity.

Journal article Prev Med Rep · January 2025 OBJECTIVE: To examine associations between student perceptions of school physical activity best practices and accelerometer-based physical activity during school days. METHODS: The sample was 758 students in grades 3rd-4th or 6th-7th (female-58 %; 31 % Bla ... Full text Link to item Cite

Physical Activity, Confidence, and Social Norms Associated With Teachers' Classroom Physical Activity Break Implementation.

Journal article Health Promot Pract · May 2024 Despite the benefits of classroom physical activity breaks on student health and academic outcomes, more research is needed to understand what factors may be associated with classroom physical activity break implementation, to bolster buy-in from school st ... Full text Link to item Cite

Studying the impact of COVID-19 mitigation policies on childhood obesity, health behaviors, and disparities in an observational cohort: Protocol for the COVID-19 Family Study.

Journal article Contemp Clin Trials · January 2024 BACKGROUND: COVID-19 pandemic control policies, including school closures, suspended extra-curricular activities, and social distancing, were introduced to prevent viral transmission, and disrupted children's daily routines, health behaviors, and wellness. ... Full text Link to item Cite

Challenges and Opportunities for Equity in US School Meal Programs: A Scoping Review of Qualitative Literature Regarding the COVID-19 Emergency.

Journal article Nutrients · August 26, 2023 The emergency school meals program provided free meals to children in the United States (US) during COVID-19-related school closures. This scoping review aims to synthesize the existing qualitative empirical evidence published between March 2020 and Januar ... Full text Link to item Cite

Organizational trust, usability, and inclusivity are key implementation facilitators for a proposed assets-based mobile health intervention.

Journal article Transl Behav Med · July 1, 2023 Assets-based interventions can address child health disparities by connecting families to existing community resources. Community collaboration when designing interventions may identify barriers and facilitators to implementation. The objective of this stu ... Full text Link to item Cite

Development and Interrater Reliability of an Observational School Environment Checklist: A Practical, Comprehensive Tool to Assess Healthy Eating and Physical Activity Opportunities in Schools.

Journal article Health Promot Pract · September 2022 INTRODUCTION: Comprehensive, objective assessment of schools' eating and physical activity environments is critical to developing and evaluating policies and interventions to reduce pediatric obesity inequities; however, few tools exist that describe the e ... Full text Link to item Cite

"Let's Use This Mess to Our Advantage": Calls to Action to Optimize School Nutrition Program beyond the Pandemic.

Journal article Int J Environ Res Public Health · June 22, 2022 School nutrition programs mitigate food insecurity and promote healthy eating by offering consistent, nutritious meals to school-aged children in communities across the United States; however, stringent policy guidelines and contextual challenges often lim ... Full text Link to item Cite

Pre-pandemic to early-pandemic changes in risk of household food insecurity among Maryland families with children.

Journal article Public Health Nutr · June 2022 OBJECTIVE: The objective was to examine risk and protective factors associated with pre- to early-pandemic changes in risk of household food insecurity (FI). DESIGN: We re-enrolled families from two statewide studies (2017-2020) in an observational cohort ... Full text Link to item Cite

Building a National Framework to Pair Scientists and Schools During a Global Pandemic.

Journal article Pediatrics · February 1, 2022 The coronavirus disease 2019 (COVID-19) pandemic forced the suspension of in-person education in schools serving students in kindergarten through 12th grade (K-12) across the United States. As time passed, teachers, students, and parents struggled with rem ... Full text Link to item Cite

Patients' Experiences With Staphylococcus aureus and Gram-Negative Bacterial Bloodstream Infections: Results From Cognitive Interviews to Inform Assessment of Health-Related Quality of Life.

Journal article Open Forum Infect Dis · February 2022 BACKGROUND: We previously conducted a concept elicitation study on the impact of Staphylococcus aureus and gram-negative bacterial bloodstream infections (SAB/GNB) on health-related quality of life (HRQoL) from the patient's perspective and found significa ... Full text Open Access Link to item Cite

Elementary Schools' Response to Student Wellness Needs during the COVID-19 Shutdown: A Qualitative Exploration Using the R = MC2 Readiness Heuristic.

Journal article Int J Environ Res Public Health · December 27, 2021 During spring of 2020, the COVID-19 pandemic and accompanying public health advisories forced K-12 schools throughout the United States to suspend in-person instruction. School personnel rapidly transitioned to remote provision of academic instruction and ... Full text Link to item Cite

Still striding toward social justice? Redirecting physical activity research in a post-COVID-19 world.

Journal article Transl Behav Med · June 17, 2021 The COVID-19 crisis and parallel Black Lives Matter movement have amplified longstanding systemic injustices among people of color (POC). POC have been differentially affected by COVID-19, reflecting the disproportionate burden of ongoing chronic health ch ... Full text Link to item Cite

Associations between elementary and middle school teachers' physical activity promoting practices and teacher- and school-level factors.

Journal article Int J Behav Nutr Phys Act · May 19, 2021 BACKGROUND: Few studies have evaluated teacher- and school-level characteristics associated with implementation of recommended physical activity (PA) promoting practices. The purpose of this study is to examine associations between teachers' PA practices a ... Full text Link to item Cite

Recess as a practical strategy to implement the Whole School, Whole Community, Whole Child model in schools

Journal article Health Education Journal · March 1, 2021 Objectives: Schools can provide an optimal environment for promoting children’s health behaviours. The Whole School, Whole Community, Whole Child (WSCC) model addresses 10 aspects of the school environment that can be used to promote student health behavio ... Full text Cite

A systematic review of existing observational tools to measure the food and physical activity environment in schools.

Journal article Health Place · November 2020 Objective measures of schools' wellness-promoting environments are commonly used in obesity prevention studies; however, the extent to which findings from these measures translate to policy and practice is unknown. This systematic review describes the comp ... Full text Link to item Cite

An evaluation of the coverage of theoretically based implementation factors in disseminated classroom physical activity programs

Journal article Translational Behavioral Medicine · October 8, 2020 AbstractClassroom-based physical activity (CBPA) is increasingly recommended as a method to support children’s physical activity, health, and academic performance. Many adoption-ready programs exist to aid i ... Full text Cite

Diet quality of elementary and middle school teachers is associated with healthier nutrition-related classroom practices.

Journal article Prev Med Rep · June 2020 Many schools have implemented policies and programs to address childhood obesity. However, few have evaluated obesity-related health behaviors among teachers, or how these behaviors may be associated with teachers' nutrition-related practices in the classr ... Full text Link to item Cite

Recommendations for Measurement of Child Health Literacy: A Pragmatic Approach

Journal article HLRP: Health Literacy Research and Practice · July 2019 Full text Cite

Wellness Committee Status and Local Wellness Policy Implementation Over Time

Journal article American Journal of Preventive Medicine · March 2019 Full text Cite

A Participatory Process to Engage Appalachian Youth in Reducing Sugar-Sweetened Beverage Consumption.

Journal article Health Promot Pract · March 2019 Children and adolescents consume excessive amounts of sugar-sweetened beverages (SSBs), which are associated with adverse health outcomes. We describe a yearlong participatory research study to reduce SSBs in Central Appalachia, where excessive consumption ... Full text Link to item Cite

Kids SIP smart ER: A Feasibility Study to Reduce Sugar-Sweetened Beverage Consumption Among Middle School Youth in Central Appalachia

Journal article American Journal of Health Promotion · July 2018 Purpose:To test the feasibility of Kids SIP smartER, a school-based intervention to reduce consumption of sugar-sweetened beverages (SSBs). Full text Cite

Effects of a behavioral and health literacy intervention to reduce sugar-sweetened beverages: a randomized-controlled trial

Journal article International Journal of Behavioral Nutrition and Physical Activity · December 2016 Full text Cite

A Systematic Review to Assess Sugar-Sweetened Beverage Interventions for Children and Adolescents across the Socioecological Model.

Journal article J Acad Nutr Diet · August 2016 Sugar-sweetened beverage (SSB) consumption among children and adolescents is a determinant of childhood obesity. Many programs to reduce consumption across the socioecological model report significant positive results; however, the generalizability of the ... Full text Link to item Cite