Overview
Population Health Improvement
Correlation of Health and Social Determinants
Poverty, Race and Chronic Trauma
Social Capacity and Community Engagement
Community Health
Chronic Disease Care Management and Clinical Delivery Systems
Patient Self Management and Self Efficacy
Community Resource Design and Development
Community Health Informatics
Current Appointments & Affiliations
Adjunct Assistant Professor in Family Medicine and Community Health
·
2025 - Present
Family Medicine and Community Health, Community Health,
Family Medicine and Community Health
Recent Publications
Addressing cost barriers to healthy eating with Eat Well, a prescription produce subsidy, for patients with diabetes and at risk for food insecurity: Study protocol for a type 1 hybrid effectiveness-implementation pragmatic randomized controlled trial.
Journal Article Contemp Clin Trials · October 2024 BACKGROUND: Patients with diabetes at risk of food insecurity face cost barriers to healthy eating and, as a result, poor health outcomes. Population health management strategies are needed to improve food security in real-world health system settings. We ... Full text Link to item CiteMeasures of Referral vs Receipt of Social Services Among Patients With Health-Related Social Needs.
Journal Article JAMA Netw Open · April 1, 2024 Full text Link to item CiteResidential Structural Racism and Prevalence of Chronic Health Conditions.
Journal Article JAMA network open · December 2023 ImportanceStudies elucidating determinants of residential neighborhood-level health inequities are needed.ObjectiveTo quantify associations of structural racism indicators with neighborhood prevalence of chronic kidney disease (CKD), diab ... Full text CiteRecent Grants
Evaluation Administrative Supports and Direct Evaluation Activities
ResearchCo-Principal Investigator · Awarded by Durham Housing Authority · 2023 - 2028Analytics & Machine-learning for Maternal-health Interventions (AMMI): A Cross-CTSA Collaboration
ResearchCollaborating Investigator · Awarded by University of North Carolina - Chapel Hill · 2022 - 20262024 BEC Sustainability Grant
Public ServicePrincipal Investigator · Awarded by National Council on Aging · 2020 - 2025View All Grants
Education, Training & Certifications
Wake Forest University ·
1993
M.B.A.