Shelby L. Watkins

Sleep and Substance Use Among Firefighters: Associations with Alcohol, Caffeine, and Nicotine Use

David Reichenberger, Lauren J Lee, Joey Hebl, Aanuoluwakiitan Ayeni et autres

Purpose: Firefighters are at high risk for sleep disruption due to shift work. Use of alcohol, caffeine, and nicotine can also affect sleep. Thus, we evaluated daily, bidirectional associations between substance use and actigraphy-assessed sleep among firefighters. Patients and methods: Micro-longitudinal data …

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Social Risk–Informed Decision Support and Blood Pressure Control in a Primary Care Cluster Randomized Controlled Trial

Ryan McGrath, Rachel Gold, Jenna Donovan, Shelby L. Watkins et autres

PURPOSE Health care systems increasingly incorporate social risk data into electronic health records (EHRs) to address needs like food, housing, and transportation insecurity. This study evaluated whether EHR-integrated social clinical decision support (SCDS) tools improved control of blood pressure (BP) and hemoglobin …

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Study protocol: ACCESS: (Advancing Contraceptive Equity and Service Uptake through Telemedicine in the US Safety-Net)

Blair G. Darney, Ryan McGrath, Shelby L. Watkins, Annie E. Larson et autres

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Impact of firefighters’ work schedule on cardiovascular disease risk, wellbeing and safety in firefighters: protocol for the SWIFT study, a multidisciplinary prospective and cross-sectional study

Walaa F. Abdelmoaty, Shelby L. Watkins, Aanuoluwakiitan Ayeni, David Hurtado et autres

Introduction: Firefighters face frequent physical and psychosocial stressors, increasing their risk for hypertension. Rising call volumes with a stable workforce have heightened occupational burdens. To meet their occupational demands while increasing time off-duty, fire departments across the country have switched from a …

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Implementation of Remote Patient Monitoring for Hypertension Management

David Boston, Rose Gunn, Shelby L. Watkins, Rachel Gold et autres

INTRODUCTION: Uncontrolled hypertension (blood pressure (BP) ≥130/80) is the most prevalent reversible risk factor for cardiovascular disease. Remote patient monitoring (RPM) can be an effective way to improve BP control and was further incentivized by the COVID-19 pandemic, which necessitated remote chronic …

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EHR portal use and telehealth readiness among patients in a national network of community-based health centers: An observational study (Preprint)

Rachel Gold, A. Gabriela Rosales, Suparna Navale, Shelby L. Watkins et autres

BACKGROUND Lack of telehealth engagement could exacerbate inequities among low-income persons with chronic conditions. As patient portal accounts are the primary access point for telehealth services, understanding portal use patterns and other elements of telehealth readiness in socioeconomically vulnerable populations is necessary. …

Evaluation of a Remote Patient Monitoring Program During the COVID-19 Pandemic: Retrospective Case Study With a Mixed Methods Explanatory Sequential Design

Rose Gunn, Shelby L. Watkins, David Boston, A. Gabriela Rosales et autres

BACKGROUND: Community health center (CHC) patients experience a disproportionately high prevalence of chronic conditions and barriers to accessing technologies that might support the management of these conditions. One such technology includes tools used for remote patient monitoring (RPM), the use of which …

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Evaluation of a Remote Patient Monitoring Program During the COVID-19 Pandemic: Retrospective Case Study With a Mixed Methods Explanatory Sequential Design (Preprint)

Rose Gunn, Shelby L. Watkins, David Boston, A. Gabriela Rosales et autres

BACKGROUND Community health center (CHC) patients experience a disproportionately high prevalence of chronic conditions and barriers to accessing technologies that might support the management of these conditions. One such technology includes tools used for remote patient monitoring (RPM), the use of which …

Interactions between home, work, and sleep among firefighters

Shelby L. Watkins, Martina A. Shannon, David Hurtado, Steven A. Shea et autres

BACKGROUND: Firefighters endure large occupational burdens and generally operate under conditions of chronic sleep deficiency and circadian disruption due to long shifts, plus interrupted sleep due to emergency calls during the night. A typical shift for firefighters is 24-h on/48-h off, and …

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0223 Interactions Between Home, Work, and Sleep Among Full-Time Firefighters

Shelby L. Watkins, Martina A. Shannon, David Hurtado, Steven A. Shea et autres

Abstract Introduction Firefighters endure large occupational burdens (e.g., heat, exposure to toxic fumes, witnessed trauma) and generally operate under conditions of chronic sleep deficiency due to long shifts plus disrupted sleep and circadian disruption due to emergency calls during the night. A …

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