Kristi L. Roybal

A qualitative exploration of clinicians’ experiences and perceptions of a well-being leadership development training program

Kristi L. Roybal, Tricia T. James, Laura L. Chun, Karina M. Squire

BACKGROUND: Healthcare worker burnout is a national challenge, with implications for healthcare worker well-being and mental health, the quality of patient care, and healthcare costs. The Clinician Wellness Council (CWC), a 15-month well-being leadership development training program, was designed and implemented to …

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Strategies to Address Colorectal Cancer Screening Disparities Developed Through Community Based Participatory Design: A Mixed Methods Study

Staci J Wendt, Kristi L. Roybal, John Haggerty, Janelle-Cheri Millen et autres

INTRODUCTION: Colorectal cancer (CRC) screening rates remain below recommended clinical guidelines, especially among people of color. This study aimed to assess CRC screening rates, identify barriers, and develop improvement strategies in racially diverse communities using community-based participatory design, engaging Community Health Action …

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Strategies to build trustworthiness and increase diversity in colorectal cancer biospecimen research: a multi-phase, multi-site qualitative study

Kristi L. Roybal, Brett Nava-Coulter, Jane Roberts, Destiny Harden et autres

BACKGROUND: Black, Latino, and American Indian individuals are underrepresented in biospecimen research. Obtaining biospecimens from these populations is particularly relevant for understanding, preventing, and treating colorectal cancer and translating those insights to eliminate persistent racial and ethnic inequities in colorectal cancer. The …

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Perceptions of multi-cancer early detection tests among communities facing barriers to health care

Kristi L. Roybal, Robyn A. Husa, Maria A. Connolly, Kara M. Bensley et autres

Marginalized racial and ethnic groups and rural and lower income communities experience significant cancer inequities. Blood-based multi-cancer early detection tests (MCEDs) provide a simple and less invasive method to screen for multiple cancers at a single access point and may be an …

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NICU Visitation Time and Adherence to Safe Sleep Practices Among Mothers of Very Preterm Infants

Sunah Susan Hwang, Blair W. Weikel, Mauricio Antonio Palau, Jennifer C. Greenfield et autres

BACKGROUND: Sleep-associated infant death is the leading cause of postneonatal mortality in the United States. Preterm infants are at higher risk for sleep-associated death, but maternal adherence to safe sleep practices is lower than for mothers of full-term infants. Data are lacking …

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Defining an Infant’s Race and Ethnicity: A Systematic Review

Blair W. Weikel, Susanne Klawetter, Stephanie Lynn Bourque, Kathleen E. Hannan et autres

CONTEXT: Infant race and ethnicity are used ubiquitously in research and reporting, though inconsistent approaches to data collection and definitions yield variable results. The consistency of these data has an impact on reported findings and outcomes. OBJECTIVE: To systematically review and examine …

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Systems Interventions and Program Development

Susanne Klawetter, Jill A. Hoffman, Kristi L. Roybal, Sunah Susan Hwang

Abstract Parents of high-risk infants experience increased risk for perinatal mood and anxiety disorders and other behavioral health conditions, which have short- and long-term consequences for parent and infant outcomes. Integrated care is a promising strategy to address the behavioral health needs …

Participatory Geographic Information Systems (GIS): A Critical Methodological Approach for Urban Social Work Research

Kristi L. Roybal

This paper explores the utility of participatory GIS as a methodological approach for urban social work research focused on socioeconomically disadvantaged neighborhoods and resident health and well-being. The discussion begins with a brief overview of social work’s person-in-environment framework and the historical …

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Comparisons of Three Measures of Maternal Engagement Activities in the Neonatal Intensive Care Unit

Jennifer C. Greenfield, Blair W. Weikel, Stephanie Lynn Bourque, Sunah Susan Hwang et autres

BACKGROUND: Mothers' engagement with their hospitalized preterm infant(s) is recognized as an important aspect of treatment in neonatal intensive care units (NICUs). However, no gold standard exists for measuring maternal engagement, and the various methods used to measure mothers' time have documented …

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The Association of Social Factors and Time Spent in the NICU for Mothers of Very Preterm Infants

Stephanie Lynn Bourque, Blair W. Weikel, Mauricio Antonio Palau, Jennifer C. Greenfield et autres

OBJECTIVES: Evaluate the association between maternal social factors and maternal time spent in the NICU for very preterm infants admitted to 4 level III and IV NICUs. METHODS: tests. Logistic regression was used to assess the independent association between maternal social factors …

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Social Determinants of Health and Parenting Self-Efficacy Among Mothers of Preterm Infants

Susanne Klawetter, Blair W. Weikel, Kristi L. Roybal, Nazan Cetin et autres

Objective: To explore the relationships between social and environmental factors and parenting self-efficacy (PSE) among mothers of preterm infants hospitalized in neonatal intensive care units (NICUs) using a social determinants of health (SDoH) framework. Method: We analyzed data from a prospective cohort …

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Mothers' Experiences in the NICU Before Family-Centered Care and in NICUs Where It Is the Standard of Care

Madalynn Neu, Susanne Klawetter, Jennifer C. Greenfield, Kristi L. Roybal et autres

BACKGROUND: Family-centered care (FCC) in neonatal intensive care units (NICUs) was initiated in 1992 to promote a respectful response to individual family needs and support parental participation in care and decision-making for their infants. Although benefits of FCC have been reported, changes …

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