Lisa A Cooper
Biographic Data
| ID | 107628 |
|---|---|
| NAME | Lisa A Cooper |
| GIVEN NAMES | Lisa A |
| FAMILY NAME | Cooper |
| SIGNATURE | COOPER L A |
| AFFILIATIONS | Johns Hopkins University |
| ORCID | 0000-0001-6707-6390 |
| VERIFIED | Yes |
| TOTAL WORKS | 70 |
| TOTAL CITATIONS | 228 |
| AUTHOR COUNT | 70 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2002 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 6 |
Community-based participatory design of a decade
The FAITH! (Fostering African-American Improvement in Total Health) Cardiovascular Health and Wellness Program is more than a decade-long community-based participatory research initiative aimed at addressing cardiovascular health disparities among African-Americans in Minnesota. Founded in 2013, the program employs a culturally tailored, community-driven approach by partnering with African-American faith communities to promote cardiovascular heal…
Health Care Leaders’ Experience with a Multi-Level Intervention to Reduce Hypertension Disparities
With health equity growing as a priority within health care, health systems must transform that calling into action within their social, economic, and political environments. The current literature has not compared how different organizations manage the same health disparities intervention. This qualitative study aims to illustrate how different organizations navigated the implementation and sustainability of a hypertension disparities interventi…
Experiences of Ghanaian frontline healthcare workers during the Covid-19 pandemic and healthcare leadership recommendations
Understanding the experiences of frontline healthcare workers across different national and resource contexts is important for learning how to best support these providers to optimize their services during extended health emergencies. Using qualitative methods, we conducted 20 semi-structured interviews with frontline nurses and community healthcare workers to understand their working conditions, challenges, and supports during the COVID-19 pande…
Engagement Quality, Partnership Processes, and Network Characteristics of a Community-Academic Collaboration to Advance Health Equity
Engagement Quality, Partnership Processes, and Network Characteristics of a Community-Academic Collaboration to Advance Health Equity
Objective: To assess engagement quality, partnership processes, and network characteristics of a community–academic research collaboration. Methods: We surveyed community and academic members of a community advisory board (CAB) in Baltimore, Maryland (December 2019 to August 2020) to assess demographics, health equity work experiences, quality of community engagement and partnership, and collaborative networks among members. Results: Fifty-four m…
Academic Hegemony and Monitoring of Shared Power in Community-Engaged Research Trials
Objectives. To measure community-engaged research processes used by researchers across 3 trials based on data from a community engagement monitoring and evaluation tool. Methods. The Mid-Atlantic Center for Cardiometabolic Health Equity Community Engagement Core used a tracking form developed by the Johns Hopkins Center for Health Equity to monitor its community-engaged research processes (the frequency and types of engagement activities, the cat…
Association Between Maladaptive Eating Behaviors Among Black Women and Vicarious Racial Discrimination Following a High-Profile Event
Objective Evidence suggests that racial discrimination causes stress among non-Hispanic Black women, and some Black women may cope with exposure to vicarious racial discrimination by engaging in maladaptive eating behaviors. Methods We examined eating behaviors among Black women (N = 254) before and after Freddie Gray's death while in police custody. Maladaptive eating behaviors were assessed using the three-factor eating questionnaire. Our indep…
Health Experiences of African American Mothers, Wellness in the Postpartum Period and Beyond (Heal)
The objective of this study is to explore the cultural, social, and historical factors that affect postpartum primary care utilization among Black women with cardiometabolic risk factors and to identify the needs, barriers, and facilitators that are associated with it. We conducted in-depth interviews of 18 Black women with one or more cardiometabolic complications (pre-pregnancy chronic hypertension, diabetes, obesity, preeclampsia, or gestation…
A Community-Engaged Process for Adapting a Cardiovascular Health Intervention for Persons with Serious Mental Illness
By specifying the nature and extent of our community engagement activities, we aim to contribute to the evidence base of how to better integrate and measure community-engaged processes in the adaptation of evidence-based interventions
Frontline healthcare workers experiences and challenges with in-person and remote work during the Covid-19 pandemic
Introduction: The COVID-19 pandemic created new and exacerbated existing stressors for frontline healthcare workers. Despite being disproportionately affected by COVID-19, little is known about the experiences of frontline healthcare workers serving marginalized populations in community settings. Design: We used qualitative descriptive methods to understand the experiences of 12 frontline healthcare workers (HCWs) supporting primarily underserved…
Challenges with hypertension self-care among survivors of adverse childhood experiences
Uncontrolled hypertension remains a serious public health problem. Despite the long-term negative effects of adverse childhood experiences (ACEs) on health and health behaviors, few studies have explored how to support ACE survivors with uncontrolled hypertension. We conducted semi-structured individual interviews with 24 diverse patients to understand how ACE survivors may manage their hypertension compared to those who had not experienced ACEs.…
Enhancing Civic Engagement in Communities With Health Disparities
This JAMA Forum discusses enhancing civic engagement in the US and provides examples of how health equity leaders can help promote civic engagement in communities with health disparities
The Covid-19 Pandemic and Mental Health—Implementing Evidence-Based Interventions to Advance Equity and Reverse a Worsening Crisis
Access to quality and affordable mental and behavioral health care in the US has been difficult for decades. In 2020, an estimated 52.9 million adults experienced mental illness nationwide, with less than half receiving mental health services. The COVID-19 pandemic exacerbated the issue, with a 2021 survey of psychologists noting significant increases in requests for treatment of anxiety disorders, depressive disorders, and trauma-and stress-rela…
Mandated Implicit Bias Training for Health Professionals—A Step Toward Equity in Health Care
This JAMA Forum discusses ways that mandated implicit bias training for health professionals can focus on specific clinical areas and populations, advance the evidence base on the effective elements of implicit bias training, and establish qualifications for trainers
Healthcare Leadership Perspectives on Supporting Frontline Workers in Health Center Settings during the Pandemic
Throughout the COVID-19 pandemic much attention has been given to addressing the needs of hospital-based healthcare professionals delivering critical inpatient care. At the same time, other groups of essential frontline healthcare workers have continued to serve low-income and underserved populations whose healthcare and nonmedical needs did not cease, and in many cases were exacerbated by factors associated with the pandemic shutdown. As these s…
Is It Time to Restructure the National Institutes of Health
Distinguishing Workforce Diversity From Health Equity Efforts in Medicine
What the American Rescue Plan Means for Health Equity
The primary goal of the $1.9 trillion American Rescue Plan Act of 2021 is to help the nation recover from economic, health, and social devastation of the COVID-19 pandemic. Yet the law will accomplish even more. Many of the provisions will have important implications for health equity among communities of color and other disadvantaged groups
To Advance Health Equity During Covid-19 and Beyond, Elevate and Support Community Health Workers
Tumaini R. Coker, MD, MBA; Kendra Liljenquist, PhD, MPH; Sarah J. Lowry, PhD; Kevin Fiscella, MD, MPH; Marcia R. Weaver, PhD; Janette Ortiz, BS; Rachel LaFontaine, MD; Javier Silva, BS; Taylor Salaguinto, BA; Gina Johnson, MD; Lisa Friesema, MD; Lorena Porras-Javier, MPH; Laura J. Sotelo Guerra, BS; Peter G. Szilagyi, MD, MPH
Association of Perceived Stress and Discrimination on Medication Adherence among Diverse Patients with Uncontrolled Hypertension
Using the social determinants of health framework, we identified associations between stress, everyday discrimination and medication adherence among non-Hispanic Blacks and Hispanics that were independent of health status and other social determinants. Programs to enhance self-management for African American and Hispanic patients with uncontrolled blood pressure should include a specific focus on addressing social stressors
Social Determinants of Health as Potential Influencers of a Collaborative Care Intervention for Patients with Hypertension
A patient's social determinants of health influence the extent of engagement in a collaborative care intervention and nurse care manager appraisals of the need for supplementary support provided by community health workers
Social determinants of hypertension and diabetes among African immigrants
Among African immigrants, those who were unemployed had a higher likelihood of a self-reported diagnosis of diabetes than those who were employed. Also, people who had health insurance were more likely to self-report a diagnosis of hypertension. Additional studies are needed to further understand the influence of social determinants of health on hypertension and diabetes to develop health policies and interventions to improve the cardiovascular h…
Covid-19 and Health Equity—A New Kind of “Herd Immunity”
Rishi K. Wadhera, MD, MPP, MPhil; Priya Wadhera, MD, MS; Prakriti Gaba, MD; Jose F. Figueroa, MD, MPH; Karen E. Joynt Maddox, MD, MPH; Robert W. Yeh, MD, MSc; Changyu Shen, PhD
Discrimination Is Associated with Elevated Cardiovascular Disease Risk among African Immigrants in the African Immigrant Health Study
African immigrants with frequent experiences of discrimination were more likely to have elevated CVD risk. Targeted and culturally appropriate interventions are needed to reduce the high burden of CVD risk in this population. Health care providers should be aware of discrimination as a meaningful social determinant of CVD risk. At the societal level, policies and laws are needed to reduce the occurrence of discrimination among African immigrants …
Reducing Racial Inequities in Health
This paper provides an overview of the scientific evidence pointing to critically needed steps to reduce racial inequities in health. First, it argues that communities of opportunity should be developed to minimize some of the adverse impacts of systemic racism. These are communities that provide early childhood development resources, implement policies to reduce childhood poverty, provide work and income support opportunities for adults, and ens…
Patient Race/Ethnicity and Quality of Patient–Physician Communication During Medical Visits
Objectives. We examined the association between patient race/ethnicity and patient–physician communication during medical visits. Methods. We used audiotape and questionnaire data collected in 1998 and 2002 to determine whether the quality of medical-visit communication differs among African American versus White patients. We analyzed data from 458 African American and White patients who visited 61 physicians in the Baltimore, Md–Washington, DC–N…
Patient–Physician Relationships and Racial Disparities in the Quality of Health Care
Objectives. This study explored whether racial differences in patient–physician relationships contribute to disparities in the quality of health care. Methods. We analyzed data from The Commonwealth Fund’s 2001 Health Care Quality Survey to determine whether racial differences in patients’ satisfaction with health care and use of basic health services were explained by differences in quality of patient–physician interactions, physicians’ cultural…
The Associations of Clinicians’ Implicit Attitudes About Race With Medical Visit Communication and Patient Ratings of Interpersonal Care
Objectives. We examined the associations of clinicians’ implicit attitudes about race with visit communication and patient ratings of care. Methods. In a cross-sectional study of 40 primary care clinicians and 269 patients in urban community-based practices, we measured clinicians’ implicit general race bias and race and compliance stereotyping with 2 implicit association tests and related them to audiotape measures of visit communication and pat…
Is race medically relevant? A qualitative study of physicians' attitudes about the role of race in treatment decision-making
Calling for a Bold New Vision of Health Disparities Intervention Research
Provider and clinic cultural competence in a primary care setting
African Americans, African Immigrants, and Afro-Caribbeans Differ in Social Determinants of Hypertension and Diabetes
Race, Discrimination, and Cardiovascular Disease
Racial and Socioeconomic Differences in the Weight-Loss Experiences of Obese Women
Focus groups stratified by race and socioeconomic status were used to examine obese women’s experiences with weight-loss methods. Six themes emerged: failure of weight maintenance, use of psychological and spiritual approaches, role of family influences and societal expectations, role of African American subculture, method affordability, and racial differences in weight-loss methods. Tailored weight-management interventions for women, particularl…
Building the Evidence Base to Inform Planned Intervention Adaptations by Practitioners Serving Health Disparity Populations
Many evidence-based interventions (EBIs) have been developed to prevent or treat major health conditions. However, many EBIs have exhibited limited adoption, reach, and sustainability when implemented in diverse community settings. This limitation is especially pronounced in low-resource settings that serve health disparity populations. Often, practitioners identify problems with existing EBIs originally developed and tested with populations diff…
Social determinants of hypertension and diabetes among African immigrants
Among African immigrants, those who were unemployed had a higher likelihood of a self-reported diagnosis of diabetes than those who were employed. Also, people who had health insurance were more likely to self-report a diagnosis of hypertension. Additional studies are needed to further understand the influence of social determinants of health on hypertension and diabetes to develop health policies and interventions to improve the cardiovascular h…
Designing and evaluating interventions to eliminate racial and ethnic disparities in health care
Laura Hapke — Labor's Text
Left History features articles from a variety of theoretical approaches; these include feminist, marxist, and postmodernist deliberations on topics such as race, ethnicity, class, gender, sexuality, culture, the state, labour, the environment, theory, and method
Race and Gender Differences in Willingness to Donate Blood and Cadaveric Organs
BACKGROUND: Recent efforts to recruit blood and organ donors have only marginally improved demographic disparities in willingness to donate. Few studies have examined which factors are most important in explaining race and gender disparities in willingness to donate. OBJECTIVES: To assess race and gender differences in willingness to donate blood and cadaveric organs, and to determine the extent to which several factors (including sociodemographi…
Race and trust in the health care system
Objective.A legacy of racial discrimination in medical research and the health care system has been linked to a low level of trust in medical research and medical care among African Americans.While racial differences in trust in physicians have been demonstrated, little is known about racial variation in trust of health insurance plans and hospitals.For the present study, the authors analyzed responses to a cross-sectional telephone survey to ass…
Patient-Centered Communication, Ratings of Care, and Concordance of Patient and Physician Race
BACKGROUND: African-American patients who visit physicians of the same race rate their medical visits as more satisfying and participatory than do those who see physicians of other races. Little research has investigated the communication process in race-concordant and race-discordant medical visits. OBJECTIVES: To compare patient-physician communication in race-concordant and race-discordant visits and examine whether communication behaviors exp…
Patient–Physician Relationships and Racial Disparities in the Quality of Health Care
Objectives. This study explored whether racial differences in patient–physician relationships contribute to disparities in the quality of health care. Methods. We analyzed data from The Commonwealth Fund’s 2001 Health Care Quality Survey to determine whether racial differences in patients’ satisfaction with health care and use of basic health services were explained by differences in quality of patient–physician interactions, physicians’ cultural…
The Acceptability of Treatment for Depression Among African-American, Hispanic, and White Primary Care Patients
BACKGROUND: Ethnic minority patients are less likely than white patients to receive guideline-concordant care for depression. It is uncertain whether racial and ethnic differences exist in patient beliefs, attitudes, and preferences for treatment. METHODS: A telephone survey was conducted of 829 adult patients (659 non-Hispanic whites, 97 African Americans, 73 Hispanics) recruited from primary care offices across the United States who reported 1 …
Patient Race/Ethnicity and Quality of Patient–Physician Communication During Medical Visits
Objectives. We examined the association between patient race/ethnicity and patient–physician communication during medical visits. Methods. We used audiotape and questionnaire data collected in 1998 and 2002 to determine whether the quality of medical-visit communication differs among African American versus White patients. We analyzed data from 458 African American and White patients who visited 61 physicians in the Baltimore, Md–Washington, DC–N…
The Impact of International Medical Graduate Status on Primary Care Physicians’ Choice of Specialist
BACKGROUND: Approximately one fourth of practicing physicians in the United States graduated from medical schools in other countries. It is unknown how the role of international medical graduate status affects physician decision-making. OBJECTIVE: The objective of this study was to determine whether a primary care physicians' knowledge of a specialist's international medical graduate status affects his or her decision to refer patients to that sp…
Chronic Medical Illness, Depression, and Use of Acute Medical Services Among Medicare Beneficiaries
BACKGROUND: This study assessed the relation of comorbid depressive syndrome with utilization of emergency department services and preventable inpatient hospitalizations among elderly individuals with chronic medical conditions. RESEARCH DESIGN: A cross-sectional study. SETTING: Individuals greater than or equal to 65 years of age living in the United States with Medicare part A and B fee-for-service coverage in 1999. SUBJECTS: A 5% random sample…
Racial and Socioeconomic Differences in the Weight-Loss Experiences of Obese Women
Focus groups stratified by race and socioeconomic status were used to examine obese women’s experiences with weight-loss methods. Six themes emerged: failure of weight maintenance, use of psychological and spiritual approaches, role of family influences and societal expectations, role of African American subculture, method affordability, and racial differences in weight-loss methods. Tailored weight-management interventions for women, particularl…
Cultural Competence
OBJECTIVE: We sought to synthesize the findings of studies evaluating interventions to improve the cultural competence of health professionals. DESIGN: This was a systematic literature review and analysis. METHODS: We performed electronic and hand searches from 1980 through June 2003 to identify studies that evaluated interventions designed to improve the cultural competence of health professionals. We abstracted and synthesized data from studies…
Primary Care Patients’ Involvement in Decision-Making Is Associated With Improvement in Depression
BACKGROUND: Depression is undertreated in primary care settings. Little research investigates the impact of patient involvement in decisions on guideline-concordant treatment and depression outcomes. OBJECTIVE: The objective of this study was to determine whether patient involvement in decision-making is associated with guideline-concordant care and improvement in depression symptoms. DESIGN: Prospective cohort study. SETTING: Multisite, nationwi…
Racial and Ethnic Differences in Receipt and Use of Health Information in Encounters Between Patients and Physicians
Beach, Mary Catherine MD, MPH; Hill-Briggs, Felicia PhD; Cooper, Lisa A. MD, MPH Author Information
Perceived Discrimination and Adherence to Medical Care in a Racially Integrated Community
Ethnicity and preferences for depression treatment
Factors influencing the consumption of seafood among young children in Perth
Findings from this qualitative study indicate that interventions seeking to promote seafood (particularly fish) as an integral part of a healthy diet should address existing negative attitudes and beliefs around the storage and preparation of seafood. The influence of dominant male influences within the family unit should also be considered. Strategies directed at parents and children should include experimental 'hands-on' components to encourage…
Weight Loss Programs for Urban-based, Postpartum African-American Women
Longitudinal Study of Depressive Symptoms and Health-Related Quality of Life During Pregnancy and After Delivery
Provider and clinic cultural competence in a primary care setting
Patient–Provider Communication Differs for Black Compared to White HIV-Infected Patients
Is race medically relevant? A qualitative study of physicians' attitudes about the role of race in treatment decision-making
The Associations of Clinicians’ Implicit Attitudes About Race With Medical Visit Communication and Patient Ratings of Interpersonal Care
Objectives. We examined the associations of clinicians’ implicit attitudes about race with visit communication and patient ratings of care. Methods. In a cross-sectional study of 40 primary care clinicians and 269 patients in urban community-based practices, we measured clinicians’ implicit general race bias and race and compliance stereotyping with 2 implicit association tests and related them to audiotape measures of visit communication and pat…
The impact of depressive symptoms on patient–provider communication in HIV care
Persons with HIV who develop depression have worse medical adherence and outcomes. Poor patient-provider communication may play a role in these outcomes. This cross-sectional study evaluated the influence of patient depression on the quality of patient-provider communication. Patient-provider visits (n=406) at four HIV care sites were audio-recorded and coded with the Roter Interaction Analysis System (RIAS). Negative binomial and linear regressi…
Creating a Transdisciplinary Research Center to Reduce Cardiovascular Health Disparities in Baltimore, Maryland
Cardiovascular disease (CVD) disparities continue to have a negative impact on African Americans in the United States, largely because of uncontrolled hypertension. Despite the availability of evidence-based interventions, their use has not been translated into clinical and public health practice. The Johns Hopkins Center to Eliminate Cardiovascular Health Disparities is a new transdisciplinary research program with a stated goal to lower the imp…
Medicine (62 works) · Nursing (34 works) · Psychology (32 works) · Gerontology (28 works) · Public health (25 works) · Health care (24 works) · Political science (21 works) · Health equity (20 works) · Family medicine (17 works) · Internal Medicine (17 works)