Karen M Freund
Biographic Data
| ID | 75314 |
|---|---|
| NAME | Karen M Freund |
| GIVEN NAMES | Karen M |
| FAMILY NAME | Freund |
| SIGNATURE | FREUND K M |
| AFFILIATIONS | Tufts Medical Center |
| ORCID | 0000-0002-9049-5574 |
| VERIFIED | Yes |
| TOTAL WORKS | 24 |
| TOTAL CITATIONS | 42 |
| AUTHOR COUNT | 24 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1998 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 2 |
Health Care Workers’ Perspectives on Collecting Sexual Orientation and Gender Identity in the Adult Primary Care Setting
BACKGROUND: Despite numerous calls for standardized collection of sexual orientation and gender identity (SOGI) data in clinical settings, uptake of this practice still lags. OBJECTIVES: This study conducted a preimplementation assessment of staff attitudes toward SOGI data collection within an adult primary care practice in an urban academic medical center in the northeastern United States. RESEARCH DESIGN: We created a process map of the flow o…
Diabetes Control During Massachusetts Insurance Reform
Development and validation of assessments of adolescent health literacy
These assessments are the first test-based measures of adolescents' interactive and critical HL, the first test-based measure of functional HL designed for adolescents, and the first composite test-based assessment of all three major areas of HL. These assessments should be used to inform strategies for improving adolescents' HL, decision-making, and behaviors
Disparities in Adolescents' Obesogenic Behaviors, 2005-2017
Objectives: Given the increasing national-level efforts to reduce disparities in obesogenic behaviors in youth, in this paper, we assessed the change in disparities in meeting guidelines for fruits and vegetables intake (FV), physical activity (PA), and sedentary behavior (SB) among adolescents in the United States in the last 13 years. Methods: Using the Youth Risk Behavior Surveillance System (2005-2017), overall and characteristic-specific (se…
The Influence of Health Insurance Stability on Racial/Ethnic Differences in Diabetes Control and Management
Stable insurance coverage was associated with improved DM outcomes for all racial / ethnic groups, but did not eliminate racial ethnic disparities
Dementia Diagnosis Disparities by Race and Ethnicity
BACKGROUND: Dementia is often underdiagnosed and this problem is more common among some ethnoracial groups. OBJECTIVE: The objective of this study was to examine racial and ethnic disparities in the timeliness of receiving a clinical diagnosis of dementia. RESEARCH DESIGN: This was a prospective cohort study. SUBJECTS: A total of 3966 participants age 70 years and above with probable dementia in the Health and Retirement Study, linked with their …
Evaluating the Role of Self-Esteem on Differential Career Outcomes by Gender in Academic Medicine
PURPOSE: Gender differences in faculty advancement persist in academic medicine. Understanding of what drives these differences remains limited. The relationship among self-esteem, gender, and career outcomes has not previously been explored. METHOD: The authors evaluated the association between gender and 2012-2013 career outcomes, specifically, the number of publications, academic rank, leadership positions, and retention, and whether self-este…
Insurance Stability and Cancer Screening Behaviors
Background: Disparities in rates of cancer screening are observed in underserved populations. Lack of stable health insurance may contribute to these disparities. The goal of this study was to examine the association between insurance stability and up-to-date cancer screening in underserved populations. Methods and Findings: We enrolled 333 community participants aged 40–74 years across four different sites in three states: Chinese Americans in B…
Racial Differences in Insurance Stability After Health Insurance Reform
BACKGROUND: One of the potential benefits of insurance reform is greater stability of insurance and reduced coverage disparities by race and ethnicity. OBJECTIVES: We examined the temporal trends in insurance coverage by racial/ethnic group before and after Massachusetts Insurance Reform by abstracting records across 2 urban safety net hospital systems. RESEARCH DESIGN: We examined adjusted odds of being uninsured and incident rate ratios of gain…
Gender Differences in Academic Medicine
PURPOSE: Prior studies have found that women in academic medicine do not advance or remain in their careers in parity with men. The authors examined a cohort of faculty from the 1995 National Faculty Survey to identify predictors of advancement, retention, and leadership for women faculty. METHOD: The authors followed 1,273 faculty at 24 medical schools in the continental United States for 17 years to identify predictors of advancement, retention…
An Examination of Changes in Social Disparities in Health Behaviors in the US, 2003-2015
The results suggest health disparities in preventive health behaviors in the last 13 years have not improved. Tailored interventions, systemic and policy changes, and/or inclusive population efforts should be initiated to reduce disparities in preventive health for the most- divergent groups identified in the results
Social Disparities in Obesogenic Behaviors in Adolescents
Recruitment, Promotion, and Retention of Women in Academic Medicine
The Risk of Remaining Silent
Inadequate Progress for Women in Academic Medicine
BACKGROUND: Women have entered academic medicine in significant numbers for 4 decades and now comprise 20% of full-time faculty. Despite this, women have not reached senior positions in parity with men. We sought to explore the gender climate in academic medicine as perceived by representatives to the Association of American Medical Colleges (AAMC) Group on Women in Medicine and Science (GWIMS) and Group on Diversity and Inclusion (GDI). METHODS:…
Knowledge and Perceptions of Family Leave Policies Among Female Faculty in Academic Medicine
We Make the Path by Walking It”
ADAPT recognizes that long term sustainability requires bringing multiple stakeholders to the table even before a funding opportunity is released and attempting to build a diversified funding base
Psychometric Evaluation of the Patient Satisfaction With Logistical Aspects of Navigation (PSN-L) Scale Using Item Response Theory
BACKGROUND: Patient navigation--the provision of logistical, educational, and emotional support needed to help patients "navigate around" barriers to high-quality cancer treatment offers promise. No patient-reported outcome measures currently exist that assess patient navigation from the patient's perspective. We use a partial independence item response theory model to report on the psychometric properties of the Patient Satisfaction with Navigat…
Comprehensive Healthcare
Nursing Home Residence Confounds Gender Differences in Medicare Utilization
A qualitative evaluation of the national centers of excellence in women’s health program
The Unexpected Influence of Physician Attributes on Clinical Decisions
UNLABELLED: This experiment was designed to determine: (1) whether patient attributes (specifically a patient's age, gender, race, and socioeconomic status) independently influence clinical decision-making; and (2) whether physician characteristics alone (such as their gender, age, race, and medical specialty), or in combination with patient attributes, influence medical decision-making. METHODS: An experiment was conducted in which 16 (= 2(4)) v…
Patient assertiveness and physician decision-making among older breast cancer patients
Physician Variability and Uncertainty in the Management of Breast Cancer
Objectives. The puropse of this research was to determine the influence of patient and physician characteristics on physicians' level of variability and certainty in breast cancer care. Methods. One hundred twenty-eight physicians viewed a videotape of a simulated physician-patient interaction in which the patient has an "atypical" breast lump. Six patient characteristics (age, race, socioeconomic status, physical mobility, comorbidity, presentat…
Patient assertiveness and physician decision-making among older breast cancer patients
The Unexpected Influence of Physician Attributes on Clinical Decisions
UNLABELLED: This experiment was designed to determine: (1) whether patient attributes (specifically a patient's age, gender, race, and socioeconomic status) independently influence clinical decision-making; and (2) whether physician characteristics alone (such as their gender, age, race, and medical specialty), or in combination with patient attributes, influence medical decision-making. METHODS: An experiment was conducted in which 16 (= 2(4)) v…
Social Disparities in Obesogenic Behaviors in Adolescents
We Make the Path by Walking It”
ADAPT recognizes that long term sustainability requires bringing multiple stakeholders to the table even before a funding opportunity is released and attempting to build a diversified funding base
Physician Variability and Uncertainty in the Management of Breast Cancer
Objectives. The puropse of this research was to determine the influence of patient and physician characteristics on physicians' level of variability and certainty in breast cancer care. Methods. One hundred twenty-eight physicians viewed a videotape of a simulated physician-patient interaction in which the patient has an "atypical" breast lump. Six patient characteristics (age, race, socioeconomic status, physical mobility, comorbidity, presentat…
Patient assertiveness and physician decision-making among older breast cancer patients
A qualitative evaluation of the national centers of excellence in women’s health program
The Unexpected Influence of Physician Attributes on Clinical Decisions
UNLABELLED: This experiment was designed to determine: (1) whether patient attributes (specifically a patient's age, gender, race, and socioeconomic status) independently influence clinical decision-making; and (2) whether physician characteristics alone (such as their gender, age, race, and medical specialty), or in combination with patient attributes, influence medical decision-making. METHODS: An experiment was conducted in which 16 (= 2(4)) v…
Nursing Home Residence Confounds Gender Differences in Medicare Utilization
Comprehensive Healthcare
Knowledge and Perceptions of Family Leave Policies Among Female Faculty in Academic Medicine
We Make the Path by Walking It”
ADAPT recognizes that long term sustainability requires bringing multiple stakeholders to the table even before a funding opportunity is released and attempting to build a diversified funding base
Psychometric Evaluation of the Patient Satisfaction With Logistical Aspects of Navigation (PSN-L) Scale Using Item Response Theory
BACKGROUND: Patient navigation--the provision of logistical, educational, and emotional support needed to help patients "navigate around" barriers to high-quality cancer treatment offers promise. No patient-reported outcome measures currently exist that assess patient navigation from the patient's perspective. We use a partial independence item response theory model to report on the psychometric properties of the Patient Satisfaction with Navigat…
Inadequate Progress for Women in Academic Medicine
BACKGROUND: Women have entered academic medicine in significant numbers for 4 decades and now comprise 20% of full-time faculty. Despite this, women have not reached senior positions in parity with men. We sought to explore the gender climate in academic medicine as perceived by representatives to the Association of American Medical Colleges (AAMC) Group on Women in Medicine and Science (GWIMS) and Group on Diversity and Inclusion (GDI). METHODS:…
Recruitment, Promotion, and Retention of Women in Academic Medicine
The Risk of Remaining Silent
Gender Differences in Academic Medicine
PURPOSE: Prior studies have found that women in academic medicine do not advance or remain in their careers in parity with men. The authors examined a cohort of faculty from the 1995 National Faculty Survey to identify predictors of advancement, retention, and leadership for women faculty. METHOD: The authors followed 1,273 faculty at 24 medical schools in the continental United States for 17 years to identify predictors of advancement, retention…
An Examination of Changes in Social Disparities in Health Behaviors in the US, 2003-2015
The results suggest health disparities in preventive health behaviors in the last 13 years have not improved. Tailored interventions, systemic and policy changes, and/or inclusive population efforts should be initiated to reduce disparities in preventive health for the most- divergent groups identified in the results
Social Disparities in Obesogenic Behaviors in Adolescents
Insurance Stability and Cancer Screening Behaviors
Background: Disparities in rates of cancer screening are observed in underserved populations. Lack of stable health insurance may contribute to these disparities. The goal of this study was to examine the association between insurance stability and up-to-date cancer screening in underserved populations. Methods and Findings: We enrolled 333 community participants aged 40–74 years across four different sites in three states: Chinese Americans in B…
Racial Differences in Insurance Stability After Health Insurance Reform
BACKGROUND: One of the potential benefits of insurance reform is greater stability of insurance and reduced coverage disparities by race and ethnicity. OBJECTIVES: We examined the temporal trends in insurance coverage by racial/ethnic group before and after Massachusetts Insurance Reform by abstracting records across 2 urban safety net hospital systems. RESEARCH DESIGN: We examined adjusted odds of being uninsured and incident rate ratios of gain…
Evaluating the Role of Self-Esteem on Differential Career Outcomes by Gender in Academic Medicine
PURPOSE: Gender differences in faculty advancement persist in academic medicine. Understanding of what drives these differences remains limited. The relationship among self-esteem, gender, and career outcomes has not previously been explored. METHOD: The authors evaluated the association between gender and 2012-2013 career outcomes, specifically, the number of publications, academic rank, leadership positions, and retention, and whether self-este…
Disparities in Adolescents' Obesogenic Behaviors, 2005-2017
Objectives: Given the increasing national-level efforts to reduce disparities in obesogenic behaviors in youth, in this paper, we assessed the change in disparities in meeting guidelines for fruits and vegetables intake (FV), physical activity (PA), and sedentary behavior (SB) among adolescents in the United States in the last 13 years. Methods: Using the Youth Risk Behavior Surveillance System (2005-2017), overall and characteristic-specific (se…
The Influence of Health Insurance Stability on Racial/Ethnic Differences in Diabetes Control and Management
Stable insurance coverage was associated with improved DM outcomes for all racial / ethnic groups, but did not eliminate racial ethnic disparities
Dementia Diagnosis Disparities by Race and Ethnicity
BACKGROUND: Dementia is often underdiagnosed and this problem is more common among some ethnoracial groups. OBJECTIVE: The objective of this study was to examine racial and ethnic disparities in the timeliness of receiving a clinical diagnosis of dementia. RESEARCH DESIGN: This was a prospective cohort study. SUBJECTS: A total of 3966 participants age 70 years and above with probable dementia in the Health and Retirement Study, linked with their …
Diabetes Control During Massachusetts Insurance Reform
Development and validation of assessments of adolescent health literacy
These assessments are the first test-based measures of adolescents' interactive and critical HL, the first test-based measure of functional HL designed for adolescents, and the first composite test-based assessment of all three major areas of HL. These assessments should be used to inform strategies for improving adolescents' HL, decision-making, and behaviors
Health Care Workers’ Perspectives on Collecting Sexual Orientation and Gender Identity in the Adult Primary Care Setting
BACKGROUND: Despite numerous calls for standardized collection of sexual orientation and gender identity (SOGI) data in clinical settings, uptake of this practice still lags. OBJECTIVES: This study conducted a preimplementation assessment of staff attitudes toward SOGI data collection within an adult primary care practice in an urban academic medical center in the northeastern United States. RESEARCH DESIGN: We created a process map of the flow o…
Medicine (23 works) · Psychology (14 works) · Political science (11 works) · Demography (10 works) · Sociology (10 works) · Gerontology (9 works) · Environmental health (8 works) · Family medicine (8 works) · Ethnic group (7 works) · Health care (7 works)