Rachel C Shelton
Dados Biográficos
| ID | 179183 |
|---|---|
| NOME | Rachel C Shelton |
| PRENOMES | Rachel C |
| SOBRENOME | Shelton |
| ASSINATURA | SHELTON R C |
| AFILIAÇÕES | Columbia University |
| ORCID | 0000-0001-6496-6339 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 29 |
| TOTAL DE CITAÇÕES | 62 |
| TOTAL COMO AUTOR | 29 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2009 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 4 |
Stress across the lifecourse and adult mental and physical health outcomes
INTRODUCTION: Economic, social, and traumatic stressors have been shown to impact mental and physical health. Few studies have considered whether different domains of stressors have a differential effect on health outcomes or have considered stressors across the lifecourse. We characterize stress cumulatively (life stress) and across different domains and examine their relation to adult mental and physical health using prospectively collected dat…
Cumulative Stress Across the Life Course and Biological Aging in Adulthood
OBJECTIVE: Psychosocial stressors have been linked with accelerated biological aging in adults; however, few studies have examined stressors across the life course in relation to biological aging. METHODS: In 359 individuals (57% White, 34% Black) from the Child Health and Development Studies Disparities study, economic (income, education, financial strain), social (parent-child relations, caretaker responsibilities) and traumatic (death of a sib…
Making the connection between health equity and sustainability
Sustainability and health inequities are key challenges in public health and healthcare. Research suggests that only about half of evidence-based interventions (EBIs) are sustained over time, and settings and populations experiencing systemic and structural barriers to health (e.g., poverty, racism, stigma, and discrimination) experience even greater challenges to sustainability. In this article, we argue that an enhanced focus on sustainability …
Experience of a National Cancer Institute-Designated Community Outreach and Engagement Program in Supporting Communities During the Covid-19 Pandemic
Racial Disparities in Avoidant Coping and Hypertension Among Midlife Adults
School-level factors associated with the sustainment of weekly physical activity scheduled in Australian elementary schools
Further research is required to explore additional contextual-specific, and end-user appropriate factors associated with schools' sustainment of weekly PA scheduled. This will help accurately inform the development of strategies to address these determinants and support the sustainment and long-term benefits of school-based health interventions more broadly
Understanding and applying the RE-AIM framework
Introduction: Understanding, categorizing, and using implementation science theories, models, and frameworks is a complex undertaking. The issues involved are even more challenging given the large number of frameworks and that some of them evolve significantly over time. As a consequence, researchers and practitioners may be unintentionally mischaracterizing frameworks or basing actions and conclusions on outdated versions of a framework. Methods…
Adaptation and Validation of the Program Sustainability Assessment Tool (PSAT) for Use in the Elementary School Setting
There is a lack of valid and reliable measures of determinants of sustainability specific to public health interventions in the elementary school setting. This study aimed to adapt and evaluate the Program Sustainability Assessment Tool (PSAT) for use in this setting. An expert reference group adapted the PSAT to ensure face validity. Elementary school teachers participating in a multi-component implementation intervention to increase their sched…
Recommendations for Addressing Structural Racism in Implementation Science
Implementation science (IS) has emerged in response to a striking research-to-practice gap, with the goal of accelerating and addressing the development, translation, and widespread uptake of evidence-based interventions (EBIs). Despite the promise of IS, critical gaps and opportunities remain within the field to explicitly facilitate health equity, particularly as they relate to the role of social determinants of health and structural racism. In…
Trust and Mistrust in Shaping Adaptation and De-Implementation in the Context of Changing Screening Guidelines
Findings highlight that trust and mistrust are important but understudied social determinants of health among AAs that should be considered in implementation science as they: 1) have critical implications for shaping health inequities; and 2) help explain and contextualize why new screening guidelines may not be fully embraced in the AA community
An Extension of RE-AIM to Enhance Sustainability
RE-AIM is a widely adopted, robust implementation science (IS) framework used to inform intervention and implementation design, planning, and evaluation, as well as to address short-term maintenance. In recent years, there has been growing focus on the longer-term sustainability of evidence-based programs, policies and practices (EBIs). In particular, investigators have conceptualized sustainability as the continued health impact and delivery of …
Use of social network analysis in the development, dissemination, implementation, and sustainability of health behavior interventions for adults
Sustaining Evidence-Based Interventions and Policies
Need for Innovation in Public Health Research
The recent conference Turning the Tide: A New Generation of Public Health Interventions highlighted the need to utilize innovative and emergent methodologies to confront increasingly complex public health challenges. In this commentary, we discuss three dominant themes from the conference: addressing multiple levels of causality in reducing health problems; technology-based methodologies to enhance health promotion; and improving translation and …
The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care
There is strong interest in implementation science to address the gap between research and practice in public health. Research on the sustainability of evidence-based interventions has been growing rapidly. Sustainability has been defined as the continued use of program components at sufficient intensity for the sustained achievement of desirable program goals and population outcomes. This understudied area has been identified as one of the most …
Preventive Health Behaviors Among Low-Income African American and Hispanic Populations
Message framing in the context of the national menu-labelling policy
Objective We conducted a content analysis of public comments to understand the key framing approaches used by private industry v . public health sector, with the goal of informing future public health messaging, framing and advocacy in the context of policy making. Design Comments to the proposed menu-labelling policy were extracted from Regulations.gov and analysed. A framing matrix was used to organize and code key devices and themes. Documents…
Social Norms, Acculturation, and Physical Activity Among Latina Women
Predictors of Breast Cancer Worry in a Hispanic and Predominantly Immigrant Mammography Screening Population
Why the Neighborhood Social Environment Is Critical in Obesity Prevention
The architecture of support
HPV Vaccine Decision-Making and Acceptance
Using the Interactive Systems Framework to Support a Quality Improvement Approach to Dissemination of Evidence‐Based Strategies to Promote Early Detection of Breast Cancer
Dissemination efforts must optimize interventions for new settings and populations. As such, dissemination research should incorporate principles of quality improvement. Comprehensive Dynamic Trial (CDT) designs examine how information gained during dissemination may be used to modify interventions and improve performance. Although CDT may offer distinct advantages over static designs, organizing the many necessary roles and activities is a signi…
Cervical Cancer Screening Among Immigrant Hispanics
Characteristics of Male Attendees of Health Education Interventions for Latinos
Associations between perceived social environment and neighborhood safety
The architecture of support
An Investigation Into the Social Context of Low-Income, Urban Black and Latina Women
Understanding factors that promote or prevent adherence to recommended health behaviors is essential for developing effective health programs, particularly among lower income populations who carry a disproportionate burden of disease. We conducted in-depth qualitative interviews (n = 64) with low-income Black and Latina women who shared the experience of requiring diagnostic follow-up after having a screening mammography with abnormal findings. W…
Sustaining Evidence-Based Interventions and Policies
Using the Interactive Systems Framework to Support a Quality Improvement Approach to Dissemination of Evidence‐Based Strategies to Promote Early Detection of Breast Cancer
Dissemination efforts must optimize interventions for new settings and populations. As such, dissemination research should incorporate principles of quality improvement. Comprehensive Dynamic Trial (CDT) designs examine how information gained during dissemination may be used to modify interventions and improve performance. Although CDT may offer distinct advantages over static designs, organizing the many necessary roles and activities is a signi…
The Association Between Social Factors and Physical Activity Among Low-Income Adults Living in Public Housing
Objectives. We sought to examine the association between structural, functional, and normative social factors and physical activity among urban, low-income, racially/ethnically diverse adults. Methods. We conducted a baseline cross-sectional survey among residents of 12 low-income housing communities in metropolitan Boston, Massachusetts. Participants were also asked to wear a pedometer for 5 days. We analyzed complete data from 1112 residents (w…
Need for Innovation in Public Health Research
The recent conference Turning the Tide: A New Generation of Public Health Interventions highlighted the need to utilize innovative and emergent methodologies to confront increasingly complex public health challenges. In this commentary, we discuss three dominant themes from the conference: addressing multiple levels of causality in reducing health problems; technology-based methodologies to enhance health promotion; and improving translation and …
Preventive Health Behaviors Among Low-Income African American and Hispanic Populations
Factors Associated with Colorectal Cancer Screening among a Low-Income, Multiethnic, Highly Insured Population
Associations between perceived social environment and neighborhood safety
Cervical Cancer Screening Among Immigrant Hispanics
Characteristics of Male Attendees of Health Education Interventions for Latinos
The Association Between Social Factors and Physical Activity Among Low-Income Adults Living in Public Housing
Objectives. We sought to examine the association between structural, functional, and normative social factors and physical activity among urban, low-income, racially/ethnically diverse adults. Methods. We conducted a baseline cross-sectional survey among residents of 12 low-income housing communities in metropolitan Boston, Massachusetts. Participants were also asked to wear a pedometer for 5 days. We analyzed complete data from 1112 residents (w…
An Investigation Into the Social Context of Low-Income, Urban Black and Latina Women
Understanding factors that promote or prevent adherence to recommended health behaviors is essential for developing effective health programs, particularly among lower income populations who carry a disproportionate burden of disease. We conducted in-depth qualitative interviews (n = 64) with low-income Black and Latina women who shared the experience of requiring diagnostic follow-up after having a screening mammography with abnormal findings. W…
Using the Interactive Systems Framework to Support a Quality Improvement Approach to Dissemination of Evidence‐Based Strategies to Promote Early Detection of Breast Cancer
Dissemination efforts must optimize interventions for new settings and populations. As such, dissemination research should incorporate principles of quality improvement. Comprehensive Dynamic Trial (CDT) designs examine how information gained during dissemination may be used to modify interventions and improve performance. Although CDT may offer distinct advantages over static designs, organizing the many necessary roles and activities is a signi…
HPV Vaccine Decision-Making and Acceptance
The architecture of support
Social Norms, Acculturation, and Physical Activity Among Latina Women
Predictors of Breast Cancer Worry in a Hispanic and Predominantly Immigrant Mammography Screening Population
Why the Neighborhood Social Environment Is Critical in Obesity Prevention
Message framing in the context of the national menu-labelling policy
Objective We conducted a content analysis of public comments to understand the key framing approaches used by private industry v . public health sector, with the goal of informing future public health messaging, framing and advocacy in the context of policy making. Design Comments to the proposed menu-labelling policy were extracted from Regulations.gov and analysed. A framing matrix was used to organize and code key devices and themes. Documents…
The Sustainability of Evidence-Based Interventions and Practices in Public Health and Health Care
There is strong interest in implementation science to address the gap between research and practice in public health. Research on the sustainability of evidence-based interventions has been growing rapidly. Sustainability has been defined as the continued use of program components at sufficient intensity for the sustained achievement of desirable program goals and population outcomes. This understudied area has been identified as one of the most …
Preventive Health Behaviors Among Low-Income African American and Hispanic Populations
Use of social network analysis in the development, dissemination, implementation, and sustainability of health behavior interventions for adults
Sustaining Evidence-Based Interventions and Policies
Need for Innovation in Public Health Research
The recent conference Turning the Tide: A New Generation of Public Health Interventions highlighted the need to utilize innovative and emergent methodologies to confront increasingly complex public health challenges. In this commentary, we discuss three dominant themes from the conference: addressing multiple levels of causality in reducing health problems; technology-based methodologies to enhance health promotion; and improving translation and …
An Extension of RE-AIM to Enhance Sustainability
RE-AIM is a widely adopted, robust implementation science (IS) framework used to inform intervention and implementation design, planning, and evaluation, as well as to address short-term maintenance. In recent years, there has been growing focus on the longer-term sustainability of evidence-based programs, policies and practices (EBIs). In particular, investigators have conceptualized sustainability as the continued health impact and delivery of …
Understanding and applying the RE-AIM framework
Introduction: Understanding, categorizing, and using implementation science theories, models, and frameworks is a complex undertaking. The issues involved are even more challenging given the large number of frameworks and that some of them evolve significantly over time. As a consequence, researchers and practitioners may be unintentionally mischaracterizing frameworks or basing actions and conclusions on outdated versions of a framework. Methods…
Adaptation and Validation of the Program Sustainability Assessment Tool (PSAT) for Use in the Elementary School Setting
There is a lack of valid and reliable measures of determinants of sustainability specific to public health interventions in the elementary school setting. This study aimed to adapt and evaluate the Program Sustainability Assessment Tool (PSAT) for use in this setting. An expert reference group adapted the PSAT to ensure face validity. Elementary school teachers participating in a multi-component implementation intervention to increase their sched…
Recommendations for Addressing Structural Racism in Implementation Science
Implementation science (IS) has emerged in response to a striking research-to-practice gap, with the goal of accelerating and addressing the development, translation, and widespread uptake of evidence-based interventions (EBIs). Despite the promise of IS, critical gaps and opportunities remain within the field to explicitly facilitate health equity, particularly as they relate to the role of social determinants of health and structural racism. In…
Trust and Mistrust in Shaping Adaptation and De-Implementation in the Context of Changing Screening Guidelines
Findings highlight that trust and mistrust are important but understudied social determinants of health among AAs that should be considered in implementation science as they: 1) have critical implications for shaping health inequities; and 2) help explain and contextualize why new screening guidelines may not be fully embraced in the AA community
Experience of a National Cancer Institute-Designated Community Outreach and Engagement Program in Supporting Communities During the Covid-19 Pandemic
Racial Disparities in Avoidant Coping and Hypertension Among Midlife Adults
Medicine (25 obras) · Psychology (16 obras) · Public health (14 obras) · Environmental health (12 obras) · Nursing (12 obras) · Political science (12 obras) · Psychological intervention (11 obras) · Gerontology (9 obras) · Health Policy Implementation Science (9 obras) · Global Cancer Incidence and Screening (7 obras)