Erin R Hager
Datos Biográficos
| ID | 4416050 |
|---|---|
| NOMBRE | Erin R Hager |
| NOMBRES | Erin R |
| APELLIDO | Hager |
| FIRMA | HAGER E R |
| AFILIACIONES | University of Maryland, Baltimore |
| ORCID | 0000-0002-5499-2952 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 25 |
| TOTAL DE CITAS | 17 |
| TOTAL COMO AUTOR | 25 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2010 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 2 |
System‐Level, Decision‐Making, and Program Operations During the Implementation of the Medicaid Direct Certificate ( DC ‐M) Pilot on Maryland Community School Meals
BACKGROUND: The Maryland Department of Education participated in the USDA's Direct Certification with Medicaid (DC-M) pilot during the 2022-2023 school year. This program lets Medicaid-enrolled students automatically qualify for Free or Reduced-Price Meals (FARM) and incorporates Medicaid data into eligibility calculations for the Community Eligibility Provision (CEP), which allows high-poverty schools to offer free meals to all students. This st…
Caregiver Perceptions and Experiences of the Child Tax Credit Expansion
More money, more questions
Implicit Racial Bias in Evaluation of Neonatal Opioid Withdrawal Syndrome
Prevalence of Recess and Supportive Practices at a Nationwide Sample of Public Elementary Schools in the United States
BACKGROUND: Recess provides an important opportunity for children to be physically active during weekdays. Updated, nationally representative, prevalence estimates of elementary school recess practices in the United States are needed. METHODS: Surveys were sent to a nationally representative sample of 1010 public elementary schools in the 2019-2020 school year. Results were compared by region (Northeast, Midwest, South, West), urbanicity, size, r…
Parents' Perceptions of Schools' Covid ‐19 Mitigation Strategies
BACKGROUND: At the onset of the COVID-19 pandemic, schools closed across the United States. Given the impact of virtual learning and lost access to school resources, schools eventually reopened with COVID-19 mitigation protocols in place. This qualitative study sought to understand parental perceptions of school-based COVID-19 mitigation strategies. METHODS: Using a phenomenology approach, nine focus groups were completed with 40 parents of child…
Using the Whole School, Whole Community, Whole Child Model to Support Mental Health in Schools
The COVID‐19 pandemic increased already high rates of student mental health concerns and further underscored inequities and disparities in access to services and care. As schools continue to address the effects of the pandemic, they must prioritize student mental health and well‐being. In this commentary, using feedback from the Maryland School Health Council, we present the connection between mental health in school and the Whole School, Whole C…
Ecological Momentary Assessment of Momentary Associations Between Availability of Physical Activity Space and Physical Activity Opportunities Among Children from Rural, Urban, and Suburban Locales
Using Ecological Momentary Assessment (EMA), this study examined associations between momentary availability of physical activity (PA) space and accessibility of PA opportunities among 608 elementary and middle school students who were participating in an obesity prevention trial in one mid-Atlantic state in the U.S. Smartphones prompted EMA surveys at random times to assess children's perceived availability of PA space and accessibility of PA op…
Development of a community-informed communication toolkit to prevent spread of viral illness in schools, including Sars-COV-2
Introduction: Schools were uniquely impacted during the COVID-19 (SARS-COV-2) pandemic. We sought to elucidate how parents/guardians of elementary and middle school students in Maryland navigated the return to in-person school following remote instruction. We also sought to understand how they perceived communication about school-based COVID-19 mitigation strategies and their preferences for the content and format of public health communication a…
Identifying and preventing fraudulent responses in online public health surveys
Web-based survey data collection has become increasingly popular, and limitations on in-person data collection during the COVID-19 pandemic have fueled this growth. However, the anonymity of the online environment increases the risk of fraudulent responses provided by bots or those who complete surveys to receive incentives, a major risk to data integrity. As part of a study of COVID-19 and the return to in-person school, we implemented a web-bas…
Pre-pandemic to early-pandemic changes in risk of household food insecurity among Maryland families with children
Objective: The objective was to examine risk and protective factors associated with pre- to early-pandemic changes in risk of household food insecurity (FI). Design: We re-enrolled families from two statewide studies (2017–2020) in an observational cohort (May–August 2020). Caregivers reported on risk of household FI, demographics, pandemic-related hardships, and participation in safety net programmes (e.g. Coronavirus Aid, Relief, and Economic S…
A click too far from fresh foods
A recent policy in the U.S. authorized monthly benefits from a nutrition assistance program - Supplemental Nutrition Assistance Program (SNAP) - to be used online to increase grocery access and promote healthy eating. This study examined online grocery attitudes and purchasing behaviors among low-income SNAP-eligible households with young children with and without online grocery experience. An explanatory sequential mixed methods design was used,…
Recess as a practical strategy to implement the Whole School, Whole Community, Whole Child model in schools
Objectives: Schools can provide an optimal environment for promoting children’s health behaviours. The Whole School, Whole Community, Whole Child (WSCC) model addresses 10 aspects of the school environment that can be used to promote student health behaviours and academic outcomes: namely, Health Education; Nutrition Environment and Services; Employee Wellness; Social and Emotional School Climate; Physical Environment; Health Services; Counsellin…
Home and Neighborhood Physical Activity Location Availability among African American Adolescent Girls Living in Low-Income, Urban Communities
Based on the ecological model of active living, the neighborhood environment may relate to individual physical activity (PA) behaviors. The purposes of this study were to (1) generate a replicable neighborhood-level physical activity location availability score (PALAS) from data variables associated with physical activity among adolescents and adults, and apply this score to Baltimore City, Maryland, and (2) determine if relationships exist betwe…
Toddler obesity prevention
Rapid weight gain increases risks of obesity and associated co-morbidities. The objective was to reduce the rate of body mass index (BMI) growth (BMI z score), relative to control. Secondary outcomes were toddler-mother physical activity, mealtime interactions and fruit/vegetable intake. The randomized three-arm, eight-session, 4-month trial, conducted 2009-2013, included two intervention arms (responsive parenting and maternal lifestyle) and an …
Motor Competence and Attainment of Global Physical Activity Guidelines among a Statewide Sample of Preschoolers
Global physical activity guidelines for preschoolers include 60 min of moderate-to-vigorous physical activity (MVPA) daily. This study, based on the developmental model of motor skill competence, examines how motor competence relates to preschoolers' likelihood of meeting global guidelines using ankle accelerometry. We measured physical activity using 24-h ankle-placement accelerometry (Actical) for at least two consecutive days (87% with six-sev…
A systematic review of existing observational tools to measure the food and physical activity environment in schools
School Closures During Covid-19
In 2019, the National School Lunch Program and School Breakfast Program served approximately 15 million breakfasts and 30 million lunches daily at low or no cost to students. Access to these meals has been disrupted as a result of long-term school closures related to the COVID-19 pandemic, potentially decreasing both student nutrient intake and household food security. By the week of March 23, 2020, all states had mandated statewide school closur…
Varying Effect of a Randomized Toddler Home Safety Promotion Intervention Trial by Initial Home Safety Problems
Factors in the home environment associated with toddler diet
Objective To identify home environment factors associated with toddler dietary behaviours using ecological momentary assessment (EMA). Design Home environment and toddler’s diet were assessed by mothers through EMA (random beeps over ≤8 d and a brief survey). Dietary outcomes were fruit/vegetable consumption, eating episode (‘snack’ v. ‘meal’) and sugar-sweetened beverage (SSB) consumption. Home environment factors included interacting with mothe…
Food swamps and food deserts in Baltimore City, MD, USA
Objective To determine whether living in a food swamp (≥4 corner stores within 0·40 km (0·25 miles) of home) or a food desert (generally, no supermarket or access to healthy foods) is associated with consumption of snacks/desserts or fruits/vegetables, and if neighbourhood-level socio-economic status (SES) confounds relationships. Design Cross-sectional. Assessments included diet (Youth/Adolescent FFQ, skewed dietary variables normalized) and mea…
Civil Unrest in the Context of Chronic Community Violence
Objectives. To examine changes in maternal–child health surrounding the April 2015 civil unrest in Baltimore, Maryland, following Freddie Gray’s death while in police custody. Methods. We conducted cross-sectional Children’s HealthWatch surveys January 2014 through December 2015 in pediatric emergency departments and primary care clinics on maternal–child health and June 2015 through October 2015 on daily and community routines. We used trend ana…
Toddler physical activity study
Ankle accelerometry is a valid, reliable, and feasible method of assessing PA in community studies of toddlers from low-income families. Sub-populations of toddlers may be at increased risk for inactivity, including toddlers that are younger, female, Black, those with less active mothers, and those living in an urban location
Elevated blood pressure in adolescent girls
ClinicalTrials.gov Identifier, NCT00746083
Development and Validity of a 2-Item Screen to Identify Families at Risk for Food Insecurity
OBJECTIVES: To develop a brief screen to identify families at risk for food insecurity (FI) and to evaluate the sensitivity, specificity, and convergent validity of the screen. PATIENTS AND METHODS: Caregivers of children (age: birth through 3 years) from 7 urban medical centers completed the US Department of Agriculture 18-item Household Food Security Survey (HFSS), reports of child health, hospitalizations in their lifetime, and developmental r…
Civil Unrest in the Context of Chronic Community Violence
Objectives. To examine changes in maternal–child health surrounding the April 2015 civil unrest in Baltimore, Maryland, following Freddie Gray’s death while in police custody. Methods. We conducted cross-sectional Children’s HealthWatch surveys January 2014 through December 2015 in pediatric emergency departments and primary care clinics on maternal–child health and June 2015 through October 2015 on daily and community routines. We used trend ana…
School Closures During Covid-19
In 2019, the National School Lunch Program and School Breakfast Program served approximately 15 million breakfasts and 30 million lunches daily at low or no cost to students. Access to these meals has been disrupted as a result of long-term school closures related to the COVID-19 pandemic, potentially decreasing both student nutrient intake and household food security. By the week of March 23, 2020, all states had mandated statewide school closur…
A click too far from fresh foods
A recent policy in the U.S. authorized monthly benefits from a nutrition assistance program - Supplemental Nutrition Assistance Program (SNAP) - to be used online to increase grocery access and promote healthy eating. This study examined online grocery attitudes and purchasing behaviors among low-income SNAP-eligible households with young children with and without online grocery experience. An explanatory sequential mixed methods design was used,…
Development and Validity of a 2-Item Screen to Identify Families at Risk for Food Insecurity
OBJECTIVES: To develop a brief screen to identify families at risk for food insecurity (FI) and to evaluate the sensitivity, specificity, and convergent validity of the screen. PATIENTS AND METHODS: Caregivers of children (age: birth through 3 years) from 7 urban medical centers completed the US Department of Agriculture 18-item Household Food Security Survey (HFSS), reports of child health, hospitalizations in their lifetime, and developmental r…
Elevated blood pressure in adolescent girls
ClinicalTrials.gov Identifier, NCT00746083
Toddler physical activity study
Ankle accelerometry is a valid, reliable, and feasible method of assessing PA in community studies of toddlers from low-income families. Sub-populations of toddlers may be at increased risk for inactivity, including toddlers that are younger, female, Black, those with less active mothers, and those living in an urban location
Food swamps and food deserts in Baltimore City, MD, USA
Objective To determine whether living in a food swamp (≥4 corner stores within 0·40 km (0·25 miles) of home) or a food desert (generally, no supermarket or access to healthy foods) is associated with consumption of snacks/desserts or fruits/vegetables, and if neighbourhood-level socio-economic status (SES) confounds relationships. Design Cross-sectional. Assessments included diet (Youth/Adolescent FFQ, skewed dietary variables normalized) and mea…
Civil Unrest in the Context of Chronic Community Violence
Objectives. To examine changes in maternal–child health surrounding the April 2015 civil unrest in Baltimore, Maryland, following Freddie Gray’s death while in police custody. Methods. We conducted cross-sectional Children’s HealthWatch surveys January 2014 through December 2015 in pediatric emergency departments and primary care clinics on maternal–child health and June 2015 through October 2015 on daily and community routines. We used trend ana…
Factors in the home environment associated with toddler diet
Objective To identify home environment factors associated with toddler dietary behaviours using ecological momentary assessment (EMA). Design Home environment and toddler’s diet were assessed by mothers through EMA (random beeps over ≤8 d and a brief survey). Dietary outcomes were fruit/vegetable consumption, eating episode (‘snack’ v. ‘meal’) and sugar-sweetened beverage (SSB) consumption. Home environment factors included interacting with mothe…
Varying Effect of a Randomized Toddler Home Safety Promotion Intervention Trial by Initial Home Safety Problems
Toddler obesity prevention
Rapid weight gain increases risks of obesity and associated co-morbidities. The objective was to reduce the rate of body mass index (BMI) growth (BMI z score), relative to control. Secondary outcomes were toddler-mother physical activity, mealtime interactions and fruit/vegetable intake. The randomized three-arm, eight-session, 4-month trial, conducted 2009-2013, included two intervention arms (responsive parenting and maternal lifestyle) and an …
Motor Competence and Attainment of Global Physical Activity Guidelines among a Statewide Sample of Preschoolers
Global physical activity guidelines for preschoolers include 60 min of moderate-to-vigorous physical activity (MVPA) daily. This study, based on the developmental model of motor skill competence, examines how motor competence relates to preschoolers' likelihood of meeting global guidelines using ankle accelerometry. We measured physical activity using 24-h ankle-placement accelerometry (Actical) for at least two consecutive days (87% with six-sev…
A systematic review of existing observational tools to measure the food and physical activity environment in schools
School Closures During Covid-19
In 2019, the National School Lunch Program and School Breakfast Program served approximately 15 million breakfasts and 30 million lunches daily at low or no cost to students. Access to these meals has been disrupted as a result of long-term school closures related to the COVID-19 pandemic, potentially decreasing both student nutrient intake and household food security. By the week of March 23, 2020, all states had mandated statewide school closur…
Recess as a practical strategy to implement the Whole School, Whole Community, Whole Child model in schools
Objectives: Schools can provide an optimal environment for promoting children’s health behaviours. The Whole School, Whole Community, Whole Child (WSCC) model addresses 10 aspects of the school environment that can be used to promote student health behaviours and academic outcomes: namely, Health Education; Nutrition Environment and Services; Employee Wellness; Social and Emotional School Climate; Physical Environment; Health Services; Counsellin…
Home and Neighborhood Physical Activity Location Availability among African American Adolescent Girls Living in Low-Income, Urban Communities
Based on the ecological model of active living, the neighborhood environment may relate to individual physical activity (PA) behaviors. The purposes of this study were to (1) generate a replicable neighborhood-level physical activity location availability score (PALAS) from data variables associated with physical activity among adolescents and adults, and apply this score to Baltimore City, Maryland, and (2) determine if relationships exist betwe…
Pre-pandemic to early-pandemic changes in risk of household food insecurity among Maryland families with children
Objective: The objective was to examine risk and protective factors associated with pre- to early-pandemic changes in risk of household food insecurity (FI). Design: We re-enrolled families from two statewide studies (2017–2020) in an observational cohort (May–August 2020). Caregivers reported on risk of household FI, demographics, pandemic-related hardships, and participation in safety net programmes (e.g. Coronavirus Aid, Relief, and Economic S…
A click too far from fresh foods
A recent policy in the U.S. authorized monthly benefits from a nutrition assistance program - Supplemental Nutrition Assistance Program (SNAP) - to be used online to increase grocery access and promote healthy eating. This study examined online grocery attitudes and purchasing behaviors among low-income SNAP-eligible households with young children with and without online grocery experience. An explanatory sequential mixed methods design was used,…
Development of a community-informed communication toolkit to prevent spread of viral illness in schools, including Sars-COV-2
Introduction: Schools were uniquely impacted during the COVID-19 (SARS-COV-2) pandemic. We sought to elucidate how parents/guardians of elementary and middle school students in Maryland navigated the return to in-person school following remote instruction. We also sought to understand how they perceived communication about school-based COVID-19 mitigation strategies and their preferences for the content and format of public health communication a…
Identifying and preventing fraudulent responses in online public health surveys
Web-based survey data collection has become increasingly popular, and limitations on in-person data collection during the COVID-19 pandemic have fueled this growth. However, the anonymity of the online environment increases the risk of fraudulent responses provided by bots or those who complete surveys to receive incentives, a major risk to data integrity. As part of a study of COVID-19 and the return to in-person school, we implemented a web-bas…
Prevalence of Recess and Supportive Practices at a Nationwide Sample of Public Elementary Schools in the United States
BACKGROUND: Recess provides an important opportunity for children to be physically active during weekdays. Updated, nationally representative, prevalence estimates of elementary school recess practices in the United States are needed. METHODS: Surveys were sent to a nationally representative sample of 1010 public elementary schools in the 2019-2020 school year. Results were compared by region (Northeast, Midwest, South, West), urbanicity, size, r…
Parents' Perceptions of Schools' Covid ‐19 Mitigation Strategies
BACKGROUND: At the onset of the COVID-19 pandemic, schools closed across the United States. Given the impact of virtual learning and lost access to school resources, schools eventually reopened with COVID-19 mitigation protocols in place. This qualitative study sought to understand parental perceptions of school-based COVID-19 mitigation strategies. METHODS: Using a phenomenology approach, nine focus groups were completed with 40 parents of child…
Using the Whole School, Whole Community, Whole Child Model to Support Mental Health in Schools
The COVID‐19 pandemic increased already high rates of student mental health concerns and further underscored inequities and disparities in access to services and care. As schools continue to address the effects of the pandemic, they must prioritize student mental health and well‐being. In this commentary, using feedback from the Maryland School Health Council, we present the connection between mental health in school and the Whole School, Whole C…
Ecological Momentary Assessment of Momentary Associations Between Availability of Physical Activity Space and Physical Activity Opportunities Among Children from Rural, Urban, and Suburban Locales
Using Ecological Momentary Assessment (EMA), this study examined associations between momentary availability of physical activity (PA) space and accessibility of PA opportunities among 608 elementary and middle school students who were participating in an obesity prevention trial in one mid-Atlantic state in the U.S. Smartphones prompted EMA surveys at random times to assess children's perceived availability of PA space and accessibility of PA op…
Caregiver Perceptions and Experiences of the Child Tax Credit Expansion
More money, more questions
Implicit Racial Bias in Evaluation of Neonatal Opioid Withdrawal Syndrome
System‐Level, Decision‐Making, and Program Operations During the Implementation of the Medicaid Direct Certificate ( DC ‐M) Pilot on Maryland Community School Meals
BACKGROUND: The Maryland Department of Education participated in the USDA's Direct Certification with Medicaid (DC-M) pilot during the 2022-2023 school year. This program lets Medicaid-enrolled students automatically qualify for Free or Reduced-Price Meals (FARM) and incorporates Medicaid data into eligibility calculations for the Community Eligibility Provision (CEP), which allows high-poverty schools to offer free meals to all students. This st…
Medicine (22 obras) · Psychology (14 obras) · Environmental health (12 obras) · Obesity, Physical Activity, Diet (11 obras) · Demography (10 obras) · Demography (8 obras) · Gerontology (8 obras) · Business (6 obras) · Economics (6 obras) · Food Security and Health in Diverse Populations (6 obras)