R Turner Goins
Biographic Data
| ID | 87069 |
|---|---|
| NAME | R Turner Goins |
| GIVEN NAMES | R Turner |
| FAMILY NAME | Goins |
| SIGNATURE | GOINS R T |
| AFFILIATIONS | Western Carolina University |
| ORCID | 0000-0001-6875-1263 |
| VERIFIED | Yes |
| TOTAL WORKS | 27 |
| TOTAL CITATIONS | 44 |
| AUTHOR COUNT | 27 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1999 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 4 |
Cultural tailoring advance care planning for an American Indian community: Make your wishes about you
There is a growing interest in tailoring existing evidence-based programs with relatively little in the literature offering guidance. By sharing our efforts and experiences in culturally tailoring an advance care planning program for an American Indian Tribe, we hope that it will serve useful for future efforts in ensuring that evidence-based programming reaches those in greatest need. While this project was rooted in the core Indigenous values o…
Social Support and Diabetes Management Among Older American Indians
Objective: Greater understanding how relationships that can facilitate or impede type 2 diabetes (T2D) management and control among older American Indian people is an overlooked, yet urgently needed strategy. Thus, we examined social support among older American Indian people in relation to their T2D management. Methods: During the fall 2015, we conducted qualitative interviews with 28 participants aged ≥ 60 years who were members of a federally-…
Social determinants of obesity in American Indian and Alaska Native peoples aged ≥ 50 years
Objective: American Indian and Alaska Native peoples (AI/AN) have a disproportionately high rate of obesity, but little is known about the social determinants of obesity among older AI/AN. Thus, our study assessed social determinants of obesity in AI/AN aged ≥ 50 years. Design: We conducted a cross-sectional analysis using multivariate generalised linear mixed models to identify social determinants associated with the risk of being classified as …
Older Adults in the United States and Covid-19: A Qualitative Study of Perceptions, Finances, Coping, and Emotions
Introduction: Older adults have the poorest coronavirus (COVID-19) prognosis with the highest risk of death due to complications, making their COVID-19 experiences particularly important. Guided by the stress-appraisal-coping theoretical model, we sought to understand COVID-related perceptions and behaviors of older adults residing in the United States. Materials and Methods: We used convenience sampling to recruit persons with the following incl…
Diabetes and health-related quality of life among American Indians: The role of psychosocial factors
Barriers, strengths, and strategies for the post-hospital treatment of children born with neonatal abstinence syndrome and their mothers: A Delphi study
The purpose of our study was to obtain expert opinions with respect to the barriers, strengths, and strategies related to community-based services for children ages 0 to 3 years who were born with NAS and their mothers' post-hospital discharge. Participants consisted of the Department of Social Services (DSS) and Children’s Developmental Service Agency (CDSA) employees in 10 western North Carolina counties. We used a Delphi study approach with an…
Cervical cancer screening behaviors among American Indian women: Cervical cancer literacy and health belief model
American Indian women experience disproportionately high rates of cervical cancer morbidity and mortality, yet cancer screening services tend to be underutilized. Using the Health Belief Model (HBM) with a survey of American Indian women (N = 286) in South Dakota, findings indicate that only 59% received Pap test within the past 2 years. Significant predictors of Pap test included advanced age, higher BMI, greater awareness of Pap test, greater m…
Type 2 diabetes management among older American Indians: Beliefs, attitudes, and practices
Objective: The purpose of this study was to examine beliefs, attitudes, and practices of older American Indians regarding their type 2 diabetes mellitus (T2DM) management. T2DM is one of the leading causes of morbidity and mortality among American Indians. American Indians are more than twice as likely to have T2DM and have over three times a T2DM mortality rate as Whites. Design: Study participants were older members of a federally recognized tr…
Psychometric Examination of the Center for Epidemiologic Studies Depression Scale with Older American Indians: The Native Elder Care Study
Measuring mental health accurately is an important endeavor for screening purposes. Depression scales, such as the Center for Epidemiologic Studies Depression (CES-D) scale, have been well-established among different populations. Yet, little work has been done to examine the reliability and validity of the CES-D among older American Indians and Alaska Natives. The purpose of our study was to examine the factor structure, reliability, and concurre…
Traumatic Stress, Social Support, and Health Among Older American Indians: The Native Elder Care Study
Traumatic stress was associated with less perceived social support and poorer health. Social support was not found to moderate the relationship between traumatic stress and physical and mental health
Lifetime Trauma and Depressive Symptomatology Among Older American Indians: The Native Elder Care Study
Correlates of Receipt of Colorectal Cancer Screening among American Indians in the Northern Plains
Research has consistently documented lower colorectal cancer (CRC) screening rates for racial and ethnic minority populations, with the lowest screening rates among American Indians (AIs). Given the low CRC screening rates among AIs residing in the Northern Plains region, the objective of this research was to identify CRC screening correlates for Northern Plains AIs. With a sample of 181 AIs age 50 years or older, the authors used Andersen's beha…
Disparities in Health, Health Care Access, and Life Experience Between American Indian and White Adults in South Dakota
Community as a source of health in three racial/ethnic communities in Oregon: A qualitative study
This study's findings provide insight to the social contexts which operate in the lives of some Latinos and American Indians in Oregon. While participants identified community-level factors as important to health, they focused more on the social connections of individuals to each other and the relationships that residents have with their communities at-large. Our findings may also help to explain how the intra- and inter-personal levels, the comm…
Perceptions of the Environment and Health Among Members of the Confederated Tribes of the Umatilla Indian Reservation
Indigenous cultures perceive the natural environment as an essential link between traditional cultural practices, social connectedness, identity, and health. Many tribal communities face substantial health disparities related to exposure to environmental hazards. Our study used qualitative methods to better understand the Confederated Tribes of the Umatilla Indian Reservation (CTUIR) members' perspectives about their environment and its connectio…
Disparities in Health Status and Health Care Access and Use Among Older American Indians and Alaska Natives and Non-Hispanic Whites in California
These findings highlight the vulnerability and unmet health care needs of older AIANs. More research on the older AIAN population is clearly needed to document their health care needs in order to better inform efforts to reduce health disparities
Lay Meanings of Health Among Rural Older Adults in Appalachia: Lay Meanings of Health Among Rural Older Adults
PURPOSE: Self-perceptions of health vary depending on one's social and cultural context. Rural residents have been characterized as having a distinct culture, and health differences by residence have been well documented. While there is evidence of poor health among rural older adults, little research has examined how they perceive and define health. Qualitative methods may help capture these lay meanings of health. The purpose of our study was t…
Comorbidity among Older American Indians: The Native Elder Care Study
Lost in Summation: Depression Among African American Female Caregivers and Noncaregivers
Perceived Barriers to Health Care Access Among Rural Older Adults: A Qualitative Study
CONTEXT: Many rural elders experience limited access to health care. The majority of what we know about this issue has been based upon quantitative studies, yet qualitative studies might offer additional insight into individual perceptions of health care access. PURPOSE: To examine what barriers rural elders report when accessing needed health care, including how they cope with the high cost of prescription medication. METHODS: During Spring 2001…
Self‐rated Health Among Vulnerable Older Adults in Rural Appalachia
Context: Self‐rated health (SRH) predicts service use, morbidity, and mortality. Additionally, SRH has been associated with indices of psychological well‐being. Purpose: The main focus of the study was to investigate important differences among the lower spectrum of SRH (ie, fair and poor) on indices of well‐being. Methods: In‐person interviews collected data from 207 (M age = 75.8) older rural adults. Data were used to examine differences betwee…
Disparities in Chronic Disease Risk Factors and Health Status Between American Indian/Alaska Native and White Elders: Findings From a Telephone Survey, 2001 and 2002
We compared prevalence estimates of chronic disease risk factors and health status between American Indian/Alaska Native (AIAN) and White elders. We used 2001 and 2002 Behavioral Risk Factor Surveillance System data to estimate the prevalence of smoking, physical inactivity, obesity, diagnosed diabetes, and general health status. For all health behavior and status measures, American Indians/Alaska Natives reported greater risk than did Whites. Ri…
Health Differences Among Lumbee Indians Using Public and Private Sources of Care
Context: Of 2.4 million American Indians, approximately 60% are eligible to receive Indian Health Service (IHS) benefits, leaving many to seek care elsewhere. It is unknown if their quality of care, health behaviors, and health status vary by source of care, as demonstrated for other populations. Purpose: The purpose of this study was to determine whether preventive services, health behaviors, and number of health conditions vary as a function of…
The Effects of Depressed Affect on Functional Disability Among Rural Older Adults
Access, Relevance, and Control in the Research Process
Most investigators are unprepared to address the demands of health research in AI communities. Community-based participatory research in this setting conflicts with investigators' desire for academic freedom and scientific independence. Successful collaboration promises to enhance research efficiencies and move findings more quickly to clinical practice
Disparities in Chronic Disease Risk Factors and Health Status Between American Indian/Alaska Native and White Elders: Findings From a Telephone Survey, 2001 and 2002
We compared prevalence estimates of chronic disease risk factors and health status between American Indian/Alaska Native (AIAN) and White elders. We used 2001 and 2002 Behavioral Risk Factor Surveillance System data to estimate the prevalence of smoking, physical inactivity, obesity, diagnosed diabetes, and general health status. For all health behavior and status measures, American Indians/Alaska Natives reported greater risk than did Whites. Ri…
Access, Relevance, and Control in the Research Process
Most investigators are unprepared to address the demands of health research in AI communities. Community-based participatory research in this setting conflicts with investigators' desire for academic freedom and scientific independence. Successful collaboration promises to enhance research efficiencies and move findings more quickly to clinical practice
Disparities in Health Status and Health Care Access and Use Among Older American Indians and Alaska Natives and Non-Hispanic Whites in California
These findings highlight the vulnerability and unmet health care needs of older AIANs. More research on the older AIAN population is clearly needed to document their health care needs in order to better inform efforts to reduce health disparities
Comorbidity among Older American Indians: The Native Elder Care Study
Disparities in Health, Health Care Access, and Life Experience Between American Indian and White Adults in South Dakota
Type 2 diabetes management among older American Indians: Beliefs, attitudes, and practices
Objective: The purpose of this study was to examine beliefs, attitudes, and practices of older American Indians regarding their type 2 diabetes mellitus (T2DM) management. T2DM is one of the leading causes of morbidity and mortality among American Indians. American Indians are more than twice as likely to have T2DM and have over three times a T2DM mortality rate as Whites. Design: Study participants were older members of a federally recognized tr…
Correlates of Receipt of Colorectal Cancer Screening among American Indians in the Northern Plains
Research has consistently documented lower colorectal cancer (CRC) screening rates for racial and ethnic minority populations, with the lowest screening rates among American Indians (AIs). Given the low CRC screening rates among AIs residing in the Northern Plains region, the objective of this research was to identify CRC screening correlates for Northern Plains AIs. With a sample of 181 AIs age 50 years or older, the authors used Andersen's beha…
Lost in Summation: Depression Among African American Female Caregivers and Noncaregivers
Health‐related Quality of Life: Does Rurality Matter
This study addresses the question of whether six health‐related quality‐of life domains are related to population density within a rural area while adjusting for the effects of demographic characteristics and social support resources. The sample consisted of 2,178 adults aged 60 years or older who resided in eastern North Carolina between 1989 and 1991. Ordinary least squares regression estimation was used to analyze this survey data. For the ana…
The First International Conference on Rural Aging: A Global Challenge
Health Differences Among Lumbee Indians Using Public and Private Sources of Care
Context: Of 2.4 million American Indians, approximately 60% are eligible to receive Indian Health Service (IHS) benefits, leaving many to seek care elsewhere. It is unknown if their quality of care, health behaviors, and health status vary by source of care, as demonstrated for other populations. Purpose: The purpose of this study was to determine whether preventive services, health behaviors, and number of health conditions vary as a function of…
The Effects of Depressed Affect on Functional Disability Among Rural Older Adults
Access, Relevance, and Control in the Research Process
Most investigators are unprepared to address the demands of health research in AI communities. Community-based participatory research in this setting conflicts with investigators' desire for academic freedom and scientific independence. Successful collaboration promises to enhance research efficiencies and move findings more quickly to clinical practice
Perceived Barriers to Health Care Access Among Rural Older Adults: A Qualitative Study
CONTEXT: Many rural elders experience limited access to health care. The majority of what we know about this issue has been based upon quantitative studies, yet qualitative studies might offer additional insight into individual perceptions of health care access. PURPOSE: To examine what barriers rural elders report when accessing needed health care, including how they cope with the high cost of prescription medication. METHODS: During Spring 2001…
Self‐rated Health Among Vulnerable Older Adults in Rural Appalachia
Context: Self‐rated health (SRH) predicts service use, morbidity, and mortality. Additionally, SRH has been associated with indices of psychological well‐being. Purpose: The main focus of the study was to investigate important differences among the lower spectrum of SRH (ie, fair and poor) on indices of well‐being. Methods: In‐person interviews collected data from 207 (M age = 75.8) older rural adults. Data were used to examine differences betwee…
Disparities in Chronic Disease Risk Factors and Health Status Between American Indian/Alaska Native and White Elders: Findings From a Telephone Survey, 2001 and 2002
We compared prevalence estimates of chronic disease risk factors and health status between American Indian/Alaska Native (AIAN) and White elders. We used 2001 and 2002 Behavioral Risk Factor Surveillance System data to estimate the prevalence of smoking, physical inactivity, obesity, diagnosed diabetes, and general health status. For all health behavior and status measures, American Indians/Alaska Natives reported greater risk than did Whites. Ri…
Lost in Summation: Depression Among African American Female Caregivers and Noncaregivers
Comorbidity among Older American Indians: The Native Elder Care Study
Lay Meanings of Health Among Rural Older Adults in Appalachia: Lay Meanings of Health Among Rural Older Adults
PURPOSE: Self-perceptions of health vary depending on one's social and cultural context. Rural residents have been characterized as having a distinct culture, and health differences by residence have been well documented. While there is evidence of poor health among rural older adults, little research has examined how they perceive and define health. Qualitative methods may help capture these lay meanings of health. The purpose of our study was t…
Disparities in Health Status and Health Care Access and Use Among Older American Indians and Alaska Natives and Non-Hispanic Whites in California
These findings highlight the vulnerability and unmet health care needs of older AIANs. More research on the older AIAN population is clearly needed to document their health care needs in order to better inform efforts to reduce health disparities
Perceptions of the Environment and Health Among Members of the Confederated Tribes of the Umatilla Indian Reservation
Indigenous cultures perceive the natural environment as an essential link between traditional cultural practices, social connectedness, identity, and health. Many tribal communities face substantial health disparities related to exposure to environmental hazards. Our study used qualitative methods to better understand the Confederated Tribes of the Umatilla Indian Reservation (CTUIR) members' perspectives about their environment and its connectio…
Community as a source of health in three racial/ethnic communities in Oregon: A qualitative study
This study's findings provide insight to the social contexts which operate in the lives of some Latinos and American Indians in Oregon. While participants identified community-level factors as important to health, they focused more on the social connections of individuals to each other and the relationships that residents have with their communities at-large. Our findings may also help to explain how the intra- and inter-personal levels, the comm…
Correlates of Receipt of Colorectal Cancer Screening among American Indians in the Northern Plains
Research has consistently documented lower colorectal cancer (CRC) screening rates for racial and ethnic minority populations, with the lowest screening rates among American Indians (AIs). Given the low CRC screening rates among AIs residing in the Northern Plains region, the objective of this research was to identify CRC screening correlates for Northern Plains AIs. With a sample of 181 AIs age 50 years or older, the authors used Andersen's beha…
Disparities in Health, Health Care Access, and Life Experience Between American Indian and White Adults in South Dakota
Psychometric Examination of the Center for Epidemiologic Studies Depression Scale with Older American Indians: The Native Elder Care Study
Measuring mental health accurately is an important endeavor for screening purposes. Depression scales, such as the Center for Epidemiologic Studies Depression (CES-D) scale, have been well-established among different populations. Yet, little work has been done to examine the reliability and validity of the CES-D among older American Indians and Alaska Natives. The purpose of our study was to examine the factor structure, reliability, and concurre…
Traumatic Stress, Social Support, and Health Among Older American Indians: The Native Elder Care Study
Traumatic stress was associated with less perceived social support and poorer health. Social support was not found to moderate the relationship between traumatic stress and physical and mental health
Lifetime Trauma and Depressive Symptomatology Among Older American Indians: The Native Elder Care Study
Type 2 diabetes management among older American Indians: Beliefs, attitudes, and practices
Objective: The purpose of this study was to examine beliefs, attitudes, and practices of older American Indians regarding their type 2 diabetes mellitus (T2DM) management. T2DM is one of the leading causes of morbidity and mortality among American Indians. American Indians are more than twice as likely to have T2DM and have over three times a T2DM mortality rate as Whites. Design: Study participants were older members of a federally recognized tr…
Barriers, strengths, and strategies for the post-hospital treatment of children born with neonatal abstinence syndrome and their mothers: A Delphi study
The purpose of our study was to obtain expert opinions with respect to the barriers, strengths, and strategies related to community-based services for children ages 0 to 3 years who were born with NAS and their mothers' post-hospital discharge. Participants consisted of the Department of Social Services (DSS) and Children’s Developmental Service Agency (CDSA) employees in 10 western North Carolina counties. We used a Delphi study approach with an…
Cervical cancer screening behaviors among American Indian women: Cervical cancer literacy and health belief model
American Indian women experience disproportionately high rates of cervical cancer morbidity and mortality, yet cancer screening services tend to be underutilized. Using the Health Belief Model (HBM) with a survey of American Indian women (N = 286) in South Dakota, findings indicate that only 59% received Pap test within the past 2 years. Significant predictors of Pap test included advanced age, higher BMI, greater awareness of Pap test, greater m…
Older Adults in the United States and Covid-19: A Qualitative Study of Perceptions, Finances, Coping, and Emotions
Introduction: Older adults have the poorest coronavirus (COVID-19) prognosis with the highest risk of death due to complications, making their COVID-19 experiences particularly important. Guided by the stress-appraisal-coping theoretical model, we sought to understand COVID-related perceptions and behaviors of older adults residing in the United States. Materials and Methods: We used convenience sampling to recruit persons with the following incl…
Diabetes and health-related quality of life among American Indians: The role of psychosocial factors
Social Support and Diabetes Management Among Older American Indians
Objective: Greater understanding how relationships that can facilitate or impede type 2 diabetes (T2D) management and control among older American Indian people is an overlooked, yet urgently needed strategy. Thus, we examined social support among older American Indian people in relation to their T2D management. Methods: During the fall 2015, we conducted qualitative interviews with 28 participants aged ≥ 60 years who were members of a federally-…
Medicine (26 works) · Gerontology (21 works) · Psychology (15 works) · Health disparities and outcomes (11 works) · Psychiatry (11 works) · Sociology (10 works) · Environmental health (9 works) · Nursing (9 works) · Public health (9 works) · Mental health (7 works)