Publications by authors named "Crystal Gonzalez"

Article Synopsis
  • Hispanic adults with type 2 diabetes (T2D) face higher risks of complications and mortality compared to the general population, leading to the exploration of innovative solutions like digital storytelling to promote healthier behaviors.
  • A multicenter, randomized clinical trial was conducted to evaluate the effects of a 12-minute digital storytelling intervention on glycemic control in Hispanic patients with poorly controlled T2D, compared to a control group receiving traditional education materials.
  • The study involved 451 participants, with results showing changes in hemoglobin A1c levels over three months, alongside assessments of the intervention's acceptability and narrative quality through participant questionnaires.
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Article Synopsis
  • The study focuses on understanding how various factors influence perceived breast cancer risk among underserved Hispanic women, particularly those under and over 50.
  • A survey of 1,325 women showed that most perceived their lifetime risk of breast cancer as low, with younger women (under 50) with a family history reporting higher risk perceptions.
  • Results indicate that perceived risk varies by age, and prior mammography history may not significantly influence risk perceptions, highlighting the need for tailored screening strategies.
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Background: Hispanic/Latino adults are disproportionately impacted by type 2 diabetes mellitus (T2D). The Stories for Change (S4C) Diabetes digital storytelling intervention promotes T2D self-management among Hispanic/Latino people. We describe the S4C protocol and participant baseline characteristics.

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Context: Metformin is the first-line drug for treating diabetes but has a high failure rate.

Objective: To identify demographic and clinical factors available in the electronic health record (EHR) that predict metformin failure.

Methods: A cohort of patients with at least 1 abnormal diabetes screening test that initiated metformin was identified at 3 sites (Arizona, Mississippi, and Minnesota).

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Purpose: Latinas in low-resource settings face additional barriers to understanding mammographic breast density (MBD) implications. The authors compared MBD awareness and knowledge in Latinas from a safety-net clinic in Arizona with a national sample.

Methods: Latinas 40 to 74 years of age were recruited within a safety-net clinic during screening mammography appointments from 2016 to 2019 (AZ cohort) and from a nationally representative online panel in 2017 (NS cohort).

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Background: The objective of this randomized trial was to evaluate the short-term effect of bilingual written and interpersonal education regarding mammographic breast density (MBD).

Methods: Latinas aged 40 to 74 years who were presenting for screening mammography were recruited and randomized 1:1:1 to receive a letter with their mammogram and MBD results (usual care [UC]), a letter plus a brochure (enhanced care [ENH]), or a letter plus a brochure and telephonic promotora education (interpersonal care [INT]). Surveys were administered at enrollment (T ) and 2 weeks to 6 months after intervention delivery (T ).

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Lisfranc fracture-dislocations are complex injuries that require a high skill set from foot and ankle surgeons to diagnose and treat. Conservative treatment is seldom an option for treatment of Lisfranc injuries. The authors believe that even subtle injuries require surgical intervention.

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