Publications by authors named "Holly C Gooding"
Purpose: To examine the association between multiple dimensions of gender diversity and physical activity (daily steps) in a diverse national sample of early adolescents in the United States.
Methods: This study analyzed Year 2 data from the Adolescent Brain Cognitive Development (ABCD) Study (N = 6038, M=12.0 years).
The associations of adverse childhood experiences (ACEs) with blood pressure in adulthood are inconclusive. Similarly, the association between ACEs and blood pressure earlier in the life course is understudied. This study aims to assess the associations of ACEs with blood pressure among early adolescents.
View Article and Find Full Text PDFBackground: According to the Physical Activity Guidelines Advisory Committee Scientific Report, limited evidence is available on sedentary behaviors (screen time) and their joint associations with physical activity (steps) for cardiovascular health in adolescence. The objective of this study was to identify joint associations of screen time and physical activity categories with cardiovascular disease (CVD) risk factors (blood pressure, hemoglobin A1c, cholesterol) in adolescence.
Methods: This study analyzed data from the Adolescent Brain Cognitive Development (ABCD) Study, comprising a diverse sample of 4,718 U.
Study Objective: This study aimed to evaluate the usability and feasibility of incorporating a cardiovascular risk assessment tool into adolescent reproductive health and primary care visits.
Design, Setting, And Participants: We recruited 60 young women ages 13-21 years to complete the HerHeart web-tool in 2 adolescent clinics in Atlanta, GA.
Main Outcome Measures: Participants rated the tool's usability via the Website Analysis and Measurement Inventory (WAMMI, range 0-95) and their perceived 10-year and lifetime risk of cardiovascular disease (CVD) on a visual analog scale (range 0-10).
Article Synopsis
- - Faculty traditionally control medical curricula, positioning students as passive recipients of knowledge, but the concept of curriculum co-creation shifts this dynamic towards a collaborative partnership between students and instructors.
- - Co-creation involves active student participation in shaping educational goals and methods, enhancing not only individual engagement and learning outcomes but also the overall efficacy of medical training programs.
- - Embracing co-creation can transform faculty-student relationships and potentially lead to broader changes within the medical profession, yet there's limited historical evidence of students having true ownership in curriculum development.
Purpose: To determine the association between sociodemographic characteristics and blood pressure among a demographically diverse population-based sample of 10-14-year-old US adolescents.
Methods: We conducted cross-sectional analyses of data from the Adolescent Brain Cognitive Development Study (N = 4,466), year two (2018-2020). Logistic and linear regression models were used to determine the association between sociodemographic characteristics (sex, race/ethnicity, sexual orientation, household income, and parental education) with blood pressure among early adolescents.
Introduction: Opportunities to learn about education theory underpinning medical education are limited in both undergraduate and graduate medical education and predominantly focus on "student as teacher." Key components of education theory relevant to medical education, including learning theory, curricular design, and assessment design, are rarely included in student-as-teacher training. Opportunities for medical students to co-create curricula with faculty are scarce.
View Article and Find Full Text PDFObjectives: COVID-19 mitigation strategies resulted in changes in health care access and utilization, which could negatively impact adolescents at risk for sexually transmitted infections (STIs). We evaluated changes in STI diagnoses during adolescent visits at children's hospitals during COVID-19.
Methods: We conducted a retrospective cohort study using the Pediatric Health Information System database comparing adolescent (11-18 years) hospital visits with an STI diagnosis by International Classification of Diseases, 10th revision, code during COVID-19 (2020) to pre-COVID-19 (2017-2019).
Article Synopsis
- The study investigates the impact of social isolation and loneliness on adolescents during the COVID-19 pandemic using ecological momentary assessment (EMA) and wearable technology.
- It involved 19 participants aged 13-18 who completed surveys on various aspects of their lives, while some wore activity trackers to monitor physical and emotional health.
- Results showed successful recruitment (76%) but poor retention (38%) and variable adherence to surveys; significant correlations were found between social isolation and negative factors like lower school climate and higher levels of depression.
An eHealth Prevention Program for Substance Use, Sexual Assault, and Sexual Risk Behaviors for Adolescents in Primary Care: Pilot Feasibility Randomized Controlled Trial of Teen Well Check.
JMIR Form Res
November 2023
Background: Substance use, sexual assault, and sexual risk behaviors are common among adolescents and are interrelated. Nearly 1 in 5 adolescents use substances before sexual encounters, placing these young people at risk for both sexual assault and sexual risk behaviors. Primary care visits present a unique opportunity to address multiple health risk behaviors.
View Article and Find Full Text PDFIntroduction: Clinical cardiovascular health is a construct that includes 4 health factors-systolic and diastolic blood pressure, fasting glucose, total cholesterol, and body mass index-which together provide an evidence-based, more holistic view of cardiovascular health risk in adults than each component separately. Currently, no pediatric version of this construct exists. This study sought to develop sex-specific charts of clinical cardiovascular health for age to describe current patterns of clinical cardiovascular health throughout childhood.
View Article and Find Full Text PDFBackground: The incidence of HIV among adolescents remains high, and adolescents are known to participate in sexual behaviors that increase their risk for HIV, such as unprotected sex and sex with multiple partners. HIV pre-exposure prophylaxis (PrEP) has been shown to be effective at preventing HIV when taken daily and is approved by the FDA for use in adolescents. Efforts to screen patients in adult emergency departments and connect them with PrEP services have been validated.
View Article and Find Full Text PDFArticle Synopsis
- - This study uses data from the National Longitudinal Study of Adolescent to Adult Health (Add Health) to explore how school and neighborhood environments during adolescence affect the risk of developing diabetes in young adulthood.
- - The researchers applied cross-classified multi-level modeling (CCMM) to analyze the impact of multiple factors, including individual characteristics, as well as school and neighborhood contexts.
- - Results indicate that individual factors play a major role in the likelihood of diabetes in young adults, with only minor contributions from school and neighborhood influences.
Article Synopsis
- Medical students often struggle with ineffective study habits, which the study aimed to address by integrating evidence-based learning strategies into a medical school course.
- Pre- and post-course surveys revealed that while students’ knowledge of these strategies didn’t significantly change, their actual studying habits improved, with increased use of flashcards and practice questions.
- Interviews indicated that students adopted active learning techniques, reduced time spent on creating and reviewing notes, and engaged more deeply with course content through varied study methods.
Adolescents are at risk for substance use, sexual assault, and sexual risk behaviours; however, to date no integrated prevention programmes address all three risk behaviours. The goal of this study was to evaluate the usability and acceptability of , an e-health prevention programme targeting substance use, sexual assault, and sexual risk among adolescents in primary care settings. The current study included content analysis of interviews with adolescents in primary care (aged 14-18; = 25) in the intervention development process, followed by usability and acceptability testing with qualitative interviews among adolescents in primary care (aged 14-18; = 10) and pediatric primary care providers ( = 11) in the intervention refinement process.
View Article and Find Full Text PDFBackground: Previous studies have analyzed the relationship between screen time and cardiometabolic disease risk factors among adolescents, but few have examined the longitudinal effects of screen time on cardiometabolic health into adulthood using nationally representative data.
Objective: To determine prospective associations between screen time and later cardiometabolic disease over a 24-year period using a nationally representative adolescent cohort.
Design: Longitudinal prospective cohort data from the National Longitudinal Study of Adolescent to Adult Health (Add Health) collected from 1994 to 2018.
Background: Cardiovascular disease (CVD) is the leading cause of death among women in the United States. A considerable number of young women already have risk factors for CVD. Awareness of CVD and its risk factors is critical to preventing CVD, yet younger women are less aware of CVD prevalence, its risk factors, and preventative behaviors compared to older women.
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- The study investigates how depression and anxiety affect cardiovascular health (CVH) in young adults aged 18 to 34, focusing on metrics defined by the American Heart Association.
- Out of 875 participants, many experienced moderate to severe anxiety or depression, which correlated with poorer levels in areas like physical activity, body mass index, and sleep.
- The findings suggest that addressing mental health issues may enhance CVH, indicating the need for interventions that promote healthy behaviors like exercise and proper sleep.
Article Synopsis
- Women who have adverse pregnancy outcomes (APO) are at increased risk for cardiovascular disease (CVD), but their understanding of this risk is not well studied.
- A survey of women who recently gave birth found that while most recognized CVD as a leading cause of death, those who experienced an APO didn't show significantly higher knowledge scores about CVD than those who didn't.
- However, women with an APO had a greater perceived personal risk for CVD, indicating a need for better education during the postpartum period when healthcare interaction is heightened.
Objective: Develop and pilot-test the efficacy of an online training in improving comfort, knowledge, and behaviors related to eating disorders (EDs) screening among U.S.-based pediatric primary care providers (PCPs).
View Article and Find Full Text PDFBackground: Geographic and contextual socioeconomic risk factors in adolescence may be more strongly associated with young adult hypertension than individual-level risk factors. This study examines the association between individual, neighborhood, and school-level influences during adolescence on young adult blood pressure.
Methods: Data were analyzed from the National Longitudinal Study of Adolescent to Adult Health (1994-1995 aged 11-18 and 2007-2008 aged 24-32).
Purpose: To assess changes in adolescent visits with substance use disorders (SUDs) at children's hospitals during COVID-19.
Methods: We conducted a retrospective cohort study of adolescents (11-18 years) with SUD diagnoses during a hospital visit in the Pediatric Health Information System. Study periods were defined as spring (03/15-05/31), summer (06/01-08/31), and fall (09/01-12/31), pre-COVID-19 (2017-2019), or during COVID-19 (2020).