Publications by authors named "Patricia Heyn"

The National Institute on Aging (NIA) plays a pivotal role in advancing scientific research, developing training and the science workforce, and promoting public health initiatives. However, the benefits of the NIA's work have not been equally distributed among all older adult population groups, highlighting persistent disparities in chronic illness burden and access to healthcare and research. As the NIA commemorates its 50th anniversary, this milestone presents an opportunity to reflect on its consequential initiatives and accomplishments while also strategizing for the robust inclusion of underrepresented and minoritized populations and the future health of our Nation's older adult population.

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Objectives: To systematically evaluate definitions of "racial health equity" (RHE) and related terms within health-related academic literature.

Study Design And Setting: We systematically evaluated definitions of RHE and related terms within health-related academic articles. Articles published in English were included, and no date restrictions were imposed.

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Article Synopsis
  • - The study aimed to find evidence syntheses of health interventions that focus on racial health equity, examining the use of equity-focused frameworks and logic models.
  • - Researchers conducted a search across multiple sources, including bibliographic databases and interviews, to identify effective frameworks, finding only two out of 153 reviews used logic models to explain interventions.
  • - The results indicated a scarcity of logic models and frameworks in these studies, highlighting an urgent need for more comprehensive frameworks to better guide the research and interpretation of findings in racial health equity.
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Objectives: Systematic reviews hold immense promise as tools to highlight evidence-based practices that can reduce or aim to eliminate racial health disparities. Currently, consensus on centering racial health equity in systematic reviews and other evidence synthesis products is lacking. Centering racial health equity implies concentrating or focusing attention on health equity in ways that bring attention to the perspectives or needs of groups that are typically marginalized.

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Article Synopsis
  • The study evaluated systematic reviews of interventions aimed at improving racial health equity among racialized populations, particularly those published between January 2020 and January 2023.
  • Analysis of 157 reviews revealed that only 14% addressed the role of racism in health disparities, and 67% merely summarized studies without proper synthesis, with many using biased methods for effect sizes.
  • The findings highlight a need for better research quality, comprehensive examination of racism, and a focus on structural interventions to enhance opportunities for racialized groups in addressing health inequities.
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Article Synopsis
  • The study aims to explore how health-related syntheses address racial health equity and how they engage diverse interest holders in the process.
  • Out of the 157 syntheses reviewed, only 29 (18%) reported engaging stakeholders, often lacking detailed methods or outcomes of the engagement, particularly for racially diverse groups.
  • The review highlights significant gaps in the understanding of effective engagement strategies for promoting racial health equity and calls for more specific guidance on involving diverse populations in health research.
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Article Synopsis
  • The study aimed to define and address racial health equity within systematic reviews by exploring how to effectively staff, conduct, and evaluate these reviews.
  • Twenty-nine participants, including patients and healthcare professionals, discussed the importance of social determinants of health and the role of community members in the review process.
  • To ensure racial health equity in systematic reviews, stakeholders called for adjustments in funding, methods, and communication strategies, emphasizing the need for resources and collaboration among interest holders.
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Article Synopsis
  • - The USA faces significant health disparities among racial and ethnic groups, prompting the term "racial health equity" (RHE) to gain traction, though no clear definition currently exists.
  • - A scoping review aims to explore how RHE is defined and what gaps exist in its research and understanding, using data from health organizations, published articles, and synthesis studies.
  • - The ultimate goal of this review is to clarify the definitions and concepts surrounding RHE, promoting a unified approach to addressing racial health equity in the healthcare system.
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Background: Adolescent idiopathic scoliosis (AIS) is a structural lateral spinal curvature of ≥10° with rotation. Approximately 2%-3% of children across populations are affected with AIS, and this condition is responsible for ~$3 billion in costs within the USA. Although AIS is believed to have a strong genetic contribution, clinical translation of identified genetic variants has stalled.

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Objective: Cancer cells convert more glucose into lactate than healthy cells, what contributes to their growth advantage. Pyruvate kinase (PK) is a key rate limiting enzyme in this process, what makes it a promising potential therapeutic target. However, currently it is still unclear what consequences the inhibition of PK has on cellular processes.

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Introduction: Individuals living in rural communities are at heightened risk for Alzheimer's disease and related dementias (ADRD), which parallels other persistent place-based health disparities. Identifying multiple potentially modifiable risk factors specific to rural areas that contribute to ADRD is an essential first step in understanding the complex interplay between various barriers and facilitators.

Methods: An interdisciplinary, international group of ADRD researchers convened to address the overarching question of: "What can be done to begin minimizing the rural health disparities that contribute uniquely to ADRD?" In this state of the science appraisal, we explore what is known about the biological, behavioral, sociocultural, and environmental influences on ADRD disparities in rural settings.

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Background: The literature supports quantifying the maximum force/tension generated by one's forearm muscles such as the hand grip strength (HGS) to screen for physical and cognitive frailty in older adults. Thus, we postulate that individuals with cerebral palsy (CP), who are at higher risk for premature aging, could benefit from tools that objectively measure muscle strength as a functional biomarker to detect frailty and cognitive decline. This study assesses the clinical relevancy of the former and quantifies isometric muscle strength to determine its association with cognitive function in adults with CP.

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Introduction: The projected growth of Alzheimer's disease (AD) and AD-related dementia (ADRD) cases by midcentury has expanded the research field and impelled new lines of inquiry into structural and social determinants of health (S/SDOH) as fundamental drivers of disparities in AD/ADRD.

Methods: In this review, we employ Bronfenbrenner's ecological systems theory as a framework to posit how S/SDOH impact AD/ADRD risk and outcomes.

Results: Bronfenbrenner defined the "macrosystem" as the realm of power (structural) systems that drive S/SDOH and that are the root cause of health disparities.

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Background: Prevention is an effective approach for mitigating the negative health outcomes associated with falls in older adults. The Administration for Community Living (ACL) has sponsored the implementation of evidence-based falls prevention programs (EBFPPs) across the United States through cooperative agreement grants to decrease the health and economic burden of falls. Marymount University received two of these grants to deliver three EBFPPs into the northern Virginia region.

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