Scholarly Journals--Submitted

  • Joachim-Celestin, M., Gamboa-Maldonado, T., Dos Santos, H., Montgomery, S. (2018). Should lifestyle-based interventions vary by diabetes status? Results from Vida Vibrante Diabetes Prevention Program. Diabetes Educator. (02/2018)

Scholarly Journals--Published

  • Ogunrinu, T., Gamboa-Maldonado, T., Ngewa, N., Saunders, J., Crounse, J., Misiri, J. (2017). A qualitative study of health education experiences and self-management practices among patients with type 2 diabetes at Malamulo Adventist Hospital in Thyolo District. Malawi Medical Journal, 29(2), 118-123. BACKGROUND: The aim of this study was to understand the perceptions and experiences of health education and self-management practices on Malamulo Adventist Hospital type 2 diabetic patients. METHODS: In this qualitative study, key informant interviews (KIIs; n=4) and focus group discussions (3 FGDs; n=16) were conducted amongst type 2 diabetes patients who had been treated at Malamulo Adventist Hospital in southern Malawi at least once. Key informant interviews and focus group discussions were audio recorded, transcribed verbatim and translated for analysis. Grounded theory methods were used to identify line-by-line emerging codes and were categorized and examined in Atlas.ti. The data was analyzed for emergent themes and supported by critical quotes. RESULTS: Content analysis revealed participants had a positive regard for the diabetes education classes and had satisfactory health literacy. Participants expressed their ability to integrate diabetes education, such as exercise into their lifestyle. Due to financial constraints subjects experienced trouble maintaining their medication regimen, and had difficulty adopting healthier nutritional alternatives. Although patients expressed efficacy in controlling their blood sugar they subsequently expressed having limited knowledge when dealing with diabetes complications. CONCLUSIONS: Diabetes self-management is comprised of a complex set of processes. Patients with type 2 diabetes at Malamulo Adventist Hospital are deeply impacted by these processes which includes their understanding of the disease process, effects of medication, economic challenges to acquiring health care services and medications, and one's unique life experience. For all patients with type 2 diabetes to successfully manage their condition, support from their family, the medical community, and health policies must be readily available. (02/2018) (link)
  • Hilton, T., Montgomery, S., Herring, P., Gamboa-Maldonado, T., Sinclair, R., McLaughlin, B. (2015). Perceived Attitudes and Staff Roles of Disaster MAnagement at Community-based Outpatient Clinics. The Federal Practitioner, 12-20. Community-based outpatient clinics can play an important role in disaster response, but significant barriers exist, which must be addressed. (08/2015) (link)
  • Spencer-Hwang, R., Soret, S., Halstead, L., Dougherty, M., Valladares, J., Rangel, S., Youssef, C., Maldonado-Gamboa, T., Montgomery, S. (2014). Making human subject protection training community responsive: experiences delivering on the community-based participatory research promise. Progress in Community Health Partnerships: Reserach Education and Action, 8(2), 215-24. BACKGROUND: A community-based participatory research (CBPR) approach was used by the California-based Environmental Railyard Research (ENRRICH) Study, a partnership between scientists from Loma Linda University (LLU) and a local community organization, with the aim of assessing the health effects of exposure to emissions from a rail yard on a community. METHODS/RESULTS: To allow meaningful community participation in all study activities and comply with institutional review board (IRB) requirements, all participants involved needed to be properly trained and certified in the ethical conduct of human subjects (HS) research. Existing IRB training materials and the conventional certification methods designed for university scientists are not well-suited for community members who often face educational as well as language barriers. CONCLUSION: The purpose of this article is to share experiences in developing and implementing a customized human subject research curriculum, which was community responsive and addressed IRB requirements. (07/2014) (link)
  • Gamboa-Maldonado, T., Hopp Marshak, H., Sinclair, R., Dyjack, D., Montgomery, S. (2012). Building Capacity for Community Disaster Preparedness: A Call for Collaboration Between Public Environmental Health and Emergency Preparedness and Response. Journal of Environmental Health. Journal of Environ Health, 75(2), 24-9. (09/2012) (link)