Professor of Medicine; Director, Center for Applied Health Research, Texas A&M University

My personal research interests focus on the establishment, translation and implementation of evidence-based health programs for older adults. With over 25 years’ experience in academic medical schools and a leading integrated health care organization, I have made significant contributions to the fields of dementia caregiving, care transitions, and management of chronic diseases. My contributions are unique as my implementation research methods are built on partnerships between healthcare delivery organizations and community-based organizations with the goal of designing projects that are person-and family-centered and focused on outcomes that are meaningful to the multiple stakeholders engaged in promoting the health of older adults. As Director of the Center for Applied Health Research (CAHR), a system level center of the Baylor Scott &White Research Institute, I promote collaborative health care
delivery and population health research across the organization by building research teams composed of clinician scientist, research methodologist, and biostatistician. With a team of clinical data analysts, I facilitate researchers’ access to Baylor Scott & White Health electronic medical record databases. I contribute to the design, implementation and evaluation of system wide care innovations on the topics of transitional care and advance care planning.

Experience

  • –present
    Professor of Medicine, Texas A&M University
  • 2005–present
    Vernon D. Holleman-Lewis M. Rampy Centennial Chair in Gerontology, Baylor Scott & White Health
  • 1993–2005
    Associate professor, University of Alabama at Birmingham School of Medicine

Education

  • 1993 
    University of New Orleans, PhD, Applied Developmental Psychology
  • 1991 
    University of New Orleans, MS, Applied Developmental Psychology
  • 1987 
    Southeastern Louisiana University, BA, Psychology

Publications

  • 2017
    Frequency of Hospital Use Before and After Home-Delivery Mealy by Meals on Wheels of Tarrant County, Journal of Nutrition, Health & Aging
  • 2017
    Randomized Controlled Trial of a Therapeutic Intervention for Nursing Home Residents With Dementia and Depressive Symptoms, Journal of Applied Gerontology
  • 2016
    Increasing the Availability of Physical Activity Programs for Older Adults: Lessons Learned from Texercise Stakeholders, Journal of Aging and Physical Activity
  • 2015
    Model Program of Community-Based Supports for Older Adults at Risk of Nursing Facility Placement, Journal of the American Geriatrics Society
  • 2015
    The Symbiosis of Population Health and Family Caregiving Drives Effective Programs that Support Patients and Families, Generations
  • 2015
    EvidenceToPrograms.com: A toolkit to support evidence-based programming for seniors, Frontiers in Public Health
  • 2012
    R. Implementing an Evidence-based Caregiver Intervention within an Integrated Healthcare System, Translational Behavioral Medicine

Grants and Contracts

  • 2018
    SUSTAIN for Better Health and Health Care for Older Adults
    Role:
    Subcontract PI
    Funding Source:
    DHHS- Administration for Community Living
  • 2018
    Pragmatic Trial of the Effectiveness and Cost-Effectiveness of Dementia Care
    Role:
    Subcontract PI
    Funding Source:
    National Institute on Aging
  • 2018
    GamePlan4Care: Web-based Delivery System for REACH II
    Role:
    PI
    Funding Source:
    National Institute on Aging
  • 2018
    Comparative Effectiveness of Health System-based versus Community-based Dementia Care
    Role:
    Subcontract PI
    Funding Source:
    Patient-Centered Outcomes Research Institute
  • 2017
    The Texas Model for Memory Capable Communities
    Role:
    Subcontract PI
    Funding Source:
    Texas Alzheimer’s Research Care Consortium
  • 2016
    Healthy Aging and Independent Living (HAIL) Initiative
    Role:
    Evaluation Team PI
    Funding Source:
    United Way of Tarrant County
  • 2016
    Dementia Care Network
    Role:
    Co-Leader of the Network
    Funding Source:
    John A. Hartford Foundation
  • 2015
    Community-based Care Transitions Program, Empowering Families for Successful Care Transitions
    Role:
    Director at Scott & White Memorial Hospital
    Funding Source:
    Centers for Medicare and Medicaid Services
  • 2013
    Community Research Center for Senior Health
    Role:
    PI
    Funding Source:
    National Institute on Aging
  • 2010
    Central Texas Nursing Facility Diversion Program Demonstration Project
    Role:
    Project Director
    Funding Source:
    U.S. Administration on Aging
  • 2009
    Identifying and Assisting At-Risk Family Caregivers in a Healthcare Setting
    Role:
    PI
    Funding Source:
    Johnson & Johnson/Rosalynn Carter Institute Caregivers Program

Professional Memberships

  • The Gerontological Society of America
  • American Psychological Association
  • American Geriatrics Society
  • American Society on Aging