Denna Wheeler

Denna Wheeler
Oklahoma State University - Center for Health Sciences · Rural Health

Ph.D.

About

44
Publications
32,840
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966
Citations
Citations since 2016
27 Research Items
741 Citations
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Introduction
Skills and Expertise

Publications

Publications (44)
Article
Full-text available
Background Over the past four decades, advances in HIV treatment have contributed to a longer life expectancy for people living with HIV (PLWH). With these gains, the prevention and management of chronic co-morbidities, such as diabetes, are now central medical care goals for this population. In the United States, food insecurity disproportionately...
Article
Full-text available
Co-occurring mental health (MH) problems are common among those with opioid use disorders (OUDs). However, most opioid treatment programs (OTPs) do not provide MH services. We measured the association between state level characteristics (Medicaid expansion status and rurality) and MH/OUD services integration. We used a generalized linear model to e...
Article
Full-text available
Introduction: Face masks are widely recommended as a COVID-19 prevention strategy. State mask mandates have generally reduced the spread of the disease, but decisions to wear a mask depend on many factors. Recent increases in case rates in rural areas following initial outbreaks in more densely populated areas highlight the need to focus on preven...
Article
Full-text available
Context: As a result of new developments in medicine, the need for evidence-based clinical practice guidelines (CPG) is of utmost importance. However, studies have shown that many medical societies are using low quality research to develop CPGs. Objectives: To evaluate the quality of research underlying the CPGs issued by the Infectious Diseases...
Article
Full-text available
Introduction Adverse childhood experiences are linked to deleterious outcomes in adulthood. Certain populations have been shown to be more vulnerable to adversity in childhood than others. Despite these findings, research in this area lacks an empirical investigation that examines adverse childhood experiences among American Indian and Alaska Nativ...
Article
Purpose: Publication bias has a significant impact on the results of systematic reviews. Clinical trial registry searches, which include unpublished research, should be conducted when performing systematic reviews to reduce publication bias. We aimed to analyze the use of clinical trial registry searches in critical care systematic reviews. Metho...
Article
Full-text available
Background: Adversity experienced during childhood manifests deleteriously across the lifespan. This study provides updated frequency estimates of ACEs using the most comprehensive and geographically diverse sample to date. Methods: ACEs data were collected via BRFSS (Behavioral Risk Factor Surveillance System). Data from a total of 211,376 adul...
Article
Sexual minority men have been consistently shown to be at-risk for adverse mental health outcomes due to the stresses of being a sexual minority, yet studies show that some of these men successfully navigate these barriers. What is less known are the environmental and social/emotional factors to which minority stress is amplified (or attenuated). W...
Article
Research investigating the health care experiences of men who have sex with men (MSM) predominately concerns urban populations. This study examines the health care experiences of MSM residing in rural Oklahoma. A total of 40 MSM (aged 21 through 66) living in rural areas were interviewed. Data were analyzed using a qualitative approach to identify...
Article
PURPOSE: While research has documented the healthcare experiences of men who have sex with men (MSM), studies have predominately featured urban populations, leaving rural MSM underrepresented in the research. Because the landscape of healthcare is different in urban versus rural areas (particularly in LGBT health), this study seeks to examine the h...
Article
Previous models of sexual minority orientation identity development have theorized disclosure of current orientation as important in accepting one’s sexual minority identity. Furthermore, research into disclosure of sexual orientation highlights positive outcomes for disclosure and negative outcomes for concealment of sexual minority identity. Thes...
Article
Public health literature often neglects populations from rural communities, particularly with men who have sex with men (MSM). Although HIV/STI infections are decreasing slightly, there is an increase within rural MSM, thus opening the door for further research on condom use behavior in a rural context. In-depth interviews were conducted with 40 MS...
Article
Full-text available
Purpose: The unique experiences of men who have sex with men (MSM) residing in culturally conservative rural areas are not well represented in the scientific literature. The human immunodeficiency virus (HIV) epidemic in the United States has shifted toward rural areas where populations are dispersed and health care resources are limited. Methods:...
Article
Rural men who have sex with men (MSM) are particularly vulnerable to HIV/STI infections, though most outreach efforts to reach MSM have been focused on urban populations. More attention is needed to study effective ways of reaching/recruiting rural MSM, yet little is known about their preferences; particularly as studies show significant difference...
Article
Given the dearth of research exploring mental health differences between rural and urban men who have sex with men (MSM), we sought to examine differences in depressive symptomology and loneliness. Concurrently we examined the mediating effects of loneliness on the link between geographic locale and depressive symptoms via a mediation model. Data w...
Article
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Context: Cardiovascular disease (CVD) is the leading cause of death in the United States, and cardiovascular events have been shown to be reduced and prevented when patients follow the Mediterranean diet. Objective: To understand how familiarity with the Mediterranean diet affects dietary habits in cardiology patients by using social cognitive t...
Article
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Structural equation modeling (SEM) is one multivariate analysis method for exploring relationships between latent constructs and measured variables. As a theory-guided approach, SEM estimates directional pathways in complex models using longitudinal or cross-sectional data where randomized control trials would either be unethical or cost prohibitiv...
Article
Background Past research identified individuals who experienced adverse childhood experiences (ACEs) are at a higher risk of drug use. There is evidence to suggest that identifying as a man who has sex with other men (MSM) may increase the likelihood of drug use when adverse childhood experiences are prevalent. However, research has not addressed i...
Article
Full-text available
Objective We analyzed the constructs of social cognitive theory that explain adherence to the Mediterranean diet in patients diagnosed with cardiovascular disease. Methods A cross-sectional study of 337 cardiac patients using a validated questionnaire was conducted and analyzed at an outpatient cardiology clinic, employing social cognitive theory (...
Article
Objective This study aimed to identify predominant search patterns in a recent search for health information and a potential search for strongly needed cancer information, to identify the commonly scanned sources of information that may represent stable elements of the information fields characteristic of these patterns, and to evaluate whether sea...
Article
Biomedical intervention approaches, including antiretroviral pre-exposure prophylaxis (PrEP), have been demonstrated to reduce HIV incidence among several at-risk populations and to be cost effective. However, there is limited understanding of PrEP access and uptake among men who have sex with men (MSM) residing in relatively rural states. Twenty s...
Article
Full-text available
The physician shortage in Oklahoma coupled with geographic maldistribution of primary care physicians limits access to care in rural and underserved areas. One of the most effective strategies to recruit and retain physicians in rural areas is to create undergraduate and graduate medical education training sites in these locations. Oklahoma State U...
Article
Food insecurity, the state of being without reliable access to a sufficient, nutritious food supply, is an emerging area of interest among HIV researchers and community health planners due to its potential influence on HIV risk behaviors and treatment outcomes. In 2012, we embarked on a descriptive study to explore a set of interrelated questions r...
Article
Background: Our objective is to compare registered outcomes to published reports; to evaluate for discrepancies favoring statistically significant outcomes; to examine funding source and likelihood of outcome reporting bias; and to evaluate for any temporal trends in outcome reporting bias. Methods: PubMed was searched for randomized controlled...
Article
Purpose: Internet connection speeds are generally slower in rural areas, and this issue is rising in importance for health care facilities as technologies such as Electronic Health Records and Health Information Exchanges become more common. However, the extent of the rural-urban divide in terms of health care connectivity has not been fully quant...
Conference Paper
Full-text available
Background: Food insecurity is associated with HIV transmission risk behaviors and health outcomes. Nearly one half of the 5,375 Oklahomans living with HIV/AIDS rely on Oklahoma’s Ryan White system of HIV safety net providers for ongoing treatment and care. The purpose of this study was to assess the magnitude and subjective health impact of food i...
Article
Full-text available
There is ample evidence of the positive impact of electronic health records (EHR) on operational efficiencies and quality of care. Yet, growth in the adoption of EHR and sharing of information among providers has been slow. The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 provides financial incentives for elig...
Article
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Informed by the cognitive theory of multimedia learning, this study examined the effects of three multimedia design principles on undergraduate students' learning outcomes and perceived learning difficulty in the context of learning entomology from an educational video. These principles included segmenting the video into smaller units, signalling t...
Article
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Objective Literature on participatory health care suggests that, though many patients desire basic information, a substantial number prefer a passive role. This variability is explored as a function of laypersons’ beliefs about the nature of medical knowledge, referred to as epistemological beliefs, through the evaluation of a newly-developed instr...
Poster
Full-text available
The AAMC projects a shortage of 45,000 primary care physicians during the next decade . The development of effective recruitment and retention strategies for primary care physicians especially in underserved and/or rural areas is critical. Increased costs of treatment, declining reimbursement rates, and a younger generation’s intent to make life/wo...
Article
Full-text available
The purpose of this study was to synthesize internal consistency reliability for the subscale scores on the Maslach Burnout Inventory (MBI). The authors addressed three research questions: (a) What is the mean subscale score reliability for the MBI across studies? (b)What factors are associated with observed variance in MBI subscale score reliabili...
Article
Full-text available
Medical school administrators, educators, and other key personnel must often make difficult choices regarding the creation, retention, modification, or termination of the various programs that take place at their institutions. Program evaluation is a data-driven strategy to aide decision-makers in determining the most appropriate outcome for progra...
Article
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The purpose of this study was to explore the views of students enrolled at a small United States Midwestern community college toward learning mathematics, and to examine the relationship between student beliefs about mathematic learning and educational experiences with mathematics using Q methodology and open-ended response prompts. Schommer’s (Jou...
Article
Full-text available
This study provides a summary of 45 exploratory and confirmatory factor-analytic studies that examined the internal structure of scores obtained from the Maslach Burnout Inventory (MBI). It highlights characteristics of the studies that account for differences in reporting of the MBI factor structure. This approach includes an examination of the va...
Article
Full-text available
Thesis (Ph. D.)--Oklahoma State University, 2007. Includes bibliographical references. Vita. The full text of the dissertation is available as an Adobe Acrobat pdf.file (viii, 163 p.); Adobe Acrobat Reader required to view the file.

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