Nicholas Liem Panyanouvong

All Publications

• ASSOCIATION OF ALTERNATE ANTHROPOMETRIC MEASURES ON CARDIOVASCULAR DISEASE-RELATED AND ALL-CAUSE MORTALITY IN US ADULTS Leung, J., Tivakaran, S., Raghu, J., Panyanouvong, N., Palaniappan, L. P., Bacong, A. ELSEVIER SCIENCE INC. 2025: 693

  View details for Web of Science ID 001463244200042

• Feasibility and Methodology of a Pilot Free Blood Pressure Monitoring and Follow-Up Program at Two Free Clinics. Journal of primary care & community health Mikos, G., Yu, B., Balbin, J., Martinez-Reyes, L., Tang, J. M., Lieu, B. N., Tran, E., Xue, A., Lee, J., Wary, N., Franke, C., Panyanouvong, N., Chaclan, M. J., Chang, T. H., Chen, C., Guo, M. Y., Harvell, K., Horan, R., Johnson, N. A., Kim, A., Liu, E., Liu, L., Nuñez-Perez, P., Quig, M., Sanyal, A., Sharma, K., Wang, I., Wang, K., Filsoof, A., Charon, M., Montacute, T., Singh, B. 2024; 15: 21501319241278836

  Abstract

  Hypertension affects approximately 1 in 2 adults in the US. Home blood pressure (BP) monitoring programs are effective in the diagnosis and management of hypertension. Free clinics serve as an integral safety net for millions of uninsured and economically disadvantaged patients in the US. The feasibility and effects of a free home BP monitoring and follow-up program in a free clinic setting is not well characterized.This was a prospective study of the implementation of a pilot BP monitoring and follow-up program between March 2021 and August 2023 at 2 free clinics in the San Francisco Bay Area. A total of 78 hypertensive patients were enrolled in the program and given a free BP monitor. We surveyed via telephone the change in systolic and diastolic BPs and BP monitor use and comfort at 3 weeks. Volunteers in clinic roles involved in the BP monitoring program were surveyed to assess their time spent and perceptions of the program.Of the 78 patients, 37 provided responses to the 3-week survey. A total of 36 of 37 (97%) patients reported using their BP monitor. A total of 35 patients reported using it at least once a week (95%), with the majority reporting at least four uses a week (68%). A total of 36 patients (97%) planned on continuing to use their BP monitor. At 3 weeks, the mean systolic and diastolic BP changed by -6.40 mmHg (95% CI, -10.8 to -2.01 mmHg; P = .00577) and -2.72 mmHg (95% CI, -5.62 to 0.188 mmHg; P = .0657), respectively. The time commitment for this program ranged from 130 ± 51 min for program leaders to 16 ± 14 min per week for patient-facing roles. All volunteer roles (patient-facing, phone follow-up, program leaders) expressed that they had a clear understanding of their responsibilities in the program (median 4 on Likert scale, IQR 3-5).Home BP monitoring and follow-up is feasible to implement in free clinics, resulting in high rates of patient engagement among respondents. Our findings suggest that home BP monitoring and follow-up programs may be beneficial in vulnerable patient populations.

  View details for DOI 10.1177/21501319241278836

  View details for PubMedID 39269685

• The experiences of sexual and gender minority participants with a remote biospecimen collection protocol. Annals of LGBTQ public and population health Panyanouvong, N., Lella, P., Sunder, G., Lubensky, M. E., Dastur, Z., Aouizerat, B., Lisha, N., Neilands, T., Flowers, E., Lunn, M. R., Obedin-Maliver, J., Flentje, A. 2024; 5 (3): 206-222

  Abstract

  Sexual and gender minority (SGM) communities are underrepresented in biomedical studies, highlighting the importance of developing biospecimen collection protocols aimed at engaging SGM participants. We aimed to learn more about SGM participants' experiences with a remote (i.e., not performed at a central location) biospecimen collection study pioneered by The PRIDE Study, a cohort study of SGM adults residing in the United States and its territories. Feedback was collected from 112 SGM participants following blood donation for a parent study investigating the relationship between minority stress, substance use, and epigenetic markers of substance use and minority stress. We used an inductive and collaborative approach to qualitative analysis and identified major themes and areas for protocol improvement. Major themes among participant feedback were: (1) communication with the research team, (2) convenience of donation, (3) interactions with clinical laboratory staff, and (4) anonymity and privacy. Most participants indicated that they experienced little to no problems during the donation process and expressed approval for the clarity and transparency of the informed consent process, ease of communication with the research team, and measures taken to protect participant confidentiality during their appointment. The most common challenges encountered by participants related to the inconvenience of handling and transporting study materials to the clinical laboratory site and clinical laboratory staff's unfamiliarity with the study protocol. Some participants indicated a preference for more elements of the study protocol (e.g., transporting collection materials) to be left to the responsibility of the research team. Future studies should carefully consider the delegation of responsibility between participants and the research team to balance both study reach and participant accessibility. Alternative formats, such as at-home collection or collaboration with community health workers, may further enhance participant satisfaction and convenience.

  View details for DOI 10.1891/lgbtq-2023-0045

  View details for PubMedID 40487144

  View details for PubMedCentralID PMC12140397

• Our Needs Have Been Ignored for a Long Time: Factors Affecting the Willingness of Black and Hispanic/Latinx Sexual and Gender Minority Communities to Donate Biospecimens Annals of LGBTQ Public and Population Health Ceja, A., Bruno, V., Panyanouvong, N., Aguilar, J., Raygani, S., Lubensky, M. E., Dastur, Z., Lunn, M. R., Obedin-Maliver, J., Flentje, A. 2024

  View details for DOI 10.1891/LGBTQ-2023-0022