Loree Pham OTR/L(she/her/hers)
Faculty Mentor: Beth Pyatak PhD, OTR/L, CDCES, FAOTA
Research Lab: Lifestyle Redesign for Chronic Conditions (LRCC)
Year of Entry: 2020
I am a PhD student in the Chan Division of Occupational Science and Occupational Therapy. I work in the Lifestyle Redesign for Chronic Conditions (LRCC) Lab under the guidance of Dr. Beth Pyatak. The project I work on is Function and Emotion in Everyday Life with Type 1 Diabetes (FEEL-T1D), the first large-scale study to integrate continuous glucose monitoring (CGM), ecological momentary assessment (EMA), and accelerometry to disentangle the short-term dynamic relationships between blood glucose, function, and emotional well-being in adults with type 1 diabetes.
My research interests include complementary and integrative health practices, including yoga and mindfulness. I’ve also learned the value that spirituality has in health care, with its ability to improve patient quality of life and well-being. As occupational therapy is a holistic profession, I believe it is imperative to address the mind-body-spirit connection of the clients and patients we serve. I am also particularly interested in addressing and reducing health disparities and health inequities for socioeconomically disadvantaged and medically underserved populations.
Master of Science (MS)
in Occupational Therapy
2020 | California State University, Dominguez Hills
Bachelor of Science (BS)
2015 | University of California, San Diego
Pyatak, E. A., Hernandez, R., Pham, L., Mehdiyeva, K., Schneider, S., Peters, A., Ruelas, V., Crandall, J., Lee, P.-J., Jin, H., Hoogendoorn, C. J., Crespo-Ramos, G., Mendez-Rodriguez, H., Harmel, M., Walker, M., Serafin-Dokhan, S., Gonzalez, J. S., & Spruijt-Metz, D. (2021). Function and emotion in everyday life with type 1 diabetes (FEEL-T1D): A fully remote intensive longitudinal study of blood glucose, function, and emotional well-being in adults with type 1 diabetes. JMIR Research Protocols. Advance online publication. https://doi.org/10.2196/30901 Show abstract
Background. While short-term blood glucose (BG) levels and variability are thought to underlie diminished function and emotional well-being in people with T1D, these relationships are poorly understood. The Function and Emotion in Everyday Life with T1D (FEEL-T1D) study focuses on investigating these short-term dynamic relationships among BG, function, and emotional well-being in adults with T1D.
Objective. To present the FEEL-T1D study design, methods, and study progress to date, including adaptations necessitated by the COVID-19 pandemic to implement the study fully remotely.
Methods. The FEEL-T1D study will recruit 200 adults 18-75 years old with T1D. Data collection includes a comprehensive survey battery, along with 14 days of intensive longitudinal data using blinded continuous glucose monitoring (CGM), ecological momentary assessments (EMA), ambulatory cognitive tasks, and accelerometers. All study procedures are conducted remotely, through mailing study equipment and using videoconferencing for study visits.
Results. To date, after 12 months of recruitment, 124 participants have enrolled in the FEEL-T1D study. Over 80% have provided concurrent CGM, EMA, and accelerometer data for at least 10 of the 14 days of data collection, and nearly 90% of EMA surveys have been completed, with minimal missing data.
Conclusions. Thus far, our reconfiguration of the FEEL-T1D protocol to be implemented remotely during the COVID-19 pandemic has been a success. The FEEL-T1D study will elucidate the dynamic relationships between blood glucose, emotional well-being, cognitive function and participation in daily activities. In doing so, it will pave the way for innovative just-in-time interventions and produce actionable insights to facilitate tailoring of diabetes treatment to optimize function and well-being among individuals with T1D.
Pham, L., Sarnicola, R., Villasenor, C., & Vu, T. (2020). Spirituality in OT practice: Where is our spirituality now? American Journal of Occupational Therapy, 74(4, Suppl. 1), 7411505108. https://doi.org/10.5014/ajot.2020.74S1-PO2309
Pham, L. (2020, March). Spirituality in occupational therapy practice: Where is our spirituality? Oral session presented at the Western Regional Occupational Therapy Spring Symposium, Las Vegas, NV.
Pham, L., Sarnicola, R., Villasenor, C., & Vu, T. (2019, October). Spirituality in occupational therapy practice: A phenomenological approach. Paper presented at the Occupational Therapy Association of California Conference, Pasadena, CA.