Carol Howe

Director, Nursing Research & Scholarship and Paula R. & Ronald C. Parker Endowed Professor in Nursing
Nursing
Annie Richardson Bass Building 3237

carol.howe@tcu.edu | 817-257-4121

Education

Ph.D., University of Texas at Arlington, 2014
MSN, University of Pennsylvania
BSN, University of Pennsylvania

Courses Taught

NURS30633 Professional Role III Research & EBP with writing emphasis
NURS40632 Research and Theory in Nursing Practice
NURS40882 Public Health Nursing Clinical
PhD HCHS60783 Teaching Practicum
PhD HCHS60260 Research Skills & Techniques I
PhD HCHS60260 Research Skills & Techniques II
PhD HCHS60260 Research Skills & Techniques IV
NDNP88072 DNP Project II
Centralized IPE- Intermediate I Fall 2020

Undergraduate Research and Evidence Based Practice

Public Health Clinical

Areas of Focus

Parent and child health literacy
Childhood obesity and diabetes prevention
Patient-provider communication

Howe, C.J., Morone, J., Hawkes, C.P., and Lipman, T.H. (2023).  Racial disparities in technology use in children with type 1 diabetes:  A qualitative content analysis of parents’ perspectives. The Science of Diabetes Self-Management and Care, 49(1), 1-10. doi: https://doi.org/10.1177/26350106221145323

Faught III, C., Howe, C., Raines-Milenkov, A., & Wagner, T. (2022). What About Mom? Teen: Usability of a Postpartum App for Teen Mothers. Journal of Consumer Health on the Internet26(3), 283-292.

Baker, L. and Howe, C.J. (2022).  Pre-diabetes screening for children and adolescents taking

second-generation antipsychotics, Journal of Pediatric Nursing, 64, 155-156. doi: https://doi.org/10.1016/j.pedn.2022.03.004

Singer, D., Walker, D., Adame, T., Lewis, B., Wagner, T. & Howe, C.J.,  (2022). A psychometric analysis of the health literate health care organization 10 item questionnaire (HLHO-10). Health Literacy Research and Practice, 6(2), e137-e141. doi: https://doi.org/10.3928/24748307-20220518-01

Howe, C.J. and DiFazio, R.(2022).  What makes a good reviewer?  Journal of Pediatric Nursing, 63, A8-A9. doi: https://doi.org/10.1016/j.pedn.2022.02.021

Wagner, T., Adame, T., Howe, C.J. (2022) Is your WebLitLegit? Finding safe & good health information on the internet. Health Literacy Research and Practice, 6(2), e151-158. doi: https://doi.org/10.3928/24748307-20220516-01

Kimzey, M., Baucham, R., Martin, C., McLarty, J., Howe, C.J. (2021).  Development of health literacy competencies in persons with dementia and their caregivers: A qualitative directed content analysis. Dementia: The International Journal of Social Research and Practice, 0 (0), 1-16.

Howe, C., Lowrance, K., Zhang, Y., Baucham, R., & Barnes, D.(2021).  Blood glucose self-regulation intervention in prediabetes: A pilot study.  ADCES in Practice, 9(6), 18-23.

Howe, C.J. and Martin, C. (2021).  Step up your advocacy role.  Journal of Pediatric Nursing.

Howe, C.J., Adame, T., Lewis, B., & Wagner, T. (2020).  Assessing organizational focus on health literacy in hospitals in North Texas.  American Journal of Nursing, 120 (12), 24-33, doi: 10.1097/01.NAJ.0000723424.47838.4d.

Willis, J.L., Howe, C.J., & Alexander, G.K. (2019).  Assessing MyPlate familiarity and typical meal composition using food models in children aged 7-13.  International Journal of Child Health and Nutrition, 8, 128-135. doi: https://doi.org/10.6000/1929-4247.2019.08.04.3

Walker, D., Howe, C.J., Dunkerly, M., Deupree, J., & Cormier, C. (2019).  The HLKES-2:  Revision and evaluation of the health literacy knowledge and experiences survey. Journal of Nursing Education, 58(2), 86-92. doi:10.3928/01484834-20190122-05

Wagner, T. & Howe, C. J. (2019). Addressing systemic health literacy issues & patient safety through a grassroots collaborative. Journal of Consumer Health on the Internet, 23(1), 62-69. doi: https://doi.org/10.1080/15398285.2019.1571325

Baker, L. and Howe, C.J. (2022).  Pre-diabetes screening for children and adolescents takingsecond-generation antipsychotics, Journal of Pediatric Nursing, 64, 155-156. doi: https://doi.org/10.1016/j.pedn.2022.03.004

Howe, C.J., Barnes, D.M., Estrada, G.B., and Godinez, I. (2016). Readability and suitability of Spanish language hypertension and diabetes patient education materials. Journal of Community Health Nursing, 33 (4), 171-180. Caroulis, E. & Howe, C.J. Assessing the health literacy environment in a pediatric diabetes clinic: A continuous quality improvement project. AADE in Practice, 4 (5), 16-21.

Howe, C.J., Alexander, G., and Stevenson, J. (2018).  Performance of children 7-13 years old on the newest vital sign.  Health Literacy Research and Practice, 2(4), e175-e179.

Howe, C. J., Walker, D. K., & Watts, J. (2017). Use of recommended communication techniques by diabetes educators. Journal of Health Literacy Research and Practice, 1(4), e145–e152. doi: https://doi.org/10.3928/24748307-20170810-01

Howe, C.J., Alexander, G., and Stevenson, J. (2017).  Parents’ underestimation of child weight:  implications for obesity prevention.  Journal of Pediatric Nursing, 37,57-61.

Walker, D. and Howe, C.J. (2017).  AMA communication techniques survey: a psychometric analysis. Health Literacy Research and Practice, 1(4), e208-e215.  doi: https://doi.org/10.3928/24748307-20170912-01

Howe, C.J., Cipher, D.J., LeFlore, J., and Lipman, T. (2016). Parent Health Literacy and Communication with Diabetes Educators in a Pediatric Diabetes Clinic: A Mixed Methods Approach. Journal of Health Communication: International Perspectives Supplement Health Literacy Research, 20suppl2, 50-59.

Ayala, J., Howe, C.J., Dumser, S., Buzby, M., and Dumser, S. (2014). Partnerships with providers: reflections from parents of children with type 1 diabetes. Western Journal of Nursing Research, 36(9), 1238-1253. Howe, C.J. & Winterhalter, E. (2013). Parent health literacy: risks and outcomes. Journal of Pediatric Nursing, 28 (5), 515-516.

Lipman, T.H., Katz, L., Ratcliffe, S., Murphy, K., Aguilar, A., Rezvani, I., Howe, C., Fadia, S., & Suarez, E. (2013). Increasing incidence of type 1 diabetes in youth: Twenty years of the Philadelphia Pediatric Diabetes Registry. Diabetes Care, 36(6), 1597-1603. Howe, C.J. & Lewis, K.R. (2012). Social determinants for recurrent diabetic ketoacidosis in children with diabetes. Journal of Pediatric Nursing, 27(6), 773-774.

Howe, C.J. Ayala, J., Dumser, S., Buzby, M., Murphy, K. (2012). Parental expectations in the care of children and adolescents. Journal of Pediatric Nursing, 27(2), 110-126.

Howe, C.J., Radcliffe, S., Dougherty, S., Tuttle, A., Lipman, T. (2011). Needle anxiety in children with type 1 diabetes and their mothers. MCN The Journal of Maternal Child Nursing, 36 (1), 25-31.

Howe, C.J., Carsey, E., Sewell, A. & Lewis, B. (2023, May). Communicate to CARE:  a mixed methods study to implement provider and staff health literacy practices in a pediatric ENT clinic. JPS Health Research & Quality Symposium, virtual

Sewell, A., Wikman, E., Howe, C.J., & Lewis, B. (2023, April) Implementation of Health Literacy Strategies in a Pediatric ENT Clinic.   American Association of Ambulatory Clinics in Nursing.

Howe, C.J. and De La Garza, V. (2023, March).  Step up Your Advocacy.  Texas Association of Diabetes Care and Education Specialist (invited)

Howe, C.J. and Wagner, T. (2023, March).  Innovate to Communicate:  Health Literacy Workforce Training. Texas Association of Diabetes Care and Education Specialist (invited)

Howe, C.J., Lewis, B., Wikman, E, & Edmondson, S. (2022, Oct).  Assessing fidelity of health literacy CARE practices using AHRQ communication observation, self-assessment, and patient feedback forms. Health Literacy and Research Conference, virtual.

Howe, C.J. & Cutilli, C (2022, Aug).  Advancing Health Literacy: Evidence-based Guidelines and Learning.  International Health Literacy Association, webinar.

Howe, C.J., Lewis, B., and Edmonson, S. (2022, May).  Communicate to CARE:  pre-implementation assessment in a pediatric ENT clinic.  IHA Health Literacy Conference, virtual. 

Wagner, T., Howe, C.J., Stone, M. (2022, March). Innovate and Collaborate: Coalitions Addressing Public Health Literacy, Society for Public Health Education Conference.

Deupree, J., Meade, C., Howe, C.J., and Alberti, T. (2021, Nov). Policy, practice, and armadillos:  Nurses’ role in health literacy during the pandemic.  Health Literacy Research and Practice Conference, virtual. https://twitter.com/HealthLitTX/status/1448715630018977794

Howe, C.J. and Wagner, T. (2021, Oct). Developing a culture for Health Literacy Workforce Development and Organizational Health Literacy. International Health Literacy Association Global Health Literacy Conference, virtual.

Howe, C.J., Lowrance, K., & Baucham, R. (2020, Nov) Brief intervention on blood glucose self-regulation in Spanish speaking adults with prediabetes.  Health Literacy and Research Conference, poster presentation (refereed)

Howe, C.J. (Aug 2016). Optimizing Care for Patients with Limited Health Literacy. North Texas Nursing Consortium Summer Institute 2016: Care of Vulnerable Population. Fort Worth, TX (invited)

Howe, C.J. (2014) Parent Health Literacy and Communication with Diabetes Educators: A Mixed Methods Approach. Podium presentation, American Academy of Communication in Healthcare, Orlando, Florida. (refereed)

Howe, C.J. (2014). Health Literacy and Clear Communication: Moving Towards Understanding. Webinar, Villanova College of Nursing, MacDonald Center for Obesity Prevention and Education. (invited)

Howe, C.J. & Ayala, J. (2014). Weighing in on Health Literacy: Print Education Materials for Teens with Type 2 Diabetes. Poster presentation, Pediatric Endocrine Nursing Society, Louisville, KY. (refereed)

Howe, C.J. (2014). Parent Health Literacy and Communication with Diabetes Educators. Podium presentation, American Association of Diabetes Educators, Orlando, Florida (refereed)

Howe, C.J. (May 2016). Parental Expectations in the Care of Their Children with Diabetes: Health Literacy & Communication. 4th Annual Health Literacy Symposium, Fort Worth, TX. (refereed)

Howe, C.J., Barnes, D.M., Estrada, G., and Godinez, I. (2016). Readability and Suitability of Spanish Language Hypertension and Diabetes Patient Education Materials (podium). John Peter Smith Research Symposium, Fort Worth, TX (invited)

Nominee, HCNHS TCU Dean’s Research and Creativity Award, 2020

Recipient, Penn Nursing Alumni Award for Clinical Excellence, 2020

Nominee, HCNHS TCU Dean’s Research and Creativity Award, 2019

Fellow of American Academy of Nursing, 2019

Recipient, Pediatric Endocrinology Nursing Excellence in Education Award, 2018

Recipient, DFW Great 100 Nurse Award, 2017

Recipient, Diabetes Association All Star Leadership Award, 2014

Recipient, Annual Celebration of Excellence in Students Honorable Mention Award, University of Texas at Arlington, 2014

Selected, Who’s Who Among Students in American Universities and Colleges, 2013

Recipient, Magna cum laude, University of Pennsylvania, 1989

Selected, Sigma Theta Tau International, 1989

Certified Diabetes Educator

Pediatric Endocrine Nursing Society American Association of Diabetes Educators American Diabetes Association Alliance of International Nurses for Improved Health Literacy Sigma Theta Tau International

Chair, Research Committee, Pediatric Endocrine Nursing Society Member, Type 1 and Youth National Committee, American Diabetes Associations Camp Advisory Board, ADA Camp Freedom Steering Committee, Alliance of International Nurses for Improved Health Literacy