Faculty

Tina Sadarangani headshot

Tina Sadarangani

ANP-C GNP-BC PhD RN

Assistant Professor

1 212 992 7183

433 First Avenue
New York, NY 10010
United States

Tina Sadarangani's additional information

Tina Sadarangani is an early career NIH-funded Principal Investigator and board certified primary care nurse practitioner deeply committed to advancing the health of vulnerable older adults by leveraging the strengths of community-based adult day health care centers to target health disparities. In the last three years, she has expanded her program of research to focus, specifically, on identifying and addressing the healthcare needs of cognitively impaired older immigrants, by using the adult day health center as a platform for the delivery of culturally and linguistically congruent care.  Having previously collaborated with the California Association of Adult Day Services to evaluate their Community Based Health Home, a program designed to improve care coordination and reduce social isolation among ethnically diverse, low-income, frail adults with limited English proficiency through intensive support from registered nurse navigator (RN-N). Her findings affirmed that adult day centers can serve as a health home and RN-Ns facilitate improved communication between centers and health care providers that contributed to reductions in healthcare utilization. However, widespread implementation has been limited by the cost of the RN-N.

Sadarangani’s latest work focuses on improving communication between adult day centers and primary care providers using low-cost mobile technology. She recently received an R21 from the National Institute on Aging entitled “Bridging Communication Gaps between Primary Care Providers and Adult Day Service Centers to Reduce Emergency Department Use and Hospitalizations among Persons with Dementia.” She also received a Career Development Award from the National Institute on Aging IMPACT Collaboratory through which she will benefit from the expertise of an experienced interdisciplinary mentorship team to acquire training in using both (1) stakeholder engaged approaches to developing mhealth technology and (2) pilot embedded pragmatic clinical trials (ePCTs) and ePCTs patient centered reported outcomes. 

PhD - New York University
MS - University of Pennsylvania
BSN - New York University
BA - Georgetown University

Gerontology
Immigrants
Health Policy
Chronic disease
Underserved populations
Vulnerable & marginalized populations
Health Services Research

American Gerontological Society
American Heart Association
National Gerontological Nurses Association
Sigma Theta Tau Nursing Honor Society

Faculty Honors Awards

Provost’s Postdoctoral Fellowship Program, New York University (2019)
Provost’s Postdoctoral Fellowship Program, New York University (2018)
Hermann Biggs Health Policy Scholar, Josiah Macy Jr. Foundation (2017)
Provost’s Postdoctoral Fellowship Program, New York University (2017)
Valedictorian, New York University (2017)
Patricia G. Archbold Award, National Hartford Centers for Gerontological Nursing Excellence (2016)
Hillman Alumni Network Innovation Fellowship, Hillman Alumni Network (2016)
Hermann Biggs Health Policy Scholar, Josiah Macy Jr. Foundation (2016)
Doctoral Audience Choice Winner, New York University (2016)
Research Podium Presentation Award, Gerontology Advanced Practice Nurses Association (2016)
Patricia G. Archbold Award, National Hartford Centers for Gerontological Nursing Excellence (2015)
Patricia G. Archbold Award, National Hartford Centers for Gerontological Nursing Excellence (2014)
Spirit of Hillman Award, Hillman Alumni Network (2014)
Phi Beta Kappa, Georgetown University
Summa Cum Laude, Georgetown University

Publications

Enriching Nutrition Programs to Better Serve the Needs of a Diversifying Aging Population

Sadarangani, T. R., Beasley, J. M., Yi, S. S., & Chodosh, J. (2020). Family and Community Health, 43(2), 100-105. 10.1097/FCH.0000000000000250
Abstract
Abstract
Racial minorities experience a high burden of food insecurity relative to non-Hispanic whites. Government-subsidized nutrition programs can positively impact food insecurity and nutritional risk among older adults. Yet, in New York City, where nearly 60% of people over 65 years are non-white, older minorities participate in government nutrition programs at very low rates. In this commentary, we focus on 2 programs: the Child and Adult Care Food Program and Older Americans Act Nutrition Services Programs. We identify opportunities for strengthening these programs to improve their reach and engagement with diverse older adults in New York City and similarly diverse urban communities.

Family- And person-centered interdisciplinary telehealth: Policy and practice implications following onset of the COVID-19 pandemic

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A Qualitative Analysis of the Delivery of Person-Centered Nutrition to Asian Americans With Dementia in the Adult Day Health Care Setting

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Using the social ecological model to identify drivers of nutrition risk in adult day settings serving east Asian older adults

Sadarangani, T. R., Johnson, J. J., Chong, S. K., Brody, A., & Trinh-Shevrin, C. (2020). Research in Gerontological Nursing, 13(3), 146-157. 10.3928/19404921-20191210-02
Abstract
Abstract
Adult day care (ADC) centers provide community-based care (including meals) to frail, ethnically diverse older adults, many of whom are at risk for malnutrition. To support the development of interventions to benefit ADC users, the authors aimed to identify barriers and facilitators of healthy nutrition among ADC users born in Vietnam and China. Semi-structured qualitative interviews were conducted among ADC stakeholders to identify barriers and facilitators. Data were analyzed using Braun and Clarke’s six-step method and organized within the framework of the Social Ecological Model. Facilitators of good nutrition included adherence to traditional diet at the ADC center, peer networks, and access to ethnic grocers. Poor health, family dynamics, and loneliness all contributed to poor nutrition, as did the restrictive nature of nutrition programs serving ADC users in the United States. Individual, relationship, organizational, community, and policy level factors play a role in ADC users’ nutritional status. Targeted nutrition interventions should leverage culturally congruent relationships between ADC users and staff and include advocacy for enhancement of federal programs to support this population. [Research in Gerontological Nursing, 13(3), 146-157.].

Cardiovascular Risk in Middle-Aged and Older Immigrants: Exploring Residency Period and Health Insurance Coverage

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A Mixed-Methods Evaluation of a Nurse-Led Community-Based Health Home for Ethnically Diverse Older Adults With Multimorbidity in the Adult Day Health Setting

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Racial Disparities in Nutritional Risk among Community-Dwelling Older Adults in Adult Day Health Care

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Strategies for overcoming language barriers in research

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Cardiovascular disease risk among older immigrants in the United States

Sadarangani, T. R., Chyun, D., Trinh-Shevrin, C., Yu, G., & Kovner, C. (2018). Journal of Cardiovascular Nursing, 33(6), 544-550. 10.1097/JCN.0000000000000498
Abstract
Abstract
Background: In the United States, 16 million immigrants are 50 years and older, but little is known about their cardiometabolic health and how to best assess their cardiovascular disease (CVD) risk. Aging immigrants may therefore not be benefitting from advances in CVD prevention. Objective: In this study, we estimate and compare CVD risk in a nationally representative sample of aging immigrants using 3 different measures. Methods: This was a cross-sectional analysis using National Health and Nutrition Examination Survey data. Immigrants 50 years and older with no history of CVD were eligible. The Framingham Risk Score (FRS), the American College of Cardiology/American Heart Association Pooled Cohort Risk Equation, and presence of metabolic syndrome (MetS) were used to estimate risk. Bivariate statistics were analyzed using SPSS version 23.0 Complex Survey module to account for National Health and Nutrition Examination Survey unique weighting scheme. Results: The mean age of the sample was 61.3 years; 40% had hypertension, 17% had diabetes, 10% were smokers, and 95% did not meet the recommended physical activity guidelines. Proportions at an elevated CVD risk were as follows: American College of Cardiology/American Heart Association, 42% female and 76% male; FRS, 17.4% female and 76% male; and MetS, 22% female and 24% male. Conclusions: Immigrants had a lower overall risk using MetS and the American College of Cardiology/American Heart Association equation than has been found using these tools in similarly aged samples. The opposite was true for the FRS. The discrepancy between the proportion at risk and those being treated may reflect healthcare access gaps that warrant further investigation. A more holistic approach to risk measurement is needed that accounts for determinants of health that disproportionately affect immigrants, including language and socioeconomic status.

Service use, participation, experiences, and outcomes among older adult immigrants in american adult day service centers: An integrative review of the literature

Sadarangani, T. R., & Murali, K. P. (2018). Research in Gerontological Nursing, 11(6), 317-328. 10.3928/19404921-20180629-01
Abstract
Abstract
Older adult immigrants are often socially isolated and vulnerable to poor health. Adult day service (ADS) centers could potentially facilitate social integration and address their long-term health care needs. The current review (a) identifies barriers to and facilitators of ADS use among immigrants, (b) explores how ADS programs impact older adult immigrants’ health and well-being, and (c) isolates the most effective culturally based components of ADS programs. An integrative review was conducted using Whittemore and Knafl’s methodology. Four databases were searched. Articles were critically appraised and data were organized within an ADS-specific framework. Functional impairment, race, gender, and degree of loneliness were all predictors of ADS use. ADS enhanced immigrants’ quality of life and provided fulfillment. Transportation, bilingual nurses, peer support, and cultural activities were deemed essential by participants. ADS can provide support to older adult immigrants by adding cultural elements to existing services and using nurses as cultural liaisons. More research is needed to assess the impact of ADS on disease outcomes, including dementia, and on immigrants in multi-ethnic settings.