Recent Publications
- Yang, M., Martínez, U., Simmons, V.N., Schabath, M.B., & Vinci, C. (in press). Considerations and recommendations for mHealth interventions for substance use among Sexual and Gender Minority (SGM) individuals: A narrative review of the past 5 years. Current Addiction Reports.
- Vinci, C., Sutton, S. K., Yang, M., Baban, S., Sauls, R., Witkiewitz, K., Brandon, K. O., Unrod, M., Brandon, T. H., & Wetter, D. W. (2023). Pilot randomized controlled trial of Mindfulness-Based Relapse Prevention vs Cognitive Behavioral Therapy for smoking and alcohol use. Drug and Alcohol Dependence, 244, 109768. PMCID: PMC9975045.
- Yang, M., Sutton, S. K., Hernandez, L. M., Jones, S. R., Wetter, D. W., Kumar, S., & Vinci, C. (2023). A Just-in-Time Adaptive Intervention for smoking cessation: Feasibility and acceptability study. Addictive Behaviors, 136.
- Yang, M., Brandon, K.O., Sutton, S.K., Kleinjan, M., Sawyer, L.E., Brandon, T.H., & Vinci, C. (2022). Augmented reality as a novel approach for addiction treatment: Development of a smoking cessation app. Annals of Medicine, 54 (1), 3096-3106. PMCID: PMC9648377.
- Kelley, M. L., Strowger, M., Chentsova, V., Bravo, A. J., Burgin, E. E., Gaylord, S., Vinci, C., Ayers, K. L., & Agha, E. (2022). Mindfulness to manage moral injury: Development, feasibility and acceptability of a live facilitated, virtual 7-week group intervention for veterans with moral injury. Contemporary Clinical Trials Communications, 30, 101011. PMCID: PMC9626875.
- Hathaway, C.A., Wang, T., Townsend, M.K., Vinci, C., Jake-Schoffman, D.E., Saeed-Vafa, D., Moran Segura, C., Nguyen, J.V., Conejo-Garcia, J.R., Fridley, B.L., & Tworoger, S.S. (2023). Lifetime exposure to cigarette smoke and risk of ovarian cancer by T cell tumor immune infiltration. Cancer Epidemiology, Biomarker & Prevention, 32(1), 66-73. PMCID: PMC9839509.
- Yang, M., Ketcher, D., Witkiewitz, K., Unrod, M., Baban, S., Wetter, D.W., & Vinci, C. (2022). What happens when you smoke a cigarette mindfully?: A deductive qualitative study. Mindfulness, 13, 2628-2640.
- Yang, M., Brandon, K.O., Sutton, S.K., Kleinjan, M., Hernandez, L.M., Sawyer, L.E., Brandon, T.H., & Vinci, C. (2022). Augmented reality for extinction of cue-provoked urges to smoke: Proof of concept. Psychology of Addictive Behaviors, 36(8), 990-998. PMCID: PMC9771872
- Yang M. J., Yepez V. V., Brandon K. O., Reblin M., Pidala J., Jim H. S. L., Meyer J. S., Gore L. R., Khera N., Lau P., Sauls R. M., Jones S. R., Vinci C. (2022) A mindfulness-based stress management program for caregivers of allogeneic hematopoietic stem cell transplant (HCT) patients: Protocol for a randomized controlled trial. PLoS One.
- Vinci C, Hemenway M, Baban SS, Yang MJ, Brandon KO, Witkiewitz K, Unrod M, Brandon TH, Wetter DW, Sutton SK. (2022). Transition to telehealth: Challenges and benefits of conducting group-based smoking and alcohol treatment virtually. Contemporary Clinical Trials.
- Oswald, L.B., Brownstein, N.C., Whiting, J., Hoogland, A.I., Saravia, S., Kirtane, K., Chung, C.H., Vinci, C., Gonzalez, B.D., Johnstone P. A. S., Jim, H. S. L. (2022). Smoking Is Related to Worse Cancer-related Symptom Burden. The Oncologist.
- Vinci C, Lam C, Schlechter CR, Shono Y, Vidrine JI, Wetter DW. (2022). Increasing treatment enrollment among smokers who are not motivated to quit: a randomized clinical trial. Translational Behavioral Medicine
- Wang T, Jake-Schoffman DE, Townsend MK, Vinci C, Willett WC, Tworoger SS. (2021). Early life physical activity and risk of ovarian cancer in adulthood. International Journal of Cancer.
- Vinci, C., Cambron, C., Lam, C., & Wetter, D. W. (in press). Perceived discrimination and smoking lapse among Mexican Americans: An ecological momentary assessment study. Health Psychology.
- Vinci, C., Sawyer, L., & Yang, M. J. (2021). Minding the gap: Leveraging mindfulness to inform cue exposure treatment for substance use disorders. Frontiers in Psychology, 12, 649409.
- Kelley, M. L., Chae, J. W., Bravo, A. J., Milam, A. L., Agha, E., Gaylord, S. A., Vinci, C., & Currier, J. M. (in press). Own soul’s warning: Moral injury, suicidal ideation, and meaning in life. Psychological Trauma: Theory, Research, Practice, and Policy.
- Wang, T., Townsend, M. K., Vinci, C., Jake-Schoffman, D. E., & Tworoger, S. S. (2021). Early life exposure to tobacco smoke and ovarian cancer risk in adulthood. International Journal of Epidemiology.
- Hernandez, L.M., Wetter, D.W., Kumar, S., Sutton, S.K., & Vinci, C. (2021). A micro-randomized trial for smoking cessation with wearable sensors: A protocol paper. JMIR Research Protocols.
- Brandon, K.O., Vinci, C., Kleinjan, M., Hernandez, L.M., Sawyer, L.E, Sutton, S.K., & Brandon, T.H. (2020).Testing augmented reality for eliciting cue-provoked urges to smoke: Toward moving cue-exposure into the real world. Nicotine and Tobacco Research.
- Hemenway, M., Witkiewitz, K., Unrod, M., Brandon, K. O., Brandon, T. H., Wetter, D. W., Sutton, S. K., & Vinci, C. (2021). Development of a mindfulness-based treatment for smoking cessation and the modification of alcohol use: A protocol for a randomized controlled trial and pilot study findings. Contemporary Clinical Trials, 100, 106218.
- Vinci, C., Brandon, K.O., Kleinjan, M., Hernandez, L.M., Sawyer, L.E, Haneke, J., Sutton, S.K., & Brandon, T.H. (2020). Augmented reality for smoking cessation: Development and usability study. JMIR uHealth & mHealth, 8, e21643.
- Lee, S., Mu, C., Gonzalez, B. D., Vinci, C., & Small, B. J. (2020). Sleep health is associated with next-day mindful attention in healthcare workers. Sleep Health.
- Vinci, C., Brandon, K. O., Kleinjan, M., & Brandon, T. H. (2020). The clinical potential of augmented reality. Clinical Psychology: Science and Practice, 27, e12357.
- Vinci, C. (2020). Cognitive behavioral and mindfulness-based interventions for smoking cessation: A review of the recent literature. Current Oncology Reports, 22, 58.
- Vinci, C., Pidala, J., Lau, P., Reblin, M., & Jim, H. (2020). A mindfulness-based intervention for caregivers of allogeneic hematopoietic stem cell transplant patients: Pilot results. Psycho-Oncology, 29, 934-937.
- Vinci, C., Malkhasyan, L., Simmons, V. N., & Correa-Fernandez, V. (2020). The relationship of mindfullness and mindfulness practices with alcohol use among Hispanics/Latinos. Psychiatry Research.
- Vinci, C., Reblin, M., Bulls, H., Malkhasyan, L., Jim, H., Pidala, J., & Cutolo, E. (2019). Understanding coping strategies of cancer caregivers to inform mindfulness-based interventions: A qualitative study. European Journal Integrative Medicine, 30. Epub ahead of print.
- Cambron, C., Haslam, A. K., Baucom, B. R. W., Lam, C. Y., Vinci, C., Cinciripini, P., Li, L., & Wetter, D. W. (2019). Momentary precipitants connecting stress and smoking laspe during a quit attempt. Health Psychology, 38, 1049-1058. PMCID: PMC6861642.
- Bravo, A. J., Kelley, M. L., Mason, R., Ehlke, S., Vinci, C., & Redman, J. C., (2019). Rumination as a mediator of the associations between moral injury and mental health problems in combat wounded veterans. Traumatlogy, 26, 52-60. PMCID: PMC7449509.
- Kelley, M. L., Bravo, A. J., Davies, R. L., Hamrick, H. C., & Vinci, C. (in press). The moderating effects of social connectedness and self-compassion. Psychological Trauma: Theory, Research, Practice, and Policy, 11, 621-629. PMCID: PMC7224359
- Spears, C. A., Li, L., Wu, C., Vinci, C., Heppner, W. L., Hoover, D. S., Lam, C., & Wetter, D. W. (2019). Mechanisms linking mindfulness and early smoking abstinence: An ecological momentary assessmet study. Psychology of Addictive Behaviors, 33, 197-207.
- Vinci, C., Reblin, M., Jim, H., Pidala, J., Bulls, H., & Cutolo, E. (2018). Understanding preferences for a mindfulness-based stress management program among caregivers of hematopoietic cell transplant patients. Complementary Therapies in Clinical Practice, 33, 164-169.
- Housten, A.J., Hoover, D.S., Correa-Fernández, V., Strong, L.L., Heppner, W.L., Vinci, C., Wetter, D.W., Spears, C.A., & Castro, Y. (in press). Associations of Health Literacy with Acculturation among Latino Adults. Health Literacy Research and Practice, 3, 81-89. PMC6607768.
- Castro, Y., Vinci, C., Heppner, W., Cano, M., Correa-Fernandez, V., & Wetter, D. (2019). Revisiting the relationship between acculturation and smoking cessation among Mexican Americans. Annals of Behavioral Medicine, 53(3), 211-222.
- Vinci, C., Haslam, A., Lam, C. Y., Kumar, S., & Wetter D. W. (2018). The use of ambulatory assessment in smoking cessation. Addictive Behaviors, 83, 18-24.
- Peltier, M. R., Roys, M., Waters, A. F., Vinci, C., Waldo, K. M. Stewart, S. A., … Copeland, A. L. (2018). Motivation and readiness for tobacco cessation among nicotine dependent postmenopausal females: A pilot study. Experimental and Clinical Psychopharmacology, 26(2), 125-131.
- Vinci, C., Guo, L., Spears, C. A., Li, L., Correa-Fernandez, V., Etcheverry, P. E., Lam, C. Y., Hoover, D. S., & Wetter, D. W. (2017). Socioeconomic indicators as predictors of smoking cessation among Spanish-speaking Mexican Americans. Ethnicity and Health, 24, 841-853. PMCID: PMC5832556.
- Vinci, C., Li, L., Wu, C., Lam, C. Y., Guo, L., Correa- Fernandez, V., Spears, C. A., Hoover, D. S., Etcheverry, P. E., & Wetter, D. W. (2017). The association of positive emotion and first lapse: An ecological momentary assessment study. Health Psychology, 36, 1038-1046.
- Spears, C. A., Hedeker, D., Li, L., Wu, C., Anderson, N. K., Houchins, S. C., Vinci, C., Hoover, D. S., Vidrine, J. I., Cinciripini, P. M., Waters, A. J., & Wetter, D. W. (2017). Mechanisms underlying mindfulness-based addiction treatment versus cognitive behavioral therapy and usual care for smoking cessation. Journal of Consulting and Clinical Psychology, 85, 1029-1040.
- Dworkin, E. R., Mota, N. P., Schumacher, J. A., Vinci, C., & Coffey, S. F. (2017). The unique associations of sexual assault and intimate partner violence with PTSD symptom clusters in a traumatized substance-abusing sample. Psychological Trauma: Theory, Research, Practice, and Policy, 9, 500-508. doi: 10.1037/tra0000212.
- Vinci, C., Spears, C. A., Peltier, M. R., & Copeland, A. L. (2016). Facets of mindfulness mediate the relationship between depressive symptoms and smoking behavior. Mindfulness, 7, 1408-1415. doi: 10.1007/s12671-016-0582-0.
- Vinci, C., Peltier, M., Waldo, K., Kinsaul, J., Shah, S., Coffey, S., & Copeland, A. L. (2016). Examination of trait impulsivity on response to a brief mindfulness intervention among college student drinkers. Psychiatry Research, 242, 365-374. doi: 10.1016/j.psychres.2016.04.115.
- Vinci, C., Spears, C. A., Peltier, M. R., & Copeland, A. L. (2016). Drinking motives mediate the relationship between facets of mindfulness and problematic alcohol use. Mindfulness, 7(3), 754-763. doi: 10.1007/s12671-016-0515-y.
- Vinci, C., Mota, N., Berenz, E., & Connolly, K. (2016). Examination of the relationship between PTSD and distress tolerance in a sample of male veterans with comorbid substance use disorders. Military Psychology, 28(2) 104-114. doi: 10.1037/mil0000100.
- Coffey, S. F., Banducci, A. N., & Vinci, C. (2015). Common questions about cognitive behavioral therapy for psychiatric disorders. American Family Physician, 92, 807-812.
- Vinci, C. Coffey, S. F., & Norquist, G. S. (2015). When to recommend cognitive behavioral therapy. The Journal of Family Practice, 64, 232-237.
- Mota, N. P., Schaumberg, K., Vinci, C., Sippel, L., Jackson, M., & Coffey, S. F. (2015). Imagery vividness ratings during exposure treatment for posttraumatic stress disorder as a predictor of treatment outcome. Behaviour Research and Therapy, 69, 22-28. doi: 10.1016/j.brat.2015.03.003.
- Schaumberg, K., Mota, N., Dixon, L., Sippel, L., Jackson, M., Vinci, C., May, A., Schumacher, J., & Coffey, S. (2015). The paper chase: Reflections on an exercise in collaborative scientific writing. the Behavior Therapist. PMCID: PMC4984256.
- Schaumberg, K., Vinci, C., Raiker, J. S., Mota, N., Jackson, M., Whalen, D., Schumacher, J. A., & Coffey, S. F. (2015). PTSD-related alcohol expectancies and impulsivity interact to predict alcohol use severity in a substance dependent sample with PTSD. Addictive Behaviors, 41, 41-45. doi: 10.1016/j.addbeh.2014.09.022.
- Vinci, C., Kinsaul, J., Carrigan, M. H., & Copeland, A. L. (2015). The relationship between smoking motives and smoking urges experienced in response to a negative affect induction. Addictive Behaviors, 40, 96-101. doi: 10.1016/j.addbeh.2014.09.007.
- Vinci, C., Peltier, M. R., Shah, S., Kinsaul, J., Waldo, K., McVay, M., & Copeland, A. L. (2014). Effects of a brief mindfulness intervention on negative affect and urge to drink among college student drinkers. Behaviour Research and Therapy, 59, 82-93. doi: 10.1016/j.brat.2014.05.012.
- Adams, C. E., McVay, M.A., Stewart, D. W., Vinci, C., Kinsaul, J., Benitez, L., & Copeland, A. L. (2014). Mindfulness ameliorates the relationship between weight concerns and smoking in female smokers. Mindfulness, 5, 179-185. doi: 10.1007/s12671-012-0163-9.
- Buckner, J. D., & Vinci, C. (2013). Smoking and social anxiety: The roles of gender and smoking motives. Addictive Behaviors, 38(8), 2388-2391. doi: 10.1016/j.addbeh.2013.03.007.
- Stewart, D. W., Vinci, C., Adams, C. E., Cohen, A. S., & Copeland, A. L. (2013). Smoking topography and outcome expectancies among individuals with schizotypy. Psychiatry Research, 205, 205-212. doi: 10.1016/j.psychres.2012.11.032.
- Buckner, J.D., Ecker, A.H., & Vinci, C. (2013). Cannabis use vulnerability among socially anxious users: Cannabis craving during a social interaction. Psychology of Addictive Behaviors, 27, 236-242. doi: 10.1037/a0029763.
- Buckner, J. D., Heimberg, R. G., Ecker, T. E., & Vinci, C. (2012). A biopsychosocial model of social anxiety and substance use. Depression and Anxiety, 30(3), 276-284. doi: 10.1002/da.22032.
- Adams, C. E., McVay, M. A., Kinsaul, J., Benitez, L., Vinci, C., Stewart, D. W., & Copeland, A. L. (2012). Unique relationships between facets of mindfulness and eating pathology among female smokers. Eating Behaviors, 13(4), 390-393. doi: 10.1016/j.eatbeh.2012.05.009.
- Vinci, C., McVay, M. A., Copeland, A. L., & Carrigan, M. H. (2012). The relationship between depression level and smoking motives in college smokers. Psychology of Addictive Behaviors, 26, 162-165. doi: 10.1037/a0023772.
- Vinci, C., Copeland, A. L., & Carrigan, M. H. (2012). Exposure to negative affect cues and urge to smoke. Experimental and Clinical Psychopharmacology, 20, 47-55. doi: 10.1037/a0025267.
Recent Conference Presentations
- Yang, M., Martínez, U., Simmons, V.N., Schabath, M.B., & Vinci, C. (2023, October) Considerations and recommendations for mHealth interventions for substance use among Sexual and Gender Minority (SGM) adults: A narrative review of qualitative studies. Poster presentation at the Science of Cancer Health Equity in Sexual and Gender Minority Communities, New York, NY.
- Yang, M., Ketcher, D., Witkiewitz, K., Unrod, M., Baban, S., Wetter, D.W., & Vinci, C. (2023, March). What happens when you smoke a cigarette mindfully?: A deductive qualitative study. Abstract presented as a poster presentation to the Annual Meeting of Society for Research on Nicotine and Tobacco, San Antonio, TX.
- Hathaway, C.A., Townsend, M.K., Vinci, C., Jake-Schoffman, D.E., Conejo-Garcia, J.R., Fridley, B.L., & Tworoger, S.S. (2022, September). Lifetime exposure to cigarette smoke and B cell tumor immune infiltration and immunoglobulin abundance in ovarian tumors. E-poster presented at the 14th Biennial Virtual Ovarian Cancer Research Seminar Series.
- Townsend, M.K., Colon-Echevarria, C.B., Barber, L.E., Woo, J.M.P., Jake-Schoffmanm D.E., Kubzansky, L.D., O’Brien, K.M., Vinci, C., Palmer, J., Sandler, D.P., & Tworoger, S.S. (2022, September). Indicators of early life adversity and risk of ovarian cancer. E-poster presented at the 14th Biennial Virtual Ovarian Cancer Research Seminar Series.
- Murphy, K., Casas, L., Brandon, K.O., Brandon, T.H., & Vinci, C. (2022, May). Feasibility of augmented reality for smoking cessation. Poster Presented at Moffitt Scientific Symposium.
- Sauls, R., Yang, MJ., Baban, S., & Vinci, C. (2022, April). Qualitative analysis of telehealth implications for a smoking cessation and alcohol reduction trial. Poster presented at the USF Undergraduate Research Conference.
- Yang, M., Sutton, S.K., Wetter, D.W., Kumar, S., & Vinci, C. (2022, March). Proximal effects of a mindfulness-based ecological momentary intervention for smoking cessation with wearable sensors: A micro-randomized trial. Poster presented to the Annual Meeting of Society for Research on Nicotine and Tobacco, Baltimore, MD.
- Hernandez, L.M., Wetter, D.W., Kumar, S., Sutton, S.K., Hemenway, M., & Vinci, C. (2021). Feasibility and acceptability of a mindfulness-based mHealth smoking cessation intervention with wearable sensors. Oral presentation at the Society for Research on Nicotine and Tobacco, Virtual. **Received Travel Award**
- Hemenway, M., Witkiewitz, K., Unrod, M., Brandon, K.O., Brandon, T.H., Wetter, D.W., Sutton, S.K., Hernandez, L., & Vinci, C. (2021, February). Mindfulness-based relapse prevention for smoking and alcohol use: Pilot study results. E-poster presented at the Society for Research on Nicotine and Tobacco, Virtual.
- Brandon, K.O., Vinci, C., Kleinjan, M., Hernandez, L.M., Sawyer, L.E., Sutton, S.K., & Brandon, T.H. (2021, February). Utilizing augmented reality cues to elicit cravings to smoke. Featured e-poster presented at the meeting of the Society for Research on Nicotine and Tobacco, Virtual.
- Lee, S., Mu, C., Gonzalez, B. D., Vinci, C. E., & Small, B. J. (2020, August). Nightly sleep characteristics are associated with next-day mindfulness. Poster presented at the Virtual Sleep 2020 – The 34th Annual Meeting of the Associated Professional Sleep Societies, LLC (APSS).
- Chatwal, M.S., Vinci, C., Reich, R.R., Boulware, D.C., Fan, W., Reagan, A., Gray, J.E. (February, 2020). Building resilient oncologists: A feasibility study of a resiliency curriculum for hematology oncology fellows. Abstract submitted to the annual meeting of the American Society of Clinical Oncology.
- Voncken-Brewster, V., Simmons, V. N., Vinci, C., Conn, M. R., Lorenzo, Y. L., Sutton, S. K., & Drobes, D., (March, 2020). Differences in tobacco cessation motivation and nicotine-marijuana interaction expectancies among co-users of tobacco and medical or recreational marijuana. Poster presented at the annual meeting of the Society for Research on Nicotine and Tobacco, New Orleans, LA.
- Chatwal, M.S., Vinci, C., Reich, R. R., McDowell, M., Reagan, A., & Gray, J. E. (May, 2019). Mindful fellows: Study results from a pilot wellness curriculum in hematology oncology. Poster presented at the annual meeting of the American Society of Clinical Oncology, Chicago, IL.
- Hernandez, L.M., Silverman, J.R., Malkhasyan, L., & Vinci, C. (April, 2019). Age, mindfulness, and health behaviors in the Hispanic/Latino population. Poster presented at the University of South Florida Undergraduate Research Conference, Tampa, FL.
- Silverman, J.R., Hernandez, L.M., Malkhasyan, L., & Vinci, C. (April, 2019). Gender and trait mindfulness in relation to alcohol use among a Hispanic/Latino population. Poster presented at the University of South Florida Undergraduate Research Conference, Tampa, FL.
- Vinci, C., Malkhasyan, L., Lau, P., Schmidt, J., Jim, H., & Pidala, J. (March, 2019). A Mindfulness-Based Intervention for Caregivers of Hematopoietic Stem Cell Transplant Patients: Pilot Results. Abstract accepted to the annual meeting of the American Society of Preventative Oncology, Tampa, FL.
- Vinci, C., Reblin, M., Bulls, H., Malkhasyan, L., Jim, H., Pidala, J., & Cutolo, E. (March, 2019). Understanding Coping Strategies of Cancer Caregivers to Inform Mindfulness-Based Interventions. Abstract accepted to the annual meeting of the Society of Behavioral Medicine, Washington, DC.
- Vinci, C., Simmons, V., Correa-Fernandez, V., & Malkhasyan, L. (March, 2019). Mindfulness among Hispanics/Latinos in the United States. Abstract accepted to the annual meeting of the Society of Behavioral Medicine, Washington, DC.
- Malkhasyan, L., Lau, P., Schmidt, J., Jim, H., Pidala, J., & Vinci, C. (March, 2019). Acceptability and feasibility of a Mindfulness-Based Stress Reduction Program for HCT cancer caregivers. Abstract accepted to the annual meeting of the American Society of Preventative Oncology, Tampa, FL. **in the top 14 of 213 abstracts submitted to ASPO**
- Chatwal, M. S., Gray, J. E., McDowell, M., Vinci, C., Reagan, A., & Reich, R. (June, 2018). A feasibility study to examine the role of a mindfulness-based wellness curriculum for early clinical trainees. Poster accepted for presentation at the annual meeting of the American Society of Clinical Oncology, Chicago, IL.
- Vinci, C., Jim, H., Reblin, M., Pidala, J., Bulls, H., & Cutolo, E. (April, 2018). Understanding HCT caregivers’ preferences for a mindfulness-based stress management program. Poster accepted to the annual meeting of the Society of Behavioral Medicine, New Orleans, LA.
- Vinci, C., Spears, C., & Copeland, A. L. (April, 2018). Predictors of response to a brief mindfulness intervention among problematic alcohol users. Poster accepted to the annual meeting of the Society of Behavioral Medicine, New Orleans, LA.
- Castro, Y., Vinci, C., Heppner, W. L., Cano, M. A., Correa-Fernández, V., & Wetter D. W. (February, 2018). Revisiting the relationship between acculturation and smoking cessation among Mexican Americans. Poster presented at the annual meeting of the Society for Research on Nicotine and Tobacco, Baltimore, MD.
- Housten, A.J., Hoover, D.S., Correa-Fernández, V., Strong, L.L., Heppner, W.L., Vinci, C., Wetter, D.W., Spears, C.A., & Castro, Y. (October, 2017). Associations of health literacy with acculturation among Latino adults. Poster presented at the Health Literacy Annual Research Conference and the International Conference on Communication in Healthcare, Baltimore, MD.