A5013800003- Emergency and Acute Care Studies
- Cardiac Arrest and Resuscitation
- Interpreting and Communication in Healthcare
- Health Literacy and Information Accessibility
- Language, Discourse, Communication Strategies
- Acute Myocardial Infarction Research
- BRCA gene mutations in cancer
- Cardiac Health and Mental Health
- Mindfulness and Compassion Interventions
- Trauma and Emergency Care Studies
- Global Cancer Incidence and Screening
- Heart Failure Treatment and Management
- Healthcare Technology and Patient Monitoring
- Behavioral Health and Interventions
- Health Policy Implementation Science
- Health Promotion and Cardiovascular Prevention
- Trauma Management and Diagnosis
- Social Media in Health Education
- Primary Care and Health Outcomes
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Homelessness and Social Issues
- Traumatic Brain Injury Research
- Cardiac pacing and defibrillation studies
- Mobile Health and mHealth Applications
- Occupational Health and Safety Research
University of Washington
2011-2024
Seattle University
2001-2024
Northwest University
2018-2019
Fred Hutch Cancer Center
2003-2017
Henkel (Germany)
2013
University of Technology Sydney
2009
University of Kentucky
2009
University of Auckland
2009
University of California, Los Angeles
2009
University of Nevada, Reno
2009
Delay from onset of acute coronary syndrome (ACS) symptoms to hospital admission continues be prolonged. To date, community education campaigns on the topic have had disappointing results. Therefore, we conducted a clinical randomized trial test whether an intervention tailored specifically for patients with ACS and delivered one-on-one would reduce prehospital delay time.
<h3>Background</h3> The effectiveness of therapy for an acute coronary syndrome (ACS) is dependent on patients' quick decision to seek treatment. We surveyed level knowledge about heart disease and self-perceived risk a future myocardial infarction (AMI) in patients with documented ischemic disease. <h3>Methods</h3> Patients (N = 3522) had mean age 67 years, 68% were male, all history AMI or invasive cardiac procedure Data gathered using 26-item instrument focusing ACS symptoms appropriate...
A 10-month direct mail campaign was implemented to increase use of emergency medical services via 911 calls and reduce prehospital delay for individuals experiencing acute myocardial infarction symptoms.This prospective, randomized, controlled trial involved three intervention groups (receiving brochures with informational, emotional, or social messages) a control group.Intervention effects were not observed except who had history discharged diagnosis infarction; their meaningfully higher in...
Abstract Knowledge, attitudes, and beliefs of persons with ischemic heart disease are important predictors delay in seeking treatment. We tested the psychometric profile Acute Coronary Syndrome (ACS) Response Index, a measure assessing patient knowledge, attitudes about ACS symptoms response, 3,522 patients. On factor analysis, 21 dichotomous knowledge items loaded onto four factors (alpha .82). In separate another five on two attitude factors, seven belief .76). The scales discriminated...
Objective. We investigated 9-1-1 telecommunicators' perceptions of communication difficulties with callers who have limited English proficiency (LEP) and the frequency outcomes specific behaviors. Methods. A survey was administered to 150 telecommunicators from four call centers a metropolitan area in Pacific Northwest assess their experience working LEP callers. In addition, 172 recordings (86 which were labeled by as having "language barrier") abstracted for behaviors care delivery...
Despite women's increased representation in the overall workforce, construction remains a male-dominated industry. Prior studies have noted that hazardous workplace environment combined with culture can be discriminatory and openly hostile threaten women workers' health safety. However, little information exists about current physical psychosocial hazards at work affecting tradeswomen.We examined differences exposure between men, association of these exposures self-reported stress injury,...
Background: In the United States, language barriers pose challenges to communication in emergency response and impact care delivery quality for individuals who are limited English proficient (LEP). There is a growing interest among Emergency Medical Services (EMS) personnel using automated translation tools improve communications with LEP field. However, little known about whether software can be used successfully EMS settings individuals. Objective: The objective of this work use...
Abstract Personal risk perceptions of acute myocardial infarction (AMI) affect people's preventive health behaviors as well their beliefs during a heart attack episode. The authors investigated factors that are associated with personal having an AMI. A random-digit-dial survey was conducted among 1294 respondents, aged 18 years or older, in 20 communities across the nation part Rapid Early Action for Coronary Treatment (REACT) trial. Results two mixed-model linear regression analyses...
(1991). Evaluating Brown and Levinson's politeness theory: A revised analysis of directives face. Research on Language Social Interaction: Vol. 25, No. 1-4, pp. 215-252.
Objectives Emergency medical dispatchers (EMDs) experience significant stress in the workplace. Yet, interventions aimed at reducing work-related are difficult to implement due logistic challenges associated with relatively unique EMD work environment. This investigation tested efficacy of a 7-week online mindfulness-based intervention (MBI) tailored workforce. Methods Active-duty EMDs from USA and Canada (n=323) were randomly assigned an or wait list control condition. Participants...
Patients with limited English proficiency (LEP) experience disparities in prehospital care. On-scene interactions between patients LEP and emergency medical services (EMS) providers (ie, firefighters/emergency technicians [EMTs] paramedics) are critical to high-quality care have been minimally explored.To identify EMS-perceived barriers facilitators providing for LEP.In this qualitative study, semi-structured focus groups were conducted firefighters/EMTs paramedics all levels of from urban...
This study examined the impact of three major classes factors, triggers, impediments, and demographics on selection within across four different channels: doctors, friends/family, organizations, media. Women 40 years age older (N = 395) were asked which channels they have turned to last year for cancer-related information. Discriminant analyses revealed significant functions combined channels. Although most important variable in these was a woman's personal experience with cancer, variables...
Helping women make choices to reduce cancer risk and improve breast health behaviors is important, but the best ways reach more people with intervention assistance not known. To test efficacy of a Web-based designed help better choices, we adapted our previously tested, successful package be delivered on Internet, then tested it in randomized trial. We recruited from general public either an active group or delayed control group. The consisted specialized Web site providing tailored...
Helping women make choices to reduce cancer risk and improve breast health behaviors is important, but the best ways reach more people with intervention assistance not known. To test efficacy of a web-based designed help better choices, we adapted our previously tested, successful package be delivered on Internet, then tested it in randomized trial. We recruited from general public either an active group or delayed control group. The consisted specialized website providing tailored...
Demanding working conditions and secondary exposure to trauma may contribute a high burden of stress among 9-1-1 telecommunicators, decreasing their ability work effectively efficiently. Web-based mindfulness-based interventions (MBIs) can be effective in reducing similar populations. However, low engagement limit the effectiveness intervention.The aim this study was assess participant MBI designed for telecommunicators. Specifically, we sought describe following: (1) characteristics...