A5042731423- Global Cancer Incidence and Screening
- Patient-Provider Communication in Healthcare
- Lung Cancer Diagnosis and Treatment
- Colorectal Cancer Screening and Detection
- Health Literacy and Information Accessibility
- Head and Neck Cancer Studies
- BRCA gene mutations in cancer
- Ovarian cancer diagnosis and treatment
- Palliative Care and End-of-Life Issues
- Mobile Health and mHealth Applications
- Reproductive Biology and Fertility
- Medication Adherence and Compliance
- Clinical practice guidelines implementation
- Nursing Roles and Practices
- Radiology practices and education
- Patient Satisfaction in Healthcare
- Smoking Behavior and Cessation
- Frailty in Older Adults
- Lung Cancer Treatments and Mutations
- Social Media in Health Education
- Multiple and Secondary Primary Cancers
- Chronic Disease Management Strategies
- Health Systems, Economic Evaluations, Quality of Life
- Cancer Immunotherapy and Biomarkers
- Urological Disorders and Treatments
The University of Texas MD Anderson Cancer Center
2013-2024
United States Department of the Treasury
2022
Florida College
2022
University of Florida
2022
University of Houston
2022
<h3>Importance</h3> Lung cancer screening with low-dose computed tomography lowers lung mortality but has potential harms. Current guidelines support patients receiving information about the benefits and harms of during decision-making. <h3>Objective</h3> To examine effect a patient decision aid (PDA) compared standard educational material (EDU) on decision-making outcomes among smokers. <h3>Design, Setting, Participants</h3> This randomized clinical trial was conducted using 13 state...
BACKGROUND Colorectal cancer screening rates for African American patients remain suboptimal. Patient decision aids designed with an entertainment‐education approach have been shown to improve saliency and foster informed making. The purpose of this study was assess whether aid tailored improved patients' making, attitudes, intentions, or colorectal behavior. METHODS Eighty‐nine participants were randomized view 1) a patient video containing culturally information about options theory‐based...
Although the Short Test of Functional Health Literacy in Adults (S-TOFHLA) is widely used, misidentification individuals with low health literacy (HL) specific HL dimensions, like numeracy, a concern. We examined degree to which scored as "adequate" on S-TOFHLA would be considered having by two additional numerical measures. English-speaking adults aged 45–75 years were recruited from large, urban academic medical center and community foodbank United States. Participants completed S-TOFHLA,...
Introduction. Enhanced visual effects, like animation, have the potential to improve comprehension of probabilistic risk information, particularly for those with lower health literacy. We tested effect presentation format on colorectal cancer (CRC) screening probabilities identify optimal communication strategies. Methods. Participants from a community foodbank and prevention center were randomized 1 3 CRC presentations. The presentations used identical content but varied in format: 1) video...
The goal of the American Cancer Society (ACS) 2018 guideline update for colorectal cancer (CRC) screening is to reduce incidence and deaths from CRC average-risk adults aged 45 years older through use tests that are selected align with a patient's preferences test availability.1 Beginning at age qualified recommendation, regular 50 strong recommendation. basis grading these recommendations described in update.1 For good health least 10-year life expectancy, should continue 75 years, whereas...
We describe the development and psychometric properties of a new, brief measure smokers' knowledge lung cancer screening with low-dose computed tomography (LDCT). Content experts identified key facts smokers should know in making an informed decision about screening. Sample questions were drafted iteratively refined based on feedback from content cognitive testing ten smokers. The resulting 16-item was completed by 108 heavy Houston, Texas, recruited 12/2014 to 09/2015. Item difficulty, item...
Background. Recent policy changes require discussing the potential benefits and harms of lung cancer screening with low-dose computed tomography. This study explored how current former smokers value after watching a patient decision aid, their intentions. Methods. Current or (quit within 15 years) no history watched aid responded to items assessing in making, Results. After viewing participants (n = 30; mean age 61.5 years, 30.4 pack-year history) were well-informed (mean 80.5% correct...
Although research suggests that patients prefer a shared decision making (SDM) experience when healthcare decisions, clinicians do not routinely implement SDM into their practice and training programs are needed. Using novel case-based strategy, we developed pilot tested an online educational program to promote by primary care clinicians. A three-phased approach was used: 1) development of conceptual model the process; 2) teaching case utilizing Design Case (DAC) authoring template,...
PURPOSE: The uptake of shared decision making (SDM) for lung cancer screening (LCS) as required by the Centers Medicare & Medicaid Services (CMS) is suboptimal. Alternative models delivering SDM are needed, such coaching in low-dose computed tomography (LDCT) setting. METHODS AND MATERIALS: Replicating Effective Programs framework guided our implementation coaching, which included a patient-facilitated component before followed in-person that addressed elements visit from CMS. We...
Abstract Objective We describe primary care providers’ current practice patterns related to smoking cessation counseling and lung cancer screening (LCS). Methods Family, internal medicine, pulmonary medicine providers from two medical centers were asked complete an electronic survey report their patterns. Results Of 52 participating providers, most reported initiating three major components of a intervention often or very often: advise quit (50, 96%), assess willingness (47, 90%), assist...
Introduction National guidelines recommend that all reproductive-age women with cancer be informed of their fertility risks and offered referral to specialists discuss preservation options. However, reports indicate only 5% patients have consultations, rates long-term infertility-related distress remain high. Previous studies report several barriers preservation; however, initial success has been reported using provider education, patient decision aids navigation support. This protocol will...
e13655 Background: Patients with rare cancers are subject to clinical vulnerability due limited access expert clinicians, equivocal treatment options, and a lack of accessible, reliable information. Medullary thyroid cancer (MTC) is often characterized by an advanced, progressive, chronic disease state for which there equipoise in decisions. In previous needs assessment, we learned from MTC patients, their caregivers, treating physicians about the desire education at each stage strategies...
To evaluate the impact of training quitline staff in lung cancer screening (LCS) on knowledge and attitudes towards connecting callers to LCS educational materials.
Background Patients with cancer and an underlying autoimmune disease who are considering immune checkpoint blockers (ICBs) need to know about the benefits risks of severe immune-related adverse events flares condition. Objective This study aims develop alpha test educational website for patients cancer. Methods Learning topics, images, architecture (including flow requirements) were developed iteratively reviewed by members a community scientist program, patient advisory group, content...
1564 Background: Results from the National Lung Screening Trial (NLST) and a recent ASCO-supported systematic review concluded that screening with low-dose spiral computed tomography (LDCT) reduces lung cancer deaths among selected heavy smokers. Yet, this mortality benefit must be weighed against potential harms of (e.g., high false positive rate). In anticipation LDCT becoming reimbursable preventive health service, we developed evaluated brief, video-based patient decision aid designed...
To evaluate the effects on efficiency and patient care of addition physician assistants (PAs) NPs to abdominal radiology consult service.We obtained radiologist productivity metrics for 3 months before after integration PAs into our service.Integrating workflow led a significant increase in mean RVUs/shift (15.2 ± 0.9 versus 6.2 1.8; P = .02), number studies read per shift (10.1 0.5 4.4 1.5; .003), revenue hour ($756.20 $55.40 $335.40 $132.60; .007), protocol prescription appointment lead...
ABSTRACT Background: The demand for health care in the United States is increasing because of an aging population and increase number individuals insured. This has led to requests revamp primary infrastructure fundamentally. Local Problem: optimal use nurse practitioners (NPs) physician assistants (PAs) still a subject debate, but recently, it was reported that many medical conditions, NP PA-managed outcomes are consistent with physician-managed outcomes. Methods: Radiologists' productivity...