A5030191343- Health Policy Implementation Science
- Mental Health and Patient Involvement
- Interprofessional Education and Collaboration
- Patient Satisfaction in Healthcare
- Health Systems, Economic Evaluations, Quality of Life
- Pain Management and Opioid Use
- Telemedicine and Telehealth Implementation
- Geriatric Care and Nursing Homes
- Child and Adolescent Health
- Community Health and Development
- Clinical practice guidelines implementation
- Criminal Justice and Corrections Analysis
- Social Media in Health Education
- Healthcare Systems and Technology
- Family and Patient Care in Intensive Care Units
- Palliative Care and End-of-Life Issues
- Impact of Technology on Adolescents
- Primary Care and Health Outcomes
- Policing Practices and Perceptions
- Service-Learning and Community Engagement
- Youth Substance Use and School Attendance
- Environmental Justice and Health Disparities
- Food Security and Health in Diverse Populations
- Health Literacy and Information Accessibility
- Intensive Care Unit Cognitive Disorders
University of Pennsylvania
2024-2025
Philadelphia VA Medical Center
2022-2025
University of Pittsburgh
2016-2023
Rationale: Telemedicine is an increasingly common care delivery strategy in the ICU. However, ICU telemedicine programs vary widely their clinical effectiveness, with some studies showing a large mortality benefit and others no or even harm.Objectives: To identify organizational factors associated effectiveness.Methods: We performed focused ethnographic evaluation of 10 using site visits, interviews, focus groups both facilities providing remote target ICUs. Programs were selected based on...
Environmental justice research is increasingly focused on community-engaged, participatory investigations that test interventions to improve health. Such primed for the use of implementation science–informed approaches optimize uptake and proven be effective. This review identifies synergies between science environmental with goal advancing both disciplines. Specifically, article synthesizes literature neighborhood-, community-, policy-level in health address underlying structural...
Children often have difficulty accessing subspecialty care, and telemedicine may improve access to but information is lacking on how best implement programs maximize acceptance and, ultimately, impact for patients their families.To understand perceived identify design elements with the potential uptake impact, we conducted analyzed semi-structured interviews 21 informants, including parents caregivers of children care needs adolescent young adult needs.Although informants saw value using...
Abstract Thousands of health systems are now recognized as “Age‐Friendly Health Systems,” making this model one the most widely disseminated – and promising‐ models to redesign care delivery for older adults. Sustaining these gains will require demonstrating impact on outcomes We propose a new measurement more tightly link Age‐Friendly System transformation within each “M” (What Matters, Medications, Mobility, Mentation). evaluated measures based following characteristics: (1) conceptual...
Rationale: Patients receiving prolonged mechanical ventilation experience low survival rates and incur high healthcare costs. However, little is known about how to optimally organize manage their care.Objectives: To identify a set of effective care practices for patients ventilation.Methods: We performed focused ethnographic evaluation at eight long-term acute hospitals in the United States ranking either lowest or highest quartile risk-adjusted mortality least four five years between 2007...
The Tailored Activity Program (TAP), an intervention for people living with dementia (PLWD) and their caregivers, has been shown to reduce behavioral symptoms PLWD caregiver burden. While TAP is proven as evidence-based practice (EBP), it yet be implemented at scale. Department of Veterans Affairs (VA) prioritized the Age-Friendly Health System (AFHS) initiative, providing opportunity test implementation in a complex healthcare system. We conducted semi-structured pre-implementation...
Abstract Background Unmet care needs among older adults accelerate cognitive and functional decline increase medical harms, leading to poorer quality of life, more frequent hospitalizations, premature nursing home admission. The Department Veterans Affairs (VA) is invested in becoming an “Age-Friendly Health System” better address four tenets associated with reduced harm improved outcomes the 4 million aged 65 over receiving VA care. These focus on “4Ms” that are fundamental adults,...
Telemedicine, the use of audiovisual technology to provide health care from a remote location, is increasingly used in intensive units (ICUs). However, studies evaluating impact ICU telemedicine show mixed results, with some demonstrating improved patient outcomes, while others limited benefit or even harm. Little known about mechanisms that influence variation effectiveness, leaving providers without guidance on how best this potentially transformative technology. The Contributors Effective...
This study meta-analytically examined the effect of macro-level concentrated disadvantage on individual-level recidivism. Search results indicated research to date is designed assess incremental recidivism above other risk factors. Using a multilevel random effects model, we found estimated was nonsignificant (log odds ratio = 0.03, p .15, k 48). However, varied by and offense type. Concentrated does not add utility when predicting general recidivism, but it assessing arrests (especially...
Precision implementation science requires methods to evaluate and select strategies. This study developed evaluated a novel measure of concordance between current preferred dissemination channels (DC) strategies (IS) guide efforts improve the adoption evidence-based management for chronic pain.We conducted one-time electronic survey Pennsylvania primary care practitioners (PCPs) about vs. pain DC IS use. Survey items were selected based on preliminary data, Model Dissemination Research,...
<sec> <title>BACKGROUND</title> Compared to implementation, the conceptual frameworks, strategies, and outcomes of efforts disseminate evidence-based interventions are less developed. Though, several studies have used social media dissemination spread diverse in a broad range populations. We conducted an overview systematic reviews strategies interventions. focused on common themes methodology evaluation frameworks media-based strategies. </sec> <title>OBJECTIVE</title> The goal our is...
Background Most management of chronic pain, a serious illness affecting the physical and psychological wellbeing millions, occurs in primary care settings. Primary practitioners (PCPs) attempt to provide evidence-based practices treat pain. However, there continues be gap between people receive evidence. The objectives for this study were (1) explore determinants pain (2) develop novel approach using implementation science address evidence-practice gap. Method A convenience sample twenty-one...
Effective chronic disease prevention requires a systems approach to the design, implementation, and refinement of interventions that account for complexity interdependence factors influencing health outcomes. This paper proposes Participatory Implementation Systems Mapping (PISM) process, which combines participatory modeling with implementation strategy development enhance intervention design planning. PISM leverages collaborative efforts researchers community partners analyze complex...
Recognizing a clear call to dismantle traditionally racist structures within our nation, doctoral students at the University of Pittsburgh School Social Work formed Anti-Racist Doctoral Program Student Committee (ARDPSC) push for systemic changes school and profession eliminate anti-Black racism. Our student-led initiative is an innovative approach two reasons. First, we strengthened community virtually despite limitations COVID-19 virtual spaces. Second, although collective organizing among...