Mike Wambua
A5083368932- Health Systems, Economic Evaluations, Quality of Life
- Patient-Provider Communication in Healthcare
- Pharmaceutical industry and healthcare
- Atrial Fibrillation Management and Outcomes
- Ethics in Clinical Research
- Chronic Disease Management Strategies
- Medication Adherence and Compliance
- Blood Pressure and Hypertension Studies
- Interpreting and Communication in Healthcare
- Innovations in Medical Education
- Antiplatelet Therapy and Cardiovascular Diseases
- Healthcare professionals’ stress and burnout
- Pharmaceutical studies and practices
- Venous Thromboembolism Diagnosis and Management
- Medical Education and Admissions
- Health Policy Implementation Science
Hennepin Healthcare Research Institute
2020-2024
Hennepin County Medical Center
2017
Background Guidelines promote shared decision-making (SDM) for anticoagulation in patients with atrial fibrillation. We recently showed that adding a within-encounter SDM tool to usual care (UC) increases patient involvement and clinician satisfaction, without affecting encounter length. aimed estimate the extent which use of an changed adherence decided plan clinical safety end points. Methods Results conducted multicenter, encounter-level, randomized trial assessing efficacy UC versus...
Abstract Background In primary care there is a need for more quality measures of person-centered outcomes, especially ones applicable to patients with multiple chronic conditions (MCCs). The aim this study was derive and validate short-form version the Patient Experience Treatment Self-management (PETS), an established measure treatment burden, help fill gap in measurement. Methods interviews (30) provider surveys were used winnow items from PETS (60 items) subset targeting quality. Results...
Nonvalvular atrial fibrillation (AF) is a common ongoing health problem that places patients at risk of stroke. Whether and how patient addresses this depends on each patient's goals, context, values. Consequently, leading cardiovascular societies recommend using shared decision making (SDM) to individualize antithrombotic treatment in with AF. The aim study assess the extent which ANTICOAGULATION CHOICE conversation tool promotes high-quality SDM influences anticoagulation uptake adherence...
<h3>Importance</h3> How patients with atrial fibrillation (AF) and their clinicians consider cost in forming care plans remains unknown. <h3>Objective</h3> To identify factors that inform conversations regarding costs of anticoagulants for treatment AF between outcomes associated these conversations. <h3>Design, Setting, Participants</h3> This cohort study recorded encounters participant surveys at 5 US medical centers (including academic, community, safety-net centers) from the SDM4AFib...
Abstract Background The aim of this study was to develop a web-based tool for patients with multiple chronic conditions (MCC) communicate concerns about treatment burden their healthcare providers. Methods Patients and providers from primary-care clinics participated. We conducted focus groups identify content prototype clinical screen by reviewing domains items previously validated measure, the Patient Experience Treatment Self-management (PETS). Following review prototype,...
Abstract Background Trial recruitment of Black, indigenous, and people color (BIPOC) is key for interventions that interact with socioeconomic factors cultural norms, preferences, values. We report on our experience enrolling BIPOC participants into a multicenter trial shared decision-making intervention about anticoagulation to prevent strokes, in patients atrial fibrillation (AF). Methods enrolled AF their clinicians 5 healthcare systems (three academic medical centers, an urban/suburban...
Abstract Background: Trial recruitment of Black, indigenous, and people color (BIPOC) is key for interventions that interact with socioeconomic factors cultural norms, preferences, values. We report on our experience enrolling BIPOC participants into a multicenter trial shared decision-making intervention about anticoagulation to prevent strokes, in patients atrial fibrillation (AF). Methods: enrolled AF their clinicians 5 healthcare systems (three academic medical centers, an urban/suburban...