A5027375368- Health Literacy and Information Accessibility
- Mobile Health and mHealth Applications
- Stroke Rehabilitation and Recovery
- Hearing Loss and Rehabilitation
- Global Cancer Incidence and Screening
- Chronic Disease Management Strategies
- Balance, Gait, and Falls Prevention
- Technology Use by Older Adults
- Pharmaceutical Practices and Patient Outcomes
- Pelvic floor disorders treatments
- Health Systems, Economic Evaluations, Quality of Life
- Noise Effects and Management
- Physical Activity and Health
- Cerebral Palsy and Movement Disorders
- Aging and Gerontology Research
- Hearing Impairment and Communication
- Economic and Financial Impacts of Cancer
- Health disparities and outcomes
- Frailty in Older Adults
- Glaucoma and retinal disorders
- Telemedicine and Telehealth Implementation
- Interprofessional Education and Collaboration
- Patient-Provider Communication in Healthcare
- Multisensory perception and integration
- Medication Adherence and Compliance
Geriatric Research Education and Clinical Center
2015-2025
Emory University
2014-2025
University of Alabama at Birmingham
2019-2025
University of Manchester
2023
Atlanta VA Health Care System
2018-2022
Birmingham VA Medical Center
2016-2022
Atlanta VA Medical Center
2000-2018
Veterans Health Administration
2007-2018
Duke University Hospital
2013
Duke Medical Center
2013
An impaired ability to allocate attention gait during dual-task situations is a powerful predictor of falls. The primary purpose this study was examine the relative contributions participant characteristics and motor cognitive factors walk while performing tasks. impact task complexity on walking also examined. A cross-sectional, exploratory design used. Seventy-seven community-dwelling older adults with mean (SD) age 75.5 (5.8) years completed comprehensive testing. Participant were...
This study examined the ability of young‐old (ages 60‐74 years) and old‐old 75‐89 adults to acquire retain basic computer skills. The effects two types training methods on skill acquisition in these age groups also were explored. Participants this trained perform procedures with either an animated interactive multimedia compact disk (CD‐ROM) or illustrated manual. They then tested their immediately after 1 week later. findings revealed following. made fewer performance motor control errors,...
Purpose To understand the factors that influence glaucoma treatment adherence with medication taking, prescription refills, and appointment keeping to develop an intervention for a specific population. Patients Methods In-depth interviews were conducted 80 individuals diagnosed open-angle glaucoma, suspect, or ocular hypertension. Additional eligibility requirements all participants were: between ages of 18 80; white African American; spoke understood English; taking daily doses topical...
Health care providers often counsel prostate cancer patients about treatment options with medical terminology. However, studies have demonstrated a severe lack of comprehension these terms, particularly in underserved populations. It was hypothesized that video-based educational tool would significantly improve the understanding key terms related to health predominantly lower literacy population.A software application developed by various experts, including urologists and human-computer...
Background and objectives Patients with CKD are asked to perform self-management tasks including dietary changes, adhering medications, avoiding nephrotoxic drugs, self-monitoring hypertension diabetes. Given the effect of aging on functional capacity, may be especially challenging for older patients. However, little is known about specific challenges adults face maintaining regimens. Design, setting, participants, & measurements We conducted an exploratory qualitative study designed...
Abstract The Veterans Health Administration (VHA) has long recognized the need for age‐friendly care. VHA leadership anticipated impact of aging World War II veterans on VA healthcare systems and in 1975 developed Geriatric Research, Education, Clinical Centers (GRECCs) to meet this need. GRECCs catalyzed a series innovations geriatric models care that span continuum care, most which endure. These innovative also contributed evidence base supporting present‐day Age‐Friendly Systems movement,...
Abstract Background The Age‐Friendly Health System (AFHS) initiative seeks to improve care for older adults through assessing and acting on the 4Ms (What Matters, Medication, Mentation, Mobility). Department of Veterans Affairs (VA) joined in 2020, from 2022 2023, VA led its first Action Community, a 7‐month online educational series teach clinicians about implementing across settings. Methods Community was designed spread awareness Veterans, interprofessional team knowledge providing guided...
Dance has demonstrated beneficial effects on mobility in older individuals with movement disorders; yet, of partnered dance remain unexamined chronic stroke. The purpose this study was to describe the adapted tango classes balance, mobility, gait, endurance, dual-task ability, quality life (QOL), and enjoyment an individual stroke visual impairment.D.L. a 73-year-old African American man, 13 years poststroke spastic hemiplegia, impairment, multiple comorbidities.D.L. attended 20 1?-hour for...
Chronic kidney disease (CKD) almost universally occurs in individuals with other medical problems. However, few studies have described CKD-related multimorbidity using a framework that identifies chronic conditions as concordant (having overlap treatment goals) versus discordant opposing recommendations) and unrelated no overlap, but contributing to complexity via different resource requirements).Retrospective cohort.Veterans Affairs (VA) Medical Centers.VA patients (n = 821,334) ages 18-100...
Background: Fall risk increases with age and visual impairment, yet the oldest-old adults (>85 years) are rarely studied. Partnered dance improves mobility, balance, quality of life in older individuals movement impairment. Objective: The aim study was to determine feasibility participant satisfaction an adapted tango program amongst these Exploratory analyses were conducted efficacy improving balance gait. Methods: In a repeated-measures, one-group experimental design, 13 (7 women; age: M =...
Suboptimal medication prescribing for older adults has been described in a number of emergency department ( ED ) studies. Despite this, few studies have examined ‐targeted interventions aimed at reducing the use potentially inappropriate medications PIM s). Enhancing Quality Prescribing Practices Older Veterans Discharged from EQU i PPED is an ongoing multicomponent, interdisciplinary quality improvement initiative eight Department Affairs s. The project aims to decrease s, as identified by...
<h3>Objective</h3>To determine the efficacy of an automated, interactive, telephone-based health communication intervention for improving glaucoma treatment adherence among patients in 2 hospital-based eye clinics.<h3>Method</h3>A total 312 with (18-80 years age) were enrolled a randomized controlled trial at clinics located hospitals southeastern United States. These considered nonadherent because they did not take their medication, refill and/or keep appointments. The group received...
Evidence-based recommendations for interventions to reduce fall risk in older adults with visual impairment are lacking. Adapted tango dance (Tango) and a balance mobility program (FallProof) have improved mobility, balance, quality of life (QOL) individuals movement impairment. This study compared the efficacy Tango FallProof 32 (age: M = 79.3, SD =11 [51-95 years]). Participants were assigned or complete twenty, 90-min lessons within 12 weeks. underwent assessment dual-tasking, endurance,...
BACKGROUND Patients diagnosed with prostate cancer are often counseled about treatment options the use of terms that part “core vocabulary” cancer. It is hypothesized predominantly lower literacy patients would demonstrate a severe lack comprehension terms, thus validating findings previous single‐institution study. METHODS A previously developed survey was used to evaluate understanding related urinary, bowel, and sexual function. The administered by trained evaluators at 2 safety net...
Katharina V. Echt* & Andrea Backscheider Burridgeca 1Atlanta VA Rehabilitation Research Development Center and Birmingham/Atlanta Geriatric Research, Education Clinical (GRECC), Atlanta Medical Center, Decatur, Georgia, USAb 2Division of Medicine Gerontology, Emory University, Atlanta, USAc 3Department Educational Psychology, University Houston, Texas, USA
Suboptimal prescribing persists as a driver of poor quality care older veterans and is associated with risk hospitalization emergency department visits. We adapted successful medication management model, Integrated Management Polypharmacy Review Vulnerable Elders (IMPROVE), from an urban geriatric specialty clinic to rural community-based clinics that deliver primary care. The goals were promote safety for adults, including reduced potentially inappropriate medications (PIMs). augmented the...
Abstract Aim To develop and pilot test an interactive mobile telehealth program (mHealth) for behavioral treatment of women veterans with urinary incontinence (UI). Methods We developed evidence‐based 8‐week mHealth program, MyHealth e Bladder, input from veterans, medicine health education experts, clinical providers treating UI in the VA system. The was story‐based included pelvic floor muscle exercises, bladder control strategies, fluid management, risk factor reduction, self‐monitoring....
Clinical decision support (CDS) may improve prescribing for older adults in the Emergency Department (ED) if adopted by providers.Existing order entry processes were mapped at an initial Veterans Administration Medical Center site, demonstrating cognitive burden, effort and safety concerns.Geriatric sets incorporating 2012 Beers guidelines including geriatric advice prepopulated options developed.Geriatric implemented two sites as part of multicomponent 'Enhancing Quality Prescribing...
Perioperative pelvic floor muscle training can hasten recovery of bladder control and reduce severity urinary incontinence following radical prostatectomy. Nevertheless, most men undergoing prostatectomy do not receive this training. The purpose trial was to test the effectiveness interactive mobile telehealth (mHealth) deliver an evidence-based perioperative behavioral program for post-prostatectomy incontinence.This a 3-site, 2-arm, randomized (2014-2019). Men with prostate cancer...