A5003689986- Opioid Use Disorder Treatment
- Geriatric Care and Nursing Homes
- Pharmaceutical Practices and Patient Outcomes
- Pain Management and Opioid Use
- Interprofessional Education and Collaboration
- Telemedicine and Telehealth Implementation
- Health and Well-being Studies
- Palliative Care and End-of-Life Issues
- Frailty in Older Adults
- Childhood Cancer Survivors' Quality of Life
- Mobile Health and mHealth Applications
- Chronic Disease Management Strategies
- Intensive Care Unit Cognitive Disorders
- Innovative Approaches in Technology and Social Development
- Focus Groups and Qualitative Methods
- Blood Pressure and Hypertension Studies
- Ethics in medical practice
- Social Media in Health Education
- Innovations in Medical Education
- Occupational Therapy Practice and Research
- Health Policy Implementation Science
- Participatory Visual Research Methods
- Dementia and Cognitive Impairment Research
- Health Literacy and Information Accessibility
- Family and Patient Care in Intensive Care Units
University of North Carolina at Chapel Hill
2019-2024
University of North Carolina Health Care
2020-2024
The COVID-19 pandemic disrupted face-to-face interactions in healthcare research, with many studies shifting to video-based data collection for qualitative research. This study describes the interactivity achieved a videoconferencing focus group of seven primary care providers discussing deprescribing opioids and benzodiazepines. Researchers reviewed video footage conducted via Zoom assessed using Morgan’s framework communication processes. Two reviewers categorized type exchanges as sharing...
Background/Objectives: To determine the impact of educational interventions, clinic workflow redesign, and quality improvement coaching on frequency advance care planning (ACP) activities for patients over age 65. Design: Nonrandomized before-and-after study. Setting: 13 ambulatory clinics with 81 primary providers in eastern central North Carolina. Participants: Patients across staffed by 66 physicians, 8 physician assistants 7 family nurse practitioners. Interventions: Interprofessional,...
The development and evaluation of an interprofessional education (IPE) pre-professional geriatrics experience involving learners from 10 different health discipline programs is described. provided with opportunities to use small-group collaborative approaches in two 3-hour sessions. Learners gained exposure geriatric principles awareness the needs older adults their families using case studies developed by experienced faculty. completed pre- post-experience surveys worksheets on confidence...
Abstract In 2019, 1.2% of the 209,000 licensed physical therapists in United States had completed sufficient training to be Geriatric Certified Specialists. The dramatic demographic shift population will require all have foundational knowledge evidence-based management older adults. Our purpose was pilot impact an 8-week curriculum for therapy students that integrated key concepts rehabilitation adults with Age-Friendly Health System’s 4Ms (Mentation, Mobility, Medications, What Matters)....
Abstract Alzheimer’s disease, the most common form of dementia, is now 6th leading cause death in United States, affecting one ten people over age 65. With our country’s rapidly aging population, and being primary known risk factor for number with dementia expected to increase from 5.8 million 2019 14 2050. People are hospitalized more often have prolonged stays, poorer outcomes, higher costs, increased readmission rates. Hospital employees expressed desire specialized training learn how...
Abstract Sustaining collaboration across multiple community-based organizations (CBOs) creates synergies and economies of scale to support age-friendly communities beyond the provision direct services any single CBO can achieve. The Carolina Geriatrics Workforce Enhancement Program (CGWEP) created sustained statewide coalitions focused on geriatrics syndromes. More than 290 CBOs, including Area Health Education Centers, social programs nongovernmental organizations, meet quarterly form...
Abstract Alzheimer’s disease is the 4th leading cause of death in North Carolina for people 65 and older. People with dementia are hospitalized more often have prolonged stays, poorer outcomes, higher costs, increased readmission rates. Hospital employees expressed desire to specialized training learn how effectively communicate provide better care patients dementia. To address identified patient hospital employee needs, University (UNC) Center Aging Health disseminating hospital-specific...
Abstract As part of a randomized control trial for deprescribing opioids and benzodiazepines (BZD) to reduce falls (funded by Centers Disease Control), we conducted virtual focus group surveys evaluate opioid BZD prescribing practices among healthcare providers in four primary care clinics North Carolina. Survey questions measured providers’ confidence their abilities weigh benefits harms and/or BZDs older adults; determine alternative interventions; create safe dosing plan; incorporate...
Abstract The United States spends $50 billion each year on 2.8 million injuries and 800,000 hospitalizations older adults (age 65 years older) incur as the result of falls. Chronic use central nervous system (CNS)-active medications, such opioid and/or benzodiazepine (BZD) increases risk falls falls-related in this adult population. This Centers for Disease Control Prevention (CDC)-funded randomized control trial uses electronic health record (EHR) data from primary care outpatient clinics...
Abstract Background: Telemedicine allows for interprofessional care of geriatric patients and older adults to access healthcare from their homes. The coronavirus pandemic has prompted a rapid shift telemedicine. In 2016-2017, only 58% medical schools in the US offered telemedicine curricula. Thus, large gap education emerged. There are specific skills needed ensure students’ “webside” manner is comparable bedside manner.This curriculum was created train students geriatric-sensitive using...
Abstract Experts in geriatrics, infection control and nursing home administration joined the ECHO Hub team led by The Carolina Geriatrics Workforce Enhancement Program (CGWEP) at University of North Chapel Hill (UNC). Ninety-two Carolina’s 423 homes enrolled a 16-week videoconference series designed to address clinical, logistical, leadership issues related COVID-19. CGWEP coordinated recruitment with two other Training Centers UNC Family Medicine Mountain Area Health Education Center,...