A5086662015- Palliative Care and End-of-Life Issues
- Cancer survivorship and care
- Childhood Cancer Survivors' Quality of Life
- Family Support in Illness
- Patient-Provider Communication in Healthcare
- Grief, Bereavement, and Mental Health
- Opioid Use Disorder Treatment
- Family and Patient Care in Intensive Care Units
- Pancreatic and Hepatic Oncology Research
- Sleep and related disorders
- Migration, Health and Trauma
- Ethics in medical practice
- Cancer-related cognitive impairment studies
- Reflective Practices in Education
- Economic and Financial Impacts of Cancer
- Empathy and Medical Education
- Nutrition and Health in Aging
- Management of metastatic bone disease
- Cancer, Stress, Anesthesia, and Immune Response
- Advances in Oncology and Radiotherapy
- Innovations in Medical Education
- Frailty in Older Adults
- Intraperitoneal and Appendiceal Malignancies
- Family Caregiving in Mental Illness
- Family and Disability Support Research
The Ohio State University Wexner Medical Center
2010-2025
The Ohio State University
2010-2024
The Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute
2013-2024
The authors investigated the relationship between stress at initial cancer diagnosis and treatment subsequent quality of life (QoL). Women (n = 112) randomized to assessment-only arm a clinical trial were initially assessed after breast surgery then reassessed 4 months (during adjuvant treatment) 12 (postadjuvant treatment). There 3 types measured: number stressful events (K. A. Matthews et al., 1997), cancer-related traumatic symptoms (M. J. Horowitz, N. Wilner, & W. Alvarez, 1979),...
The Accreditation Council for Graduate Medical Education requires physicians training in pulmonary and critical care medicine to demonstrate competency interpersonal communication. Studies have shown that residency is often insufficient prepare provide end-of-life facilitate patient family decision-making. Poor communication the intensive unit (ICU) can adversely affect outcomes critically ill patients their members. Despite this, curricula are largely absent published literature.We...
Abstract Objective This study evaluated a three‐session acceptance‐based cognitive behavioral ‐acceptance and commitment therapy (CBT‐ACT) intervention targeting common symptom cluster in advanced cancer—worry‐insomnia‐depression‐fatigue. Methods Twenty‐eight patients with cancer were randomly assigned to the CBT‐ACT or waitlist. At preintervention, participants completed psychodiagnostic interview, standardized questionnaires, sleep diary. Intervention waitlist groups reassessed after 6...
Abstract Objective While screening for psychosocial distress is now the standard of care in oncology, little guidance available on how best to deliver services response identified needs. The American Psychosocial Oncology Society (APOS) convened a task force with goal creating framework that could aid planning and justifying requests resources. Methods Ten experts from multiple disciplines within oncology served force, first meeting together as larger group over 2 days set an agenda then...
Although resection is generally necessary for curative-intent treatment of most solid organ cancers, surgery occasionally aborted due to intraoperative findings. Following cancer surgery, patients have unique care needs that specialized palliative (PC) providers may be best equipped manage. We hypothesized early ambulatory PC referral following would feasible and acceptable. This single-institution prospective clinical trial enrolled adult with gastrointestinal or hepatopancreatobiliary no...
Abstract Background Selecting a measure for oncology distress screening can be challenging. The must brief, but comprehensive, capturing patients' most distressing concerns. provide meaningful coverage of multiple domains, assess symptom and problem‐related distress, ideally suited both clinical research purposes. Methods From March 2006 to August 2012, the James Supportive Care Screening (SCS) was developed validated in three phases including content validation, factor analysis, validation....
Patients with head and neck cancer (HNC) face a unique set of unmet needs. A subset these patients experience symptom control challenges related to their disease burden treatments. multidisciplinary approach involving palliative medicine is underutilized but crucial identify address concerns. There limited information on integration oncology.Case series planned data collection.Academic quaternary care center.We provide descriptive analyses HNC, including psychodiagnostic assessment validated...
Empathic communication skills have a growing presence in graduate medical education to empower trainees serious illness communication.Evaluate the impact, feasibility, and acceptability of shared training intervention for residents different specialties.A randomized controlled study standard v. our empathic skills-building intervention: VitalTalk-powered workshop formative bedside feedback using validated observable behavioral checklist.During 2018-2019 academic year, was implemented at...
Neoadjuvant therapy (NT) has increasingly been utilized for patients with localized pancreatic ductal adenocarcinoma (PDAC). It is the recommended approach borderline resectable (BR) and locally advanced (LA) cancers an option potentially (PR) disease. Despite its increased use, little research focused on patient-centered metrics among undergoing NT, including patient experiences, preferences, recommendations. A better understanding of all aspects experience during NT may identify...
Fellows in pulmonary and critical care medicine are required to show competency facilitating family meetings for critically ill patients. There many assessment measures available evaluating physician-patient communication (e.g., the SEGUE Framework [Set stage, Elicit information, Give Understand patient's perspective, End encounter]) some designed meetings. However, no validated measure exists that is specifically assess skills during with surrogate decision makers intensive settings.We...
Research indicates that bereavement services reduce distress and support adjustment in the bereaved, particularly those experiencing significant levels of depression or grief. However, service use bereaved individuals whether utilization differs among complicated grief currently remain unclear. is needed to clarify preferences including specific subgroups.The purpose this study was explore family members whose loved one died hospital identify group differences with without grief, considering...
Despite its four decade history, the multidisciplinary specialty of psychosocial oncology (PSO) has no official consensus on core content. In 2014, American Psychosocial Oncology Society (APOS) Board charged APOS Professional Education Committee with outlining curricular content needed for competence.Content validation was completed using a four-phase modified Delphi Method. During Phase I, subgroup proposed domains and items, which were rated by Fellows via online survey. II, second,...
Research with breast cancer patients suggests that abuse survivors experience more psychological distress and disorders, particularly depression anxiety, than without histories. However, we do not yet understand the impact of on other palliative care domains for individuals types.This study explores relationship between past in a group referred care. This also differences level likelihood meeting diagnostic criteria major generalized anxiety disorder histories.Data were from 164 new,...
ABSTRACT Objective Psychosocial oncology specialists in academic medical centers are at risk for burnout as they deliver a wide range of clinical, research, educational, and administrative services high demand work environments. No national productivity benchmarks exist this specialty. This study examines factors contributing to among psychosocial psychologists (PSOP), presents viable standards, sustainable care model mitigate burnout. Methods recruited from the American Oncology Society...