A5060433059- Digital Mental Health Interventions
- Schizophrenia research and treatment
- Mental Health Research Topics
- Mobile Health and mHealth Applications
- Mental Health Treatment and Access
- Family Caregiving in Mental Illness
- Sepsis Diagnosis and Treatment
- Emergency and Acute Care Studies
- Intensive Care Unit Cognitive Disorders
- Health Literacy and Information Accessibility
- Cancer Treatment and Pharmacology
- Family and Patient Care in Intensive Care Units
- Telemedicine and Telehealth Implementation
- Social Media in Health Education
- Diabetes Management and Research
- Cardiac, Anesthesia and Surgical Outcomes
- Impact of Technology on Adolescents
- Respiratory Support and Mechanisms
- Mental Health and Patient Involvement
- Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences Research and Education
- Palliative Care and End-of-Life Issues
- Dialysis and Renal Disease Management
- Multiple Myeloma Research and Treatments
- Chemotherapy-related skin toxicity
University of Pittsburgh
2012-2023
VA Pittsburgh Healthcare System
2004-2023
Mental Illness Research, Education and Clinical Centers
2012-2023
Università Cattolica del Sacro Cuore
2023
Agostino Gemelli University Polyclinic
2023
VA New England Healthcare System
2023
Dartmouth College
2016-2022
Simon Fraser University
2022
United States Department of Veterans Affairs
2019-2022
Dartmouth Psychiatric Research Center
2016
Objective To describe stressful experiences of adult patients who received mechanical ventilation for ≥48 hrs in an intensive care unit. Design Prospective cohort study. Setting Four units within East Coast tertiary-care university medical center. Patients were 150 unit receiving hrs. Intervention None. Measurements and Main Results As part a study the long-term outcomes requiring prolonged ventilation, we used 32-item questionnaire to collect data on patients' experiences, both...
Objective To describe and identify factors associated with mortality rate quality of life 1 yr after prolonged mechanical ventilation. Design Prospective, observational cohort study patient recruitment over 26 months follow-up for yr. Setting Intensive care units at a tertiary university hospital. Patients Adult patients receiving Interventions None. Measurements Main Results We measured functional status, defined as the inability to perform instrumental activities daily living (IADLs)...
There has been little research on the potential value of palliative care for dialysis patients. In this pilot study, we sought (i) to identify symptom burden, health-related quality life (HRQoL) and advance directives in extremely ill haemodialysis patients determine their suitability (ii) acceptability nephrologists.Nineteen with modified Charlson co-morbidity scores > or =8 were recruited. Each completed surveys assess HRQoL prior planning. Palliative specialists then visited twice...
Objectives To determine the expressed needs of persons with traumatic brain injury (TBI) and their primary family caregivers. Design Semistructured interviews content-analytic techniques to identify respondents' needs. Participants Eighty TBI, an average time since most severe TBI 5.8 years, 85 support persons. Results Respondents described via phases that paralleled transitions in settings, treatments, responsibilities (ie, acute care, in-patient rehabilitation, return home, living...
Although caregiver burden is well described in chronic illness, few studies have examined among caregivers of survivors critical illness. In existing studies, it unclear whether the observed a consequence illness or preexisting patient illness.To describe 1-yr longitudinal outcomes for patients who survived and to compare depression risk between with without pre-intensive care unit (ICU) functional dependency.Prospective, parallel, cohort study prolonged (greater than 48 h) mechanical...
The purpose of this study was to develop an understanding the design elements that influence ability persons with severe mental illness (SMI) and cognitive deficits use a website, knowledge web-based telehealth application deliver psychoeducation program schizophrenia their families. Usability testing conducted 98 SMI. First, individual website were tested. Based on these results, theoretical models used create several alternative websites. These designs tested for facilitate by final is...
mHealth interventions that use mobile phones as instruments for illness management are gaining popularity. Research examining phone‒based programs people with psychosis has shown these approaches feasible, acceptable, and clinically promising. However, most initiatives involving schizophrenia have spanned periods ranging from a few days to several weeks typically involved participants who were stable.Our aim was evaluate the viability of extended schizophrenia-spectrum disorders following...
<h3>Importance</h3> Collaborative care for depression and anxiety is superior to usual from primary physicians these conditions; however, challenges limit its provision in routine practice at scale. Advances technology may overcome barriers but have yet be tested. <h3>Objective</h3> To examine the effectiveness of combining an internet support group (ISG) with online computerized cognitive behavioral therapy (CCBT) provided via a collaborative program treating vs CCBT alone whether providing...
Objective: E-health applications are becoming integral components of general medical care delivery models and emerging for mental health care. Few exist treatment those with severe illness (SMI). In part, this is due to a lack design such technologies persons cognitive impairments lower technology experience. This study evaluated the effectiveness an e-health model SMI termed Flat Explicit Design Model (FEDM). Methods: Persons schizophrenia ( n = 38) performed tasks evaluate 5 Web site...
Background. Although patients readmitted to intensive care units (ICUs) typically have poor outcomes, ICU readmission rates not been studied as a measure of hospital performance. Objectives. To determine variation in across hospitals and associations with other ICU-based measures Research Design. Observational cohort study. Subjects. One hundred three thousand nine eighty four consecutive who were admitted twenty eight then transferred ward those 28 hospitals. Measures. Predicted risk...
To evaluate the feasibility of a telehealth psychoeducation intervention for persons with schizophrenia and their family members.Randomized controlled trial.30 21 members or other informal support persons.Web-based program that provided online group therapy education.Measures included perceived stress social support; members, they disease-related distress support.At 3 months, participants in reported lower (p = .04) showed trend higher level .06).The findings demonstrate impact providing...
To assess the feasibility of providing in-home adjunctive and supportive services to persons with traumatic brain injury (TBI) their families via a Web site.Nineteen were provided access site intervention for 6 months. Those who needed it computer Internet service in homes.Adult women significant others adult males moderate-to-severe TBI.Value ease use site. Each participant's usage was automatically tracked including each page visited, time day, spent on page.Female found be valuable easy...
It is well documented that family psychoeducation decreases relapse rates of individuals with schizophrenia. Despite the evidence, surveys indicate families have minimal contact their relative's treatment team, let alone participate in evidence-based practice psychoeducation. The Department Veterans Affairs (VA) sponsored a conference, Family Forum, to assess state art regarding and form consensus next steps increase involvement. forum reached on these issues: models should be optimized by...
Quality of life is an important outcome for persons living with schizophrenia and the treatment schizophrenia. However, studies quality among have focused primarily on symptoms experienced by individual. This study sought to determine influence unmet need social support individuals Thirty-two in community or schizoaffective disorder were assessed life, psychopathology, support. Hierarchical regression analyses indicated that are contributors a person schizophrenia, even after controlling...
<h3>Objective</h3> To determine variations among hospitals in use of intensive care units (ICUs) for patients with low severity illness. <h3>Design</h3> Retrospective cohort study. <h3>Setting</h3> Twenty-eight 44 ICUs a large metropolitan region. <h3>Patients</h3> Consecutive eligible (N=104487) admitted to medical, surgical, neurological, or mixed medical-surgical from March 1, 1991, 31, 1995. <h3>Outcome Measures</h3> The predicted risk in-hospital death each patient was assessed using...