A5035218782- Geriatric Care and Nursing Homes
- Health disparities and outcomes
- Musculoskeletal pain and rehabilitation
- Stroke Rehabilitation and Recovery
- Health Systems, Economic Evaluations, Quality of Life
- Health Policy Implementation Science
- Chronic Disease Management Strategies
- Mental Health Treatment and Access
- HIV/AIDS Research and Interventions
- Patient Dignity and Privacy
- Technology Use by Older Adults
- Palliative Care and End-of-Life Issues
- Diabetes Management and Education
- Health, Medicine and Society
- Tryptophan and brain disorders
- Healthcare innovation and challenges
- Healthcare professionals’ stress and burnout
- Resilience and Mental Health
- Family and Patient Care in Intensive Care Units
- Dialysis and Renal Disease Management
- Telemedicine and Telehealth Implementation
- Erythropoietin and Anemia Treatment
- Aging and Gerontology Research
- Ethics in medical practice
- Financial Literacy, Pension, Retirement Analysis
Johns Hopkins University
2021-2025
RELX Group (United States)
2023
National Committee for Quality Assurance
2020
Older adults with complex care needs face trade-offs in determining the right course of treatment. The Centers for Medicare and Medicaid Services identified 'Care is personalized aligned patient's goals' as a key meaningful measures category, yet existing quality typically assess disease-specific may not effectively evaluate what most important to older family members. Measures based on individualised goals goal-based outcomes have been proposed an alternative but are routinely assessed or...
Assess the feasibility of using goal attainment scaling (GAS) in care planning for older adults with complex needs. GAS is an individualized approach to setting and follow up a quantified scale. To date, little known about among this population. We conducted qualitative study sample 28 23 providers from diverse settings evaluate value challenges approach. semi-structured interviews iteratively coded analyzed interview transcripts themes related value, challenges, implementation. Most...
Purpose: The purpose of the study is to capture goals expressed by older adults with functional limitations and their caregivers. Methods: Through focus groups interviews, 76 ≥1 activity daily living limitation 28 family/friend caregivers were asked about what mattered most them for care. Transcripts coded using an existing taxonomy. Goals that did not fit taxonomy assigned new codes. Results: We identified more than 50 in eight domains. Domains included (a) Medical Care; (b) Quality Life:...
Abstract Background and Objectives The intersection of race, gender, age puts older African American women at high risk experiencing comorbid pain depressive symptoms. purpose this study was to assess the feasibility acceptability a 12-week behavioral activation intervention target self-selected goals related symptoms in middle-aged women. Research Design Methods This randomized waitlist control included 34 self-identified women, 50 years or older, with moderate-to-severe chronic consisted 8...
Objective Chronic kidney disease (CKD)-associated anaemia has substantial biopsychosocial impacts. This study explores the impact of CKD-associated and treatment preferences from patient perspective. Design Cross-sectional survey. Setting Anonymised online survey implemented by Ipsos UK on behalf National Kidney Federation GSK October 2022 to January 2023. Participants Data were collected adults living with CKD (self-reported). Primary secondary outcome measures Outcome exploratory not...
The lived experience and impact of financial strain on broad physical mental health outcomes is important yet underexplored. Improving our depth understanding the relationship between may offer insights to address this complex phenomenon.
Introduction Family caregivers of persons with advanced heart failure (HF) and stroke bear increased responsibilities as care recipients recover from acute hospitalization. Few formalized supports are available. We conducted a feasibility pilot caregiver-targeted support program: Heart Failure Stroke Resilience Intervention for Caregivers (HEROIC) using randomized waitlist-control design. Here we sought to understand similarities differences in participation between HF enrolled caregiver...
Abstract Older adults with Type 2 diabetes may or not have family and friends involved in their care; using social network methods, we can investigate the personal healthcare networks of this population. Objectives included 1) Describe care older diabetes; 2) Characterize who provide support for various activities daily living (ADL), instrumental (IADL), medically-oriented tasks. We administered a quantitative ego-centric inventory to community-dwelling (65+) (n=58). The sample was on...
Abstract Aging, pain, and depression are interconnected health concerns that significantly impact older women. African American women face additional risks of comorbid pain depression, severe depressive symptoms, less frequent treatment. Pro-inflammatory cytokines inflammatory mediators associated with both conditions. The DAPPER (Depression Pain Perseverance through Empowerment Recovery) pilot study tailored nurse-led interventions to meet the needs chronic depression. This assessed...
Vulnerable persons living with HIV (PLWH) are at high risk of cognitive impairment and challenges accessing quality social support in later life. Impaired verbal fluency (VF), a domain linked to HIV, could impede associated health well-being for already vulnerable PLWH. We examined the structure support, using latent class analysis, associations among quantity, specific forms VF Participants enrolled BEACON study (n = 383) completed Controlled Oral Word Association test (COWAT) network...
Abstract Objectives Some observers have proposed that physicians may die differently compared with the average patient. Semi-structured interviews family members of who died offer an opportunity to better understand how patient preferences and wishes are perceived acted on by at end life. The decision-making experiences these for a loved one was physician implications lay person Methods Johns Hopkins Precursors Study includes individuals matriculated into graduating classes 1948 1964...
Abstract Between 2019-2023, the Depression and Pain Perseverance through Empowered Recovery (DAPPER) program was implemented with older African American women living pain low mood (N=34) in Baltimore, MD. Of 21 who completed intervention, we interviewed 9 to understand their experiences program, successes, challenges, areas improve program. The average age of participants 64.8 (SD: 10.5). Using a qualitative descriptive design, analyzed interviews using content analysis. Overall, main themes...
Abstract Older African American women experience social determinants of health that put them at risk for experiencing comorbid pain and depressive symptoms. The purpose our study was to tailor a preexisting evidence-based depression intervention include test it in older women. We conducted randomized waitlist control with 21 frail or pre-frail, women, 50 years age average the participants 64.8 (SD: 10.5), intensity 7.0 1.9) out 10, PHQ-9 symptoms score was11.9 4.0). Effect sizes 12 weeks...
OPINION article Front. Public Health, 02 November 2022Sec. Aging and Health Volume 10 - 2022 | https://doi.org/10.3389/fpubh.2022.1034497
Abstract There is a paucity of work focusing on the engagement older African American women with technology. The aim pilot study was to test Depression and Pain Perseverance through Empowered Recovery (DAPPER) program in sample living pain low mood (N=19). research team hypothesized that most would prefer virtual visits, thus both in-person options were available for delivery. So far, 11 participants, five have opted do visits. When asked why, one participant said having nurse come her house...
Abstract Use of technology in older adult populations is growing, therefore it important to understand opportunities for healthcare initiatives that support adults using technology. The aim the pilot study was test Caregiver Support, a self-care and social intervention, caregivers persons living with heart failure (N=24). Originally, protocol designed in-person visits. We expected this option reduce participant burden: caregiver would not have travel, interventionist gain more insight about...