A5020799525- Patient-Provider Communication in Healthcare
- Palliative Care and End-of-Life Issues
- Health Literacy and Information Accessibility
- Health Systems, Economic Evaluations, Quality of Life
- Patient Satisfaction in Healthcare
- Cancer survivorship and care
- Vaccine Coverage and Hesitancy
- Global Cancer Incidence and Screening
- Social Media in Health Education
- Primary Care and Health Outcomes
- BRCA gene mutations in cancer
- Modular Robots and Swarm Intelligence
- Family and Patient Care in Intensive Care Units
- Economic and Financial Impacts of Cancer
- Sustainable Agricultural Systems Analysis
- Distributed systems and fault tolerance
- Context-Aware Activity Recognition Systems
- Delphi Technique in Research
- Assisted Reproductive Technology and Twin Pregnancy
- Advances in Oncology and Radiotherapy
- Reproductive Health and Technologies
- Agricultural Innovations and Practices
- Clinical practice guidelines implementation
- Lymphatic System and Diseases
- Agricultural Development and Policies
Dartmouth Institute for Health Policy and Clinical Practice
2017-2025
Dartmouth College
2018-2025
Dartmouth Psychiatric Research Center
2023-2025
Dartmouth–Hitchcock Medical Center
2019-2025
Dartmouth Health
2023-2024
University of Ulster
2013-2023
Lebanon VA Medical Center
2022
John Wiley & Sons (United States)
2019-2021
Linde (United States)
2019-2021
Dartmouth Hospital
2018-2020
Qualitative research methods explore and provide deep contextual understanding of real world issues, including people's beliefs, perspectives, experiences. Whether through analysis interviews, focus groups, structured observation, or multimedia data, qualitative offer unique insights in applied health services that other approaches cannot deliver. However, many clinicians researchers hesitate to use these methods, might not them effectively, which can leave relevant areas inquiry...
Background consideRATE is a patient- and care-partner-reported measure of care experience during serious illness. We used with patients partners at the Dartmouth Cancer Center to assess patient experience, evaluate psychometric properties, explore scoring approaches. Methods Patients aged 18+ English proficient participated in cross-sectional survey. Participants completed (8 items), CANHELP-Lite (21 demographic questions. Reliability was assessed using Cronbachs alpha, validity evaluated...
Background Women of lower socioeconomic status (SES) with early‐stage breast cancer are more likely to report poorer physician‐patient communication, satisfaction surgery, involvement in decision making, and higher regret compared women SES. The objective this study was understand how support across strata making surgery choices. Methods We conducted a 3‐arm (Option Grid, Picture Option usual care), multisite, randomized controlled superiority trial surgeon‐level randomization. Grid (text...
Can the priorities for future research in infertility be identified?The top 10 four areas of male infertility, female and unexplained medically assisted reproduction ethics, access organization care people with fertility problems were identified.Many fundamental questions regarding prevention, management consequences remain unanswered. This is a barrier to improving received by those problems.Potential collated from an initial international survey, systematic review clinical practice...
Abstract Purpose We examined self-reported financial toxicity and out-of-pocket expenses among adult women with breast cancer. Methods Patients spoke English, Spanish, or Mandarin Chinese, were aged 18+ years, had stage I–IIIA cancer, eligible for breast-conserving mastectomy surgery. Participants completed surveys about costs at 1 week, 12 weeks, year postsurgery. Results Three hundred ninety-five of 448 patients (88.2%) from the parent trial surveys. Excluding those reporting zero costs,...
Shared decision-making (SDM) is widely advocated for patients with valvular heart disease yet not integrated into the team model symptomatic aortic stenosis. Decision aids (DAs) have been shown to improve patient-centered outcomes and may facilitate SDM.
Background: To provide patient-centered healthcare for people with serious illness, teams must elicit needs, goals, preferences, and values from patients care partners. Aim: Describe feasibility acceptability of an electronic pre-visit agenda-setting questionnaire partners to identify these topics before ambulatory palliative visits. Design: Concurrent mixed-methods formative evaluation acceptability. We extracted responses patient characteristics health records sent anonymous post-visit...
Qualitative methods are essential in health services research. Unlike quantitative methods, qualitative approaches most effective exploring the “how” and “why” of complex social phenomena, offering rich insights into attitudes, beliefs, experiences that might otherwise be overlooked. Aimed at research teams new to work, this paper introduces explaining key terms, data collection strategies, analytic approaches. We also discuss theoretical foundations methodological rigor Additionally, we...
Background The illness experiences of people with kidney disease are not systematically ascertained as part clinical care. We conducted the first real-world psychometric evaluation consideRATE questions among patients and assessed healthcare in a rural hospital setting. Methods cross-sectional survey sample their care partners. Our consisted demographic questions, (8-items) to measure experience, CANHELP-Lite (21-items) reference for assessment. scored continuous (range: 1-4) top-box...
Background Patients and clinicians expect the information in patient decision aids to be based on best available research evidence. The objectives of this International Patient Decision Aid Standards (IPDAS) review were 1) check currency of, where needed, update evidence for domain “basing comprehensive, critically appraised, up-to-date syntheses evidence”; 2) analyze characteristics aids; 3) propose updates relevant IPDAS criteria. Methods We searched MEDLINE PubMed inform domain’s...
Objective To (1) characterise (A) the lived experiences and (B) information needs of patients with rectal cancer; (2) compare to perceived colorectal surgeons. Design We conducted 1-hour semistructured qualitative interviews, dual independent transcript coding thematic analysis. Setting/participants Interviews included cancer survivors (stages I–III), some accompanied by caregivers, at Dartmouth-Hitchcock Medical Center experienced Results performed 25 interviews involving 30 participants,...
Background Improving confidence in and uptake of COVID-19 vaccines boosters among long-term care workers (LTCWs) is a crucial public health goal, given their role the elderly people at risk. While difficult to reach with workplace communication interventions, most LTCWs regularly use social media smartphones. Various interventions have improved attitudes for other hold promise LTCW population. Objective We aimed develop curated web application (interactive website) increase vaccine (a 3-arm...
Objective If patient engagement is the new ‘blockbuster drug’ why are we not seeing spectacular effects? Studies have shown that activated patients improved health outcomes, and has become an integral component of value-based payment delivery models, including accountable care organisations (ACO). Yet extent to which clinicians managers at ACOs understand reliably execute in clinical encounters remains unknown. We assessed use understanding approaches among frontline ACO-affiliated...
Background. Patients frequently worry about care costs, but clinicians seldom address the topic. Cost information is not typically included in patient decision aids (DAs). We examined whether including cost an encounter DA, with clinician training, influenced conversations. Method. As part of a larger trial, 14 surgeons from 4 cancer centers were randomized to 1 3 interventions: (1) Picture Option Grid DA that prompt discuss relative treatment hereafter called "cost group"; (2) text-only did...
Abstract Background Conversation aids can facilitate shared decision-making and improve patient-centered outcomes. However, few examples exist of sustained use conversation in routine care due to numerous barriers at clinical organizational levels. We explored factors that will promote the two early-stage breast cancer aids. examined differences opinions between across socioeconomic strata. Methods nested this study within a randomized controlled trial demonstrated effectiveness surgery...
Background: Shared decision-making in cardiology is increasingly recommended to improve patient-centeredness of care. Decision aids can patient knowledge and decisional quality but are infrequently used real-world practice. This mixed-methods study tests the efficacy acceptability a decision aid integrated into electronic health record (Integrated Aid [IDeA]) delivered by clinicians for patients with atrial fibrillation considering options reduce stroke risk. We aimed determine whether IDeA...