A5030031923- Health Policy Implementation Science
- Technology Use by Older Adults
- Interprofessional Education and Collaboration
- Health disparities and outcomes
- COVID-19 and Mental Health
- Ethics in Clinical Research
- Aging and Gerontology Research
- Mobile Health and mHealth Applications
- Community Health and Development
- Chronic Disease Management Strategies
- Palliative Care and End-of-Life Issues
- Occupational Therapy Practice and Research
- Geriatric Care and Nursing Homes
- AI in Service Interactions
- Mental Health and Patient Involvement
- Patient-Provider Communication in Healthcare
- Geography Education and Pedagogy
- Smart Cities and Technologies
- Empathy and Medical Education
- Public Relations and Crisis Communication
- Health, psychology, and well-being
- Race, Genetics, and Society
- Qualitative Research Methods and Applications
- Innovations in Medical Education
- Obesity and Health Practices
University of Richmond
2023-2025
Virginia Commonwealth University
2017-2024
Marymount University
2023
Pathways Behavioral Services
2020
National Institute on Minority Health and Health Disparities
2020
Abstract Background and Objectives Problematic substance use among older adults is rising. While rates of disorder (SUD) are higher younger populations, the percentage with SUD had highest increase between 2020 2021 any age demographic. Disparities experienced by racial minorities contribute to treatment gaps lack access resources. This study explores perspectives low-income, urban-dwelling, primarily minority on recovery. Research Design Methods Adults aged 50 years residing in urban...
Smart speakers have the potential to support independent living and wellness among low-income senior housing (LISH) residents. The aim of this study was examine compare LISH residents' attitudes perceptions toward smart at two time points: before after technology use (N = 47). A descriptive survey administered ask questions about hedonic motivation, perceived ease use, self-efficacy, usefulness some or existing speaker features, cost, privacy. Participants were initially favorable using a...
The Richmond Health and Wellness Program (RHWP) is an innovative interprofessional care coordination program that seeks to support the health wellness of independent-living older adults educate future practitioners. Since 2012, RHWP has provided community-based training students at Virginia Commonwealth University. sudden suspension clinical due COVID-19 pandemic created need transform traditional ways received education vulnerable communities served by RHWP. This paper describes RHWP's...
Social well-being of older adults living in low-income housing was disproportionately affected by the coronavirus disease 2019 pandemic. We explored residents' experiences social isolation and loneliness strategies to remain socially connected during As part a larger, 3-phase user-centered design study, we conducted qualitative study using focus groups gain insights into role information communication technologies (ICTs), including smart speakers, connectedness (N = 25, 76% African...
Patient-clinician communication is thought to be central care outcomes, but when and how affects patient outcomes not well understood.We propose a conceptual model classification framework upon which the empirical evidence base for impact of patient-clinician can summarized further built.We use proposed summarize findings from two recent systematic reviews, one evaluating shared decision making (SDM) on cancer other role physician recommendation in screening use.Using this approach, we...
Leaders in the occupational therapy profession have called for therapy's inclusion primary care, but little is known about needs of patients this setting.To explore need and potential role a team-based care clinic.A qualitative descriptive study using convenience sample clinicians patients. Meetings semistructured interviews were recorded, transcribed, coded by multiple coders general immersion-crystallization approach to identify relevant themes.Outpatient complex clinic an urban academic...
Abstract There is a growing emphasis to use transdisciplinary team approach accelerate innovations in science solve complex conditions associated with aging. However, the optimal organizational structure and process for how accomplish unclear. In this forum, we illustrate our team’s experience using approaches challenging persistent problems older adults living urban communities. We describe challenges successes National Institutes of Health four-phase model team-based research. Using...
Older adults have been disproportionately affected by COVID-19. The primary goal of this study is to determine the socioeconomic effects on psychosocial factors among low-income independent-living older adults, in an urban setting, during COVID-pandemic.Participants were recruited through Virginia Commonwealth University's Richmond Health and Wellness Program. Telephone surveys (n=100) conducted using Epidemic - Pandemic Impacts Inventory Geriatric with Racial/Ethnic Discrimination addendum....
This article shares the problem-solving process and resultant rapid sensemaking methodology created by an interdisciplinary research team faced with qualitative “big data.” Confronted a data set of over half million free text comments, within existing 320,500 surveys, our developed to structure naturally occurring variability data, identify isolate meaningful analytic units, group subsets amenable automated coding using template-based process. allowed significant portion be rapidly assessed...
While the effectiveness of team-based care and wrap-around services for high utilizers is clear, how complex clinics deliver effective, person-centered to these vulnerable populations not well understood. This paper describes interactions among interprofessional team members enabled individualized, rapid responses needs patients at Virginia Commonwealth University Health System's Complex Care Clinic.Researchers attended twenty weekly coordination meetings, audio-recorded proceedings, wrote...
The principle and practice of sustainability is critical in community-based participatory research. Actively planning for building community capacity to ensure even more research involving underserved populations underrepresented minorities. perception researchers engaging with the until their needs have been met, then leaving minimal, if any benefits, has all too often reality these communities. This paper offers a case study how an independent consortium was borne from academic/community...
Taking a phenomenological approach, this qualitative study describes the lived experiences of low-income older adults during COVID-19 pandemic. A socio-ecological model was used to organize five identified themes describing experience: socio-economic context, Black Lives Matter and politics race, COVID polarized views COVID, interpersonal context (social connections), individual (feelings, beliefs, behaviors). Study findings illustrate intersectionality contextual influences on experience...
Using a community-based participatory research approach, citywide survey was conducted to explore perceptions of obesity and interventions reduce within an African American urban community. More than 1300 surveys were collected 3 months; 92.9% respondents agreed or strongly that important health issue in the community majority indicated family-based preferred pathway for improving physical activity (86.0%) nutrition (85.2%). Engaging members development implementation effective approach...
Community based participatory research (CBPR) is centered on the principle that should be a collaborative process and that, ideally, community members involved in all aspects of from design to dissemination. Yet standard form dissemination academia publication academic journals or presentations at conferences – pathways which are rarely accessible useful lay persons community. The purpose this paper describe two unique strategies used disseminate results needs assessment conducted as part...
The lack of diversity in genomic studies is a disparity that influences our understanding human variation and threatens equity the benefits precision medicine. Given current research with Black older adults, we conducted qualitative study to elucidate participants' knowledge, attitudes, beliefs about participation what factors contribute their willingness participate gain insights into barriers researchers may have recruiting Americans. We semistructured interviews (N=16) previous...
Abstract Voice-assisted smart speakers offer benefits for independent living and wellness, particularly individuals with mobility disabilities, vision impairments, or dexterity issues. Voice user interfaces (VUIs) integrated into enable hands-free eyes-free interaction, allowing users to perform tasks through voice commands. Despite increasing research on older adults’ adoption interaction voice-operated speakers, the specific usability challenges faced by low-income, minority adults remain...
Participation of Black American older adults in community-engaged research remains challenging health sciences. The objectives this study were to describe the specific efforts, successes, and challenges recruiting led by Health Wellness Aging Across Lifespan core, part Virginia Commonwealth University Institute for Inclusion, Inquiry, Innovation (iCubed). We conducted a cross-case analysis 6 projects using continuum model. Successful recruitment strategies comprised multifaceted approach...
In the current study, a smart speakers-based system (Amazon® Echo Dot device, safety pendant, and facility tailored functionalities) for supporting aging in place was implemented one low-income senior housing property. We aimed to explore perceived benefits, concerns, expectations about this among three stakeholder groups (older adults, staff, technology developers) identify facilitators of barriers implementation. A qualitative analysis individual interviews using inductive coding methods...
The purpose of this study was to explore how empathic, demographic, and educational factors influence attitudes toward the medically underserved among occupational physical therapy students.A cross-sectional online survey administered that included demographic/education questions. Empathy measured through Interpersonal Reactivity Index outcome variable with Medical Student Attitudes Toward Underserved (MSATU). Regression models were calculated determine variables most predictive...
Abstract Digital technology has become critical for making social connections and providing support during COVID-19. However, isolation challenges disproportionately affected older adults living alone in low-income communities due to a lack of internet access, digital ownership, limited capital. We conducted mixed-methods study examine the role this population keep socially connected national lockdown (N=25; 76% African American). Of participants, 36% reported isolation, loneliness. Both...
Abstract Date Presented 4/1/2017 This study explored possible roles for occupational therapy in a team-based primary care clinic. Results suggest that cognitive and behavioral challenges interfere with treatment patients face limitations are not addressed. Occupational therapists have unique skills to complement the team benefit patient outcomes. Primary Author Speaker: Jodi Winship Additional Authors Speakers: Carole Ivey