A5050347720- Cardiac Health and Mental Health
- Obesity, Physical Activity, Diet
- Stroke Rehabilitation and Recovery
- Behavioral Health and Interventions
- Heart Failure Treatment and Management
- Health Policy Implementation Science
- Acute Ischemic Stroke Management
- Mobile Health and mHealth Applications
- Heart Rate Variability and Autonomic Control
- Intensive Care Unit Cognitive Disorders
- Innovations in Medical Education
- Cardiovascular and exercise physiology
- Dementia and Cognitive Impairment Research
- Family and Patient Care in Intensive Care Units
- Healthcare professionals’ stress and burnout
- Obesity and Health Practices
- Blood Pressure and Hypertension Studies
- Physical Activity and Health
- HIV-related health complications and treatments
- Nursing Diagnosis and Documentation
- Patient Safety and Medication Errors
- Diabetes Management and Education
- Cardiac Arrest and Resuscitation
- Digital Mental Health Interventions
- Health Sciences Research and Education
Case Western Reserve University
2015-2024
University Hospitals of Cleveland
1991-2024
National Maternity Hospital
2022-2024
Access to Wholistic and Productive Living Institute
2024
University of Washington
2022
National Institutes of Health
2018-2022
National Center for Advancing Translational Sciences
2018-2022
National Institute of Nursing Research
1998-2022
Clinical and Translational Science Collaborative of Northern Ohio
2022
Atlantic Technological University
2022
Cancer patients experience many physical and psychosocial problems for which they need support. WebChoice is an Internet-based, interactive health communication application that allows cancer to monitor their symptoms problems, provides individually tailored information self-management support, e-communication with expert nurses, e-forum group discussion other patients.The objective of this study was examine the effects on symptom distress (primary outcome), depression, self-efficacy,...
Caregivers of persons with Alzheimer's disease (AD) are confronted novel decision-making tasks that leave them at risk for social isolation. ComputerLink is a computer network providing information, communication, and decision-support functions caregivers AD. One hundred two AD participated in randomized field experiment to evaluate the effects on confidence decision making, skill, During 1-year study period, averaged encounters per week sessions lasting an average 13 minutes. Access...
The American Heart Association makes every
Cardiac Catheterization, Angiography and Intervention , fourth ed Edited by William Grossman, Donald S. Baim 1991, 698 pp $59.50 hardcover
Background: While Web-based interventions have been shown to assist a wide range of patients successfully in managing their illness, few studies examined the relative contribution different components improve outcomes. Further efficacy trials are needed test effects Web support when offered as part routine care. Objective: Our aim was compare regular care (1) an Internet-based patient provider communication service (IPPC), (2) WebChoice, illness management system for breast cancer (IPPC...
Over a decade has passed since the Institute of Medicine’s reports on need to improve American healthcare system, and yet only slight improvement in quality safety been reported. The Quality Safety Education for Nurses (QSEN) initiative was developed integrate competencies into nursing education. current challenge is nurses move beyond application QSEN individual patients families incorporate systems thinking education delivery. This article provides history proposes framework which critical...
BackgroundPrecision health considers individual lifestyle, genetics, behaviors, and environment context facilitates interventions aimed at helping individuals achieve well-being optimal health.PurposeTo present the Nursing Science Precision Health (NSPH) Model describe integration of precision concepts within domains symptom self-management science as reflected in National Institute Research P30 Centers Excellence P20 Exploratory Centers.MethodsCenter members developed NSPH manuscript based...
PURPOSE Less than 50% of persons who participate in cardiac rehabilitation (CR) programs maintain an exercise regimen for as long 6 months after completion. This study was conducted to identify factors that predict women's following completion a CR program. METHODS In this prospective, descriptive study, convenience sample 60 women were recruited at phase II Exercise measured using heart rate wristwatch monitor over 3 months. Predictor variables collected the time subjects' enrollment age,...
Journal Article Empirical Effects of Performance Contracts: Evidence From China Get access Mary M. Shirley, Shirley Search for other works by this author on: Oxford Academic Google Scholar Lixin Colin Xu The Law, Economics, and Organization, Volume 17, Issue 1, 1 April 2001, Pages 168–200, https://doi.org/10.1093/jleo/17.1.168 Published: 01 2001
Background: Despite participation in a cardiac rehabilitation program, there is downward trajectory of exercise during the year following event. Purpose: The purpose this study was to test effectiveness CHANGE (Change Habits by Applying New Goals and Experiences), lifestyle modification program designed increase maintenance program. intervention consists 5 small-group cognitive-behavioral change counseling sessions which participants are taught self-efficacy enhancement, problem-solving...
Identification of the Nursing Minimum Data Set Edited by Harriet H. Werley, Norma M. Lang 1988, 474 pp $44.95 clothbound
Background Current theories of human health behaviors suggest that clients' preferences for specific aspects a regimen are an important influence on their decisions to initiate and continue use the regimen. Despite low rates participation in cardiac rehabilitation programs, especially among women, little research has been done determine patient features programs. The purpose this study was identify compare women's men's program features. Methods Using descriptive survey design, convenience...
Background: Frequently eHealth applications are not used as intended and they have high attrition rates; therefore, a better understanding of patients’ need for support is warranted. Specifically, more research needed to identify which system components target different patient groups under what conditions.
Although persons with disabilities of all kinds have as wide a range health conditions the general population, they are profoundly underrepresented in mainstream research. Such underrepresentation might contribute to disparities this population. We propose concept Universal Design Research (UDR), which would promote routine inclusion biomedical and psychosocial studies, without need for adaptation or specialized design. Elements UDR include use multisensory formats recruiting participants,...
Objective:No studies have addressed the use of electronic personal health records (e-PHRs) for self-management in complex neurological disorders. We assessed and tested an Internet-based system that utilized e-PHR determined its impact on self-assessed well-being, clinician-assessed healthcare utilization patients with multiple sclerosis (MS).Materials Methods:Subjects were randomized to usual care (a secure Web-based messaging system) or active intervention, which included messaging,...
Common data elements (CDEs) are increasingly being used by researchers to promote sharing across studies. The purposes of this article (a) describe the theoretical, conceptual, and definition issues in development a set CDEs for research addressing self-management chronic conditions; (b) propose an initial their measures advance science self-management; (c) recommend implications future dissemination.Between July 2014 December 2015 directors National Institute Nursing Research (NINR)-funded...
Background— Subclinical cognitive impairment is prevalent in heart failure (HF); however, its role important clinical outcomes, such as HF treatment adherence, unclear. Given the complex polypharmacy treatment, deficits may be predicting medication management. Thus, objective of current study was to examine impact function on adherence among community-dwelling patients with using assessments. Methods and Results— A prospective observational cohort design 309 (59.7% male, 68.7±9.7 years) no...
Abstract Background Use of common data elements (CDEs), conceptually defined as variables that are operationalized and measured in identical ways across studies, enables comparison studies would otherwise be impossible. Although healthcare researchers increasingly using CDEs, there has been little systematic use CDEs for symptom science. especially important science because people experience symptoms a broad range health developmental states, management interventions may have outcomes...
Inflammatory bowel disease (IBD) is a chronic condition of the that affects over 1 million people in United States. The recurring nature makes IBD patients ideal candidates for patient-engaged care centered on enhanced self-management and improved doctor-patient communication. In IBD, optimal approaches to management vary with different phenotypes extent past surgical history. Hence, single quality metric cannot define heterogeneous such as unlike hypertension diabetes. A more comprehensive...