A5050662336- Palliative Care and End-of-Life Issues
- Patient Dignity and Privacy
- Grief, Bereavement, and Mental Health
- Healthcare Decision-Making and Restraints
- Cancer survivorship and care
- Complementary and Alternative Medicine Studies
- Patient-Provider Communication in Healthcare
- Pain Mechanisms and Treatments
- Death Anxiety and Social Exclusion
- Chronic Disease Management Strategies
- Hemoglobinopathies and Related Disorders
- Cannabis and Cannabinoid Research
University of Florida
2020-2024
Florida College
2022-2023
Gainesville Obstetrics & Gynecology
2019
Staton (Slovakia)
2019
WiLAN (Canada)
2019
DM-STAT (United States)
2019
The COVID-19 pandemic has created an environment in which existence is more fragile and existential fears or terror rises people.
Background: Patients consider the life review intervention, Dignity Therapy (DT), beneficial to themselves and their families. However, DT has inconsistent effects on symptoms lacks evidence of spiritual/existential outcomes. Objective: To compare usual outpatient palliative care chaplain-led or nurse-led for a quality-of-life outcome, dignity impact. Design/Setting/Subjects: In stepped-wedge trial, six sites in United States transitioned from either random order. Of 638 eligible cancer...
Death anxiety is powerful, potentially contributes to suffering, and yet has date not been extensively studied in the context of palliative care. Availability a validated Anxiety Distress Scale (DADDS) opens opportunity better assess redress death serious illness.
Background In several studies, investigators have successfully used an internet-enabled PAIN Report It tablet to allow patients report their pain clinicians in real-time, but it is unknown how acceptable this technology and caregivers when homes. Objective The aims of study were examine computer use acceptability scores with end-stage cancer hospice compare the for differences by age, gender, race, experience. Intervention/Methods Immediately after using tablet, 234 231 independently...
Background The experiences of African American adult patients before, during, and after acute care utilization are not well characterized for individuals with sickle cell disease (SCD) or cancer. Objective To describe the Americans SCD cancer hospitalization pain control. Methods We conducted a qualitative study among participants (n = 15; 11 male; mean age, 32.7 ± 10.9 years; intensity, 7.8 2.6) 7 53.7 15.2 4.9 3.7). Participants completed demographic questions intensity using PAIN Report...
Abstract Background Dignity Therapy (DT) has been implemented over the past 20 years, but a detailed training protocol is not available to facilitate consistency of its implementation. Consistent positively impacts intervention reproducibility. Objective The objective this article describe method for DT therapist training. Method Chochinov's seminars included preparatory reading textbook, in-person training, and practice interview sessions. Building on plan, we added feedback actual...
Abstract Objectives Intervention fidelity is imperative to ensure confidence in study results and intervention replication research clinical settings. Like many brief protocol psychotherapies, Dignity Therapy lacks sufficient evidence of fidelity. To overcome this gap, our purpose was examine among therapists trained with a systematized training protocol. Methods For preliminary evaluation large multi-site stepped wedge randomized controlled trial, we analyzed 46 early transcripts interviews...
Abstract Objectives Despite the clinical use of dignity therapy (DT) to enhance end-of-life experiences and promote an increased sense meaning purpose, little is known about cost in practice settings. The aim examine costs implementing DT, including transcriptions, editing legacy document, dignity-therapists’ time for interviews/patient’s validation. Methods Analysis a prior six-site, randomized controlled trial with stepped-wedge design chaplains or nurses delivering DT. Results mean per...
Professional massages reduce symptoms experienced by cancer patients, but are costly. A cost-effective way to include this therapy routinely in hospice care is teach family caregivers give as part of their caregiving activities. However, the burden on unknown and might offset patient benefits or cost savings. The pilot study aim was explore feasibility issues related licensed massage therapists training at home, giving four daily feedback about delivery. In pretest/posttest study, completed...
A routine threat to palliative care research is participants not completing studies. The purpose of this analysis was quantify attrition rates mid-way through a study on Dignity Therapy and describe the reasons cited for attrition. Enrolled in were total 365 outpatients with cancer who receiving outpatient specialty (mean age 66.7 ± 7.3 years, 56% female, 72% White, 22% Black, 6% other race/ethnicity). These completed an initial screening cognitive status, performance physical distress,...
Abstract Aim: As a brief psychotherapy for individuals facing mortal threat, Dignity Therapy (DT) effects on spiritual outcomes are unknown, especially as an intervention to support cancer health equity racial minority patients. Our study aim was compare usual outpatient palliative care and such along with nurse-led or chaplain-led DT groups main dignity impact the interaction of race. Methods: We conducted 4-step, stepped-wedge randomized control trial at 4 NCI designated centers 2 academic...
Background: Chronic pain has become a leading public health concern with roughly 20% of Americans currently living chronic pain. Individuals are more likely to report lower quality life, additional comorbidity, and increased medical expenditures than individuals without Many have initiated cannabis use manage their as an alternative opioid use. However, studies examining associations between intensity rarely include the frequency cannabis. Aim: Our study aim was address this scientific gap...