A5012286734- Cancer survivorship and care
- Childhood Cancer Survivors' Quality of Life
- Family Support in Illness
- Palliative Care and End-of-Life Issues
- Hematopoietic Stem Cell Transplantation
- Global Cancer Incidence and Screening
- Advances in Oncology and Radiotherapy
- COVID-19 and Mental Health
- Digital Mental Health Interventions
- Posttraumatic Stress Disorder Research
- COVID-19 and healthcare impacts
- Cancer-related cognitive impairment studies
- Smoking Behavior and Cessation
- Ethics and Legal Issues in Pediatric Healthcare
- Cancer Risks and Factors
- Economic and Financial Impacts of Cancer
- Circadian rhythm and melatonin
- Mindfulness and Compassion Interventions
- Dietary Effects on Health
- Psychological and Temporal Perspectives Research
- Respiratory Support and Mechanisms
- Health and Well-being Studies
- Grief, Bereavement, and Mental Health
- Media Influence and Health
- Patient-Provider Communication in Healthcare
Massachusetts General Hospital
2020-2025
Palo Alto University
2023-2024
Stanford University
2022-2024
Harvard University
2020-2021
Caregivers of patients undergoing hematopoietic stem cell transplantation (HCT) experience an immense caregiving burden before, during, and after HCT.
Abstract Purpose Chronic graft-versus-host-disease (cGVHD), an inflammatory condition affecting allogeneic hematopoietic cell transplantation (HCT) survivors, is associated with a range of debilitating physical and psychological sequela. Yet HCT recipients cGVHD are virtually absent from survivorship intervention research. We conducted randomized clinical trial to evaluate the feasibility preliminary efficacy multidisciplinary group coping skills (Horizons) tailored meet these patients’...
Hematopoietic stem cell transplantation (HCT) is an intensive and potentially curative therapy for patients with hematologic malignancies. Patients admitted HCT experience a prolonged, isolating hospitalization endure substantial physical psychological symptoms. However, there paucity of research on the impact post-traumatic stress disorder (PTSD) symptoms in transplant recipients. This secondary analysis 250 who underwent autologous allogeneic examined PTSD using Checklist-Civilian measured...
Smoking causes one in three cancer deaths and may worsen COVID-19 outcomes. Telehealth tobacco cessation treatment is offered as a covered benefit for patients at the Stanford Cancer Center. We examined predictors of engagement during pandemic. Data were abstracted from Electronic Health Record between 3/17/20 (start pandemic shelter-in-place) 9/20/22, including patient use, demographics, treatment. Importance quitting was obtained subset (53%). During first 2.5 years pandemic, 2595...
In a recent trial, 6-session intervention (BMT-CARE) integrating medical information with cognitive-behavioral strategies improved quality of life (QOL), mood, coping skills, and self-efficacy for family/friend caregivers hematopoietic stem cell transplantation (HCT) recipients. This study examined whether improvements in mediated the effects on QOL mood.From December 2017 to April 2019, 100 HCT recipients were enrolled into randomized clinical trial BMT-CARE versus usual care. Caregivers...
BACKGROUND Patients with acute myeloid leukemia (AML) receiving intensive chemotherapy face a life‐threatening illness, isolating hospitalization, and substantial physical psychological symptoms. However, data are limited regarding risk factors of posttraumatic stress disorder (PTSD) symptoms in this population. METHODS The authors conducted secondary analysis from 160 patients high‐risk AML who were enrolled supportive care trial. PTSD Checklist‐Civilian Version was used to assess at 1...
Background: No reliable instruments exist to measure prognostic awareness and its psychological behavioral impacts for patients with advanced cancer. Methods: We developed the Prognostic Awareness Impact Scale (PAIS) using a qualitative approach. During phase 1, we convened working group transdisciplinary team of clinicians from oncology (n = 2), psychology psychiatry 1), palliative care 3), survey development 1) identify key domains PAIS. Using consensus-driven process, generated an item...
Background: More than half the long-term survivors of allogeneic hematopoietic cell transplantation develop chronic graft-versus-host disease (GVHD), a debilitating inflammatory syndrome. Supportive interventions to assist in coping with GVHD are critically needed. Patients and Methods: We conducted pilot randomized clinical trial multidisciplinary group intervention (Horizons Program; n=39) versus minimally enhanced usual care (n=41) for patients moderate or severe GVHD. Horizons...
Family and friends caring for hematopoietic stem cell transplantation (HCT) recipients experience substantial disruptions in daily life as they prepare transplant. These may increase their psychological distress, yet little research has described the extent of this distress. The goals present study were to characterize rates anxiety depression symptoms immediately prior HCT relationship with modifiable caregiving domains. We conducted a secondary analysis cross-sectional data caregivers...
Hematopoietic cell transplantation (HCT) is a potentially curative therapy for hematologic malignancies, but it often results in significant toxicities and impaired quality of life (QOL). Although the value patient-reported outcomes (PROs) increasingly recognized HCT, data are limited regarding relationship between PROs HCT complications. We conducted secondary analysis 250 patients who were hospitalized autologous or allogeneic at Massachusetts General Hospital from 2011 through 2016....
Background: Patients (≥60 years) with acute myeloid leukemia (AML) often receive intense health care utilization at the end of life (EOL). However, factors associated their use EOL are unknown. Methods: We conducted a secondary analysis 168 deceased patients AML within United States. assessed quality (QOL) (Functional-Assessment-Cancer-Therapy-Leukemia), and psychological distress (Hospital-Anxiety-and-Depression Scale [HADS]; Patient-Health-Questionnaire-9 [PHQ-9]) diagnosis. used...
Smoking contributes to 1 in 3 cancer deaths. At the Stanford Cancer Center, tobacco cessation medication management and counseling are provided as a covered benefit. Patients charted using contacted by treatment specialist offered services. As novel addition, this study examined acceptability of virtual reality (VR) mindful exposure therapy app for quitting smoking called MindCotine.
e24096 Background: Patients are increasingly choosing bilateral mastectomy (BMX) for the treatment of primary breast cancer (BC) despite minimal survival benefits and potential adverse medical psychosocial consequences. Exposure to childhood trauma is associated with dysregulation stress response systems, threat perception alterations, increased risk-taking behaviors, body dissatisfaction. We examined in relation decision-making adulthood within a sample patients undergoing either BMX or...
This study describes young adult female (YA-F) cancer survivors' uncertainty management strategies related to fertility/family building. Cross-sectional data were analyzed (
<title>Abstract</title> <bold>Purpose</bold> Chronic graft-versus-host-disease (cGVHD), an inflammatory condition affecting allogeneic hematopoietic cell transplantation (HCT) survivors, is associated with a range of debilitating physical and psychological sequela. Yet HCT recipients cGVHD are virtually absent from survivorship intervention research. We conducted randomized clinical trial to evaluate the feasibility preliminary efficacy multidisciplinary group coping skills (Horizons)...
Background Caregivers (i.e., family and friends) of patients undergoing HCT experience immense caregiving burden during HCT. Multimodal interventions to address the needs caregivers prior to, during, after are lacking. Methods We conducted a randomized trial multimodal psychosocial intervention (BMT-CARE) for autologous allogeneic at Massachusetts General Hospital. were randomly assigned BMT-CARE or usual care. was tailored trajectory integrated treatment-related education self-care with...
"BIO23-022: Adding Virtual Reality Mindful Exposure Therapy to a Cancer Center’s Tobacco Treatment Offerings: An Acceptability Pilot Study" published on 31 Mar 2023 by National Comprehensive Network.
<sec> <title>BACKGROUND</title> Smoking contributes to 1 in 3 cancer deaths. At the Stanford Cancer Center, tobacco cessation medication management and counseling are provided as a covered benefit. Patients charted using contacted by treatment specialist offered services. As novel addition, this study examined acceptability of virtual reality (VR) mindful exposure therapy app for quitting smoking called MindCotine. </sec> <title>OBJECTIVE</title> The objective was determine feasibility...
12122 Background: A brief multimodal psychosocial intervention (BMT-CARE) for caregivers of HCT recipients demonstrated promising efficacy improving caregiver quality life (QOL), mood, coping skills, and self-efficacy. We examined whether improvements in self-efficacy mediated the effects on QOL mood. Methods: conducted a randomized clinical trial BMT-CARE patients undergoing autologous or allogeneic at single institution. Caregivers were randomly assigned to usual care. was tailored...