A5043063925- Palliative Care and End-of-Life Issues
- Heart Failure Treatment and Management
- Childhood Cancer Survivors' Quality of Life
- Chronic Disease Management Strategies
- Family and Patient Care in Intensive Care Units
- Patient Dignity and Privacy
- Cardiac Health and Mental Health
- Geriatric Care and Nursing Homes
- Religion, Spirituality, and Psychology
- Family Caregiving in Mental Illness
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Mobile Health and mHealth Applications
- Grief, Bereavement, and Mental Health
- Medication Adherence and Compliance
- Health and Wellbeing Research
- Cancer survivorship and care
- Ethics in medical practice
- Technology Use by Older Adults
- Health Systems, Economic Evaluations, Quality of Life
- Patient-Provider Communication in Healthcare
- Dysphagia Assessment and Management
- Cardiac pacing and defibrillation studies
- Digital Mental Health Interventions
- Resilience and Mental Health
- Interprofessional Education and Collaboration
VA Eastern Colorado Health Care System
2015-2025
University of Colorado Anschutz Medical Campus
2016-2025
Denver VA Medical Center
2010-2025
Center for Innovation
2022-2025
University of Colorado Denver
2014-2024
VA Greater Los Angeles Healthcare System
2024
Kaiser Permanente
2024
Colorado School of Public Health
2024
General Department of Preventive Medicine
2022
The Medical Center of Aurora
2022
Patient portals offer modern digital tools for older adults with multiple chronic conditions (MCC) to engage in their health management. However, there are barriers portal adoption among adults. Understanding user interface and experience (UI UX) preferences of MCC may improve the accessibility, acceptability, patient portals.
Many patients with chronic obstructive pulmonary disease (COPD), heart failure (HF), and interstitial lung (ILD) endure poor quality of life despite conventional therapy. Palliative care approaches may benefit this population prior to end life.
Many patients with chronic heart failure experience reduced health status despite receiving conventional therapy.To determine whether a symptom and psychosocial collaborative care intervention improves failure-specific status, depression, burden in failure.A single-blind, 2-arm, multisite randomized clinical trial was conducted at Veterans Affairs, academic, safety-net systems Colorado among outpatients symptomatic recruited between August 2012 April 2015. Data from all participants were...
IMPORTANCE Heart failure (HF) has a major effect on patients' health status, including their symptom burden, functional and health-related quality of life.OBJECTIVE To determine the effectiveness collaborative care patient-centered disease management (PCDM) intervention to improve status patients with HF. DESIGN, SETTING, AND PARTICIPANTSThe Patient-Centered Disease Management trial was multisite randomized clinical comparing PCDM usual in HF.A population-based sample 392 an HF diagnosis...
A growing body of literature suggests that patients with Parkinson disease (PD) have many unmet needs under current models care may be addressed through palliative approaches. first step in improving for PD principles is to better understand patient perspectives on their perceived and preferences.A total 30 in-depth individual interviews 4 focus groups were held elicit the preferences addressing these needs. We used ATLAS.ti inductive qualitative data analysis techniques interpret...
Importance Collaborative care is a multicomponent intervention for patients with chronic disease in primary care. Previous meta-analyses have proven the effectiveness of collaborative depression; however, individual participant data (IPD) are needed to identify which components principal drivers this effect. Objective To assess biggest its reducing symptoms depression Data Sources were obtained from MEDLINE, Embase, Cochrane Library, PubMed, and PsycInfo as well references relevant...
Background: The American College of Cardiology Foundation/American Heart Association (ACC/AHA) Guidelines for the Management Failure recommend palliative care in context Stage D HF or at end life. Previous studies related to heart failure (HF) provide useful information about patients' experiences, but they do not concrete guidance what needs are most important and how a program should be structured. Objectives: Describe their family caregivers' major concerns needs. Explore whether, how,...
Background: Informal (family) caregivers are integrally involved in chronic heart failure (HF) care. Few studies have examined HF patients and their informal caregiver as a unit relationship, or dyad. Dyad congruence, consistency perspective, is relevant to numerous aspects of living with Incongruence lack communication could impair disease management advance care planning. Objectives: The purpose this qualitative study was examine for congruence incongruence between caregivers. Secondary...
Background: Heart failure is a progressive condition characterized by frequent hospitalizations for exacerbated symptoms. Informal family caregivers may help patients improve self-care, which in turn reduce hospitalizations. However, little known about how mutuality, defined as the quality of patient–caregiver relationship, and caregiver burden affect self-care. Objective: This study examines associations among patient self-care confidence (beliefs abilities to engage behaviors) maintenance...
Background: Although implantable cardioverter‐defibrillators (ICDs) reduce mortality in selected patients, they are also associated with potential risks. Periprocedural decision making requires understanding both benefits and Methods: This qualitative study aims to understand cardiologists’ patients’ perspectives about surrounding ICD implantation using semi‐structured, in‐depth interviews. We interviewed 11 cardiologists (including four electrophysiologists) 20 patients (14 ICDs; six who...
Background: Palliative care for Parkinson's disease (PD) is an emerging area of interest clinicians, patients and families. Identifying the palliative needs caregivers central to developing implementing services families affected by PD. The objective this paper was elicit PD caregiver needs, salient concerns, preferences using a framework. Materials Methods: 11 one non-overlapping focus group (n = 4) recruited from academic medical center community support groups participated in qualitative...
Although the palliative care needs of outpatients with chronic heart failure (HF) are numerous, there is limited published experience in providing outpatient HF care. This article describes patients seen and issues addressed an program for HF.Case series involving a retrospective medical record review using descriptive quantitative qualitative analysis.Over 3 ½ year time period, 50 were seen, resulting 228 total visits. Fifty percent only once. Fifty-eight had New York Heart Association...
Palliative care addresses the suffering of patients and families affected by progressive illness through management medical symptoms, psychosocial issues, spiritual concerns. Although there is an emerging interest in applying palliative to Parkinson's disease (PD), potential needs have not been systematically investigated PD patients. Our primary objective was determine prevalence clinically significant symptomatic, psychosocial, issues understand their impact on health-related quality life...
Abstract Background Documenting goals of care in the electronic health record is meant to relay patient preferences other clinicians. Evaluating content and documentation nurse social worker led conversations can inform future initiative efforts. Methods As part ADvancing symptom Alleviation with Palliative Treatment trial, this study analyzed by nurses workers documented record. Informed a communication guide, we identified five components: illness understanding, values, end life planning,...