A5086165930- BRCA gene mutations in cancer
- Media Influence and Health
- Optimism, Hope, and Well-being
- Neonatal Respiratory Health Research
- Patient-Provider Communication in Healthcare
- Migration, Health and Trauma
- Emergency and Acute Care Studies
- Neonatal and fetal brain pathology
- Behavioral Health and Interventions
- Misinformation and Its Impacts
- Public Relations and Crisis Communication
- Cancer Genomics and Diagnostics
- Infant Development and Preterm Care
- Psychological and Temporal Perspectives Research
- Career Development and Diversity
- Patient Satisfaction in Healthcare
- Ethics in Clinical Research
- Risk Perception and Management
- Food Security and Health in Diverse Populations
- Neuroscience of respiration and sleep
- Colorectal Cancer Screening and Detection
- Homelessness and Social Issues
- Social Policy and Reform Studies
- Childhood Cancer Survivors' Quality of Life
- Global Cancer Incidence and Screening
MaineHealth
2022-2024
University of Bern
2024
Maine Medical Center Research Institute
2020-2023
Maine Medical Center
2023
Maine Medical Center
2020-2022
Background Communicating scientific uncertainty about public health threats such as COVID-19 is an ethically desirable task endorsed by expert guidelines on crisis communication. However, the communication of challenging because its potential to promote ambiguity aversion—a well-described syndrome negative psychological responses consisting heightened risk perceptions, emotional distress, and decision avoidance. Communication strategies that can inform while mitigating aversion are a...
Abstract Background For adults aged 76–85, guidelines recommend individualizing decision-making about whether to continue colorectal cancer (CRC) testing. These conversations can be challenging as they need consider a patient’s CRC risk, life expectancy, and preferences. Objective To promote shared (SDM) for testing decisions older adults. Design Two-arm, multi-site cluster randomized trial, assigning physicians Intervention Comparator arms. Patients were surveyed shortly after the visit...
Social determinants of health, such as rurality, income, and education, may widen health disparities by driving variation in patients' knowledge perceptions medical interventions. This effect be greatest for technologies that are hard to understand less accessible. study explored whether (expectations attitudes) patients with cancer toward large-panel genomic tumor testing (GTT), an emerging technology, vary patient rurality independent other socioeconomic characteristics (education income).
To compare clinicians' and patients' preferences for disclosure of genomic tumor testing (GTT) results; to determine the sensitivity these uncertainty about actionability explore factors associated with preferences.Community-based oncology clinicians (n = 94) patients 1121) were surveyed their disclosing GTT results varying levels (Tiers 1, 2, 3). Descriptive multivariable regression analyses used uncertainty, associations between sociodemographic, clinical, psychological factors.Relatively...
Emerging cancer treatments are often most available to socially advantaged individuals. This study examines the relationship of patient educational attainment, income level, and rurality receipt genome-matched treatment (GMT) overall survival.
Abstract Data continues to accumulate demonstrating that those belonging racialized groups face implicit bias in the emergency care delivery system across many indices, including triage assessment. The Emergency Severity Index (ESI) was developed and widely implemented US improve objectivity of assessment prioritization delivery; however, research support presence subjective We sought assess relationship between perceived race and/or need for translator assigned ESI score whether this...
170 Background: New cancer technologies like genomic tumor testing (GTT) make targeted treatments and improved outcomes possible. However, access to GTT is often inequitably skewed such that it most available urban socially advantaged individuals, which may contribute disparities in disadvantaged groups. This study aims assess the impact of differential resource allocation by examining whether patient rurality, education, or income are associated with patients receive genome matched...
Expectations about the future (future expectancies) are important determinants of psychological well-being among cancer patients, but strategies patients use to maintain positive and cope with negative expectancies incompletely understood.To obtain preliminary evidence on potential role one strategy for managing expectancies: adoption "epistemic beliefs" in fundamental limits medical knowledge.A sample 1307 primarily advanced-stage participating a genomic tumor testing study community...
<sec> <title>BACKGROUND</title> Communicating scientific uncertainty about public health threats such as COVID-19 is an ethically desirable task endorsed by expert guidelines on crisis communication. However, the communication of challenging because its potential to promote <i>ambiguity aversion</i>—a well-described syndrome negative psychological responses consisting heightened risk perceptions, emotional distress, and decision avoidance. Communication strategies that can inform...
The COVID-19 pandemic has engendered widespread fear and skepticism about recommended risk-reducing behaviors including vaccination. Health agencies are faced with the need to communicate public in ways that both provide reassurance promote behaviors. Communication strategies prosocial (PS) values hope being widely used; however, existing research on persuasiveness of these offered mixed evidence. There is also very little examining comparative effectiveness PS hope-promoting (HP) strategies.
<sec> <title>BACKGROUND</title> The COVID-19 pandemic has engendered widespread fear and skepticism about recommended risk-reducing behaviors including vaccination. Health agencies are faced with the need to communicate public in ways that both provide reassurance promote behaviors. Communication strategies prosocial (PS) values hope being widely used; however, existing research on persuasiveness of these offered mixed evidence. There is also very little examining comparative effectiveness...