- Geriatric Care and Nursing Homes
- Dementia and Cognitive Impairment Research
- Intergenerational Family Dynamics and Caregiving
- Palliative Care and End-of-Life Issues
- Health disparities and outcomes
- Aging and Gerontology Research
- Retirement, Disability, and Employment
- Family and Disability Support Research
- Global Health Workforce Issues
- Chronic Disease Management Strategies
- Family Caregiving in Mental Illness
- Frailty in Older Adults
- Advanced Technologies in Various Fields
- Family and Patient Care in Intensive Care Units
- Pharmaceutical Practices and Patient Outcomes
- Peripheral Nerve Disorders
- Health Policy Implementation Science
- Congenital limb and hand anomalies
- Child Therapy and Development
- E-Learning and COVID-19
- Mobile Health and mHealth Applications
- Human Resource and Talent Management
- Blood Pressure and Hypertension Studies
- Balance, Gait, and Falls Prevention
- Colorectal Cancer Surgical Treatments
Center for Excellence in Education
2014-2023
Colon and Rectal Surgery Associates
2021
Virginia Commonwealth University
2014-2015
Institute of Aging
2005
Commonwealth Health Research Board
2005
William & Mary
2004-2005
Community Hospital
2005
Williams (United States)
2005
INTEGRIS Baptist Medical Center
1992
This article describes a project to identify the needs of family caregivers and health care providers caring for persons with dementia. Participants included 128 caregivers, who completed survey, 27 providers, participated in focus group survey. Caregivers reported their primary source information about disease was doctor; however, majority also they were primarily informed medications not needed resources. Health identified limited time patients families, lack awareness community services,...
Background Estimates suggest that 6.2 million Americans aged ≥65 years are living with Alzheimer dementia in 2021, and by 2060, this number could more than double to 13.8 million. As a result, public health officials anticipate greater need for caregivers of persons disease or related support resources both people their caregivers. Despite the growing caregiver services, there is lack consensus regarding how tailor these services best meet heterogeneous needs individual To fill gap, Care...
The development of the Richmond Brain Health Initiative (RBHI) was guided by need to address local brain health service gaps improve Alzheimer's/Dementia disparities in racially diverse communities. This paper describes establishment RBHI through 1) community and provider stakeholder input 2) screening/intake testing. Phase 1 involved questionnaires gather feedback as part Plan-Do-Study-Act cycle. Subsequently, findings directed structure registration testing community. Based on responses...
The aim of this study was to develop and pilot a 52-week Microlearning curriculum on person-centered dementia care in nine nursing homes. goal evaluate the usability application as tool increase staff knowledge improve perceptions people with dementia, thus increasing their ability deliver job satisfaction. Findings indicate that participants enjoyed flexible, 24/7 access training found immediacy format encouraged them apply learning directly practice. Staff attitudes toward were positively...
Background:Since the decline in death rates from cardiovascular diseases has slowed down recently, promoting health patients and general public become more important than ever, particularly for elder rural patients. This study is a collaborative effort between regional network Virginia associated organizations to implement assess telenursing remote patient monitoring (RPM) help home care better manage their own related promote sustainable delivery options. Method:Eighty with diabetes,...
This article describes methodological best practices for a comprehensive, multitiered, targeted community needs assessment and strategies used to disseminate implement findings. Although the methods could be applied different populations, this illustrates targeting older adults. The methodology included public data; local healthcare facility telephone survey of adults; focus groups surveys caregivers, service providers, religious organizations, key informants. Dissemination forums...
Objectives: Caregiving for a person with dementia (PWD) carries increased risk of poorer health and quality life. Non-pharmacological interventions improve outcomes caregivers PWDs. We evaluated the efficacy modified New York University Caregiver Intervention (NYUCI), named FAMILIES, delivered to spousal non-spousal PWDs from diverse etiologies in reduced number sessions.Methods: Participants were 122 primary community dwelling Virginia. The intervention included two individual four...
The current mixed methods, embedded study evaluated the use of an online tool (Care to Plan [CtP]) that generates tailored service and support recommendations for dementia caregivers as well information can connect caregiver users recommended resources. Forty-three identified in a health care system were randomly assigned receive either CtP or usual care. embedded, methods design resulted no quantitative, direct evidence CtP's efficacy. Qualitative data revealed important insights into...
The US population is aging faster than at any other time in our history. This growth, coupled with a slow adaptive health policy framework, creating an urgent need to reengineer and improve the quality, safety, cost‐effectiveness of systems meet needs older adults embrace success we have achieved longevity. Without rapid adoption evidence‐based models that are known safety outcomes, significantly jeopardize lives thousands receiving care under current systems' processes models. article...
Some substance use disorders in older adults may be better conceptualized as hazardous that is sometimes unintentional and affected by other mental health conditions, including dementia. This study identified (1) the types of substances are abusing, (2) how linked to dementia issues, (3) barriers screening treatment. Focus groups with inpatient outpatient treatment teams a review medical records were completed. Screenings for geriatric syndromes (e.g., depression, dementia) not widely done...
Objective: The purpose of this exploratory study was to evaluate teamwork in gerontological practice. Methods: Participants (N = 475) were recruited through an online survey link sent organizations and institutions serving older adults. Results: Findings demonstrated that age, length time profession having a more positive view made difference level professional identity. Qualitative analysis personal growth identified thematically as important element teamwork. Conclusions: This identifies...
Because of the dramatic growth in senior population, a community's assessment health needs its older adults has become increasingly important. Telephone surveys have been routinely used to assess variety issues. Identified limitations telephone surveys, however, suggest importance using supplementary methods. This article reports findings an issues seniors community with rapidly increasing population seniors. The core tool was survey randomly selected sample community-residing two methods...
Abstract Among adults 65 and older, 30% are taking at least five medications to treat acute chronic health conditions (Gavin, 2020). As the number of increases, more complex regimen tends be, which increases risks with proper management unwanted side effects. Our interdisciplinary geriatric assessment team has been conducting medication reviews for individuals living dementia, where pharmacists meet these their family caregiver. These sessions build a trusting relationship, older able...
This paper highlights an effective model for evaluating geriatric workforce enhancement professional development programs, using multiple methodologies (i.e., quantitative and qualitative). An adaptation of Kirkpatrick's (1994; 2010) evaluation was implemented to assess the evidence-based fall prevention program delivered at a Program All Inclusive Care Elderly site. The purpose this is describe program's design, data collection activities instruments, findings, also suggest strategies...
Abstract How do family caregivers who interface with the healthcare system benefit from evidence-driven programs designed to support them? Education, training, and care coordination have all been found significantly improve well- being of caregivers. These include Operation Family Caregiver; Caring For You, Me; BRI Care Consultation; New York University Caregiver Intervention; patient advisory councils. Healthcare systems that host, translate scale these make them more readily accessible for...
Abstract Effective training is critical to providing quality care in long-term environments, where many residents have dementia. Training has been linked positive resident outcomes and improved job satisfaction of staff. The aim this study was develop, pilot, evaluate a Microlearning curriculum, using short (5-10 minute) “bursts” available through an online platform on demand (i.e. 24/7). expected were improve staff knowledge, attitudes, skills regarding person-centered dementia increase...