A5051899790- Stoma care and complications
- Cancer survivorship and care
- Palliative Care and End-of-Life Issues
- Childhood Cancer Survivors' Quality of Life
- Colorectal Cancer Surgical Treatments
- Family Support in Illness
- Opioid Use Disorder Treatment
- Homelessness and Social Issues
- Primary Care and Health Outcomes
- Diabetes Management and Education
- Substance Abuse Treatment and Outcomes
- Prenatal Substance Exposure Effects
- Nutrition and Health in Aging
- Cannabis and Cannabinoid Research
- Chronic Disease Management Strategies
- Patient-Provider Communication in Healthcare
- Global Cancer Incidence and Screening
- BRCA gene mutations in cancer
- Health Policy Implementation Science
- Ethics in Clinical Research
- Patient Satisfaction in Healthcare
- HIV, Drug Use, Sexual Risk
- COVID-19 and Mental Health
- Maternal Mental Health During Pregnancy and Postpartum
- HIV/AIDS Research and Interventions
Kaiser Permanente
2016-2025
Dana-Farber Cancer Institute
2023
University of California Davis Medical Center
2023
RELX Group (United States)
2023
University of California, San Francisco
2016-2023
Community Link
2023
University of California, Berkeley
2022
Berkeley Public Health Division
2022
Indianapolis Zoo
2021
VA Ann Arbor Healthcare System
2018
Purpose/Objectives: To describe how gender shapes the concerns and adaptations of long-term (i.e., more than five years) colorectal cancer survivors with ostomies.
OBJECTIVE Some patients with colorectal cancer (CRC) require a permanent ostomy, which changes bodily function and can create psychosocial distress. However, little is known about the influence of men's support on women's adjustment to having an ostomy as result CRC. METHODS Participants initially completed City Hope-CRC Quality Life questionnaire. We then conducted in-depth interviews 30 female participants. Interview questions focused body image, gender, sexuality. Interviews were recorded...
Colorectal cancer survivors with ostomies can face complex concerns regarding sexuality. We used an anthropological perspective to examine the experiences of 30 female colorectal shed light on sexual challenges and adaptations made in wake surgery treatment. Participants fell into four categories regard their experience post surgery; however, not all women found altered sexuality be particularly problematic. This type phenomenological examination inform a more patient-centered, less...
Purpose: To assess feasibility and preliminary efficacy of a mobile/online-based (mHealth) mindfulness intervention for cancer patients their caregivers to reduce distress improve quality life (QoL). Material Methods: Two-arm randomized controlled trial within Kaiser Permanente Northern California targeting who received chemotherapy informal caregivers. The group commercially available program 8 weeks. wait-list control usual care. We assessed using retention adherence rates obtained...
Importance Adolescent and young adult (AYA) patients with advanced cancer often die in hospital settings. Data characterizing the degree to which this pattern of care is concordant patient goals are sparse. Objective To evaluate extent concordance between preferred actual location death among AYA cancer. Design, Setting, Participants This multicenter retrospective cohort study included (aged 12-39 years) who died January 1, 2003, December 31, 2019, after receiving at Dana-Farber Cancer...
PURPOSE: The purpose of this article was to describe persistent ostomy-specific concerns and adaptations in long-term (>5 years) colorectal cancer survivors with ostomies. SUBJECTS AND SETTINGS: Thirty-three who participated 8 gender- health-related quality life stratified focus groups 130 provided written comments 2 open-ended questions on ostomy location pouch problems the study. Data were collected health maintenance organization members Oregon, southwestern Washington, northern...
OBJECTIVE: To understand pregnant patients' reasons for prenatal cannabis use and perceptions of safety, desired undesirable health care experiences, information about secondarily to racial differences in these preferences. METHODS: We conducted a qualitative study including 18 semi-structured, race-concordant virtual focus groups with individuals who self-reported at entry large integrated system Northern California from November 2021 December 2021. The included semi-structured questions...
Objective. To assess the impacts of characteristics quality improvement (QI) teams and their environments on team success in designing implementing highquality, enduring depression care programs primary (PC) practices. Study Setting/Data Sources. Two nonprofit managed organizations sponsored five QI tasked with improving for large PC Data is from observer process notes, national expert ratings, administrative data, interviews. Design. Comparative formative evaluation duration implementation...
Purpose To understand psychosocial outcomes after prophylactic removal of the contralateral breast in women with unilateral cancer. Methods We mailed surveys to mastectomy cancer diagnosis between 1979 and 1999 at six health care delivery systems, a smaller random sample without procedure. Measures were modeled on instruments developed assess contentment quality life, body image, sexual satisfaction, concern, depression, perception. examined associations life other domains using logistic...
Abstract: Because of recent studies showing strong prevention benefit and acceptable psychosocial outcomes, more women may be considering prophylactic mastectomy. A growing literature shows some positive outcomes for with bilateral mastectomy, but less is known about contralateral Several surveys have shown that a large majority mastectomy report satisfaction their decisions to the procedure when asked in quantitative, closed-ended format. We sought explore nuances women's using qualitative,...
<h3>Background:</h3> Melanoma incidence and mortality is a growing concern. Better recognition management of skin cancer by primary care providers (PCPs) could help, but studies suggest they would benefit from additional education. Effective educational programs are needed. <h3>Methods:</h3> We developed conducted voluntary before-and-after evaluation 1- to 2-hour interactive, web-based course in detection for practicing, board-certified PCPs...
Eliciting the priorities of cancer survivors is essential to address specific needs survivor subgroups.
<h3>Importance</h3> The increasing use of electronic communications has enhanced access to physicians for patients and clinical staff. Primary care (PCPs) have anecdotally identified inbox management as a new source work-related stress. <h3>Objectives</h3> To describe PCPs' experiences managing their inboxes characterize the array strategies developed by individual practice groups. <h3>Design, Setting, Participants</h3> This qualitative study was conducted in 8 medical centers large group...
Abstract Objective Assess the feasibility of conducting a cluster randomized controlled trial (RCT) comparing technology‐delivered mindfulness‐based intervention (MBI) programs against waitlist control arm targeting advanced cancer patients and their informal caregivers. Methods Two‐arm RCT within Kaiser Permanente Northern California. We recruited with metastatic solid malignancies or hematological cancers Intervention‐group participants chose to use either commercially available...
Most people with opioid use disorder (OUD) never receive treatment. Medication treatment of OUD in primary care is recommended as an approach to increase access care. The PRimary Care Opioid Use Disorders (PROUD) trial tests whether implementation a collaborative model (Massachusetts Model) using nurse manager (NCM) support medication increases and improves outcomes. Specifically, it care, compared usual the number days for (implementation objective) reduces acute health utilization...
<h3>Importance</h3> End-of-life care quality indicators specific to adolescents and young adults (AYAs) aged 12 39 years with cancer have not been developed. <h3>Objective</h3> To identify priority domains for end-of-life from the perspectives of AYAs, family caregivers, clinicians, propose candidate reflecting priorities. <h3>Design, Setting, Participants</h3> This qualitative study was conducted December 6, 2018, January 5, 2021, no additional follow-up. In-depth interviews were patients,...
Importance As rates of prenatal cannabis use increase and legalization spreads across the US, studies are needed to understand potential impacts from perspectives pregnant individuals who cannabis. Objective To characterize individuals’ on for adult in California (effective 2018) relation behaviors beliefs. Design, Setting, Participants This qualitative study was conducted Kaiser Permanente Northern California, a large health care system with universal screening self-reported at entrance...
Few primary care (PC) practices treat patients with medications for opioid use disorder (OUD) despite availability of effective treatments.
Purpose: To determine whether respondents share researchers' understandings of concepts and questions frequently used in the assessment usual physical activity (PA) behavior. Methods: As part On Move, a study aimed at reducing measurement error self-reported (PA), we conducted cognitive interviews with 19 men 21 women, ages 45-65, regarding their responses to PA questionnaires two large, population-based studies, Life After Cancer Epidemiology California Men's Health study. One questionnaire...