A5055979092- Heart Failure Treatment and Management
- Chronic Disease Management Strategies
- Geriatric Care and Nursing Homes
- Medication Adherence and Compliance
- Mechanical Circulatory Support Devices
- Cardiac Health and Mental Health
- Family and Patient Care in Intensive Care Units
- Cardiovascular Function and Risk Factors
- Cardiac Arrest and Resuscitation
- Health disparities and outcomes
- Family Caregiving in Mental Illness
- HIV-related health complications and treatments
- Cardiac pacing and defibrillation studies
- Palliative Care and End-of-Life Issues
- Blood Pressure and Hypertension Studies
- Sleep and related disorders
- Nursing care and research
- HIV/AIDS Research and Interventions
- Telemedicine and Telehealth Implementation
- Resilience and Mental Health
- Sleep and Work-Related Fatigue
- Food Security and Health in Diverse Populations
- Cardiac Structural Anomalies and Repair
- Child Nutrition and Feeding Issues
- Parathyroid Disorders and Treatments
UC Davis Health System
2019-2025
University of California, Davis
2018-2025
RELX Group (United States)
2023-2024
Gordon and Betty Moore Foundation
2024
Bidwell Memorial Presbyterian Church
2020-2023
Q.D. Research
2020-2023
Johns Hopkins University
2021
International Society for Heart and Lung Transplantation
2021
National Institute of Nursing Research
2013-2021
Emory University
2017-2018
Many individuals living with heart failure (HF) rely on unpaid support from their partners, family members, friends, or neighbors as caregivers to help manage chronic disease. Given the advancements in treatments and devices for patients HF, caregiving responsibilities have expanded recent decades include more intensive care increasingly precarious HF-tasks that would previously been undertaken by healthcare professionals clinical settings. The specific tasks of HF vary widely based...
Abstract Disease self‐management is a critical component of maintaining clinical stability for patients with chronic illness. This particularly evident in the context heart failure (HF), which leading cause hospitalization older adults. HF self‐management, commonly known as self‐care, often performed support informal caregivers. However, little about how dyad manages patient's care together. The purpose this study was to identify determinants patient and caregiver contributions self‐care...
Treatment of heart failure (HF) is particularly complex in the presence comorbidities. We sought to identify and associate comorbidity profiles with inpatient outcomes during HF hospitalizations. Latent mixture modeling was used common comorbidities adult hospitalizations for from 2009 Nationwide Inpatient Sample (n = 192,327). Most discharges were characterized by "common" A "lifestyle" profile a high prevalence uncomplicated diabetes, hypertension, chronic pulmonary disorders obesity....
Patients who receive ventricular assist device (VAD) therapy typically rely on informal caregivers (family members or friends) to them in managing their device.
Background: The majority of heart failure (HF) self-care research remains focused on patients, despite the important involvement family caregivers. Although confidence has been found to play an role in effectiveness HF management patient outcomes, no known examined within a dyadic context. Objective: purpose this study was identify individual and determinants care dyads. Methods: Multilevel modeling, which controls for interdependent nature data, used examine 329 Italian dyads (caregivers...
Preventing hospitalization and improving event-free survival are primary goals of heart failure (HF) treatment according to current European Society Cardiology guidelines; however, substantial uncertainty remains in our ability predict risk improve outcomes. Although caregivers often assist patients manage their HF, little is known about influence on clinical outcomes.To quantify the patient caregiver characteristics event HF.This was a secondary analysis data using sample Italian adults...
Background Although current guidelines emphasize the importance of social support to success left ventricular assist device ( LVAD ) therapy, few studies examine influence caregiver on patient outcomes or quantify impact caregiving outcomes. The purpose this analysis was identify and determinants quality life QOL strain in response therapy. Methods Results Data patients receiving therapy their caregivers (n=50 dyads) were prospectively collected pre‐implantation 1, 3, 6 months...
Abstract The number of older adults living with functional decline and serious illness is growing exponentially at a time when availability both family professional caregivers strained. Achieving optimal outcomes for this vulnerable population involves advancing the knowledge needed to improve quality care delivered by families, health professionals, community programs. Recent reports from National Institute Health Academy Science, Engineering Medicine have called identification gaps in key...
Guideline-directed medical therapy (GDMT) is the recommended treatment for heart failure with reduced ejection fraction (HFrEF). However, implementation remains limited, suboptimal use and dosing. The study aimed to assess feasibility effect of a remote monitoring titration program on GDMT implementation.HFrEF patients were randomly assigned receive either usual care or quality-improvement intervention. intervention group used wireless devices transmit rate, blood pressure, weight data...
Mild cognitive dysfunction is common among adults with heart failure (HF). We hypothesized that mild would be associated poor HF self-care behaviors, particularly patients' ability to respond symptoms.We analyzed data on 148 participants in an observational study of symptoms moderate-to-advanced HF. was measured the Montreal Cognitive Assessment (MoCA; range, 0-30), using cutoff scores for general population (26) and cardiovascular disease (24). Heart management (evaluation response...
Caregivers are thought to play a major role in helping patients first appraise and then respond heart failure (HF) symptoms.The aims of this study were to: (a) characterise distinct patterns HF patient-caregiver dyads with respect symptom appraisal; (b) link dyadic appraisal contributions self-care caregiver strain.A cross-sectional descriptive design was used capture patient symptoms (i.e. dyspnoea, fatigue, pain anxiety). Contributions measured using versions the Self-Care Heart Failure...
Advance care planning (ACP) supports communication and medical decision-making is best conceptualized as part of the continuum. Black older adults have lower ACP engagement poorer quality in serious illness. Surrogates are essential to effective but rarely integrated planning. Our objective was describe readiness, barriers, facilitators among seriously ill their surrogates. We used an explanatory sequential mixed methods study design. The setting 2 ambulatory specialty clinics academic...
No studies examine associations between acculturation and physical activity (PA) in California's foreign-born Black population, even though rates of PA are lower populations, a risk for cardiovascular disease, this population is growing. Further, despite differences CVD by sex mental health status; no have examined whether these factors modify PA. We used the California Health Interview Survey (2012-2017) fully adjusted, survey-weighted regression models to time US as proxy (i.e., <10 years...
Comparatively less research has been done on caregiving for persons with cardiovascular disease (CVD) than in other chronic conditions, leaving gaps guidance clinical care and interventions. We aimed to describe the needs of older adults CVD United States identify determinants stress mental health their partners. This was a cross-sectional analysis using National Health Aging Trends Study (n = 1011 CVD) Caregiving 510 partners). compared differences without described partners' activities....