A5065983584- Healthcare Policy and Management
- Patient Satisfaction in Healthcare
- Primary Care and Health Outcomes
- Patient-Provider Communication in Healthcare
- Palliative Care and End-of-Life Issues
- Patient Dignity and Privacy
- Health Literacy and Information Accessibility
- Posttraumatic Stress Disorder Research
- Job Satisfaction and Organizational Behavior
- Survey Methodology and Nonresponse
- Gender, Labor, and Family Dynamics
- Work-Family Balance Challenges
- Psychological and Educational Research Studies
- Global Cancer Incidence and Screening
- Gender Diversity and Inequality
- Geriatric Care and Nursing Homes
- COVID-19 and Mental Health
- Family Support in Illness
- Healthcare professionals’ stress and burnout
VA Portland Health Care System
2022-2025
Health Services Research & Development
2023-2025
University of Portland
2025
Government of the United States of America
2022
University of Notre Dame
2021
Lung cancer is a leading cause of cancer-related mortality. However, few treatment decision-making resources exist. In this study, we evaluate low literacy lung conversation tool to enhance shared (SDM). The Improving Decision-Making Encounters in Cancer (iDECIDE) pragmatic, stepped-wedge cluster randomized trial evaluates the effectiveness for patients with cancer. Our primary outcome SDM, multifaceted consisting decisional conflict (DCS), decision self-efficacy (DSES), satisfaction...
Evidence-based decision support resources do not exist for persons with lung cancer. We sought to develop and refine a treatment support, or conversation tool, improve shared decision-making (SDM).We conducted multi-site study among patients stage I-IV non-small cell cancer (NSCLC) who completed had ongoing using semi-structured, cognitive qualitative interviews assess participant understanding of content. used an integrated approach deductive inductive thematic analysis.Twenty-seven NSCLC...
This study was designed to understand the experience and needs surrounding advance care planning (ACP) discussions for surrogate decision-makers of persons with advanced dementia (PWAD). Semi-structured qualitative interviews based on end-of-life communication models a convenience sample 17 clinicians, 15 surrogates PWAD. We used hybrid approach deductive inductive thematic analysis. Two main themes emerged. 1)Deficits in communication: Often did not fully comprehend disease trajectory or...
Many Veterans receive Department of Affairs (VA)-purchased care from non-VA facilities but little is known about factors that consider for this choice. Between May 2020 and August 2021, we surveyed VA-purchased care-eligible VA patients barriers facilitators to choosing where care. We examined the association between travel time their facility choice (VA-paid health received in settings) versus whether was modified by distrust. 1,662 responses 692 (42%) chose a facility. Eighty percent...
The purpose of this experiment was to test the effect gender on knowledge attribution using a Justified True Belief (JTB) framework. A 2 (gender: male, female) × 3 (knowledge case: control, Gettier, ignorance control) experimental design used with sample 420 U.S. adults. Contrary hypotheses, participants attributed similar levels male and female agents across all conditions; also rated males females as equally likely have 'right' answer conditions. However, more be luck (as opposed ability)...
Objective: Evidence-based decision support resources do not exist for persons with lung cancer. We sought to develop and refine a treatment support, or conversation tool, improve shared decision-making. Methods: conducted multi-site study among patients stage I-IV non-small cell cancer (NSCLC) who completed had ongoing using semi-structured, cognitive qualitative interviews. used an integrated approach of deductive analysis inductive thematic analysis.Results: Twenty-seven NSCLC...