The Experts below are selected from a list of 1998 Experts worldwide ranked by ideXlab platform

Francesca Tentori - One of the best experts on this subject based on the ideXlab platform.

  • Coping with kidney disease – qualitative findings from the Empowering Patients on Choices for Renal Replacement Therapy (EPOCH-RRT) study
    'Springer Science and Business Media LLC', 2017
    Co-Authors: Lalita Subramanian, Martha Quinn, Junhui Zhao, Laurie Lachance, Jarcy Zee, Francesca Tentori
    Abstract:

    Abstract Background The highly burdensome effects of kidney failure and its management impose many life-altering changes on patients. Better understanding of successful coping strategies will inform patients and help health care providers support patients’ needs as they navigate these changes together. Methods A qualitative, cross-sectional study involving semi-structured telephone interviews including open- and closed-ended questions, with 179 U.S. patients with advanced chronic kidney disease (CKD), either not yet on dialysis ([CKD-ND], n = 65), or on dialysis (hemodialysis [HD], n = 76; or peritoneal dialysis [PD], n = 38) recruited through social media and in-person contacts from June to December 2013. Themes identified through content analysis of interview transcripts were classified based on the Coping Strategies Index (CSI) and compared across groups by demographics, treatment modality, and health status. Results Overall, more engagement than disengagement strategies were observed. “Take care of myself and follow Doctors’ Orders,” “accept it,” and “rely on family and friends” were the common coping themes. Participants often used multiple coping strategies. Various factors such as treatment modality, time since diagnosis, presence of other chronic comorbidities, and self-perceived limitations contributed to types of coping strategies used by CKD patients. Conclusions The simultaneous use of coping strategies that span different categories within each of the CSI subscales by CKD patients reflects the complex and reactive response to the variable demands of the disease and its treatment options on their lives. Learning from the lived experience of others could empower patients to more frequently use positive coping strategies depending on their personal context as well as the stage of the disease and associated stressors. Moreover, this understanding can improve the support provided by health care systems and providers to patients to better deal with the many challenges they face in living with kidney disease

Tentori Francesca - One of the best experts on this subject based on the ideXlab platform.

  • Coping with kidney disease – qualitative findings from the Empowering Patients on Choices for Renal Replacement Therapy (EPOCH-RRT) study
    'Springer Science and Business Media LLC', 2017
    Co-Authors: Subramanian Lalita, Quinn Martha, Zhao Junhui, Lachance Laurie, Zee Jarcy, Tentori Francesca
    Abstract:

    Abstract Background The highly burdensome effects of kidney failure and its management impose many life-altering changes on patients. Better understanding of successful coping strategies will inform patients and help health care providers support patients’ needs as they navigate these changes together. Methods A qualitative, cross-sectional study involving semi-structured telephone interviews including open- and closed-ended questions, with 179 U.S. patients with advanced chronic kidney disease (CKD), either not yet on dialysis ([CKD-ND], n = 65), or on dialysis (hemodialysis [HD], n = 76; or peritoneal dialysis [PD], n = 38) recruited through social media and in-person contacts from June to December 2013. Themes identified through content analysis of interview transcripts were classified based on the Coping Strategies Index (CSI) and compared across groups by demographics, treatment modality, and health status. Results Overall, more engagement than disengagement strategies were observed. “Take care of myself and follow Doctors’ Orders,” “accept it,” and “rely on family and friends” were the common coping themes. Participants often used multiple coping strategies. Various factors such as treatment modality, time since diagnosis, presence of other chronic comorbidities, and self-perceived limitations contributed to types of coping strategies used by CKD patients. Conclusions The simultaneous use of coping strategies that span different categories within each of the CSI subscales by CKD patients reflects the complex and reactive response to the variable demands of the disease and its treatment options on their lives. Learning from the lived experience of others could empower patients to more frequently use positive coping strategies depending on their personal context as well as the stage of the disease and associated stressors. Moreover, this understanding can improve the support provided by health care systems and providers to patients to better deal with the many challenges they face in living with kidney disease.https://deepblue.lib.umich.edu/bitstream/2027.42/136225/1/12882_2017_Article_542.pd

Loos, Joanne Romero - One of the best experts on this subject based on the ideXlab platform.

  • Examining the Influence of Wearable Health Monitors on Patients and Physicians in a Filipino Community
    University of Hawai'i at Manoa, 2019
    Co-Authors: Loos, Joanne Romero
    Abstract:

    Considerable growth in the use of wearable health monitors, paired with calls for more patient engagement, lead one to question how the increased adoption of wearables can be leveraged to improve health outcomes overall. Individuals of Filipino descent are at an increased risk for chronic conditions. This suggests that this population in particular could benefit from interventions aimed at increasing physical activity (PA) and improving health overall. Some studies have investigated wearables’ effectiveness at increasing an individual’s PA, while others have looked at patient participation in medical visits as mechanisms through which patients engage in healthier behaviors. As more individuals adopt wearables, the health data generated by these devices could become integrated in physician-patient communication in ways that might improve health outcomes. Further, the impact of these devices on psychological aspects related to health, such as self-efficacy, may have indirect effects that extend to communication in office visits. However, we do not yet know enough about how individual patients, particularly those of Filipino descent, will adopt these devices and whether or how their experiences with wearables will enhance, or potentially detract, from communication between physicians and patients during healthcare encounters. Drawing on studies about physician-patient communication, health behavior change, information technologies, and public health, this study sought to investigate: (i) how the use of a wearable affected self-efficacy, and (ii) how the use of a wearable affected physician-patient communication in a rural, predominantly Filipino community. This research employed a quasi-experimental field study with patient participants who were given Fitbit Flex devices and attended medical visits with their physicians. Patients were recruited from the private practices of a family doctor and an internal medicine physician in a rural, predominantly Filipino community in Oahu, Hawaii. The study incorporated multiple measurements and gathered data from questionnaires, recorded medical appointments, exported data from the wearable devices, phone interviews, and encounter notes. Results indicate that wearables show promise at enhancing physician-patient communication, but in unexpected ways. This study did not find significant relationships between wearable use and self-efficacy and/or patient participation in medical visits. However it found that, if incorporated into the conversation, wearables may help to improve physician-patient communication in medical encounters through other avenues, such as extending the conversation into lifestyle choices and providing a source of proof for patients to exhibit that they are following their Doctors’ Orders. This study highlights challenges that patients in this population might face when it comes to adopting a wearable and suggests potential avenues of exploring those challenges further. Digital divide issues are present and extend beyond access to resources and into usage of digital resources. This may counter adoption and restrict efficacy-enhancing mechanisms of devices in populations such as the predominantly Filipino population studied here. This research proposes an extended research model that may help to inform future studies of this nature.Ph.D. Thesis. Ph.D. Thesis. University of Hawaiʻi at Mānoa 2019Ph.D

  • Examining the Influence of Wearable Health Monitors on Patients and Physicians in a Filipino Community
    University of Hawai'i at Manoa, 2019
    Co-Authors: Loos, Joanne Romero
    Abstract:

    Considerable growth in the use of wearable health monitors, paired with calls for more patient engagement, lead one to question how the increased adoption of wearables can be leveraged to improve health outcomes overall. Individuals of Filipino descent are at an increased risk for chronic conditions. This suggests that this population in particular could benefit from interventions aimed at increasing physical activity (PA) and improving health overall. Some studies have investigated wearables’ effectiveness at increasing an individual’s PA, while others have looked at patient participation in medical visits as mechanisms through which patients engage in healthier behaviors. As more individuals adopt wearables, the health data generated by these devices could become integrated in physician-patient communication in ways that might improve health outcomes. Further, the impact of these devices on psychological aspects related to health, such as self-efficacy, may have indirect effects that extend to communication in office visits. However, we do not yet know enough about how individual patients, particularly those of Filipino descent, will adopt these devices and whether or how their experiences with wearables will enhance, or potentially detract, from communication between physicians and patients during healthcare encounters. Drawing on studies about physician-patient communication, health behavior change, information technologies, and public health, this study sought to investigate: (i) how the use of a wearable affected self-efficacy, and (ii) how the use of a wearable affected physician-patient communication in a rural, predominantly Filipino community. This research employed a quasi-experimental field study with patient participants who were given Fitbit Flex devices and attended medical visits with their physicians. Patients were recruited from the private practices of a family doctor and an internal medicine physician in a rural, predominantly Filipino community in Oahu, Hawaii. The study incorporated multiple measurements and gathered data from questionnaires, recorded medical appointments, exported data from the wearable devices, phone interviews, and encounter notes. Results indicate that wearables show promise at enhancing physician-patient communication, but in unexpected ways. This study did not find significant relationships between wearable use and self-efficacy and/or patient participation in medical visits. However it found that, if incorporated into the conversation, wearables may help to improve physician-patient communication in medical encounters through other avenues, such as extending the conversation into lifestyle choices and providing a source of proof for patients to exhibit that they are following their Doctors’ Orders. This study highlights challenges that patients in this population might face when it comes to adopting a wearable and suggests potential avenues of exploring those challenges further. Digital divide issues are present and extend beyond access to resources and into usage of digital resources. This may counter adoption and restrict efficacy-enhancing mechanisms of devices in populations such as the predominantly Filipino population studied here. This research proposes an extended research model that may help to inform future studies of this nature.Ph.D. Thesis. University of Hawaiʻi at Mānoa 2019Ph.D

Lalita Subramanian - One of the best experts on this subject based on the ideXlab platform.

  • Coping with kidney disease – qualitative findings from the Empowering Patients on Choices for Renal Replacement Therapy (EPOCH-RRT) study
    'Springer Science and Business Media LLC', 2017
    Co-Authors: Lalita Subramanian, Martha Quinn, Junhui Zhao, Laurie Lachance, Jarcy Zee, Francesca Tentori
    Abstract:

    Abstract Background The highly burdensome effects of kidney failure and its management impose many life-altering changes on patients. Better understanding of successful coping strategies will inform patients and help health care providers support patients’ needs as they navigate these changes together. Methods A qualitative, cross-sectional study involving semi-structured telephone interviews including open- and closed-ended questions, with 179 U.S. patients with advanced chronic kidney disease (CKD), either not yet on dialysis ([CKD-ND], n = 65), or on dialysis (hemodialysis [HD], n = 76; or peritoneal dialysis [PD], n = 38) recruited through social media and in-person contacts from June to December 2013. Themes identified through content analysis of interview transcripts were classified based on the Coping Strategies Index (CSI) and compared across groups by demographics, treatment modality, and health status. Results Overall, more engagement than disengagement strategies were observed. “Take care of myself and follow Doctors’ Orders,” “accept it,” and “rely on family and friends” were the common coping themes. Participants often used multiple coping strategies. Various factors such as treatment modality, time since diagnosis, presence of other chronic comorbidities, and self-perceived limitations contributed to types of coping strategies used by CKD patients. Conclusions The simultaneous use of coping strategies that span different categories within each of the CSI subscales by CKD patients reflects the complex and reactive response to the variable demands of the disease and its treatment options on their lives. Learning from the lived experience of others could empower patients to more frequently use positive coping strategies depending on their personal context as well as the stage of the disease and associated stressors. Moreover, this understanding can improve the support provided by health care systems and providers to patients to better deal with the many challenges they face in living with kidney disease

Subramanian Lalita - One of the best experts on this subject based on the ideXlab platform.

  • Coping with kidney disease – qualitative findings from the Empowering Patients on Choices for Renal Replacement Therapy (EPOCH-RRT) study
    'Springer Science and Business Media LLC', 2017
    Co-Authors: Subramanian Lalita, Quinn Martha, Zhao Junhui, Lachance Laurie, Zee Jarcy, Tentori Francesca
    Abstract:

    Abstract Background The highly burdensome effects of kidney failure and its management impose many life-altering changes on patients. Better understanding of successful coping strategies will inform patients and help health care providers support patients’ needs as they navigate these changes together. Methods A qualitative, cross-sectional study involving semi-structured telephone interviews including open- and closed-ended questions, with 179 U.S. patients with advanced chronic kidney disease (CKD), either not yet on dialysis ([CKD-ND], n = 65), or on dialysis (hemodialysis [HD], n = 76; or peritoneal dialysis [PD], n = 38) recruited through social media and in-person contacts from June to December 2013. Themes identified through content analysis of interview transcripts were classified based on the Coping Strategies Index (CSI) and compared across groups by demographics, treatment modality, and health status. Results Overall, more engagement than disengagement strategies were observed. “Take care of myself and follow Doctors’ Orders,” “accept it,” and “rely on family and friends” were the common coping themes. Participants often used multiple coping strategies. Various factors such as treatment modality, time since diagnosis, presence of other chronic comorbidities, and self-perceived limitations contributed to types of coping strategies used by CKD patients. Conclusions The simultaneous use of coping strategies that span different categories within each of the CSI subscales by CKD patients reflects the complex and reactive response to the variable demands of the disease and its treatment options on their lives. Learning from the lived experience of others could empower patients to more frequently use positive coping strategies depending on their personal context as well as the stage of the disease and associated stressors. Moreover, this understanding can improve the support provided by health care systems and providers to patients to better deal with the many challenges they face in living with kidney disease.https://deepblue.lib.umich.edu/bitstream/2027.42/136225/1/12882_2017_Article_542.pd