The Experts below are selected from a list of 9369 Experts worldwide ranked by ideXlab platform
Zurab Azmaiparashvili - One of the best experts on this subject based on the ideXlab platform.
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palliative care utilization among patients with covid 19 in an Underserved Population a single center retrospective study
Journal of Pain and Symptom Management, 2020Co-Authors: Ali Haydar, Abhinav Goyal, Fahad Gul, Eric D Peterson, Ruchika Bhargav, Robert Dejoy, Grace Salacup, Jerald Pelayo, Jeri Albano, Zurab AzmaiparashviliAbstract:Abstract Background As health-care institutions mobilize resources to address the coronavirus disease 2019 (COVID-19) pandemic, palliative care may potentially be underutilized. It is important to assess the use of palliative care in response to the COVID-19 pandemic. Methods This is a retrospective single-center study of patients with COVID-19 diagnosed via reverse transcriptase-polymerase chain reaction assay admitted between March 1, 2020, and April 24, 2020. An analysis of the utilization of palliative care in accordance with patient comorbidities and other characteristics was performed while considering clinical outcomes. Chi-square test was used to determine associations between categorical variables while t-tests were used to compare continuous variables. Results The overall mortality rate was 21.5% (n = 52), and in 48% (n = 25) of these patients, palliative care was not involved. Fifty-nine percent (n = 24) of those who had palliative consults eventually elected for comfort measures and transitioned to hospice care. Among those classified as having severe COVID-19, only 40% (n = 31) had palliative care involvement. Of these patients with severe COVID-19, 68% (n = 52) died. Patients who got palliative care consults were of older age, had higher rates of intubation, a need for vasopressors, and were dead. Conclusion There was a low utilization rate of palliative care in patients with COVID-19. Conscious utilization of palliative care is needed at the time of COVID-19.
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palliative care utilization among patients with covid 19 in an Underserved Population a single center retrospective study
Journal of Pain and Symptom Management, 2020Co-Authors: Ali Haydar, Abhinav Goyal, Fahad Gul, Eric D Peterson, Ruchika Bhargav, Robert Dejoy, Grace Salacup, Jerald Pelayo, Jeri Albano, Zurab AzmaiparashviliAbstract:Abstract Background As health-care institutions mobilize resources to address the coronavirus disease 2019 (COVID-19) pandemic, palliative care may potentially be underutilized. It is important to assess the use of palliative care in response to the COVID-19 pandemic. Methods This is a retrospective single-center study of patients with COVID-19 diagnosed via reverse transcriptase-polymerase chain reaction assay admitted between March 1, 2020, and April 24, 2020. An analysis of the utilization of palliative care in accordance with patient comorbidities and other characteristics was performed while considering clinical outcomes. Chi-square test was used to determine associations between categorical variables while t-tests were used to compare continuous variables. Results The overall mortality rate was 21.5% (n = 52), and in 48% (n = 25) of these patients, palliative care was not involved. Fifty-nine percent (n = 24) of those who had palliative consults eventually elected for comfort measures and transitioned to hospice care. Among those classified as having severe COVID-19, only 40% (n = 31) had palliative care involvement. Of these patients with severe COVID-19, 68% (n = 52) died. Patients who received palliative care consults were of older age, had higher rates of intubation, a need for vasopressors, and had higher rates of mortality. Conclusion There was a low utilization rate of palliative care in patients with COVID-19. Conscious utilization of palliative care is needed at the time of COVID-19.
Kimberly A Kaphingst - One of the best experts on this subject based on the ideXlab platform.
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relationships between health literacy and genomics related knowledge self efficacy perceived importance and communication in a medically Underserved Population
Journal of Health Communication, 2016Co-Authors: Kimberly A Kaphingst, Melvin Blanchard, Laurel Milam, Manusheela Pokharel, Ashley Elrick, Melody S GoodmanAbstract:The increasing importance of genomic information in clinical care heightens the need to examine how individuals understand, value, and communicate about this information. Based on a conceptual framework of genomics-related health literacy, we examined whether health literacy was related to knowledge, self-efficacy, and perceived importance of genetics and family health history (FHH) and communication about FHH in a medically Underserved Population. The analytic sample was composed of 624 patients at a primary care clinic in a large urban hospital. About half of the participants (47%) had limited health literacy; 55% had no education beyond high school, and 58% were Black. In multivariable models, limited health literacy was associated with lower genetic knowledge (β = -0.55, SE = 0.10, p < .0001), lower awareness of FHH (odds ratio [OR] = 0.50, 95% confidence interval [CI; 0.28, 0.90], p = .020), and greater perceived importance of genetic information (OR = 1.95, 95% CI [1.27, 3.00], p = .0022) but lower perceived importance of FHH information (OR = 0.47, 95% CI [0.26, 0.86], p = .013) and more frequent communication with a doctor about FHH (OR = 2.02, 95% CI [1.27, 3.23], p = .0032). The findings highlight the importance of considering domains of genomics-related health literacy (e.g., knowledge, oral literacy) in developing educational strategies for genomic information. Health literacy research is essential to avoid increasing disparities in information and health outcomes as genomic information reaches more patients.
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effects of racial and ethnic group and health literacy on responses to genomic risk information in a medically Underserved Population
Health Psychology, 2015Co-Authors: Kimberly A Kaphingst, Jewel D Stafford, Lucy Dagostino Mcgowan, Joann Seo, Christina Lachance, Melody S GoodmanAbstract:OBJECTIVE Few studies have examined how individuals respond to genomic risk information for common, chronic diseases. This randomized study examined differences in responses by type of genomic information (genetic test/family history) and disease condition (diabetes/heart disease), and by race/ethnicity in a medically Underserved Population. METHODS 1,057 English-speaking adults completed a survey containing 1 of 4 vignettes (2-by-2 randomized design). Differences in dependent variables (i.e., interest in receiving genomic assessment, discussing with doctor or family, changing health habits) by experimental condition and race/ethnicity were examined using chi-squared tests and multivariable regression analysis. RESULTS No significant differences were found in dependent variables by type of genomic information or disease condition. In multivariable models, Hispanics were more interested in receiving a genomic assessment than Whites (OR = 1.93; p < .0001); respondents with marginal (OR = 1.54; p = .005) or limited (OR = 1.85; p = .009) health literacy had greater interest than those with adequate health literacy. Blacks (OR = 1.78; p = .001) and Hispanics (OR = 1.85; p = .001) had greater interest in discussing information with family than Whites. Non-Hispanic Blacks (OR = 1.45; p = .04) had greater interest in discussing genomic information with a doctor than Whites. Blacks (β = -0.41; p < .001) and Hispanics (β = -0.25; p = .033) intended to change fewer health habits than Whites; health literacy was negatively associated with number of health habits participants intended to change. CONCLUSIONS Findings suggest that race/ethnicity may affect responses to genomic risk information. Additional research could examine how cognitive representations of this information differ across racial/ethnic groups. Health literacy is also critical to consider in developing approaches to communicating genomic information.
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factors affecting frequency of communication about family health history with family members and doctors in a medically Underserved Population
Patient Education and Counseling, 2012Co-Authors: Kimberly A Kaphingst, Melody S Goodman, Jewel D Stafford, Chintan Pandya, Priyanka Garg, Christina LachanceAbstract:Objective Family history contributes to risk for many common chronic diseases. Little research has investigated patient factors affecting communication of this information.
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perceived familiarity with and importance of family health history among a medically Underserved Population
Journal of Community Genetics, 2012Co-Authors: Sato Ashida, Jewel D Stafford, Melody S Goodman, Christina Lachance, Kimberly A KaphingstAbstract:Inadequate knowledge of family health history (FHH) continues to be a major obstacle limiting its usefulness in public health and clinical practice; strategies to facilitate FHH dissemination are needed. Data (N = 1,334) were obtained through waiting-room surveys completed by a diverse sample of patients attending three community health centers. Perceptions about the importance of genetic information (β = 0.13, p 50 years) reported higher familiarity than those in the youngest (18-25 years). Those with higher familiarity were significantly less likely to answer "don't know" when reporting diabetes and heart disease diagnoses among immediate (OR = 0.35 and OR = 0.29, respectively) and extended (OR = 0.50 and OR = 0.46, respectively) family members. Having a wider health communication reach within a family may be beneficial in increasing familiarity with FHH; however, the reported levels of communication reach were limited among most participants. Women, older-generation family members, and those who believe in the importance of genetics in health or feel confident about using genetic information may be particularly important as targets of public health interventions to facilitate FHH dissemination within families.
Melody S Goodman - One of the best experts on this subject based on the ideXlab platform.
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relationships between health literacy and genomics related knowledge self efficacy perceived importance and communication in a medically Underserved Population
Journal of Health Communication, 2016Co-Authors: Kimberly A Kaphingst, Melvin Blanchard, Laurel Milam, Manusheela Pokharel, Ashley Elrick, Melody S GoodmanAbstract:The increasing importance of genomic information in clinical care heightens the need to examine how individuals understand, value, and communicate about this information. Based on a conceptual framework of genomics-related health literacy, we examined whether health literacy was related to knowledge, self-efficacy, and perceived importance of genetics and family health history (FHH) and communication about FHH in a medically Underserved Population. The analytic sample was composed of 624 patients at a primary care clinic in a large urban hospital. About half of the participants (47%) had limited health literacy; 55% had no education beyond high school, and 58% were Black. In multivariable models, limited health literacy was associated with lower genetic knowledge (β = -0.55, SE = 0.10, p < .0001), lower awareness of FHH (odds ratio [OR] = 0.50, 95% confidence interval [CI; 0.28, 0.90], p = .020), and greater perceived importance of genetic information (OR = 1.95, 95% CI [1.27, 3.00], p = .0022) but lower perceived importance of FHH information (OR = 0.47, 95% CI [0.26, 0.86], p = .013) and more frequent communication with a doctor about FHH (OR = 2.02, 95% CI [1.27, 3.23], p = .0032). The findings highlight the importance of considering domains of genomics-related health literacy (e.g., knowledge, oral literacy) in developing educational strategies for genomic information. Health literacy research is essential to avoid increasing disparities in information and health outcomes as genomic information reaches more patients.
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effects of racial and ethnic group and health literacy on responses to genomic risk information in a medically Underserved Population
Health Psychology, 2015Co-Authors: Kimberly A Kaphingst, Jewel D Stafford, Lucy Dagostino Mcgowan, Joann Seo, Christina Lachance, Melody S GoodmanAbstract:OBJECTIVE Few studies have examined how individuals respond to genomic risk information for common, chronic diseases. This randomized study examined differences in responses by type of genomic information (genetic test/family history) and disease condition (diabetes/heart disease), and by race/ethnicity in a medically Underserved Population. METHODS 1,057 English-speaking adults completed a survey containing 1 of 4 vignettes (2-by-2 randomized design). Differences in dependent variables (i.e., interest in receiving genomic assessment, discussing with doctor or family, changing health habits) by experimental condition and race/ethnicity were examined using chi-squared tests and multivariable regression analysis. RESULTS No significant differences were found in dependent variables by type of genomic information or disease condition. In multivariable models, Hispanics were more interested in receiving a genomic assessment than Whites (OR = 1.93; p < .0001); respondents with marginal (OR = 1.54; p = .005) or limited (OR = 1.85; p = .009) health literacy had greater interest than those with adequate health literacy. Blacks (OR = 1.78; p = .001) and Hispanics (OR = 1.85; p = .001) had greater interest in discussing information with family than Whites. Non-Hispanic Blacks (OR = 1.45; p = .04) had greater interest in discussing genomic information with a doctor than Whites. Blacks (β = -0.41; p < .001) and Hispanics (β = -0.25; p = .033) intended to change fewer health habits than Whites; health literacy was negatively associated with number of health habits participants intended to change. CONCLUSIONS Findings suggest that race/ethnicity may affect responses to genomic risk information. Additional research could examine how cognitive representations of this information differ across racial/ethnic groups. Health literacy is also critical to consider in developing approaches to communicating genomic information.
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factors affecting frequency of communication about family health history with family members and doctors in a medically Underserved Population
Patient Education and Counseling, 2012Co-Authors: Kimberly A Kaphingst, Melody S Goodman, Jewel D Stafford, Chintan Pandya, Priyanka Garg, Christina LachanceAbstract:Objective Family history contributes to risk for many common chronic diseases. Little research has investigated patient factors affecting communication of this information.
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perceived familiarity with and importance of family health history among a medically Underserved Population
Journal of Community Genetics, 2012Co-Authors: Sato Ashida, Jewel D Stafford, Melody S Goodman, Christina Lachance, Kimberly A KaphingstAbstract:Inadequate knowledge of family health history (FHH) continues to be a major obstacle limiting its usefulness in public health and clinical practice; strategies to facilitate FHH dissemination are needed. Data (N = 1,334) were obtained through waiting-room surveys completed by a diverse sample of patients attending three community health centers. Perceptions about the importance of genetic information (β = 0.13, p 50 years) reported higher familiarity than those in the youngest (18-25 years). Those with higher familiarity were significantly less likely to answer "don't know" when reporting diabetes and heart disease diagnoses among immediate (OR = 0.35 and OR = 0.29, respectively) and extended (OR = 0.50 and OR = 0.46, respectively) family members. Having a wider health communication reach within a family may be beneficial in increasing familiarity with FHH; however, the reported levels of communication reach were limited among most participants. Women, older-generation family members, and those who believe in the importance of genetics in health or feel confident about using genetic information may be particularly important as targets of public health interventions to facilitate FHH dissemination within families.
Ali Haydar - One of the best experts on this subject based on the ideXlab platform.
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palliative care utilization among patients with covid 19 in an Underserved Population a single center retrospective study
Journal of Pain and Symptom Management, 2020Co-Authors: Ali Haydar, Abhinav Goyal, Fahad Gul, Eric D Peterson, Ruchika Bhargav, Robert Dejoy, Grace Salacup, Jerald Pelayo, Jeri Albano, Zurab AzmaiparashviliAbstract:Abstract Background As health-care institutions mobilize resources to address the coronavirus disease 2019 (COVID-19) pandemic, palliative care may potentially be underutilized. It is important to assess the use of palliative care in response to the COVID-19 pandemic. Methods This is a retrospective single-center study of patients with COVID-19 diagnosed via reverse transcriptase-polymerase chain reaction assay admitted between March 1, 2020, and April 24, 2020. An analysis of the utilization of palliative care in accordance with patient comorbidities and other characteristics was performed while considering clinical outcomes. Chi-square test was used to determine associations between categorical variables while t-tests were used to compare continuous variables. Results The overall mortality rate was 21.5% (n = 52), and in 48% (n = 25) of these patients, palliative care was not involved. Fifty-nine percent (n = 24) of those who had palliative consults eventually elected for comfort measures and transitioned to hospice care. Among those classified as having severe COVID-19, only 40% (n = 31) had palliative care involvement. Of these patients with severe COVID-19, 68% (n = 52) died. Patients who got palliative care consults were of older age, had higher rates of intubation, a need for vasopressors, and were dead. Conclusion There was a low utilization rate of palliative care in patients with COVID-19. Conscious utilization of palliative care is needed at the time of COVID-19.
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palliative care utilization among patients with covid 19 in an Underserved Population a single center retrospective study
Journal of Pain and Symptom Management, 2020Co-Authors: Ali Haydar, Abhinav Goyal, Fahad Gul, Eric D Peterson, Ruchika Bhargav, Robert Dejoy, Grace Salacup, Jerald Pelayo, Jeri Albano, Zurab AzmaiparashviliAbstract:Abstract Background As health-care institutions mobilize resources to address the coronavirus disease 2019 (COVID-19) pandemic, palliative care may potentially be underutilized. It is important to assess the use of palliative care in response to the COVID-19 pandemic. Methods This is a retrospective single-center study of patients with COVID-19 diagnosed via reverse transcriptase-polymerase chain reaction assay admitted between March 1, 2020, and April 24, 2020. An analysis of the utilization of palliative care in accordance with patient comorbidities and other characteristics was performed while considering clinical outcomes. Chi-square test was used to determine associations between categorical variables while t-tests were used to compare continuous variables. Results The overall mortality rate was 21.5% (n = 52), and in 48% (n = 25) of these patients, palliative care was not involved. Fifty-nine percent (n = 24) of those who had palliative consults eventually elected for comfort measures and transitioned to hospice care. Among those classified as having severe COVID-19, only 40% (n = 31) had palliative care involvement. Of these patients with severe COVID-19, 68% (n = 52) died. Patients who received palliative care consults were of older age, had higher rates of intubation, a need for vasopressors, and had higher rates of mortality. Conclusion There was a low utilization rate of palliative care in patients with COVID-19. Conscious utilization of palliative care is needed at the time of COVID-19.
Michelle A Lally - One of the best experts on this subject based on the ideXlab platform.
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hpv vaccination practices among juvenile justice facilities in the united states
Journal of Adolescent Health, 2010Co-Authors: Courtney Henderson, Josiah D Rich, Michelle A LallyAbstract:The juvenile justice setting provides a unique opportunity to administer the human papillomavirus (HPV) vaccine to a high-risk, medically Underserved Population. We examined current HPV vaccination practices in the United States. Most states (39) offer the HPV vaccine to females committed to juvenile justice facilities.
