Marcia C Mecca, MD
she/her/hers
Associate Professor of Medicine (Geriatrics)Cards
About
Research
Overview
Medical Research Interests
Health Priorities; Multiple Chronic Conditions; Polypharmacy
Publications
2024
Communication as a key component of deprescribing: Conceptual framework and review of the literature
Fried T, Ouyang N, Gnjidic D, Green A, Hilmer S, Holmes H, Ko S, Mecca M, Reeve E, Reyes C, Schoenborn N, Singh R, Street R, Wahler R, Funaro M. Communication as a key component of deprescribing: Conceptual framework and review of the literature. Journal Of The American Geriatrics Society 2024, 73: 717-727. PMID: 39663187, DOI: 10.1111/jgs.19305.Peer-Reviewed Original ResearchRandomized clinical trialsHealth system levelDeprescribing interventionsAcademic detailingCommunity settingsDeprescribingOlder personsCommunity outreachIntervention studiesCritical literature reviewObservational studyCommunity levelPartner stakeholdersComponents of communicationStudy objectiveCommunity groupsFeedback materialHealthConceptual frameworkInterventionWorking GroupInternational settingsLiterature reviewContent of studiesCommunityAn innovative approach to aligning healthcare with what matters most to patients: A hybrid type 1 trial protocol of patient priorities care for older adults with multiple chronic conditions
Naik A, Shanahan M, Dindo L, Mecca M, Arney J, Amspoker A, Wydermyer S, Banks J, Street R, Kiefer L, Zenoni M, Rosen T, Gonzalez R, Catic A, Fried T. An innovative approach to aligning healthcare with what matters most to patients: A hybrid type 1 trial protocol of patient priorities care for older adults with multiple chronic conditions. Contemporary Clinical Trials 2024, 143: 107613. PMID: 38914308, DOI: 10.1016/j.cct.2024.107613.Peer-Reviewed Original ResearchMultiple chronic conditionsHealth priorityOlder adultsCare approachChronic conditionsTreatment burdenPriorities of older adultsPatient-centered care approachPatient Priorities CarePatients' health prioritiesPrimary care providersVeterans Affairs Medical CenterHealth care decisionsAffairs Medical CenterHigh treatment burdenComplexity of patientsRandomized controlled trialsPrimary careUsual carePriority careCare providersImplementation outcomesCare decisionsCare optionsAssessor-blindedPatient Priorities Care: Priorities Aligned Decision Making for Persons with Multiple Chronic Conditions
Ouellet J, Samper-Ternent R, Tinetti M, Bonds Johnson K, Mecca M. Patient Priorities Care: Priorities Aligned Decision Making for Persons with Multiple Chronic Conditions. 2024, 353-358. DOI: 10.1007/978-3-031-56204-4_37.ChaptersMultiple chronic conditionsChronic conditionsOlder adultsHealth outcome goalsSelf-management tasksFragmented careGuideline-recommended treatmentSpecialist visitsDisease-basedCombination of medicationsOutcome goalsSilo approachAdultsDecision-makingDiagnostic testsCareClinical trialsHealthVisitsCliniciansHarmMedicationPersonsRecommendationsPolypharmacy, deprescribing, and trust in the clinician–patient relationship
Thomas C, Cohen A, Mecca M. Polypharmacy, deprescribing, and trust in the clinician–patient relationship. Journal Of The American Geriatrics Society 2024, 72: 1562-1565. PMID: 38232315, DOI: 10.1111/jgs.18756.Commentaries, Editorials and Letters
2023
PATIENT PRIORITIES CARE FOR VETERANS
Mecca M. PATIENT PRIORITIES CARE FOR VETERANS. Innovation In Aging 2023, 7: 432-432. PMCID: PMC10737427, DOI: 10.1093/geroni/igad104.1421.Peer-Reviewed Original ResearchVA primary carePrimary careChronic conditionsPatient prioritiesVeterans Affairs Health SystemVeteran careMore chronic conditionsMultiple chronic conditionsGreater socioeconomic disadvantageTeam-based approachUsual careSpecialty careClinician preferencePatient expectationsHealth systemTranscribed verbatimOlder adultsPilot studyStudy proceduresStudy providersSocioeconomic disadvantageCareAssessment interviewsEarly phaseDocumentation of changes
2021
Social Connections for Seniors During COVID-19: An Online Psychoeducation and Peer Support Program
van Dyck L, Wilkins K, Mecca M, Lane C, Conroy M. Social Connections for Seniors During COVID-19: An Online Psychoeducation and Peer Support Program. American Journal Of Geriatric Psychiatry 2021, 29: s135. DOI: 10.1016/j.jagp.2021.01.130.Peer-Reviewed Original ResearchOlder adultsSocial isolationPeer supportSignificant negative health outcomesCOVID-19 programsNegative health outcomesPeer support programMajority of participantsHealth outcomesPsychosocial needsGeriatric psychiatristsSocial connectednessImproved feelingsVulnerable populationsOngoing pandemicOnline psychoeducationAdultsEnhanced mindfulnessPsychoeducationCOVID-19COVID-19 pandemicYale Department
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