2025
Communication in AYA survivorship clinical settings: Best practices and challenges.
Smith S, Martin-Villa B, Kochenderfer M, Schapira L. Communication in AYA survivorship clinical settings: Best practices and challenges. Journal Of Clinical Oncology 2025, 43 DOI: 10.1200/jco.2025.43.16_suppl.e22020.Peer-Reviewed Original ResearchAdolescent/young adultCancer survivorsSemi-structured individual interviewsBarriers to effective communicationAdolescent/young adult survivorsClinician communication strategiesImprove health outcomesEffective communicationLack of timeDiverse practice settingsCommunication best practicesInformation survivorsBest practicesSurvivorship careSurvivorship settingTranscribed verbatimNurse practitionersPrimary careDedoose softwareEvaluate best practicesPerceived BarriersHealth outcomesIndividual interviewsFuture healthPsychosocial effectsBarriers to germline genetic testing in advanced prostate cancer: Survey results from the Germline Genetics Working Group of the Prostate Cancer Clinical Trials Consortium (PCCTC).
Sokolova A, Paller C, Antonarakis E, Barata P, Berchuck J, Darst B, Giri V, Graffeo R, Hathaway F, Kwon D, Loeb S, McKay R, Reichert Z, Ribeiro M, Sachdeva A, Stadler W, Stein M, Taplin M, Weg E, Cheng H. Barriers to germline genetic testing in advanced prostate cancer: Survey results from the Germline Genetics Working Group of the Prostate Cancer Clinical Trials Consortium (PCCTC). Journal Of Clinical Oncology 2025, 43 DOI: 10.1200/jco.2025.43.16_suppl.e17073.Peer-Reviewed Original ResearchGermline genetic testingProstate Cancer Clinical Trials ConsortiumHigh-risk localized prostate cancerGermline testingGenetic testingLocalized prostate cancerAdvanced prostate cancerProstate cancer patientsProstate cancerGenetic counselorsParticipating physiciansClinical workflowMPCa patientsPost-test counsellingGenetic test resultsFree-text commentsSurvey of physiciansMetastatic prostate cancerPhysician uptakeTesting uptakeGenetics educationPerceived BarriersClinic flowClinical Trials ConsortiumFamily historyLabor Market Attachment and Perceived Barriers to Work among Homeless Families
Abdul-Razzak N, Humphries J, Stapleton S, Dijk W. Labor Market Attachment and Perceived Barriers to Work among Homeless Families. AEA Papers And Proceedings 2025, 115: 103-107. DOI: 10.1257/pandp.20251007.Peer-Reviewed Original ResearchLabour market attachmentHomeless familiesMarket attachmentLack of housingChildcare constraintsHomeless parentsBaseline survey dataStable employmentFamily responsibilitiesLack of transportationSurvey dataFinancial resourcesEmploymentSkill deficitsFamilyHomelessnessChildcareHealth problemsParentsLaborHousingUpfront investmentPerceived BarriersJobInvestmentLiver Transplant Provider Perspectives on Posttransplant Management of Alcohol Use Disorder
Cote M, Cloonan D, Li S, Razak S, Singh R, Coe T, Zimbrean P, Andrews S, Ivkovic A, Bartels S, Chadha R, Bethea E, Yeh H, Lim N, Dageforde L. Liver Transplant Provider Perspectives on Posttransplant Management of Alcohol Use Disorder. Transplantation Direct 2025, 11: e1766. PMID: 40078821, PMCID: PMC11896101, DOI: 10.1097/txd.0000000000001766.Peer-Reviewed Original ResearchAUD careAlcohol use disorderAlcohol-associated liver diseasePost-LTLiver transplantationManagement of alcohol use disorderLiver diseaseTreatment of alcohol use disordersTreat alcohol use disorderUse disorderPost-LT treatmentPost-LT patientsMental health professionalsMedication-Assisted TherapyAnalysis of categorical variablesAmerican SocietyNurse coordinatorPerceived BarriersHealth professionalsProvider perspectiveChi-square testPosttransplant managementUnivariate analysis of categorical variablesVolume tertilesAlcohol abstinenceUsing nominal group technique to identify and prioritize barriers to decentralizing HIV care to primary health centers in Lima, Peru
Oliveros D, Konda K, Madden L, Montenegro-Idrogo J, Tafur Quintanilla K, Sosa Barbarán K, Nikitin B, Ponticiello M, Benites C, Sánchez J, Altice F. Using nominal group technique to identify and prioritize barriers to decentralizing HIV care to primary health centers in Lima, Peru. BMC Health Services Research 2025, 25: 466. PMID: 40156011, PMCID: PMC11954239, DOI: 10.1186/s12913-025-12618-8.Peer-Reviewed Original ResearchConceptsPrimary health centersNominal group techniqueDecentralized HIV careHIV careHealth centersHIV servicesGroup of healthcare providersDecentralization of HIV careNominal group technique groupsPatient's continuity of careContinuity of carePeruvian Ministry of HealthGroup techniqueEvidence-based strategiesMinistry of HealthHIV stigmaLack of confidenceHealthcare accessPerceived BarriersProvider groupsHealth outcomesHealthcare providersPatient continuityIdentified barriersEducational meetingsConnecticut providers knowledge and attitudes towards use of extreme risk protection orders
Pandya N, Dodington J, Jacob J, Raskin S. Connecticut providers knowledge and attitudes towards use of extreme risk protection orders. Injury Epidemiology 2025, 12: 17. PMID: 40108727, PMCID: PMC11921588, DOI: 10.1186/s40621-025-00565-1.Peer-Reviewed Original ResearchRisk protection ordersProtection ordersFirearm accessLegislative toolsERPOFiling processLawFirearmPatient relationshipProvider knowledgeConnecticutCourthouseLegislationMedical providersHarmTraining coordinatorsOn-site coordinatorsSuicideProvider trainingOrderPerceived BarriersAttitudesSpecific trainingProvidersConclusionThe majority
2024
IMPLEMENTATION OF COMMUNITY-BASED PALLIATIVE CARE: A SYSTEMATIC SCOPING REVIEW
Ho D, Dissault N, Vick J, Skalla L, Dukkipati H, Ma J, Kaufman B. IMPLEMENTATION OF COMMUNITY-BASED PALLIATIVE CARE: A SYSTEMATIC SCOPING REVIEW. Innovation In Aging 2024, 8: 233-233. PMCID: PMC11689857, DOI: 10.1093/geroni/igae098.0753.Peer-Reviewed Original ResearchCommunity-based palliative carePalliative careSystematic scoping reviewPerceived BarriersScoping ReviewProvider perspectiveEnd-of-life careSocial needs resourcesLeadership buy-inInter-provider communicationEnd-of-lifeReviewers screened articlesImprove quality of lifeQuality of lifePC teamIllness carePC educationCare partnersFramework synthesisProvider levelCategorize themesPractice settingsSpecialty clinicsNeeds resourcesProgram implementationDiagnostic experiences of Black and White patients with uterine cancer: A qualitative study
Britton M, Izampuye E, Clark M, Ornstein R, Nunez-Smith M, Wright J, Xu X. Diagnostic experiences of Black and White patients with uterine cancer: A qualitative study. Gynecologic Oncology 2024, 191: 67-73. PMID: 39362045, PMCID: PMC11637892, DOI: 10.1016/j.ygyno.2024.09.010.Peer-Reviewed Original ResearchDiagnosis of uterine cancerUterine cancerRacial disparitiesHealthcare systemSocial determinants of healthNon-Hispanic White (WhiteGynecologic careDeterminants of healthDiscriminatory experiencesSemi-structured interviewsPatient engagementSocial determinantsAcceptance of discomfortHealthcare accessPerceived BarriersPatient experienceThematic analysisDiagnostic journeyQualitative studyAudio-recordedBlack respondentsWhite patientsNegative experiencesHealthcareStage II-IV diseaseLife and Death: A Multicenter Study Evaluating Cardiologists’ Approach to Difficult Conversations with Fontan Patients and Families
Lee S, Rathod R, Valente A, Davey B, Wu F, Drucker N, Lombardi K, St. Clair N, Azcue N, Toro-Salazar O, Elder R. Life and Death: A Multicenter Study Evaluating Cardiologists’ Approach to Difficult Conversations with Fontan Patients and Families. Pediatric Cardiology 2024, 1-8. PMID: 39164409, DOI: 10.1007/s00246-024-03631-5.Peer-Reviewed Original ResearchPatient-related barriersGoals of carePhysician demographic dataProvider-relatedEnrollment of individualsPerceived BarriersRisk counselingLongitudinal careMental healthThematic approachYears post fellowshipFontan patientsLack of familiarityAdverse event riskDifficult conversationsOutpatient cardiologistPsychosocial stressorsNarrative commentsSignificant barriersAdolescent/young adultPatient-relatedSocial barriersDemographic dataCardiologists' attitudesCareUsing nominal group technique to identify perceived barriers and facilitators to improving uptake of the Prison Needle Exchange Program in Canadian federal prisons by correctional officers and healthcare workers
Kronfli N, Lafferty L, Leone F, Stoové M, Hajarizadeh B, Lloyd A, Altice F. Using nominal group technique to identify perceived barriers and facilitators to improving uptake of the Prison Needle Exchange Program in Canadian federal prisons by correctional officers and healthcare workers. International Journal Of Drug Policy 2024, 130: 104540. PMID: 39079352, DOI: 10.1016/j.drugpo.2024.104540.Peer-Reviewed Original ResearchCorrectional officersCanadian federal prisonsFederal prisonsFear of beingNeedle exchange programsWrap-around servicesComplex application processCorrectional employeesFocus groupsPrisonNominal group techniquePerceived BarriersAutomatic approvalFear of repercussionsHealthcare workersLack of confidentialityExchange programsSyringe programsOfficeDrug useCoverage of evidence-based interventionsCanadian effortsBloodborne virusesEvidence-based interventionsGroup techniqueBarriers and facilitators to involvement in cancer education opportunities among South Carolina cancer care professionals: A cancer training and diversity, equity, and inclusion training needs assessment
Hatch A, Shungu N, Ford M, Toll B. Barriers and facilitators to involvement in cancer education opportunities among South Carolina cancer care professionals: A cancer training and diversity, equity, and inclusion training needs assessment. Journal Of The National Medical Association 2024, 116: 283-291. PMID: 38816266, DOI: 10.1016/j.jnma.2024.05.001.Peer-Reviewed Original ResearchHealthcare professionalsInductive content analysis approachCancer care professionalsNon-Hispanic whitesIdentified educational needsSocial risk factorsAttend educational programsContent analysis approachCases of cancerCancer trainingCancer careCare professionalsPerceived BarriersHealth systemMental healthAnalyzed quantitative dataOptimal careTraining needs assessmentTraining needsEducation programsSouth CarolinaQualitative dataBusy schedulesRisk factorsSurvey instrumentImplementing Entrustable Professional Activities in Pediatric Fellowships: Facilitating the Process.
Langhan M, Boyer D, Hsu D, Moffatt M, Pitts S, Atlas M, Aye T, Chess P, Curran M, Czaja A, Dammann C, Fussell J, George R, Herman B, High P, James S, Kamin D, Karnik R, Kesselheim J, Lopez M, Mahan J, McFadden V, McGann K, Mehta J, Rama J, Robinson B, Sauer C, Stafford D, Turner D, Weiss P, Yussman S, Schwartz A, Mink R. Implementing Entrustable Professional Activities in Pediatric Fellowships: Facilitating the Process. 2024, 153 PMID: 38757175, DOI: 10.1542/peds.2023-065024.Peer-Reviewed Original ResearchEntrustable professional activitiesPediatric fellowshipImplementation of entrustable professional activitiesFellowship program directorsImplementing entrustable professional activitiesFacilitators to implementationFacilitators of implementationResponse rateOutcome dataMultiple organsEPA-based assessmentNonusersAmerican Board of PediatricsPediatric subspecialtiesPerceived BarriersSubspecialty physiciansPotential facilitatorsProgram directorsPediatricAmerican BoardAssessment formAssessment toolPediatric fellowsFPDClinician perspectives regarding CYP2C19 genotype testing in patients with critical limb ischemia: A Delphi approach
Regan C, Scierka L, Dardik A, Tonnessen B, Chaar C, Ionescu C, Aboian E, Cardella J, Nassiri N, Guzman R, Attaran R, Nagpal S, Shah S, Smolderen K, Mena-Hurtado C. Clinician perspectives regarding CYP2C19 genotype testing in patients with critical limb ischemia: A Delphi approach. Vascular 2024, 33: 466-471. PMID: 38669051, DOI: 10.1177/17085381241246318.Peer-Reviewed Original ResearchDual antiplatelet therapyPeripheral arterial diseaseCYP2C19 testingCYP2C19 mutationsHeterogeneity of treatment effectsPeripheral vascular interventionsConsensus statementKnowledge questionsAntiplatelet therapyGenetic testingVascular surgeryAcademic health systemBarriers to implementationInterquartile rangeCYP2C19 genotype testingVascular diseaseInterventional cardiologyModified Delphi MethodPatient's metabolic statusManagement of patientsCritical limb ischemiaPerceived BarriersPeripheral vascular diseaseArterial vascular diseaseClinician perspectivesOrganizational and Implementation Factors Associated with Cirrhosis Care in the Veterans Health Administration
McCurdy H, Nobbe A, Scott D, Patton H, Morgan T, Bajaj J, Yakovchenko V, Merante M, Gibson S, Lamorte C, Baffy G, Ioannou G, Taddei T, Rozenberg-Ben-Dror K, Anwar J, Dominitz J, Rogal S. Organizational and Implementation Factors Associated with Cirrhosis Care in the Veterans Health Administration. Digestive Diseases And Sciences 2024, 69: 2008-2017. PMID: 38616215, DOI: 10.1007/s10620-024-08409-6.Peer-Reviewed Original ResearchVeterans Affairs (VA) medical centersCirrhosis careDashboard usePopulation management toolCare processesSurveillance ratesDepartment of Veterans Affairs (VA) medical centersFactors associated with high performanceVeterans Health AdministrationHCC surveillanceSpecialty carePerceived BarriersData warehouse dataHealth AdministrationImplementation evaluationLinear regression modelsCareGastroenterology serviceMedical CenterMultivariate modelRegression modelsQuality measuresVeteransRate differencesWarehouse dataAddressing Barriers to Entry and Retention of Women in Interventional Vascular Specialties With Proposed Solutions: A Scientific Statement From the American Heart Association
Altin S, Kwong M, Hamburg N, Creager M, Banerjee S, Oladini L, Schneider M, Ruddy J, Council O. Addressing Barriers to Entry and Retention of Women in Interventional Vascular Specialties With Proposed Solutions: A Scientific Statement From the American Heart Association. Circulation 2024, 149: e986-e995. PMID: 38375663, DOI: 10.1161/cir.0000000000001210.Peer-Reviewed Original ResearchScientific statementMedical school graduatesAmerican Heart AssociationParity of womenAddress barriersPerceived BarriersLength of trainingVascular specialtiesCore clerkshipsMedical schoolsVascular interventionsLifestyle considerationsEarly mentorshipHeart AssociationSchool graduatesInterventionWomenSpecialtyRadiation exposureTrainingBarriersWork cultureVascular fieldLifestyleAdvancement of women
2022
Contributions of Trustworthiness, Health Literacy, and Self-Efficacy in Communicating With COVID-19 Vaccine–Hesitant Audiences: Web-Based Survey Study
Weerakoon S, Henson-Garcia M, Valerio-Shewmaker M, Messiah S, Knell G. Contributions of Trustworthiness, Health Literacy, and Self-Efficacy in Communicating With COVID-19 Vaccine–Hesitant Audiences: Web-Based Survey Study. JMIR Formative Research 2022, 6: e38076. PMID: 35878123, PMCID: PMC9345324, DOI: 10.2196/38076.Peer-Reviewed Original ResearchHealth literacyHealth professionalsOdds of vaccine hesitancySelf-EfficacyLow levels of health literacyLevel of health literacyAdequate health literacyImprove health literacyHealth communication challengesHealth care professionalsFinding health informationWeb-based survey studyPerceptions of mistrustHealth care measuresVaccine hesitancyCOVID-19 vaccine hesitancyMultivariate logistic regression modelAssociated with intentionWeb-based surveyLogistic regression modelsFactors associated with COVID-19 vaccine hesitancyCare professionalsPerceived BarriersHealth informationUS adultsManaging Acute Decompensation in Life-Limiting Illness (MADLI): A Novel Simulation Curriculum (S528)
Kozhevnikov D, Wong A, Jubanyik K, Ellman M, Morrison L. Managing Acute Decompensation in Life-Limiting Illness (MADLI): A Novel Simulation Curriculum (S528). Journal Of Pain And Symptom Management 2022, 63: 920-921. DOI: 10.1016/j.jpainsymman.2022.02.151.Peer-Reviewed Original ResearchAcute care settingCare settingsEmergency medicineInternal medicineSimulation curriculumPerceived BarriersCommunication skillsGoals-of-care conversationsLife-limiting illnessImminent deathIllness communication skillsInadequate physical spaceIll patientsDidactic videoPrognostic awarenessAcute carePatient goalsEnvironmental barriersImpending deathClinical managementCare conversationsEmergency departmentResidents' perspectivesGroup interviewsNovel curriculum
2020
Self-Efficacy, Perceived Barriers to Care, and Health-Promoting Behaviors Among Franco-Americans Across Cardiovascular Risk Factors: A Cross-Sectional Study
Mszar R, Buscher S, McCann D, Taylor H. Self-Efficacy, Perceived Barriers to Care, and Health-Promoting Behaviors Among Franco-Americans Across Cardiovascular Risk Factors: A Cross-Sectional Study. American Journal Of Health Promotion 2020, 35: 703-707. PMID: 33375809, DOI: 10.1177/0890117120982412.Peer-Reviewed Original ResearchConceptsHealth care servicesHealth-promoting behaviorsCardiovascular risk factorsCare servicesSelf-EfficacyRisk factorsPrevalence of perceived barriersHealth Belief ModelCross-sectional surveyPublic health strategiesBarriers to CareLow self-efficacyCross-sectional studyAdministered in-personHigher-risk groupsHigh-risk subpopulationsPerceived BarriersHealth strategiesBelief ModelFamilial hypercholesterolemiaIn-personFamily historyHealthCardiovascular needsHigh cholesterol
2018
Perspectives and attitudes toward the integration of oncology and palliative care in Japan: Qualitative analysis of a nationwide survey.
Uneno Y, Nishimura M, Ito S, Morita T, Sato K, Mori M, Shimizu C, Horie Y, Hirakawa M, Nakajima T, Tsuneto S, Muto M. Perspectives and attitudes toward the integration of oncology and palliative care in Japan: Qualitative analysis of a nationwide survey. Journal Of Clinical Oncology 2018, 36: 96-96. DOI: 10.1200/jco.2018.36.34_suppl.96.Peer-Reviewed Original ResearchIntegration of oncologyPerceived facilitatorsPalliative carePerceived BarriersClinical resourcesHealth care professionalsSecondary qualitative analysisHeads of hospitalsCancer HospitalAttitudes of patientsFree-text dataNationwide surveyAmerican Society of Clinical OncologyCare professionalsHealthcare professionalsLack of institutional supportQualitative analysisHospital headOncology departmentContent analysisHospitalMinor categoriesCareOncologyProfessionals
2016
Attitudes of radiation oncologists toward palliative and supportive care in the United States: Report on National Membership Survey by the American Society for Radiation Oncology (ASTRO).
Wei R, Yu J, Mattes M, Thrasher A, Shu H, De Los Santos J, Paganetti H, Koontz B, Abraham C, Balboni T. Attitudes of radiation oncologists toward palliative and supportive care in the United States: Report on National Membership Survey by the American Society for Radiation Oncology (ASTRO). Journal Of Clinical Oncology 2016, 34: 105-105. DOI: 10.1200/jco.2016.34.26_suppl.105.Peer-Reviewed Original ResearchAmerican Society for Radiation OncologyRadiation oncologistsPracticing radiation oncologistsInitiate advance care planningLack of clinical timeCare planning discussionsAdvance care planningMedical education effortsSupportive careCare planningManaging depressionPsychosocial distressPerceived BarriersUnited StatesPlanning discussionsManaging painPractice membersMedical educationClinical timeResidency programsResidency trainingAdvanced cancerEducational effortsMedical oncologistsPalliative radiation
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