About
Titles
Staff Affiliate - VAMC
Appointments
Departments & Organizations
Education & Training
- MS
- Southern Connecticut State University, Exercise Science (2011)
- BS
- Southern Connecticut State University, Exercise Science (2009)
Research
Research at a Glance
Yale Co-Authors
Frequent collaborators of Maria Zenoni's published research.
Publications Timeline
A big-picture view of Maria Zenoni's research output by year.
Terri Fried, MD
Marcia C Mecca, MD
Robert Kerns, PhD
Steve Martino, PhD
Thomas M. Gill, MD
14Publications
1,286Citations
Publications
2024
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
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 ResearchAltmetricConceptsMultiple 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-blinded
2022
Effect of Computer-Tailored Print Feedback, Motivational Interviewing, and Motivational Enhancement Therapy on Engagement in Advance Care Planning
Fried T, Yang M, Martino S, Iannone L, Zenoni M, Blakley L, O’Leary J, Redding C, Paiva A. Effect of Computer-Tailored Print Feedback, Motivational Interviewing, and Motivational Enhancement Therapy on Engagement in Advance Care Planning. JAMA Internal Medicine 2022, 182: 1298-1305. PMID: 36342678, PMCID: PMC9641591, DOI: 10.1001/jamainternmed.2022.5074.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsAdvance care planningMotivational enhancement therapyMotivational interviewingUsual careClinical trialsCare planningEnhancement therapySingle VA facilityPrimary care visitsPrimary care patientsList of patientsSelf-administered toolClinician-led approachQuantity of lifeACP activityHealth care agentSelf-reported completionOversampling of womenElectronic health recordsCare visitsCare patientsTelephone contactOlder veteransMAIN OUTCOMETelephone assessmentPrimary care clinicians’ use of deprescribing recommendations: A mixed-methods study
Mecca MC, Zenoni M, Fried TR. Primary care clinicians’ use of deprescribing recommendations: A mixed-methods study. Patient Education And Counseling 2022, 105: 2715-2720. PMID: 35523638, DOI: 10.1016/j.pec.2022.04.013.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsMedication-related communicationPrimary care cliniciansMedication reconciliationCare cliniciansThorough medication reconciliationClinical decision support toolChronic disease managementAdherence discussionsMedication appropriatenessHypertension medicationsInappropriate medicationsMedication changesIntervention cliniciansHypertension treatmentPrimary careIntervention groupClinician practiceMedicationsIndividualized reportsCliniciansDeintensificationDisease managementMixed-method studyFeedback reportsReport
2021
Effect of the STAMP (Sharing and Talking About My Preferences) Intervention on Completing Multiple Advance Care Planning Activities in Ambulatory Care : A Cluster Randomized Controlled Trial.
Fried TR, Paiva AL, Redding CA, Iannone L, O'Leary JR, Zenoni M, Risi MM, Mejnartowicz S, Rossi JS. Effect of the STAMP (Sharing and Talking About My Preferences) Intervention on Completing Multiple Advance Care Planning Activities in Ambulatory Care : A Cluster Randomized Controlled Trial. Annals Of Internal Medicine 2021, 174: 1519-1527. PMID: 34461035, PMCID: PMC8711627, DOI: 10.7326/m21-1007.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsAdvance care planning activitiesCare planning activitiesAmbulatory care settingsAdvance care planningCare planningCare settingsNon-English speaking participantsSpecialty care practicesUsual care sitesPrespecified subgroup analysisPatient sociodemographic informationNational InstituteParticipant-level analysesQuantity of lifeHealth care agentSecondary outcomesUsual carePrimary outcomeControlled TrialsMean ageSubgroup analysisBlinded interviewersAmbulatory careCare sitesPrint interventionCross Disciplinary Role Agreement is Needed When Coordinating Long‐Term Opioid Prescribing for Cancer: a Qualitative Study
Giannitrapani K, Silveira M, Azarfar A, Glassman P, Singer S, Asch S, Midboe A, Zenoni M, Gamboa R, Becker W, Lorenz K. Cross Disciplinary Role Agreement is Needed When Coordinating Long‐Term Opioid Prescribing for Cancer: a Qualitative Study. Journal Of General Internal Medicine 2021, 36: 1867-1874. PMID: 33948790, PMCID: PMC8298631, DOI: 10.1007/s11606-021-06747-z.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsPrimary care providersCancer pain managementOpioid pain managementPain managementCancer painCare providersChronic cancer-related painLong-term opioid prescribingCommunity-based outpatient clinicsLarge integrated healthcare systemCancer-related painVA Medical CenterIntegrated healthcare systemResearch team consensusOpioid prescribingOncology providersMultiple prescribersOutpatient clinicPrimary careCare coordinationMedical CenterInterdisciplinary providersPainInterdisciplinary cliniciansProvider experienceHow Patients and Providers Weigh the Risks and Benefits of Long-Term Opioid Therapy for Cancer Pain
Giannitrapani KF, Fereydooni S, Silveira MJ, Azarfar A, Glassman PA, Midboe A, Zenoni M, Becker WC, Lorenz KA. How Patients and Providers Weigh the Risks and Benefits of Long-Term Opioid Therapy for Cancer Pain. JCO Oncology Practice 2021, 17: e1038-e1047. PMID: 33534632, DOI: 10.1200/op.20.00679.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsLong-term opioid therapyOpioid therapyCancer painPain managementPatient decision‐making factorsAdequate pain managementOpioid usePatient characteristicsOpioid analgesicsVeteran patientsPatient goalsPrimary carePatient concernsInterdisciplinary providersPatientsPainThematic qualitative methodsProvider experienceTranscribed interview dataPractice settingsSubstance abuseCancer treatmentProvider decisionsOpioidsTherapy
2019
Signature Informed Consent for Long-Term Opioid Therapy in Patients With Cancer: Perspectives of Patients and Providers
Giannitrapani KF, Fereydooni S, Azarfar A, Silveira MJ, Glassman PA, Midboe AM, Bohnert ABS, Zenoni MA, Kerns RD, Pearlman RA, Asch SM, Becker W, Lorenz KA. Signature Informed Consent for Long-Term Opioid Therapy in Patients With Cancer: Perspectives of Patients and Providers. Journal Of Pain And Symptom Management 2019, 59: 49-57. PMID: 31476361, DOI: 10.1016/j.jpainsymman.2019.08.020.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsLong-term opioid therapyCancer-related painOpioid therapyVeterans Health Administration medical centersInformed consentAppropriate literacy levelPerspectives of patientsPatient-provider relationshipCancer-related concernsOpioid useOpioid prescribersPatient interviewsPatient educationMedical CenterPatientsPainProvider perspectivesTherapyCancerConsentLiteracy levelsProvidersPotential disadvantagesEmergent themesOpioidsFeasibility of Delivering a Tailored Intervention for Advance Care Planning in Primary Care Practice
Paiva A, Redding CA, Iannone L, Zenoni M, O'Leary JR, Fried TR. Feasibility of Delivering a Tailored Intervention for Advance Care Planning in Primary Care Practice. Journal Of The American Geriatrics Society 2019, 67: 1917-1921. PMID: 31271654, PMCID: PMC6732008, DOI: 10.1111/jgs.16035.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsPrimary care practicesCare practicesIntervention participantsAdvance Care Planning EngagementMore intervention participantsControl participantsPrimary care settingBaseline sociodemographic characteristicsAdvance care planningFeedback reportsBaseline characteristicsPractice populationIntervention groupCare settingsPatient recruitmentCare planningIntervention deliveryPilot clusterSociodemographic characteristicsHealthcare agentsStatistical significanceTrialsACP behaviorsIndividualized feedback reportsEmployment statusAssessment of Surrogates’ Knowledge of Patients’ Treatment Goals and Confidence in Their Ability to Make Surrogate Treatment Decisions
Fried TR, Zenoni M, Iannone L, O’Leary J. Assessment of Surrogates’ Knowledge of Patients’ Treatment Goals and Confidence in Their Ability to Make Surrogate Treatment Decisions. JAMA Internal Medicine 2019, 179: 267-268. PMID: 30477019, PMCID: PMC6440224, DOI: 10.1001/jamainternmed.2018.5299.Peer-Reviewed Original ResearchCitationsAltmetric
2018
Increasing engagement in advance care planning using a behaviour change model: study protocol for the STAMP randomised controlled trials
Fried TR, Redding CA, Martino S, Paiva A, Iannone L, Zenoni M, Blakley LA, Rossi JS, O'Leary J. Increasing engagement in advance care planning using a behaviour change model: study protocol for the STAMP randomised controlled trials. BMJ Open 2018, 8: e025340. PMID: 30099405, PMCID: PMC6089328, DOI: 10.1136/bmjopen-2018-025340.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsAdvance care planningUsual careCare planningACP engagementAppropriate Institutional Review BoardSafety Monitoring CommitteeComputer-tailored feedbackMotivational enhancement therapySurrogate decision makersInstitutional review boardHigh-quality endBehavior changePrimary outcomeEligible participantsPrimary careMedical recordsOutpatient practiceLife careVA sitesRandomisationEnhancement therapyMonitoring committeeReview boardCommunity studyBehavior change models
Links & Media
News
- November 27, 2022
Randomized Clinical Trial Examines Facilitator-Led Interventions and Self-Administered Tools in Advance Care Planning Engagement
- November 25, 2018
Health surrogates for older adults often don’t know their care preferences
- March 24, 2017
End-of-life planning talks often fail to communicate goals