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 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-blinded
2022
Primary 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 ResearchConceptsMedication-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
Cross 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 ResearchConceptsPrimary 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 ResearchConceptsLong-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
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 ResearchConceptsAdvance 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
2017
Engagement in Advance Care Planning and Surrogates’ Knowledge of Patients’ Treatment Goals
Fried TR, Zenoni M, Iannone L, O'Leary J, Fenton BT. Engagement in Advance Care Planning and Surrogates’ Knowledge of Patients’ Treatment Goals. Journal Of The American Geriatrics Society 2017, 65: 1712-1718. PMID: 28317097, PMCID: PMC5555783, DOI: 10.1111/jgs.14858.Peer-Reviewed Original ResearchConceptsAdvance care planningQuantity of lifeTreatment goalsSurrogate knowledgeCare planningVeterans Affairs Medical CenterPatients' treatment goalsCohort study SETTINGKnowledge of patientsCommunity-dwelling veteransHealth care proxyLife-sustaining treatmentSurrogates' perspectivesMultivariable analysisPrimary careSevere illnessMedical CenterSevere physical disabilitiesVeterans' ratingsACP engagementProxy completionStudy settingPhysical disabilitySurrogate reportsSizeable proportion