2024
Mindfulness-based therapy for insomnia in Black women: a pilot randomized controlled trial
Nam S, Jeon S, Ordway M, Mazure C, Sinha R, Yau L, Iennaco J. Mindfulness-based therapy for insomnia in Black women: a pilot randomized controlled trial. Journal Of Behavioral Medicine 2024, 47: 1094-1106. PMID: 39306634, DOI: 10.1007/s10865-024-00521-2.Peer-Reviewed Original ResearchPatient Health Questionnaire-9Spielberger State-Trait Anxiety InventoryInsomnia Severity IndexHealth educationMindfulness-based therapyBlack womenDepressive symptomsEfficacy of mindfulness-based therapyAttention control groupSleep health disparitiesPost-intervention changesState-Trait Anxiety InventoryPittsburgh Sleep Quality IndexInsomnia severity scoresSleep Quality IndexInsomnia Severity Index scoreBehavioral sleep strategiesRandomized controlled trialsClinically significant improvementPhysical activityHealth disparitiesHealthy eatingSleep hygiene practicesImprove anxietyWeekly sessionsAMPlifying metabolic screening for inpatients on antipsychotic medications with a nurse-driven protocol
DeMarco J, Iennaco J. AMPlifying metabolic screening for inpatients on antipsychotic medications with a nurse-driven protocol. Archives Of Psychiatric Nursing 2024, 49: 113-117. PMID: 38734446, DOI: 10.1016/j.apnu.2024.02.007.Peer-Reviewed Original ResearchNurse-driven protocolPsychiatric inpatient settingsInpatient psychiatric unitNursing staffMetabolic screeningPre-interventionInpatient settingPost-implementationSmoking cessationSurveys pre-Psychiatric unitNursesAntipsychotic medicationLipid panelMetabolic syndromeNegative perceptionsScreeningMedicationEmpowermentPatientsPerceptionStaffAntipsychoticsInpatientsUnitsThe feasibility and efficacy of mindfulness-based therapy for insomnia among young and middle-aged Black women in the United States (US)
Nam S, Jeon S, Ordway M, Yau L, Iennaco J. The feasibility and efficacy of mindfulness-based therapy for insomnia among young and middle-aged Black women in the United States (US). Sleep Medicine 2024, 115: 192. DOI: 10.1016/j.sleep.2023.11.540.Peer-Reviewed Original Research
2023
The Aggressive Incidents in Medical Settings (AIMS) Study: Advancing Measurement to Promote Prevention of Workplace Violence
Iennaco J, Molle E, Allegra M, Depukat D, Parkosewich J. The Aggressive Incidents in Medical Settings (AIMS) Study: Advancing Measurement to Promote Prevention of Workplace Violence. The Joint Commission Journal On Quality And Patient Safety 2023, 50: 166-176. PMID: 38158280, DOI: 10.1016/j.jcjq.2023.11.005.Peer-Reviewed Original ResearchInpatient medical unitsCohort studyMedical unitsCare staffAggressive incidentsAggressive eventsIncidence of patientsMultisite cohort studyNumber of patientsAcute care hospitalsPatient care staffExposure rateHealth care settingsFoods/drinksCare hospitalPatient aggressionMedication administrationAcademic hospitalCommunity hospitalCare settingsCommon precipitantsPreventive interventionsPatient safetyHospitalAdditional studies
2020
4123 Characterization of Physical Restraint and Sedative Use for Treatment of Agitation in the Emergency Department
Wong A, Crispino L, Parker J, McVaney C, Rosenberg A, Ray J, Whitfill T, Iennaco J, Bernstein S. 4123 Characterization of Physical Restraint and Sedative Use for Treatment of Agitation in the Emergency Department. Journal Of Clinical And Translational Science 2020, 4: 125-125. PMCID: PMC8823616, DOI: 10.1017/cts.2020.374.Peer-Reviewed Original ResearchLogistic regression modelsRestraint useSedative useEmergency departmentOvert Aggression Scale scoresPhysical restraintOvert Aggression ScaleAggression scale scoresTreatment of agitationAgitated Behavior ScaleSeverity ScaleHigher oddsAgitation ScaleScale scoreLogistic regression models of factorsAssociated with significantly higher oddsTertiary care referral centerUrban tertiary care referral centerProspective cohort study of adult patientsFrequent chief complaintProspective cohort studySignificantly higher oddsAlcohol/drug useCohort study of adult patientsSeverity Scale scoreStaff perceptions of risk factors for violence and aggression in ambulatory care
Folgo AR, Iennaco JD. Staff perceptions of risk factors for violence and aggression in ambulatory care. Work 2020, 65: 435-445. PMID: 32007986, DOI: 10.3233/wor-203096.Peer-Reviewed Original ResearchConceptsRisk factorsAmbulatory carePotential risk factorsAmbulatory care settingsStaff perceptionsAmbulatory care environmentCommunity clinicsVisitor violenceCare settingsEnvironment of careHospital settingSubstance abuseClinic environmentCare environmentCarePatientsSafety interventionsPossible contributorsCharacteristics of staffSurvey toolStaffSettingCrisis trainingFactorsClinicExperiences of Individuals Who Were Physically Restrained in the Emergency Department
Wong AH, Ray JM, Rosenberg A, Crispino L, Parker J, McVaney C, Iennaco JD, Bernstein SL, Pavlo AJ. Experiences of Individuals Who Were Physically Restrained in the Emergency Department. JAMA Network Open 2020, 3: e1919381. PMID: 31977058, PMCID: PMC6991263, DOI: 10.1001/jamanetworkopen.2019.19381.Peer-Reviewed Original ResearchConceptsEmergency departmentPhysical restraintED visitsExperiences of restraint useQualitative studyExperiences of physical restraintCombination of mental illnessPatient-centered approachMacArthur Perceived Coercion ScaleRestraint experienceParticipants' demographic informationAssociated with injuryExperiences of individualsData saturationEpisodes of physical restraintRestraint ordersCare provisionSelf-reported responsesRestraint useEpisodes of agitationMental illnessLast restraintMain OutcomesEligible visitsPrimary themes
2019
Characteristics and Severity of Agitation Associated With Use of Sedatives and Restraints in the Emergency Department
Wong AH, Crispino L, Parker JB, McVaney C, Rosenberg A, Ray JM, Whitfill T, Iennaco JD, Bernstein SL. Characteristics and Severity of Agitation Associated With Use of Sedatives and Restraints in the Emergency Department. Journal Of Emergency Medicine 2019, 57: 611-619. PMID: 31594740, DOI: 10.1016/j.jemermed.2019.07.019.Peer-Reviewed Original ResearchConceptsAgitated patientsOvert Aggression Scale scoresUse of sedativesRestraint useEmergency departmentOvert Aggression ScaleAggression scale scoresAgitated Behavior ScaleAgitation ScaleScale scoreSedative useHigher oddsAggression ScaleBehavior ScaleBehavioral techniquesTriage chief complaintTertiary referral centerProspective observational studyAgitation severityAlcohol/drug useSeverity Scale scoreLevel of agitationLogistic regression modelsSeverity ScaleDetection of agitationWorkplace Violence in Health Care and Agitation Management: Safety for Patients and Health Care Professionals Are Two Sides of the Same Coin
Wong AH, Ray JM, Iennaco JD. Workplace Violence in Health Care and Agitation Management: Safety for Patients and Health Care Professionals Are Two Sides of the Same Coin. The Joint Commission Journal On Quality And Patient Safety 2019, 45: 71-73. PMID: 30638870, DOI: 10.1016/j.jcjq.2018.11.001.Peer-Reviewed Original Research
2018
Use of sedatives and restraints for treatment of agitation in the emergency department
Wong AH, Crispino L, Parker J, McVaney C, Rosenberg A, Ray JM, Whitfill T, Iennaco JD, Bernstein SL. Use of sedatives and restraints for treatment of agitation in the emergency department. The American Journal Of Emergency Medicine 2018, 37: 1376-1379. PMID: 30598374, DOI: 10.1016/j.ajem.2018.12.027.Peer-Reviewed Original ResearchAddressing Dual Patient and Staff Safety Through A Team-Based Standardized Patient Simulation for Agitation Management in the Emergency Department
Wong AH, Auerbach MA, Ruppel H, Crispino LJ, Rosenberg A, Iennaco JD, Vaca FE. Addressing Dual Patient and Staff Safety Through A Team-Based Standardized Patient Simulation for Agitation Management in the Emergency Department. Simulation In Healthcare The Journal Of The Society For Simulation In Healthcare 2018, 13: 154-162. PMID: 29613919, DOI: 10.1097/sih.0000000000000309.Peer-Reviewed Original ResearchConceptsAdvanced practice registered nursesStandardized patient simulationAgitation managementPatient simulatorPhysician assistantsEmergency carePatient encountersFocus groupsEmergency departmentSafety of staffPractice registered nursesInterprofessional focus groupsEmergency medicine residentsGrounded theory approachFear of physical harmRegistered nursesED nursesData saturationHealth workersInterprofessional educationImprove teamworkMedicine residentsEnhance teamworkHospital sitesMedical resuscitationDeriving a Framework for a Systems Approach to Agitated Patient Care in the Emergency Department
Wong AH, Ruppel H, Crispino LJ, Rosenberg A, Iennaco JD, Vaca FE. Deriving a Framework for a Systems Approach to Agitated Patient Care in the Emergency Department. The Joint Commission Journal On Quality And Patient Safety 2018, 44: 279-292. PMID: 29759261, DOI: 10.1016/j.jcjq.2017.11.011.Peer-Reviewed Original ResearchConceptsEmergency departmentCare deliveryPatient careDevelopment of evidence-based strategiesRegional health care networkPhysician assistants/nurse practitionersPatient safety literaturePatient care deliveryInterprofessional focus groupsED staff membersHealth care networkEvidence-based strategiesHealth care workersGrounded theory approachData saturationPatient aggressionCare networkCare dimensionsCare paradoxPatient encountersInterprofessional dynamicsMixed-methods approachThematic analysisFocus groupsCare workers
2017
A randomized study on the effect of modified behavioral activation treatment for depressive symptoms in rural left-behind elderly
Xie J, He G, Ding S, Pan C, Zhang X, Zhou J, Iennaco JD. A randomized study on the effect of modified behavioral activation treatment for depressive symptoms in rural left-behind elderly. Psychotherapy Research 2017, 29: 372-382. PMID: 28838290, DOI: 10.1080/10503307.2017.1364444.Peer-Reviewed Original ResearchConceptsBeck Anxiety InventoryIntervention groupDepressive symptomsControl groupRandomized studyRegular treatmentDepression symptomsChinese Clinical Trial RegistryGeriatric Depression Scale scoreClinical Trials RegistryDepression Scale scoresBehavioral Activation TreatmentTrials RegistryRegular careModerate depressionTreatment interventionsScale scoreOHQ scoresOxford Happiness QuestionnaireSymptomsMental healthElderly peopleAnxiety InventoryInterventionGreater reductionPositive aspects of having had cancer: A mixed‐methods analysis of responses from the American Cancer Society Study of Cancer Survivors‐II (SCS‐II)
Adorno G, Lopez E, Burg MA, Loerzel V, Killian M, Dailey AB, Iennaco JD, Wallace C, Sharma DKB, Stein K. Positive aspects of having had cancer: A mixed‐methods analysis of responses from the American Cancer Society Study of Cancer Survivors‐II (SCS‐II). Psycho-Oncology 2017, 27: 1412-1425. PMID: 28637082, DOI: 10.1002/pon.4484.Peer-Reviewed Original ResearchConceptsAmerican Cancer Society's StudyStage of diseaseCancer survivorsSurvivor cohortPostcancer diagnosisLength of survivorshipCancer Survivors-IICancer survivors' perceptionsHealth-related changesClinical variablesLife measuresCancer ScaleCancerCancer typesSurvivorsDiagnosisCancer diagnosisBenefit findingSociodemographicsMedical supportCohortSociety studiesSurvivors' perceptionsDiseaseNational sampleCognitive behavioral therapy for insomnia in stable heart failure: Protocol for a randomized controlled trial
Redeker NS, Knies AK, Hollenbeak C, Yaggi H, Cline J, Andrews L, Jacoby D, Sullivan A, O'Connell M, Iennaco J, Finoia L, Jeon S. Cognitive behavioral therapy for insomnia in stable heart failure: Protocol for a randomized controlled trial. Contemporary Clinical Trials 2017, 55: 16-23. PMID: 28159703, PMCID: PMC5348292, DOI: 10.1016/j.cct.2017.01.009.Peer-Reviewed Original ResearchConceptsEvent-free survivalStable heart failureHealth care utilizationSelf-management educationHeart failureCognitive behavioral therapyCost-effectiveness analysisHF patientsCare utilizationSleep characteristicsMedical record reviewParallel-group RCTFunctional performanceStochastic cost-effectiveness analysisEffects of CBTAttention control conditionIncident mortalityDaytime symptomsRecord reviewComorbid insomniaHF settingDaytime functionGroup RCTChronic insomniaWrist actigraphy
2016
Aggressive Event Incidence using the Staff Observation of Aggression Scale-Revised (SOAS-R): A Longitudinal Study
Iennaco JD, Whittemore R, Dixon J. Aggressive Event Incidence using the Staff Observation of Aggression Scale-Revised (SOAS-R): A Longitudinal Study. Psychiatric Quarterly 2016, 88: 485-499. PMID: 27562175, DOI: 10.1007/s11126-016-9462-y.Peer-Reviewed Original ResearchConceptsEvent incidence ratesAggressive eventsUse of medicationsInpatient psychiatric unitLongitudinal studyInpatient psychiatric settingsStaff observationsAggression ScaleEvent incidenceIncidence ratePsychiatric unitPsychiatric settingsLowest mean severityMean severityEffective preventionIncidenceSeverityAggression targetsEvent severityMedicationsMost eventsPatientsInjuryTargetWorkersEvaluation of Motivational Interviewing to Improve Psychotropic Medication Adherence in Adolescents
Hamrin V, Iennaco JD. Evaluation of Motivational Interviewing to Improve Psychotropic Medication Adherence in Adolescents. Journal Of Child And Adolescent Psychopharmacology 2016, 27: 148-159. PMID: 27487472, DOI: 10.1089/cap.2015.0187.Peer-Reviewed Original ResearchConceptsDrug Attitude InventoryPsychotropic medication adherenceMedication adherenceAdherence scoreSelf-reported adherence scoreUniversity mental health centerElectronic adherence dataSelf-rated adherenceMedication adherence ratesBaseline mean scoresMental health centersPoor mental health outcomesMean scoreSignificant differencesMental health outcomesWorld Health OrganizationMedication nonadherenceMood stabilizersAdherence ratesHealth centersNurse practitionersSecondary measuresAdherence dataPostintervention assessmentsMEMS capsEngaging Patients in Long-Term Management of Bipolar Disorder
Carbray J, Iennaco J. Engaging Patients in Long-Term Management of Bipolar Disorder. The Journal Of Clinical Psychiatry 2016, 77: e174-e174. DOI: 10.4088/jcp.14073gc3c.Peer-Reviewed Original ResearchCommunicating with colleagues and patients about acute bipolar disorder.
Iennaco JD, Carbray JA. Communicating with colleagues and patients about acute bipolar disorder. The Journal Of Clinical Psychiatry 2016, 77: e34. PMID: 26845278, DOI: 10.4088/jcp.14073gc2c.Peer-Reviewed Original ResearchConceptsBipolar disorderPsychiatric-mental health nursesCollaborative care approachPrimary care doctorsMental health nursesAcute bipolar disorderAdvanced practice nursesPractice nursesHealth nursesCare doctorsCare teamTreatment strategiesCare approachPatientsAdverse effectsNursesDisordersMedicationsIllnessSymptomsDiagnosisPsychoeducationSocial workers- Iennaco, J.D., Tebes, J.K., & Jacobs, S.C. (2016). Public health concepts in public psychiatry. In S.C. Jacobs, & J.L. Steiner, J.L. (Eds.), The Yale textbook of public psychiatry, (pp. 97-114). New York: Oxford University Press.Peer-Reviewed Original Research