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Psychometric Development Of The Research And Knowledge Scale, Lauren R. Powell, Elizabeth Ojukwu, Sharina D. Person, Jeroan J. Allison, Milagros C. Rosal, Stephenie C. Lemon 2017 University of Massachusetts Medical School

Psychometric Development Of The Research And Knowledge Scale, Lauren R. Powell, Elizabeth Ojukwu, Sharina D. Person, Jeroan J. Allison, Milagros C. Rosal, Stephenie C. Lemon

Stephenie C. Lemon

BACKGROUND: Many research participants are misinformed about research terms, procedures, and goals; however, no validated instruments exist to assess individual's comprehension of health-related research information. We propose research literacy as a concept that incorporates understanding about the purpose and nature of research.

OBJECTIVES: We developed the Research and Knowledge Scale (RaKS) to measure research literacy in a culturally, literacy-sensitive manner. We describe its development and psychometric properties.

RESEARCH DESIGN: Qualitative methods were used to assess perspectives of research participants and researchers. Literature and informed consent reviews were conducted to develop initial items. These data were used to develop initial ...


Psychometric Development Of The Research And Knowledge Scale, Lauren R. Powell, Elizabeth Ojukwu, Sharina D. Person, Jeroan J. Allison, Milagros C. Rosal, Stephenie C. Lemon 2017 University of Massachusetts Medical School

Psychometric Development Of The Research And Knowledge Scale, Lauren R. Powell, Elizabeth Ojukwu, Sharina D. Person, Jeroan J. Allison, Milagros C. Rosal, Stephenie C. Lemon

Milagros C. Rosal

BACKGROUND: Many research participants are misinformed about research terms, procedures, and goals; however, no validated instruments exist to assess individual's comprehension of health-related research information. We propose research literacy as a concept that incorporates understanding about the purpose and nature of research.

OBJECTIVES: We developed the Research and Knowledge Scale (RaKS) to measure research literacy in a culturally, literacy-sensitive manner. We describe its development and psychometric properties.

RESEARCH DESIGN: Qualitative methods were used to assess perspectives of research participants and researchers. Literature and informed consent reviews were conducted to develop initial items. These data were used to develop initial ...


Psychometric Development Of The Research And Knowledge Scale, Lauren R. Powell, Elizabeth Ojukwu, Sharina D. Person, Jeroan J. Allison, Milagros C. Rosal, Stephenie C. Lemon 2017 University of Massachusetts Medical School

Psychometric Development Of The Research And Knowledge Scale, Lauren R. Powell, Elizabeth Ojukwu, Sharina D. Person, Jeroan J. Allison, Milagros C. Rosal, Stephenie C. Lemon

Jeroan J. Allison

BACKGROUND: Many research participants are misinformed about research terms, procedures, and goals; however, no validated instruments exist to assess individual's comprehension of health-related research information. We propose research literacy as a concept that incorporates understanding about the purpose and nature of research.

OBJECTIVES: We developed the Research and Knowledge Scale (RaKS) to measure research literacy in a culturally, literacy-sensitive manner. We describe its development and psychometric properties.

RESEARCH DESIGN: Qualitative methods were used to assess perspectives of research participants and researchers. Literature and informed consent reviews were conducted to develop initial items. These data were used to develop initial ...


Recruiting Low Income Post-Partum Women Into A Weight Loss Trial: In-Person Versus Facebook Delivery, Valerie J. Silfee, Andrea Lopez-Cepero, Stephenie C. Lemon, Milagros C. Rosal 2017 University of Massachusetts Medical School

Recruiting Low Income Post-Partum Women Into A Weight Loss Trial: In-Person Versus Facebook Delivery, Valerie J. Silfee, Andrea Lopez-Cepero, Stephenie C. Lemon, Milagros C. Rosal

Milagros C. Rosal

Several studies, such as the Diabetes Prevention Program (DPP), have provided foundational evidence for the effect of lifestyle modification interventions on diabetes prevention and weight loss. However, translating these programs to the real-world has proven difficult. There remains a need to increase the feasibility and reach of translational weight loss interventions.

PURPOSE: To compare the recruitment rates of overweight low income postpartum women into a DPP-adapted behavioral weight loss program delivered in-person versus delivered via Facebook.

METHODS: We compared two 8-week pilot behavioral weight loss trials; one delivered via weekly in-person group sessions and the other delivered entirely via Facebook ...


Recruiting Low Income Post-Partum Women Into A Weight Loss Trial: In-Person Versus Facebook Delivery, Valerie J. Silfee, Andrea Lopez-Cepero, Stephenie C. Lemon, Milagros C. Rosal 2017 University of Massachusetts Medical School

Recruiting Low Income Post-Partum Women Into A Weight Loss Trial: In-Person Versus Facebook Delivery, Valerie J. Silfee, Andrea Lopez-Cepero, Stephenie C. Lemon, Milagros C. Rosal

Stephenie C. Lemon

Several studies, such as the Diabetes Prevention Program (DPP), have provided foundational evidence for the effect of lifestyle modification interventions on diabetes prevention and weight loss. However, translating these programs to the real-world has proven difficult. There remains a need to increase the feasibility and reach of translational weight loss interventions.

PURPOSE: To compare the recruitment rates of overweight low income postpartum women into a DPP-adapted behavioral weight loss program delivered in-person versus delivered via Facebook.

METHODS: We compared two 8-week pilot behavioral weight loss trials; one delivered via weekly in-person group sessions and the other delivered entirely via Facebook ...


“Can’T You Just Say?” – Contrasting Communication Preferences Between Surrogate Decision-Makers And Physicians During Outcome Prognostication In Critically-Ill Traumatic Brain Injury Patients, Thomas Quinn, Jesse Moskowitz, Muhammad Khan, Lori Shutter, Robert J. Goldberg, Nananda Col, Kathleen M. Mazor, Susanne Muehlschlegel 2017 University of Massachusetts Medical School

“Can’T You Just Say?” – Contrasting Communication Preferences Between Surrogate Decision-Makers And Physicians During Outcome Prognostication In Critically-Ill Traumatic Brain Injury Patients, Thomas Quinn, Jesse Moskowitz, Muhammad Khan, Lori Shutter, Robert J. Goldberg, Nananda Col, Kathleen M. Mazor, Susanne Muehlschlegel

Kathleen M. Mazor

Objective: Surrogate decision-makers (“surrogates”) and physicians of incapacitated patients have different views of prognosis and how it should be communicated, but this has not been investigated in neurocritically-ill patients. We examined communication preferences in surrogates and physician practices during the outcome prognostication for critically-ill traumatic brain injury (ciTBI) patients in neuroICUs.

Design: Qualitative study using in-person semi-structured interviews with surrogates of ciTBI patients and physicians with expertise in TBI.

Setting: Two neuroICUs at two level-1 trauma centers (surrogates); seven academic U.S. medical centers (physicians).

Subjects: Sixteen surrogates for 15 ciTBI patients and 20 attending physicians from neurocritical care, neurosurgery ...


Incorporating Lesbian, Gay, Bisexual, And Transgender (Lgbt) Health Concepts Into Nursing Curricula: What Nursing Faculty Should Know, Paul Smith, Julie Fitzwater 2017 Linfield College - Portland Campus

Incorporating Lesbian, Gay, Bisexual, And Transgender (Lgbt) Health Concepts Into Nursing Curricula: What Nursing Faculty Should Know, Paul Smith, Julie Fitzwater

Faculty Presentations

The objective of this presentation is to help faculty learn how to effectively teach students about lesbian, gay, bisexual, and transgender (LGBT) health, health promotion, and health care disparities. Learning outcomes for this session include how to utilize specific tools, strategies, and resources for incorporating essential LGBT content into undergraduate and graduate nursing programs.

  • LEARNING OUTCOME 1: Describe ways to incorporate LGBT content into nursing curricula and discuss the importance of this inclusion;
  • LEARNING OUTCOME 2: Identify resources appropriate for nursing students that may be integrated into nursing curricula;
  • LEARNING OUTCOME 3: Identify specific health disparities that are applicable to ...


Advocacy Campaign For Women's Reproductive Health And Access On Social Media, Rachel Crist, Jules Montes, Lauren Frank 2017 Portland State University

Advocacy Campaign For Women's Reproductive Health And Access On Social Media, Rachel Crist, Jules Montes, Lauren Frank

Lauren B. Frank

Advocacy organizations increasingly rely on social media (e.g. Twitter hashtags) to foster issue awareness. Social media platforms can be promising communication channels to reach diverse audiences; however, it is unclear how effective these campaigns are at reaching audience members whose views do not align with the campaign. Using diffusion of innovations as a theoretical framework, this study examines the #BirthControlHelpedMe campaign to better understand the response to an advocacy campaign promoted via Twitter. Focus groups were conducted separately for men and women. The moderator led participants in a semi-structured discussion of perceptions of birth control. Participants were then shown ...


Growing Up With Porn: The Developmental And Societal Impact Of Pornography On Children, Gail Dines 2017 Wheelock College

Growing Up With Porn: The Developmental And Societal Impact Of Pornography On Children, Gail Dines

Dignity: A Journal on Sexual Exploitation and Violence

No abstract provided.


Education Program Using Non-Pharmacologic Support During Benzodiazepine Reduction In Patients With Anxiety Disorders, Kelly D. Kearney DNP, RN, PMHNP-BC, Diane Wardell PhD, WHNP-BC 2017 The University of Texas Health Science Center at Houston

Education Program Using Non-Pharmacologic Support During Benzodiazepine Reduction In Patients With Anxiety Disorders, Kelly D. Kearney Dnp, Rn, Pmhnp-Bc, Diane Wardell Phd, Whnp-Bc

Journal of Nursing & Interprofessional Leadership in Quality & Safety

A private mental health clinic developed an initiative to aid patients with anxiety disorders to taper their use of benzodiazepines. Based on best practices, a treatment protocol was developed in which patients attended 4 sessions (1 per month) in which they combined instruction in non-pharmaceutical anti-anxiety techniques (guided imagery, mindfulness meditation, deep breathing, progressive muscle relaxation, exercise, emotional freedom) with cognitive behavioral therapy and use of selective serotonin re uptake inhibitors. Participants experienced a reduction in benzodiazepine use. This small scale initiative showed that the holistic approach to anxiety management was an effective plan to decrease the use of benzodiazepines ...


The Failure Of News Media Agenda-Setting On Cannabis, Amanda Cranston 2017 California Polytechnic State University, San Luis Obispo

The Failure Of News Media Agenda-Setting On Cannabis, Amanda Cranston

Journalism

This study uses the agenda-setting theory (McCombs & Shaw, 1972, p. 176) to examine the various aspects of cannabis coverage in the news media and how news media have presented cannabis and the numerous debates over cannabis uses. Cannabis has been a focus of U.S. news media since the 19th century and has been historically misrepresented in national and local news media. More recently, the U.S. has seen a great shift in the public’s attitude towards cannabis. With more and more states legalizing medical and even recreational use, news media are surging to meet the demands of its publics, even creating entire sections in certain regional newspapers for the cannabis beat. The national news media must take a different approach than those regional papers though; marijuana is not legal at the federal level nor in many states in any form. Both national and regional newspapers must address the issues accompanying the road to legalization at the federal level since federal law may supersede state law in any case as the legislation currently stands.


Pilot Test Of Communication With A ‘Rapid Fire’ Technique, Desiree A. Díaz, Candace Pettigrew, Christine Dileone, Meredith Dodge, Deborah Shelton 2017 University of Central Florida

Pilot Test Of Communication With A ‘Rapid Fire’ Technique, Desiree A. Díaz, Candace Pettigrew, Christine Dileone, Meredith Dodge, Deborah Shelton

Journal for Evidence-based Practice in Correctional Health

Abstract

An innovative communication training technique, ‘Rapid Fire’, was created to enhance communication and was incorporated into the debrief component of a simulation designed for correctional nurses to promote learning and engagement. The term ‘Rapid Fire’ was used to expose the critical time element that appears in the first five minutes of many crisis situations, where a quick relay of information and problem solving is essential; such as in a cardiac arrest or other rapidly deteriorating patient situations. This technique consists of a five-minute session prior to the structured debrief. During the ‘Rapid Fire’ portion of the debrief, all learners ...


Do Marketing Strategies Impact Condom Sales In Uganda?, Meyhar Mohammed 2017 The University of San Francisco

Do Marketing Strategies Impact Condom Sales In Uganda?, Meyhar Mohammed

Master's Theses

What attracts people to buy condoms? HIV/AIDS remain one of the biggest health dangers of the world, especially in Sub-Saharan Africa. A lot of efforts have been pursued in the past two decades to drastically reduce prevalence of HIV and increase awareness about preventive mechanisms. In order to prevent relapse of success achieved so far, it is important to recognize transformation of consumer behavior due to growth in social networks, education and awareness over time. There are a lot of behavioral triggers captured by social marketing interventions in the field of public health. In an attempt to investigate the ...


“Can’T You Just Say?” – Contrasting Communication Preferences Between Surrogate Decision-Makers And Physicians During Outcome Prognostication In Critically-Ill Traumatic Brain Injury Patients, Thomas Quinn, Jesse Moskowitz, Muhammad Khan, Lori Shutter, Robert J. Goldberg, Nananda Col, Kathleen M. Mazor, Susanne Muehlschlegel 2017 University of Massachusetts Medical School

“Can’T You Just Say?” – Contrasting Communication Preferences Between Surrogate Decision-Makers And Physicians During Outcome Prognostication In Critically-Ill Traumatic Brain Injury Patients, Thomas Quinn, Jesse Moskowitz, Muhammad Khan, Lori Shutter, Robert J. Goldberg, Nananda Col, Kathleen M. Mazor, Susanne Muehlschlegel

UMass Center for Clinical and Translational Science Research Retreat

Objective: Surrogate decision-makers (“surrogates”) and physicians of incapacitated patients have different views of prognosis and how it should be communicated, but this has not been investigated in neurocritically-ill patients. We examined communication preferences in surrogates and physician practices during the outcome prognostication for critically-ill traumatic brain injury (ciTBI) patients in neuroICUs.

Design: Qualitative study using in-person semi-structured interviews with surrogates of ciTBI patients and physicians with expertise in TBI.

Setting: Two neuroICUs at two level-1 trauma centers (surrogates); seven academic U.S. medical centers (physicians).

Subjects: Sixteen surrogates for 15 ciTBI patients and 20 attending physicians from neurocritical care, neurosurgery ...


Testing A Novel Manual Communication System For Mechanically Ventilated Icu Patients, Miriam A. Goldberg, Leigh R. Hochberg, Dawn Carpenter, Johnny L. Isenberger, Stephen O. Heard, J. Matthias Walz 2017 University of Massachusetts Medical School

Testing A Novel Manual Communication System For Mechanically Ventilated Icu Patients, Miriam A. Goldberg, Leigh R. Hochberg, Dawn Carpenter, Johnny L. Isenberger, Stephen O. Heard, J. Matthias Walz

UMass Center for Clinical and Translational Science Research Retreat

Introduction: Available communication methods for intubated patients in the ICU are insufficient to meet patient needs. Both ICU patients and their care providers report broadly unsuccessful communication attempts, resulting in less effective medical care and undue stress1,2. Use of existing methods - including letter boards, writing, and mouthing words - for mechanically ventilated (MV) patients has led to a consensus that new methods are required3. We report on the testing of a new system designed to address the communication needs of MV patients that is currently being tested in a low- to medium- acuity surgical ICU4.

Methods: We ...


Recruiting Low Income Post-Partum Women Into A Weight Loss Trial: In-Person Versus Facebook Delivery, Valerie J. Silfee, Andrea Lopez-Cepero, Stephenie C. Lemon, Milagros C. Rosal 2017 University of Massachusetts Medical School

Recruiting Low Income Post-Partum Women Into A Weight Loss Trial: In-Person Versus Facebook Delivery, Valerie J. Silfee, Andrea Lopez-Cepero, Stephenie C. Lemon, Milagros C. Rosal

UMass Center for Clinical and Translational Science Research Retreat

Several studies, such as the Diabetes Prevention Program (DPP), have provided foundational evidence for the effect of lifestyle modification interventions on diabetes prevention and weight loss. However, translating these programs to the real-world has proven difficult. There remains a need to increase the feasibility and reach of translational weight loss interventions.

PURPOSE: To compare the recruitment rates of overweight low income postpartum women into a DPP-adapted behavioral weight loss program delivered in-person versus delivered via Facebook.

METHODS: We compared two 8-week pilot behavioral weight loss trials; one delivered via weekly in-person group sessions and the other delivered entirely via Facebook ...


Using Mhealth App To Support Tkr Decision Making For Knee Arthritis Patients, Hua Zheng, Bengisu Tulu, Wonchan Choi, Patricia D. Franklin 2017 University of Massachusetts Medical School

Using Mhealth App To Support Tkr Decision Making For Knee Arthritis Patients, Hua Zheng, Bengisu Tulu, Wonchan Choi, Patricia D. Franklin

UMass Center for Clinical and Translational Science Research Retreat

Introduction: Mobile health (mHealth) technology can be used to integrate into medical decision making for patients with advanced knee arthritis. We explored patient preferences on content and design of a mobile health app to facilitate daily symptom capture and summary feedback reporting, in order to inform treatment decisions, including use of total knee replacement surgery (TKR).

Methods: We developed an Android-based smart phone app for knee arthritis patients to assess arthritis symptoms and individual readiness for TKR surgery. Patient focus groups were conducted to gather requirements for mHealth app development and to refine the design and content of the app ...


Principles Of Augmentative And Alternative Communication System Design In The Icu Setting, Miriam A. Goldberg, Leigh R. Hochberg, Dawn Carpenter, Johnny L. Isenberger, Stephen O. Heard, J. Matthias Walz 2017 University of Massachusetts Medical School

Principles Of Augmentative And Alternative Communication System Design In The Icu Setting, Miriam A. Goldberg, Leigh R. Hochberg, Dawn Carpenter, Johnny L. Isenberger, Stephen O. Heard, J. Matthias Walz

UMass Center for Clinical and Translational Science Research Retreat

Introduction: The ICU as a technology design setting requires specific and thoughtful awareness of patient-, caregiver-, and environment-related constraints. Designing an ICU-specific communication system involves an even deeper understanding of patient needs and desires, building on existing work exploring available technologies for use in this setting1,2. We report our initial experience from a pilot study with a novel communication device engineered specifically to allow mechanically ventilated ICU patients to communicate with caregivers3.

Methods: We used a validated survey for nurses about communication purposes to explore relevant beliefs, attitudes, and desires of nurses4. Existing technologies available for ...


The Use And Efficacy Of Comics In Healthcare: A Scoping Review In Graphic Medicine, Matthew N. Noe, Suzana Makowski, Len L. Levin, Kelly Lund 2017 University of Massachusetts Medical School

The Use And Efficacy Of Comics In Healthcare: A Scoping Review In Graphic Medicine, Matthew N. Noe, Suzana Makowski, Len L. Levin, Kelly Lund

National Network of Libraries of Medicine New England Region (NN/LM NER) Repository

Background: Graphic medicine is defined as the “interaction between the medium of comics and the discourse of healthcare”. We seek to understand the ways in which comics are currently being employed in healthcare settings and what effects, if any, these practices have on physician, patient, and their experiences and health outcomes.

Methods: Our scoping review is following the six-stage methodology laid out by Arksey and O’Malley (2005) in order to map the field – an appropriate methodology, as graphic medicine is a relatively new field that thus far lacks clear boundaries. We built, tested, and conducted searches in six databases ...


The Relationship Between Just Culture, Trust And Patient Safety, Linda Ann Paradiso, Nancy Sweeney 2017 CUNY New York City College of Technology

The Relationship Between Just Culture, Trust And Patient Safety, Linda Ann Paradiso, Nancy Sweeney

Publications and Research

PROBLEM: Medical errors are now considered to be the third leading cause of death in the United States, estimated at more than 250,000 deaths per year. The Institute of Medicine’s landmark report, To Err is Human, identified that errors are not the fault of individuals, but systems, processes, and various conditions. In healthcare, the cornerstone of the process by which we learn from errors has been voluntary reporting. The primary barrier to reporting errors is the negative response from administrators, and the potential risk of disciplinary action. An environment of trust and fairness is known as “Just Culture ...


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