Digital Commons Network^™

Use Of The Theory Of Planned Behavior Framework To Understand Breastfeeding Decision-Making Among Mothers Of Preterm Infants, Margaret G. Parker, Sunah S. Hwang, Emma S. Forbes, Bryanne N. Colvin, Kyria R. Brown, Eve R. Colson

Open Access Publications

No abstract provided.

Experiences From The Missouri Antimicrobial Stewardship Collaborative: A Mixed Methods Study, Sena J Sayood, Chinmayi Venkatram, Jason G Newland, Hilary M Babcock, David K Warren, George Turabelidze, Virginia R Mckay, Erin C Rachmiel, Kate Peacock, Tracey Habrock-Bach, Kevin Hsueh, Michael J Durkin

Open Access Publications

We performed a mixed-methods study to evaluate antimicrobial stewardship program (ASP) uptake and to assess variability of program implementation in Missouri hospitals. Despite increasing uptake of ASPs in Missouri, there is wide variability in both the scope and sophistication of these programs.

2019 Pediatric Initiative Network: Progress, Proceedings, And Plans, Leena Nahata, Veronica Gomez-Lobo, Lillian Meacham, Leslie Appiah, Krista Childress, Holly Hoefgen, Maggie Dwiggins, Stacy Whiteside, Kari Bjornard, Julie Rios, Antoinette Anazodo, Courtney Finlayson, Olivia Frias, Teresa Woodruff, Molly Moravek

Open Access Publications

No abstract provided.

Reaching Consensus On Principles Of Stakeholder Engagement In Research, Melody S. Goodman, Nicole Ackermann, Deborah J. Bowen, Members Of The Delphi Panel, Vetta Sanders Thompson

Open Access Publications

No abstract provided.

Building Access To Care In Adult Sickle Cell Disease: Defining Models Of Care, Essential Components, And Economic Aspects, Julie Kanter, Allison King, Et Al.

Open Access Publications

No abstract provided.

Improving The Implementation And Sustainment Of Evidence-Based Practices In Community Mental Health Organizations: A Study Protocol For A Matched-Pair Cluster Randomized Pilot Study Of The Collaborative Organizational Approach To Selecting And Tailoring Implementation Strategies (Coast-Is), Byron J Powell, Amber D Haley, Sheila V Patel, Lisa Amaya-Jackson, Beverly Glienke, Mellicent Blythe, Rebecca Lengnick-Hall, Stacey Mccrary, Rinad S Beidas, Cara C Lewis, Gregory A Aarons, Kenneth B Wells, Lisa Saldana, Mary M Mckay, Morris Weinberger

2020-Current year OA Pubs

BACKGROUND: Implementing and sustaining evidence-based programs with fidelity may require multiple implementation strategies tailored to address multi-level, context-specific barriers and facilitators. Ideally, selecting and tailoring implementation strategies should be guided by theory, evidence, and input from relevant stakeholders; however, methods to guide the selection and tailoring of strategies are not well-developed. There is a need for more rigorous methods for assessing and prioritizing implementation determinants (barriers and facilitators) and linking implementation strategies to determinants. The Collaborative Organizational Approach to Selecting and Tailoring Implementation Strategies (COAST-IS) is an intervention designed to increase the effectiveness of evidence-based practice implementation and sustainment. COAST-IS …

Stacy Remke Oral History.

Pediatric Palliative Care Oral History Project

Ms. Stacy Remke begins the interview by describing her initial career path in social work around aging and how she came to develop her interest in care planning for pediatric end of life needs. Ms. Remke then describes her observation that both providers and parents would not have meaningful discussions about the realities and practicalities of children who were seriously ill or dying. She also noticed that providers were resistant to utilizing hospice services for seriously ill pediatric patients and that they expressed sentiments like "you'll take care of my patients over my dead body." Ms. Remke then describes the …

Bjc Today

BJC Today

No abstract provided.

Associations Between Social Risk Factors And Surgical Site Infections After Colectomy And Abdominal Hysterectomy, Andrew C. Qi, Kate Peacock, Alina A. Luke, Abigail Barker, Margaret A. Olsen, Karen E. Joynt Maddox

Open Access Publications

Importance: Surgical site infection (SSI) is an important patient safety outcome. Although social risk factors have been linked to many adverse health outcomes, it is unknown whether such factors are associated with higher rates of SSI.

Objectives: To determine whether social risk factors, including race/ethnicity, insurance status, and neighborhood income, are associated with higher rates of SSI after colectomy or abdominal hysterectomy, 2 surgical procedures for which SSI rates are publicly reported and included in pay-for-performance programs by Medicare and other groups.

Design, Setting, and Participants: This cross-sectional study analyzed adults undergoing colectomy or abdominal hysterectomy, as captured in State …

Ross Hays Oral History.

Pediatric Palliative Care Oral History Project

Dr. Ross Hays begins the interview by describing how he continued to pursue training after his pediatrics residency, transitioning to study birth defects, training in rehabilitation medicine, and finally training in bioethics. Dr. Hays was then recruited to become the principal investigator for a demonstration project by the Robert Wood Johnson Foundation titled Promoting Excellence in End-of-Life which finally allowed him to tie all his training experiences together. Dr. Hays then describes his observations that pain in pediatrics was recognized, but there was a lack of urgency in clinical need to treat pain -- maybe in part due to that …

Sarah Friebert Oral History.

Pediatric Palliative Care Oral History Project

Dr. Sarah Friebert begins the interview by describing how she constructed her own academic path during her time as a hematology/oncology fellow and navigated barriers, including her mentor discouraging her and her work in palliative care during her time as a medical trainee. Dr. Friebert then goes on to describe her early career experiences in hospice care and the positive results she had after reaching out to others in the palliative field for inspiration as she developed her own palliative care service model. She also expresses one of the early barriers to delivering palliative care services was a profession-wide focus …

Situating Dissemination And Implementation Sciences Within And Across The Translational Research Spectrum, Aaron L Leppin, Jane E Mahoney, Kathleen R Stevens, Stephen J Bartels, Laura-Mae Baldwin, Rowena J Dolor, Enola K Proctor, Linda Scholl, Justin B Moore, Ana A Baumann, Catherine L Rohweder, Joan Luby, Paul Meissner

Open Access Publications

The efficient and effective movement of research into practice is acknowledged as crucial to improving population health and assuring return on investment in healthcare research. The National Center for Advancing Translational Science which sponsors Clinical and Translational Science Awards (CTSA) recognizes that dissemination and implementation (D&I) sciences have matured over the last 15 years and are central to its goals to shift academic health institutions to better align with this reality. In 2016, the CTSA Collaboration and Engagement Domain Task Force chartered a D&I Science Workgroup to explore the role of D&I sciences across the translational research spectrum. This special …

Stacy Orloff Oral History.

Pediatric Palliative Care Oral History Project

Dr. Stacy Orloff begins the interview describing her experience after completing her MSW degree and one pivotal serendipitous event: she looked at the classified ads in the newspaper for the first time and found a job opening for a children's program in her local hospice. After she took that position, she found that all her training in life led up to being a children's advocate in the hospice setting. Dr. Orloff reflects on the beginning of the community-based hospice movement that now seems to provide fewer services than it was once able to due to the regulatory policies. She also …

Training In Implementation Practice Leadership (Triple): Evaluation Of A Novel Practice Change Strategy In Behavioral Health Organizations, Enola Proctor, Alex T Ramsey, Matthew T Brown, Sara Malone, Cole Hooley, Virginia Mckay

Open Access Publications

BACKGROUND: Effective leadership for organizational change is critical to the implementation of evidence-based practices (EBPs). As organizational leaders in behavioral health organizations often are promoted from within the agency for their long-standing, effective work as counselors, they may lack formal training in leadership, management, or practice change. This study assesses a novel implementation leadership training designed to promote leadership skills and successful organizational change specific to EBP implementation.

METHODS: We conducted a pre-post outcome evaluation of the Training in Implementation Practice Leadership (TRIPLE), delivered via three in-person, half-day training sessions, with interim coaching and technical support. Sixteen mid-level leaders (75% …

Barbara Sourkes Oral History.

Pediatric Palliative Care Oral History Project

Dr. Sourkes attributes her career beginnings in pediatric palliative care to a "confluence" of personal and professional experiences. She describes knowing a few "pioneering" health professionals in the 1970s and 1980s. In different fields and different countries, these "first-generation" professionals were all working on their own to commonly define pediatric palliative care and its place in healthcare. Dr. Sourkes recounts the early days when, in many hospitals, a handful of social workers took on all the psychosocial care of hundreds of children and families in pediatric hematology/oncology. Dr. Sourkes briefly discusses working with Balfour Mount, MD when a group at …

Gerri Frager Oral History.

Pediatric Palliative Care Oral History Project

Dr. Gerri Frager begins by introducing the catalyst of her transition from nine years of nursing to her original career goal of medicine after some "really unfortunate episodes of care with patients of nursing." She then describes the experiences and meetings she had with other emerging pioneers in the fields of pediatric pain and pediatric palliative. Dr. Frager discusses her work at the intersections of pediatric pain management and pediatric palliative care and the evolution of best practices in the field. Dr. Frager explains some of the successes and challenges in pediatric palliative and pain care as well as the …

Betty Davies Oral History.

Pediatric Palliative Care Oral History Project

Dr. Betty Davies begins with several stories about her first dying patients as a young professional and the gaps in both her education and the humanity about how death was handled in the hospital setting. Dr. Davies felt that cultivating dialogue about death, dying, and bereavement was a very important "human activity," that was being neglected. Early into her career, Dr. Davies connected with other likeminded professionals who supported her while she endeavored to give trainings and workshops. She then recalls her work in developing Canuck Place as well as her contributions to research, programs, and the international knowledge base …

Charles Corr Oral History.

Pediatric Palliative Care Oral History Project

Dr. Charles Corr begins by explaining how his career in pediatric death, dying, and bereavement began "almost accidently" as he stepped into the instructor role of a death and dying course in the mid-1970s. After that experience, Dr. Corr focused more on teaching classes on children and dying and gathering experiences alongside clinicians in the pediatric palliative field. He explains that as a trained academic writer, he was grateful when pediatric clinicians, patients, and families allowed him to share in their experiences and write them up. Dr. Corr goes on to describe the changes he's experienced in the field that …

Marcia Levetown Oral History.

Pediatric Palliative Care Oral History Project

As an intensivist, Dr. Levetown noted three things: 1. a large proportion of critically ill kids were actually "chronically dying." 2. families' information about their child's condition was incomplete or inaccurate and, feeding unrealistic hopes and influencing decisions based on outcomes that "were really not on the table." And 3. family units were often overwhelmed by the child's illness, too often leaving the family unit in varying levels of social, physical, mental, and emotion ruin. Dr. Levetown described her early experience with palliative care and hospice, her involvement with several research projects on reforming the culture of death at the …

Washington University Magazine, Spring 2019

Washington University Magazine

No abstract provided.

Successful Linkage To Pre-Exposure Prophylaxis For Hiv Prevention Using A Multicomponent Implementation Strategy Among The Uninsured/Underinsured, Rupa R. Patel, Amy S. Nunn, Kenneth H. Mayer, Timothy Mcbride, Ross C. Brownson, Cheryl Oliver, Maria M. Perez, Laura C. Harrison, Amber Salter, John S. Crane, Philip A. Chan

Open Access Publications

No abstract provided.

Understanding The Experience Of Psychopathology After Intimate Partner Violence: The Role Of Personality, Paulo A S Moreira, Márcia Pinto, C. Robert Cloninger, Daniela Rodrigues, Carlos Fernandes Da Silva

Open Access Publications

Objectives: To fully understand the dynamics of Intimate Partner Violence (IPV) it is necessary to understand the role of personality. The current understanding of which personality characteristics are associated with IPV victimization is, however, far from comprehensive. Given this gap in the literature, our objective was to examine the associations between the dimensions of the psychobiological model of personality and psychopathological symptoms in women who had experienced IPV.

Methods: Using a case-control design, a group of women who had experienced IPV and who were living in shelters (

Results: Victims of IPV showed significantly higher levels of Harm Avoidance and …

Dissemination And Stakeholder Engagement Practices Among Dissemination & Implementation Scientists: Results From An Online Survey, Christopher E. Knoepke, M. Pilar Ingle, Daniel D. Matlock, Ross C. Brownson, Russell E. Glasgow

Open Access Publications

No abstract provided.

Technology-Based Alcohol Interventions In Primary Care: Systematic Review, Alex T. Ramsey, Jason M. Satterfield, Donald R. Gerke, Enola K. Proctor

Open Access Publications

No abstract provided.

Influence Of Environmental Factors On Social Participation Post-Stroke, Erin L. Foley, Marjorie L. Nicholas, Carolyn M. Baum, Lisa Tabor Connor

Open Access Publications

No abstract provided.

Anesthesiology Control Tower-Feasibility Assessment To Support Translation (Actfast): Mixed-Methods Study Of A Novel Telemedicine-Based Support System For The Operating Room, Teresa Murray-Torres, Aparna Casarella, Mara Bollini, Frances Wallace, Michael S. Avidan, Mary C. Politi

Open Access Publications

No abstract provided.

Leverage Points To Improve Smoking Cessation Treatment In A Large Tertiary Care Hospital: A Systems-Based Mixed Methods Study, Alex T. Ramsey, Donna Prentice, Ellis Ballard, Li-Shiun Chen, Laura J. Bierut

Open Access Publications

No abstract provided.

Recommendations And Alerting For Delirium Alleviation In Real-Time (Radar): Protocol For A Pilot Randomized Controlled Trial, Phillip E Vlisides, Jacqueline W Ragheb, Aleda Leis, Amanda Schoettinger, Kim Hickey, Amy Mckinney, Joseph Brooks, Mackenzie Zierau, Alexandra Norcott, Shirley Yang, Michael S Avidan, Lillian Min

Open Access Publications

No abstract provided.

Association Between Health Insurance Literacy And Avoidance Of Health Care Services Owing To Cost, Renuka Tipirneni, Mary C. Politi, Jeffrey T. Kullgren, Edith C. Kieffer, Susan D. Goold, Aaron M. Scherer

Open Access Publications

Importance: Navigating health insurance and health care choices requires considerable health insurance literacy. Although recommended preventive services are exempt from out-of-pocket costs under the Affordable Care Act, many people may remain unaware of this provision and its effect on their required payment. Little is known about the association between individuals' health insurance literacy and their use of preventive or nonpreventive health care services.

Objective: To assess the association between health insurance literacy and self-reported avoidance of health care services owing to cost.

Design, Setting, and Participants: In this survey study, a US national, geographically diverse, nonprobability sample of 506 US …

Comparative Assessment Of Content Overlap Between Written Documentation And Verbal Communication: An Observational Study Of Resident Sign-Outs, Joanna Abraham, Imade Ihianle, Charlotte E Ward, Vineet M Arora, Thomas G Kannampallil

2010-2019 OA Pubs

OBJECTIVE: Effective sign-outs involve verbal communication supported by written or electronic documentation. We investigated the clinical content overlap between sign-out documentation and face-to-face verbal sign-out communication.

METHODS: We audio-recorded resident verbal sign-out communication and collected electronically completed ("written") sign-out documentation on 44 sign-outs in a General Medicine service. A content analysis framework with nine sign-out elements was used to qualitatively code both written and verbal sign-out content. A content overlap framework based on the comparative analysis between written and verbal sign-out content characterized how much written content was verbally communicated. Using this framework, we computed the full, partial, and no …