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Articles 1 - 30 of 1894
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Staff Education To Improve 7-Day Post-Discharge Psychiatric Follow-Up, Michael Curtis Kwashie
Staff Education To Improve 7-Day Post-Discharge Psychiatric Follow-Up, Michael Curtis Kwashie
Walden Dissertations and Doctoral Studies
Too many psychiatric patients leave the hospital without a follow-up appointment, a gap that may cost lives. Research has consistently shown that the days immediately after discharge from psychiatric inpatient or emergency care are among the most dangerous in a patient’s trajectory, marked by elevated suicide risk, relapse, and avoidable readmission. Yet, across behavioral health settings, completion of outpatient follow-up within 7 days of discharge remains inconsistent; typically, standardized processes are often missing. This doctoral project in staff education was created to fill that gap and examined whether implementing a standardized discharge transition protocol, supported by targeted, interdisciplinary staff education, …
Leadership, Employee Sustainability, And Organizational Resilience, Lois D. Saunders
Leadership, Employee Sustainability, And Organizational Resilience, Lois D. Saunders
Walden Dissertations and Doctoral Studies
Ineffective leadership practices can be counterproductive to an organization’s goals. This issue is important to executives because ineffective leadership practices can contribute to employee disengagement, increased turnover, and reduced organizational performance. Grounded in transformational and servant leadership theories, the purpose of this qualitative pragmatic inquiry was to explore leadership practices used by executives to promote employee sustainability and organizational resilience in private sector organizations within the Washington metropolitan (District of Columbia, Maryland, and Virginia [DMV]) region. The participants were 10 executives from private sector organizations in the DMV region who served in CEO, senior management, and operational leadership roles and …
Standardized Screening And Monitoring Of Bioidentical Hormone Replacement Therapy In Women Ages 35–50, Amanda Ellen Hampton
Standardized Screening And Monitoring Of Bioidentical Hormone Replacement Therapy In Women Ages 35–50, Amanda Ellen Hampton
Walden Dissertations and Doctoral Studies
In this quality improvement project, I evaluated a pilot implementation of a standardized bioidentical hormone replacement therapy (BHRT) screening and monitoring tool embedded within the electronic health record (EHR) at an integrative medicine practice in the southeastern United States. Grounded in the Johns Hopkins evidence based practice (EBP) model, the project addressed a documented gap in consistent screening, initiation, and monitoring of hormone replacement therapy (HRT) for women ages 35 to 50 presenting with menopausal symptoms. The practice focused question examined whether a standardized, EHR embedded BHRT screening and monitoring tool could improve screening rate compliance, laboratory monitoring adherence, and …
Human Service Professionals’ Support And Practice-Informed Strategies For Uninsured And Underinsured Adults Needing Mental Health-Related Services In Brazoria County, Texas, Henry Palacios
Walden Dissertations and Doctoral Studies
Access to mental health-related services has remained a significant human services concern for uninsured and underinsured adults in Brazoria County, Texas, where financial, transportation, provider-capacity, and service-coordination barriers affected access and continuity of care. The purpose of this qualitative modified action research study was to explore how human service professionals supported uninsured and underinsured adults needing mental health-related services and to identify practice-informed strategies to improve access, coordination, and continuity of care. Lewin’s change theory provided the theoretical framework. The research question explored how human service professionals supported this population and identified strategies to strengthen access, coordination, and continuity of …
Digital Transformation Strategies In The Project Management Office: Navigating Organizational Change, Latoya Pierce
Digital Transformation Strategies In The Project Management Office: Navigating Organizational Change, Latoya Pierce
Walden Dissertations and Doctoral Studies
Employee disengagement during organizational change can reduce workforce commitment, increase resistance, and delay implementation. Some information technology (IT) project managers lack effective strategies to foster employee engagement during organizational change. Effective employee engagement is important to IT project managers because workforce commitment can influence the successful implementation of change. The purpose of this qualitative pragmatic inquiry project was to identify and explore effective strategies that IT project managers use to foster employee engagement during organizational change. Kotter’s eight-step change model grounded the research project. The participants were seven U.S. IT project managers with at least 3 years of project management …
Comparative Evaluation Of Practical Functional Assessment And Traditional Functional Behavior Assessment: Practitioner Perspectives On Efficiency, Resource Utilization, And Social Validity Across Practice Settings, Mathew Dinga Gwangwaa
Walden Dissertations and Doctoral Studies
As the field of applied behavior analysis (ABA) expands across diverse settings, there is an increasing need for assessment models that balance empirical rigor with practical feasibility. This quantitative, non-experimental study was an examination of the perceptions and experiences of board certified behavior analysts (BCBAs) and board certified behavior analysts doctorate (BCBA-Ds) regarding the comparative utility of traditional functional behavior assessment (FBA) and practical functional assessment (PFA). Data were collected from Board Certified Behavior Analysts (BCBAs) and BCBA-Ds using a structured, cross-sectional online survey assessing three primary domains: efficiency, resource utilization, and social validity. Descriptive findings indicated that practitioners perceived …
Effective Strategies For Retaining Employees And Increasing Workplace Productivity In A Changing Healthcare Environment, Marie D. Exantus
Effective Strategies For Retaining Employees And Increasing Workplace Productivity In A Changing Healthcare Environment, Marie D. Exantus
Walden Dissertations and Doctoral Studies
Employee turnover and declining workplace productivity remain persistent challenges for healthcare organizations operating in a rapidly evolving industry environment. Healthcare leaders are concerned about employees’ intent to leave, as it is the strongest predictor of rising turnover, directly threatening both productivity and organizational stability. Grounded in equity theory, the purpose of this qualitative pragmatic inquiry project was to explore effective strategies healthcare leaders use to retain employees and increase workplace productivity in a changing healthcare environment. The participants were seven healthcare leaders who had implemented effective strategies to retain employees and increase workplace productivity in a changing healthcare environment. Data …
The Impact Of Leadership Styles From Traditional Policing To Community Policing, Ryan Gates
The Impact Of Leadership Styles From Traditional Policing To Community Policing, Ryan Gates
Walden Dissertations and Doctoral Studies
This study examines leadership in a community policing context. It addresses a long-standing problem: injustice, inequality, and unfair treatment. Specifically, it examines community policing and the impact of law enforcement leadership, particularly servant leadership, on policing outcomes. Greenleaf’s Theory of Servant Leadership guided this study. Participants included mid- to senior-level law enforcement officers with community policing experience, at least three years of leadership experience, and at least 18 years of age. Recruitment occurred through social media outlets such as Facebook and Instagram. Data were collected through semi-structured interviews with 19 participants. Thematic analysis produced six themes: community engagement and partnerships; …
Implementing A Routine Fall Risk Assessment In Older Adults In An Inpatient Psychiatric Setting, Amaka Obi
Implementing A Routine Fall Risk Assessment In Older Adults In An Inpatient Psychiatric Setting, Amaka Obi
Walden Dissertations and Doctoral Studies
The purpose of the project was to implement and evaluate a structured fall risk assessment process that promoted the early identification of patients at increased risk for falls and supported interventions designed to prevent fall-related events. A pre- and post-implementation evaluation design was used to assess the intervention's effectiveness by comparing fall rates before and after implementation of the standardized assessment protocol. De-identified data obtained from the electronic health record (EHR) were analyzed using descriptive statistics to evaluate changes in fall incidence and protocol adherence. The project findings demonstrated that provider-led, standardized fall-risk assessments improved screening compliance, provider adherence, and …
Optimizing Advanced Ehr And Enhanced Data-Sharing And Reporting In Rural Health Clinics, Adaeze Honesta Duru
Optimizing Advanced Ehr And Enhanced Data-Sharing And Reporting In Rural Health Clinics, Adaeze Honesta Duru
Walden Dissertations and Doctoral Studies
Rural clinics continue to face several barriers in utilizing advanced electronic health record (EHR) features, including interoperability, data sharing, and care coordination. The purpose of this integrative review was to investigate strategies to overcome barriers to the use of advanced EHRs and enhance data-sharing and reporting capabilities in rural clinics. The review question emphasized viable strategies for overcoming barriers to advanced EHR utilization and enhancing data-sharing and reporting capabilities in rural clinics. The consolidated framework for implementation research provided a conceptual model for understanding the various facets of EHR optimization. A literature search initially resulted in 135 relevant articles. After …
Effective Strategies To Increase Employee Engagement Within Small And Medium Enterprise (Sme) Remote Workforces, Marion Catherine Hulse-Lawlor
Effective Strategies To Increase Employee Engagement Within Small And Medium Enterprise (Sme) Remote Workforces, Marion Catherine Hulse-Lawlor
Walden Dissertations and Doctoral Studies
The prevalence of remote work environments has created challenges for small and medium enterprise (SME) healthcare leaders who must sustain workforce productivity while increasing employee engagement. Declining employee engagement affects not only productivity but also organizational effectiveness and profitability. The purpose of this qualitative pragmatic inquiry research project was to identify and explore the effective strategies that some leaders of remote SME healthcare workforces use to improve employee engagement. Using engagement theory as the conceptual lens to guide the research project, six purposefully sampled United States business leaders who demonstrated successful engagement practices within remote SME healthcare workforces were studied. …
How Non-Secular Leaders In Culturally Homogeneous Faith-Based Organizations Understand And Experience Cultural Intelligence Training, Marlon Anthony Ayers
How Non-Secular Leaders In Culturally Homogeneous Faith-Based Organizations Understand And Experience Cultural Intelligence Training, Marlon Anthony Ayers
Walden Dissertations and Doctoral Studies
Over the past five decades, shifts in U.S. immigration policy, demographic change, and civil rights reforms have increased cultural diversity across the U.S. workforce, while many faith based leaders lack the cultural intelligence (CQ) needed to navigate diverse interactions effectively. Non secular leaders in culturally homogeneous faith based organizations (FBOs) need to understand this concern as a leading indicator of challenges associated with cross-cultural engagement, organizational effectiveness, and community inclusion. The specific research problem is that it is unknown how non-secular leaders in culturally homogeneous FBOs understand and experience the challenges of managing cultural diversity in the absence of CQ …
Small Business Owner Strategies To Decrease Voluntary Employee Turnover, Darious D. Smith
Small Business Owner Strategies To Decrease Voluntary Employee Turnover, Darious D. Smith
Walden Dissertations and Doctoral Studies
Voluntary employee turnover remains a significant challenge for small business owners in the car dealership industry. Small business owners are concerned because employee turnover increases recruitment and training costs, disrupts operations, and can reduce profitability. Grounded in transformational leadership theory, the purpose of this qualitative multiple case study was to explore effective strategies some small business owners in the car dealership industry use to decrease voluntary employee turnover in North Florida. The participants were three small business owners in the car dealership industry in North Florida who had implemented retention strategies. Data were collected through semistructured interviews with the three …
Effective Employee Retention Strategies Used By Hair Salon Leaders To Sustain Business Operations, Taylor Bynum
Effective Employee Retention Strategies Used By Hair Salon Leaders To Sustain Business Operations, Taylor Bynum
Walden Dissertations and Doctoral Studies
Employee retention challenges continue to affect the operational sustainability of hair salons. Hair salon owners and leaders are concerned about employee retention because it directly affects their ability to sustain business operations. Grounded in Wayne McPhee’s sustainable activity model, the purpose of this qualitative pragmatic inquiry was to explore the strategies hair salon owners and leaders used to retain employees and sustain business operations. Participants included eight hair salon owners or leaders who had successfully retained employees and sustained business operations for at least 5 years. Data from semistructured interviews with the participants were analyzed using Braun and Clarke’s six-step …
Exploration Of Black American Women's Lived Experiences With Structural Barriers In Human Resource Leadership Positions, Joyce Chimeziem Diala
Exploration Of Black American Women's Lived Experiences With Structural Barriers In Human Resource Leadership Positions, Joyce Chimeziem Diala
Walden Dissertations and Doctoral Studies
Black American women’s marginalization in leadership roles, including in human resources (HR), remains a significant concern in U.S. workplaces. Organizations need to understand this concern as a leading indicator of systemic workplace barriers that may restrict opportunities for leadership advancement for Black American women and hinder organizational diversity efforts. The specific research problem was the limited understanding of the lived experiences of Black American women who face structural barriers to advancement in HR leadership positions. The purpose of this qualitative interpretative phenomenological study was to explore the lived experiences of Black American women in HR leadership positions. This study was …
Implementing A Structured Lifestyle Counseling Program To Improve Weight Management In Obese Adults Ages 18–65 Within The Private Primary Care Setting, Ntoge Sone Penda
Implementing A Structured Lifestyle Counseling Program To Improve Weight Management In Obese Adults Ages 18–65 Within The Private Primary Care Setting, Ntoge Sone Penda
Walden Dissertations and Doctoral Studies
Obesity is a major public health concern that affects millions of adults. As a chronic, progressive disease, obesity increases the risk of developing several medical conditions. Although evidence-based clinical practice guidelines recommend comprehensive lifestyle modification as a first-line treatment, implementation of structured lifestyle counseling in primary care remains inconsistent. The practice-focused question guiding this Doctor of Nursing Practice (DNP) quality improvement project was: Among obese adults aged 18–65 years in a private primary care setting, does implementing a structured lifestyle counseling program improve body weight and body mass index (BMI) outcomes over an 11-week period? An organizational change process guided …
Retaining Teaching Hospital Nonacademic Nurse Educators: Addressing Burnout And Building Workforce Resilience, Walter Guevara
Retaining Teaching Hospital Nonacademic Nurse Educators: Addressing Burnout And Building Workforce Resilience, Walter Guevara
Walden Dissertations and Doctoral Studies
Burnout and high turnover intentions among nonacademic nurse educators (NANEs) in academic teaching hospitals pose a critical challenge for healthcare administration, threatening workforce stability, nursing education capacity, and healthcare outcomes. The purpose of the integrative review was to examine evidence-based strategies to reduce burnout and enhance resilience among NANEs, thereby improving retention, well-being, and workforce sustainability. An integrative literature review was conducted using the Johns Hopkins Evidence-Based Practice appraisal tools and 49 sources published between 2020 and 2025 were found to match criteria and quality for thematic analysis. Guided by Herzberg’s two-factor theory, a thematic analysis was used to synthesize …
Relationship Between Hospital Case Management Leadership Style And Employee Engagement, Malinda Ellis
Relationship Between Hospital Case Management Leadership Style And Employee Engagement, Malinda Ellis
Walden Dissertations and Doctoral Studies
Employee engagement among hospital-based nurse case managers is important because these nurses support discharge planning, utilization management, care coordination, and safe patient transitions. Although leadership style has been studied in nursing, limited research has examined its relationship to engagement among nurse case managers. The purpose of this quantitative, nonexperimental, correlational study, using House’s path-goal theory, was to examine the relationship between transformational, transactional, and laissez-faire leadership styles and employee engagement among hospital-based nurse case managers. Data were collected from 89 registered nurse case managers in acute care settings in the United States, who completed the Multifactor Leadership Questionnaire, Short Form, …
Improving Hypertension Control Through Increased Follow-Up Frequency In Rural Adult Patients, Clarissa Renea King
Improving Hypertension Control Through Increased Follow-Up Frequency In Rural Adult Patients, Clarissa Renea King
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project centered on the implementation of an organizational change initiative to improve hypertension control among adults aged 18 years and older in a rural primary care setting, where barriers to healthcare contribute to poorer outcomes. The practice-focused question asked whether more frequent follow-up visits improve hypertension control rates in rural adults. Interventions included increased follow-up visits for uncontrolled hypertension, patient education, home blood pressure monitoring, and staff education on accurate blood pressure measurement techniques. The project involved a pre-/post- evaluation design and analysis of deidentified organizational quality data. Findings show that the baseline hypertension …
Local Farming Sustainability Nongovernment Organization’S Perceived Driving Forces For A Crisis Management Plan, Nthonoki Cynthia Tsepe
Local Farming Sustainability Nongovernment Organization’S Perceived Driving Forces For A Crisis Management Plan, Nthonoki Cynthia Tsepe
Walden Dissertations and Doctoral Studies
Nongovernmental organizations (NGOs) operate in increasingly volatile environments characterized by financial uncertainty, political pressures, and climate-related disruptions; however, many lack formalized crisis management systems. The absence of structured crisis governance exposes organizations to operational instability, financial risk, and reputational damage. The purpose of this qualitative force field analysis study was to explore a local farming sustainability NGO’s perceived driving and restraining forces for developing a formal crisis management plan. Guided by Burnett’s crisis management model and Lewin’s force field analysis framework, data were collected from nine organizational leaders involved in governance and operational decision making. Round 1 included open-ended online …
Strategies For Managing Change In Home Health Care Businesses, Halbert Brown
Strategies For Managing Change In Home Health Care Businesses, Halbert Brown
Walden Dissertations and Doctoral Studies
Home health care agencies may experience financial hardship when regulatory inspections result in deficiencies and administrative penalties. Home health company (HHC) leaders are concerned because ineffective change management strategies may contribute to ongoing regulatory deficiencies, penalties, and reduced business performance. Grounded in Lewin’s change management theory, the purpose of this qualitative pragmatic inquiry project was to explore change management strategies some HHC owners successfully implemented to reduce administrative deficiencies and penalties to augment business performance and profitability. The participants were six leaders from HHC firms in the southwestern region of the United States who had developed effective strategies to improve …
Effective Strategies To Implement Equitable And Transparent Artificial Intelligence Technologies To Improve Employee Productivity, Ijeoma Appolonia Chukwunyelu
Effective Strategies To Implement Equitable And Transparent Artificial Intelligence Technologies To Improve Employee Productivity, Ijeoma Appolonia Chukwunyelu
Walden Dissertations and Doctoral Studies
Ineffective artificial intelligence (AI) implementation strategies can undermine transparency and ethics in AI technology use for organizational performance and diminish employee productivity. Without these strategies, information technology (IT) leaders risk reduced employee productivity, lower organizational adoption of AI technologies, and inequitable outcomes. The purpose of this qualitative pragmatic inquiry was to identify and explore effective strategies IT leaders use to implement transparent, ethical AI technologies to improve employee productivity. The conceptual framework that grounded this project was transformational leadership theory. The project participants were six IT business leaders in the United States with experience implementing AI technologies within their organizations. …
Implementation Of A Structured Safety Planning Intervention In An Outpatient Psychiatric Setting, Ellen Riccio
Implementation Of A Structured Safety Planning Intervention In An Outpatient Psychiatric Setting, Ellen Riccio
Walden Dissertations and Doctoral Studies
This organization change process evaluation addressed continued reliance on outdated no-suicide and no-harm contracts in an outpatient psychiatric setting, despite evidence that such contracts do not reduce suicide risk and may create a false sense of security. Adult outpatients with mood or psychotic disorders who express safety concerns represent a population for whom structured, collaborative safety planning is the accepted standard of care. Addressing this gap is central to patient safety and quality nursing care. The practice-focused question asked whether replacing no-suicide contracts with a structured, six-step Safety Planning Intervention would influence safety events, self-harm behaviors, and psychiatric hospitalizations among …
Staff Education To Improve Staff Knowledge, Confidence, And Intent To Consistently Implement Medication-Assisted Treatment, Matilda Boachie
Staff Education To Improve Staff Knowledge, Confidence, And Intent To Consistently Implement Medication-Assisted Treatment, Matilda Boachie
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice staff education project addressed inconsistent medication-assisted treatment (MAT) implementation in a masked crisis stabilization unit. MAT was available, but staff education was informal and inconsistent, contributing to variation in knowledge, confidence, patient education, documentation, and discharge planning. The practice-focused question that was answered through this project was whether structured staff education would improve knowledge, confidence, and intent to consistently implement MAT. The purpose was to develop, implement, and evaluate structured education for interdisciplinary staff. De-identified pre- and post-education surveys were analyzed with descriptive statistics, and aggregate averages were compared because individual surveys were not matched. …
Implementation Of An Evidence-Based, Standardized Hypertension Follow-Up Protocol To Improve Quality And Outcomes Among African American Females In A Primary Care Setting, Fausat Oluremi Ojo
Implementation Of An Evidence-Based, Standardized Hypertension Follow-Up Protocol To Improve Quality And Outcomes Among African American Females In A Primary Care Setting, Fausat Oluremi Ojo
Walden Dissertations and Doctoral Studies
Hypertension is a major modifiable risk factor for cardiovascular disease, stroke, kidney disease, and premature mortality. African American women experience a disproportionate burden of hypertension and hypertension-related complications, making timely follow-up and treatment intensification essential quality and equity priorities. This evidence-based practice project implemented a standardized hypertension follow-up protocol in a primary care setting to improve blood pressure (BP) control and follow-up reliability among African American females ages 18 to 65 with a hypertension diagnosis. The project population included 67 patients, numbered 1 to 67. Baseline BP report data showed that 47 patients had BP less than 140/90 mm Hg, …
An Interprofessional Organization Change Process To Reduce Catheter-Associated Urinary Tract Infections, Bolatito Owolabi
An Interprofessional Organization Change Process To Reduce Catheter-Associated Urinary Tract Infections, Bolatito Owolabi
Walden Dissertations and Doctoral Studies
This organization change process initiative addressed a critical safety practice gap regarding catheter-associated urinary tract infection (CAUTI) prevention in a 450-bed acute care facility. This gap was recognized based on evidence that the facility’s CAUTI Standardized Infection Ratio (SIR) was above the national benchmark—and daily necessity assessment compliance of only approximately 50%. This gap was attributed to an organizational interprofessional culture, which hindered timely device removal. Prolonged catheter dwell times increase patient morbidity, extend hospital stays, and expose the organization to severe financial penalties. The project aimed to safely reduce device dwell times by structurally empowering bedside nurses. I used …
Effective Strategies For Retaining Nonofficer Talent In Retail Banking, Janique Johnson
Effective Strategies For Retaining Nonofficer Talent In Retail Banking, Janique Johnson
Walden Dissertations and Doctoral Studies
Retail banking organizations lose billions of dollars annually to nonofficer employee turnover, disrupting operations, degrading customer service, and burdening human resource (HR) leaders with repeated recruitment costs. When retail bank HR leaders experience nonofficer employee turnover among their frontline workforces, it can influence profitability and community trust. Grounded in stakeholder theory, the purpose of this qualitative pragmatic inquiry was to identify and explore effective strategies used by retail bank HR leaders to retain nonofficer talent. The participants were 10 HR leaders in U.S. retail banking institutions who had successfully implemented nonofficer retention strategies. Data were collected using semistructured interviews and …
Implementation Of A Nightshift Sleep Promotion Bundle To Support Delirium Prevention In A Neurosurgical Intensive Care Unit, Pamella Simpson
Implementation Of A Nightshift Sleep Promotion Bundle To Support Delirium Prevention In A Neurosurgical Intensive Care Unit, Pamella Simpson
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) quality improvement project aimed to identify the need for a consistent sleep-promotion protocol in an adult neurosurgical intensive care unit (NSICU). Disrupted sleep is a frequent problem for patients who are seriously ill and can lead to delirium, longer hospital stays, higher health care expenses, diminished cognitive function, and death. While there was evidence supporting nonpharmacological sleep-promotion and delirium-risk-reduction interventions, they were not consistently implemented at the project site, creating a gap between evidence and clinical practice. The purpose of this project was to implement and evaluate an evidence-based night-shift sleep-promotion bundle. The practice-focused …
Effective Leadership Strategies To Retain For-Profit Education Employees After A Leadership Change, Kimberly Keene
Effective Leadership Strategies To Retain For-Profit Education Employees After A Leadership Change, Kimberly Keene
Walden Dissertations and Doctoral Studies
Ineffective leadership transitions in for profit higher education erode employee morale, trust, and retention. Higher education business leaders recognize that ineffective leadership transitions can contribute to employee disengagement, reduced organizational commitment, and increased turnover, undermining institutional stability, workforce continuity, and organizational performance. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the effective leadership strategies used by for-profit education institution leaders to retain key employees after a change in leadership. The participants were 10 leaders employed at for-profit higher education institutions in the southern United States who had successfully implemented leadership strategies …
Reducing No-Show Rates In An Outpatient Behavioral Health Clinic Through A Multimodal Patient Engagement Intervention, Gwendoline Osong
Reducing No-Show Rates In An Outpatient Behavioral Health Clinic Through A Multimodal Patient Engagement Intervention, Gwendoline Osong
Walden Dissertations and Doctoral Studies
Reducing No-Show Rates in an Outpatient Behavioral Health Clinic Through a Multimodal Patient Engagement Intervention