Allison A. Lewinski

Journal Article Am Heart J · November 2024 Out-of-hospital cardiac arrest (OHCA) occurs in nearly 350,000 people each year in the United States (US). Despite advances in pre and in-hospital care, OHCA survival remains low and is highly variable across systems and regions. The critical barrier to im ... Full text Open Access Link to item Cite

Clinical Outcomes Among High-Risk Primary Care Patients With Diabetic Kidney Disease: Methodological Challenges and Results From the STOP-DKD Study.

Journal Article Med Care · October 1, 2024 BACKGROUND/OBJECTIVE: Slowing the progression of diabetic kidney disease (DKD) is critical. We conducted a randomized controlled trial to target risk factors for DKD progression. METHODS: We evaluated the effect of a pharmacist-led intervention focused on ... Full text Open Access Link to item Cite

EXpanding Technology-Enabled, Nurse-Delivered Chronic Disease Care (EXTEND): Protocol and Baseline Data for a Randomized Trial.

Journal Article Contemp Clin Trials · August 30, 2024 BACKGROUND: Approximately 10-15 % of individuals with type 2 diabetes have persistently poorly-controlled diabetes mellitus (PPDM) despite receiving available care, and frequently have comorbid hypertension. Mobile monitoring-enabled telehealth has the pot ... Full text Open Access Link to item Cite

Factors influencing support for the implementation of community-based out-of-hospital cardiac arrest interventions in high- and low-performing counties.

Journal Article Resusc Plus · March 2024 AIM OF THE STUDY: Survival to hospital discharge from out-of-hospital cardiac arrest (OHCA) after receiving treatment from emergency medical services (EMS) is less than 10% in the United States. Community-focused interventions improve survival rates, but t ... Full text Open Access Link to item Cite

Diabetes distress in Veterans with type 2 diabetes mellitus: Qualitative descriptive study.

Journal Article J Health Psychol · February 21, 2024 Diabetes distress (DD) is a negative psychosocial response to living with type 2 diabetes mellitus (T2DM). We sought insight into Veterans' experiences with DD in the context of T2DM self-management. The four domains in the Diabetes Distress Scale (i.e. re ... Full text Open Access Link to item Cite

Enhancing Healthcare Education: Leveraging ChatGPT for Innovative Simulation Scenarios

Journal Article Clinical Simulation in Nursing · February 1, 2024 Background: Developing simulation scenarios for implementation in nursing programs is labor intensive and time consuming. The purpose of this study was to determine if ChatGPT could create accurate and realistic simulation scenarios efficiently to assist f ... Full text Cite

Research Priorities to Expand Virtual Care Access for Patients in the Veterans Affairs Health Care System.

Journal Article Journal of general internal medicine · February 2024 The rapid expansion of virtual care is driving demand for equitable, high-quality access to technologies that are required to utilize these services. While the Department of Veterans Affairs (VA) is seen as a national leader in the implementation of telehe ... Full text Cite

Incorporating TechQuity in Virtual Care Within the Veterans Health Administration: Identifying Future Research and Operations Priorities.

Journal Article J Gen Intern Med · July 2023 BACKGROUND: The Covid-19 pandemic dramatically changed healthcare delivery, driving rapid expansion of synchronous (i.e., real-time) audio-only and video telehealth, otherwise known as virtual care. Yet evidence describes significant inequities in virtual ... Full text Open Access Link to item Cite

Research-practice partnerships: Adapting a care coordination intervention for rural Veterans over 3 years at multiple sites.

Conference J Rural Health · June 2023 PURPOSE: Rural Veterans are more likely than urban Veterans to qualify for community care (Veterans Health Administration [VHA]-paid care delivered outside of VHA) due to wait times ≥30 days and longer travel times for VHA care. For rural Veterans receivin ... Full text Link to item Cite

Strategies to Bridge Equitable Implementation of Telehealth.

Journal Article Interactive journal of medical research · May 2023 During the COVID-19 pandemic, the rapid scaling of telehealth limited the extent to which proactive planning for equitable implementation was possible. The deployment of telehealth will persist in the postpandemic era, given patient preferences, advances i ... Full text Cite

Factors Associated With Diabetes Distress Among Patients With Poorly Controlled Type 2 Diabetes.

Journal Article J Endocr Soc · March 6, 2023 OBJECTIVE: Examine factors associated with increased diabetes distress (DD) among patients with type 2 diabetes with DD assessed by Diabetes Distress Scale (DDS) total and subscale scores (emotional burden, physician-related distress, regimen-related distr ... Full text Link to item Cite

Barriers and facilitators to the implementation and adoption of improvement coaching: A qualitative evidence synthesis.

Journal Article J Clin Nurs · January 2023 BACKGROUND: Healthcare organisations and teams perform improvement activities to facilitate high-quality healthcare. The use of an improvement coach who provides support and guidance to the healthcare team may facilitate improvement activities; however, no ... Full text Link to item Cite

Simplifying therapy to assure glycemic control and engagement (STAGE) in poorly-controlled diabetes: A pilot study.

Journal Article J Diabetes Complications · January 2023 In this single-arm pilot study, we demonstrated feasibility and acceptability of an insulin simplification intervention in patients with persistent, poorly-controlled type 2 diabetes on complex insulin regimens. While not powered to assess clinical outcome ... Full text Link to item Cite

Optimizing the Equitable Deployment of Virtual Care for Women: Protocol for a Qualitative Evidence Synthesis Examining Patient and Provider Perspectives Supplemented with Primary Qualitative Data.

Journal Article Health Equity · 2023 INTRODUCTION: Women experience numerous barriers to patient-centered health care (e.g., lack of continuity). Such barriers are amplified for women from marginalized communities. Virtual care may improve equitable access. We are conducting a partner-engaged ... Full text Open Access Link to item Cite

Digital Medicine System in Veterans With Severe Mental Illness: Feasibility and Acceptability Study.

Journal Article JMIR Form Res · December 22, 2022 BACKGROUND: Suboptimal medication adherence is a significant problem for patients with serious mental illness. Measuring medication adherence through subjective and objective measures can be challenging, time-consuming, and inaccurate. OBJECTIVE: The prima ... Full text Open Access Link to item Cite

Intensifying approaches to address clinical inertia among cardiovascular disease risk factors: A narrative review.

Journal Article Patient Educ Couns · December 2022 OBJECTIVE: Clinical inertia, the absence of treatment initiation or intensification for patients not achieving evidence-based therapeutic goals, is a primary contributor to poor clinical outcomes. Effectively combating clinical inertia requires coordinated ... Full text Open Access Link to item Cite

A Tailored SMS Text Message-Based Intervention to Facilitate Patient Access to Referred Community-Based Social Needs Resources: Protocol for a Pilot Feasibility and Acceptability Study.

Journal Article JMIR Res Protoc · October 11, 2022 BACKGROUND: Health care providers are increasingly screening patients for unmet social needs (eg, food, housing, transportation, and social isolation) and referring patients to relevant community-based resources and social services. Patients' connection to ... Full text Open Access Link to item Cite

Implementation of an Intensive Telehealth Intervention for Rural Patients with Clinic-Refractory Diabetes.

Journal Article J Gen Intern Med · September 2022 BACKGROUND: Rural patients with type 2 diabetes (T2D) may experience poor glycemic control due to limited access to T2D specialty care and self-management support. Telehealth can facilitate delivery of comprehensive T2D care to rural patients, but implemen ... Full text Open Access Link to item Cite

Establishing a research racial justice task force to improve diversity, equity, and inclusion in nursing research.

Journal Article Nursing outlook · September 2022 Full text Cite

Telehealth for the Longitudinal Management of Chronic Conditions: Systematic Review.

Journal Article J Med Internet Res · August 26, 2022 BACKGROUND: Extensive literature support telehealth as a supplement or adjunct to in-person care for the management of chronic conditions such as congestive heart failure (CHF) and type 2 diabetes mellitus (T2DM). Evidence is needed to support the use of t ... Full text Link to item Cite

RAndomized Cluster Evaluation of Cardiac ARrest Systems (RACE-CARS) trial: Study rationale and design.

Clinical Outcomes Among High-Risk Primary Care Patients With Diabetic Kidney Disease: Methodological Challenges and Results From the STOP-DKD Study.

EXpanding Technology-Enabled, Nurse-Delivered Chronic Disease Care (EXTEND): Protocol and Baseline Data for a Randomized Trial.

Factors influencing support for the implementation of community-based out-of-hospital cardiac arrest interventions in high- and low-performing counties.

Diabetes distress in Veterans with type 2 diabetes mellitus: Qualitative descriptive study.

Enhancing Healthcare Education: Leveraging ChatGPT for Innovative Simulation Scenarios

Research Priorities to Expand Virtual Care Access for Patients in the Veterans Affairs Health Care System.

Incorporating TechQuity in Virtual Care Within the Veterans Health Administration: Identifying Future Research and Operations Priorities.

Research-practice partnerships: Adapting a care coordination intervention for rural Veterans over 3 years at multiple sites.

Strategies to Bridge Equitable Implementation of Telehealth.

Factors Associated With Diabetes Distress Among Patients With Poorly Controlled Type 2 Diabetes.

Barriers and facilitators to the implementation and adoption of improvement coaching: A qualitative evidence synthesis.

Simplifying therapy to assure glycemic control and engagement (STAGE) in poorly-controlled diabetes: A pilot study.

Optimizing the Equitable Deployment of Virtual Care for Women: Protocol for a Qualitative Evidence Synthesis Examining Patient and Provider Perspectives Supplemented with Primary Qualitative Data.

Digital Medicine System in Veterans With Severe Mental Illness: Feasibility and Acceptability Study.

Intensifying approaches to address clinical inertia among cardiovascular disease risk factors: A narrative review.

A Tailored SMS Text Message-Based Intervention to Facilitate Patient Access to Referred Community-Based Social Needs Resources: Protocol for a Pilot Feasibility and Acceptability Study.

Implementation of an Intensive Telehealth Intervention for Rural Patients with Clinic-Refractory Diabetes.

Establishing a research racial justice task force to improve diversity, equity, and inclusion in nursing research.

Journal Article Nursing outlook · September 2022 Full text Cite

Telehealth for the Longitudinal Management of Chronic Conditions: Systematic Review.

How can equitable video visit access be delivered in primary care? A qualitative study among rural primary care teams and patients.

Journal Article BMJ Open · August 5, 2022 OBJECTIVE: The COVID-19 pandemic sparked exponential growth in video visit use in primary care. The rapid shift to virtual from in-person care exacerbated digital access disparities across racial groups and rural populations. Moving forward, it is critical ... Full text Open Access Link to item Cite

Addressing Hypertension Outcomes Using Telehealth and Population Health Managers: Adaptations and Implementation Considerations.

Journal Article Curr Hypertens Rep · August 2022 PURPOSE OF REVIEW: There is a growing evidence base describing population health approaches to improve blood pressure control. We reviewed emerging trends in hypertension population health management and present implementation considerations from an interv ... Full text Open Access Link to item Cite

Strategies to Bridge Equitable Implementation of Telehealth (Preprint)

Preprint · June 16, 2022 Full text Cite

55-OR: Veterans with Type 2 Diabetes: An Explanatory Sequential Mixed-Methods Approach to Understanding Diabetes Distress

Conference Diabetes · June 1, 2022 Diabetes Distress (DD, i.e., regimen, emotional, interpersonal, clinician) in adults with type 2 diabetes (T2DM) is associated with poor glycemic control, poorer diet and exercise, and more T2DM complications. We describe a multi-phased study to de ... Full text Cite

975-P: Simplifying Therapy to Assure Glycemic Control and Engagement (STAGE) for Patients with Clinic Refractory Diabetes

Conference Diabetes · June 1, 2022 Patients with type 2 diabetes (T2D) who maintain poor glycemic control despite use of complex insulin regimens may not benefit from this costly and burdensome treatment approach. In a 16-week feasibility pilot, we proactively simplified the insulin ... Full text Cite

eConsults' Impact on Care Access and Wait Times in Rheumatology.

Journal Article J Clin Rheumatol · April 1, 2022 BACKGROUND/OBJECTIVE: A growing number of health systems have implemented eConsults to improve access to specialty advice, but few studies have described their use in rheumatology or impact on visit wait times. We evaluated the uptake of an eConsult progra ... Full text Open Access Link to item Cite

Effectiveness of Quality Improvement Coaching on Process Outcomes in Health Care Settings: A Systematic Review.

Journal Article J Gen Intern Med · March 2022 BACKGROUND: A culture of improvement is an important feature of high-quality health care systems. However, health care teams often need support to translate quality improvement (QI) activities into practice. One method of support is consultation from a QI ... Full text Link to item Cite