Allison A. Lewinski

Journal article Ann Intern Med · July 2026 BACKGROUND: Comprehensive telehealth is used effectively for treatment-resistant chronic diseases in certain integrated health systems but has seldom been implemented in systems that provide mainly fee-for-service (FFS) care. OBJECTIVE: To examine the effe ... Full text Open Access Link to item Cite

Implementing Advanced Comprehensive Diabetes Care Within the Veterans Affairs Learning Health System.

Journal article J Gen Intern Med · November 4, 2025 BACKGROUND: Telehealth can improve glycemic control for patients with type 2 diabetes (T2D), but programs must be designed in a manner that facilitates real-world uptake and effectiveness within learning health systems (LHS). OBJECTIVE: To highlight how th ... Full text Link to item Cite

Experiences Receiving and Delivering Virtual Health Care For Women: Qualitative Evidence Synthesis.

Journal article J Med Internet Res · May 15, 2025 BACKGROUND: Persisting sex- and gender-based disparities in access to high-quality, personalized health care in the United States can lead to devastating outcomes with long-lasting consequences. Strategic use of virtual resources could expand equitable hea ... Full text Link to item Cite

Recommendations for interdisciplinary research collaboration for early career dissemination and implementation researchers: A multi-phase study.

Journal article J Clin Transl Sci · 2025 INTRODUCTION: Dissemination and implementation (D&I) scientists are key members of collaborative, interdisciplinary clinical and translational research teams. Yet, early career D&I researchers (ECRs) have few guidelines for cultivating productive research ... Full text Open Access Link to item Cite

Tailoring Chronic Disease Interventions to Meet Specific Needs of Women: A Case Example of a Hypertension Program.

Journal article Womens Health Rep (New Rochelle) · 2025 BACKGROUND: Women have a unique risk profile for cardiovascular disease (CVD) due to underlying sociocultural and biological determinants. Current CVD prevention and treatment interventions, however, largely remain agnostic to the influences of an individu ... Full text Open Access Link to item Cite

Perceptions of a comprehensive telehealth intervention in patients with persistently poor type 2 diabetes control.

Journal article J Clin Transl Sci · 2025 INTRODUCTION: To understand participant perspectives on an effective, practical, comprehensive telehealth intervention for persistently poorly controlled diabetes mellitus and examine how its components contributed to improved outcomes, with the goal of in ... Full text Open Access Link to item Cite

A Confidence and Preparedness Survey: Cognitive Interviews for Tool Assessment and Nursing Student Perspectives.

Journal article Global qualitative nursing research · January 2025 Safe medication administration is a critical responsibility of registered nurses and is an essential skill developed during nursing education. Student confidence and preparation regarding medication administration are essential aspects of professional skil ... Full text Cite

"Have to Fight the Demon": Veteran Type 2 Diabetes Mellitus Behavioral Self-Management and Diabetes Specific Risk-Taking Behaviors.

Journal article J Prim Care Community Health · 2025 OBJECTIVES: Diabetes mellitus Type 2 (T2DM) requires a set of life-long, complex self-management strategies that affect both physical and psychosocial aspects of daily life. This study aimed to assess how Veterans with T2DM describe self-management behavio ... 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 · December 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

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

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

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

Journal article Contemp Clin Trials · November 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

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

Planning for and Assessing Rigor in Rapid Qualitative Analysis (PARRQA): a consensus-based framework for designing, conducting, and reporting.

Journal article Implementation science : IS · October 2024 BackgroundThe use of rapid qualitative methods has increased substantially over the past decade in quality improvement and health services research. These methods have gained traction in implementation research and practice, wherein real-time adju ... Full text 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

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

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

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

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

Assessing a Digital Medicine System in Veterans with Severe Mental Illness: A provider-randomized clinical trial (Preprint)

Journal article · December 9, 2021 BACKGROUNDSuboptimal medication adherence is a significant problem for patients with serious mental illness (SMI). Measuring medication adherence through subjective and objective measures ... Full text Open Access Cite

Unpacking Peer Conversations in a Virtual Communitiy for Diabetes Self-Management Education and Support: Behavior Science and Linguistics Perspective.

Journal article Studies in health technology and informatics · December 2021 Diabetes is a chronic disease that can be effectively managed and controlled using strategies such as self-management education and ongoing support. Virtual environments offer innovative and realistic settings where patients can achieve self-management edu ... Full text Cite

Patient experiences with a phone-based cardiovascular risk reduction intervention: Are there differences between women and men?

Journal article Patient Educ Couns · November 2021 OBJECTIVES: To explore gender-based differences in experiences with a telehealth-delivered intervention for reduction of cardiovascular risk. METHODS: We conducted 23 semi-structured qualitative interviews by telephone with 11 women and 12 men who received ... Full text Open Access Link to item Cite

Veterans' Interpretation of Diabetes Distress in Diabetes Self-Management: Findings From Cognitive Interviews.

Journal article Sci Diabetes Self Manag Care · October 2021 PURPOSE: The purpose of this project was to identify additional facets of diabetes distress (DD) in veterans that may be present due to the veteran's military-related experience. METHODS: The study team completed cognitive interviews with veterans with typ ... Full text Open Access Link to item Cite

Implementation of social needs screening in primary care: a qualitative study using the health equity implementation framework.

Journal article BMC Health Serv Res · September 17, 2021 BACKGROUND: Screening in primary care for unmet individual social needs (e.g., housing instability, food insecurity, unemployment, social isolation) is critical to addressing their deleterious effects on patients' health outcomes. To our knowledge, this is ... Full text Link to item Cite

Perceptions of Using Multiple Mobile Health Devices to Support Self-Management Among Adults With Type 2 Diabetes: A Qualitative Descriptive Study.

Journal article J Nurs Scholarsh · September 2021 PURPOSE: This study identified facilitators and barriers pertaining to the use of multiple mobile health (mHealth) devices (Fitbit Alta® fitness tracker, iHealth® glucometer, BodyTrace® scale) that support self-management behaviors in individuals with type ... Full text Link to item Cite

Accelerating Implementation of Virtual Care in an Integrated Health Care System: Future Research and Operations Priorities.

Journal article J Gen Intern Med · August 2021 BACKGROUND: Virtual care is critical to Veterans Health Administration (VHA) efforts to expand veterans' access to care. Health care policies such as the Veterans Access, Choice, and Accountability (CHOICE) Act and the Maintaining Internal Systems and Stre ... Full text Open Access Link to item Cite

Applied Rapid Qualitative Analysis to Develop a Contextually Appropriate Intervention and Increase the Likelihood of Uptake.

Journal article Med Care · June 1, 2021 BACKGROUND: Rapid approaches to collecting and analyzing qualitative interview data can accelerate discovery timelines and intervention development while maintaining scientific rigor. We describe the application of these methods to a program designed to im ... Full text Open Access Link to item Cite

Improving cardiovascular outcomes by using team-supported, EHR-leveraged, active management: Disseminating a successful quality improvement project.

Journal article Contemp Clin Trials Commun · March 2021 BACKGROUND: Uncontrolled blood pressure (BP) is common among Veterans. Rural Veterans are at risk for suboptimal care coordination as successful programs may be implemented at lower rates due to individual- and system-level factors. There is strong evidenc ... Full text Open Access Link to item Cite

Implementing remote triage in large health systems: A qualitative evidence synthesis.

Journal article Res Nurs Health · February 2021 Remote triage (RT) allows interprofessional teams (e.g., nurses and physicians) to assess patients and make clinical decisions remotely. RT use has developed widespread interest due to the COVID-19 pandemic, and has future potential to address the needs of ... Full text Link to item Cite

Exchanges in a Virtual Environment for Diabetes Self-Management Education and Support: Social Network Analysis.

Journal article JMIR diabetes · January 2021 BackgroundDiabetes remains a major health problem in the United States, affecting an estimated 10.5% of the population. Diabetes self-management interventions improve diabetes knowledge, self-management behaviors, and clinical outcomes. Widespread ... Full text Cite

Effectiveness of Acute Care Remote Triage Systems: a Systematic Review.

Journal article J Gen Intern Med · July 2020 BACKGROUND: Technology-based systems can facilitate remote decision-making to triage patients to the appropriate level of care. Despite technologic advances, the effects of implementation of these systems on patient and utilization outcomes are unclear. We ... Full text Open Access Link to item Cite

Digital Phenotyping Self-Monitoring Behaviors for Individuals With Type 2 Diabetes Mellitus: Observational Study Using Latent Class Growth Analysis.

Journal article JMIR Mhealth Uhealth · June 11, 2020 BACKGROUND: Sustained self-monitoring and self-management behaviors are crucial to maintain optimal health for individuals with type 2 diabetes mellitus (T2DM). As smartphones and mobile health (mHealth) devices become widely available, self-monitoring usi ... Full text Link to item Cite

21-OR: Implementation of an Intensive Telehealth Intervention for Rural Patients with Uncontrolled Diabetes

Journal article Diabetes · June 1, 2020 Background: In rural areas, lack of access to specialty care and intensive self-management programs may perpetuate poor diabetes outcomes. Telehealth presents an opportunity to extend specialized diabetes care to rural areas, but may be difficult t ... Full text Cite

Self-monitoring diabetes with multiple mobile health devices.

Journal article J Am Med Inform Assoc · May 1, 2020 OBJECTIVE: The purpose of this study was to examine the use of multiple mobile health technologies to generate and transmit data from diverse patients with type 2 diabetes mellitus (T2DM) in between clinic visits. We examined the data to identify patterns ... Full text Link to item Cite

Barriers and facilitators to implementation of epilepsy self-management programs: a systematic review using qualitative evidence synthesis methods.

Journal article Syst Rev · April 25, 2020 BACKGROUND: Epilepsy affects nearly 50 million people worldwide. Self-management is critical for individuals with epilepsy in order to maintain optimal physical, cognitive, and emotional health. Implementing and adopting a self-management program requires ... Full text Open Access Link to item Cite

Digital Phenotyping Self-Monitoring Behaviors for Individuals With Type 2 Diabetes Mellitus: Observational Study Using Latent Class Growth Analysis (Preprint)

Journal article · January 8, 2020 BACKGROUNDSustained self-monitoring and self-management behaviors are crucial to maintain optimal health for individuals with type 2 diabetes mellitus (T2DM). As smartphones and mobile he ... Full text Cite

Self-management of Epilepsy: A Systematic Review.

Journal article Ann Intern Med · July 16, 2019 BACKGROUND: Although self-management is recommended for persons with epilepsy, its optimal strategies and effects are uncertain. PURPOSE: To evaluate the components and efficacy of self-management interventions in the treatment of epilepsy in community-dwe ... Full text Open Access Link to item Cite

Bridging the integration gap between patient-generated blood glucose data and electronic health records.

Journal article J Am Med Inform Assoc · July 1, 2019 Telemedicine can facilitate population health management by extending the reach of providers to efficiently care for high-risk, high-utilization populations. However, for telemedicine to be maximally useful, data collected using telemedicine technologies m ... Full text Open Access Link to item Cite

Enhancing Diabetes Self-Management Through Collection and Visualization of Data From Multiple Mobile Health Technologies: Protocol for a Development and Feasibility Trial.

Journal article JMIR Res Protoc · June 3, 2019 BACKGROUND: Self-management is integral for control of type 2 diabetes mellitus (T2DM). Patient self-management is improved when they receive real-time information on their health status and behaviors and ongoing facilitation from health professionals. How ... Full text Link to item Cite

The puzzle of medication nonadherence among individuals with hypertension.

Journal article Patient Educ Couns · June 2019 Full text Open Access Link to item Cite

Addressing Diabetes and Poorly Controlled Hypertension: Pragmatic mHealth Self-Management Intervention.

Journal article J Med Internet Res · April 9, 2019 BACKGROUND: Patients with diabetes and poorly controlled hypertension are at increased risk for adverse renal and cardiovascular outcomes. Identifying these patients early and addressing modifiable risk factors is central to delaying renal complications su ... Full text Open Access Link to item Cite

Developing Methods That Facilitate Coding and Analysis of Synchronous Conversations via Virtual Environments.

Journal article International journal of qualitative methods · January 2019 Programs via the Internet are uniquely positioned to capture qualitative data. One reason is because the Internet facilitates the creation of a community of similar individuals who can exchange information and support related to living with a chronic illne ... Full text Cite

Council for the Advancement of Nursing Science (CANS) News.

Journal article Nursing outlook · November 2018 Full text Cite

Nurse Knowledge and Engagement in Health Policy Making: Findings From a Pilot Study.

Journal article Journal of continuing education in nursing · September 2018 Although nurses constitute the largest segment of the health care workforce in the United States, their participation in all levels of health policy advocacy remains low. We surveyed practicing nurses on their current knowledge about health policy advocacy ... Full text Cite

Characteristics of E-Mail Solicitations From Predatory Nursing Journals and Publishers.

Journal article Journal of continuing education in nursing · April 2018 Predatory publishers solicit manuscripts through e-mail invitations to potential authors, with the goal of enticing authors to submit a manuscript to the journal. This descriptive study examined the characteristics of 206 e-mail invitations from predatory ... Full text Cite

Type 2 Diabetes Education and Support in a Virtual Environment: A Secondary Analysis of Synchronously Exchanged Social Interaction and Support.

Journal article Journal of medical Internet research · February 2018 BackgroundVirtual environments (VEs) facilitate interaction and support among individuals with chronic illness, yet the characteristics of these VE interactions remain unknown.ObjectiveThe objective of this study was to describe social in ... Full text Cite

Analyzing Unstructured Communication in a Computer-Mediated Environment for Adults With Type 2 Diabetes: A Research Protocol.

Journal article JMIR research protocols · April 2017 BackgroundIndividuals with type 2 diabetes have an increased risk for comorbidities such as heart disease, lower limb amputations, stroke, and renal failure. Multiple factors influence development of complications in a person living with type 2 di ... Full text Cite

Partnership for development: A peer mentorship model for PhD students.

Journal article J Prof Nurs · 2017 Formal mentoring relationships socialize Doctor of Philosophy (PhD) students to their current and future roles as nursing scholars. Despite formal mentoring, some students may desire or benefit from additional mentoring in an informal setting. Informal men ... Full text Link to item Cite

Social Support for Diabetes Self-Management via eHealth Interventions.

Journal article Current diabetes reports · July 2016 eHealth interventions have been increasingly used to provide social support for self-management of type 2 diabetes. In this review, we discuss social support interventions, types of support provided, sources or providers of support, outcomes of the support ... Full text Cite

Social interaction in type 2 diabetes computer-mediated environments: How inherent features of the channels influence peer-to-peer interaction.

Journal article Chronic illness · June 2016 IntroductionInterventions via the internet provide support to individuals managing chronic illness. The purpose of this integrative review was to determine how the features of a computer-mediated environment influence social interactions among ind ... Full text Cite

Student-Faculty Lunch Program to Increase Mentoring and Facilitate Cross-Program Relationships in School of Nursing.

Journal article Nurse educator · May 2016 Let's DU Lunch is a pilot program launched to explore the impact of a low-cost, student-faculty lunch program to increase mentoring and facilitate cross-program relationships. This program gave students the opportunity to go to lunch with a faculty member ... Full text Cite

Diabetes Learning in Virtual Environments: Testing the Efficacy of Self-Management Training and Support in Virtual Environments (Randomized Controlled Trial Protocol).

Journal article Nursing research · November 2015 BackgroundOngoing self-management improves outcomes for those with Type 2 diabetes (T2D); however, there are many barriers to patients receiving assistance in this from the healthcare system and peers. Findings from our pilot study showed that a v ... Full text Cite