Scholars@Duke
Janet Prvu Bettger

Janet Prvu Bettger

Adjunct Associate in the Department of Orthopaedic Surgery
Orthopaedic Surgery
janet.bettger@duke.edu
311 Trent Drive, Durham, NC 27710
Manage Profile
Embed Profile Data

Selected Publications

Multicomponent Intervention to Improve Acute Myocardial Infarction Care in Tanzania: Protocol for a Pilot Implementation Trial.

Journal Article JMIR Res Protoc · September 24, 2024 BACKGROUND: Although the incidence of acute myocardial infarction (AMI) is rising in sub-Saharan Africa, the uptake of evidence-based care for the diagnosis and treatment of AMI is limited throughout the region. In Tanzania, studies have revealed common mi ... Full text Link to item Cite

What Explains Inequalities in Telehealth Utilization Among North Carolina Medicaid Beneficiaries?

Journal Article Telemed J E Health · August 2024 Background: Increased availability of telehealth can improve access to health care. However, there is evidence of persistent disparities in telehealth usage, as well as among people from minoritized racial and ethnic groups and rural residents. The objecti ... Full text Link to item Cite

Challenges in the Transition from Acute Hospital Care to Home for Spanish-Speaking Latino Patients with TBI and Families: Perspectives of Healthcare Providers and Interpreters.

Journal Article J Racial Ethn Health Disparities · July 12, 2024 Language-based disparities negatively impact patient outcomes. Spanish-speaking Latino patients with traumatic brain injury (TBI) transitioning home from acute hospital care and their families have poor TBI-related outcomes; further, they have significant ... Full text Link to item Cite

Exploring the Inclusion of Person-Centered Care Domains in Stroke Transitions of Care Interventions: A Scientific Statement From the American Heart Association.

Journal Article Stroke · June 2024 BACKGROUND: Health care teams along the stroke recovery continuum have a responsibility to support care transitions and return to the community. Ideally, individualized care will consider patient and family preferences, best available evidence, and health ... Full text Link to item Cite

Cost and outcomes of Hospital-based Usual cAre versus Tele-monitor self-directed Rehabilitation (HUATR) in patients with total knee arthroplasty: A randomized, controlled, non-inferiority trial.

Journal Article Osteoarthritis Cartilage · May 2024 OBJECTIVE: To evaluate the clinical efficacy and cost-effectiveness of telemonitored self-directed rehabilitation (TR) compared with hospital-based rehabilitation (HBR) for patients with total knee arthroplasty (TKA). DESIGN: In this randomized, non-inferi ... Full text Link to item Cite

Caring for Stroke Survivors: Ethnic Differences in Informal Caregiver Needs Among Mexican American and Non-Hispanic White Communities.

Journal Article Stroke · May 2024 BACKGROUND: After stroke, Mexican American (MA) individuals have worse 90-day neurological, functional, cognitive, and quality of life outcomes and a higher prevalence of poststroke depression compared with non-Hispanic White (NHW) individuals. MA individu ... Full text Link to item Cite

Improving acute myocardial infarction care in northern Tanzania: barrier identification and implementation strategy mapping.

Journal Article BMC Health Serv Res · March 28, 2024 BACKGROUND: Evidence-based care for acute myocardial infarction (AMI) reduces morbidity and mortality. Prior studies in Tanzania identified substantial gaps in the uptake of evidence-based AMI care. Implementation science has been used to improve uptake of ... Full text Open Access Link to item Cite

A systematic review and cross-sectional survey of rehabilitation resources for injury patients in the Kilimanjaro Region of Tanzania.

Journal Article Disabil Rehabil · March 2024 PURPOSE: An estimated 10 million people across Tanzania have a condition that would benefit from rehabilitative care. However, access to rehabilitation remains inadequate to meet the needs of Tanzania's population. The goal of this study was to identify an ... Full text Link to item Cite

Describing Perspectives of Telehealth and the Impact on Equity in Access to Health Care from Community and Provider Perspectives: A Multimethod Analysis.

Journal Article Telemed J E Health · January 2024 Introduction: The rapid adoption of telehealth as a result of the COVID-19 pandemic provided the opportunity to examine perceptions of health care access and use of telehealth for delivery of effective and equitable care in low-income and historically marg ... Full text Link to item Cite

A Pragmatic Clinical Trial of Hearing Screening in Primary Care Clinics: Effect of Setting and Provider Encouragement.

Journal Article Ear Hear · January 2024 OBJECTIVES: The prevalence of hearing loss increases with age. Untreated hearing loss is associated with poorer communication abilities and negative health consequences, such as increased risk of dementia, increased odds of falling, and depression. Nonethe ... Full text Link to item Cite

Longitudinal analysis of physical function in older adults: The effects of physical inactivity and exercise training.

Journal Article Aging Cell · January 2024 Lack of exercise contributes to systemic inflammation and is a major cause of chronic disease. The long-term impact of initiating and sustaining exercise in late life, as opposed to sustaining a sedentary lifestyle, on whole-body health measures such as ph ... Full text Link to item Cite

Patient and provider perspectives on barriers to myocardial infarction care among persons with human immunodeficiency virus in Tanzania: A qualitative study.

Journal Article Int J STD AIDS · January 2024 INTRODUCTION: People with HIV (PLWH) have an increased risk myocardial infarction (MI), and evidence suggests that MI is under-diagnosed in Tanzania. However, little is known about barriers to MI care among PLWH in the region. METHODS: In this qualitative ... Full text Link to item Cite

Efficacy of BETTER transitional care intervention for diverse patients with traumatic brain injury and their families: Study protocol of a randomized controlled trial.

Journal Article PLoS One · 2024 OBJECTIVE: The purpose of this study is to examine the efficacy of BETTER (Brain Injury, Education, Training, and Therapy to Enhance Recovery) vs. usual transitional care management among diverse adults with traumatic brain injury (TBI) discharged home fro ... Full text Open Access Link to item Cite

Leveraging Student Volunteers to Connect Patients with Social Risk to Resources On a Coordinated Care Platform: A Case Study with Two Endocrinology Clinics.

Journal Article Int J Integr Care · 2024 INTRODUCTION: Although unmet social needs can impact health outcomes, health systems often lack the capacity to fully address these needs. Our study describes a model that organized student volunteers as a community-based organisation (CBO) to serve as a s ... Full text Link to item Cite

Adapting an Intervention to Improve Acute Myocardial Infarction Care in Tanzania: Co-Design of the MIMIC Intervention.

Journal Article Ann Glob Health · 2024 BACKGROUND: Uptake of evidence-based care for acute myocardial infarction (AMI) is suboptimal in Tanzania, but there are currently no published interventions to improve AMI care in sub-Saharan Africa. OBJECTIVES: Co-design a quality improvement interventio ... Full text Link to item Cite

Implementation of NCCARE360, a Digital Statewide Closed-Loop Referral Platform to Improve Health and Social Care Coordination: Evidence from the North Carolina COVID-19 Support Services Program

Journal Article North Carolina Medical Journal · January 1, 2024 introduction Efforts to improve population health by being responsive to patients’ social and economic conditions will benefit from care models and technologies that assess and address unmet social needs. In 2019, NCCARE360 launched in North Carolina as th ... Full text Cite

Provider attitudes towards quality improvement for myocardial infarction care in northern Tanzania.

Journal Article PLOS Glob Public Health · 2024 INTRODUCTION: Myocardial Infarction (MI) is a leading cause of death worldwide. In high income countries, quality improvement strategies have played an important role in increasing uptake of evidence-based MI care and improving MI outcomes. The incidence o ... Full text Link to item Cite

ParallelED-A novel screening and referral intervention using emergency department wait times to identify and address unmet social needs.

Journal Article J Am Coll Emerg Physicians Open · December 2023 BACKGROUND: People arriving at the emergency department (ED) often have unmet health-related social needs (HRSN). We implemented an intervention that used undergraduate student volunteers to screen patients in the ED waiting room (WR) for unmet social driv ... Full text Link to item Cite

Multicomponent Intervention to Improve Acute Myocardial Infarction Care in Tanzania: Protocol for a Pilot Implementation Trial.

Journal Article JMIR Res Protoc · September 24, 2024 BACKGROUND: Although the incidence of acute myocardial infarction (AMI) is rising in sub-Saharan Africa, the uptake of evidence-based care for the diagnosis and treatment of AMI is limited throughout the region. In Tanzania, studies have revealed common mi ... Full text Link to item Cite

What Explains Inequalities in Telehealth Utilization Among North Carolina Medicaid Beneficiaries?

Journal Article Telemed J E Health · August 2024 Background: Increased availability of telehealth can improve access to health care. However, there is evidence of persistent disparities in telehealth usage, as well as among people from minoritized racial and ethnic groups and rural residents. The objecti ... Full text Link to item Cite

Challenges in the Transition from Acute Hospital Care to Home for Spanish-Speaking Latino Patients with TBI and Families: Perspectives of Healthcare Providers and Interpreters.

Journal Article J Racial Ethn Health Disparities · July 12, 2024 Language-based disparities negatively impact patient outcomes. Spanish-speaking Latino patients with traumatic brain injury (TBI) transitioning home from acute hospital care and their families have poor TBI-related outcomes; further, they have significant ... Full text Link to item Cite

Exploring the Inclusion of Person-Centered Care Domains in Stroke Transitions of Care Interventions: A Scientific Statement From the American Heart Association.

Journal Article Stroke · June 2024 BACKGROUND: Health care teams along the stroke recovery continuum have a responsibility to support care transitions and return to the community. Ideally, individualized care will consider patient and family preferences, best available evidence, and health ... Full text Link to item Cite

Cost and outcomes of Hospital-based Usual cAre versus Tele-monitor self-directed Rehabilitation (HUATR) in patients with total knee arthroplasty: A randomized, controlled, non-inferiority trial.

Journal Article Osteoarthritis Cartilage · May 2024 OBJECTIVE: To evaluate the clinical efficacy and cost-effectiveness of telemonitored self-directed rehabilitation (TR) compared with hospital-based rehabilitation (HBR) for patients with total knee arthroplasty (TKA). DESIGN: In this randomized, non-inferi ... Full text Link to item Cite

Caring for Stroke Survivors: Ethnic Differences in Informal Caregiver Needs Among Mexican American and Non-Hispanic White Communities.

Journal Article Stroke · May 2024 BACKGROUND: After stroke, Mexican American (MA) individuals have worse 90-day neurological, functional, cognitive, and quality of life outcomes and a higher prevalence of poststroke depression compared with non-Hispanic White (NHW) individuals. MA individu ... Full text Link to item Cite

Improving acute myocardial infarction care in northern Tanzania: barrier identification and implementation strategy mapping.

Journal Article BMC Health Serv Res · March 28, 2024 BACKGROUND: Evidence-based care for acute myocardial infarction (AMI) reduces morbidity and mortality. Prior studies in Tanzania identified substantial gaps in the uptake of evidence-based AMI care. Implementation science has been used to improve uptake of ... Full text Open Access Link to item Cite

A systematic review and cross-sectional survey of rehabilitation resources for injury patients in the Kilimanjaro Region of Tanzania.

Journal Article Disabil Rehabil · March 2024 PURPOSE: An estimated 10 million people across Tanzania have a condition that would benefit from rehabilitative care. However, access to rehabilitation remains inadequate to meet the needs of Tanzania's population. The goal of this study was to identify an ... Full text Link to item Cite

Describing Perspectives of Telehealth and the Impact on Equity in Access to Health Care from Community and Provider Perspectives: A Multimethod Analysis.

Journal Article Telemed J E Health · January 2024 Introduction: The rapid adoption of telehealth as a result of the COVID-19 pandemic provided the opportunity to examine perceptions of health care access and use of telehealth for delivery of effective and equitable care in low-income and historically marg ... Full text Link to item Cite

A Pragmatic Clinical Trial of Hearing Screening in Primary Care Clinics: Effect of Setting and Provider Encouragement.

Journal Article Ear Hear · January 2024 OBJECTIVES: The prevalence of hearing loss increases with age. Untreated hearing loss is associated with poorer communication abilities and negative health consequences, such as increased risk of dementia, increased odds of falling, and depression. Nonethe ... Full text Link to item Cite

Longitudinal analysis of physical function in older adults: The effects of physical inactivity and exercise training.

Journal Article Aging Cell · January 2024 Lack of exercise contributes to systemic inflammation and is a major cause of chronic disease. The long-term impact of initiating and sustaining exercise in late life, as opposed to sustaining a sedentary lifestyle, on whole-body health measures such as ph ... Full text Link to item Cite

Patient and provider perspectives on barriers to myocardial infarction care among persons with human immunodeficiency virus in Tanzania: A qualitative study.

Journal Article Int J STD AIDS · January 2024 INTRODUCTION: People with HIV (PLWH) have an increased risk myocardial infarction (MI), and evidence suggests that MI is under-diagnosed in Tanzania. However, little is known about barriers to MI care among PLWH in the region. METHODS: In this qualitative ... Full text Link to item Cite

Efficacy of BETTER transitional care intervention for diverse patients with traumatic brain injury and their families: Study protocol of a randomized controlled trial.

Journal Article PLoS One · 2024 OBJECTIVE: The purpose of this study is to examine the efficacy of BETTER (Brain Injury, Education, Training, and Therapy to Enhance Recovery) vs. usual transitional care management among diverse adults with traumatic brain injury (TBI) discharged home fro ... Full text Open Access Link to item Cite

Leveraging Student Volunteers to Connect Patients with Social Risk to Resources On a Coordinated Care Platform: A Case Study with Two Endocrinology Clinics.

Journal Article Int J Integr Care · 2024 INTRODUCTION: Although unmet social needs can impact health outcomes, health systems often lack the capacity to fully address these needs. Our study describes a model that organized student volunteers as a community-based organisation (CBO) to serve as a s ... Full text Link to item Cite

Adapting an Intervention to Improve Acute Myocardial Infarction Care in Tanzania: Co-Design of the MIMIC Intervention.

Journal Article Ann Glob Health · 2024 BACKGROUND: Uptake of evidence-based care for acute myocardial infarction (AMI) is suboptimal in Tanzania, but there are currently no published interventions to improve AMI care in sub-Saharan Africa. OBJECTIVES: Co-design a quality improvement interventio ... Full text Link to item Cite

Implementation of NCCARE360, a Digital Statewide Closed-Loop Referral Platform to Improve Health and Social Care Coordination: Evidence from the North Carolina COVID-19 Support Services Program

Journal Article North Carolina Medical Journal · January 1, 2024 introduction Efforts to improve population health by being responsive to patients’ social and economic conditions will benefit from care models and technologies that assess and address unmet social needs. In 2019, NCCARE360 launched in North Carolina as th ... Full text Cite

Provider attitudes towards quality improvement for myocardial infarction care in northern Tanzania.

Journal Article PLOS Glob Public Health · 2024 INTRODUCTION: Myocardial Infarction (MI) is a leading cause of death worldwide. In high income countries, quality improvement strategies have played an important role in increasing uptake of evidence-based MI care and improving MI outcomes. The incidence o ... Full text Link to item Cite

ParallelED-A novel screening and referral intervention using emergency department wait times to identify and address unmet social needs.

Journal Article J Am Coll Emerg Physicians Open · December 2023 BACKGROUND: People arriving at the emergency department (ED) often have unmet health-related social needs (HRSN). We implemented an intervention that used undergraduate student volunteers to screen patients in the ED waiting room (WR) for unmet social driv ... Full text Link to item Cite

Evaluating Telehealth Uptake Among North Carolina Medicaid Beneficiaries With Musculoskeletal Conditions: Insights From the COVID-19 Pandemic.

Journal Article Med Care · November 1, 2023 BACKGROUND: The shift from in-person to virtual visits, known as telehealth (TH), during the COVID-19 pandemic was a significant change for North Carolina (NC) Medicaid beneficiaries seeking treatment for musculoskeletal (MSK) conditions, as remote care fo ... Full text Link to item Cite

The BETTER Traumatic Brain Injury Transitional Care Intervention: A Feasibility Study.

Journal Article West J Nurs Res · October 2023 This study aimed to investigate the feasibility, acceptability, and clinical outcome measures of BETTER (Brain Injury Education, Training, and Therapy to Enhance Recovery), a culturally tailored traumatic brain injury (TBI) transitional care intervention, ... Full text Link to item Cite

Discordance Between Self-Reported and Performance-Based Physical Function in Patients Who Have Knee Osteoarthritis: Associations With Pain Intensity and Negative Affect.

Journal Article J Arthroplasty · September 2023 BACKGROUND: Although self-reported measures of physical disability are strong indication criterion for total knee arthroplasty (TKA) in painful knee osteoarthritis (OA), some patients may report greater-than-observed disability. Contributing factors to thi ... Full text Link to item Cite

Telehealth Utilization Among Adult Medicaid Beneficiaries in North Carolina with Behavioral Health Conditions During the COVID-19 Pandemic.

Journal Article J Racial Ethn Health Disparities · August 16, 2023 OBJECTIVE: We examined factors associated with telehealth utilization during COVID-19 among adult Medicaid beneficiaries with behavioral health conditions. DATA SOURCES AND STUDY SETTING: NC Medicaid 2019-2021 beneficiary and claims data. STUDY DESIGN: Thi ... Full text Link to item Cite

Volunteers as a resource for asset mapping and maintaining a living resource directory: lessons from an academic-community partnership.

Journal Article Perspect Public Health · July 21, 2023 AIMS: Health and social services are fundamental to public and population health, and disruptions can have devastating effects on individuals of all ages. During the first wave of the COVID-19 pandemic, the availability of health and social services rapidl ... Full text Link to item Cite

"If you respect me, you are respecting my culture": methods and recommendations for personalizing a TBI transitional care intervention.

Journal Article Brain Inj · July 3, 2023 OBJECTIVE: Despite research, national legislation, and clinical guidelines supporting transitional care, there is minimal benefit from existing transitional care interventions for racial/ethnic minorities with traumatic brain injury (TBI) discharged home f ... Full text Link to item Cite

Familial caregiving following stroke: findings from the comprehensive post-acute stroke services (COMPASS) pragmatic cluster-randomized transitional care study.

Journal Article Top Stroke Rehabil · July 2023 BACKGROUND: Stroke patients discharged home often require prolonged assistance from caregivers. Little is known about the real-world effectiveness of a comprehensive stroke transitional care intervention on relieving caregiver strain. OBJECTIVES: To descri ... Full text Link to item Cite

Stroke Learning Health Systems: A Topical Narrative Review With Case Examples.

Journal Article Stroke · April 2023 To our knowledge, the adoption of Learning Health System (LHS) concepts or approaches for improving stroke care, patient outcomes, and value have not previously been summarized. This topical review provides a summary of the published evidence about LHSs ap ... Full text Link to item Cite

Predictors of cognitive gains during inpatient rehabilitation for older adults with traumatic brain injury.

Journal Article PM R · March 2023 INTRODUCTION: Traumatic brain injury (TBI) among older adults is increasing and can affect cognition. To effectively meet the rehabilitation needs of older adults, a clearer picture is needed of patient-, clinical-, and facility-level characteristics that ... Full text Link to item Cite

Temporal trends and rural-urban disparities in cerebrovascular risk factors, in-hospital management and outcomes in ischaemic strokes in China from 2005 to 2015: a nationwide serial cross-sectional survey.

Journal Article Stroke Vasc Neurol · February 2023 BACKGROUND: Stroke is the leading cause of mortality in China, with limited evidence of in-hospital burden obtained from nationwide surveys. We aimed to monitor and track the temporal trends and rural-urban disparities in cerebrovascular risk factors, mana ... Full text Link to item Cite

Abstract WMP28: Ethnic Differences In Use Of Rehabilitation In The First 90 Days Following Incident Stroke

Conference Stroke · February 2023 Introduction: Mexican Americans (MAs) have worse stroke outcomes than non-Hispanic whites (NHWs). One possible explanation is that MAs receive less intense rehabilitation than NHWs. Our objective was ... Full text Cite

Abstract TP57: Understanding Ethnic Differences In Post-stroke Informal Caregiver Needs

Conference Stroke · February 2023 Introduction: Stroke is the leading cause of adult disability in the U.S. Mexican Americans (MAs) have worse 90-day neurologic, functional, cognitive and quality of life outcomes and a higher prevalen ... Full text Cite

Which factors affect the implementation of telerehabilitation? Study protocol for a mixed-methods systematic review with a framework synthesis.

Journal Article Work · 2023 BACKGROUND: Telehealth approaches are promising for the delivery of rehabilitation services but may be under-used or under-implemented. OBJECTIVE: To report a review protocol to identify how much telerehabilitation (telehealth approaches to the delivery of ... Full text Link to item Cite

An economic evaluation of a primary care-based technology-enabled intervention for stroke secondary prevention and management in rural China: a study protocol.

Journal Article Front Neurol · 2023 INTRODUCTION: Secondary prevention of stroke is a leading challenge globally and only a few strategies have been tested to be effective in supporting stroke survivors. The system-integrated and technology-enabled model of care (SINEMA) intervention, a prim ... Full text Link to item Cite

Sex and Racial/Ethnic Differences in Within-Stay Readmissions During Inpatient Rehabilitation Among Patients With Traumatic Brain Injury.

Journal Article Am J Phys Med Rehabil · December 1, 2022 OBJECTIVE: The aim of the study was to determine the association of sex and race/ethnicity with acute hospital readmissions ("within-stay readmissions") during inpatient rehabilitation facility care versus patients discharged home without a within-stay rea ... Full text Link to item Cite

Injury characteristics and their association with clinical complications among emergency care patients in Tanzania.

Journal Article Afr J Emerg Med · December 2022 BACKGROUND: Over 5 million people annually die from injuries and millions more sustain non-fatal injuries requiring medical care. Ninety percent of injury deaths occur in low- and middle-income countries (LMICs). This study describes the characteristics, p ... Full text Open Access Link to item Cite

Integrated Health and Social Care in the United States: A Decade of Policy Progress

Conference International Journal of Integrated Care · November 4, 2022 Full text Cite

Estimated Global Proportions of Individuals With Persistent Fatigue, Cognitive, and Respiratory Symptom Clusters Following Symptomatic COVID-19 in 2020 and 2021.

Journal Article JAMA · October 25, 2022 IMPORTANCE: Some individuals experience persistent symptoms after initial symptomatic SARS-CoV-2 infection (often referred to as Long COVID). OBJECTIVE: To estimate the proportion of males and females with COVID-19, younger or older than 20 years of age, w ... Full text 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

Racial differences in persistence to secondary prevention medication regimens after ischemic stroke.

Journal Article Ethn Health · October 2022 BACKGROUND: Prior stroke is one of the biggest risk factors for future stroke events. Effective secondary prevention medication regimens can dramatically reduce recurrent stroke risk. Guidelines recommend the use of antithrombotic, antihypertensive and lip ... Full text Link to item Cite

A pragmatic clinical trial of hearing screening in primary care clinics: cost-effectiveness of hearing screening.

Journal Article Cost Eff Resour Alloc · June 25, 2022 BACKGROUND: Hearing loss is a high prevalence condition among older adults, is associated with higher-than-average risk for poor health outcomes and quality of life, and is a public health concern to individuals, families, communities, professionals, gover ... Full text Link to item Cite

"I Don't Do Anything; I'm Just Being Taken Care Of": Experiences of Patients and Their Caregivers Transitioning Back into the Community Following Traumatic Injury in Northern Tanzania.

Journal Article Trauma Care (Basel) · June 2022 After discharge from the hospital for traumatic injury, patients and their caregivers face a period of increased vulnerability. This adjustment phase is poorly characterized, especially in low- and middle-income countries. We explored the experiences of pa ... Full text Link to item Cite

A global systematic analysis of the occurrence, severity, and recovery pattern of long COVID in 2020 and 2021.

Journal Article medRxiv · May 27, 2022 IMPORTANCE: While much of the attention on the COVID-19 pandemic was directed at the daily counts of cases and those with serious disease overwhelming health services, increasingly, reports have appeared of people who experience debilitating symptoms after ... Full text Link to item Cite

Design, methods, and baseline characteristics of the Brain Injury Education, Training, and Therapy to Enhance Recovery (BETTER) feasibility study: a transitional care intervention for younger adult patients with traumatic brain injury and caregivers.

Journal Article Curr Med Res Opin · May 2022 OBJECTIVES: We developed a patient- and family-centered traumatic brain injury (TBI) transitional care intervention, called BETTER (Brain Injury Education, Training, and Therapy to Enhance Recovery), to improve quality of life (via SF-36) of younger TBI pa ... Full text Link to item Cite

Association of in-hospital depression and anxiety symptoms following stroke with 3 months- depression, anxiety and functional outcome.

Journal Article J Clin Neurosci · April 2022 BACKGROUND: Post-stroke depression and anxiety are common and are associated with worse post-stroke outcomes. Even though checking for depression during stroke hospitalization has become a common practice, the prognostic value of a positive in-hospital dep ... Full text Link to item Cite

One-Year Outcomes and Factors Associated With Mortality Following Acute Myocardial Infarction in Northern Tanzania.

Journal Article Circ Cardiovasc Qual Outcomes · April 2022 BACKGROUND: Little is known about long-term outcomes and uptake of secondary preventative therapies following acute myocardial infarction (AMI) in sub-Saharan Africa. METHODS: Consecutive patients presenting with AMI (as defined by the Fourth Universal Def ... Full text Link to item Cite

Developing the Next Generation of Leaders in Health Policy and Management: Lessons From an Undergraduate Student-Led Organization.

Journal Article Front Public Health · 2022 As health care continues to evolve, training the next generation of healthcare leaders is more important than ever. However, many university undergraduate students are not directly exposed to topics such as health policy and management within their coursew ... Full text Link to item Cite

Patient Barriers to Accessing Referred Resources for Unmet Social Needs.

Journal Article J Am Board Fam Med · 2022 INTRODUCTION: Many primary care clinics screen patients for their unmet social needs, such as food insecurity and housing instability, and refer them to community-based organizations (CBOs). However, the ability for patients to have their needs met is diff ... Full text Link to item Cite

Training student volunteers as community resource navigators to address patients' social needs: A curriculum toolkit.

Journal Article Front Public Health · 2022 INTRODUCTION: Few resources are available to train students to provide patients assistance for obtaining needed community-based services. This toolkit outlines a curriculum to train student volunteers to become "community resource navigators" to serve pati ... Full text Link to item Cite

Expanding access to rehabilitation using mobile health to address musculoskeletal pain and disability.

Journal Article Front Rehabil Sci · 2022 INTRODUCTION: Musculoskeletal (MSK) disorders such as low back pain and osteoarthritis are a leading cause of disability and the leading contributor to the need for rehabilitation services globally. This need has surpassed the availability of trained clini ... Full text Link to item Cite

Hospital Readmissions and Mortality Among Fee-for-Service Medicare Patients With Minor Stroke or Transient Ischemic Attack: Findings From the COMPASS Cluster-Randomized Pragmatic Trial.

Journal Article J Am Heart Assoc · December 7, 2021 Background Mortality and hospital readmission rates may reflect the quality of acute and postacute stroke care. Our aim was to investigate if, compared with usual care (UC), the COMPASS-TC (Comprehensive Post-Acute Stroke Services Transitional Care) interv ... Full text Link to item Cite

Knowledge, attitudes, and preventive practices regarding ischemic heart disease among HIV-positive individuals in northern Tanzania.

Journal Article Trop Med Int Health · December 2021 OBJECTIVES: To describe knowledge, attitudes, and practices (KAP) regarding ischemic heart disease (IHD) among adults with HIV in Tanzania. METHODS: Adults presenting for routine HIV care at a clinic in northern Tanzania were consecutively enrolled and wer ... Full text Link to item Cite

Medicaid Coverage Disruptions Among Children Enrolled in North Carolina Medicaid From 2016 to 2018.

Journal Article JAMA Health Forum · December 2021 IMPORTANCE: Brief disruptions in insurance coverage among eligible participants are associated with poorer health outcomes for children. OBJECTIVE: To describe factors associated with coverage disruptions among children enrolled in North Carolina Medicaid ... Full text Link to item Cite

Age- and sex-specific predictors of inpatient rehabilitation facility discharge destination for adult patients with traumatic brain injury.

Journal Article Brain Inj · November 10, 2021 OBJECTIVE: : To determine age- and sex-specific predictors of discharge destination among patients with traumatic brain injury (TBI) receiving inpatient rehabilitation facility (IRF) care. DESIGN: : Secondary analysis of Uniform Data System for Medical Reh ... Full text Link to item Cite

Thirty-day outcomes and predictors of mortality following acute myocardial infarction in northern Tanzania: A prospective observational cohort study.

Journal Article Int J Cardiol · November 1, 2021 OBJECTIVE: There is a rising burden of myocardial infarction (MI) within sub-Saharan Africa. Prospective studies of detailed MI outcomes in the region are lacking. METHODS: Adult patients with confirmed MI from a prospective surveillance study in northern ... Full text Link to item Cite

Comparing health care use and costs among new Medicaid enrollees before and during the COVID-19 pandemic.

Journal Article BMC Health Serv Res · October 25, 2021 BACKGROUND AND OBJECTIVE: To characterize health care use and costs among new Medicaid enrollees before and during the COVID pandemic. Results can help Medicaid non-expansion states understand health care use and costs of new enrollees in a period of enrol ... Full text Link to item Cite

Clinical Performance Measures for Stroke Rehabilitation: Performance Measures From the American Heart Association/American Stroke Association.

Journal Article Stroke · October 2021 The American Heart Association/American Stroke Association released the adult stroke rehabilitation and recovery guidelines in 2016. A working group of stroke rehabilitation experts reviewed these guidelines and identified a subset of recommendations that ... Full text Link to item Cite

Barriers to medication adherence in a rural-urban dual economy: a multi-stakeholder qualitative study.

Journal Article BMC Health Serv Res · August 12, 2021 BACKGROUND: One of the most cost-effective treatments for secondary prevention of stroke and other non-communicable diseases is a long-term medication regimen. However, the complexities of medication adherence extend far beyond individual behavior change, ... Full text Link to item Cite

Opening Pandora's Box: From Readmissions to Transitional Care Patient-Centered Outcome Measures.

Journal Article Med Care · August 1, 2021 BACKGROUND: Measuring the effectiveness of transitional care interventions has historically relied on health care utilization as the primary outcome. Although the Care Transitions Measure was the first outcome measure specifically developed for transitiona ... Full text Link to item Cite

Implementation of Complex Interventions: Lessons Learned From the Patient-Centered Outcomes Research Institute Transitional Care Portfolio.

Journal Article Med Care · August 1, 2021 BACKGROUND: Despite the well-documented risks to patient safety associated with transitions from one care setting to another, health care organizations struggle to identify which interventions to implement. Multiple strategies are often needed, and studyin ... Full text Link to item Cite

Synthesising evidence regarding hospital to home transitions supported by volunteers of third sector organisations: a scoping review protocol.

Journal Article BMJ Open · July 5, 2021 INTRODUCTION: Given the risks inherent in care transitions, it is imperative that patients discharged from hospital to home receive the integrated care services necessary to ensure a successful transition. Despite efforts by the healthcare sector to develo ... Full text Link to item Cite

Perceived barriers and supports to accessing community-based services for Uganda's pediatric post-surgical population.

Journal Article Disabil Rehabil · July 2021 BACKGROUND: Access to pediatric surgical intervention in low-income countries is expanding, but investments in post-surgical care have received less attention. This study explored the barriers and supports for school-aged children to access post-surgical, ... Full text Open Access Link to item Cite

"Just tell me in a simple way": A qualitative study on opportunities to improve the transition from acute hospital care to home from the perspectives of patients with traumatic brain injury, families, and providers.

Journal Article Clin Rehabil · July 2021 OBJECTIVE: The purpose of this study was to identify areas to improve the transition from acute hospital care to home for patients with traumatic brain injury and their families. DESIGN: Qualitative, descriptive. SETTING: Level I trauma centered located in ... Full text Link to item Cite

Outcomes of Medicare beneficiaries hospitalised with transient ischaemic attack and stratification using the ABCD2 score.

Journal Article Stroke Vasc Neurol · June 2021 BACKGROUND: Long-term outcomes for Medicare beneficiaries hospitalised with transient ischaemic attack (TIA) and role of ABCD2 score in identifying high-risk individuals are not studied. METHODS: We identified 40 825 Medicare beneficiaries hospitalised fro ... Full text Link to item Cite

Socio-ecological perspective on factors influencing acute recovery of younger stroke survivors: A mixed methods study.

Journal Article J Adv Nurs · June 2021 AIMS: Stroke is affecting an increasing number of young and middle-aged adults. Given the substantial diversion from anticipated life trajectories that younger stroke survivors experience as a result of their stroke deficits, their health-related quality o ... Full text Link to item Cite

Inpatient rehabilitation facility discharge destination among younger adults with traumatic brain injury: differences by race and ethnicity.

Journal Article Brain Inj · May 12, 2021 OBJECTIVE: : To determine the association of race and ethnicity with discharge destination among patients with traumatic brain injury (TBI) receiving inpatient rehabilitation facility (IRF) care. DESIGN: Secondary analysis using Uniform Data System for Med ... Full text Link to item Cite

Resilience and pain catastrophizing among patients with total knee arthroplasty: a cohort study to examine psychological constructs as predictors of post-operative outcomes.

Journal Article Health Qual Life Outcomes · May 1, 2021 BACKGROUND: Patients' psychological health may influence recovery and functional outcomes after total knee arthroplasty (TKA). Pain catastrophizing, known to be associated with poor function following TKA, encompasses rumination, magnification, and helples ... Full text Link to item Cite

Association of formal and informal care with health-related quality of life and depressive symptoms: findings from the Caring for Adults Recovering from the Effects of Stroke study.

Journal Article Disability and rehabilitation · April 2021 AimTo investigate the association between informal and formal care and stroke participants' self-reported health-related quality of life and depressive symptoms one year after the stroke event.MethodsWe examined a national population-base ... Full text Cite

Addressing the Social Determinants of Health During the COVID-19 Pandemic: Ensuring Equity, Quality, and Sustainability.

Journal Article Fam Community Health · April 2021 The COVID-19 pandemic has highlighted the importance of social determinants of health in affecting health outcomes. Populations with high social risk are disproportionately impacted by the virus and its economic consequences. Primary care practices have a ... Full text Link to item Cite

Effectiveness of a primary care-based integrated mobile health intervention for stroke management in rural China (SINEMA): A cluster-randomized controlled trial.

Journal Article PLoS Med · April 2021 BACKGROUND: Managing noncommunicable diseases through primary healthcare has been identified as the key strategy to achieve universal health coverage but is challenging in most low- and middle-income countries. Stroke is the leading cause of death and disa ... Full text Link to item Cite

Changes in Informed Consent Policy and Treatment Delays in Stroke Thrombolysis.

Journal Article J Stroke Cerebrovasc Dis · March 2021 OBJECTIVES: The efficacy of thrombolytic therapy with tissue plasminogen activator (tPA) is highly time dependent. Although clinical guidelines do not recommend written informed consent as it may cause treatment delays, local policy can supersede and requi ... Full text Open Access Link to item Cite

A Community Resource Navigator Model: Utilizing Student Volunteers to Integrate Health and Social Care in a Community Health Center Setting.

Journal Article Int J Integr Care · February 5, 2021 INTRODUCTION: While unmet social needs are major drivers of health outcomes, most health systems are not fully integrated with the social care sector to address them. In this case study, we describe the development and implementation of a model utilizing s ... Full text Link to item Cite

Experiences of Family Caregivers After an Acute Neurological Event.

Journal Article Neurocrit Care · February 2021 BACKGROUND: Family of patients hospitalized in an intensive care unit (ICU) often immediately assume the role of caregiver to an individual with significant health care needs. The transition into this caregiver role may be sudden and unexpected; their expe ... Full text Link to item Cite

Transitions of care interventions to improve quality of life among patients hospitalized with acute conditions: a systematic literature review.

Journal Article Health Qual Life Outcomes · January 29, 2021 BACKGROUND: Although transitional care interventions can improve health among patients hospitalized with acute conditions, few interventions use patient quality of life (QOL) as the primary outcome. Existing interventions use a variety of intervention comp ... Full text Open Access Link to item Cite

Recovery experiences of younger stroke survivors who are parents: A qualitative content analysis.

Journal Article J Clin Nurs · January 2021 AIMS AND OBJECTIVES: To explore the experience of parenting for younger stroke survivors (aged 18 to 64 years at the time of the stroke). BACKGROUND: Stroke among younger adults increased 43% between 2000 and 2010. The social, emotional and physical functi ... Full text Link to item Cite

Objective Test Scores Throughout Orthopedic Surgery Residency Suggest Disparities in Training Experience.

Journal Article J Surg Educ · 2021 Diversifying clinical residencies, particularly in fields that are historically dominated by majority male (M/M) cohorts, is critical to improve both the training experiences of residents and the overall physician workforce. Orthopedic surgery in particula ... Full text Open Access Link to item Cite

Comprehensive Stroke Care and Outcomes: Time for a Paradigm Shift.

Journal Article Stroke · January 2021 Worldwide, stroke is prevalent, costly, and disabling in >80 million survivors. The burden of stroke is increasing despite incredible progress and advancements in evidence-based acute care therapies and despite the substantial changes being made in acute c ... Full text Link to item Cite

Workforce Models to Screen for and Address Patients' Unmet Social Needs in the Clinic Setting: A Scoping Review.

Journal Article J Prim Care Community Health · 2021 OBJECTIVES: While healthcare organizations increasingly aim to address the social determinants of health (SDOH) in the clinic setting, there is little guidance on which staff are best equipped to assume this role. The present study is a scoping review of t ... Full text Link to item Cite

Factors Associated with Patients' Connection to Referred Social Needs Resources at a Federally Qualified Health Center.

Journal Article J Prim Care Community Health · 2021 INTRODUCTION: In an effort to improve health outcomes and promote health equity, healthcare systems have increasingly begun to screen patients for unmet social needs and refer them to relevant social services and community-based organizations. This study a ... Full text Link to item Cite

Negotiating the transition from acute hospital care to home: perspectives of patients with traumatic brain injury, caregivers and healthcare providers

Journal Article Journal of Integrated Care · January 1, 2021 Purpose: The purpose is to explore experiences transitioning home from acute hospital care from perspectives of younger traumatic brain injury (TBI) patients, family caregivers and healthcare providers (HCPs). Design/methodology/approach: The authors condu ... Full text Cite

Integrated Health and Social Care in the United States: A Decade of Policy Progress.

Journal Article Int J Integr Care · 2021 INTRODUCTION: Over the last decade in the United States (US), the burden of chronic disease, health care costs, and fragmented care delivery have increased at alarming rates. To address these challenges, policymakers have prioritized new payment and delive ... Full text Link to item Cite

The Implementation of a Primary Care-Based Integrated Mobile Health Intervention for Stroke Management in Rural China: Mixed-Methods Process Evaluation.

Journal Article Front Public Health · 2021 Background: There is a lack of evidence concerning the effective implementation of strategies for stroke prevention and management, particularly in resource-limited settings. A primary-care-based integrated mobile health intervention (SINEMA intervention) ... Full text Link to item Cite

Best Practices for Building Interprofessional Telehealth: Report of a Conference.

Journal Article Int J Telerehabil · 2021 The Arizona Biomedical Research Centre (ABRC) has funded a series of workshops and conferences since 2016 to build the capacity of local, tribal, and state agencies, healthcare delivery organizations, and non-governmental organizations to engage in meaning ... Full text Link to item Cite

Cost trajectories as a measure of functional resilience after hospitalization in older adults.

Journal Article Aging Clin Exp Res · December 2020 BACKGROUND: Administrative data sets lack functional measures. AIM: We examined whether trajectories of cost can be used as a marker of functional recovery after hospitalization. METHODS: Secondary analysis of the National Health and Aging Trends Study mer ... Full text Link to item Cite

Disease Burden Following Non-Cardioembolic Minor Ischemic Stroke or High-Risk TIA: A GWTG-Stroke Study.

Journal Article J Stroke Cerebrovasc Dis · December 2020 BACKGROUND: Limited real-world data are available on outcomes following non-cardioembolic minor ischemic stroke (IS) or high-risk transient ischemic attack (TIA), particularly in the United States (US). We examined outcomes and Medicare payments following ... Full text Link to item Cite

Estimating minimal clinically important differences for two scales in patients with chronic traumatic brain injury.

Journal Article Curr Med Res Opin · December 2020 BACKGROUND: This study aimed to establish the minimal clinically important difference (MCID) for the Fugl-Meyer Motor Scale (FMMS) and the Disability Rating Scale (DRS) to evaluate interventions in patients with motor deficits in the chronic phase after tr ... Full text Link to item Cite

Defining the characteristics of intermediate care models including transitional care: an international Delphi study.

Journal Article Aging Clin Exp Res · November 2020 BACKGROUND: Although there is growing utilisation of intermediate care to improve the health and well-being of older adults with complex care needs, there is no international agreement on how it is defined, limiting comparability between studies and reduci ... Full text Link to item Cite

Effect of a Triage-Based Screening Protocol on Diagnosis and Treatment of Acute Coronary Syndrome in a Tanzanian Emergency Department: A Prospective Pre-Post Study.

Journal Article J Am Heart Assoc · August 18, 2020 Background Evidence suggests that acute coronary syndrome (ACS) is underdiagnosed in sub-Saharan Africa. Triage-based interventions have improved ACS diagnosis and management in high-income settings but have not been evaluated in sub-Saharan African emerge ... Full text Link to item Cite

COVID-19 Pandemic and Beyond: Considerations and Costs of Telehealth Exercise Programs for Older Adults With Functional Impairments Living at Home-Lessons Learned From a Pilot Case Study.

Journal Article Phys Ther · August 12, 2020 OBJECTIVE: The purpose of this study was to describe the process and cost of delivering a physical therapist-guided synchronous telehealth exercise program appropriate for older adults with functional limitations. Such programs may help alleviate some of t ... Full text Link to item Cite

Acute myocardial infarction under-diagnosis and mortality in a Tanzanian emergency department: A prospective observational study.

Journal Article Am Heart J · August 2020 BACKGROUND: Growing evidence suggests that under-diagnosis of acute myocardial infarction (AMI) may be common in sub-Saharan Africa. Prospective studies of routine AMI screening among patients presenting to emergency departments in sub-Saharan Africa are l ... Full text Open Access Link to item Cite

Are Stroke Survivors Discharged to the Recommended Postacute Setting?

Journal Article Arch Phys Med Rehabil · July 2020 OBJECTIVE: To examine the processes and barriers involved in providing postdischarge stroke care. DESIGN: Prospective study of discharge planners' (DP) and physical therapists' (PT) interpretation of factors contributing to patients' discharge destination. ... Full text Link to item Cite

Emergency medical services use and its association with acute ischaemic stroke evaluation and treatment in Singapore.

Journal Article Stroke Vasc Neurol · June 2020 BACKGROUND: Emergency medical services (EMS) is a critical link in the chain of stroke survival. We aimed to assess EMS use for stroke in Singapore, identify characteristics associated with EMS use and the association of EMS use with stroke evaluation and ... Full text Open Access Link to item Cite

Randomized Pragmatic Trial of Stroke Transitional Care: The COMPASS Study.

Journal Article Circ Cardiovasc Qual Outcomes · June 2020 Background The objectives of this study were to develop and test in real-world clinical practice the effectiveness of a comprehensive postacute stroke transitional care (TC) management program. Methods and Results The COMPASS study (Comprehensive Post-Acut ... Full text Link to item Cite

Comparative implementation-effectiveness of three strategies to perform hearing screening among older adults in primary care clinics: study design and protocol.

Journal Article BMC Geriatr · May 11, 2020 BACKGROUND: The burden of hearing loss among older adults could be mitigated with appropriate care. This study compares implementation of three hearing screening strategies in primary care, and examines the reliability and validity of patient self-assessme ... Full text Link to item Cite

Patient Factors Associated With Attendance at a Comprehensive Postacute Stroke Visit: Insight From the Vanguard Site.

Journal Article Arch Rehabil Res Clin Transl · March 2020 OBJECTIVE: To understand the patient-influenced activities and characteristics associated with return to a single postacute care transitional care clinic visit in a cohort of patients cared for at the test health system site of the larger Comprehensive Pos ... Full text Link to item Cite

System-integrated technology-enabled model of care (SINEMA) to improve the health of stroke patients in rural China: Statistical analysis plan for a cluster-randomized controlled trial.

Journal Article Int J Stroke · February 2020 BACKGROUND: The system-integrated technology-enabled model of care (SINEMA) trial aimed to evaluate the effectiveness of a community-based multi-component intervention for secondary prevention of stroke in rural China. OBJECTIVE: To present the detailed st ... Full text Link to item Cite

Effects of Virtual Exercise Rehabilitation In-Home Therapy Compared with Traditional Care After Total Knee Arthroplasty: VERITAS, a Randomized Controlled Trial.

Journal Article J Bone Joint Surg Am · January 15, 2020 BACKGROUND: Financial burden for patients, providers, and payers can reduce access to physical therapy (PT) after total knee arthroplasty (TKA). The purpose of the present study was to examine the effect of a virtual PT program on health-care costs and cli ... Full text Link to item Cite

Impact of Supervised Exercise on One-Year Medication Use in Older Veterans with Multiple Morbidities.

Journal Article Gerontol Geriatr Med · 2020 Exercise is touted as the ideal prescription to treat and prevent many chronic diseases. We examined changes in utilization and cost of medication classes commonly prescribed in the management of chronic conditions following participation in 12-months of s ... Full text Link to item Cite

Rapid Transition to Telehealth Group Exercise and Functional Assessments in Response to COVID-19.

Journal Article Gerontol Geriatr Med · 2020 Exercise is critical for health maintenance in late life. The COVID-19 shelter in place and social distancing orders resulted in wide-scale interruptions of exercise therapies, placing older adults at risk for the consequences of decreased mobilization. Th ... Full text Open Access Link to item Cite

Implementation of a billable transitional care model for stroke patients: the COMPASS study.

Journal Article BMC Health Serv Res · December 19, 2019 BACKGROUND: The COMprehensive Post-Acute Stroke Services (COMPASS) pragmatic trial compared the effectiveness of comprehensive transitional care (COMPASS-TC) versus usual care among stroke and transient ischemic attack (TIA) patients discharged home from N ... Full text Link to item Cite

Mobility Improvements are Found in Older Veterans After 6-Months of Gerofit Regardless of BMI Classification.

Journal Article J Aging Phys Act · December 1, 2019 Veterans represent a unique population of older adults as they are more likely to self-report disability and be overweight or obese compared to the general population. We sought to compare changes in mobility function across the obesity spectrum in older V ... Full text Link to item Cite

Resiliency Groups Following Hip Fracture in Older Adults.

Journal Article J Am Geriatr Soc · December 2019 OBJECTIVES: Defining common patterns of recovery after an acute health stressor (resiliency groups) has both clinical and research implications. We sought to identify groups of patients with similar recovery patterns across 10 outcomes following hip fractu ... Full text Link to item Cite

Effect of a Quality Improvement Intervention on Adherence to Therapies for Patients With Acute Ischemic Stroke and Transient Ischemic Attack: A Cluster Randomized Clinical Trial.

Journal Article JAMA Neurol · August 1, 2019 IMPORTANCE: Translating evidence into clinical practice in the management of acute ischemic stroke (AIS) and transient ischemic attack (TIA) is challenging, especially in low- and middle-income countries. OBJECTIVE: To assess the effect of a multifaceted q ... Full text Open Access Link to item Cite

Intravenous Tissue Plasminogen Activator in Stroke Mimics.

Journal Article Circ Cardiovasc Qual Outcomes · August 2019 BACKGROUND: The necessity for rapid evaluation and treatment of acute ischemic stroke with intravenous tPA (tissue-type plasminogen activator) may increase the risk of administrating tPA to patients presenting with noncerebrovascular conditions that closel ... Full text Link to item Cite

Prognostic factors of in-hospital complications after hip fracture surgery: a scoping review.

Journal Article Osteoporos Int · July 2019 INTRODUCTION: To examine prognostic factors that influence complications after hip fracture surgery. To summarize proposed underlying mechanisms for their influence. METHODS: We reported according to the Preferred Reporting Items for Systematic Review and ... Full text Link to item Cite

Caregiver-Delivered Stroke Rehabilitation in Rural China.

Journal Article Stroke · July 2019 Background and Purpose- Stroke disability is a major health burden in rural China where rehabilitation services are inadequate. We aimed to determine the effectiveness of a novel nurse-led, caregiver-delivered model of stroke rehabilitation in rural China. ... Full text Link to item Cite

Health Services Research.

Journal Article Stroke · May 2019 Full text Link to item Cite

Depression Characterization and Race Among Stroke Survivors Receiving Inpatient Rehabilitation.

Conference Am J Phys Med Rehabil · April 2019 Race and ethnicity play a significant role in poststroke outcomes. This brief report describes the presence of depression among stroke survivors who received inpatient rehabilitation and whether depression differs by race. Data from eRehabData and electron ... Full text Link to item Cite

Meeting Medicare requirements for transitional care: Do stroke care and policy align?

Journal Article Neurology · February 26, 2019 OBJECTIVE: This study (1) describes transitional care for stroke patients discharged home from hospitals, (2) compares hospitals' standards of transitional care with core transitional care management (TCM) components recognized by Medicare, and (3) examine ... Full text Link to item Cite

System-integrated technology-enabled model of care to improve the health of stroke patients in rural China: protocol for SINEMA-a cluster-randomized controlled trial.

Journal Article Am Heart J · January 2019 BACKGROUND: Despite the significant burden of stroke in rural China, secondary prevention of stroke is suboptimal. This study aims to develop a SINEMA for the secondary prevention of stroke in rural China and to evaluate the effectiveness of the model comp ... Full text Link to item Cite

An international cluster-randomized quality improvement trial to increase the adherence to evidence-based therapies for acute ischemic stroke and transient ischemic attack patients: Rationale and design of the BRIDGE STROKE Trial.

Journal Article Am Heart J · January 2019 BACKGROUND: Translating evidence into clinical practice in the management of acute ischemic stroke (AIS) and transient ischemic attack (TIA) is challenging especially in low- and middle-income countries. OBJECTIVES: The aim of this study is to assess the e ... Full text Link to item Cite

Academia-industry digital health collaborations: A cross-cultural analysis of barriers and facilitators.

Journal Article Digit Health · 2019 BACKGROUND: Development and uptake of digital health technologies benefit from cross-sectoral efforts from academia and industry. Our study aims to identify the barriers and facilitators associated with academia-industry collaborations in digital health in ... Full text Link to item Cite

Factors associated with 1-year mortality after discharge for acute stroke: what matters?

Journal Article Top Stroke Rehabil · December 2018 OBJECTIVE: To evaluate factors associated with 1-year mortality after discharge for acute stroke. METHODS: In this retrospective cohort study, we studied 305 patients with ischemic stroke or intracerebral hemorrhage discharged in 2010/2011. We linked Get W ... Full text Link to item Cite

Evidence-Based Performance Measures and Outcomes in Patients With Acute Ischemic Stroke.

Journal Article Circ Cardiovasc Qual Outcomes · December 2018 BACKGROUND: Stroke is the leading cause of death in China. Despite the wide dissemination of evidence-based guidelines, data about adherence to these in routine clinical practice are scarce. We conducted a study using a nationwide registry to evaluate the ... Full text Link to item Cite

Facility and Geographic Variation in Rates of Successful Community Discharge After Inpatient Rehabilitation Among Medicare Fee-for-Service Beneficiaries.

Journal Article JAMA Netw Open · November 2, 2018 IMPORTANCE: The Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 mandated a quality measure of successful community discharge for postacute care services. Examining variation in performance nationally can help identify opportunities f ... Full text Link to item Cite

The 6 A’s Global Transitional Care Model for Addressing Hospital-to-home Care Fragmentation

Conference International Journal of Integrated Care · October 23, 2018 Full text Cite

International Comparison of Patient Characteristics and Quality of Care for Ischemic Stroke: Analysis of the China National Stroke Registry and the American Heart Association Get With The Guidelines--Stroke Program.

Journal Article J Am Heart Assoc · October 16, 2018 Background Adherence to evidence-based guidelines is an important quality indicator; yet, there is lack of assessment of adherence to performance measures in acute ischemic stroke for most world regions. Methods and Results We analyzed 19 604 patients with ... Full text Open Access Link to item Cite

PARENTING AFTER STROKE: ADJUSTING TO A NEW NORMAL

Conference INTERNATIONAL JOURNAL OF STROKE · October 1, 2018 Link to item Cite

Availability of post-hospital services supporting community reintegration for children with identified surgical need in Uganda.

Journal Article BMC Health Serv Res · September 20, 2018 BACKGROUND: Community services and supports are essential for children transitioning home to recover from the hospital after surgery. This study assessed the availability and geographic capacity of rehabilitation, assistive devices, familial support, and s ... Full text Open Access Link to item Cite

Integration of musculoskeletal physical therapy care in the patient-centred medical home (IMPaC): protocol for a single-site randomised clinical trial.

Journal Article BMJ Open · August 8, 2018 INTRODUCTION: Annually, >50% of the US population reports musculoskeletal (MSK) pain to a provider, with direct healthcare costs exceeding $185 billion. The number of MSK complaints and the associated costs are projected to rise, increasing demand for and ... Full text Link to item Cite

Successful Community Discharge Following Postacute Rehabilitation for Medicare Beneficiaries: Analysis of a Patient-Centered Quality Measure.

Journal Article Health Serv Res · August 2018 OBJECTIVE: To determine the sociodemographic and clinical characteristics as well as health services use associated with successful community discharge. DATA SOURCE: Inpatient Rehabilitation Facility-Patient Assessment Instrument and Medicare Provider Anal ... Full text Link to item Cite

Relationship between hospital performance measures and outcomes in patients with acute ischaemic stroke: a prospective cohort study.

Journal Article BMJ Open · August 1, 2018 OBJECTIVE: Evidence-based performance measures have been increasingly used to evaluate hospital quality of stroke care, but their impact on stroke outcomes has not been verified. We aimed to evaluate the correlations between hospital performance measures a ... Full text Open Access Link to item Cite

COMPASS-CP: An Electronic Application to Capture Patient-Reported Outcomes to Develop Actionable Stroke and Transient Ischemic Attack Care Plans.

Journal Article Circ Cardiovasc Qual Outcomes · August 2018 Background Patient-reported outcomes (PROs) are clinical tools that measure patients' goals of care and assess patient-reported physical, mental, and social well-being. Despite their value in advancing patient-centered care, routine use of PROs in stroke m ... Full text Link to item Cite

Is self or caregiver report comparable to Medicare claims indicators of healthcare utilization after stroke?

Journal Article Top Stroke Rehabil · July 26, 2018 Background Claims data from Medicare or other payers might not generalize to other populations regarding service use after stroke especially among younger patients. However, high agreement between self-report and Medicare claims data would support the use ... Full text Link to item Cite

Effect of a Multifaceted Quality Improvement Intervention on Hospital Personnel Adherence to Performance Measures in Patients With Acute Ischemic Stroke in China: A Randomized Clinical Trial.

Journal Article JAMA · July 17, 2018 IMPORTANCE: In China and other parts of the world, hospital personnel adherence to evidence-based stroke care is limited. OBJECTIVE: To determine whether a multifaceted quality improvement intervention can improve hospital personnel adherence to evidence-b ... Full text Open Access Link to item Cite

Parenting after stroke: a systematic review.

Journal Article Top Stroke Rehabil · July 2018 Background Stroke is a leading cause of disability in the United States, resulting in physical, cognitive, and emotional impairments. One in ten strokes occur in adults younger than 50 years of age and the incidence has increased approximately 44% from 200 ... Full text Link to item Cite

Turning Data Into Information: Opportunities to Advance Rehabilitation Quality, Research, and Policy.

Journal Article Arch Phys Med Rehabil · June 2018 Attention to health care quality and safety has increased dramatically. The internal focus of an organization is not without influence from external policy and research findings. Compared with other specialties, efforts to align and advance rehabilitation ... Full text Link to item Cite

Should Structured Exercise Be Promoted As a Model of Care? Dissemination of the Department of Veterans Affairs Gerofit Program.

Journal Article J Am Geriatr Soc · May 2018 Exercise provides a wide range of health-promoting benefits, but support is limited for clinical programs that use exercise as a means of health promotion. This stands in contrast to restorative or rehabilitative exercise, which is considered an essential ... Full text Link to item Cite

A Person-Centered Approach to Poststroke Care: The COMprehensive Post-Acute Stroke Services Model.

Journal Article J Am Geriatr Soc · May 2018 Many individuals who have had a stroke leave the hospital without postacute care services in place. Despite high risks of complications and readmission, there is no standard in the United States for postacute stroke care after discharge home. We describe t ... Full text Link to item Cite

The association of discharge destination with 30-day rehospitalization rates among older adults receiving lumbar spinal fusion surgery.

Journal Article Musculoskelet Sci Pract · April 2018 BACKGROUND: As defined by Medicare (United States), post-acute rehabilitation services include care provided in inpatient rehabilitation units and facilities, skilled nursing facilities, long-term acute hospitals, and by home health services. METHODS: We r ... Full text Link to item Cite

Cardiovascular, respiratory, and related disorders: key messages from Disease Control Priorities, 3rd edition.

Journal Article Lancet · March 24, 2018 Cardiovascular, respiratory, and related disorders (CVRDs) are the leading causes of adult death worldwide, and substantial inequalities in care of patients with CVRDs exist between countries of high income and countries of low and middle income. Based on ... Full text Link to item Cite

Use of Patient-Related Outcomes After Orthopaedic Trauma: Helpful or Not So Much?

Journal Article J Orthop Trauma · March 2018 Over 100 years ago, the orthopaedic surgeon, Ernest Codman, recommended that surgeons and hospitals be paid by the "end result." Healthcare Reform is moving to value over volume, and patient-reported outcomes (PROs) are 1 measure of quality and outcomes th ... Full text Link to item Cite

Community-Informed Health Promotion to Improve Health Behaviors in Honduras.

Journal Article J Transcult Nurs · January 2018 BACKGROUND: Honduras is the second poorest country in Central America. The already high burden of disease is disproportionately worse among individuals with less education and limited access to health care. Community engagement is needed to bridge the gap ... Full text Link to item Cite

Health Services Research in Rehabilitation and Disability-The Time is Now.

Journal Article Arch Phys Med Rehabil · January 2018 Policy drives practice, and health services research (HSR) is at the intersection of policy, practice, and patient outcomes. HSR specific to rehabilitation and disability is particularly needed. As rehabilitation researchers and providers, we are uniquely ... Full text Link to item Cite

A Qualitative, Systems Thinking Approach to Study Self-Management in Women With Migraine.

Journal Article Nurs Res · 2018 BACKGROUND: A dearth of effective and affordable treatment options has rendered nonpharmacological self-management a crucial part of living with migraine-a debilitating neurobiological condition without cure that disproportionately disables vulnerable wome ... Full text Link to item Cite

Provision of guideline-based care for drug-resistant tuberculosis in South Africa: Level of concordance between prescribing practices and guidelines.

Journal Article PLoS One · 2018 TITLE: Provision of guideline-based care for drug-resistant tuberculosis in South Africa: Level of concordance between prescribing practices and guidelines. OBJECTIVE: We examined the influence of individual and site characteristics on the concordance betw ... Full text Link to item Cite

Effects of Acute-Postacute Continuity on Community Discharge and 30-Day Rehospitalization Following Inpatient Rehabilitation.

Journal Article Health Serv Res · October 2017 OBJECTIVE: To examine the effects of facility-level acute-postacute continuity on probability of community discharge and 30-day rehospitalization following inpatient rehabilitation. DATA SOURCES: We used national Medicare enrollment, claims, and assessment ... Full text Link to item Cite

Unexplained Variation for Hospitals' Use of Inpatient Rehabilitation and Skilled Nursing Facilities After an Acute Ischemic Stroke.

Journal Article Stroke · October 2017 BACKGROUND AND PURPOSE: Rehabilitation is recommended after a stroke to enhance recovery and improve outcomes, but hospital's use of inpatient rehabilitation facilities (IRFs) or skilled nursing facility (SNF) and the factors associated with referral are u ... Full text Link to item Cite

The Comprehensive Post-Acute Stroke Services (COMPASS) study: design and methods for a cluster-randomized pragmatic trial.

Journal Article BMC Neurol · July 17, 2017 BACKGROUND: Patients discharged home after stroke face significant challenges managing residual neurological deficits, secondary prevention, and pre-existing chronic conditions. Post-discharge care is often fragmented leading to increased healthcare costs, ... Full text Link to item Cite

Duration to Admission and Hospital Transfers Affect Facility Rankings from the Postacute 30-Day Rehospitalization Quality Measure.

Journal Article Health Serv Res · June 2017 OBJECTIVE: To examine changes in facility-level risk-standardized rehospitalization rankings for postacute inpatient rehabilitation facilities after modifying two model parameters. DATA SOURCES: We used national Medicare enrollment, claims, and assessment ... Full text Link to item Cite

Assessment and provision of rehabilitation among patients hospitalized with acute ischemic stroke in China: Findings from the China National Stroke Registry II.

Journal Article Int J Stroke · April 2017 Background Stroke rehabilitation improves functional recovery among stroke patients. However, little is known about clinical practice in China regarding the assessment and provision of rehabilitation among patients with acute ischemic stroke. Aims We exami ... Full text Link to item Cite

Methods guiding stakeholder engagement in planning a pragmatic study on changing stroke systems of care.

Journal Article J Clin Transl Sci · April 2017 BACKGROUND: The Comprehensive Post-Acute Stroke Services (COMPASS) Study is one of the first large pragmatic randomized-controlled clinical trials using comparative effectiveness research methods, funded by the Patient-Centered Outcomes Research Institute. ... Full text Link to item Cite

Depression and Functional Status Among African American Stroke Survivors in Inpatient Rehabilitation.

Journal Article J Stroke Cerebrovasc Dis · January 2017 PURPOSE: To examine the prevalence of poststroke depression (PSD) among African American stroke survivors and the association of depression with functional status at inpatient rehabilitation facility (IRF) discharge. METHODS: Secondary data analysis was co ... Full text Link to item Cite

Hospital Variation in Functional Recovery After Stroke.

Journal Article Circ Cardiovasc Qual Outcomes · January 2017 BACKGROUND: Functional status is a key patient-centric outcome, but there are little data on whether functional recovery post-stroke varies among hospitals. This study examined the distribution of functional status 3 months after stroke, determined whether ... Full text Link to item 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

Insurance Coverage, Costs, and Barriers to Care for Outpatient Musculoskeletal Therapy and Rehabilitation Services.

Journal Article N C Med J · 2017 Therapy and rehabilitation services improve patients' lives. Changes in health care insurance policies and coverage substantially influence out-of-pocket costs for patients and their families. This may lead to variability in services and barriers to approp ... Full text Link to item Cite

Time to Drug-Resistant Tuberculosis Treatment in a Prospective South African Cohort.

Journal Article Glob Pediatr Health · 2017 This study examined time to treatment initiation by age among a prospective cohort with drug-resistant tuberculosis (DR-TB). Participants aged 13 years or older nested within a cluster-randomized trial in 2 South African provinces were evaluated. Outcomes ... Full text Link to item Cite

Motor and Cognitive Functional Status Are Associated with 30-day Unplanned Rehospitalization Following Post-Acute Care in Medicare Fee-for-Service Beneficiaries.

Journal Article J Gen Intern Med · December 2016 BACKGROUND: The Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 stipulates that standardized functional status (self-care and mobility) and cognitive function data will be used for quality reporting in post-acute care settings. Thirt ... Full text Link to item Cite

Substantial Progress Yet Significant Opportunity for Improvement in Stroke Care in China.

Journal Article Stroke · November 2016 BACKGROUND AND PURPOSE: Stroke is a leading cause of death in China. Yet the adherence to guideline-recommended ischemic stroke performance metrics in the past decade has been previously shown to be suboptimal. Since then, several nationwide stroke quality ... Full text Link to item Cite

Medicare claims indicators of healthcare utilization differences after hospitalization for ischemic stroke: Race, gender, and caregiving effects.

Journal Article Int J Stroke · October 2016 Background Differences in healthcare utilization after stroke may partly explain race or gender differences in stroke outcomes and identify factors that might reduce post-acute stroke care costs. Aim To examine systematic differences in Medicare claims for ... Full text Link to item Cite

A randomized controlled trial on rehabilitation through caregiver-delivered nurse-organized service programs for disabled stroke patients in rural china (the RECOVER trial): design and rationale.

Journal Article Int J Stroke · October 2016 RATIONALE: Stroke is the leading cause of death and disability in rural China. For stroke patients residing in resource-limited rural areas, secondary prevention and rehabilitation are largely unavailable, and where present, are far below evidence-based st ... Full text Link to item Cite

Hospital Variation in Home-Time After Acute Ischemic Stroke: Insights From the PROSPER Study (Patient-Centered Research Into Outcomes Stroke Patients Prefer and Effectiveness Research).

Journal Article Stroke · October 2016 BACKGROUND AND PURPOSE: Stroke survivors identify home-time as a high-priority outcome; there are limited data on factors influencing home-time and home-time variability among discharging hospitals. METHODS: We ascertained home-time (ie, time alive out of ... Full text Link to item Cite

Self-Care and Mobility Following Postacute Rehabilitation for Older Adults With Hip Fracture: A Multilevel Analysis.

Journal Article Arch Phys Med Rehabil · May 2016 OBJECTIVE: To examine contextual (facility and community) and individual factors associated with self-care and mobility outcomes among Medicare hip fracture patients receiving inpatient rehabilitation. DESIGN: Retrospective cohort study of 3 linked data fi ... Full text Link to item Cite

Selection of Postacute Stroke Rehabilitation Facilities: A Survey of Discharge Planners From the Northeast Cerebrovascular Consortium (NECC) Region.

Journal Article Medicine (Baltimore) · April 2016 The process of determining the level of care and specific postacute care facility for stroke patients has not been adequately studied. The objective of this study was to better understand the factors that influence postacute care decisions by surveying str ... Full text Open Access Link to item Cite

Assessment of Home-Time After Acute Ischemic Stroke in Medicare Beneficiaries.

Journal Article Stroke · March 2016 BACKGROUND AND PURPOSE: Stroke survivors have identified home-time as a meaningful outcome. We evaluated home-time as a patient-centered outcome in Medicare beneficiaries with ischemic stroke in comparison with modified Rankin Scale (mRS) score at 90 days ... Full text Link to item Cite

Prevention, management, and rehabilitation of stroke in low- and middle-income countries.

Journal Article eNeurologicalSci · March 2016 Although stroke incidence in high-income countries (HICs) decreased over the past four decades, it increased dramatically in low- and middle-income countries (LMICs). In this review, we describe the current status of primary prevention, treatment, and mana ... Full text Link to item Cite

Risks and Benefits Associated With Prestroke Antiplatelet Therapy Among Patients With Acute Ischemic Stroke Treated With Intravenous Tissue Plasminogen Activator.

Journal Article JAMA Neurol · January 2016 IMPORTANCE: Intravenous tissue plasminogen activator (tPA) is known to improve outcomes in ischemic stroke; however, many patients may have been receiving antiplatelet therapy before acute ischemic stroke and could face an increased risk for bleeding when ... Full text Open Access Link to item Cite

THE RECOVER TRIAL IN RURAL CHINA

Journal Article The Gerontologist · November 2015 Full text Cite

Chronic Stroke Outcome Measures for Motor Function Intervention Trials: Expert Panel Recommendations.

Journal Article Circ Cardiovasc Qual Outcomes · October 2015 BACKGROUND: About half of survivors with stroke experience severe and significant long-term disability. The purpose of this article is to review the state of the science and to make recommendations for measuring patient-centric outcomes in interventions fo ... Full text Link to item Cite

Factors associated with discharge to home versus discharge to institutional care after inpatient stroke rehabilitation.

Journal Article Arch Phys Med Rehabil · July 2015 OBJECTIVE: To examine sociodemographic and clinical characteristics independently associated with discharge home compared with discharge to a skilled nursing facility (SNF) after acute inpatient rehabilitation. DESIGN: Retrospective cohort study. SETTING: ... Full text Link to item Cite

Rationale and design of a cluster-randomized multifaceted intervention trial to improve stroke care quality in China: The GOLDEN BRIDGE-Acute Ischemic Stroke.

Journal Article Am Heart J · June 2015 BACKGROUND: Prior studies have demonstrated a significant gap between guideline-based recommendations and clinical practice in the management of acute ischemic stroke (AIS) in China. AIMS: This study implements a targeted multifaceted quality improvement i ... Full text Link to item Cite

Neighborhood socioeconomic status and the prevalence of stroke and coronary heart disease in rural China: a population-based study.

Journal Article Int J Stroke · April 2015 BACKGROUND: Lower neighborhood-level socioeconomic status (SES) is associated with an increased risk of vascular disease in developed countries. AIMS: This study aims to identify village- and individual-level determinants of stroke and coronary heart disea ... Full text Link to item Cite

The feasibility of measuring social networks among older adults in assisted living and dementia special care units.

Journal Article Dementia (London) · March 2015 BACKGROUND: Studies indicate that social integration has a significant influence on physical and mental health. Older adults experience an increased risk of social isolation as their social networks decline with fewer traditional opportunities to add new s ... Full text Link to item Cite

Contemporary trends and predictors of postacute service use and routine discharge home after stroke.

Journal Article J Am Heart Assoc · February 23, 2015 BACKGROUND: Returning home after the hospital is a primary aim for healthcare; however, additional postacute care (PAC) services are sometimes necessary for returning stroke patients to their pre-event status. Recent trends in hospital discharge dispositio ... Full text Open Access Link to item Cite

Use of a standardized assessment to predict rehabilitation care after acute stroke.

Journal Article Arch Phys Med Rehabil · February 2015 OBJECTIVE: To pilot a program of formal assessment of rehabilitation needs and predictors of referral to rehabilitation. DESIGN: A prospective pilot project to collect standardized measures of stroke severity and function: National Institutes of Health Str ... Full text Link to item Cite

Measuring community participation of adults with psychiatric disabilities: reliability of two modes of data collection.

Journal Article Rehabil Psychol · May 2014 PURPOSE/OBJECTIVE: The Americans with Disabilities Act set in motion a series of policies and actions to promote community integration and participation, including for those individuals with psychiatric disabilities. Measuring participation in this populat ... Full text Link to item Cite

The association between socioeconomic status and disability after stroke: findings from the Adherence eValuation After Ischemic stroke Longitudinal (AVAIL) registry.

Journal Article BMC Public Health · March 26, 2014 BACKGROUND: Stroke is the leading cause of disability among adults in the United States. The association of patients' pre-event socioeconomic status (SES) with post-stroke disability is not well understood. We examined the association of three indicators o ... Full text Open Access Link to item Cite

Sex differences in quality of life after ischemic stroke.

Journal Article Neurology · March 18, 2014 OBJECTIVE: We aimed to compare quality of life (QOL) in women and men after ischemic stroke or TIA, and to determine the incremental impact of demographic, socioeconomic, clinical, and stroke-specific effects on longitudinal QOL. METHODS: We assessed QOL i ... Full text Link to item Cite

Risk adjustment of ischemic stroke outcomes for comparing hospital performance: a statement for healthcare professionals from the American Heart Association/American Stroke Association.

Journal Article Stroke · March 2014 BACKGROUND AND PURPOSE: Stroke is the fourth-leading cause of death and a leading cause of long-term major disability in the United States. Measuring outcomes after stroke has important policy implications. The primary goals of this consensus statement are ... Full text Link to item Cite

Comparing neighborhoods of adults with serious mental illness and of the general population: research implications.

Journal Article Psychiatr Serv · August 1, 2013 OBJECTIVE: The International Classification of Functioning, Disability and Health emphasizes the importance of assessing the impact of environmental factors on functioning and disability. Drawing on this emphasis, this study used a set of objective measure ... Full text Link to item Cite

The patient centered medical home. A systematic review.

Journal Article Ann Intern Med · February 5, 2013 BACKGROUND: The patient-centered medical home (PCMH) describes mechanisms for organizing primary care to provide high quality care across the full range of individuals' health care needs.It is being widely implemented by provider organizations and third pa ... Full text Link to item Cite

Assessing stroke patients for rehabilitation during the acute hospitalization: findings from the get with the guidelines-stroke program.

Journal Article Arch Phys Med Rehabil · January 2013 OBJECTIVE: To examine the frequency and determinants of an assessment for rehabilitation during the hospitalization for acute stroke. DESIGN: Prospective cohort of patients admitted with acute stroke in the Get With The Guidelines-Stroke (GWTG-Stroke) prog ... Full text Link to item Cite

The use of comorbidities among adults experiencing care transitions: a systematic review and evolutionary analysis of empirical literature.

Journal Article Chronic Illn · December 2012 OBJECTIVE: To systematically review how comorbidities are employed in the empirical literature for adults coping with multiple chronic conditions during common episodes of acute illness that resulted in transition across health care setting. METHODS: Evolu ... Full text Link to item Cite

Risk adjustment for stroke outcome measures: an American Heart Association Scientific Statement.

Journal Article Stroke · December 2012 Goal of this consensus report will be to recommend which variables should be included in risk adjustment models to assess the main stroke outcomes, before such benchmarks are imposed from the outside. The measures will be extremely important in both qualit ... Cite

Transitional care after hospitalization for acute stroke or myocardial infarction: a systematic review.

Journal Article Ann Intern Med · September 18, 2012 BACKGROUND: Transitional care is a time-limited service to prevent discontinuous care and adverse outcomes, including rehospitalization. PURPOSE: To describe transitional care interventions and evidence of benefit or harm in patients hospitalized for acute ... Full text Link to item Cite

Measuring nursing care time and tasks in long-term services and supports: one size does not fit all.

Journal Article J Nurs Res · September 2012 BACKGROUND: Although most staff in long-term care services and support (LTSS) are nursing care personnel, a method for measuring the provision of nursing care has not yet been developed. PURPOSE/METHODS: We sought to understand the challenges of measuring ... Full text Link to item Cite

Closing the quality gap: revisiting the state of the science (vol. 2: the patient-centered medical home).

Journal Article Evid Rep Technol Assess (Full Rep) · July 2012 OBJECTIVES: As part of the Closing the Quality Gap: Revisiting the State of the Science series of the Agency for Healthcare Research and Quality (AHRQ), this systematic review sought to identify completed and ongoing evaluations of the comprehensive patien ... Link to item Cite

Effect of insurance status on postacute care among working age stroke survivors.

Journal Article Neurology · May 15, 2012 OBJECTIVE: Utilization of postacute care is associated with improved poststroke outcomes. However, more than 20% of American adults under age 65 are uninsured. We sought to determine whether insurance status is associated with utilization and intensity of ... Full text Link to item Cite

Geographic access to and availability of community resources for persons diagnosed with severe mental illness in Philadelphia, USA.

Journal Article Health Place · May 2012 This study assesses whether there are differences in geographic access to and availability of a range of different amenities for a large group of persons diagnosed with severe mental illness (SMI) in Philadelphia (USA) when compared to a more general set o ... Full text Link to item Cite

An academic-health service partnership in nursing: lessons from the field.

Journal Article J Nurs Scholarsh · March 2012 PURPOSE: To describe the development of an academic-health services partnership undertaken to improve use of evidence in clinical practice. APPROACH: Academic health science schools and health service settings share common elements of their missions: to ed ... Full text Link to item Cite

What factors are associated with having an advance directive among older adults who are new to long term care services?

Journal Article J Am Med Dir Assoc · January 2012 OBJECTIVES: To explore differences in having an advance directive among older adults newly transitioned to long term services and support (LTSS) settings (ie, nursing homes [NHs]; assisted living facilities [ALFs]; home and community-based services). DESIG ... Full text Link to item Cite

Factors associated with health discussion network size and composition among elderly recipients of long-term services and supports.

Journal Article Health Commun · 2012 Social networks play an important role in helping older adults monitor symptoms and manage chronic conditions. People use verbal discussions to make sense of symptoms, determine their seriousness, and decide whether to seek medical care. In this study, pro ... Full text Link to item Cite

Exploring the use of social network analysis to measure social integration among older adults in assisted living.

Journal Article Fam Community Health · 2012 Social integration is measured by a variety of social network indicators each with limitations in its ability to produce a complete picture of the variety and scope of interactions of older adults receiving long-term services and supports. The purpose of t ... Full text Link to item Cite

Transition of care for acute stroke and myocardial infarction patients: from hospitalization to rehabilitation, recovery, and secondary prevention.

Journal Article Evid Rep Technol Assess (Full Rep) · October 2011 OBJECTIVES: To review the available published literature to assess whether evidence supports a beneficial role for coordinated transition of care services for the postacute care of patients hospitalized with first or recurrent stroke or myocardial infarcti ... Link to item Cite

Survival analysis in amputees based on physical independence grade achievement.

Journal Article Arch Surg · June 2009 BACKGROUND: Survival implications of achieving different grades of physical independence after lower extremity amputation are unknown. OBJECTIVES: To identify thresholds of physical independence achievement associated with improved 6-month survival and to ... Full text Link to item Cite

Possible incremental benefits of specialized rehabilitation bed units among veterans after lower extremity amputation.

Journal Article Med Care · April 2009 BACKGROUND: Little is known about the effect of different types of inpatient rehabilitation on outcomes of patients undergoing lower extremity amputation for nontraumatic reasons. OBJECTIVE: To compare outcomes between patients who received inpatient rehab ... Full text Link to item Cite

Short- and long-term prognosis among veterans with neurological disorders and subsequent lower-extremity amputation.

Journal Article Neuroepidemiology · 2009 BACKGROUND: Although comorbid neurological conditions are not uncommon for individuals undergoing lower-extremity (LE) amputation, short- and long-term prognosis is unclear. METHODS: This cohort study on the survival of United States veterans with LE amput ... Full text Link to item Cite

The effectiveness of inpatient rehabilitation in the acute postoperative phase of care after transtibial or transfemoral amputation: study of an integrated health care delivery system.

Journal Article Arch Phys Med Rehabil · October 2008 OBJECTIVE: To compare outcomes between lower-extremity amputees who receive and do not receive acute postoperative inpatient rehabilitation within a large integrated health care delivery system. DESIGN: An observational study using multivariable propensity ... Full text Link to item Cite

Stroke center designation can be achieved by small hospitals: the Massachusetts experience.

Journal Article Crit Pathw Cardiol · September 2008 In January 2005, the Massachusetts Department of Public Health announced the designation of approved hospitals as Primary Stroke Services (PSS), based on verifiable demonstration of care pathways for acute ischemic stroke. We investigated the effect of hos ... Full text Link to item Cite

Analyzing change in recovery patterns in the year after acute hospitalization.

Journal Article Arch Phys Med Rehabil · July 2008 OBJECTIVE: To examine trajectories of recovery and change in patterns of personal care and instrumental functional activity performance to determine whether different assessment interval designs within a 12-month period yield different estimates of improve ... Full text Link to item Cite

Effectiveness of multidisciplinary rehabilitation services in postacute care: state-of-the-science. A review.

Journal Article Arch Phys Med Rehabil · November 2007 OBJECTIVES: To summarize the efficacy of postacute rehabilitation and to outline future research strategies for increasing knowledge of its effectiveness. DATA SOURCES: English-language systematic reviews that examined multidisciplinary therapy-based rehab ... Full text Link to item Cite

Association of environmental factors with levels of home and community participation in an adult rehabilitation cohort.

Journal Article Arch Phys Med Rehabil · December 2006 OBJECTIVE: To examine whether home and community environmental barriers and facilitators are predictors of social and home participation and community participation at 1 and 6 months after discharge from an acute care or inpatient rehabilitation hospital. ... Full text Link to item Cite