Leah L Zullig

Journal Article Res Social Adm Pharm · June 2025 BACKGROUND: The increasing use of targeted oral anticancer agents (OAAs) has transformed cancer treatment, yet patient adherence in real-world settings remains suboptimal. This protocol outlines a multi-phasic, hybrid effectiveness-implementation trial des ... Full text Link to item Cite

Intervention delivery complexity and adaptations for implementation of non-pharmacologic pain interventions.

Journal Article Contemp Clin Trials Commun · April 2025 BACKGROUND: Delivering evidence-based interventions remains challenging, particularly for complex conditions like chronic musculoskeletal pain. Non-pharmacologic treatments are recommended for many pain conditions, but implementing these can be difficult d ... Full text Link to item Cite

Quality of Care in Veterans Affairs Health Care System In-Person and National TeleOncology Service-Delivered Care.

Journal Article JCO oncology practice · April 2025 PurposeThe Veterans Affairs Health Administration (VA) has experience using telehealth (TH) to deliver care to 10 million enrolled Veterans for many clinical care needs. The VA National TeleOncology Service (NTO) was established in 2020 to provide ... Full text Cite

Perceived feasibility of a multicomponent prenatal intervention on childhood vaccinations: Findings from a national cross-sectional survey of prenatal care providers, April-June 2022.

Journal Article Int J Gynaecol Obstet · March 27, 2025 BACKGROUND: There are inadequate proactive interventions that take advantage of medical contacts during pregnancy to build confidence in vaccines recommended for children after birth. In addition, prenatal providers' perceptions on implementing such proact ... Full text Link to item Cite

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

Journal Article Women's Health Reports · March 1, 2025 Background: Women have a unique risk profile for cardiovascular disease (CVD) due to underlying sociocultural and biological determinants. Current CVD prevention and treatment interventions, however, largely remain agnostic to the influences of an individu ... Full text Cite

Risk Stratification for Sentinel Lymph Node Positivity in Older Women With Early-Stage Estrogen Receptor-Positive/Human Epidermal Growth Factor Receptor 2 Neu-Negative Invasive Breast Cancer.

Journal Article JCO Clin Cancer Inform · March 2025 PURPOSE: Guidelines recommend omission of sentinel lymph node biopsy (SLNB) for axillary staging in select patients age 70 years and older with early-stage estrogen receptor-positive (ER+), human epidermal growth factor receptor 2 neu-negative (HER2-) inva ... Full text Link to item Cite

Optimizing Adherence to Oral Anticancer Agents: Results from an Implementation Mapping Study.

Journal Article Curr Oncol · January 29, 2025 Clinical trials inform cancer care, yet real-world outcomes often diverge due to patient-related factors, like age, organ dysfunction, and nonadherence to oral anticancer agents (OAAs). While oncology organizations emphasize patient support programs, pract ... Full text Link to item Cite

Summary and Roadmap of Breast Cancer Research in the Veterans Affairs.

Journal Article Military medicine · January 2025 Women are the largest growing population of Veterans within the U.S. Department of Veterans Affairs (VA) Health Care System. Among women Veterans, breast cancer is the most common malignancy (30% of all cancers), yet little is known about the unique needs ... Full text Cite

Cardiovascular Considerations After Cancer Therapy: Gaps in Evidence and JACC: CardioOncology Expert Panel Recommendations.

Journal Article JACC CardioOncol · January 2025 Cancer survivors, particularly those treated with anthracyclines and chest radiation, face an elevated risk of cancer therapy-related cardiovascular toxicity. These complications affect not only physical health, but also life expectancy. Risk factors for c ... Full text Link to item Cite

Development and Delivery of Enhanced Implementation Support to Disseminate a National Caregiver Skills Training Program.

Journal Article Innov Aging · 2025 BACKGROUND AND OBJECTIVES: As the population ages there is an increasing need for caregiver training programs, but little is known about how to deliver implementation support for diverse sites in large-scale implementation efforts. External group-based imp ... Full text Link to item Cite

Implementation outcomes from a multi-site stepped wedge cluster randomized family caregiver skills training trial.

Journal Article Health Serv Res · December 2024 OBJECTIVE: To assess whether a team collaboration strategy (CONNECT) improves implementation outcomes of a family caregiver skills training program (iHI-FIVES). DATA SOURCES AND STUDY SETTING: iHI-FIVES was delivered to caregivers at eight Veterans Affairs ... Full text Link to item Cite

Adaptations and early adoption of a family caregiver intervention in the Veterans Affairs Health Care System: A multimethod pragmatic approach for national scaling.

Journal Article Health Serv Res · December 2024 OBJECTIVE: To examine the relationship between site-level adaptation and early adoption of Caregivers Finding Important Resources, Support, and Training (FIRST) training during national implementation across diverse Veteran Health Administration (VA) medic ... Full text Link to item Cite

A Mixed-Methods Feasibility Study Linking a Community-Based Weight Loss Program with an African American Breast Cancer Support Group.

Journal Article J Gen Intern Med · October 2024 Full text Link to item Cite

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

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

Primary Care Use and 90-Day Mortality Among Older Adults Undergoing Cancer Surgery.

Journal Article JAMA Surg · October 1, 2024 IMPORTANCE: Multimorbidity and postoperative clinical decompensation are common among older surgical patients with cancer, highlighting the importance of primary care to optimize survival. Little is known about the association between primary care use and ... Full text Link to item Cite

Site-initiated adaptations in the implementation of an evidence-based inpatient walking program.

Journal Article J Am Geriatr Soc · October 2024 BACKGROUND: There is increasing recognition of the importance of maximizing program-setting fit in scaling and spreading effective programs. However, in the context of hospital-based mobility programs, there is limited information on how settings could con ... Full text Link to item Cite

How pharma can amplify product value with implementation science.

Journal Article J Comp Eff Res · October 2024 Achieving blockbuster status requires more than clinical trial success. Crucial barriers often include real-world factors like patient acceptance, prescriber behavior and timely and full reimbursement. Implementation science can be used to identify such ba ... Full text Link to item Cite

The Landscape of Care for Women Veterans with Cancer: An Evidence Map.

Journal Article Journal of general internal medicine · September 2024 BackgroundWomen are the fastest growing veteran group in the US and the number of women veterans (WVs) with cancer is rising; however, little is known about this population. Cancer care for WVs is complex and it is essential to understand their un ... Full text Cite

Congressional Expansion of Enhancing Breast Cancer Screening and Care at the Veterans Health Administration.

Journal Article Mil Med · July 3, 2024 Despite high screening rates, breast cancer disparities persist among women veterans because of occupational risks and barriers to access. Three essential bills recently passed in Congress seek to expand access to breast cancer screenings and cancer care w ... Full text Link to item Cite

A Framework for Integrating Telehealth Equitably across the cancer care continuum.

Journal Article J Natl Cancer Inst Monogr · June 26, 2024 The COVID-19 pandemic placed a spotlight on the potential to dramatically increase the use of telehealth across the cancer care continuum, but whether and how telehealth can be implemented in practice in ways that reduce, rather than exacerbate, inequities ... Full text Link to item Cite

Mapping implementation strategies to reach community-dwelling older adults in Northwest Switzerland.

Journal Article Implement Sci · June 26, 2024 BACKGROUND: In Northwestern Switzerland, recent legislation tackles the needs of community-dwelling older adults by creating Information and Advice Centers (IACs). IACs are a new service in the community that aims to assess the needs and provide informatio ... Full text Link to item Cite

Gender Differences in Adoption and Frequency of Virtual Primary Care Among Men and Women Veterans.

Journal Article J Womens Health (Larchmt) · June 2024 Background: Women Veterans have unique health care utilization patterns; however, video-based primary care utilization among and between women and men has not been well examined. Methods: In a retrospective cohort study, we calculated gender-stratified vid ... Full text Link to item Cite

Telehealth Research and Innovation for Veterans with Cancer: the THRIVE Center.

Journal Article Journal of the National Cancer Institute. Monographs · June 2024 BackgroundIn recent years the US health-care system has witnessed a substantial increase in telehealth use. Telehealth enhances health-care access and quality and may reduce costs. However, there is a concern that the shift from in-person to teleh ... Full text Cite

Barriers and Facilitators Impacting Lung Cancer Screening Uptake Among Black Veterans: A Qualitative Study.

Journal Article J Natl Compr Canc Netw · April 18, 2024 BACKGROUND: Racial disparities in lung cancer screening (LCS) are well established. Black Veterans are among those at the highest risk for developing lung cancer but are less likely to complete LCS. We sought to identify barriers and facilitators to LCS up ... Full text Link to item Cite

Health Care Access Barriers and Self-Reported Health Among Adolescent and Young Adult Cancer Survivors.

Journal Article J Adolesc Young Adult Oncol · February 2024 Purpose: Adolescents and young adult (AYA) cancer survivors (15-39 years at diagnosis) are at risk for treatment-related late effects but face barriers in accessing survivorship care. We examined the prevalence of five health care access (HCA) barriers: af ... Full text Link to item Cite

Embedding implementation science in the research pipeline.

Journal Article Translational behavioral medicine · February 2024 Clinical and health services researchers seek to discover effective programs, practices, and interventions to improve people's health. The current paradigm for evidence generation is incremental and misaligned to translate evidence-based discoveries into r ... Full text Cite

Defining and Improving Outcomes Measurement for Virtual Care: Report from the VHA State-of-the-Art Conference on Virtual Care.

Journal Article J Gen Intern Med · February 2024 Virtual care, including synchronous and asynchronous telehealth, remote patient monitoring, and the collection and interpretation of patient-generated health data (PGHD), has the potential to transform healthcare delivery and increase access to care. The V ... Full text Open Access Link to item Cite

Evaluation of strategies to support implementation of a hospital walking program: protocol for a type III effectiveness-implementation hybrid trial.

Journal Article Implement Sci Commun · January 12, 2024 BACKGROUND: STRIDE is a supervised walking program designed to address the negative consequences of immobility during hospitalization for older adults. In an 8-hospital stepped wedge randomized controlled trial, STRIDE was associated with reduced odds of h ... Full text Link to item Cite

Organizational Characteristics of Hospitals Meeting STRIDE Program Adoption Benchmarks to Support Mobility for Hospitalized Persons.

Journal Article Inquiry : a journal of medical care organization, provision and financing · January 2024 There are few validated contextual measures predicting adoption of evidence-based programs. Variation in context at clinical sites can hamper dissemination. We examined organizational characteristics of Veterans Affairs hospitals implementing STRIDE, a hos ... Full text Cite

An ADaptivE PrenaTal (ADEPT) intervention to increase childhood vaccinations: Protocol for a cluster randomized trial and nested mixed methods evaluation.

Journal Article PloS one · January 2024 BackgroundThere is limited evidence to assess if interventions implemented during pregnancy proactively mitigate parental vaccine hesitancy and promote timely vaccination among children after birth. This study protocol describes the evaluation of ... Full text Cite

Association of Unmet Social Needs With Metformin Use Among Patients With Type 2 Diabetes.

Journal Article Diabetes Care · November 1, 2023 OBJECTIVE: To evaluate the relationship between social needs and metformin use among adults with type 2 diabetes (T2D). RESEARCH DESIGN AND METHODS: In a prospective cohort study of adults with T2D (n = 722), we linked electronic health record (EHR) and Su ... Full text Open Access Link to item Cite

Implementation evaluation of a teledermatology virtual clinic at an academic medical center.

Journal Article Implement Sci Commun · October 27, 2023 BACKGROUND: Teledermatology (TD) is an evidence-based practice that may increase access to dermatologic care. We sought to use the Exploration, Preparation, Implementation, and Sustainment (EPIS) and the Reach, Efficacy, Adoption, Implementation, and Maint ... Full text Link to item Cite

Group physical therapy for knee osteoarthritis: protocol for a hybrid type III effectiveness-implementation trial.

Journal Article Implement Sci Commun · October 12, 2023 BACKGROUND: Knee osteoarthritis (OA) is a leading cause of chronic pain and disability and one of the most common conditions treated in outpatient physical therapy (PT). Because of the high and growing prevalence of knee OA, there is a need for efficient a ... Full text Open Access Link to item Cite

Multilevel Community Engagement to Inform a Randomized Clinical Trial.

Journal Article Obstet Gynecol · October 1, 2023 OBJECTIVE: To explore how patients, community-based perinatal support professionals, and health system clinicians and staff perceived facilitators and barriers to implementation of a randomized clinical trial (RCT) designed to optimize Black maternal heart ... Full text Link to item Cite

Correction to “Scalability of effective adherence interventions for patients using cardiovascular disease medication: A realist synthesis‐inspired systematic review”

Journal Article British Journal of Clinical Pharmacology · September 2023 Full text Cite

Implementation intensification to disseminate a skills-based caregiver training program: protocol for a type III effectiveness-implementation hybrid trial.

Journal Article Implement Sci Commun · August 16, 2023 BACKGROUND: Family caregiver training decreases caregiver psychological burden and improves caregiver depressive symptoms and health-related quality of life. Caregivers FIRST is an evidence-based group skills training curriculum for family caregivers and w ... Full text Link to item Cite

Cardiovascular Risk Factor Disparities in Adult Survivors of Childhood Cancer Compared With the General Population.

Journal Article JACC CardioOncol · August 2023 BACKGROUND: It is unknown whether a history of childhood cancer modifies the established disparities in cardiovascular risk factors (CVRFs) observed in the general population. OBJECTIVES: We sought to determine if disparities in CVRFs by race/ethnicity are ... Full text Link to item Cite

Scalability of effective adherence interventions for patients using cardiovascular disease medication: A realist synthesis-inspired systematic review.

Journal Article Br J Clin Pharmacol · July 2023 Upscaling of medication adherence interventions to routine care is still challenging. This realist theory-inspired review aimed to assess which intervention aspects are potentially important for the scalability of effective cardiovascular disease (CVD) med ... Full text Link to item Cite

Ready, set, go! The role of organizational readiness to predict adoption of a family caregiver training program using the Rogers' diffusion of innovation theory.

Journal Article Implement Sci Commun · June 19, 2023 BACKGROUND: Caregivers FIRST is an evidence-based program addressing gaps in caregivers' skills. In 2020, the Veterans Health Administration Caregiver Support Program (CSP) nationally endorsed Caregivers FIRST, offering credit in leadership performance pla ... Full text Open Access Link to item Cite

Adherence to cardiovascular disease risk factor medications among patients with cancer: a systematic review.

Journal Article J Cancer Surviv · June 2023 PURPOSE: The most common cause of mortality for many cancer survivors is cardiovascular disease (CVD). This requires a shift in thinking where control of CVD risk factor-related comorbidity is paramount. Our objective was to provide an understanding of adh ... Full text Link to item Cite

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

Conference The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · June 2023 PurposeRural Veterans are more likely than urban Veterans to qualify for community care (Veterans Health Administration [VHA]-paid care delivered outside of VHA) due to wait times ≥30 days and longer travel times for VHA care. For rural Veterans r ... Full text Cite

Racial Disparities in Lung Cancer Screening Among Veterans, 2013 to 2021.

Journal Article JAMA Netw Open · June 1, 2023 IMPORTANCE: Racial disparities in lung cancer screening (LCS) are often ascribed to barriers such as cost, insurance status, access to care, and transportation. Because these barriers are minimized within the Veterans Affairs system, there is a question of ... Full text Link to item Cite

Epidemiology and Psychiatric Correlates of Cancer among Homeless and Unstably Housed Veterans in the VA Health Care System.

Journal Article Cancer Epidemiol Biomarkers Prev · May 1, 2023 BACKGROUND: This study examined the incidence and correlates of cancer among homeless and unstably housed (HUH) veterans as compared with stably housed (SH) veterans. METHODS: Using Veterans Affairs (VA) administrative data from 564,563 HUH and 5,213,820 S ... Full text Link to item Cite

Association between low-income subsidies and inequities in orally administered antimyeloma therapy use.

Journal Article Am J Manag Care · May 2023 OBJECTIVES: The Medicare Part D low-income subsidy program drastically reduces patient cost sharing and may improve access to and equitable use of high-cost antimyeloma therapy. We compared initiation of and adherence to orally administered antimyeloma the ... Full text Link to item Cite

Cardiovascular disease prevention and management of pre-existent cardiovascular disease in a cohort of prostate cancer survivors.

Journal Article J Cancer Surviv · April 2023 PURPOSE: Cardiovascular disease (CVD) is a common cause of mortality among men with prostate cancer. However, receipt of preventive care and management of pre-existent CVD has not been well studied in prostate cancer survivors. METHODS: This study examined ... Full text Link to item Cite

Veterans Health Administration National TeleOncology Service.

Journal Article JCO oncology practice · April 2023 PurposeAs the largest integrated health care system in the United States, the Veterans Health Administration (VA) is a leader in telehealth-delivered care. All 10 million Veterans cared for within the VA are eligible for telehealth. The VA cares f ... Full text Cite

Intensification of Implementation Strategies: Developing a Model of Foundational and Enhanced Implementation Approaches to Support National Adoption and Scale-up.

Journal Article Gerontologist · March 21, 2023 Implementation strategies are activities to support integration of evidence-based programs (EBPs) into routine care. Comprised of 170+ facilities, the Veterans Affairs Healthcare System is conducive to evaluating feasibility and scalability of implementati ... Full text Link to item Cite

Mandated Caregiver Training in the Veterans Health Administration: Caregiver Inquiry Informs National Dissemination.

Journal Article Gerontologist · March 21, 2023 BACKGROUND AND OBJECTIVES: A minority of family caregivers receive training, with implications for their own and their recipient's outcomes. Federal policy has supported the implementation and expansion of caregiver training and support. The Department of ... Full text Open Access Link to item Cite

Implementation Evaluation of a Teledermatology Virtual Clinic at an Academic Medical Center.

Journal Article Res Sq · February 28, 2023 BACKGROUND: Teledermatology (TD) is an evidence-based practice that may increase access to dermatologic care. We sought to evaluate implementation of TD at four Duke primary care practices. METHODS: We implemented a hybrid TD program where trained primary ... Full text Link to item Cite

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

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

Impact of list price changes on out-of-pocket costs and adherence in four high-rebate specialty drugs.

Journal Article PLoS One · 2023 BACKGROUND: Insurers manage the cost of specialty medicines via rebates, however it is unclear if the savings are passed on to patients, and whether reducing rebates may lead to changes in patient out-of-pocket (OOP) costs and medication adherence. This st ... Full text Link to item Cite

Barriers and facilitators associated with implementing interventions to support oral anticancer agent adherence in academic and community cancer center settings.

Journal Article PLoS One · 2023 PURPOSE: The goal of this study is to determine barriers and facilitators to the implementation of medication adherence interventions to support cancer patients taking novel, targeted oral anticancer agents (OAAs). METHODS: We conducted qualitative intervi ... Full text Link to item Cite

Scalability of effective adherence interventions for patients using cardiovascular disease medication: A realist synthesis-inspired systematic review

Conference INTERNATIONAL JOURNAL OF CLINICAL PHARMACY · 2023 Cite

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

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

Barriers and facilitators to implementing the Veterans Health Administration National Teleoncology Service: A qualitative descriptive study.

Conference JOURNAL OF CLINICAL ONCOLOGY · 2023 Cite

Evidence gap map on contextual analysis in implementation science

Conference IMPLEMENTATION SCIENCE · 2023 Cite

Methodological approaches to study context in intervention implementation studies: an evidence gap map.

Journal Article BMC Med Res Methodol · December 14, 2022 BACKGROUND: Within implementation science studies, contextual analysis is increasingly recognized as foundational to interventions' successful and sustainable implementation. However, inconsistencies between methodological approaches currently limit progre ... Full text Link to item Cite

Self-Organization of Interprofessional Staff to Improve Mobility of Hospitalized Patients with STRIDE: a Complexity Science-Informed Qualitative Study.

Journal Article J Gen Intern Med · December 2022 BACKGROUND: Inpatient mobility programs can help older adults maintain function during hospitalization. Changing hospital practice can be complex and require engagement of various staff levels and disciplines; however, we know little about how interprofess ... Full text Link to item Cite

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

Journal Article Patient education and counseling · December 2022 ObjectiveClinical inertia, the absence of treatment initiation or intensification for patients not achieving evidence-based therapeutic goals, is a primary contributor to poor clinical outcomes. Effectively combating clinical inertia requires coor ... Full text Open Access Cite

Implementation science: accelerating the pharma pipeline to its full potential.

Journal Article J Comp Eff Res · December 2022 Full text Link to item Cite

Health and social care of home-dwelling frail older adults in Switzerland: a mixed methods study.

Journal Article BMC Geriatr · November 15, 2022 BACKGROUND: Home-dwelling frail older adults are often faced with multimorbidity and complex care needs, requiring health and social care systems that support frail older adults to age in place. The objective of this paper was to investigate the types of f ... 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

Pediatric cancer outcomes after the implementation of a residential hostel in Tanzania.

Journal Article Pediatr Blood Cancer · October 2022 BACKGROUND: A large survival disparity exists for pediatric cancer patients in low- and middle-income countries compared with high-income countries. A variety of factors contribute to this gap, including late-stage disease at presentation, high rates of ab ... Full text Link to item Cite

CLL-517 Hypertension as an Adverse Event of Ibrutinib: Does Age Matter?

Journal Article Clin Lymphoma Myeloma Leuk · October 2022 CONTEXT: Ibrutinib and other Bruton-tyrosine kinase inhibitors (BTKi) have transformed treatment of chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL) and improved overall survival. However, cardiovascular and other non-CLL progression rel ... Full text Link to item Cite

Unraveling implementation context: the Basel Approach for coNtextual ANAlysis (BANANA) in implementation science and its application in the SMILe project.

Journal Article Implement Sci Commun · October 1, 2022 BACKGROUND: Designing intervention and implementation strategies with careful consideration of context is essential for successful implementation science projects. Although the importance of context has been emphasized and methodology for its analysis is e ... Full text Link to item Cite

Secondary Prevention Risk Interventions via Telemedicine and Tailored Patient Education (SPRITE): A randomized trial to improve post myocardial infarction management.

Journal Article Patient Educ Couns · September 2022 OBJECTIVE: We evaluated the impact of a low intensity web-based and intensive nurse-administered intervention to reduce systolic blood pressure (SBP) among patients with prior MI. METHODS: Secondary Prevention Risk Interventions via Telemedicine and Tailor ... Full text Open Access Link to item Cite

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

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

The role of accountability in adherence programs.

Journal Article Patient Educ Couns · August 2022 Full text Open Access Link to item Cite

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

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

Association of High-Deductible Health Plan Enrollment With Spending on and Use of Lenalidomide Therapy Among Commercially Insured Patients With Multiple Myeloma.

Journal Article JAMA Netw Open · June 1, 2022 IMPORTANCE: High-deductible health plans (HDHPs) require high upfront cost-sharing, which has been associated with suboptimal anticancer medication uptake and adherence. Whether HDHP enrollment has limited the affordability and use of lenalidomide therapy ... Full text Link to item Cite

Cardiometabolic Comorbidities in Cancer Survivors: JACC: CardioOncology State-of-the-Art Review.

Journal Article JACC. CardioOncology · June 2022 There are nearly 17 million cancer survivors in the United States, including those who are currently receiving cancer therapy with curative intent and expected to be long-term survivors, as well as those with chronic cancers such as metastatic disease or c ... Full text Open Access Cite

Impact of co-pay assistance on patient, clinical, and economic outcomes.

Journal Article Am J Manag Care · May 1, 2022 OBJECTIVES: Patient assistance programs (eg, co-pay assistance) may reduce patients' out-of-pocket costs for prescription medicines, providing financial assistance to access medicines for reduced or no cost. A literature review to identify peer-reviewed ar ... Full text Link to item Cite

Predictors of Self-repackaging of Antiretroviral Therapy in Northern Tanzania.

Journal Article Am J Health Behav · April 20, 2022 Objectives: In this study, we explored determinants of "researcher-observed" patient-initiated antiretroviral therapy (ART) repackaging practices among people living with HIV (PLHIV) in Northern Tanzania. Methods: We used a quasi-experimental design to des ... Full text Link to item Cite

Many Medicare Beneficiaries Do Not Fill High-Price Specialty Drug Prescriptions.

Journal Article Health Aff (Millwood) · April 2022 For high-price drugs, Medicare Part D beneficiaries who do not receive a low-income subsidy must pay a percentage of the drug's price for each medication fill. Without that subsidy, which lowers out-of-pocket spending, beneficiaries typically pay hundreds ... Full text Link to item Cite

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

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

Medication adherence interventions in transplantation lack information on how to implement findings from randomized controlled trials in real-world settings: A systematic review.

Journal Article Transplant Rev (Orlando) · January 2022 BACKGROUND: Growing numbers of randomized controlled trials (RCTs) are showing the effectiveness of interventions to improve medication adherence in transplantation recipients. However, real-world implementation is still a major challenge. This systematic ... Full text Link to item Cite

Protocol for the models of primary osteoporosis screening in men (MOPS) cluster randomized trial.

Journal Article Contemp Clin Trials · January 2022 Current guidelines recommend primary osteoporosis screening for at-risk men to reduce the morbidity, mortality, and cost associated with osteoporotic fractures. However, analyses in a national Veterans Health Administration cohort of over 4,000,000 men dem ... Full text Link to item Cite

Financial interventions to improve medication adherence: a narrative review

Conference INTERNATIONAL JOURNAL OF CLINICAL PHARMACY · 2022 Cite

LATIN-19: A Grassroots Coalition to Mitigate the Effect of COVID-19 on the Latinx Community in North Carolina.

Journal Article Prog Community Health Partnersh · 2022 BACKGROUND: Social inequity is a primary driver of health disparities, creating multiple barriers to good health. These inequities were exacerbated during the coronavirus disease 2019 (COVID-19) pandemic, with Latinx communities suffering more than others. ... Full text Link to item Cite

Protocol for a mixed methods feasibility and implementation study of a community-based integrated care model for home-dwelling older adults: The INSPIRE project.

Journal Article PLoS One · 2022 BACKGROUND: Evaluations of integrated care models for home-dwelling frail older adults have shown inconclusive results on health and service outcomes. However, limited research has focused on the implementation of integrated care models. Applying implement ... Full text Link to item Cite

Understanding dynamic complexity in context-Enriching contextual analysis in implementation science from a constructivist perspective.

Journal Article Frontiers in health services · January 2022 Context in implementation science includes not only characteristics of a setting in which an intervention will be delivered, but also social systems (e.g., interrelationships). Context is dynamic and interacts with both, the intervention and its implementa ... Full text Cite

Caregiver Acceptability of Mobile Phone Use for Pediatric Cancer Care in Tanzania: Cross-sectional Questionnaire Study.

Journal Article JMIR Pediatr Parent · December 8, 2021 BACKGROUND: There is a 60% survival gap between children diagnosed with cancer in low- and middle-income countries (LMICs) and those in high-income countries. Low caregiver knowledge about childhood cancer and its treatment results in presentation delays a ... Full text Link to item Cite

Low-touch, team-based care for co-morbidity management in cancer patients: the ONE TEAM randomized controlled trial.

Journal Article BMC Fam Pract · November 18, 2021 BACKGROUND: As treatments for cancer have improved, more people are surviving cancer. However, compared to people without a history of cancer, cancer survivors are more likely to die of cardiovascular disease (CVD). Increased risk for CVD-related mortality ... Full text Link to item Cite

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

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

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

Journal Article BMC health services research · September 2021 BackgroundScreening in primary care for unmet individual social needs (e.g., housing instability, food insecurity, unemployment, social isolation) is critical to addressing their deleterious effects on patients' health outcomes. To our knowledge, ... Full text Cite

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

Journal Article Journal of general internal medicine · August 2021 BackgroundVirtual care is critical to Veterans Health Administration (VHA) efforts to expand veterans' access to care. Health care policies such as the Veterans Access, Choice, and Accountability (CHOICE) Act and the Maintaining Internal Systems a ... Full text Open Access Cite

Impact of financial medication assistance on medication adherence: a systematic review.

Journal Article J Manag Care Spec Pharm · July 2021 BACKGROUND: The prevalence of financial medication assistance (FMA), including patient assistance programs, coupons/copayment cards, vouchers, discount cards, and programs/pharmacy services that help patients apply for such programs, has increased. The imp ... Full text Open Access Link to item Cite

The INSPIRE Population Survey: development, dissemination and respondent characteristics.

Journal Article BMC Med Res Methodol · June 24, 2021 BACKGROUND: Most older adults prefer to continue living at home despite increasing care needs and demand for services. To aid in maintaining independence, integrated care models for community-dwelling older people are promoted as the most cost-effective ap ... Full text Link to item Cite

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

Journal Article Medical care · June 2021 BackgroundRapid approaches to collecting and analyzing qualitative interview data can accelerate discovery timelines and intervention development while maintaining scientific rigor. We describe the application of these methods to a program designe ... Full text Open Access Cite

Disparities in cardiovascular risk factors by race/ethnicity among adult survivors of childhood cancer: A report from the Childhood Cancer Survivorship Study (CCSS).

Conference Journal of Clinical Oncology · May 20, 2021 10017 Background: Racial, ethnic, and socioeconomic disparities are documented in outcomes for childhood cancer survivors. Understanding whether childhood cancer modifies established disparities in cardiovascular risk factors (CV ... Full text Cite

Replicating an effective VA program to train and support family caregivers: a hybrid type III effectiveness-implementation design.

Journal Article BMC Health Serv Res · May 6, 2021 BACKGROUND: Caring for a growing aging population using existing long-term care resources while simultaneously supporting and educating family caregivers, is a public health challenge. We describe the application of the Replicating Effective Programs (REP) ... Full text Open Access Link to item Cite

Subgroups of High-Risk Veterans Affairs Patients Based on Social Determinants of Health Predict Risk of Future Hospitalization.

Journal Article Med Care · May 1, 2021 OBJECTIVE: Population segmentation has been recognized as a foundational step to help tailor interventions. Prior studies have predominantly identified subgroups based on diagnoses. In this study, we identify clinically coherent subgroups using social dete ... Full text Link to item Cite

A Contextual Analysis and Logic Model for Integrated Care for Frail Older Adults Living at Home: The INSPIRE Project.

Journal Article Int J Integr Care · April 23, 2021 INTRODUCTION: Implementation science methods and a theory-driven approach can enhance the understanding of whether, how, and why integrated care for frail older adults is successful in practice. In this study, we aimed to perform a contextual analysis, dev ... Full text Link to item Cite

Transportation as a barrier to colorectal cancer care.

Journal Article BMC Health Serv Res · April 13, 2021 BACKGROUND: Transportation barriers limit access to cancer care services and contribute to suboptimal clinical outcomes. Our objectives were to describe the frequency of Veterans reporting and the factors associated with transportation barriers to or from ... Full text Open Access Link to item Cite

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

Journal Article Contemporary clinical trials communications · March 2021 BackgroundUncontrolled blood pressure (BP) is common among Veterans. Rural Veterans are at risk for suboptimal care coordination as successful programs may be implemented at lower rates due to individual- and system-level factors. There is strong ... Full text Open Access Cite

Caregiver Acceptability of Mobile Phone Use for Pediatric Cancer Care in Tanzania: Cross-sectional Questionnaire Study (Preprint)

Journal Article · February 16, 2021 BACKGROUNDThere is a 60% survival gap between children diagnosed with cancer in low- and middle-income countries (LMICs) and those in high-income countries. Low caregiver knowledge about ... Full text Cite

Improvement Science and Implementation Science in Cancer Care: Identifying Areas of Synergy and Opportunities for Further Integration.

Journal Article J Gen Intern Med · January 2021 Efforts to improve cancer care primarily come from two fields: improvement science and implementation science. The two fields have developed independently, yet they have potential for synergy. Leveraging that synergy to enhance alignment could both reduce ... Full text Link to item Cite

Interventions to improve adherence to cardiovascular medication: what about gender differences? A systematic literature review

Conference INTERNATIONAL JOURNAL OF CLINICAL PHARMACY · 2021 Cite

Therapeutic Inertia in Prescribing Biologics for Patients with Moderate-to-Severe Asthma: Workshop Summary.

Journal Article Patient Prefer Adherence · 2021 Moderate-to-severe asthma represents about a quarter of the nearly 10% of Americans diagnosed with asthma. Many patients with moderate-to-severe asthma have uncontrolled symptoms that lead to exacerbations requiring oral corticosteroids. There are many fac ... Full text Open Access Link to item Cite

Relevant Journals for Identifying Implementation Science Articles: Results of an International Implementation Science Expert Survey.

Journal Article Front Public Health · 2021 In implementation science (IS), conducting well-targeted and reproducible literature searches is challenging due to non-specific and varying terminology that is fragmented over multiple disciplines. A list of journals that publish IS-relevant content for u ... Full text Open Access Link to item Cite

LACK OF INFORMATION IN RANDOMIZED CONTROLLED TRIALS TO GUIDE TRANSLATION OF MEDICATION ADHERENCE INTERVENTIONS TO CLINICAL PRACTICE: SYSTEMATIC REVIEW

Conference TRANSPLANT INTERNATIONAL · 2021 Link to item Cite

Do Medicare part D low-income subsidies narrow disparities in orally-administered antimyeloma therapy initiation?

Conference PHARMACOEPIDEMIOLOGY AND DRUG SAFETY · 2021 Cite

Implementation of Psychologically Informed Physical Therapy for Low Back Pain: Where Do We Stand, Where Do We Go?

Journal Article J Pain Res · 2021 Low back pain continues to be a leading cause of disability and cost throughout the world. Evidence-based guidelines recommend use of non-pharmacological interventions to address decreases in physical function due to low back pain. Psychologically informed ... Full text Link to item Cite

Powering Swiss health care for the future: Implementation science to bridge "the valley of death"

Journal Article Texto e Contexto Enfermagem · January 1, 2021 Full text Cite

Factors associated with falls in older women with breast cancer: the use of a brief geriatric screening tool in clinic.

Journal Article Breast Cancer Res Treat · November 2020 PURPOSE: Unintentional falls and breast cancer are common among older women, but the associations between them are understudied. We aimed to identify factors associated with falls in older women with breast cancer. METHODS: We retrospectively reviewed clin ... Full text Link to item Cite

Implementation of a stepped wedge cluster randomized trial to evaluate a hospital mobility program.

Journal Article Trials · October 16, 2020 BACKGROUND: Stepped wedge cluster randomized trials (SW-CRT) are increasingly used to evaluate new clinical programs, yet there is limited guidance on practical aspects of applying this design. We report our early experiences conducting a SW-CRT to examine ... Full text Open Access Link to item Cite

Mobilizing Hospitals to Mobilize Patients.

Journal Article J Am Geriatr Soc · October 2020 Full text Link to item Cite

Patient-Reported Social and Behavioral Determinants of Health and Estimated Risk of Hospitalization in High-Risk Veterans Affairs Patients.

Journal Article JAMA Netw Open · October 1, 2020 IMPORTANCE: Despite recognition of the association between individual social and behavioral determinants of health (SDH) and patient outcomes, little is known regarding the value of SDH in explaining variation in outcomes for high-risk patients. OBJECTIVE: ... Full text Link to item Cite

Theory-driven development of a medication adherence intervention delivered by eHealth and transplant team in allogeneic stem cell transplantation: the SMILe implementation science project.

Journal Article BMC Health Serv Res · September 2, 2020 BACKGROUND: Medication adherence to immunosuppressants in allogeneic stem cell transplantation (alloSCT) is essential to achieve favorable clinical outcomes (e.g. control of Graft-versus-Host Disease). Over 600 apps supporting medication adherence exist, y ... Full text Link to item Cite

Lessons learned from two randomized controlled trials: CITIES and STOP-DKD.

Journal Article Contemp Clin Trials Commun · September 2020 BACKGROUND: Even well-designed, theoretically driven clinical trials can fall short of achieving the desired clinical outcomes. Our research team had an opportunity to conduct two randomized controlled trials that were enrolling patients in parallel. While ... Full text Open Access Link to item Cite

Powering Swiss health care for the future: implementation science to bridge "the valley of death".

Journal Article Swiss medical weekly · September 2020 Full text Cite

Awareness of Cancer Risk Factors and Its Signs and Symptoms in Northern Tanzania: a Cross-Sectional Survey in the General Population and in People Living with HIV.

Journal Article J Cancer Educ · August 2020 An important component of cancer control programs for the growing burden in sub-Saharan Africa is a population's awareness of risk factors. Studies thereof have focused on single rather than multiple cancers and carcinogens. During March and April 2015, we ... Full text Link to item Cite

Cancer incidence and treatment utilization patterns at a regional cancer center in Tanzania from 2008-2016: Initial report of 2,772 cases.

Journal Article Cancer Epidemiol · August 2020 PURPOSE: To describe cancer incidence and treatment utilization patterns at the regional cancer referral center for the Lake Zone of northwestern Tanzania from 2008 to 2016. METHODS: This descriptive, retrospective study reviewed all cancer cases recorded ... Full text Link to item Cite

Implementing a Population Health Management Intervention to Control Cardiovascular Disease Risk Factors.

Journal Article Journal of general internal medicine · June 2020 Full text Open Access Cite

How are medication related problems managed in primary care? An exploratory study in patients with diabetes and primary care providers.

Journal Article Res Social Adm Pharm · May 2020 BACKGROUND: Medication self-management is important for patients who are controlling diabetes. Achieving medication self-management goals, may depend on treatment complexity and patients' capacities such as health literacy, knowledge and attitude. OBJECTIV ... Full text Link to item Cite

Using digital health to facilitate compliance with standardized pediatric cancer treatment guidelines in Tanzania: protocol for an early-stage effectiveness-implementation hybrid study.

Journal Article BMC Cancer · March 29, 2020 BACKGROUND: In high-income countries (HICs), increased rates of survival among pediatric cancer patients are achieved through the use of protocol-driven treatment. Compared to HICs, differences in infrastructure, supportive care, and human resources, make ... Full text Link to item Cite

Medication rebates and health disparities: Mind the gap.

Journal Article Res Social Adm Pharm · March 2020 Compared to white patients in the United States, people of racial and ethnic minority groups face higher rates of chronic disease including diabetes, obesity, stroke, cardiovascular disease and cancer. Minority groups are also less likely to receive medica ... Full text Open Access Link to item Cite

Primary Care Providers' Acceptance of Pharmacists' Recommendations to Support Optimal Medication Management for Patients with Diabetic Kidney Disease.

Journal Article J Gen Intern Med · January 2020 BACKGROUND: Patients with diabetic kidney disease (DKD) often struggle with blood pressure control. In team-based models of care, pharmacists and primary care providers (PCPs) play important roles in supporting patients' blood pressure management. OBJECTIV ... Full text Open Access Link to item Cite

Embracing Implementation Science: A Paradigm Shift for Nursing Research.

Journal Article J Nurs Scholarsh · January 2020 Full text Link to item Cite

Does Antiretroviral Therapy Packaging Matter? Perceptions and Preferences of Antiretroviral Therapy Packaging for People Living with HIV in Northern Tanzania.

Journal Article Patient Prefer Adherence · 2020 INTRODUCTION: Despite improvements in treatment (eg, reduction in pill intake), antiretroviral therapy (ART) is dispensed in socially inefficient and uneconomical packaging. To make pills less conspicuous and decrease the risk of being stigmatized, people ... Full text Open Access Link to item Cite

Disparities in Shared Decision Making and Service Receipt Among Children With Special Health Care Needs and Developmental Delay: A National Survey Analysis.

Journal Article J Prim Care Community Health · 2020 Shared decision making (SDM) is associated with increased service satisfaction among pediatric patients. Our objective was to examine the association between SDM and service use experiences across racial/ethnic child groups. This secondary data analysis us ... Full text Link to item Cite

Interventions to Improve Adherence to Cardiovascular Medication: What About Gender Differences? A Systematic Literature Review.

Journal Article Patient Prefer Adherence · 2020 BACKGROUND: Compared to men, women have lower treatment rates for cardiovascular disease (CVD), are at higher risk for medication non-adherence and have different reasons for being non-adherent. The aim of this study was to synthesize and evaluate gender-s ... Full text Link to item Cite

The role of high-deductible health plans on the use of lenalidomide

Conference PHARMACOEPIDEMIOLOGY AND DRUG SAFETY · 2020 Cite

Transformational Coaching: Effect on Process of Care Outcomes and Determinants of Uptake

Report · 2020 High-quality health care is a priority for patients and clinicians alike. Quality improvement (QI) is a framework that guides health system actions to improve the delivery of high-quality health care. Quality improvement activities seek to promote high-qua ... Link to item Cite

Lessons learned from two randomized controlled trials: CITIES and STOP-DKD (vol 19, 100612, 2020)

Journal Article CONTEMPORARY CLINICAL TRIALS COMMUNICATIONS · 2020 Cite

Novel application of approaches to predicting medication adherence using medical claims data.

Journal Article Health Serv Res · December 2019 OBJECTIVE: To compare predictive analytic approaches to characterize medication nonadherence and determine under which circumstances each method may be best applied. DATA SOURCES/STUDY SETTING: Medicare Parts A, B, and D claims from 2007 to 2013. STUDY DES ... Full text Open Access Link to item Cite

Detecting geriatric needs in older patients with breast cancer through use of a brief geriatric screening tool.

Journal Article J Geriatr Oncol · November 2019 INTRODUCTION: Identification of geriatric syndromes is important for determining functional age and optimizing care for people with cancer. Based on administration of a geriatric screening tool, we aimed to describe needed resources for geriatric syndromes ... Full text Link to item Cite

Quality improvement and implementation science in cancer care: Identifying areas of synergy and opportunities for further integration.

Conference Journal of Clinical Oncology · September 20, 2019 29 Background: Efforts to improve cancer care delivery have been driven by two approaches: quality improvement (QI) and implementation science (IS). QI and IS have developed independently but have potential for synergy. To inform ... Full text Cite

Opportunities to Leverage Telehealth Approaches Along the Hypertension Control Cascade in Sub-Saharan Africa.

Journal Article Curr Hypertens Rep · August 26, 2019 PURPOSE OF REVIEW: To review the current literature on use of telehealth at different stages of the hypertension control cascade in sub-Saharan Africa (SSA) and to discuss opportunities to harness technology infrastructure in SSA to improve population-leve ... Full text Link to item Cite

Adoption of direct-acting antiviral medications for hepatitis C: a retrospective observational study.

Journal Article BMC Health Serv Res · July 25, 2019 BACKGROUND: Approximately 3.5 million Americans are infected with the hepatitis C virus (HCV). Although many patients with HCV are asymptomatic, HCV is the leading cause of infection-related death in the U.S. With advances in curative medication therapy fo ... Full text Open Access Link to item Cite

Assessing Key Stakeholders' Knowledge, Needs, and Preferences for Head and Neck Cancer Survivorship Care Plans.

Journal Article J Cancer Educ · June 2019 Cancer survivorship care plans (SCPs) are endorsed to support quality care for cancer survivors, but uptake is slow. We assessed knowledge, needs, and preferences for SCP content and delivery from a wide variety of stakeholders. We focused SCP content for ... Full text Open Access Link to item Cite

Potential impact of pharmaceutical industry rebates on medication adherence.

Journal Article Am J Manag Care · May 1, 2019 Many patients struggle to take their prescription medications as prescribed. Multiple interacting factors influence medication nonadherence. The cost of medications, particularly a patient's out-of-pocket cost, spans several of these domains. One proposed ... Open Access Link to item Cite

Improving medication adherence research reporting: ESPACOMP Medication Adherence Reporting Guideline (EMERGE).

Journal Article Eur J Cardiovasc Nurs · April 2019 Full text Link to item Cite

Self-reported medication nonadherence predicts cholesterol levels over time.

Journal Article J Psychosom Res · March 2019 OBJECTIVE: Self-report measures of medication nonadherence are frequently adapted to new clinical populations without evidence of validity. We evaluated the predictive validity of a medication nonadherence measure previously validated in patients with hype ... Full text Open Access Link to item Cite

Cancer Among Women Treated in the Veterans Affairs Healthcare System.

Journal Article Journal of women's health (2002) · February 2019 BackgroundThe Veterans Affairs (VA) healthcare system is a high-volume provider of cancer care. Women are the fastest growing patient population using VA healthcare services. Quantifying the types of cancers diagnosed among women in the VA is a cr ... Full text Cite

Moving from the Trial to the Real World: Improving Medication Adherence Using Insights of Implementation Science.

Journal Article Annu Rev Pharmacol Toxicol · January 6, 2019 Medication nonadherence is a serious public health concern. Although there are promising interventions that improve medication adherence, most interventions are developed and tested in tightly controlled research environments that are dissimilar from the r ... Full text Open Access Link to item Cite

Using a geriatric oncology assessment to link with services (GOAL).

Journal Article J Geriatr Oncol · January 2019 OBJECTIVE: Geriatric screening tools assess functional limitations and inform clinical decision-making for older adults with cancer. Our objective was to evaluate the feasibility and effectiveness of a screener in community-based oncology clinics. MATERIAL ... Full text Link to item Cite

Improving Medication Adherence Research Reporting: European Society for Patient Adherence, Compliance and Persistence Medication Adherence Reporting Guideline.

Journal Article J Cardiovasc Nurs · 2019 Full text Link to item Cite

Cardiovascular disease-related chronic conditions among Veterans Affairs nonmetastatic colorectal cancer survivors: a matched case-control analysis.

Journal Article Cancer Manag Res · 2019 PURPOSE: The growing number of colorectal cancer (CRC) survivors often have multiple chronic conditions. Comparing nonmetastatic CRC survivors and matched noncancer controls, our objectives were to determine the odds of CRC survivors being diagnosed with c ... Full text Open Access Link to item Cite

Statin Use is Associated With Increased Overall Survival in Patients With Colorectal Cancer: Findings From a Cohort of 29,498 United States Veterans

Conference CIRCULATION · 2019 Cite

Summary of Veterans Health Administration Cancer Data Sources.

Journal Article J Registry Manag · 2019 OBJECTIVES: The Veterans Health Administration (VHA) is a leader in generating transformational research across the cancer care continuum. Given the extensive body of cancer-related literature utilizing VHA data, our objectives are to: (1) describe the VHA ... Link to item Cite

Knowledge and Preferences of Primary Care Providers in Delivering Head and Neck Cancer Survivorship Care.

Journal Article J Cancer Educ · December 2018 Long-term care for head and neck cancer (HNC) survivors is complex and requires coordination among multiple providers. Clinical practice guidelines highlight the role of primary care providers (PCPs) in screening for secondary cancer/recurrence, assessment ... Full text Link to item Cite

Telehealth Interventions Designed for Women: an Evidence Map.

Journal Article J Gen Intern Med · December 2018 BACKGROUND: Telehealth employs technology to connect patients to the right healthcare resources at the right time. Women are high utilizers of healthcare with gender-specific health issues that may benefit from the convenience and personalization of telehe ... Full text Open Access Link to item Cite

Countering clinical inertia in lipid management: Expert workshop summary.

Journal Article American heart journal · December 2018 Full text Open Access Cite

Aging

Chapter · October 31, 2018 Full text Cite

Self-Efficacy and Adherence Behaviors in Rheumatoid Arthritis Patients.

Journal Article Prev Chronic Dis · October 18, 2018 INTRODUCTION: Rheumatoid arthritis (RA) is a common disease that requires patient self-management with chronic medications. Adherence rates for RA medications are suboptimal. This study explores medication adherence and self-efficacy behaviors among RA pat ... Full text Open Access Link to item Cite

Head and Neck Cancer Survivors: Specific Needs and Their Implications for Survivorship Care Planning.

Journal Article Clin J Oncol Nurs · October 1, 2018 BACKGROUND: Head and neck cancer (HNC) survivors experience significant sequelae of treatment, including long-term physical side effects and ongoing cancer surveillance. OBJECTIVES: The aim of this study is to understand patients' survivorship knowledge ga ... Full text Link to item Cite

ESPACOMP Medication Adherence Reporting Guideline (EMERGE).

Journal Article Ann Intern Med · July 3, 2018 Research on assessing or managing medication adherence applies approaches from observational, interventional, and implementation science that spans many disciplines and demands coherent conceptualization, valid methods, appropriate analyses, and complete a ... Full text Link to item Cite

Harnessing the Synergy Between Improvement Science and Implementation Science in Cancer: A Call to Action.

Journal Article J Oncol Pract · June 2018 Full text Link to item Cite

Understanding women veterans' preferences for peer support interventions to promote heart healthy behaviors: A qualitative study.

Journal Article Prev Med Rep · June 2018 Peer support may be an effective strategy to improve heart healthy behaviors among populations who have a strong communal identity, such as women veterans. Women veterans are a particularly important group to target as they are the fastest growing sub-popu ... Full text Link to item Cite

Using a geriatric oncology assessment to link with services in an underserved, community oncology population.

Conference Journal of Clinical Oncology · May 20, 2018 Full text Cite

Telemedicine cardiovascular risk reduction in veterans: The CITIES trial.

Journal Article Am Heart J · May 2018 BACKGROUND: Comprehensive programs addressing tailored patient self-management and pharmacotherapy may reduce barriers to cardiovascular disease (CVD) risk reduction. METHODS: This is a 2-arm (clinical pharmacist specialist-delivered, telehealth interventi ... Full text Open Access Link to item Cite

TELEHEALTH FOR WOMEN: AN EVIDENCE MAP

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · April 1, 2018 Link to item Cite

A population health perspective on a claims and electronic health record-based tool to screen for suboptimal medication adherence.

Journal Article Am Heart J · March 2018 Full text Link to item Cite

Changing CHANGE: adaptations of an evidence-based telehealth cardiovascular disease risk reduction intervention.

Journal Article Transl Behav Med · March 1, 2018 Relatively few successful medication adherence interventions are translated into real-world clinical settings. The Prevention of Cardiovascular Outcomes in African Americans with Diabetes (CHANGE) intervention was originally conceived as a randomized contr ... Full text Open Access Link to item Cite

Chronic disease management perspectives of colorectal cancer survivors using the Veterans Affairs healthcare system: a qualitative analysis.

Journal Article BMC health services research · March 2018 BackgroundColorectal cancer (CRC) is the third most commonly diagnosed cancer in the US. CRC survivors may have complex healthcare needs requiring care from both specialists and primary care. Our objective was to understand how CRC survivors perce ... Full text Open Access Cite

Assessing key stakeholders' knowledge, needs, and preferences for cancer survivorship care plans.

Conference Journal of Clinical Oncology · March 1, 2018 30 Background: Survivorship care plans (SCPs) are individualized documents that summarize cancer treatment received and provide guidelines for monitoring and maintaining survivors’ health. While SCPs are intended to facilitate ca ... Full text Cite

Cardiovascular disease-related chronic conditions among Veterans Affairs colorectal cancer survivors: A matched case-control analysis.

Conference Journal of Clinical Oncology · March 1, 2018 4 Background: The growing number of colorectal cancer (CRC) survivors often have multiple chronic conditions. Comparing CRC survivors and matched non-cancer controls, our objectives were to determine the odds of CRC survivors bei ... Full text Cite

Importance and Challenges of Moving Stroke Prevention into the Community.

Journal Article Circ Cardiovasc Qual Outcomes · January 2018 Full text Open Access Link to item Cite

The importance of cholesterol medication adherence: the need for behavioral change intervention programs.

Journal Article Patient Prefer Adherence · 2018 Lipid-lowering medications have been shown to be efficacious, but adherence is suboptimal. This is a narrative, perspective review of recently published literature in the field of medication adherence research for lipid-lowering medications. We provide an ... Full text Open Access Link to item Cite

The new landscape of medication adherence improvement: where population health science meets precision medicine.

Journal Article Patient Prefer Adherence · 2018 Despite the known health and economic benefits of medications, nonadherence remains a significant, yet entirely preventable public health burden. Over decades, there have been numerous research studies evaluating health interventions and policy efforts aim ... Full text Open Access Link to item Cite

Racial differences in nocturnal dipping status in diabetic kidney disease: Results from the STOP-DKD (Simultaneous Risk Factor Control Using Telehealth to Slow Progression of Diabetic Kidney Disease) study.

Journal Article J Clin Hypertens (Greenwich) · December 2017 While racial variation in ambulatory blood pressure (BP) is known, patterns of diurnal dipping in the context of diabetic kidney disease have not been well defined. The authors sought to determine the association of race with nocturnal dipping status among ... Full text Open Access Link to item Cite

Changes in the Delivery of Veterans Affairs Cancer Care: Ensuring Delivery of Coordinated, Quality Cancer Care in a Time of Uncertainty.

Journal Article Journal of oncology practice · November 2017 Full text Open Access Cite

Prescribing an App? Oncology Providers' Views on Mobile Health Apps for Cancer Care.

Journal Article JCO Clin Cancer Inform · November 2017 INTRODUCTION: Although there are over 500 mobile health (mHealth) applications (apps) available for download in the field of oncology, little research has addressed their acceptability among health care providers. In addition, the providers' perspectives r ... Full text Link to item Cite

Bridging the Gap: PCP and Patient Needs in Head and Neck Cancer Survivor Care

Conference International Journal of Radiation Oncology*Biology*Physics · October 2017 Full text Cite

Improving Medication Adherence in Coronary Heart Disease.

Journal Article Curr Cardiol Rep · September 22, 2017 PURPOSE OF REVIEW: The purpose of this review was to synthesize research findings from recently published randomized controlled trials (RCTs) targeting any phase of medication adherence, from initiation to discontinuation, among patients with coronary hear ... Full text Open Access Link to item Cite

Breast cancer oral anti-cancer medication adherence: a systematic review of psychosocial motivators and barriers.

Journal Article Breast Cancer Res Treat · September 2017 PURPOSE: In the past decade, there has been an increase in the development and use of oral anti-cancer medications (OAMs), especially for breast cancer-the most prevalent cancer in women. However, adherence rates for OAMs are often suboptimal, leading to l ... Full text Open Access Link to item Cite

Evaluation of a packaging approach to improve cholesterol medication adherence.

Journal Article Am J Manag Care · September 1, 2017 OBJECTIVES: Elevated low-density lipoprotein cholesterol (LDL-C) is a major modifiable risk factor for cardiovascular disease, a leading cause of death in the United States. Our goal was to evaluate a simple, scalable, and affordable medication packaging m ... Open Access Link to item Cite

Impact of Gender on Satisfaction and Confidence in Cholesterol Control Among Veterans at Risk for Cardiovascular Disease.

Journal Article J Womens Health (Larchmt) · July 2017 BACKGROUND: Compared with men, women have poorer lipid control. Although potential causes of this disparity have been explored, it is unknown whether patient-centered factors such as satisfaction and confidence contribute. We evaluated (1) whether satisfac ... Full text Open Access Link to item Cite

Medication adherence: A practical measurement selection guide using case studies.

Journal Article Patient Educ Couns · July 2017 OBJECTIVES: Medication adherence is a complex problem and can be evaluated using a variety of methods. There is no single or perfect strategy to assess adherence. The "best" measure depends on contextual factors. Our objective is to provide a practical, il ... Full text Open Access Link to item Cite

Trajectory of systolic blood pressure in a low-income, racial-ethnic minority cohort with diabetes and baseline uncontrolled hypertension.

Journal Article J Clin Hypertens (Greenwich) · July 2017 In two primary care clinics in Texas serving low-income patients, systolic blood pressure (SBP) trajectory was examined during 2 years in patients with diabetes mellitus (mean SBP ≥140 mm Hg: 152 mm Hg±11.2 in the baseline year). Among 860 eligible patient ... Full text Open Access Link to item Cite

Cancer Incidence Among Patients of the U.S. Veterans Affairs Health Care System: 2010 Update.

Journal Article Mil Med · July 2017 INTRODUCTION: Nearly 50,000 incident cancer cases are reported in Veterans Affairs (VA) Central Cancer Registry (VACCR) annually. This article provides an updated report of cancer incidence recorded in VACCR. MATERIALS AND METHODS: Data were obtained from ... Full text Link to item Cite

Survivorship needs after head and neck cancer treatment.

Conference Journal of Clinical Oncology · May 20, 2017 10062 Background: Head and neck cancer (HNC) survivors experience significant sequelae of treatment, including long-term physical side effects and ongoing surveillance for recurrence and secondary malignancy. Given the complicate ... Full text Cite

The Role of Patient Financial Assistance Programs in Reducing Costs for Cancer Patients.

Journal Article J Manag Care Spec Pharm · April 2017 BACKGROUND: Limited transparency exists regarding eligibility and benefits for patient financial assistance programs (PAPs). OBJECTIVE: To describe oral anticancer medication costs, insurance coverage, and the degree of financial assistance provided by PAP ... Full text Link to item Cite

Harmonization of patient-reported outcomes into EHRs at four cancer hospital outpatient clinics for patient care and quality assessment.

Conference Journal of Clinical Oncology · March 10, 2017 129 Background: Patient-reported outcome (PRO) measures are well established in oncology trials but are not collected systematically during clinical care, to guide symptom management, or to assess quality. A growing body of evide ... Full text Cite

Next steps to improve disparities in lung cancer treatment clinical trial enrollment.

Journal Article Ann Transl Med · March 2017 Full text Link to item Cite

ESPACOMP Medication Adherence Reporting Guidelines (EMERGE): a reactive-Delphi study protocol.

Journal Article BMJ Open · February 10, 2017 INTRODUCTION: Medication adherence is fundamental to achieving optimal patient outcomes. Reporting research on medication adherence suffers from some issues-including conceptualisation, measurement and data analysis-that thwart its advancement. Using the A ... Full text Link to item Cite

Recommendations for Providers on Person-Centered Approaches to Assess and Improve Medication Adherence.

Journal Article J Gen Intern Med · January 2017 Medication non-adherence is a significant clinical challenge that adversely affects psychosocial factors, costs, and outcomes that are shared by patients, family members, providers, healthcare systems, payers, and society. Patient-centered care (i.e., invo ... Full text Open Access Link to item Cite

ESPACOMP Medication Adherence Reporting Guidelines (EMERGE): a reactive-Delphi study protocol

Journal Article BMJ OPEN · 2017 Full text Cite

Coming full circle in the measurement of medication adherence: opportunities and implications for health care.

Journal Article Patient Prefer Adherence · 2017 There is little debate that medication nonadherence is a major public health issue and that measuring nonadherence is a crucial step toward improving it. Moreover, while measuring adherence is becoming both more feasible and more common in the era of elect ... Full text Open Access Link to item Cite

Colorectal Cancer Statistics From the Veterans Affairs Central Cancer Registry.

Journal Article Clin Colorectal Cancer · December 2016 BACKGROUND: Colorectal cancer (CRC) is a common and potentially deadly disease. Although the United States has robust cancer data reporting, information from the Department of Veterans Affairs (VA) healthcare system has often been underrepresented in natio ... Full text Open Access Link to item Cite

Examining racial variation in antiemetic use and post-chemotherapy health care utilization for nausea and vomiting among breast cancer patients.

Journal Article Support Care Cancer · December 2016 PURPOSE: Racial minority cancer patients may experience underuse of antiemetic medications to prevent chemotherapy-induced nausea and vomiting (CINV). In addition to its adverse implications for quality of life, antiemetic underuse may contribute to observ ... Full text Link to item Cite

Validation and Quality Assessment of the Kilimanjaro Cancer Registry.

Journal Article J Glob Oncol · December 2016 PURPOSE: Global cancer burden has increasingly shifted to low- and middle-income countries and is particularly pronounced in Africa. There remains a lack of comprehensive cancer information as a result of limited cancer registry development. In Moshi, Tanz ... Full text Open Access Link to item Cite

Statin Adherence: Does Gender Matter?

Journal Article Current atherosclerosis reports · November 2016 Purpose of reviewCardiovascular disease (CVD) continues to be the leading cause of death for men and women in the USA. Statins have contributed significantly to noted declines in cardiovascular-related mortality in the last decade; however, the be ... Full text Open Access Cite

Use of NCCN Guidelines, Other Guidelines, and Biomarkers for Colorectal Cancer Screening.

Journal Article J Natl Compr Canc Netw · November 2016 Colorectal cancer (CRC) remains a common cancer and significant public health burden. CRC-related mortality is declining, partly due to the early detection of CRC through robust screening. NCCN has established the NCCN Guidelines for CRC Screening to help ... Full text Link to item Cite

Identifying cancer patients who alter care or lifestyle due to treatment-related financial distress.

Journal Article Psychooncology · June 2016 BACKGROUND: Cancer patients may experience financial distress as a side effect of their care. Little is known about which patients are at greatest risk for altering their care or lifestyle due to treatment-related financial distress. METHODS: We conducted ... Full text Link to item Cite

Consideration of Out-of-Office Blood Pressure Monitoring in Hypertension Management.

Journal Article J Clin Hypertens (Greenwich) · May 2016 Full text Open Access Link to item Cite

Health beliefs and desire to improve cholesterol levels among patients with hyperlipidemia.

Journal Article Patient Educ Couns · May 2016 OBJECTIVE: Because hyperlipidemia is asymptomatic, many veterans affairs (VA) patients may not perceive it seriously. We assessed key Health Belief model concepts to describe patients' cholesterol-related health beliefs and examine associations between pat ... Full text Open Access Link to item Cite

Feasibility and Smokers' Evaluation of Self-Generated Text Messages to Promote Quitting.

Journal Article Nicotine Tob Res · May 2016 INTRODUCTION: Cigarette smoking is a leading cause of preventable mortality. Mobile technologies, including text messaging, provide opportunities to promote quitting. Many text messaging-based cessation interventions contain content created by experts. How ... Full text Link to item Cite

FACTORS ASSOCIATED WITH SUSTAINED UNCONTROLLED HYPERTENSION IN A LOW-INCOME, LARGELY HISPANIC PRIMARY CARE COHORT WITH DIABETES

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · May 1, 2016 Link to item Cite

Investigating racial disparities in use of NK1 receptor antagonists to prevent chemotherapy-induced nausea and vomiting among women with breast cancer.

Journal Article Breast cancer research and treatment · April 2016 Chemotherapy-induced nausea and vomiting (CINV) is a major concern for cancer patients and, if uncontrolled, can seriously compromise quality of life (QOL) and other treatment outcomes. Because of the expense of antiemetic medications used to prevent CINV ... Full text Cite

How Context Matters: A Dissemination and Implementation Primer for Global Oncologists.

Journal Article J Glob Oncol · April 2016 Full text Link to item Cite

Health Information Technology: Meaningful Use and Next Steps to Improving Electronic Facilitation of Medication Adherence.

Journal Article JMIR Med Inform · March 15, 2016 BACKGROUND: The use of health information technology (HIT) may improve medication adherence, but challenges for implementation remain. OBJECTIVE: The aim of this paper is to review the current state of HIT as it relates to medication adherence programs, ac ... Full text Open Access Link to item Cite

A Systematic Review of Conceptual Frameworks of Medical Complexity and New Model Development.

Journal Article J Gen Intern Med · March 2016 BACKGROUND: Patient complexity is often operationalized by counting multiple chronic conditions (MCC) without considering contextual factors that can affect patient risk for adverse outcomes. OBJECTIVE: Our objective was to develop a conceptual model of co ... Full text Open Access Link to item Cite

Investigating racial disparities in use of NK1 receptor antagonists to prevent chemotherapy-induced nausea and vomiting among breast cancer patients.

Conference Journal of Clinical Oncology · March 1, 2016 292 Background: Chemotherapy-induced nausea and vomiting (CINV) is a major concern for cancer patients and, if uncontrolled, it can have serious implications for patients’ treatment outcomes, including quality of life. Guidelines ... Full text Cite

Validation and quality assessment of the Kilimanjaro Cancer Registry.

Conference Journal of Clinical Oncology · March 1, 2016 266 Background: The global cancer burden has increasingly shifted to low and middle-income countries and is particularly pronounced in Africa. However, there remains a lack of comprehensive information about cancer incidence due ... Full text Cite

Colorectal cancer survivorship statistics: A Veterans Affairs Central Cancer Registry analysis.

Conference Journal of Clinical Oncology · January 20, 2016 e267 Background: Our objective was to evaluate VA CRC incidence and survival and compare with the National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) data. Methods: Data were obtained from VACCR for vet ... Full text Cite

Enrollment and Racial Disparities in Cancer Treatment Clinical Trials in North Carolina.

Journal Article N C Med J · 2016 BACKGROUND: Clinical trials provide access to innovative, high-quality cancer treatment. Simultaneously, broad access helps to ensure that trials include heterogeneous patient populations, which improves the generalizability of findings and the development ... Full text Link to item Cite

A renewed Medication Adherence Alliance call to action: harnessing momentum to address medication nonadherence in the United States.

Journal Article Patient Prefer Adherence · 2016 THE PROBLEM: Nonadherence to prescription medications is a common and costly problem with multiple contributing factors, spanning the dimensions of individual behavior change, psychology, medicine, and health policy, among others. Addressing the problem of ... Full text Open Access Link to item Cite

Willingness of Patients to Use Computers for Health Communication and Monitoring Following Myocardial Infarction.

Journal Article Comput Inform Nurs · September 2015 We describe the computer use characteristics of 406 post-myocardial infarction (MI) patients and their willingness to engage online for health communication and monitoring. Most participants were computer users (n = 259; 63.8%) and half (n = 209; 51.5%) re ... Full text Open Access Link to item Cite

What Should We Tell Patients About Physical Activity After a Prostate Cancer Diagnosis?

Journal Article Oncology (Williston Park) · September 2015 A number of observational studies and clinical trials have shown that physical activity after a diagnosis of prostate cancer is associated with a decrease in disease progression and an increase in survival, and that specific exercises reduce morbidity from ... Link to item Cite

What Should We Tell Patients About Physical Activity After a Prostate Cancer Diagnosis?

Journal Article Oncology (Williston Park, N.Y.) · September 1, 2015 A number of observational studies and clinical trials have shown that physical activity after a diagnosis of prostate cancer is associated with a decrease in disease progression and an increase in survival, and that specific exercises reduce morbidity from ... Cite

The association of comorbid conditions with patient-reported outcomes in Veterans with hip and knee osteoarthritis.

Conference Clin Rheumatol · August 2015 There is limited understanding of how comorbid health conditions affect osteoarthritis (OA)-related outcomes. This study examined associations of different comorbidity measures with baseline OA-related patient-reported outcomes (PROs) among patients with h ... Full text Link to item Cite

Patient characteristics associated with the level of patient-reported care coordination among male patients with colorectal cancer in the Veterans Affairs health care system.

Journal Article Cancer · July 1, 2015 BACKGROUND: The current study was performed to determine whether patient characteristics, including race/ethnicity, were associated with patient-reported care coordination for patients with colorectal cancer (CRC) who were treated in the Veterans Affairs ( ... Full text Link to item Cite

Patient-reported medication adherence barriers among patients with cardiovascular risk factors.

Journal Article J Manag Care Spec Pharm · June 2015 BACKGROUND: Many patients experience barriers that make it difficult to take cardiovascular disease (CVD)-related medications as prescribed. The Cardiovascular Intervention Improvement Telemedicine Study (CITIES) was a tailored behavioral pharmacist-admini ... Full text Open Access Link to item Cite

PATIENT-REPORTED MEDICATION ADHERENCE BARRIERS AMONG VETERANS AFFAIRS PATIENTS WITH CARDIOVASCULAR RISK FACTORS

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · April 1, 2015 Link to item Cite

Medication non-adherence after myocardial infarction: an exploration of modifying factors.

Journal Article J Gen Intern Med · January 2015 BACKGROUND: Medication non-adherence is a major impediment to the management of cardiovascular disease risk factors. A better understanding of the modifying factors underlying medication non-adherence among individuals with known cardiovascular disease may ... Full text Open Access Link to item Cite

Lung and colorectal cancer treatment and outcomes in the Veterans Affairs health care system.

Journal Article Cancer Manag Res · 2015 Lung cancer (LC) and colorectal cancer (CRC) are the second- and third-most commonly diagnosed cancers in the Veterans Affairs (VA) health care system. While many studies have evaluated the treatment quality and outcomes of various aspects of VA LC and CRC ... Full text Link to item Cite

Improving diabetes medication adherence: successful, scalable interventions.

Journal Article Patient Prefer Adherence · 2015 Effective medications are a cornerstone of prevention and disease treatment, yet only about half of patients take their medications as prescribed, resulting in a common and costly public health challenge for the US health care system. Since poor medication ... Full text Open Access Link to item Cite

Patient-provider communication, self-reported medication adherence, and race in a postmyocardial infarction population.

Journal Article Patient Prefer Adherence · 2015 OBJECTIVES: Our objectives were to: 1) describe patient-reported communication with their provider and explore differences in perceptions of racially diverse adherent versus nonadherent patients; and 2) examine whether the association between unanswered qu ... Full text Open Access Link to item Cite

Corrigendum.

Journal Article Future Oncol · 2015 Full text Link to item Cite

Selecting, adapting, and sustaining programs in health care systems.

Journal Article J Multidiscip Healthc · 2015 Practitioners and researchers often design behavioral programs that are effective for a specific population or problem. Despite their success in a controlled setting, relatively few programs are scaled up and implemented in health care systems. Planning fo ... Full text Open Access Link to item Cite

Behavioral interventions to improve hypertension control in the Veterans Affairs healthcare system.

Journal Article J Clin Hypertens (Greenwich) · November 2014 Hypertension is a common and costly disease among US veterans. The Veterans Affairs (VA) healthcare system is the largest integrated healthcare provider in the United States and reviewing hypertension interventions developed in the VA may inform interventi ... Full text Open Access Link to item Cite

The implications of out-of-pocket cost of cancer treatment in the USA: a critical appraisal of the literature.

Journal Article Future Oncol · November 2014 Advances in cancer diagnosis and treatment have led to increased societal costs and out-of-pocket patient cost. We reviewed the literature on the impact of out-of-pocket cancer care costs on the patient experience, and described efforts made to address the ... Full text Link to item Cite

A protocol to evaluate the efficacy, perceptions, and cost of a cholesterol packaging approach to improve medication adherence.

Journal Article Contemp Clin Trials · September 2014 PURPOSE: Elevated low-density lipoprotein cholesterol (LDL-C) is a major modifiable risk factor for cardiovascular disease (CVD), a leading cause of death in the United States. Despite clinical practice guidelines aimed at facilitating LDL-C control, many ... Full text Open Access Link to item Cite

Can we identify patients at risk for discordance in preferred and actual role in cancer treatment decision making?

Conference Journal of Clinical Oncology · May 20, 2014 Full text Cite

A health literacy pilot intervention to improve medication adherence using Meducation® technology.

Journal Article Patient Educ Couns · May 2014 OBJECTIVE: To determine whether antihypertensive medication adherence could improve using a Meducation® technology health literacy intervention. METHODS: We conducted a six-month feasibility study among patients with cardiovascular disease (CVD) risk facto ... Full text Open Access Link to item Cite

Patient-oncologist cost communication, financial distress, and medication adherence.

Journal Article J Oncol Pract · May 2014 BACKGROUND: Little is known about the association between patient-oncologist discussion of cancer treatment out-of-pocket (OOP) cost and medication adherence, a critical component of quality cancer care. METHODS: We surveyed insured adults receiving antica ... Full text Link to item Cite

Strategies to overcome medication nonadherence--reply.

Journal Article JAMA · April 23, 2014 Full text Open Access Link to item Cite

A randomised controlled trial of providing personalised cardiovascular risk information to modify health behaviour.

Journal Article J Telemed Telecare · April 2014 We conducted a feasibility study of a web-based intervention, which provided personalized cardiovascular disease (CVD) risk information, behavioural risk reduction strategies and educational resources. Participants were block-randomized to the 3-month inte ... Full text Link to item Cite

GENDER AND RACIAL DIFFERENCES IN CONTROL OF CARDIOVASCULAR DISEASE RISK FACTORS AMONG VETERANS

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · April 1, 2014 Link to item Cite

A HEALTH LITERACY INTERVENTION TO IMPROVE MEDICATION ADHERENCE USING MEDUCATION (R) TECHNOLOGY

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · April 1, 2014 Link to item Cite

Utilization of hospital-based chaplain services among newly diagnosed male Veterans Affairs colorectal cancer patients.

Journal Article J Relig Health · April 2014 The aim of the study was to examine utilization of chaplain services among Veterans Affairs patients with colorectal cancer (CRC). In 2009, the Cancer Care Assessment and Responsive Evaluation Studies questionnaire was mailed to VA CRC patients diagnosed i ... Full text Link to item Cite

Patient-reported quality of supportive care among patients with colorectal cancer in the Veterans Affairs Health Care System.

Journal Article J Clin Oncol · March 10, 2014 PURPOSE: High-quality supportive care is an essential component of comprehensive cancer care. We implemented a patient-centered quality of cancer care survey to examine and identify predictors of quality of supportive care for bowel problems, pain, fatigue ... Full text Link to item Cite

The Cardiovascular Intervention Improvement Telemedicine Study (CITIES): rationale for a tailored behavioral and educational pharmacist-administered intervention for achieving cardiovascular disease risk reduction.

Journal Article Telemed J E Health · February 2014 BACKGROUND: Hypertension, hyperlipidemia, and diabetes are significant, but often preventable, contributors to cardiovascular disease (CVD) risk. Medication and behavioral nonadherence are significant barriers to successful hypertension, hyperlidemia, and ... Full text Link to item Cite

mHealth interventions for weight loss: a guide for achieving treatment fidelity.

Journal Article J Am Med Inform Assoc · 2014 UNLABELLED: mHealth interventions have shown promise for helping people sustain healthy behaviors such as weight loss. However, few have assessed treatment fidelity, that is, the accurate delivery, receipt, and enactment of the intervention. Treatment fide ... Full text Open Access Link to item Cite

Sustainability of cancer registration in the Kilimanjaro Region of Tanzania--a qualitative assessment.

Journal Article World Health Popul · 2014 The projected cancer burden in Africa demands a comprehensive surveillance strategy. Kilimanjaro Christian Medical Centre (KCMC) is developing a population-based cancer registry, and understanding stakeholders' perceptions of factors impacting cancer regis ... Full text Link to item Cite

Medication adherence: process for implementation.

Journal Article Patient Prefer Adherence · 2014 Improving medication adherence is a critically important, but often enigmatic objective of patients, providers, and the overall health care system. Increasing medication adherence has the potential to reduce health care costs while improving care quality, ... Full text Open Access Link to item Cite

Heart matters: Gender and racial differences cardiovascular disease risk factor control among veterans.

Journal Article Womens Health Issues · 2014 BACKGROUND: Cardiovascular disease (CVD) is the leading cause of mortality for U.S. women. Racial minorities are a particularly vulnerable population. The increasing female veteran population has an higher prevalence of certain cardiovascular risk factors ... Full text Open Access Link to item Cite

Ingredients of successful interventions to improve medication adherence.

Journal Article JAMA · December 25, 2013 Full text Open Access Link to item Cite

An examination of racial differences in process and outcome of colorectal cancer care quality among users of the veterans affairs health care system.

Journal Article Clin Colorectal Cancer · December 2013 BACKGROUND: Veterans Affairs (VA) manages the largest US integrated health care system. Although quality of VA colorectal cancer (CRC) care is well chronicled, there is a paucity of research examining racial differences in this care. This study examines ra ... Full text Link to item Cite

Patient-oncologist cost communication, financial distress, and medication adherence.

Conference Journal of Clinical Oncology · November 1, 2013 2 Background: Little is known about the association between patient-oncologist discussion of cancer treatment out-of-pocket (OOP) cost and medication adherence, a critical component of quality cancer care. Methods: We conducted a ... Full text Cite

Financial Distress, Use of Cost-Coping Strategies, and Adherence to Prescription Medication Among Patients With Cancer.

Journal Article J Oncol Pract · November 2013 The authors found that cost-related medication nonadherence was prevalent among patients with cancer who sought financial assistance. ... Full text Link to item Cite

Association between perceived life chaos and medication adherence in a postmyocardial infarction population.

Journal Article Circ Cardiovasc Qual Outcomes · November 2013 BACKGROUND: The benefits of medication adherence to control cardiovascular disease (CVD) are well defined, yet multiple studies have identified poor adherence. The influence of life chaos on medication adherence is unknown. Because this is a novel applicat ... Full text Open Access Link to item Cite

Examining potential colorectal cancer care disparities in the Veterans Affairs health care system.

Journal Article J Clin Oncol · October 1, 2013 PURPOSE: Racial disparities in cancer treatment and outcomes are a national problem. The nationwide Veterans Affairs (VA) health system seeks to provide equal access to quality care. However, the relationship between race and care quality for veterans with ... Full text Link to item Cite

Organizational factors associated with readiness to implement and translate a primary care based telemedicine behavioral program to improve blood pressure control: the HTN-IMPROVE study.

Journal Article Implement Sci · September 8, 2013 BACKGROUND: Hypertension is prevalent and often sub-optimally controlled; however, interventions to improve blood pressure control have had limited success. OBJECTIVES: Through implementation of an evidence-based nurse-delivered self-management phone inter ... Full text Open Access Link to item Cite

The role of home blood pressure telemonitoring in managing hypertensive populations.

Journal Article Current hypertension reports · August 2013 Hypertension is a common chronic disease affecting nearly one-third of the United States population. Many interventions have been designed to help patients manage their hypertension. With the evolving climate of healthcare, rapidly developing technology, a ... Full text Open Access Cite

Patterns of care in older patients with squamous cell carcinoma of the head and neck: a surveillance, epidemiology, and end results-medicare analysis.

Journal Article J Geriatr Oncol · July 2013 BACKGROUND: There is growing evidence in the literature that older patients may not benefit from more intensive therapy for head and neck squamous cell carcinoma (HNSCC). A growing number of patients with HNSCC are age 65 years or older; however, much of t ... Full text Link to item Cite

Are there racial differences in colorectal cancer care timeliness among users of the Veterans Affairs Healthcare System?

Conference JOURNAL OF CLINICAL ONCOLOGY · May 20, 2013 Link to item Cite

Telemedicine cardiovascular risk reduction in veterans.

Journal Article Am Heart J · April 2013 BACKGROUND: Patients with co-occurrence of hypertension, hyperlipidemia, and diabetes have an increased risk of cardiovascular disease (CVD) events. Comprehensive programs addressing both tailored patient self-management and pharmacotherapy are needed to a ... Full text Open Access Link to item Cite

Using NCCN clinical practice guidelines in oncology to measure the quality of colorectal cancer care in the veterans health administration.

Journal Article J Natl Compr Canc Netw · April 1, 2013 Clinical practice guidelines can be used to help develop measures of quality of cancer care. This article describes the use of a Cancer Care Quality Measurement System (CCQMS) to monitor these measures for colorectal cancer in the Veterans Health Administr ... Full text Link to item Cite

Chemotherapy use and patient treatment preferences in advanced colorectal cancer: a prospective cohort study.

Journal Article Cancer · February 15, 2013 BACKGROUND: The objective of this study was to determine how patient preferences guide the course of palliative chemotherapy for advanced colorectal cancer. METHODS: Eligible patients with metastatic colorectal cancer (mCRC) were enrolled nationwide in a p ... Full text Link to item Cite

Influence of comorbidity on racial differences in receipt of surgery among US veterans with early-stage non-small-cell lung cancer.

Journal Article J Clin Oncol · February 1, 2013 PURPOSE: It is unclear why racial differences exist in the frequency of surgery for lung cancer treatment. Comorbidity is an important consideration in selection of patients for lung cancer treatment, including surgery. To assess whether comorbidity contri ... Full text Link to item Cite

Stigma, perceived blame, self-blame, and depressive symptoms in men with colorectal cancer.

Journal Article Psychooncology · January 2013 BACKGROUND: We measured the prevalence of stigma, self-blame, and perceived blame from others for their illness among men with colorectal cancer (CRC) and examined whether these factors were associated with depressive symptoms, independent of clinical and ... Full text Link to item Cite

Cancer registration needs assessment at a tertiary medical centre in Kilimanjaro, Tanzania.

Journal Article World Health Popul · 2013 Cancer burden is increasing in Africa more than in any other continent, but population-based tracking of cancer incidence is incomplete. Cancer registries can improve understanding of cancer incidence. To assess organizational readiness to sustain registry ... Full text Link to item Cite

The association of race with timeliness of care and survival among Veterans Affairs health care system patients with late-stage non-small cell lung cancer.

Journal Article Cancer Manag Res · 2013 BACKGROUND: Non-small cell lung cancer is the leading cause of cancer-related mortality in the United States. Patients with late-stage disease (stage 3/4) have five-year survival rates of 2%-15%. Care quality may be measured as time to receiving recommende ... Full text Link to item Cite

Examining potential cancer care disparities in an equal access system: Quality of colorectal cancer care (CRC) in the Veterans Affairs (VA) health care system

Journal Article JOURNAL OF CLINICAL ONCOLOGY · December 1, 2012 Full text Link to item Cite

Copayment assistance and adherence to prescription medication among patients with cancer.

Journal Article Journal of Clinical Oncology · December 1, 2012 57 Background: The relationship between prescription medication adherence and copay assistance is understudied and directly impacts quality of care. Methods: We conducted a cross-sectional survey study assessing patient-reported ... Full text Cite

Examining potential cancer care disparities in an equal access system: Quality of colorectal cancer care (CRC) in the Veterans Affairs (VA) health care system.

Journal Article J Clin Oncol · December 2012 229 Background: Racial disparities in cancer treatment and outcomes are a substantial problem nationally. The Veterans Affairs (VA) health system is nationwide, with goals of being equal access and delivering high-quality care; however, the presence or ext ... Full text Link to item Cite

Attitudes and intentions regarding abortion provision among medical school students in South Africa.

Journal Article Int Perspect Sex Reprod Health · September 2012 CONTEXT: Although South Africa liberalized its abortion law in 1996, significant barriers still impede service provision, including the lack of trained and willing providers. A better understanding is needed of medical students' attitudes, beliefs and inte ... Full text Link to item Cite

Comparison of adverse events during 5-fluorouracil versus 5-fluorouracil/oxaliplatin adjuvant chemotherapy for stage III colon cancer: a population-based analysis.

Journal Article Cancer · September 1, 2012 BACKGROUND: In clinical trials, combined 5-fluorouracil (5FU) plus oxaliplatin improves the survival of patients who have resected, stage III colon cancer with manageable toxicity. However, the tolerability of this in the general population of patients wit ... Full text Link to item Cite

A surveillance system for monitoring, public reporting, and improving minority access to cancer clinical trials.

Journal Article Clinical trials (London, England) · August 2012 BackgroundThe Institute of Medicine (IOM) has recommended that each person with cancer should have access to clinical trials, which have been associated with improving care quality and disparities. With no effective enrollment monitoring system, p ... Full text Cite

Cancer incidence among patients of the U.S. Veterans Affairs Health Care System.

Journal Article Mil Med · June 2012 OBJECTIVE: Approximately 40,000 incident cancer cases are reported in the Veterans Affairs Central Cancer Registry (VACCR) annually (approximately 3% of U.S. cancer cases). Our objective was to provide the first comprehensive description of cancer incidenc ... Full text Link to item Cite

Patterns of care in elderly patients with squamous cell carcinoma of the head and neck: A SEER-Medicare analysis

Conference JOURNAL OF CLINICAL ONCOLOGY · May 20, 2012 Link to item Cite

Assessment of cancer registries (CR) in low- and middle-income countries (LMCs)

Conference JOURNAL OF CLINICAL ONCOLOGY · May 20, 2012 Link to item Cite

Transportation: a vehicle or roadblock to cancer care for VA patients with colorectal cancer?

Journal Article Clin Colorectal Cancer · March 2012 BACKGROUND: Patients must have transportation to the treatment site before they can access appropriate cancer care. This article describes factors associated with patients experiencing transportation-related barriers to accessing cancer care. PATIENTS AND ... Full text Link to item Cite

Sustainability and performance of the National Cancer Institute's Community Clinical Oncology Program.

Journal Article Contemp Clin Trials · January 2012 INTRODUCTION: The National Cancer Institute's (NCI) Community Clinical Oncology Program (CCOP) contributes one third of NCI treatment trial enrollment ("accrual") and most cancer prevention and control (CP/C) trial enrollment. Prior research indicated that ... Full text Link to item Cite

Knowledge of termination of pregnancy (TOP) legislation and attitudes toward TOP clinical training among medical students attending two South African universities.

Journal Article World Health Popul · 2012 UNLABELLED: Provision of safe, voluntary, termination of pregnancy (TOP) in South Africa is challenged by an insufficient number of TOP-trained clinicians. Medical students' understanding of TOP legality and their attitudes toward TOP training are indicato ... Full text Link to item Cite

Early dissemination of bevacizumab for advanced colorectal cancer: a prospective cohort study.

Journal Article BMC Cancer · August 16, 2011 BACKGROUND: We describe early dissemination patterns for first-line bevacizumab given for metastatic colorectal cancer treatment. METHODS: We analyzed patient surveys and medical records for a population-based cohort with metastatic colorectal cancer treat ... Full text Link to item Cite

Use of psychosocial support services among male Veterans Affairs colorectal cancer patients.

Journal Article J Psychosoc Oncol · 2011 The authors describe use of psychosocial services within +/- 3 months of diagnosis among male colorectal cancer (CRC) patients treated within the Veterans Affairs (VA) health care system. Analysis included 1,199 patients with CRC treated at 27 VA medical c ... Full text Link to item Cite

Quality of nonmetastatic colorectal cancer care in the Department of Veterans Affairs.

Journal Article J Clin Oncol · July 1, 2010 PURPOSE: The Veterans Affairs (VA) healthcare system treats approximately 3% of patients with cancer in the United States each year. We measured the quality of nonmetastatic colorectal cancer (CRC) care in VA as indicated by concordance with National Compr ... Full text Link to item Cite

Determinants of medical system delay in the diagnosis of colorectal cancer within the Veteran Affairs Health System.

Journal Article Dig Dis Sci · May 2010 BACKGROUND AND AIMS: The goals of this study are to evaluate determinants of the time in the medical system until a colorectal cancer diagnosis and to explore characteristics associated with stage at diagnosis. METHODS: We examined medical records and surv ... Full text Link to item Cite

Developing and sustaining quality improvement partnerships in the VA: the Colorectal Cancer Care Collaborative.

Journal Article J Gen Intern Med · January 2010 OBJECTIVE: The Veterans Affairs (VA) Quality Enhancement Research Initiative (QUERI) seeks to develop partnerships between VA health services researchers and clinical managers, with the goal of designing and evaluating interventions to improve the quality ... Full text Link to item Cite

Factors associated with chemotherapy receipt and intensity for stage IV colorectal cancer (CRC): A multihealth system, population-based study.

Journal Article J Clin Oncol · May 20, 2009 6519 Background: Little is known about chemotherapy practice patterns for patients with stage IV CRC. METHODS: Cancer Outcomes Research & Surveillance Consortium (CanCORS) is a prospective cohort study including patients with incident CRC sampled from a se ... Link to item Cite

Factors associated with chemotherapy receipt and intensity for stage IV colorectal cancer (CRC): A multihealth system, population-based study

Conference JOURNAL OF CLINICAL ONCOLOGY · May 20, 2009 Link to item Cite

Improving colorectal cancer screening and care in the Veterans Affairs Healthcare system.

Journal Article Clin Colorectal Cancer · January 2009 The Veterans Health Administration (VHA) has recently launched several nationwide initiatives to improve the quality of its colorectal cancer (CRC) screening and care. The timeliness of follow-up diagnostic tests in patients who have positive noncolonoscop ... Full text Link to item Cite

Comorbidity, age, race and stage at diagnosis in colorectal cancer: a retrospective, parallel analysis of two health systems.

Journal Article BMC Cancer · November 25, 2008 BACKGROUND: Stage at diagnosis plays a significant role in colorectal cancer (CRC) survival. Understanding which factors contribute to a more advanced stage at diagnosis is vital to improving overall survival. Comorbidity, race, and age are known to impact ... Full text Open Access Link to item Cite

Comorbidity, age, race and stage at diagnosis in colorectal cancer: A retrospective, parallel analysis of two health systems

Journal Article BMC Cancer · November 25, 2008 Background: Stage at diagnosis plays a significant role in colorectal cancer (CRC) survival. Understanding which factors contribute to a more advanced stage at diagnosis is vital to improving overall survival. Comorbidity, race, and age are known to impact ... Full text Cite