Nursing Research

Currently Funded Research

  • Symptom Care at Home-Heart Failure: Developing and piloting a symptom monitoring and self-management coaching system for patients with heart failure

    Funding: NIH/NHLBI (1K23HL148545-01A1)

    Dates: 04/15/2020 - 03/31/2025 Keeping heart failure (HF) patients at home with a low symptom burden after hospital discharge is challenging. Evidence shows that delay in HF symptom recognition and poor self-management are associated with unplanned emergency department visits and rehospitalizations. Clinical trials aimed at preventing rehospitalization using telemonitoring have shown limited utility suggesting that monitoring physical changes alone may not be sufficient to maintain stability of HF patients at home. A recent cancer study has demonstrated that patients receiving cancer chemotherapy achieved a 40% reduction in symptoms using Symptom Care at Home (SCH), a computer-interface telephonic interactive voice response system pairing patient-reported symptoms with automated real-time, self-management coaching. While a few HF studies have used interventions that monitored symptoms, no studies have tested a system that monitors and provides real-time, self-management coaching tailored to specific patient-reported outcomes(PRO). The objective of this study is to pilot an adaption of the SCH system to HF resulting in preliminary data to support a fully-powered randomized control trial to test an adapted SCH-HF system that could be widely disseminated. Specific Aims over two-parts are: Aim 1] Tailor the real-time self-management coaching system to integrate HF symptom monitoring and self-management coaching into the SCH-HF system; and Aim 2] Conduct a pilot randomized controlled trial (RCT) to assess the feasibility, acceptability, and preliminary efficacy of the SCH-HF system. This study is significant because it expands our understanding into HF symptom monitoring and management using PRO in the home setting. The proposal is innovative because it integrates HF clinician and patient perspectives to develop a daily home monitoring and real-time self-management coaching system. Primary mentor: Kathi Mooney Co-mentor: Josef Stehlik Advisor: Gary Donaldson Advisor: Sandra Dunbar

    Faculty: Youjeong Kang (PI)

  • Improving Palliative Care Access through Technology (ImPAcTT): A Multi-Component Pilot Study

    Funding: NIH/NIA (K76AG054862)

    Dates: 4/2020 - 6/30/2021 Many vulnerable, high-risk nursing home (NH) residents often lack access to appropriate and timely palliative care expertise and support in the NH setting, frequently leading to burdensome transitions, particularly at the end of life. Growing workforce challenges will not allow for traditional solutions to this problem. It is therefore critical to examine and promote change at the intersection of healthcare systems by using technology to improve palliative care access to hard to reach NH populations. Such research that comprehensively addresses the impact of system-level interventions can significantly advance the field of structural interventions to improve patient health quality and access, as well as decrease healthcare costs.

    Faculty: Caroline Stephens (PI)

  • Cancer Caregivers Interactions with the Hospice Team: Implications for End of Life and Bereavement Outcomes: Administrative Supplement

    Funding: NIH/NINR/NCI (R01NR016249)

    Dates: 04/01/2016-04/30/2021 In home-based hospice, family caregivers (FCGs) provide 24/7 care, including patient symptom management and emotional support, while simultaneously managing their own distress and the physical demands of caregiving. Advanced cancer hospice patients often face a much more rapid decline than other hospice patients, and as death approaches, both care demands and caregiver stress increase. FCGs of cancer hospice patients frequently report feeling unprepared for their role and express the need for more information and support. When FCG needs go unaddressed, cancer patient care may be compromised and FCG quality of life and emotional well-being are negatively impacted. The hospice care team (HCT) is designed to inform and support families as integral team members, and to provide high quality care and effective communication aligned to meet specific patient and family needs. However, our work and that of others indicate FCGs of hospice cancer patients are reluctant to voice concerns, and HCTs often do not recognize the critical role of FCGs, failing to fully address their concerns. The dynamic change in patient and family needs during care and the response of the entire interdisciplinary team has been largely neglected in research to date. Further, there is little work on the long term impact of hospice care and FCGs’ bereavement adjustment. We propose to address these gaps by evaluating HCTs’ responsiveness in terms of timely alignment to hospice FCGs’ daily needs and assessing the impact of these interactions on FCG outcomes. Leveraging the resources of the Palliative Care Research Cooperative and our team’s previous research experience, we will conduct a multi-site, multi-method prospective longitudinal study in which we systematically monitor the daily fluctuation of FCGs needs. Using an automated telecommunication system, 120 FCGs will rate patient and FCG symptom burden, and FCG anxiety, depression, positive affect, and spiritual wellbeing. We will then use a novel approach to assess HCT responsiveness to these needs, we will analyze ongoing alignment of FCG-HCT communication during home visits and phone calls. Mean level and rate of change of FCG-HCT alignment will be assessed to predict FCG post-patient death outcomes at 2 and 6 months post death, including psychological adjustment, burden, health status, and satisfaction with care. Finally, we propose to capture FCGs’ daily experiences with hospice care through audio diaries to determine how/whether their perceptions map onto objective measures and interpersonal communication patterns with the HCT. Instead of examining the hospice care process through a more traditional lens in a one time-encounter, this project will be the first to assess the complex clinical reality of hospice care by capturing FCG daily needs and the response of each member of the team over the course of care to assess impact on FCG outcomes. The long term goal of this project is to inform future clinical interventions by identifying specific family-centered HCT processes that are linked to improved FCG outcomes.

    Faculty: Lee Ellington (PI); Anna Beck; Kristin Cloyes; Gary Donaldson; Kathi Mooney; Maija Reblin

  • Utah Geriatric Education Center: Integrating Primary and Geriatric Long-Term Care

    HRSA (Geriatrics Workforce Enhancement Program) (U1QHP28741)

    Dates: 07/01/2015-06/30/2020 The Utah Geriatric Education Center (UGEC) will enhance healthcare provider workforce capacity, as well as patient and family engagement, in order to improve primary care and geriatric outcomes in long term services and supports (LTSS) in urban and rural environments. The four measurable project objectives are to: 1) Integrate geriatrics and primary care into the delivery systems in 21 nursing facilities and transform the learning environment for academic trainees and career development; 2) Develop health professionals and direct care workers with competencies in interprofessional collaboration who can assess and address the needs of older adults and their families/caregivers at the individual, community, and population levels; 3) Develop and deliver programs for interprofessional teams of providers and direct care workers, patients, families and caregivers focused on communication skills and transitions of care in the long term care setting that will promote a shared understanding of health information and goals of care, reducing unnecessary emergency department transfers and hospital readmissions; and 4) Improve the care of older adults with ADRD through academic, career development, and community outreach education for direct care workers, families, and health professionals.

    Faculty: Linda Edelman (PI); Kara Dassel

  • The Role of Social Media in Social Support Acquisition for Young Adult Informal Cancer Caregivers: A Mixed-Methods Study

    Fundiing: NIH/NCI (F31CA221000)

    Dates: 08/01/2017-07/31/2020 This project addresses three critical objectives in young adult cancer caregiving research by: evaluating the feasibility of studying social support through social media in this population, defining the acquisition of social support through social media including the change in social support over time as a caregiver, and informing a future social media intervention for caregivers.

    Faculty: Echo Warner (PI); Lee Ellington (Mentor)

  • A Nurse-Delivered Telephone Symptom-Management Intervention to Impact Mucositis Severity and Prevent Dehydration for Lung Cancer patients Undergoing Chemoradiation: A Pilot Study

    Funding: American Cancer Society (Doctoral Degree Scholarship in Cancer Nursing)

    Dates: 07/01/2018-06/30/2020 Chemotherapy given concurrently with radiation therapy is the gold standard treatment for lung cancer patients who cannot have surgery; however not without distressing symptoms. Despite advances in medications, poorly controlled symptoms such as mucositis remain prevalent. Because of poorly controlled mucositis, patients can become dehydrated worsening other symptoms leading to poor quality of life. The frequent, proactive monitoring of mucositis/other symptoms is key. Providing patients with personalized strategies that not only help them prevent symptoms but that can help patients self-manage them effectively in their own home is desirable. My study will investigate the feasibility of a symptom management education and tailored nurse-coaching education intervention designed to control mucositis severity and prevent dehydration.

    Faculty: Tracy Ruegg (PI); Janice Morse (mentor)

  • Interdisciplinary Training in Cancer, Caregiving and End-of-Life Care

    Funding: NIH/NINR (T32NR013456)

    Dates: 7/1/2018-6/30/2023 The number of patients with chronic and life-limiting illnesses, like cancer, and their family caregivers are increasing, and their health and psychosocial needs are having a profound impact on health services. Our NIH-funded training program is shaping the next generation of scientists to provide evidence on how to best help patients and families sustain health and well-being, foster patient and family engagement, manage symptoms associated with chronic disease, and die free of pain and family burden. This program will support eight pre-doctoral and eight post-doctoral trainees.

    Faculty: Lee Ellington (Co-PIs); Kathi Mooney (Co-PIs)

  • Personalizing Cancer Pain Care Using Electronic Health Record Data

    Funding: NIH/NINR (K01NR016948)

    Dates: 05/04/2018-04/30/2021 This three year project proposes an innovative strategy to facilitate personalized cancer pain care by better understanding complex pain trajectories using massive preprocessed electronic health records (EHR) data. The long-term goal is to reduce inadequately controlled cancer pain through better understanding of pain characteristics derived from clinical data. The short-term goals are to (1) examine the availability and quality of EHR data and (2) develop a prototype Research Data Repository for Cancer Pain Research (R2CancerPain) with preprocessed EHR data, and (3) characterize distinct pain trajectories informed by the Dynamic Symptoms Model (DSM). The EHR contains essential patient data for identifying cancer pain trajectories and can be used to examine the factors contributing to individual pain trajectories.

    Faculty: Jia-Wen Guo (PI); Katherine Sward (Primary mentor); Wendy Chapman (Co-mentor); Susan L. Beck (Co-mentor); Gary Donaldson (Co-mentor); Lewis Frey (Co-mentor)

  • Bridging Physical and Cultural Determinants of Postpartum

    Funding: NIH/NICHD (P01HD080629)

    Dates: 07/27/2015-06/26/2020 Major risk factors for Pelvic Organ Prolapse (POP), which is experienced by both nulliparous and parous women, include first vaginal childbirth, family history, and age. Some studies find an association with Hispanic heritage. Preventive measures are few and untested, since it is infrequent for women to visit a physician regarding symptoms of a vaginal bulge until the vaginal wall descends to or below the level of the hymen. Little is known about how women become aware of changes in vaginal support, its meaning for them in its interpersonal and sociocultural context, and subjective inklings of onset. The goal of this ethnographic study is to understand the cultural context of early pelvic floor changes, as they are experienced postpartum by Mexican-American and Euro-American women. By understanding how changes are perceived and understood to develop, culturally appropriate information and prevention strategies can be developed for women with early changes in vaginal support after childbearing.

    Faculty: Marlene Egger (Co-Project Lead); Ana Sanchez-Birkhead (COI)

  • SymptomCare@Home (SCH): Deconstructing an Effective, Technology-Assisted, Symptom Management Intervention

    Funding: NIH/NCI (R01CA206522)

    Dates: 04/01/2016–03/31/2021 Cancer patients receiving chemotherapy experience multiple poorly controlled symptoms at home in the interim weeks between clinic visits and the next infusion. Their care during this interim time period is suboptimal. Technology can be utilized to bridge the gap between patient symptom needs at home and oncology team response. Automated patient-reported symptom home monitoring and management systems offer a new approach to symptom care. Our research team has developed and tested SymptomCare@Home (SCH). This multi-component automated system monitors daily patient-reported symptoms at home, provides tailored automated self-management coaching based on the specific symptoms reported and transmits unrelieved symptom alert reports to an oncology provider who, using the SCH decision support system provides follow-up telephone-delivered symptom care.

    Faculty: Kathi Mooney (PI)

  • Developing Biomechanical Models from Initiated Fall Actions and Reactions in Frail Elderly Patients

    Funding: AHRQ (R03HS026264)

    Dates: 07/01/2018-06/30/2020 Secondary analysis of videotaped data to develop a proxy measure for a fall. We will identify primary actions and reactions during an initiated fall (a "near miss") and to explore the balance recovery strategies in frail elderly patients, during ingress and egress from a hospital bed and chair.

    Faculty: Janice Morse (co-PI); Andrew Merryweather (co-PI); Bob Wong

  • Utah Geriatric Education Consortium (UGEC), a Geriatrics Workforce Enhancement Program (GWEP)

    Funding: HRSA (Geriatrics Workforce Enhancement Program) (U1QHP28741)

    Dates: 07/01/2018-06/30/2020 The original goal of the 3-year GWEP program was to establish the Utah Geriatric Education Consortium (UGEC) to improve primary care and geriatric outcomes in urban and rural LTC environments by enhancing the long-term healthcare provider workforce capacity, patient and family engagement, and to provide ADRD training for health care providers, direct and family caregivers, and patients. The fourth year of bridge funding will be used to continue and expand the original UGEC programs and to assess program impact on LTC outcomes. Specific UGEC programs include: 1) LTC medical directors training to become certified medical directors, 2) Monthly interprofessional Learning Communities for health care providers in partnering LTC facilities, 3) A mentored online residency program for LTC nurses, 4) Quality improvement initiatives and INTERACT training for partnering LTC facilities, 5) Fellowships for junior faculty interested in post-acute and long-term care Post-Acute Long-Term Care (PALTC), 6) A PALTC scholar program for Doctor of Nursing Practice students that includes a post-graduate certificate in Gerontology with an emphasis in PALTC- interprofessional health science student activities in LTC, and 7) ADRD caregiver conferences held in rural Utah. UGEC partners with Health Insight, The Utah Alzheimer's Association, Avalon Healthcare and Mission Health Services.

    Faculty: Linda Edelman (Program Director); Nanci McLeskey; Kara Dassel; Gail Towsley; Katherine Supiano; Sue Chase-Cantarini; Valerie Flattes; Ginette Pepper; Mark Supiano; Jorie Butler; Cherie Brunker; Timothy Farrell; Rand Rupper; Shaida Talebreza-Brandon; Marilyn Luptak; Troy Andersen

  • Primary Care Nurse Education and Training for Chronic Disease Prevention and Control in Rural and Underserved Utah (NEPQR)

    Funding: HRSA (Nurse, Education, Practice, Quality and Retention) (UK1HP31735)

    Dates: 07/01/2018-06/30/2022 The purpose of this project is to increase the access to community-based primary care to residents of Utah living in rural and underserved areas through strengthening the capacity and competencies of primary care nurses through education and professional development. HRSA has designated areas within 26 of 29 Utah counties as Primary Care Professional Shortage Areas. These areas include pockets with urban counties, as well as rural and frontier counties where available services and geographic distance limit access to primary care. While Utah’s population is increasingly diverse, the nursing workforce does not mirror ethnic diversity. The project will enhance the capacity of the College of Nursing (CON) at the University of Utah to recruit and educate nurses from rural and underserved areas through an academic-clinic partnership with the Association of Utah Community Health (AUCH) and over 50 community clinics, including Federal Health Centers. The NEPQR Team will partner with the Utah Area Health Education Centers (AHEC), whose mission is to improve the distribution and diversity of health professionals and to transform health systems, facilitating networks with rural primary care clinics, thereby exposing pre-licensure students to rural primary care practice.

    Faculty: Linda Edelman (Project Director); Brenda Luther; Connie Madden; Teresa Garrett; Sue Chase-Cantarini; Barbara Wilson; Sara Hart; Jorie Butler; Jane Wolfarth; Nancy Nelson; Blair Crickmore; David Contreras

  • From Emergency to Community: Implementing a Social Needs Assessment and Referral Infrastructure using Health Information Technology

    Funding: AHRQ (R21HS026505)

    Dates: 09/30/2018-09/29/2020 This project will provide the necessary structure to deliver high quality care and reduce costs by developing effective, sustainable methods for integrating both “social needs” assessment and referrals into routine emergency room (ED) service delivery, evaluating its potential to facilitate understanding of whether and how addressing social needs during routine clinical contributes to improved population health. We will evaluate the technical and operational feasibility and acceptability of implementing a Health Information Technology-delivered social needs assessment and referral process during routine ED service delivery and obtain preliminary estimates of effectiveness of Health Information Technology integration of social needs and community-based referral data with the health system.

    Faculty: Andrea Wallace (PI); Jia-Wen Guo; Brenda Luther; Bob Wong; Mollie Cummins

  • Huntsman at Home: Evaluation of a new cancer supportive and palliative care delivery model

    Funding: Cambia Health Foundation

    Dates: 08/01/2018-07/31/2021 Huntsman at Home, is a three year demonstration project that serves Huntsman cancer patients who would benefit from home care for acute episodes, palliative care visits and/or end of life/hospice care. Throughout the continuum of cancer care, symptoms vary in timing and presentation and are experienced by patients at home where they and their family members endeavor to cope with them. Poorly controlled symptoms are the primary driver of high rates of emergency department (ED) use and unplanned hospitalizations, including 30-day readmissions, all of which adds significantly to cancer care costs. For patients dealing with advanced, life-limiting cancer, ongoing attentive care is needed that focuses on extending life with quality, reducing symptom burden, providing goal concordant care and providing support to family caregivers. This project will evaluate a novel home care delivery program that addresses this challenge.

    Faculty: Kathleen Mooney (PI); Ben Haaland; Richard Nelson

  • Reconfiguring the Patient Room as a Fall Protection Strategy to Increase Patient Stability during Ambulation

    Funding: AHRQ (R18HS025606)

    Dates: 09/30/2018-09/29/2023 Despite decades of research into patient falls, falls and the injuries incurred continue to be a serious threat to patient safety. Fall rates continue to be unacceptably high. The purpose of this project is to increase the safety of a hospital room for patient mobility, using innovative simulation strategies and patient-centric design. An innovative simulation environment will be built to enable rapid assessment of room layout and fixture positioning and patient stability. The results from multiple simulations will be used to fabricate a prototype room layout that will be tested by patients with Parkinson disease and reviewed and updated with input from other relevant stakeholders. A final room prototype will be built and tested. Results will be translated and shared with all stakeholders and disseminated for implementation.

    Faculty: Janice Morse (Co-PI); Andrew Merryweather (Co-PI); Bob Wong; Bo Foreman

  • HIV Needs Assessment and Analysis

    Funding: Utah Department of Health

    Dates: 01/01/2018-12/31/2022 This project will develop a needs assessment that will assess social, behavioral, and healthcare needs of persons living with HIV in Utah and of persons at high risk for HIV infection in Utah. We will pilot test and refine the assessment based on participant feedback, then assess the socio-demographic characteristics and contextual factors in relation to barriers to care, HIV testing practices, adherence to HIV therapy, viral load levels, and quality of life.

    Faculty: Deanna Kepka (PI)

  • Virtural Coaching to Maximize Dementia Caregivers’ Respite Time-Use: A Stage 1 Pilot Test for Feasibility and Efficacy

    Funding: NIH/NIA (R01AG061946)

    Dates: 09/30/2018-05/31/2023 Caregivers to the 5.7 million persons in the United States with Alzheimer’s Disease are susceptible to adverse physical and mental health outcomes, given the often prolonged and challenging care and support they provide to patients in their homes and community. Respite (defined as “time away from caregiving”) is the most often requested service by caregivers. Our project uses a community-engaged design process and a scientifically-rigorous pilot study to evaluate an intervention to coach caregivers on how to maximize the benefits associated with respite time. This type of online-delivered intervention is inherently scalable to real world practice and is expected to help caregivers maintain their overall wellbeing over time, so they can continue providing the estimated 18.4 billion hours of unpaid care with an annual economic value of $232 billion.

    Faculty: Rebecca Utz (PI); Michael Caserta; Alexandra Terrill; Bob Wong; Eli Iacob; Louisa Stark

  • Pilot Study of Standardized PatiEnt-CenTered medication Review (SPECTORx) in Home Hospice

    Funding: NIH/NIA (R21AG060017)

    Dates: 08/15/2018-06/30/2020 The goal of this NIA funded intervention study, SPECTORx, is to regulate medication appropriateness upon admission to hospice and improve the quality of home hospice caregivers and patients.

    Faculty: Jennifer Tjia; Margaret F. Clayton; Susan DeSanto-Madeya

  • Nursing Working Force Diversity Project: Partnering for Success of Diverse Students: Investing in the Future of Nursing

    HRSA (Nursing Workforce Diversity) (D19HP31822)

    Dates: 07/01/2018-06/30/2021 The overall goal of the project is to design a sustainable infrastructure and processes that facilitate successful baccalaureate registered nurse program completion to create a nursing workforce that reflects the population we serve. The project team will launch initiatives intended to increase recruitment and enrollment of racially and ethnically diverse and/or economically/educationally disadvantaged students, increase completion rates of both traditional and RN-BSN diverse students, and improve the student experience of inclusion in the College of Nursing.

    Faculty: Marla De Jong (PI); Rebecca Wilson; Connie Madden; Sara Hart; Eli Iacob; Sumiko Martinez; Savannah Manwill; Kristen Mahoney; Luz Seoane; Shelley Gabriel

  • An Analysis of Perioperative Communication Patterns in a Large Military Medical Center

    Funding: The Geneva Foundation / Uniformed Services University of the Health Sciences (subcontract)

    Dates: 07/01/2019 – 06/30/2021 For this project, Dr. De Jong will mentor the Principal Investigator, MAJ Christopher Stucky. She will lend her expertise in perioperative communication in military medical center settings and support the project team during each phase in the grant life cycle, from idea and grant application to dissemination and grant close-out

    Faculty: Marla De Jong (mentor)

  • Telementalhealth: A Promising Approach to Reducing Perinatal Depression in Utah's Rural & Frontier Communities

    Funding: Utah Department of Health

    Dates: 07/01/2019 – 06/30/2024 Developing and implementing a telehealth distance platform for the delivery of mental health services can address some of the barriers to assessing care for childbearing women in rural and frontier Utah. Telehealth has begun to revolutionize the delivery of services to address a variety of health care needs, but is just beginning to be explored as a platform for the delivery of maternity and mental health services. All pregnant and postpartum women (up to 1 year after birth) receiving services at any of the collaborating public health clinics will be included in a universal screening program to detect depression during and after pregnancy. Women who screen "positive" for depression will be invited to participate in the telementalhealth program.

    Faculty: Gwen Latendresse (PI)

  • Addressing Barriers to Primary Care Work Force Needs in Rural and Underserved Settings with Academic-Clinical Partnerships and Innovations in Technology

    Funding: HRSA, Advanced Nursing Education Workforce Grant Program (T94HP32908)

    Dates: 07/01/2019 – 06/30/2023 This project addresses the growing demand for primary care (PC) services in Utah’s rural communities. The overall purpose is to create sustainable academic-clinical partnerships that result in an increase in advance-practice nurse (APN) graduates who are well prepared to deliver high quality primary care in rural Utah communities. The project has four objectives: 1) increase the availability of rural immersive clinical training sites for APN students by strengthening existing academic-clinical partnerships that serve rural communities in Utah; 2) prepare primary care APN students to practice in rural community settings through enhanced didactic education, longitudinal immersive clinical experiences, traineeships, and scholarly projects that address the specific health care needs of rural populations; 3) train, support, and evaluate primary care APN preceptors in rural communities; and 4) identify, implement, and evaluate approaches to connecting APN graduates with employment in rural and underserved communities.

    Faculty: Gwen Latendresse (PI); Tek Kilgore; Valerie Flattes; Kimberly Garcia; Katie Ward; Rebecca Wilson; Lisa Gren; Gillian Tufts

  • Nurse Faculty Loan Program

    Funding: HRSA, Advanced Nursing Education Workforce Grant Program (E01HP27005)

    Dates: 07/01/2019 – 06/30/2020 The University of Utah’s College of Nursing (CON) educates students to become outstanding nursing faculty, in alignment with AACN and NLN calls to increase opportunities for formal nursing faculty preparation. As the only institution providing state-supported research and clinical nursing doctorate programs in Utah, we are dedicated to improving the health of diverse patients and communities. This award allows us to continue to grow the program and offer support for more students. NFLP funds are vital to our mission of developing a nursing faculty workforce with the knowledge and skill to teach and lead future generations of nurses.

    Faculty: Kristin Cloyes (PD)

  • Grief from Overdose Death: A project to prepare clinicians to provide grief support to those bereaved by overdose death

    Funding: Utah Department of Human Services

    Dates: 01/22/2019 – 09/29/2020 This award will allow Dr. Supiano to develop, implement, and evaluate an evidence-based, comprehensive model of grief support for those bereaved by death from drug overdose in Utah -The Grief Support Model.

    Faculty: Katherine Supiano (PI)

  • Randomized Trial of Telehealth Group Intervention to Reduce Depressive Symptoms in Diverse Populations

    Funding: NIH/NINR (R01NR017620)

    Dates: 12/16/2018-11/30/2021 This study is the first to use a videoconference intervention (VCI) to engage women in a facilitated group approach to reducing perinatal depressive symptoms (PDS) and to evaluate the impact among diverse groups. The approach is cost effective and reduces barriers to access to mental health services, particularly for women living in low-resource and minority communities, and those without adequate transportation, childcare, or work release time. The VCI can be replicated in any setting (e.g. rural or urban), and can be adapted to the needs of diverse communities. The study advances the field by establishing whether a group telehealth intervention reduces PDS, and whether this differs based on the population. If effective and implemented broadly, far fewer women and families would suffer the negative consequences of depression.

    Faculty: Gwen Latendresse (PI); ElLois Bailey; Xiaoming Sheng; Marcela Smid; Jamie Hales

  • Social Needs and Resources in the Evaluation and Enhancement of Discharge Support: The NEEDS Study

    Agency for Healthcare Research and Quality (R01HS026248)

    Dates: 09/01/2019-06/30/2022 The objective of this project is to provide inpatient health care teams with information about patients’ social needs and supportive resources, evaluating whether it facilitates clinical decision-making, impacts readiness for hospital discharge and, ultimately, reduces hospital readmission. This study will test the effect of assessing and communicating patients’ social needs and supportive resources on health team- patient- caregiver- outcomes; test the effect of social needs and supportive resources assessment on discharge planning processes; and examine provider and patient experiences of social needs and supportive resources assessment.

    Faculty: Andrea Wallace (PI)

  • Treatment Decision Making in Older Adults with Cancer: Measuring the Impact of Symptom Burden, Functional Status and Patient/Provider Communication

    American Nurses Foundation Research Grant Program

    Dates: 09/01/2019-08/31/2020 In order to engage older patients in decision making about cancer treatment options and tailor information to their needs, it is important to better identify the factors that impact their treatment decisions. The first step to improving patient engagement and decision making in cancer treatment is to gather older adults’ insight on what information is beneficial, how they make their treatment decisions and how those treatment decisions are communicated to their providers. This project will explore the impact of symptom burden and functional status on treatment choices for non-curative (palliative) chemotherapy in older adults with cancer, identifying information necessary for value concordant care; describe the treatment decision-making experience for older adults with advanced cancer diagnoses, following their treatment decision-making trajectory over six months’ and, analyze patient and provider communication during clinical encounters where a treatment decision is made, specifically identifying if patients’ values, preferences and expressed choices are elicited and respected.

    Faculty: Lorinda Coombs, Postdoctoral Fellow, College of Nursing

  • Social Media Use and Social Support Among Adolescent Siblings of Children with Cancer

    NIH/NIN (F31NR018987)

    Dates: TBD Social support is a crucial part of adolescent development and a well-established influence on health outcomes. Siblings of children with cancer are at elevated risk of poor psychosocial adjustment due to the disruptions within the family and their parent's cancer caregiving burdens. The purpose of this study is to understand the role of social media on the perceptions of social support as well as its role within their social networks to facilitate social support and improve health.

    Faculty: Sarah Wawrzynski (PI), Kristin Cloyes (Mentor)

  • Combining Flash Glucose Monitoring and Online Peer Support to Improve Outcomes in Hispanic Spanish-Speaking People with Type 2 Diabetes

    Abbott Diabetes Care

    Dates: 10/4/2019-10/3/2020 Currently, Hispanic Spanish-speaking individuals are not receiving culturally appropriate diabetes care. Lack of culturally appropriate care can impact several areas of diabetes management, including healthy eating, being physically active, and taking medications. This study will evaluate the acceptability and feasibility of flash glucose monitoring use in conjunction with an online peer support intervention among Hispanic, Spanish speaking individuals with type 2 diabetes. This study will also explore how and if online peers support healthy behavior changes with regards to diet, exercise, and taking medications. This research is supported by a grant from Abbott Diabetes Care.

    Faculty: Michelle Litchman (PI)