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Article ; Online: Enhancing patient-centered care for limited English proficiency patients through Tell Me More®

Angela Liu / Alicia Leong / Alice Fornari / Taranjeet Ahuja

Patient Experience Journal, Vol 9, Iss

A student-driven initiative to explore the patient as a person and develop students’ communication skills

2022 Volume 3

Abstract: Tell Me More® (TMM) is a medical student-driven initiative to build rapport between patients, students, and the healthcare team through patient interviews and collaboratively created posters. Patients with limited English proficiency (LEP) often ... ...

Abstract	Tell Me More® (TMM) is a medical student-driven initiative to build rapport between patients, students, and the healthcare team through patient interviews and collaboratively created posters. Patients with limited English proficiency (LEP) often experience impaired communication with providers. TMM has the potential to address the loss of patient-centered dialogue in interpreter-mediated communications. In this exploratory pilot study, we aimed to include LEP patients in TMM by using medical interpreter phones (MIPs) at Long Island Jewish Medical Center, Northwell Health. Our objectives were to: (1) evaluate the feasibility of this approach, (2) compare TMM engagement between LEP and English-speaking (ES) patients, and (3) document the impact of this initiative on the medical student. Following the standardized TMM interview structure, the student used the MIP to interview LEP patients about who they are as people beyond their illnesses. This expanded social history was transcribed to bedside posters to enhance patient connection with the healthcare team. At the end of interviews, patients rated TMM’s impact on their hospital stay. Additionally, medical student reflections were recorded weekly. Our quantitative results from 12 LEP and 49 ES patients support significantly higher TMM participation for LEP compared to ES patients. Qualitative examination of student reflections suggests that TMM enriches medical education by promoting understanding of the LEP patient experience. Our results demonstrate that MIP-supported TMM is a feasible approach to enhance patient-centered care for LEP populations. Further research is needed to explore inclusion of LEP patients in patient-centered care initiatives such as TMM. Experience Framework This article is associated with the Patient, Family & Community Engagement lens of The Beryl Institute Experience Framework ( https://www.theberylinstitute.org/ExperienceFramework ). Access other PXJ articles related to this lens. Access other resources related to this lens.
Keywords	limited english proficiency ; interpreter devices ; medical education ; student reflection ; patient experience ; patient-centered care ; health disparities ; communication skills ; tell me more® ; Medicine (General) ; R5-920 ; Public aspects of medicine ; RA1-1270
Subject code	360
Language	English
Publishing date	2022-11-01T00:00:00Z
Publisher	The Beryl Institute
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Perceived racial and social class discrimination and cannabis involvement among Black youth and young adults.

Ahuja, Manik / Haeny, Angela M / Sartor, Carolyn E / Bucholz, Kathleen K

Drug and alcohol dependence

2022 Volume 232, Page(s) 109304

Abstract: Background: The current study examines the association of perceived racial and social class discrimination with cannabis involvement among Black youth and young adults.: Methods: This secondary analysis used data from the Missouri Family Study (MOFAM) ...

Abstract	Background: The current study examines the association of perceived racial and social class discrimination with cannabis involvement among Black youth and young adults. Methods: This secondary analysis used data from the Missouri Family Study (MOFAM), a high-risk longitudinal family study of alcohol use disorder, oversampled for Black families. Offspring (n = 806) and their mothers were interviewed by telephone. Cox proportional hazards regression analyzes were used to examine associations of racial and social class discrimination (experienced by offspring and their mothers) with offspring cannabis involvement. Two stages of cannabis involvement were analyzed: timing of 1) initiation and 2) transition from initiation to first cannabis use disorder (CUD) symptom. Results: The study found that offspring report of experiencing racial (HR: 1.28, CI: 1.01-1.62) and social class discrimination (HR: 1.45, CI: 1.14-1.84) were associated with cannabis initiation in our fully adjusted model. Mothers' report of discrimination predicted a lower hazard of cannabis initiation among offspring (HR: 0.79, CI: 0.64-0.98). Offspring social class discrimination (HR: 2.45, CI: 1.71-3.51) predicted an increased hazard of transition from initiation to first CUD symptom, while offspring racial discrimination (HR: 0.57, CI: 0.39-0.85) was associated with lower hazard of transition in our fully adjusted model. Conclusions: As rates for cannabis use among Black youth are disproportionately rising, there is a critical need to identify pathways to its use among Black youth. These findings suggest racial and social class discrimination may be important targets in efforts to prevent cannabis involvement among Black youth and emerging adults.
MeSH term(s)	Adolescent ; Black or African American ; Black People ; Cannabis ; Humans ; Racism ; Social Class ; Young Adult
Language	English
Publishing date	2022-01-13
Publishing country	Ireland
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	519918-9
ISSN	1879-0046 ; 0376-8716
ISSN (online)	1879-0046
ISSN	0376-8716
DOI	10.1016/j.drugalcdep.2022.109304
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Article ; Online: Role of ultrasound-guided decompression in management of mucoid degeneration of the anterior cruciate ligament.

Ahuja, Ankita / Parekh, Chaitali / Salomon, Angela / Lawande, Malini / Daftary, Aditya

Skeletal radiology

2021 Volume 50, Issue 9, Page(s) 1837–1843

Abstract: Objective: To assess the effectiveness of ultrasound-guided decompression in managing symptomatic mucoid degeneration of the anterior cruciate ligament (ACL).: Materials and methods: Retrospective analysis of 55 patients who underwent ultrasound- ... ...

Abstract	Objective: To assess the effectiveness of ultrasound-guided decompression in managing symptomatic mucoid degeneration of the anterior cruciate ligament (ACL). Materials and methods: Retrospective analysis of 55 patients who underwent ultrasound-guided ACL mucoid degeneration decompression between July 2013 and August 2019. Subjective satisfaction scores were gathered immediately post-procedure for all 55 patients; follow-up satisfaction scores (scale of 0-10, 10 being excellent) were gathered telephonically for 46 patients (83.6%) up to 63 months post-procedure. Follow-up duration of each patient was classified as short (1-6 months), intermediate (7-12 months), or long (more than 12 months) post-procedure. Forty-five patients (81.8%) MRI were retrospectively analyzed and classified into cystic (n = 13, 28.9%), mucoid (n = 11, 24.4%), or mucoid-cystic (21, 46.7%) types. Multivariate logistic regression was used to identify associations between follow-up satisfaction score, follow-up duration, patient age, and type of ACL degeneration. Results: All patients had immediate marked post-procedure improvement, with excellent (>7/10) satisfaction scores. Forty-six of 55 patients were telephonically followed up: 21 (45.6%) short-term interval, 18 (39.1%) intermediate term, and 7 (15.2%) long-term. Thirty (65.22%) patients had excellent and eight (17.4%) patients had average satisfaction scores at follow-up. Eight (17.4%) patients had poor post-procedure satisfaction scores within six months. There were no significant associations between immediate or follow-up satisfaction score and duration of follow-up, age of patient, or type of ACL degeneration. Conclusion: Ultrasound-guided aspiration, fenestration, and injection are an effective, safe, minimally invasive and radiation-free technique for management of mucoid degeneration of ACL with excellent immediate- and long-term results.
MeSH term(s)	Anterior Cruciate Ligament ; Anterior Cruciate Ligament Injuries ; Decompression ; Follow-Up Studies ; Humans ; Knee Joint ; Magnetic Resonance Imaging ; Retrospective Studies ; Ultrasonography, Interventional
Language	English
Publishing date	2021-03-08
Publishing country	Germany
Document type	Journal Article
ZDB-ID	527592-1
ISSN	1432-2161 ; 0364-2348
ISSN (online)	1432-2161
ISSN	0364-2348
DOI	10.1007/s00256-021-03750-7
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Zs.A 1304: Show issues

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Article ; Online: Social class discrimination as a predictor of first cigarette use and transition to nicotine use disorder in Black and White youth.

Sartor, Carolyn E / Haeny, Angela M / Ahuja, Manik / Bucholz, Kathleen K

Social psychiatry and psychiatric epidemiology

2021 Volume 56, Issue 6, Page(s) 981–992

Abstract: Purpose: To characterize the association of social class discrimination with the timing of first cigarette use and progression to DSM-IV nicotine dependence (ND) in Black and White youth, examining variation by race, parent vs. youth experiences of ... ...

Abstract	Purpose: To characterize the association of social class discrimination with the timing of first cigarette use and progression to DSM-IV nicotine dependence (ND) in Black and White youth, examining variation by race, parent vs. youth experiences of discrimination, socioeconomic status (SES), and stage of smoking. Methods: Data were drawn from 1461 youth (55.2% Black, 44.8% White; 50.2% female) and mothers in a high-risk family study of alcohol use disorder and related conditions. Cox proportional hazard regression analyses were conducted, using youth's and mother's social class discrimination to predict first cigarette use and progression to ND, stratifying by race. Interactions between discrimination and SES indicators (parental education and household income) were tested. Adjusted models included psychiatric covariates. Results: In the adjusted first cigarette use models, neither youth's nor mother's social class discrimination was a significant predictor among Black youth, but mother's discrimination was associated with increased risk [HR = 1.53 (1.18-1.99)] among White youth. In the adjusted ND models, mother's discrimination was associated with reduced ND risk for Black youth in middle-income families [HR = 0.29 (CI 0.13-0.63)], but neither youth's nor mother's discrimination predicted transition to ND among White youth. Conclusions: The observed race and smoking stage-specific effects suggest that social class discrimination is more impactful on early stages of smoking for White youth and later stages for Black youth. The robustness of links with mother's discrimination experiences further suggests the importance of considering family-level effects and the need to explore possible mechanisms, such as socialization processes.
MeSH term(s)	Adolescent ; Black or African American ; Female ; Humans ; Male ; Social Class ; Tobacco Products ; Tobacco Use Disorder/epidemiology ; White People
Language	English
Publishing date	2021-01-02
Publishing country	Germany
Document type	Journal Article
ZDB-ID	623071-4
ISSN	1433-9285 ; 0037-7813 ; 0933-7954
ISSN (online)	1433-9285
ISSN	0037-7813 ; 0933-7954
DOI	10.1007/s00127-020-01984-9
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Zs.A 327: Show issues

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Article ; Online: Purinergic Signalling Mediates Aberrant Excitability of Developing Neuronal Circuits in the Fmr1 Knockout Mouse Model.

Reynolds, Kathryn E / Huang, Eileen / Sabbineni, Monica / Wiseman, Eliza / Murtaza, Nadeem / Ahuja, Desmond / Napier, Matt / Murphy, Kathryn M / Singh, Karun K / Scott, Angela L

Molecular neurobiology

2024

Abstract: Neuronal hyperexcitability within developing cortical circuits is a common characteristic of several heritable neurodevelopmental disorders, including Fragile X Syndrome (FXS), intellectual disability and autism spectrum disorders (ASD). While this ... ...

Abstract	Neuronal hyperexcitability within developing cortical circuits is a common characteristic of several heritable neurodevelopmental disorders, including Fragile X Syndrome (FXS), intellectual disability and autism spectrum disorders (ASD). While this aberrant circuitry is typically studied from a neuron-centric perspective, glial cells secrete soluble factors that regulate both neurite extension and synaptogenesis during development. The nucleotide-mediated purinergic signalling system is particularly instrumental in facilitating these effects. We recently reported that within a FXS animal model, the Fmr1 KO mouse, the purinergic signalling system is upregulated in cortical astrocytes leading to altered secretion of synaptogenic and plasticity-related proteins. In this study, we examined whether elevated astrocyte purinergic signalling also impacts neuronal morphology and connectivity of Fmr1 KO cortical neurons. Here, we found that conditioned media from primary Fmr1 KO astrocytes was sufficient to enhance neurite extension and complexity of both wildtype and Fmr1 KO neurons to a similar degree as UTP-mediated outgrowth. Significantly enhanced firing was also observed in Fmr1 KO neuron-astrocyte co-cultures grown on microelectrode arrays but was associated with large deficits in firing synchrony. The selective P2Y
Language	English
Publishing date	2024-04-23
Publishing country	United States
Document type	Journal Article
ZDB-ID	645020-9
ISSN	1559-1182 ; 0893-7648
ISSN (online)	1559-1182
ISSN	0893-7648
DOI	10.1007/s12035-024-04181-w
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Zs.A 2411: Show issues

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Article ; Online: An Examination of Discrimination on Stress, Depression, and Oppression-Based Trauma During the COVID-19 Pandemic and the Racial Awakening of 2020.

De Leon, Ardhys N / Woerner, Jacqueline / Dvorak, Robert D / Cox, Jonathan / Magri, Tatiana D / Hayden, Emma R / Ahuja, Manik / Haeny, Angela M

Chronic stress (Thousand Oaks, Calif.)

2023 Volume 7, Page(s) 24705470231152953

Abstract: Background: Discrimination is a pervasive societal issue that monumentally impacts people of color (POC). Many Black, Asian, and Hispanic/Latinx individuals report experiencing race-based discrimination in their lifetime. Discrimination has previously ... ...

Abstract	Background: Discrimination is a pervasive societal issue that monumentally impacts people of color (POC). Many Black, Asian, and Hispanic/Latinx individuals report experiencing race-based discrimination in their lifetime. Discrimination has previously been linked to adverse health outcomes among POC, including stress, depressive, and posttraumatic stress disorder symptoms. These health disparities are posited to have become exacerbated by COVID-19 and the racial awakening of 2020. The current study examined the short- and long-term effects of discrimination on stress, depression, and oppression-based trauma among POC. Methods: Participants were (n = 398) who identified as Black, Indigenous, Hispanic/Latinx, and Asian completed an online self-report survey assessing discrimination, depression, stress, and oppression-based trauma collected at 3 time points: (T1) beginning of the COVID-19 pandemic (May 2020), (T2) 6 weeks later during the racial awakening of 2020 (June 2020), (T3) one year later (June 2021). Results: Significant positive paths were revealed from T1 discrimination to T2 depression, T2 stress, and T3 oppression-based trauma. The association between T1 discrimination and T3 oppression-based trauma was partially mediated by T2 depression, but not by stress; total and total indirect effects remained significant. The final model accounted for a significant proportion of the variance in T3 oppression-based trauma, T2 depression, and T2 stress. Conclusion: Findings are consistent with prior research linking discriminatory experiences with mental health symptomatology and provide evidence that race-based discrimination poses harmful short-and long-term mental health consequences. Further research is necessary to better understand oppression-based trauma to improve the accuracy of clinical diagnosis and treatment of POC.
Language	English
Publishing date	2023-01-26
Publishing country	United States
Document type	Journal Article
ISSN	2470-5470
ISSN (online)	2470-5470
DOI	10.1177/24705470231152953
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Article: The association between experiencing police arrest and suicide ideation among emerging young adults: Does race matter?

Ahuja, Manik / Records, Kathie / Haeny, Angela M / Gavares, Eleni M / Mamudu, Hadii M

Health psychology open

2021 Volume 8, Issue 1, Page(s) 20551029211026027

Abstract: The objective of the study was to examine the association between lifetime arrest and marijuana-related first arrest with past-year suicide ideation among Black and White people. We used data from Wave-IV (2008-2009; ...

Abstract	The objective of the study was to examine the association between lifetime arrest and marijuana-related first arrest with past-year suicide ideation among Black and White people. We used data from Wave-IV (2008-2009;
Language	English
Publishing date	2021-06-21
Publishing country	England
Document type	Journal Article
ZDB-ID	2779205-5
ISSN	2055-1029
ISSN	2055-1029
DOI	10.1177/20551029211026027
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Article ; Online: Gender discrimination and illicit drug use among African American and European American adolescents and emerging adults.

Ahuja, Manik / Haeny, Angela M / Sartor, Carolyn E / Bucholz, Kathleen K

Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors

2020 Volume 35, Issue 3, Page(s) 310–319

Abstract: Objective: ...

Abstract	Objective:
MeSH term(s)	Adolescent ; Adult ; African Americans/psychology ; African Americans/statistics & numerical data ; Alcoholism/epidemiology ; Alcoholism/psychology ; Female ; Humans ; Illicit Drugs ; Male ; Odds Ratio ; Risk ; Sexism/psychology ; Sexism/statistics & numerical data ; Substance-Related Disorders/epidemiology ; Substance-Related Disorders/psychology ; United States ; Whites/psychology ; Whites/statistics & numerical data ; Young Adult
Chemical Substances	Illicit Drugs
Language	English
Publishing date	2020-09-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	2101111-4
ISSN	1939-1501 ; 0893-164X
ISSN (online)	1939-1501
ISSN	0893-164X
DOI	10.1037/adb0000683
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Article ; Online: Minimising prescription errors-a quality improvement project in the ophthalmology department in a tertiary referral hospital.

Changulani, Tulsi / Mustafa, Mohammad Zuhair / Ahuja, Sanjana / James, Angela / Agarwal, Pankaj K

International ophthalmology

2021 Volume 41, Issue 9, Page(s) 3041–3046

Abstract: Purpose: The aim of this quality improvement project was to look into the hospital prescriptions and to identify and record the type and number of errors, to implement measures to reduce the risk of these errors and then to reaudit to assess the impact ... ...

Abstract	Purpose: The aim of this quality improvement project was to look into the hospital prescriptions and to identify and record the type and number of errors, to implement measures to reduce the risk of these errors and then to reaudit to assess the impact of changes implemented. Methods: The initial audit was conducted prospectively over a eleven-week period. Prescriptions written by doctors of all grades and members of the staff, such as optometrists and nurses, were analysed. A glaucoma prescription guide along with more training at prescribing for doctors was introduced with a view to reducing these errors. A reaudit later demonstrated a significant reduction in these errors. Results: After the introduction of a glaucoma prescription guide and more training for all grades of staff members, prescription errors reduced to 73/2342 (3.1%). Reaudit showed a reduction in both prescription writing errors 50/73(68.4%) and drug-related errors 23/73(31.6%). Conclusion: Prescription errors are avoidable. This audit demonstrated that providing an accessible, easy to read and understand glaucoma prescription guide in the outpatient department along with targeted training for medical staff in prescribing can help in minimising these errors and can lead to safer practice.
MeSH term(s)	Drug Prescriptions ; Humans ; Medication Errors/prevention & control ; Ophthalmology ; Quality Improvement ; Tertiary Care Centers
Language	English
Publishing date	2021-05-05
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	800087-6
ISSN	1573-2630 ; 0165-5701
ISSN (online)	1573-2630
ISSN	0165-5701
DOI	10.1007/s10792-021-01866-2
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Zs.A 1479: Show issues

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Article ; Online: The Associations of Racial Discrimination and Neighborhood Disadvantage With World Assumptions Among Black, Latine, and Asian Young Adults.

Haeny, Angela M / Holmes, Samantha C / Woerner, Jacqueline / Hicks, Terrell A / Ahuja, Manik / Overstreet, Cassie / Amstadter, Ananda / Sartor, Carolyn E

Journal of interpersonal violence

2022 Volume 38, Issue 9-10, Page(s) 6798–6818

Abstract: The theory of shattered assumptions proposes that experiencing traumatic events can change how people view themselves and the world. Most adults experience a traumatic event during their lifetime, and some subsequently develop post-traumatic stress ... ...

Abstract	The theory of shattered assumptions proposes that experiencing traumatic events can change how people view themselves and the world. Most adults experience a traumatic event during their lifetime, and some subsequently develop post-traumatic stress disorder (PTSD). However, the current conceptualization of trauma (i.e., Criterion A PTSD) may be too narrow to adequately capture the range of potentially traumatizing events that People of Color experience, including racial discrimination and neighborhood disadvantage. This study investigated the association of racial discrimination and neighborhood disadvantage with core beliefs about the world being safe and predictable (i.e., world assumptions) among a sample of Black, Latine, and Asian young adults. Multi-step analyses of covariance tested associations between racial discrimination and neighborhood disadvantage with world assumptions and whether these held in the context of other traumatic exposures. Results indicated that racial discrimination negatively impacted world assumptions among Asian young adults only and this effect remained in the context of trauma. In addition, low neighborhood support negatively impacted world assumptions across all racial groups and neighborhood violence negatively impacted world assumptions among Latine young adults only; however, this effect did not remain in the context of trauma. This study indicates it is worthwhile to consider other adverse events in the conceptualization of trauma, such as racial discrimination and neighborhood disadvantage, that may impact world assumptions and contribute to subsequent post-trauma psychopathology.
MeSH term(s)	Humans ; Young Adult ; Racism ; Racial Groups ; Stress Disorders, Post-Traumatic ; Violence ; Neighborhood Characteristics
Language	English
Publishing date	2022-11-26
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	2028900-5
ISSN	1552-6518 ; 0886-2605
ISSN (online)	1552-6518
ISSN	0886-2605
DOI	10.1177/08862605221137701
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