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  1. AU="Stefanik-Guizlo, Kelsey"
  2. AU=Elsea Sarah H
  3. AU="Barbara Mognetti"
  4. AU="Gibb, Jonathan"
  5. AU="Garg, Priya S"
  6. AU="Van Driessche, Veroniek"
  7. AU="Solianova, Veronika"
  8. AU="Strauss, Sarah"
  9. AU="Messemaker, Tobias C"
  10. AU="Daniel, Maria Urszula"
  11. AU=Edwards Robert J AU=Edwards Robert J
  12. AU="Shriver, Craig D"
  13. AU="Huang, Xiang-Zhong"
  14. AU=Cabanne Eglantine
  15. AU="Bernal, A"
  16. AU="Malorie Perry"
  17. AU="Oppenheim, Alan"
  18. AU="Ozcan, Muhit"
  19. AU="Zhang, Cissy"
  20. AU="Blaize, Justin L"
  21. AU="R, Ram Babu"
  22. AU="Khalili Arash"
  23. AU="Bhatia, Sandeep"
  24. AU="Ticha, Johnson M"
  25. AU="Aranzabal Barrio, N"

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  1. Artikel ; Online: Sustaining connections: feasibility and impact of long-term virtual patient engagement.

    Stefanik-Guizlo, Kelsey / Allen, Claire / Brush, Sarah / Mogk, Jessica / Canada, Starette / Peck, Marina / Ramos, Kathryn / Volpe, Karen / Lozano, Paula

    Research involvement and engagement

    2024  Band 10, Heft 1, Seite(n) 28

    Abstract: Background: Virtual patient engagement has become more common in recent years. Emerging research suggests virtual engagement can increase accessibility for patients managing long-term health conditions and those living in larger geographic areas, but it ...

    Abstract Background: Virtual patient engagement has become more common in recent years. Emerging research suggests virtual engagement can increase accessibility for patients managing long-term health conditions and those living in larger geographic areas, but it can also be challenging to establish relationships and maintain engagement over time. Little is known about virtual engagement lasting more than two years, nor about the specific contributions of patients to virtual engagement projects. Here we describe a project where virtual engagement was sustained over a long period of time (3.5 years), measure patients' contributions to the work, and describe the facilitators and challenges of the project using the Valuing All Voices (VAV) patient engagement framework.
    Methods: Five researchers recruited four patient partners living with persistent pain to work together virtually on a project to improve care for others with long-term pain. Researchers documented engagement activities and patient partner contributions and categorized them using Carman et al.'s 3 types of engagement. They also collected data via semi-structured group interviews with patient partners about the facilitators and challenges of the project using the VAV framework.
    Results: In 3.5 years, patient partners contributed 487 h to the project, averaging 3.0 h per month, and participated in 40 meetings. They contributed to 17 products for patients, health care teams, and researchers. Most products (12 of 17) were created using the more in-depth engagement approaches of involvement or partnership and shared leadership. The group identified facilitators of the project across the five VAV domains of relationship-building, trust, understanding & acceptance, education & communication, and self-awareness, as well as some specific challenges such as keeping track of products across virtual platforms and managing the high volume of project information.
    Conclusions: Long-term virtual patient engagement is feasible and can use more in-depth engagement approaches. Additionally, it can result in substantial contributions from patients in terms of time, effort, and products. These findings can inform future long-term virtual patient engagement efforts and provide insight into how researchers can structure their activities to encourage and maintain deep engagement over time.
    Sprache Englisch
    Erscheinungsdatum 2024-02-24
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 2834246-X
    ISSN 2056-7529 ; 2056-7529
    ISSN (online) 2056-7529
    ISSN 2056-7529
    DOI 10.1186/s40900-024-00558-2
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Assessing the Feasibility of an Empathic Inquiry Approach to Social Needs Screening in 10 Federally Qualified Health Centers.

    Singer, Ariel R / Coleman, Katie F / Mahmud, Ammarah / Holden, Erika / Stefanik-Guizlo, Kelsey

    The Permanente journal

    2023  Band 27, Heft 4, Seite(n) 136–142

    Abstract: Objectives: Despite an increasing emphasis from health care organizations on patients' social health, there is debate about how best to screen patients for social health needs in practice. Empathic Inquiry is a patient-centered approach to asking about ... ...

    Abstract Objectives: Despite an increasing emphasis from health care organizations on patients' social health, there is debate about how best to screen patients for social health needs in practice. Empathic Inquiry is a patient-centered approach to asking about patients' social needs that incorporates motivational interviewing and trauma-informed care techniques to increase patient experience of trustworthiness and safety with their care teams. The purpose of this brief report is to describe the feasibility and acceptability of implementing an Empathic Inquiry-informed approach to social needs screening in 10 federally qualified health centers.
    Methods: Clinical staff at community health centers implemented Empathic Inquiry as part of an 8-month learning collaborative. Patients completed surveys about their experience with Empathic Inquiry after screening conversations took place. Qualitative data on organizational implementation experience were collected monthly during 2018.
    Findings: Eight of 10 organizations completed the learning collaborative and implemented Empathic Inquiry in practice. Of 132 patient surveys received, patients agreed (64% strongly agree, 28% somewhat agree) that being screened for social needs strengthened their relationship with their care team and 83% strongly agreed the conversation was a good use of time. Most patients (54%) indicated social health screening was appropriate at every visit, and 27% answered once every 6 months.
    Conclusions: The Empathic Inquiry approach to understanding patients' social needs was feasible for implementation in community settings. Patients said the conversations were worthwhile, built trust with their care teams, and should be conducted every 6 months or more frequently.
    Mesh-Begriff(e) Humans ; Feasibility Studies ; Health Services Needs and Demand ; Empathy ; Health Facilities
    Sprache Englisch
    Erscheinungsdatum 2023-10-13
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2062823-7
    ISSN 1552-5775 ; 1552-5775
    ISSN (online) 1552-5775
    ISSN 1552-5775
    DOI 10.7812/TPP/22.178
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: Improving Diabetes Control in a Medicaid Managed Care Population With Complex Needs.

    Parchman, Michael L / Stefanik-Guizlo, Kelsey / Penfold, Robert B / Holden, Erika / Shah, Avni C

    The Permanente journal

    2023  Band 28, Heft 1, Seite(n) 62–67

    Abstract: Introduction: People enrolled in Medicaid managed care who struggle with diabetes control often have complex medical, behavioral, and social needs. Here the authors report the results of a program designed to partner with primary care teams to address ... ...

    Abstract Introduction: People enrolled in Medicaid managed care who struggle with diabetes control often have complex medical, behavioral, and social needs. Here the authors report the results of a program designed to partner with primary care teams to address those needs.
    Methods: A nonprofit organization partnered with a Medicaid managed care plan and a Federally Qualified Health Center in California to enroll people with A1cs
    Results: Of the 51 people enrolled, 83% had at least 1 behavioral health condition. More than 90% reported at least 1 unmet social need. The average monthly A1c among program participants was 0.699 lower than the comparison group post-enrollment (
    Discussion: Participants had high levels of unmet medical, behavioral, and social needs. Addressing these needs resulted in a rapid and sustained improvement in A1c control compared to non-enrollees and a reduction in disparity of control among Hispanic participants.
    Conclusion: By partnering with a primary care team, a program external to Federally Qualified Health Center primary care can improve clinical outcomes for people with complex needs living with diabetes.
    Mesh-Begriff(e) United States ; Humans ; Medicaid ; Glycated Hemoglobin ; Managed Care Programs ; Diabetes Mellitus/therapy ; Educational Status
    Chemische Substanzen Glycated Hemoglobin
    Sprache Englisch
    Erscheinungsdatum 2023-12-20
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2062823-7
    ISSN 1552-5775 ; 1552-5775
    ISSN (online) 1552-5775
    ISSN 1552-5775
    DOI 10.7812/TPP/23.106
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel ; Online: Study protocol for a factorial-randomized controlled trial evaluating the implementation, costs, effectiveness, and sustainment of digital therapeutics for substance use disorder in primary care (DIGITS Trial).

    Glass, Joseph E / Dorsey, Caitlin N / Beatty, Tara / Bobb, Jennifer F / Wong, Edwin S / Palazzo, Lorella / King, Deborah / Mogk, Jessica / Stefanik-Guizlo, Kelsey / Idu, Abisola / Key, Dustin / Fortney, John C / Thomas, Rosemarie / McWethy, Angela Garza / Caldeiro, Ryan M / Bradley, Katharine A

    Implementation science : IS

    2023  Band 18, Heft 1, Seite(n) 3

    Abstract: Background: Experts recommend that treatment for substance use disorder (SUD) be integrated into primary care. The Digital Therapeutics for Opioids and Other SUD (DIGITS) Trial tests strategies for implementing reSET® and reSET-O®, which are ... ...

    Abstract Background: Experts recommend that treatment for substance use disorder (SUD) be integrated into primary care. The Digital Therapeutics for Opioids and Other SUD (DIGITS) Trial tests strategies for implementing reSET® and reSET-O®, which are prescription digital therapeutics for SUD and opioid use disorder, respectively, that include the community reinforcement approach, contingency management, and fluency training to reinforce concept mastery. This purpose of this trial is to test whether two implementation strategies improve implementation success (Aim 1) and achieve better population-level cost effectiveness (Aim 2) over a standard implementation approach.
    Methods/design: The DIGITS Trial is a hybrid type III cluster-randomized trial. It examines outcomes of implementation strategies, rather than studying clinical outcomes of a digital therapeutic. It includes 22 primary care clinics from a healthcare system in Washington State and patients with unhealthy substance use who visit clinics during an active implementation period (up to one year). Primary care clinics implemented reSET and reSET-O using a multifaceted implementation strategy previously used by clinical leaders to roll-out smartphone apps ("standard implementation" including discrete strategies such as clinician training, electronic health record tools). Clinics were randomized as 21 sites in a 2x2 factorial design to receive up to two added implementation strategies: (1) practice facilitation, and/or (2) health coaching. Outcome data are derived from electronic health records and logs of digital therapeutic usage. Aim 1's primary outcomes include reach of the digital therapeutics to patients and fidelity of patients' use of the digital therapeutics to clinical recommendations. Substance use and engagement in SUD care are additional outcomes. In Aim 2, population-level cost effectiveness analysis will inform the economic benefit of the implementation strategies compared to standard implementation. Implementation is monitored using formative evaluation, and sustainment will be studied for up to one year using qualitative and quantitative research methods.
    Discussion: The DIGITS Trial uses an experimental design to test whether implementation strategies increase and improve the delivery of digital therapeutics for SUDs when embedded in a large healthcare system. It will provide data on the potential benefits and cost-effectiveness of alternative implementation strategies.
    Clinicaltrials: gov Identifier: NCT05160233 (Submitted 12/3/2021). https://clinicaltrials.gov/ct2/show/NCT05160233.
    Mesh-Begriff(e) Humans ; Delivery of Health Care ; Behavior Therapy ; Analgesics, Opioid ; Opioid-Related Disorders/drug therapy ; Primary Health Care ; Randomized Controlled Trials as Topic
    Chemische Substanzen Analgesics, Opioid
    Sprache Englisch
    Erscheinungsdatum 2023-02-01
    Erscheinungsland England
    Dokumenttyp Clinical Trial Protocol ; Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 2225822-X
    ISSN 1748-5908 ; 1748-5908
    ISSN (online) 1748-5908
    ISSN 1748-5908
    DOI 10.1186/s13012-022-01258-9
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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