Delivery Innovation

The search for new and innovative ways to deliver health care more efficiently and effectively. 

Adolescents, Psychiatric Hospitalization, and COVID-19

Sep. 15, 2020

As we approach the sixth month of widespread community transmission of COVID-19 in the United States, our focus must shift beyond acute management of disease to the broader effects of this pandemic on health and wellbeing. In particular, it is important that we understand the consequences of the COVID-19 pandemic on the mental health of children and adolescents.

Problem Solving Therapy For Home-Hospice Caregivers: A Pilot Study

Zvi D. Gellis, PhD
Aug. 30, 2020

Christin Gregory and Zvi Gellis

Abstract [from journal]

This pilot study examined the effects of Brief Problem-Solving Therapy on caregiver quality of life, depression, and problem-solving in family caregivers of hospice patients. Thirty-seven family caregivers to home-based hospice patients (mean age 62.8 [SD = 12.32]) were randomized to the study group (PST-Hospice), for a 45 minute per week/5 week intervention or comparison group of usual care plus caregiver education (UC + CE). The severity of depressive symptoms, caregiver quality of life and problem-solving functioning were assessed

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Representation Of Women Authors In International Heart Failure Guidelines And Contemporary Clinical Trials

Aug. 14, 2020

Nosheen Reza, Ayman Samman Tahhan, Nadim Mahmud, Ersilia M. DeFilippis, Alaaeddin Alrohaibani, Muthiah Vaduganathan, Stephen J. Greene, Annie Hang Ho, Gregg C. Fonarow, Javed Butler, Christopher O’Connor, Mona Fiuzat, Orly Vardeny, Ileana L. Piña, JoAnn Lindenfeld, Mariell...

Abstract [from journal]

Background: Gender disparities in authorship of heart failure (HF) guideline citations and clinical trials have not been examined.

Methods: We identified authors of publications referenced in Class I Recommendations in United States (n=173) and European (n=100) HF guidelines and of publications of all HF trials with >400 participants (n=118) published between 2001 and 2016. Authors' genders were determined, and changes in authorship patterns over time were evaluated with linear regression

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A Pilot Study Of An Intervention To Increase Family Member Involvement In Nursing Home Care Plan Meetings

George Demiris, Penn Nursing School
Aug. 13, 2020

Debra Parker Oliver, Abigail J. Rolbiecki, Karla Washington, Robin L. Kruse, Lori Popejoy, Jamie B. Smith, George Demiris

Abstract [from journal]

Background and objectives: Many family members struggle to negotiate their aging relative's care with nursing home staff, potentially leading to depression and other negative outcomes for residents' families. This pilot study tested an intervention designed to empower residents' family members to attend and participate in nursing home care plan meetings.

Research design and methods: We conducted a small, randomized, controlled trial of the Families Involved in Nursing home Decision-making (

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What Do Parents Value Regarding Pediatric Palliative And Hospice Care In The Home Setting?

Mary Ersek
Jul. 30, 2020

Jackelyn Y. Boyden, Mary Ersek, Janet A. Deatrick, Kimberley Widger, Gwenn LaRagione, Blyth Lord, Chris Feudtner

Abstract [from journal]

Context: Children with life-shortening serious illnesses and medically complex care needs are often cared for by their families at home. Little, however, is known about what aspects of pediatric palliative and hospice care in the home setting (PPHC@Home) families value the most.

Objective: To explore how parents rate and prioritize domains of PPHC@Home as the first phase of a larger study that developed a parent-reported measure of experiences with PPHC@Home.

Methods: 

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Questioning Dogma: Does a GCS of 8 Require Intubation?

May. 7, 2020

Justin S. Hatchimonji, Ryan P. Dumas, Elinore J. Kaufman, Dane Scantling, Jordan B. Stoecker, Daniel N. Holena 

Abstract [from journal]

Background: There is no evidence supporting intubation for a Glasgow Coma Scale (GCS) of 8. We investigated the effect of intubation in trauma patients with a GCS 6-8, with the hypothesis that intubation would increase mortality and length of stay.

Methods: We studied adult patients with GCS 6-8 from the 2016 National Trauma Data Bank. Intubated and non-intubated patients were compared using inverse probability weighted regression adjustment (IPWRA) to control for injury severity and patient characteristics.

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