Coffin, Alyssa; Elder, Brynn; Luercio, Marcella; Ahuja, Namrata; Barber, Rebecca; DeCamp, Lisa Ross; Encalada, Karen; Fan, Angela L; Farkas, Jonathan S; Jain, Pia; Johnson, Tyler M; Mallick, Nandini; Wilder, Jayme L; Yang, Tracy J; Yin, H Shonna; Lion, K Casey; Khan, Alisa. Pediatrics. 2024. Patients who speak languages other than English are frequently excluded from research. This exclusion exacerbates inequities, biases results, and may violate federal regulations and research ethics. Language justice is the right to communicate in an individual's preferred language to address power imbalances and promote equity. To promote language justice in research, we propose a method to translate and culturally-adapt multifaceted research mat
Ark, Tavinder; Kalet, Adina; Tewksbury, Linda; Altshuler, Lisa; Crowe, Ruth; Wilhite, Jeffrey; Hardowar, Khemraj; Zabar, Sondra; Gillespie, Colleen. Patient education and counseling. 2024:127. OBJECTIVES/OBJECTIVE:Communication and other clinical skills are routinely assessed in medical schools using Objective Structured Clinical Examinations (OSCEs) so routinely that it can be difficult to monitor and maintain validity. We report on the accumulation of validity evidence for the Clinical Communication Skills Assessment Tool (CCSAT) based on its use with 9 cohorts of medical students in a high stakes OSCE. METHODS:) based on continuous
Vandyousefi, Sarvenaz; Oettingen, Gabriele; Wittleder, Sandra; Moin, Tannaz; Sweat, Victoria; Aguilar, Adrian D; Ruan, Andrea; Angelotti, Gina; Wong, Laura; Orstad, Stephanie L; Illengberger, Nicholas; Nicholson, Andrew; Lim, Sahnah; Cansler, Rachel; Portelli, Dilara; Sherman, Scott; Jay, Melanie R. Contemporary clinical trials. 2024:141. INTRODUCTION:Intensive weight management programs are effective but often have low enrollment and high attrition. Lack of motivation is a key psychological barrier to enrollment, engagement, and weight loss. Mental Contrasting with Implementation Intentions (MCII) is a unique imagery technique that increases motivation for behavior change. We describe our study protocol to assess the efficacy and implementation of MCII to enhance the effectivenes
Chehade, Mireille; Mccarthy, Margaret M; Squires, Allison. Journal of clinical nursing. 2024. BACKGROUND:Health-related decision-making is a complex process given the variability of treatment options, conflicting treatment plans, time constraints and variable outcomes. This complexity may result in patients experiencing decisional regret following decision-making. Nonetheless, literature on decisional regret in the healthcare context indicates inconsistent characterization and operationalization of this concept. AIM(S)/OBJECTIVE:To concep
Perrin, Eliana M; Skinner, Asheley C; Sanders, Lee M; Rothman, Russell L; Schildcrout, Jonathan S; Bian, Aihua; Barkin, Shari L; Coyne-Beasley, Tamera; Delamater, Alan M; Flower, Kori B; Heerman, William J; Steiner, Michael J; Yin, H Shonna. Pediatrics. 2024:153(5). BACKGROUND AND OBJECTIVES/OBJECTIVE:The American Academy of Pediatrics designed The Injury Prevention Program (TIPP) in 1983 to help pediatricians prevent unintentional injuries, but TIPP's effectiveness has never been formally evaluated. We sought to evaluate the impact of TIPP on reported injuries in the first 2 years of life. METHODS:We conducted a stratified, cluster-randomized trial at 4 academic medical centers: 2 centers trained their
Lusk, P; Ark, T; Crowe, R; Monson, V; Altshuler, L; Harnik, V; Buckvar-Keltz, L; Poag, M; Belluomini, P; Kalet, A. Medical teacher. 2024:46(5):665-671. PURPOSE/UNASSIGNED:The Professional Identity Essay (PIE) is a theory and evidence-based Medical Professional Identity Formation (MPIF) measure. We describe trajectories of PIE-measured MPIF over a 4-year US medical school curriculum. METHODS/UNASSIGNED:Students write PIEs at medical school orientation, clinical clerkships orientation, and post-advanced (near graduation) clerkship. A trained evaluator assigns an overall stage score to narrative re
Beltran, Christine P.; Wilhite, Jeffrey A.; Hayes, Rachael W.; Loschiavo, Caleb; Crotty, Kelly; Adams, Jennifer; Hauck, Kevin; Crowe, Ruth; Kudlowitz, David; Katz, Karin; Gillespie, Colleen; Zabar, Sondra; Greene, Richard E.. Journal of Graduate Medical Education. 2024:16(2):182-194. Background Residents lack confidence in caring for transgender individuals. More exposure and practice throughout training is needed. Objective To explore whether and how prior exposure to transgender health skills during medical school impacted competency with these skills during residency. Methods In 2022, all 101 internal medicine residents at New York University Grossman School of Medicine participated in an objective structured clinical exam
Weissman, Judith D; Pinder, Natalie; Jay, Melanie; Taylor, John. Journal of racial and ethnic health disparities. 2024:11(2):643-651. OBJECTIVES:This study examined COVID-19's impact in the 2020 compared to 2019 survey years on preventive medical care utilization. RESEARCH DESIGN:Using a cross-sectional sample of adults aged 18 years and over (2019; n = 31,997; 2020; n = 31,568), from the National Health Interview Survey, multivariable models compared 2020 to 2019 survey years for receiving diabetes screening blood tests, well-care visits, and p
Glick, Alexander F; Yin, H Shonna; Silva, Benjamin; Modi, Avani C; Huynh, Vincent; Goodwin, Emily J; Farkas, Jonathan S; Turock, Julia S; Famiglietti, Hannah S; Dickson, Victoria V. Journal of hospital medicine. 2024:19(4):278-286. BACKGROUND:High rates of posthospitalization errors are observed in children with medical complexity (CMC). Poor parent comprehension of and adherence to complex discharge instructions can contribute to errors. Pediatrician views on common barriers and facilitators to parent comprehension and adherence are understudied. OBJECTIVE:To examine pediatrician perspectives on barriers and facilitators experienced by parents in comprehension of and adher
Gonzalez, Cristina M; Ark, Tavinder K; Fisher, Marla R; Marantz, Paul R; Burgess, Diana J; Milan, Felise; Samuel, Malika T; Lypson, Monica L; Rodriguez, Carlos J; Kalet, Adina L. JAMA network open. 2024:7(3). IMPORTANCE/UNASSIGNED:Racial implicit bias can contribute to health disparities through its negative influence on physician communication with Black patients. Interventions for physicians to address racial implicit bias in their clinical encounters are limited by a lack of high-fidelity (realistic) simulations to provide opportunities for skill development and practice. OBJECTIVE/UNASSIGNED:To describe the development and initial evaluation of a
Lee, Seung Eun; Seo, Ja kyung; Squires, Allison. International journal of nursing studies. 2024:151. Background: The organizational studies' literature suggests that employees' expressions of voice and silence may be distinct concepts with different predictors. Organizational researchers also argue that both employees' voice and silence are related to burnout; however, these relationships have not been adequately examined in the healthcare context. Objective: This study aimed to investigate the relationships among nurses' perceived impact, psych
Lee, Seung Eun; Seo, Ja-Kyung; Squires, Allison. International journal of nursing studies. 2024:151. BACKGROUND:The organizational studies' literature suggests that employees' expressions of voice and silence may be distinct concepts with different predictors. Organizational researchers also argue that both employees' voice and silence are related to burnout; however, these relationships have not been adequately examined in the healthcare context. OBJECTIVE:This study aimed to investigate the relationships among nurses' perceived impact, psychol
Ladapo, Joseph A; Orstad, Stephanie L; Wylie-Rosett, Judith; Tseng, Chi-Hong; Chung, Un Young Rebecca; Patel, Nikhil R; Shu, Suzanne B; Goldstein, Noah J; Wali, Soma; Jay, Melanie. International journal of obesity (2005). 2024:48(2):231-239. BACKGROUND:The Financial Incentives for Weight Reduction (FIReWoRk) clinical trial showed that financial incentive weight-loss strategies designed using behavioral economics were more effective than provision of weight-management resources only. We now evaluate cost-effectiveness. METHODS:Cost-effectiveness analysis of a multisite randomized trial enrolling 668 participants with obesity living in low-income neighborhoods. Participants were random
Schlechter, Alan; Moerdler-Green, Michael; Zabar, Sondra; Reliford, Aaron; New, Antonia; Feingold, Jordyn H; Guo, Fei; Horwitz, Sarah. Academic psychiatry. 2024:48(1):47-51. OBJECTIVE:This pilot study compared a novel communication strategy, the positive approach to the psychiatric interview, with the traditional approach to see if the positive approach can be taught to psychiatric residents; reproduced with standardized patients; measured with a structured scale, the "Positive Approach Outcome Measure," by blinded raters; and used to improve rapport (assessed with the Bond score), a key driver of engagement. METHODS
Chehade, Mireille; Mccarthy, Margaret M.; Squires, Allison. Journal of Clinical Nursing. 2024. Background: Health-related decision-making is a complex process given the variability of treatment options, conflicting treatment plans, time constraints and variable outcomes. This complexity may result in patients experiencing decisional regret following decision-making. Nonetheless, literature on decisional regret in the healthcare context indicates inconsistent characterization and operationalization of this concept. Aim(s): To conceptually d
Park, Agnes; Gillespie, Colleen; Triola, Marc; Buckvar-Keltz, Lynn; Greene, Richard E; Winkel, Abigail Ford. Academic medicine. 2024:99(1):91-97. PURPOSE/OBJECTIVE:This study explores coaching during transition from medical school to residency through the perspectives of residents and faculty coaches participating in a coaching program from residency match through the first year of residency. METHOD/METHODS:From January to September 2020, 15 faculty coaches in internal medicine, obstetrics and gynecology, emergency medicine, orthopedics, and pathology participated in a synchronous, in-pers
