Philadelphia University + Thomas Jefferson University

Patient Centered Risk Assessment & Communication

MISSION
To study patterns of patient-provider communication occurring in the clinical visit setting. To study research methodologies for research that is conducted in a patient-centered manner.

We seek to develop interventions and strategies in which patients understand and can respond to information in a way that promotes their health, both from a research and a clinical perspective.

We seek to help patients translate concepts of health risk into metrics (which are important and understandable to them) and help in identification of their risk factors using a shared decision making process with their primary care providers

GOALS

  • To add to the scientific literature in the areas of patient-centered communication and patient-centered outcomes research.
  • To acknowledge that any intervention for health risk reduction must take into account the patient’s perceptions and beliefs about health.
  • To increase patient participation in their health care by making it easier for them to express their priorities regarding behavioral risk reduction.

Recent Publications

Frequent emergency department visitors are frequent primary care visitors and report unmet primary care needs

Reducing Stress Among Mothers in Drug Treatment: A Description of a Mindfulness Based Parenting Intervention

How Multidimensional Health Locus of Control predicts utilization of emergency and inpatient hospital services

The Core of Care Management: The Role of Authentic Relationships in Caring for Patients with Frequent Hospitalizations

Concept mapping as a method to engage patients in clinical quality improvement

Using concept mapping to explore barriers and facilitators to breast cancer screening in formerly homeless women with serious mental illness

Confirmatory factor analysis and invariance testing between Blacks and Whites of the Multidimensional Health Locus of Control scale

Catching up with the HPV vaccine: Challenges and opportunities in primary care

Exploration and confirmation of the latent variable structure of the Jefferson scale of empathy

Impact of a patient-centered medical home clerkship curriculum

Reducing refugee mental health disparities: A community-based intervention to address postmigration stressors with African adults

Negative affect predicts adults' ratings of the current, but not childhood, impact of adverse childhood events

A primary care-public health partnership addressing homelessness, serious mental illness, and health disparities

Health care integration for formerly homeless people with serious mental illness

Involving parents in a community-based, culturally grounded mental health intervention for american indian youth: Parent perspectives, challenges, and results

Feasibility, acceptability, and initial findings from a community-based cultural mental health intervention for american indian youth and their families

Direct and indirect effects of childhood adversity on adult depression

A randomized controlled trial of communication training with primary care providers to improve patient-centeredness and health risk communication

Adaptation and implementation of cognitive behavioral intervention for trauma in schools with American Indian youth

Spiritual direction in addiction treatment: Two clinical trials

RECENT PROJECTS

  • Concept Mapping as a Scalable Method for Identifying Patient-Important Outcomes (funder: PCORI)
  • Effect and Underlying Mechanisms of Melatonin on Blood Pressure, Insulin Resistance, and Endothelial Function (Funder: National Heart, Lung, and Blood Institute)
  • Implementation of a Novel Hypertension Clinical Practice Guideline in a Large Primary Care Practice:  Process Evaluation, Uptake and Impact on Clinical Outcomes (Funder: AAFP Foundation)
  • Impact of Adipokines and Insulin Resistance on Progression of Prehypertension (Funder: National Heart, Lung, and Blood Institute)
  • Patient Centered Cardiac Risk Assessment and Communication – Patient and Physician  Perspectives
  • Target Organ Damage Outcomes for Prehypertension and Obesity in Black Adolescents–(Funder: National Heart, Lung, and Blood Institute)
  • TECOS: A Randomized, Placebo Controlled Clinical Trial to Evaluate Cardiovascular Outcomes after Treatment with Sitagliptin in Patients with Type 2 Diabetes Mellitus and Inadequate Glycemic Control (Funder: Merck)
  • Validation of the Jefferson Scale of Empathy (JSE) (Funder: Gold Foundation)

RECENT PRESENTATIONS

Cheng C, Daskalakis C. Association of adipokines with insulin resistance, microvascular dysfunction, and endothelial dysfunction in healthy young adults. Mediators Inflamm. 2015;2015:594039. Epub 2015 Oct 13.

Cheng C, Lee CW, Daskalakis C. A reproducible computerized method for quantitation of capillary density using nailfold capillaroscopy. J Vis Exp. 2015 Oct 27;(105). doi: 10.3791/53088.

Chambers CV, Axell-House DB, Mills G, Bittner-Fagan H, Rosenthal MP, Johnson M, and Stello B. Primary Care Physicians’ Experience and Confidence with Genetic Testing and Perceived Barriers to Genomic Medicine. J Fam Med 2015; 2(2): 1-7.

Grinberg C, Hawthorne M, LaNoue M, Brenner J, Mautner D. The core of care management: The role of authentic relationships in caring for patients with frequent hospitalizations. Popul Health Manag. 2015 Nov 13. [Epub ahead of print].

LaNoue MD, Harvey AS, Mautner D, Scott KS, Ku B. Confirmatory factor analysis and invariance testing between blacks and whites of the Multidimensional Health Locus of Control scale. Health Psychology Open. 2015; 2(2): doi: 10.1177/2055102915615045.

RECENT PRESENTATIONS

LaNoue M, Cunningham A, Mills G, Sharbaugh A. Concept Mapping as a Tool for Engaging Patients and Providers in Clinical Quality Improvement. North American Primary Care Research Group Annual Meeting, Cancun, Mexico, October 2015.

Mills G, LaNoue M, Cheng C, Payton C, Valko G. Implementation of a Hypertension Clinical Practice Guideline in a Large Academic Primary Care Practice. North American Primary Care Research Group Annual Meeting, New York, NY, November 2014.