2019
What is the effect of a decision aid in potentially vulnerable parents? Insights from the head CT choice randomized trial
Skains RM, Kuppermann N, Homme JL, Kharbanda AB, Tzimenatos L, Louie JP, Cohen DM, Nigrovic LE, Westphal JJ, Shah ND, Inselman J, Ferrara MJ, Herrin J, Montori VM, Hess EP. What is the effect of a decision aid in potentially vulnerable parents? Insights from the head CT choice randomized trial. Health Expectations 2019, 23: 63-74. PMID: 31758633, PMCID: PMC6978876, DOI: 10.1111/hex.12965.Peer-Reviewed Original ResearchConceptsLow health literacyPhysician trustNon-white parentsHealth literacyDecisional conflictImportant traumatic brain injuryTraumatic brain injuryDecision aidLess decisional conflictDisadvantaged parentsGreater increaseUsual careIntermediate riskVulnerable parentsBrain injuryHigher numeracySecondary analysisSubgroup effectsArm assignmentPatient dyadsSocioeconomic statusTrialsRegression modelsParent characteristicsParents
2017
Impact of a Shared Decision Making Intervention on Health Care Utilization: A Secondary Analysis of the Chest Pain Choice Multicenter Randomized Trial
Schaffer JT, Hess EP, Hollander JE, Kline JA, Torres CA, Diercks DB, Jones R, Owen KP, Meisel ZF, Demers M, Leblanc A, Inselman J, Herrin J, Montori VM, Shah ND. Impact of a Shared Decision Making Intervention on Health Care Utilization: A Secondary Analysis of the Chest Pain Choice Multicenter Randomized Trial. Academic Emergency Medicine 2017, 25: 293-300. PMID: 29218817, DOI: 10.1111/acem.13355.Peer-Reviewed Original ResearchConceptsHealth care utilizationLength of stayCare utilizationObservation unit admissionUnit admissionChest painED visitsIntervention armStudy armsIndex emergency department visitLow-risk chest painOverall health care utilizationSecondary analysisBilling dataIndex ED visitAcute coronary syndromeEmergency department visitsCardiac imaging testsCardiac stress testingPlanned secondary analysisHealth care systemInitial EDPragmatic multicenterCardiac testingCoronary syndromeEffectiveness of a Decision Aid in Potentially Vulnerable Patients: A Secondary Analysis of the Chest Pain Choice Multicenter Randomized Trial
Rising K, Hollander J, Schaffer J, Kline J, Torres C, Diercks D, Jones R, Owen K, Meisel Z, Demers M, Leblanc A, Shah N, Inselman J, Herrin J, Montori V, Hess E. Effectiveness of a Decision Aid in Potentially Vulnerable Patients: A Secondary Analysis of the Chest Pain Choice Multicenter Randomized Trial. Medical Decision Making 2017, 38: 69-78. PMID: 28525723, DOI: 10.1177/0272989x17706363.Peer-Reviewed Original ResearchConceptsUsual careHealth literacySecondary analysisAcute coronary syndromeDecision aidOne-thirdChest painCoronary syndromePatient characteristicsSDM interventionsIntervention groupVulnerable patientsHigh school educationPatientsControl groupPhysician trustPatient trustSubgroup effectsArm assignmentVulnerable subgroupsSociodemographic groupsMulticenterTrialsSimilar extentPhysicians
2009
Hospice Characteristics and the Disenrollment of Patients with Cancer
Carlson MD, Herrin J, Du Q, Epstein AJ, Cherlin E, Morrison RS, Bradley EH. Hospice Characteristics and the Disenrollment of Patients with Cancer. Health Services Research 2009, 44: 2004-2021. PMID: 19656230, PMCID: PMC2796311, DOI: 10.1111/j.1475-6773.2009.01002.x.Peer-Reviewed Original ResearchConceptsPatient disenrollmentEnd Results-Medicare dataSmaller hospicesTypes of hospicesNew hospiceLong-stay patientsHigh disenrollment ratesMedicare hospice benefitClinical characteristicsDisenrollment ratesPatientsHospice benefitSecondary analysisHospiceDisenrollmentRural statusCancerOrganizational-level barriersStaff mixHospice characteristicsIndependent effectsFiscal intermediariesHigh rateMedicare certificationEpidemiology
2008
Team Training and Stroke Rehabilitation Outcomes: A Cluster Randomized Trial
Strasser DC, Falconer JA, Stevens AB, Uomoto JM, Herrin J, Bowen SE, Burridge AB. Team Training and Stroke Rehabilitation Outcomes: A Cluster Randomized Trial. Archives Of Physical Medicine And Rehabilitation 2008, 89: 10-15. PMID: 18164324, DOI: 10.1016/j.apmr.2007.08.127.Peer-Reviewed Original ResearchConceptsLength of stayStroke patientsCommunity dischargePatient outcomesVeterans Affairs Medical CenterImproved patient outcomesIntervention teamStroke rehabilitation outcomesSignificant differencesVideoconference consultationsStroke outcomeFunctional outcomeFIM instrumentRehabilitation unitFunctional improvementIntervention groupFIM gainMedical CenterStroke rehabilitationFunctional gainsRehabilitation outcomesControl groupClinical staffMotor itemsSecondary analysis