Emma Behnken
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View article: Safety in a hybrid hospital‐at‐home program versus traditional inpatient care: A pragmatic randomized controlled trial
Safety in a hybrid hospital‐at‐home program versus traditional inpatient care: A pragmatic randomized controlled trial Open
Background Hospital‐at‐home programs (HaH) in the United States have evolved to include a virtual‐hybrid delivery model, where all physician encounters are virtual and partnered with a home care team. Objective To examine whether a virtual…
View article: Care for patients living with chronic conditions using the ICAN Discussion Aid: A mixed methods cluster-randomized trial
Care for patients living with chronic conditions using the ICAN Discussion Aid: A mixed methods cluster-randomized trial Open
Objectives To assess the effectiveness of the ICAN Discussion Aid in improving patients’ experience of receiving care for their chronic conditions and health professionals’ experience of providing their care. Methods We conducted a pragmat…
View article: Financial Toxicity in the Clinical Encounter: A Paired Survey of Patient and Clinician Perceptions
Financial Toxicity in the Clinical Encounter: A Paired Survey of Patient and Clinician Perceptions Open
Even in encounters where cost conversations occurred, there was poor patient-clinician agreement on ratings of the patient's difficulty in paying medical bills and perceived importance of discussing cost issues. Clinicians need more traini…
View article: Provider Perspectives on Artificial Intelligence–Guided Screening for Low Ejection Fraction in Primary Care: Qualitative Study
Provider Perspectives on Artificial Intelligence–Guided Screening for Low Ejection Fraction in Primary Care: Qualitative Study Open
Background The promise of artificial intelligence (AI) to transform health care is threatened by a tangle of challenges that emerge as new AI tools are introduced into clinical practice. AI tools with high accuracy, especially those that d…
View article: Effect of hospital-at-home vs. traditional brick-and-mortar hospital care in acutely ill adults: study protocol for a pragmatic randomized controlled trial
Effect of hospital-at-home vs. traditional brick-and-mortar hospital care in acutely ill adults: study protocol for a pragmatic randomized controlled trial Open
Background Delivering acute hospital care to patients at home might reduce costs and improve patient experience. Mayo Clinic’s Advanced Care at Home (ACH) program is a novel virtual hybrid model of “Hospital at Home.” This pragmatic random…
View article: Diabetes Rescue, Engagement and Management (D-REM): rationale and design of a pragmatic clinical trial of a community paramedicine programme to improve diabetes care
Diabetes Rescue, Engagement and Management (D-REM): rationale and design of a pragmatic clinical trial of a community paramedicine programme to improve diabetes care Open
Introduction Diabetes is one of the most common serious chronic health conditions in the USA. People living with diabetes face multiple barriers to optimal diabetes care, including gaps in access to medical care and self-management educati…
View article: Effect of Shared Decision‐Making for Stroke Prevention on Treatment Adherence and Safety Outcomes in Patients With Atrial Fibrillation: A Randomized Clinical Trial
Effect of Shared Decision‐Making for Stroke Prevention on Treatment Adherence and Safety Outcomes in Patients With Atrial Fibrillation: A Randomized Clinical Trial Open
Background Guidelines promote shared decision‐making (SDM) for anticoagulation in patients with atrial fibrillation. We recently showed that adding a within‐encounter SDM tool to usual care (UC) increases patient involvement in decision‐ma…
View article: Do patients with high versus low treatment and illness burden have different needs? A mixed-methods study of patients living on dialysis
Do patients with high versus low treatment and illness burden have different needs? A mixed-methods study of patients living on dialysis Open
Background Approximately 750,000 people in the U.S. live with end-stage kidney disease (ESKD); the majority receive dialysis. Despite the importance of adherence to dialysis, it remains suboptimal, and one contributor may be patients’ insu…
View article: Artificial <scp>Intelligence‐Enhanced ECG</scp> Identification of Low Ejection Fraction: A Pragmatic, <scp>Cluster‐Randomized</scp> Clinical Trial
Artificial <span>Intelligence‐Enhanced ECG</span> Identification of Low Ejection Fraction: A Pragmatic, <span>Cluster‐Randomized</span> Clinical Trial Open
Research Objective An artificial intelligence (AI) algorithm based on ECG was integrated into clinical workflows to identify patients with a high likelihood of low ejection (EF), a condition that is underdiagnosed but treatable. The trial …
View article: Cost Conversations About Anticoagulation Between Patients With Atrial Fibrillation and Their Clinicians
Cost Conversations About Anticoagulation Between Patients With Atrial Fibrillation and Their Clinicians Open
ClinicalTrials.gov Identifier: NCT02905032.
View article: Increasing risk-concordant cardiovascular care in diverse health systems: a mixed methods pragmatic stepped wedge cluster randomized implementation trial of shared decision making (SDM4IP)
Increasing risk-concordant cardiovascular care in diverse health systems: a mixed methods pragmatic stepped wedge cluster randomized implementation trial of shared decision making (SDM4IP) Open
Background The primary prevention of cardiovascular (CV) events is often less intense in persons at higher CV risk and vice versa. Clinical practice guidelines recommend that clinicians and patients use shared decision making (SDM) to arri…
View article: Determinants of Self-reported Health Outcomes in Adrenal Insufficiency: A Multisite Survey Study
Determinants of Self-reported Health Outcomes in Adrenal Insufficiency: A Multisite Survey Study Open
Context Current evidence on determinants of adverse health outcomes in patients with adrenal insufficiency (AI) is scarce, especially in regards to AI subtypes. Objective To determine predictors of adverse outcomes in different subtypes of…
View article: Normalization of a conversation tool to promote shared decision making about anticoagulation in patients with atrial fibrillation within a practical randomized trial of its effectiveness: a cross-sectional study
Normalization of a conversation tool to promote shared decision making about anticoagulation in patients with atrial fibrillation within a practical randomized trial of its effectiveness: a cross-sectional study Open
Background Shared decision making (SDM) implementation remains challenging. The factors that promote or hinder implementation of SDM tools for use during the consultation, including contextual factors such as clinician burnout and organiza…
View article: MON-160 The Burdens of Adrenal Insufficiency: A Survey Study from Two Tertiary Care Centers in the United States
MON-160 The Burdens of Adrenal Insufficiency: A Survey Study from Two Tertiary Care Centers in the United States Open
Background: Adrenal insufficiency (AI) is a chronic disorder necessitating life-long replacement. Patients’ quality of life and health outcomes depend on knowledge and comfort level with self-management. Objective: To determine patients’ k…
View article: MON-164 Determinants of Quality of Life in Primary and Secondary Adrenal Insufficiency from Two Large Tertiary Care Centers in the United States
MON-164 Determinants of Quality of Life in Primary and Secondary Adrenal Insufficiency from Two Large Tertiary Care Centers in the United States Open
Background: Patients with primary adrenal insufficiency (PAI) and secondary adrenal insufficiency (SAI) report impaired quality of life. Predictors of adverse outcomes include duration of disease, supraphysiologic glucocorticoid (GC) use, …
View article: Clinical trial design data for electrocardiogram artificial intelligence-guided screening for low ejection fraction (EAGLE)
Clinical trial design data for electrocardiogram artificial intelligence-guided screening for low ejection fraction (EAGLE) Open
The article details the materials that will be used in a clinical trial - ECG AI-Guided Screening for Low Ejection Fraction (EAGLE): Rationale and design of a pragmatic cluster randomized trial [1]. It includes a clinician-facing action re…
View article: Changing conversations in primary care for patients living with chronic conditions: pilot and feasibility study of the ICAN Discussion Aid
Changing conversations in primary care for patients living with chronic conditions: pilot and feasibility study of the ICAN Discussion Aid Open
Purpose To pilot test the impact of the ICAN Discussion Aid on clinical encounters. Methods A pre–post study involving 11 clinicians and 100 patients was conducted at two primary care clinics within a single health system in the Midwest. T…
View article: Reflecting on shared decision making: A reflection‐quantification study
Reflecting on shared decision making: A reflection‐quantification study Open
Background Reflecting (“stop‐and‐think”) before rating may help patients consider the quality of shared decision making (SDM) and mitigate ceiling/halo effects that limit the performance of self‐reported SDM measures. Methods We asked a di…
View article: Patient capacity for self-care in the medical record of patients with chronic conditions: a mixed-methods retrospective study
Patient capacity for self-care in the medical record of patients with chronic conditions: a mixed-methods retrospective study Open
Medical records scarcely document patient capacity. This may impair the ability of clinicians to determine how patients can handle patient work, at what point patient capacity might become overwhelmed leading to poor adherence and health o…