Leah Karliner
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View article: Online, Community‐Based Workshop for Rural Family Caregivers of Persons Living with Dementia in the United States: Results of a National Randomized Controlled Trial
Online, Community‐Based Workshop for Rural Family Caregivers of Persons Living with Dementia in the United States: Results of a National Randomized Controlled Trial Open
Background Family caregivers of persons living with dementia (PLWD) in rural areas of the United States (U.S.) are isolated, under‐served, and experience poor health outcomes. We evaluated the impact of an online workshop on the psychologi…
View article: PRIMARY CARE PHYSICIAN PERSPECTIVES ON THE INVOLVEMENT OF FAMILY MEMBERS IN THE CARE OF PEOPLE WITH DEMENTIA
PRIMARY CARE PHYSICIAN PERSPECTIVES ON THE INVOLVEMENT OF FAMILY MEMBERS IN THE CARE OF PEOPLE WITH DEMENTIA Open
Involving family is integral to the care of people with dementia. Family medicine’s comprehensive “whole person” approach is ideally suited to this care. We interviewed 18 family physicians across the US to identify ways they involved and …
View article: CHARACTERISTICS ASSOCIATED WITH PRIMARY CARE–BASED DEMENTIA SCREENING VISIT COMPLETION IN THE ERADAR STUDY
CHARACTERISTICS ASSOCIATED WITH PRIMARY CARE–BASED DEMENTIA SCREENING VISIT COMPLETION IN THE ERADAR STUDY Open
Nearly 7 million people in the U.S. are living with dementia, but approximately half are undiagnosed. We are performing a randomized, controlled trial in two healthcare systems (Kaiser Permanent Washington-KPWA, University of California Sa…
View article: Residential Neighborhood Disadvantage and Amyloid Positivity: Findings from IDEAS
Residential Neighborhood Disadvantage and Amyloid Positivity: Findings from IDEAS Open
Background Residence in a disadvantaged neighborhood (e.g., high poverty rate, poor housing, etc.) is associated with greater dementia risk and possibly greater postmortem Alzheimer’s pathology. It remains unknown if neighborhood disadvant…
View article: Residential Neighborhood Disadvantage and Amyloid Positivity: Findings from IDEAS
Residential Neighborhood Disadvantage and Amyloid Positivity: Findings from IDEAS Open
Background Residence in a disadvantaged neighborhood (e.g., high poverty rate, poor housing, etc.) is associated with greater dementia risk and possibly greater postmortem Alzheimer’s pathology. It remains unknown if neighborhood disadvant…
View article: TESTING ERADAR: A NEW EHR-BASED ALGORITHM TO INCREASE DEMENTIA RECOGNITION IN HEALTH CARE SYSTEMS
TESTING ERADAR: A NEW EHR-BASED ALGORITHM TO INCREASE DEMENTIA RECOGNITION IN HEALTH CARE SYSTEMS Open
Electronic health records (EHRs) hold potential for identifying individuals with undiagnosed dementia. Using machine learning, our team developed and externally validated a predictive algorithm called the EHR Risk of Alzheimers and Dementi…
View article: Pain management inequities by demographic and geriatric‐related variables in older adult inpatients
Pain management inequities by demographic and geriatric‐related variables in older adult inpatients Open
Background Pain is ubiquitous, yet understudied. The objective of this study was to analyze inequities in pain assessment and management for hospitalized older adults focusing on demographic and geriatric‐related variables. Methods This wa…
View article: Who do patients depend on as they age and for what medical needs? An exploratory study of Chinese and Latino primary care patients
Who do patients depend on as they age and for what medical needs? An exploratory study of Chinese and Latino primary care patients Open
Background As the U.S. population ages, family members increasingly act as informal caregivers, particularly for minority patients and those with limited English proficiency (LEP). However, physicians often do not identify or engage caregi…
View article: Telemedicine and Depression Screening After the Start of the COVID-19 Pandemic
Telemedicine and Depression Screening After the Start of the COVID-19 Pandemic Open
This cohort study investigates the probability of depression screening by visit type and by patient demographic characteristics in a large health system during the early COVID-19 pandemic.
View article: Care Partner Engagement in Secure Messaging Between Patients With Diabetes and Their Clinicians: Cohort Study
Care Partner Engagement in Secure Messaging Between Patients With Diabetes and Their Clinicians: Cohort Study Open
Background Patient engagement with secure messaging (SM) via digital patient portals has been associated with improved diabetes outcomes, including increased patient satisfaction and better glycemic control. Yet, disparities in SM uptake e…
View article: Language Access Systems Improvement initiative: impact on professional interpreter utilisation, a natural experiment
Language Access Systems Improvement initiative: impact on professional interpreter utilisation, a natural experiment Open
Objectives This study aims to evaluate the Language Access Systems Improvement (LASI) initiative’s impact on professional interpreter utilisation in primary care and to explore patient and clinician perspectives on professional interpreter…
View article: IMPROVING DEMENTIA DETECTION IN PRIMARY CARE: PROCESS EVALUATION FOR THE ERADAR BRAIN HEALTH TRIAL
IMPROVING DEMENTIA DETECTION IN PRIMARY CARE: PROCESS EVALUATION FOR THE ERADAR BRAIN HEALTH TRIAL Open
The eRADAR Brain Health Study is an ongoing embedded, pragmatic trial testing whether targeted screening improves detection and diagnosis of dementia in primary care clinics at Kaiser Permanente Washington and the University of California,…
View article: Effective strategies to recruit rural family/friend caregivers of persons living with dementia in the United States into a national randomized controlled trial: preliminary results
Effective strategies to recruit rural family/friend caregivers of persons living with dementia in the United States into a national randomized controlled trial: preliminary results Open
Background Family/friend caregivers of persons living with dementia (PLWD) in rural areas of the United States (U.S.) are more isolated and under‐served than urban counterparts[1] and are under‐represented in randomized controlled trials (…
View article: Predictors of Psychological Distress Among Rural Family/Friend Caregivers of People Living With Dementia in the United States: Consequences of the COVID-19 Pandemic
Predictors of Psychological Distress Among Rural Family/Friend Caregivers of People Living With Dementia in the United States: Consequences of the COVID-19 Pandemic Open
Objectives Caregivers of persons living with dementia in rural United States are a vulnerable population. During the coronavirus disease 2019 (COVID-19) pandemic, rural communities experienced heightened disparities in social services, hea…
View article: The electronic health record Risk of Alzheimer’s and Dementia Assessment Rule (eRADAR) Brain Health Trial: Protocol for an embedded, pragmatic clinical trial of a low-cost dementia detection algorithm
The electronic health record Risk of Alzheimer’s and Dementia Assessment Rule (eRADAR) Brain Health Trial: Protocol for an embedded, pragmatic clinical trial of a low-cost dementia detection algorithm Open
View article: Validity Evidence for the Physician Oral Language Observation Matrix as a Measure of Medical Spanish Proficiency
Validity Evidence for the Physician Oral Language Observation Matrix as a Measure of Medical Spanish Proficiency Open
View article: LungCARE: Encouraging Shared Decision-Making in Lung Cancer Screening—a Randomized Trial
LungCARE: Encouraging Shared Decision-Making in Lung Cancer Screening—a Randomized Trial Open
View article: Language-Concordant Care: a Qualitative Study Examining Implementation of Physician Non-English Language Proficiency Assessment
Language-Concordant Care: a Qualitative Study Examining Implementation of Physician Non-English Language Proficiency Assessment Open
Background Language concordance can increase access to care for patients with language barriers and improve patient health outcomes. However, systematically assessing and tracking physician non-English language skills remains uncommon in m…
View article: Most people share genetic test results with relatives even if the findings are normal: Family communication in a diverse population
Most people share genetic test results with relatives even if the findings are normal: Family communication in a diverse population Open
View article: “How’s your mood”: Recorded physician mental health conversations with Chinese and Latino patients in routine primary care visits
“How’s your mood”: Recorded physician mental health conversations with Chinese and Latino patients in routine primary care visits Open
View article: Medical <scp>interpreter‐mediated</scp> genetic counseling for Spanish preferring adults at risk for a hereditary cancer syndrome
Medical <span>interpreter‐mediated</span> genetic counseling for Spanish preferring adults at risk for a hereditary cancer syndrome Open
The objective of this study was to identify interpretation challenges specific to exome sequencing and errors of potential clinical significance in the context of genetic counseling for adults at risk for a hereditary cancer syndrome. Thir…
View article: “Long Overdue”: Nurse and Resident Physician Perspectives on Implementation of Dual-Handset Interpreter Phones in the Inpatient Setting
“Long Overdue”: Nurse and Resident Physician Perspectives on Implementation of Dual-Handset Interpreter Phones in the Inpatient Setting Open
Our findings indicate that clinicians value dual-handset interpretation in bridging communication barriers and highlight recommendations to guide future implementation interventions to increase the uptake of remote language services in hos…
View article: Development and Effectiveness of a Rater Training Curriculum for Evaluating Student Medical Spanish Oral Proficiency Using the Physician Oral Language Observation Matrix
Development and Effectiveness of a Rater Training Curriculum for Evaluating Student Medical Spanish Oral Proficiency Using the Physician Oral Language Observation Matrix Open
To improve language-concordant, equitable healthcare for Spanish speakers, many United States medical schools offer medical Spanish education. However, there is no clinically contextualized, standardized approach to medical student languag…
View article: The Electronic Health Record Risk of Alzheimer's and Dementia Assessment Rule (eRADAR) Brain Health Trial: Protocol for an Embedded, Pragmatic Clinical Trial of a Low-Cost Dementia Detection Algorithm
The Electronic Health Record Risk of Alzheimer's and Dementia Assessment Rule (eRADAR) Brain Health Trial: Protocol for an Embedded, Pragmatic Clinical Trial of a Low-Cost Dementia Detection Algorithm Open
View article: Primary Care Physicians’ Perceived Barriers to Follow-Up of Abnormal Mammogram Results: Opportunities for Systems-Level Interventions
Primary Care Physicians’ Perceived Barriers to Follow-Up of Abnormal Mammogram Results: Opportunities for Systems-Level Interventions Open
View article: Complementary and integrative healthcare communication in Chinese American patient / primary care visits: An observational discourse analysis
Complementary and integrative healthcare communication in Chinese American patient / primary care visits: An observational discourse analysis Open
This discourse analysis of visits between Chinese-American patients and their clinicians advances understanding of CIH communication beyond disclosure, illustrating the complexity of linguistic and cultural nuances that affect patient care.
View article: Exploring the Impact of Language Concordance on Cancer Communication
Exploring the Impact of Language Concordance on Cancer Communication Open
PURPOSE: Patients with cancer who have limited English proficiency are more likely to experience inequities in cancer knowledge, timely care, and access to clinical trials. Matching patients with language-concordant clinicians and working …
View article: Association of Race and Ethnicity With Prescription of SGLT2 Inhibitors and GLP1 Receptor Agonists Among Patients With Type 2 Diabetes in the Veterans Health Administration System
Association of Race and Ethnicity With Prescription of SGLT2 Inhibitors and GLP1 Receptor Agonists Among Patients With Type 2 Diabetes in the Veterans Health Administration System Open
Importance Novel therapies for type 2 diabetes can reduce the risk of cardiovascular disease and chronic kidney disease progression. The equitability of these agents’ prescription across racial and ethnic groups has not been well-evaluated…
View article: Study protocol for a hybrid effectiveness-implementation trial of the Building Better Caregivers online workshop for rural family/friend caregivers of people living with dementia
Study protocol for a hybrid effectiveness-implementation trial of the Building Better Caregivers online workshop for rural family/friend caregivers of people living with dementia Open
This is the first known study to evaluate both the effectiveness and implementation of a caregiver support intervention under real-world conditions in rural areas. If successful, this online workshop will be a practical and acceptable appr…
View article: Development of a Tool to Assess Medical Oral Language Proficiency
Development of a Tool to Assess Medical Oral Language Proficiency Open
Purpose To communicate with linguistically diverse patients, medical students and physicians often use their non-English-language skills. However, there is no standard protocol to determine whether those skills are adequate before patient …