Richard L. Bradshaw
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View article: Incomplete Family History and Meeting Algorithmic Criteria for Genetic Evaluation of Hereditary Cancer
Incomplete Family History and Meeting Algorithmic Criteria for Genetic Evaluation of Hereditary Cancer Open
Importance Incomplete electronic health record (EHR) documentation may limit the effectiveness of clinical decision support (CDS) algorithms designed to identify patients eligible for hereditary cancer genetic evaluation. Objectives To det…
View article: Chatbot-based Intervention for Education and Access to at-home COVID-19 Testing in the SCALE-UP II Trial: a Descriptive Log Analysis Study (Preprint)
Chatbot-based Intervention for Education and Access to at-home COVID-19 Testing in the SCALE-UP II Trial: a Descriptive Log Analysis Study (Preprint) Open
BACKGROUND Promoting at-home tests (e.g., for COVID-19) using chatbots may be a novel and scalable way to improve uptake across diverse populations. OBJECTIVE The objective of this study was to assess patients’ navigational patterns (i.…
View article: Bridging Technology and Pretest Genetic Services: Quantitative Study of Chatbot Interaction Patterns, User Characteristics, and Genetic Testing Decisions
Bridging Technology and Pretest Genetic Services: Quantitative Study of Chatbot Interaction Patterns, User Characteristics, and Genetic Testing Decisions Open
Background Among the alternative solutions being tested to improve access to genetic services, chatbots (or conversational agents) are being increasingly used for service delivery. Despite the growing number of studies on the accessibility…
View article: Importance of Prior Patient Interactions With the Healthcare System to Engaging With Pretest Cancer Genetic Services via Digital Health Tools Among Unaffected Primary Care Patients: Findings From the <scp>BRIDGE</scp> Trial
Importance of Prior Patient Interactions With the Healthcare System to Engaging With Pretest Cancer Genetic Services via Digital Health Tools Among Unaffected Primary Care Patients: Findings From the <span>BRIDGE</span> Trial Open
Objective To examine whether patient sociodemographic and clinical characteristics and prior interactions with the healthcare system were associated with opening patient portal messages related to cancer genetic services and beginning serv…
View article: Population-Based Digital Health Interventions to Deliver at-Home COVID-19 Testing: SCALE-UP II Randomized Clinical Trial
Population-Based Digital Health Interventions to Deliver at-Home COVID-19 Testing: SCALE-UP II Randomized Clinical Trial Open
Background Digital health interventions could be a scalable approach to delivering at-home COVID-19 testing. Objective SCALE-UP II aimed to investigate the effectiveness of 3 digital health interventions on the delivery of mailed at-home C…
View article: Social vulnerability and genetic service utilization among unaffected BRIDGE trial patients with inherited cancer susceptibility
Social vulnerability and genetic service utilization among unaffected BRIDGE trial patients with inherited cancer susceptibility Open
Background Research on social determinants of genetic testing uptake is limited, particularly among unaffected patients with inherited cancer susceptibility. Methods We conducted a secondary analysis of the Broadening the Reach, Impact, an…
View article: Identification of Individuals With Hereditary Cancer Risk Through Multiple Data Sources: A Population-Based Method Using the GARDE Platform and The Utah Population Database
Identification of Individuals With Hereditary Cancer Risk Through Multiple Data Sources: A Population-Based Method Using the GARDE Platform and The Utah Population Database Open
PURPOSE The GARDE platform uses family history reported in the electronic health record (EHR) to systematically identify eligible patients for genetic testing for hereditary cancer syndromes. The goal of this study was to evaluate the chan…
View article: Reach and Engagement With Population Health Management Interventions to Address COVID-19 Among Safety-Net Health Care Systems
Reach and Engagement With Population Health Management Interventions to Address COVID-19 Among Safety-Net Health Care Systems Open
Interventions designed to address COVID-19 needed to be rapidly scaled up to the population level, and to address health equity by reaching historically marginalized populations most affected by the pandemic (e.g., racial/ethnic minorities…
View article: Uptake of Cancer Genetic Services for Chatbot vs Standard-of-Care Delivery Models
Uptake of Cancer Genetic Services for Chatbot vs Standard-of-Care Delivery Models Open
Importance Increasing numbers of unaffected individuals could benefit from genetic evaluation for inherited cancer susceptibility. Automated conversational agents (ie, chatbots) are being developed for cancer genetics contexts; however, ra…
View article: Best practices to evaluate the impact of biomedical research software—metric collection beyond citations
Best practices to evaluate the impact of biomedical research software—metric collection beyond citations Open
Motivation Software is vital for the advancement of biology and medicine. Impact evaluations of scientific software have primarily emphasized traditional citation metrics of associated papers, despite these metrics inadequately capturing t…
View article: SCALE-UP II: protocol for a pragmatic randomised trial examining population health management interventions to increase the uptake of at-home COVID-19 testing in community health centres
SCALE-UP II: protocol for a pragmatic randomised trial examining population health management interventions to increase the uptake of at-home COVID-19 testing in community health centres Open
Introduction SCALE-UP II aims to investigate the effectiveness of population health management interventions using text messaging (TM), chatbots and patient navigation (PN) in increasing the uptake of at-home COVID-19 testing among patient…
View article: Determinants of Breast Cancer Screening Adherence During the COVID-19 Pandemic in a Cohort at Increased Inherited Cancer Risk in the United States
Determinants of Breast Cancer Screening Adherence During the COVID-19 Pandemic in a Cohort at Increased Inherited Cancer Risk in the United States Open
Background We examined neighborhood characteristics concerning breast cancer screening annual adherence during the COVID-19 pandemic. Methods We analyzed 6673 female patients aged 40 or older at increased inherited cancer risk in 2 large h…
View article: Increasing the reach of evidence-based interventions for weight management and diabetes prevention among Medicaid patients: study protocol for a pilot Sequential Multiple Assignment Randomised Trial
Increasing the reach of evidence-based interventions for weight management and diabetes prevention among Medicaid patients: study protocol for a pilot Sequential Multiple Assignment Randomised Trial Open
Introduction Over 40% of US adults meet criteria for obesity, a major risk factor for chronic disease. Obesity disproportionately impacts populations that have been historically marginalised (eg, low socioeconomic status, rural, some racia…
View article: Evaluation of software impact designed for biomedical research: Are we measuring what's meaningful?
Evaluation of software impact designed for biomedical research: Are we measuring what's meaningful? Open
Software is vital for the advancement of biology and medicine. Analysis of usage and impact metrics can help developers determine user and community engagement, justify additional funding, encourage additional use, identify unanticipated u…
View article: Evaluation of software impact designed for biomedical research: Are we measuring what's meaningful?
Evaluation of software impact designed for biomedical research: Are we measuring what's meaningful? Open
Software is vital for the advancement of biology and medicine. Through analysis of usage and impact metrics of software, developers can help determine user and community engagement. These metrics can be used to justify additional funding, …
View article: Rapid-cycle designs to adapt interventions for COVID-19 in safety-net healthcare systems
Rapid-cycle designs to adapt interventions for COVID-19 in safety-net healthcare systems Open
Racial/ethnic minority, low socioeconomic status, and rural populations are disproportionately affected by COVID-19. Developing and evaluating interventions to address COVID-19 testing and vaccination among these populations are crucial to…
View article: Association of Disparities in Family History and Family Cancer History in the Electronic Health Record With Sex, Race, Hispanic or Latino Ethnicity, and Language Preference in 2 Large US Health Care Systems
Association of Disparities in Family History and Family Cancer History in the Electronic Health Record With Sex, Race, Hispanic or Latino Ethnicity, and Language Preference in 2 Large US Health Care Systems Open
Importance Clinical decision support (CDS) algorithms are increasingly being implemented in health care systems to identify patients for specialty care. However, systematic differences in missingness of electronic health record (EHR) data …
View article: Correction: Identifying Patients Who Meet Criteria for Genetic Testing of Hereditary Cancers Based on Structured and Unstructured Family Health History Data in the Electronic Health Record: Natural Language Processing Approach
Correction: Identifying Patients Who Meet Criteria for Genetic Testing of Hereditary Cancers Based on Structured and Unstructured Family Health History Data in the Electronic Health Record: Natural Language Processing Approach Open
[This corrects the article DOI: 10.2196/37842.].
View article: Correction: Identifying Patients Who Meet Criteria for Genetic Testing of Hereditary Cancers Based on Structured and Unstructured Family Health History Data in the Electronic Health Record: Natural Language Processing Approach (Preprint)
Correction: Identifying Patients Who Meet Criteria for Genetic Testing of Hereditary Cancers Based on Structured and Unstructured Family Health History Data in the Electronic Health Record: Natural Language Processing Approach (Preprint) Open
UNSTRUCTURED REMOVE
View article: Identifying Patients Who Meet Criteria for Genetic Testing of Hereditary Cancers Based on Structured and Unstructured Family Health History Data in the Electronic Health Record: Natural Language Processing Approach
Identifying Patients Who Meet Criteria for Genetic Testing of Hereditary Cancers Based on Structured and Unstructured Family Health History Data in the Electronic Health Record: Natural Language Processing Approach Open
Background Family health history has been recognized as an essential factor for cancer risk assessment and is an integral part of many cancer screening guidelines, including genetic testing for personalized clinical management strategies. …
View article: GARDE: a standards-based clinical decision support platform for identifying population health management cohorts
GARDE: a standards-based clinical decision support platform for identifying population health management cohorts Open
Population health management (PHM) is an important approach to promote wellness and deliver health care to targeted individuals who meet criteria for preventive measures or treatment. A critical component for any PHM program is a data anal…
View article: Patient Interactions With an Automated Conversational Agent Delivering Pretest Genetics Education: Descriptive Study
Patient Interactions With an Automated Conversational Agent Delivering Pretest Genetics Education: Descriptive Study Open
Background Cancer genetic testing to assess an individual’s cancer risk and to enable genomics-informed cancer treatment has grown exponentially in the past decade. Because of this continued growth and a shortage of health care workers, th…
View article: Establishing a multidisciplinary initiative for interoperable electronic health record innovations at an academic medical center
Establishing a multidisciplinary initiative for interoperable electronic health record innovations at an academic medical center Open
Objective To establish an enterprise initiative for improving health and health care through interoperable electronic health record (EHR) innovations. Materials and Methods We developed a unifying mission and vision, established multidisci…
View article: Patient Interactions With an Automated Conversational Agent Delivering Pretest Genetics Education: Descriptive Study (Preprint)
Patient Interactions With an Automated Conversational Agent Delivering Pretest Genetics Education: Descriptive Study (Preprint) Open
BACKGROUND Cancer genetic testing to assess an individual’s cancer risk and to enable genomics-informed cancer treatment has grown exponentially in the past decade. Because of this continued growth and a shortage of health care workers, t…
View article: Additional file 1 of Comparing models of delivery for cancer genetics services among patients receiving primary care who meet criteria for genetic evaluation in two healthcare systems: BRIDGE randomized controlled trial
Additional file 1 of Comparing models of delivery for cancer genetics services among patients receiving primary care who meet criteria for genetic evaluation in two healthcare systems: BRIDGE randomized controlled trial Open
Additional file 1.
View article: Standards-Based Clinical Decision Support Platform to Manage Patients Who Meet Guideline-Based Criteria for Genetic Evaluation of Familial Cancer
Standards-Based Clinical Decision Support Platform to Manage Patients Who Meet Guideline-Based Criteria for Genetic Evaluation of Familial Cancer Open
PURPOSE The ubiquitous adoption of electronic health records (EHRs) with family health history (FHH) data provides opportunities for tailoring cancer screening strategies to individuals. We aimed to enable a standards-based clinical decisi…