Victoria A. Shaffer
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View article: Clinical and neurocognitive correlates of obsessive-compulsive personality disorder symptoms: A transdiagnostic study in individuals with compulsive behaviors
Clinical and neurocognitive correlates of obsessive-compulsive personality disorder symptoms: A transdiagnostic study in individuals with compulsive behaviors Open
View article: Evaluation of a Novel Goals-of-Care Discussion Priming Tool (MyCare) in Inpatient General Internal Medicine Ward Settings: Feasibility, Acceptability, and Usability Study
Evaluation of a Novel Goals-of-Care Discussion Priming Tool (MyCare) in Inpatient General Internal Medicine Ward Settings: Feasibility, Acceptability, and Usability Study Open
Background For patients who are seriously ill, conversations about prognosis, values, and goals can improve person-centered care; however, these conversations do not occur consistently. Objective We aimed to develop an online, interactive …
View article: A Multisite CFIR Study of Readiness to Implement Collaboration Oriented Approach to Controlling High Blood Pressure (COACH)
A Multisite CFIR Study of Readiness to Implement Collaboration Oriented Approach to Controlling High Blood Pressure (COACH) Open
CONTEXT: Evaluating organizational readiness for implementing digital health solutions can identify potential barriers and increase the likelihood of sustained adoption. In the context of hypertension management, the Collaboration Oriented…
View article: Recommendations on the Use of Structured Expert Elicitation Protocols for Healthcare Decision Making: A Good Practices Report of an ISPOR Task Force
Recommendations on the Use of Structured Expert Elicitation Protocols for Healthcare Decision Making: A Good Practices Report of an ISPOR Task Force Open
Healthcare decision making, including regulatory and reimbursement decisions, is based on uncertain assessments of clinical and economic value. This arises from the evidence supporting those assessments being uncertain, incomplete, or even…
View article: Long-Acting Injectable Antiretrovirals for HIV Treatment: A Multi-Site Qualitative Study of Clinic-Level Barriers to Implementation in the United States
Long-Acting Injectable Antiretrovirals for HIV Treatment: A Multi-Site Qualitative Study of Clinic-Level Barriers to Implementation in the United States Open
Long-acting injectable antiretroviral therapy (LAI ART) has the potential to address adherence obstacles associated with daily oral ART, leading to enhanced treatment uptake, adherence, and viral suppression among people living with HIV (P…
View article: Collaboration Oriented Application to Controlling High blood pressure (COACH) Multisite Pragmatic Trial Design and Evaluation
Collaboration Oriented Application to Controlling High blood pressure (COACH) Multisite Pragmatic Trial Design and Evaluation Open
CONTEXT: 40% of diagnosed hypertension in the United States is uncontrolled, creating excess risk for cardiovascular morbidity and mortality. COACH is an innovative patient-facing blood pressure (BP) control decision support system that in…
View article: Patient Co-Investigator Refinement of the Collaboration Oriented Approach for Controlling High blood pressure (COACH) app
Patient Co-Investigator Refinement of the Collaboration Oriented Approach for Controlling High blood pressure (COACH) app Open
CONTEXT: Co-production of patient-centered digital interventions can help improve usability, effectiveness, and understandability. COACH is a patient-facing digital application connected to the EHR that uses guideline-supported messaging a…
View article: “To Be or Not to Be”—Cardiopulmonary Resuscitation for Hospitalized People Who Have a Low Probability of Benefit: Qualitative Analysis of Semi-structured Interviews
“To Be or Not to Be”—Cardiopulmonary Resuscitation for Hospitalized People Who Have a Low Probability of Benefit: Qualitative Analysis of Semi-structured Interviews Open
Purpose Our aim was to understand the decision making of patients in hospital who wanted cardiopulmonary resuscitation despite low probability of benefit. Methods We included patients admitted to general medical wards who had a low chance …
View article: A Patient Decision Aid (i.ARTs) to Facilitate Women’s Choice Between Oral and Long-Acting Injectable Antiretroviral Treatment for HIV: Protocols for its Development and Randomized Controlled Pilot Trial
A Patient Decision Aid (i.ARTs) to Facilitate Women’s Choice Between Oral and Long-Acting Injectable Antiretroviral Treatment for HIV: Protocols for its Development and Randomized Controlled Pilot Trial Open
Background Many women with HIV (WWH) have suboptimal adherence to oral antiretroviral therapy (ART) due to multilevel barriers to HIV care access and retention. A long-acting injectable (LAI) version of ART was approved by the US Food and …
View article: A Patient Decision Aid (i.ARTs) to Facilitate Women's Choice Between Oral and Long-Acting Injectable Antiretroviral Treatment for HIV: Protocols for its Development and Randomized Controlled Pilot Trial
A Patient Decision Aid (i.ARTs) to Facilitate Women's Choice Between Oral and Long-Acting Injectable Antiretroviral Treatment for HIV: Protocols for its Development and Randomized Controlled Pilot Trial Open
Background: Many women with HIV (WWH) have suboptimal adherence to oral antiretroviral therapy (ART) due to multilevel barriers to HIV care access and retention. A long-acting injectable (LAI) version of ART was approved by the US Food and…
View article: Study protocols for the development and randomized controlled pilot trial of a patient decision aid to facilitate women's choice between oral and LAI ART for HIV (Preprint)
Study protocols for the development and randomized controlled pilot trial of a patient decision aid to facilitate women's choice between oral and LAI ART for HIV (Preprint) Open
BACKGROUND Many women with HIV (WWH) have suboptimal adherence to oral antiretroviral therapy (ART) due to multilevel barriers to HIV care access and retention. A long-acting injectable (LAI) version of ART was approved by the Food and Dr…
View article: Do Personal Stories Make Patient Decision Aids More Effective? An Update from the International Patient Decision Aids Standards
Do Personal Stories Make Patient Decision Aids More Effective? An Update from the International Patient Decision Aids Standards Open
Background This article evaluates the evidence for the inclusion of patient narratives in patient decision aids (PtDAs). We define patient narratives as stories, testimonials, or anecdotes that provide illustrative examples of the experien…
View article: Exposure to Common Geographic COVID-19 Prevalence Maps and Public Knowledge, Risk Perceptions, and Behavioral Intentions
Exposure to Common Geographic COVID-19 Prevalence Maps and Public Knowledge, Risk Perceptions, and Behavioral Intentions Open
This survey study examines knowledge, risk perceptions, and behavioral intentions among survey respondents exposed to different types of COVID-19 prevalence maps.
View article: Exposure to Common Geographic COVID-19 Prevalence Maps and Public Knowledge, Risk Perceptions, and Behavioral Intentions
Exposure to Common Geographic COVID-19 Prevalence Maps and Public Knowledge, Risk Perceptions, and Behavioral Intentions Open
This survey study examines knowledge, risk perceptions, and behavioral intentions among survey respondents exposed to different types of COVID-19 prevalence maps.
View article: Promoting Reflection on Medical Maximizing-Minimizing Preferences May Create Undesired Effects on Decisions About Low-Benefit and High-Benefit Care
Promoting Reflection on Medical Maximizing-Minimizing Preferences May Create Undesired Effects on Decisions About Low-Benefit and High-Benefit Care Open
Background Medical maximizing-minimizing (MM) preferences predict a variety of medical decisions. We tested whether informing people about their MM preferences and asking them to reflect on the pros and cons of that preference would improv…
View article: Appendix_B.rjf_online_supp – Supplemental material for Use of Enhanced Data Visualization to Improve Patient Judgments about Hypertension Control
Appendix_B.rjf_online_supp – Supplemental material for Use of Enhanced Data Visualization to Improve Patient Judgments about Hypertension Control Open
Supplemental material, Appendix_B.rjf_online_supp for Use of Enhanced Data Visualization to Improve Patient Judgments about Hypertension Control by Victoria A. Shaffer, Pete Wegier, K. D. Valentine, Jeffery L. Belden, Shannon M. Canfield, …
View article: Medical Maximizing-Minimizing Predicts Patient Preferences for High- and Low-Benefit Care
Medical Maximizing-Minimizing Predicts Patient Preferences for High- and Low-Benefit Care Open
Purpose. People vary in their general preferences for more v. less health care, and the validated Medical Maximizing-Minimizing Scale (MMS) reliably measures this orientation. Medical maximizers (people scoring highly on the MMS) prefer to…
View article: Encouraging perspective taking: Using narrative writing to induce empathy for others engaging in negative health behaviors
Encouraging perspective taking: Using narrative writing to induce empathy for others engaging in negative health behaviors Open
Societal expectations of self-care and responsible actions toward others may produce bias against those who engage in perceived self-harming behavior. This is especially true for health professionals, who have dedicated themselves to helpi…
View article: Patient Judgments About Hypertension Control: The Role of Variability, Trends, and Outliers in Visualized Blood Pressure Data
Patient Judgments About Hypertension Control: The Role of Variability, Trends, and Outliers in Visualized Blood Pressure Data Open
Patients' judgment about hypertension control is influenced both by factors that are important predictors of hypertension related-health outcomes (eg, BP mean) and factors that are not (eg, variability and outliers). This study highlights …
View article: Patient Judgments About Hypertension Control: The Role of Variability, Trends, and Outliers in Visualized Blood Pressure Data (Preprint)
Patient Judgments About Hypertension Control: The Role of Variability, Trends, and Outliers in Visualized Blood Pressure Data (Preprint) Open
BACKGROUND Uncontrolled hypertension is a significant health problem in the United States, even though multiple drugs exist to effectively treat this chronic disease. OBJECTIVE As part of a larger project developing data visualizations …
View article: Explanation and elaboration of the Standards for UNiversal reporting of patient Decision Aid Evaluations (SUNDAE) guidelines: examples of reporting SUNDAE items from patient decision aid evaluation literature
Explanation and elaboration of the Standards for UNiversal reporting of patient Decision Aid Evaluations (SUNDAE) guidelines: examples of reporting SUNDAE items from patient decision aid evaluation literature Open
This Explanation and Elaboration (E&E) article expands on the 26 items in the Standards for UNiversal reporting of Decision Aid Evaluations guidelines. The E&E provides a rationale for each item and includes examples for how each item has …
View article: Standards for UNiversal reporting of patient Decision Aid Evaluation studies: the development of SUNDAE Checklist
Standards for UNiversal reporting of patient Decision Aid Evaluation studies: the development of SUNDAE Checklist Open
Background Patient decision aids (PDAs) are evidence-based tools designed to help patients make specific and deliberated choices among healthcare options. The International Patient Decision Aid Standards (IPDAS) Collaboration review papers…
View article: Nudges for Health Policy: Effectiveness and Limitations
Nudges for Health Policy: Effectiveness and Limitations Open
One tool that our government can use to combat our healthcare challenges is the use of health policy in the form of programs, regulations, and agencies that are aimed at improving the overall health and welfare of Americans. Of the various…
View article: Could Physician Use of Realistic Previews Increase Treatment Adherence and Patient Satisfaction?
Could Physician Use of Realistic Previews Increase Treatment Adherence and Patient Satisfaction? Open
Imagine you are treating Karen, a 25-year-old woman, who just delivered a healthy baby boy. Karen’s son will receive many health benefits if Karen breast-feeds him. But, you know that starting and sticking to breast-feeding is not easy. Af…