Chronic Conditions

Evaluating treatment burden in patients with complex needs receiving a transition of care intervention: A rapid qualitative analysis.

Citation
Bowen E, Ali N, Anderson AJ, Krolikowski A, Hewner S. Evaluating treatment burden in patients with complex needs receiving a transition of care intervention: A rapid qualitative analysis. Clin Nurs Res. 2025 Sep 28:10547738251378678. doi: 10.1177/10547738251378678. Epub ahead of print. PMID: 41015909.
Principal Investigator
Hewner, Sharon
Project Name
Implementing Personalized Cross-Sector Transitional Care Management to Promote Care Continuity, Reduce Low-Value Utilization, and Reduce the Burden of Treatment for High-Need, High-Cost Patients

Managing health without stable housing: Dimensions of treatment burden and patient capacity for people with chronic health conditions experiencing homelessness.

Citation
Bowen E, Anderson AJ, Capozziello N, Hewner S. Managing health without stable housing: Dimensions of treatment burden and patient capacity for people with chronic health conditions experiencing homelessness. Qual Health Res. 2025 Nov;35(13):1450-1463. doi: 10.1177/10497323241302673. Epub 2024 Dec 15. PMID: 39676283.
Principal Investigator
Hewner, Sharon
Project Name
Implementing Personalized Cross-Sector Transitional Care Management to Promote Care Continuity, Reduce Low-Value Utilization, and Reduce the Burden of Treatment for High-Need, High-Cost Patients

Assessing the seasonality of lab tests among patients with Alzheimer's disease and related dementias in OneFlorida Data Trust.

Citation
Han W, Bhasuran B, Muse VP, Brunak S, Lin L, Hanna K, Huang Y, Bian J, He Z.Assessing the seasonality of lab tests among patients with Alzheimer's disease and related dementias in OneFlorida Data Trust. AMIA Annu Symp Proc. 2025 May 22;2024:483-492. PMID: 40417579; PMCID: PMC12099435.
Principal Investigator
He, Zhe
Lustria, Mia Liza A.
Project Name
LabGenie: A Patient-Engagement Tool to Aid Older Adults' Understanding of Lab Test Results

Enhancing patient engagement and understanding: Is providing direct access to laboratory results through patient portals adequate?

Citation
Lustria MLA, Aliche O, Killian MO, He Z. Enhancing patient engagement and understanding: Is providing direct access to laboratory results through patient portals adequate? JAMIA Open. 2025 Mar 24;8(2):ooaf009. doi: 10.1093/jamiaopen/ooaf009. PMID: 40130170; PMCID: PMC11932648.
Principal Investigator
He, Zhe
Lustria, Mia Liza A.
Project Name
LabGenie: A Patient-Engagement Tool to Aid Older Adults' Understanding of Lab Test Results

Patient Intestinal Failure-ECHO Project (PIF-ECHO)

Description

This study will evaluate the feasibility and effectiveness of providing chronic intestinal failure patients and their family caregivers with direct access to live, virtual, multi-disciplinary (multi-D) support and education on best practices from a team of experts and peers. Such support can improve patient outcomes by enhancing knowledge, increasing confidence in self-care, and fostering a support network where patients can share lived experiences.

Grant Number
R03 HS030321
Principal Investigator(s)
Iyer, Kishore R.

Incorporating Patient-Reported Outcomes into Shared Decision Making with Patients with Osteoarthritis of the Knee - Final Report

Citation
Bozic K., Tsevat J. Incorporating Patient-Reported Outcomes into Shared Decision Making with Patients with Osteoarthritis of the Knee – Final Report. (Prepared by University of Texas - Austin under Grant No. R21 HS027037). Rockville, MD: Agency for Healthcare Research and Quality, 2024.
Principal Investigator
Bozic, Kevin John
Tsevat, Joel
Project Name
Incorporating Patient-Reported Outcomes into Shared Decision Making with Patients with Osteoarthritis of the Knee

Caregiver and care team perceptions of online collaborative care planning for CMC.

Citation
Moore C, Adams S, Beatty M, Dharmaraj B, Desai AD, Bartlett L, Culbert E, Cohen E, Stinson JN, Orkin J. Caregiver and care team perceptions of online collaborative care planning for CMC. Pediatrics. 2024 Sep 1;154(3):e2024065884. doi: 10.1542/peds.2024-065884. PMID: 39188252.
Principal Investigator
Desai, Arti D.
Project Name
Cloud Care: A Feasibility Study of Cloud-Based Care Plans for Children With Medical Complexity

Nutri: A behavioral science-based clinical decision support for chronic disease management.

Citation
Burgermaster M, Rosenthal M, Tierney WM, Altillo BS, Nordquist E, Enriquez C, Andrews S, Klatt C, Daniels G. Nutri: A behavioral science-based clinical decision support for chronic disease management. AMIA Annu Symp Proc. 2023 Apr 29;2022:299-308. PMID: 37128464; PMCID: PMC10148289.
Principal Investigator
Burgermaster, Marissa
Project Name
Clinical Decision Support for Collaborative Diet Goal Setting in Primary Care