Browsing by Subject "Surveys and Questionnaires"
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Item Focus on the Forest, Not the Trees: A Checklist for Planning Chapter Meetings(2016-05) Traditi, Lisa K.; Crossno, JonOBJECTIVES: After successfully planning Quint*Essential: Convergence and Collaboration, a meeting of five MLA chapters, the authors share the lessons they learned from their experience. METHODS: Held Oct.12-16, 2014, Quint*Essental was a joint meeting of the Midcontinental Chapter of MLA (MCMLA), Medical Library Group of Southern California & Arizona (MLGSCA), Northern California & Nevada Medical Library Group (NCNMLG), Pacific Northwest Chapter of MLA (PNCMLA), and South Central Chapter of MLA (SCCMLA). After reviewing successes and failures of their multi-chapter meeting, the authors used SurveyMonkey to gather the opinions and advice of other multiple chapter meeting planners. The authors then identified key activities and time-sensitive tasks necessary to planning such a meeting. RESULTS: From this amalgam of information, they created a checklist designed to help future planners, whether for individual or multiple chapter meetings. This checklist also includes a recommended timeline for when essential milestones should be reached. CONCLUSIONS: Holding a multi-chapter meeting, while a daunting task, can be beneficial to chapters and attendees. A vetted planning checklist, along with strong communication, skills with shared decision-making, and effective record-keeping are key components for success.Item Implementing Mental Health Screening Assessment and Navigation (MH-SCAN) in a Community Oncology Clinic: Evaluations and Efficacy(2017-06-29) Jester, Bryan Elliott; Walker, Robrina; Howe-Martin, Laura; Jarrett, Robin B.; Jha, Manish; Lohrey, JaySignificant portions of cancer patients are attempting to manage the stressors of survivorship with undiagnosed depression. Untreated depression increases mortality rates, deteriorates patients' quality of life, and disrupts adherence to cancer treatment. Despite widespread recommendations, there remains a significant gap in identification of depression and engagement in depression treatment. To fill this gap, the University of Texas Southwestern Moncrief Cancer Institute implemented Mental Health Screening, Assessment, and Navigation (MH-SCAN) as standard of care. This study evaluated factors associated with screening positive for depression, as well as the impact of Mental Health Patient Navigation on depression treatment engagement and depression symptom reduction. Universal, tablet-based screening using the Patient Health Questionnaire (PHQ-2, PHQ-9) was implemented to screen for depressive symptoms. After screening positive, a patient navigator contacted the patient to engage them in navigation services. For the current study, patients (N=500) diagnosed with cancer two years prior to PHQ-2 screening were selected for inclusion. Clinical and demographic data were collected via electronic health record review to compare patients based on positive (n=173) and negative (n=327) depression screening result. Patients who were (n=106) and were not (n=67) navigated were then compared on their engagement in depression treatment and symptom reduction. Approximately one-third of all patients screened positive for depression. Individuals, who had a pre-existing mental illness, are unmarried, have less education, are on disability, and earn USD30,000-USD40,000 per year (i.e., the "working poor") were significantly more likely to screen positive for depression. Significantly more (χ2= 62.224, p < .001) patients initiated referred depression treatment who were navigated (67%) compared to patients unable to be navigated (6%). Furthermore, patients who were navigated had significantly greater reductions in depressive symptoms (M = -6.43, SD=6.63) compared to patients unable to be navigated (M = -1.46, SD=3.87), F = 30.91, p <.001. We conclude that Mental Health Patient Navigation successfully bridges the depression screening and treatment gap, fulfilling recent recommendations put forth by numerous psychoncology groups. Our MH-SCAN program can serve as the model for future iterations of screening and treatment programs, providing crucial psychosocial care to at-risk oncology populations whose mental health has often gone underserved.Item The Migraine Disability Assessment (MIDAS) as an Indicator of Resilience in Patients with Headaches(2022-05) Hans, Avneet; Friedman, Deborah I.; Wakhlu, Sidarth; Dave, HinaBACKGROUND: The Migraine Disability Assessment is a clinical tool to measure disability in migraine patients. However, Migraine Disability Assessment predicted disability does not always correlate with actual functional disability, with some high-scoring patients remaining high functioning, and some low-scoring patients having poor functional outcomes. Based on these observed discrepancies, we investigated whether the Migraine Disability Assessment was also an indicator of resilience. Our objectives were to correlate the degree of headache disability with measures of resilience, as quantified by the Conner Davidson Resilience Scale; determine whether the level of resilience modified the association between headache severity/frequency and disability; and assess the association between anxiety and depression with resilience in headache patients. METHODS: We prospectively recruited patients with primary headache disorders seen in an academic, tertiary Headache Medicine program between 02/20/2018 and 08/02/2019 to participate in this study. Each participant completed 5 validated measures in the clinic: Migraine Disability Assessment, Conner Davidson Resilience Scale, Patient Health Questionnaire-9, General Anxiety Disorder-7 and WHO Well-Being Index. RESULTS: Complete data were obtained and analyzed for 160 participants. Consistent with our hypothesis, the Conner Davidson Resilience Scale score was negatively correlated with total Migraine Disability Assessment score (r= -.0.21, p=0.0091), total General Anxiety Disorder-7 score (r= -0.56, p<.0001) and total Patient Health Questionnaire-9 score (r=-0.34, p<.0001). In participants with severe headache-related disability (Migraine Disability Assessment > 21), logistical regression models showed negative associations between resilience and headache-related disability, anxiety and depression. A one point increase in the Conner Davidson Resilience Scale score decreased the odds of being severely disabled by 4% (OR = 0.96, p=0.001). After adjusting for resilience score and age, only the total General Anxiety Disorder-7 score was associated with severe disability, with a one-point increase in total General Anxiety Disorder-7 score increasing the odds of severe disability by 16% (OR=1.16, p<.001). Similarly, a one point increase in total Patient Health Questionnaire-9 score, increased the odds of being severely disabled by 24% (OR=1.24, p<.001). CONCLUSION: A higher resilience score inversely correlated with headache-related disability in this cohort. In participants with severe disability as measured by Migraine Disability Assessment, higher levels of anxiety and depression were associated with increased levels of headache-related disability.Item [News](1985-06-17) Rutherford, SusanItem [News](1981-07-30) Williams, AnnItem [Southwestern News](2003-12-04) Siem, Staishy BostickItem [Southwestern News](2000-04-11) McNeill, Bridgette RoseItem [Southwestern News](1996-06-12) Mullen, Kris; Mitchell, Susan; Sperry, Keri