Publications by authors named "Amanda Harrawood"
Background: A reliable and valid clinically practical multi-domain self-report and caregiver-report tool is needed for tracking actionable symptoms in primary care for elderly patients with multiple chronic conditions (MCCs).
Objective: Assess internal consistency reliability, test-retest reliability, construct validity, and sensitivity to change for SymTrak.
Design And Participants: Among 600 (200 patient-caregiver dyads, 200 patients without an identified caregiver) participants, SymTrak was telephone interviewer-administered at baseline and 3-month follow-up, and at 24 h post-baseline for assessing test-retest reliability in a random subsample of 180 (60 dyads, 60 individual patients) participants.
Background: A clinically practical, brief, user-friendly, multi-domain self-report and caregiver-report tool is needed for tracking actionable symptoms in primary care for elderly patients with multiple chronic conditions (MCCs).
Objective: Develop and assess usability, administration time, and internal reliability of SymTrak.
Design And Participants: Phase I: legacy instruments, content validity, analyses of existing data, focus groups (physicians, nurses, patients, informal caregivers), and Think Aloud interviews (patients, caregivers) were used to develop SymTrak.
Background: Delirium affects nearly 70% of older adults hospitalized in the intensive care unit (ICU), and many of those will be left with persistent cognitive impairment or dementia. There are no effective and scalable recovery models to remediate ICU-acquired cognitive impairment and its attendant elevated risk for dementia or Alzheimer disease (AD). The Improving Recovery and Outcomes Every Day after the ICU (IMPROVE) trial is an ongoing clinical trial which evaluates the efficacy of a combined physical exercise and cognitive training on cognitive function among ICU survivors 50 years and older who experienced delirium during an ICU stay.
View Article and Find Full Text PDFBackground: Patients admitted to intensive care units (ICU) with acute respiratory failure (ARF) face chronic complications that can impede return to normal daily function. A mobile, collaborative critical care model may enhance the recovery of ARF survivors.
Methods: The Mobile Critical Care Recovery Program (m-CCRP) study is a two arm, randomized clinical trial.
Background: Delirium is a highly prevalent and morbid syndrome in intensive care units (ICUs). Changing the stressful environment within the ICU via music may be an effective and a scalable way to reduce the burden of delirium.
Methods/design: The Decreasing Delirium through Music (DDM) study is a three-arm, single-blind, randomized controlled feasibility trial.
Objectives: To measure older adults acceptability of dementia screening and assess screening test results of a racially diverse sample of older primary care patients in the United States.
Design: Cross-sectional study of primary care patients aged 65 and older.
Setting: Urban and suburban primary care clinics in Indianapolis, Indiana, in 2008 to 2009.
Background: Dementia affects over 4 million people in the US and is frequently unrecognized and underdiagnosed in primary care. Routine dementia screening in primary care is not recommended by the US Preventive Services Task Force due to lack of empirical data on the benefits and harms of screening. This trial seeks to fill this gap and contribute information about the benefits, harms, and costs of routine screening for dementia in primary care.
View Article and Find Full Text PDFBackground: Research shows that there is a basic gap in the knowledge of nursing home staff about urinary incontinence and the previous societal belief that urinary incontinence is a normal part of aging. This study examines the knowledge of nursing home staff about the types and treatment of urinary incontinence as well as attitudes toward urinary incontinence.
Methods: A quasi-experimental, within-subject, longitudinal pretest/posttest design was used.