Publications by authors named "E Mahanna"

Background: Clinical interventions often need to be adapted from their original design when they are applied to new settings. There is a growing literature describing frameworks and approaches to deploying and documenting adaptations of evidence-based practices in healthcare. Still, intervention modifications are often limited in detail and justification, which may prevent rigorous evaluation of interventions and intervention adaptation effectiveness in new contexts.

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Background: Achieving high COVID-19 vaccination rates among employees is necessary to prevent outbreaks in health care settings. The goal of the study was to produce actionable and timely evidence about factors underlying the intention and decisions to obtain the COVID-19 vaccine by employees.

Methods: The study was conducted from December 2020 - May 2021 with employees from a VA health care system in Southeastern US.

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Background: Inpatient mobility programs can help older adults maintain function during hospitalization. Changing hospital practice can be complex and require engagement of various staff levels and disciplines; however, we know little about how interprofessional teams organize around implementing such interventions. Complexity science can inform approaches to understanding and improving multidisciplinary collaboration to implement clinical programs.

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Article Synopsis
  • - The study aimed to identify different patient subgroups that respond uniquely to a nurse-led care transition intervention following an emergency department visit using a data-driven method known as model-based recursive partitioning (MoB).
  • - Analysis included 512 patients, with 451 having sufficient data for MoB analysis, focusing on the primary outcome of ED visits within 30 days and comparing results across various subgroups, including marital status, sex, and age.
  • - Results indicated that marital status significantly influenced responses to the intervention; unmarried patients had fewer repeat ED visits compared to those receiving usual care, while married patients showed the opposite trend, highlighting the potential impact of social factors on healthcare outcomes.
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Hospitalization is common among older adults. Prolonged time in bed during hospitalization can lead to deconditioning and functional impairments. Our team is currently working with Department of Veterans Affairs (VA) medical centers across the United States to implement STRIDE (assiSTed eaRly mobIlity for hospitalizeD older vEterans), a hospital-based walking program designed to mitigate the risks of immobility during hospitalization.

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