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Miller HN, Stevens SC, Young D, Lacanienta CT, Tomiwa T, Vazquez MG, Olawole W, Zhu T, Lewis-Land C, Clark R, Peeler A, Byiringiro S, Cook B, Weston C, Bronner Y, Rich T, Himmelfarb CR. Grassroots and Digital Outreach Strategies Raise Awareness of COVID-19 Information and Research in Baltimore City. Am J Public Health 2024; 114:S69-S73. [PMID: 38207261 PMCID: PMC10785161 DOI: 10.2105/ajph.2023.307492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/04/2023] [Indexed: 01/13/2024]
Abstract
We aimed to disseminate reliable COVID-19 information to the Black and Latino communities of Baltimore City, Maryland, between July 2020 and December 2022. With community partners, we disseminated evidence-based COVID-19 information via grassroots and digital strategies, including Hopkins Opportunity for Participant Engagement, and connected volunteers to COVID-19 research. Using a multimodal approach facilitated dissemination of reliable information and raised awareness of research; evaluation of trust is ongoing. Robust, multimodal strategies are needed to foster trust and equity among diverse communities. (Am J Public Health. 2024;114(S1):S69-S73. https://doi.org/10.2105/AJPH.2023.307492).
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Affiliation(s)
- Hailey N Miller
- Hailey N. Miller, Donald Young, Wura Olawole, Trinity Zhu, Samuel Byiringiro, Brittany Cook, and Cheryl R. Himmelfarb are with the Johns Hopkins School of Nursing, Johns Hopkins University, Baltimore, MD. Sarah C. Stevens, Cyd T. Lacanienta, Tosin Tomiwa, Cassie Lewis-Land, and Anna Peeler are with the Johns Hopkins Institute for Clinical and Translational Research, Johns Hopkins University. Monica Guerrero Vazquez is with Centro SOL, Baltimore, MD. Roger Clark is with the Community Research Advisory Council, Johns Hopkins University. Christine Weston is with Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University. Yvonne Bronner is with the Morgan State University School of Community Health and Policy, Baltimore, MD. Tim Rich is with Reaching Innocent Children Hearts Foundation, Baltimore, MD
| | - Sarah C Stevens
- Hailey N. Miller, Donald Young, Wura Olawole, Trinity Zhu, Samuel Byiringiro, Brittany Cook, and Cheryl R. Himmelfarb are with the Johns Hopkins School of Nursing, Johns Hopkins University, Baltimore, MD. Sarah C. Stevens, Cyd T. Lacanienta, Tosin Tomiwa, Cassie Lewis-Land, and Anna Peeler are with the Johns Hopkins Institute for Clinical and Translational Research, Johns Hopkins University. Monica Guerrero Vazquez is with Centro SOL, Baltimore, MD. Roger Clark is with the Community Research Advisory Council, Johns Hopkins University. Christine Weston is with Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University. Yvonne Bronner is with the Morgan State University School of Community Health and Policy, Baltimore, MD. Tim Rich is with Reaching Innocent Children Hearts Foundation, Baltimore, MD
| | - Donald Young
- Hailey N. Miller, Donald Young, Wura Olawole, Trinity Zhu, Samuel Byiringiro, Brittany Cook, and Cheryl R. Himmelfarb are with the Johns Hopkins School of Nursing, Johns Hopkins University, Baltimore, MD. Sarah C. Stevens, Cyd T. Lacanienta, Tosin Tomiwa, Cassie Lewis-Land, and Anna Peeler are with the Johns Hopkins Institute for Clinical and Translational Research, Johns Hopkins University. Monica Guerrero Vazquez is with Centro SOL, Baltimore, MD. Roger Clark is with the Community Research Advisory Council, Johns Hopkins University. Christine Weston is with Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University. Yvonne Bronner is with the Morgan State University School of Community Health and Policy, Baltimore, MD. Tim Rich is with Reaching Innocent Children Hearts Foundation, Baltimore, MD
| | - Cyd T Lacanienta
- Hailey N. Miller, Donald Young, Wura Olawole, Trinity Zhu, Samuel Byiringiro, Brittany Cook, and Cheryl R. Himmelfarb are with the Johns Hopkins School of Nursing, Johns Hopkins University, Baltimore, MD. Sarah C. Stevens, Cyd T. Lacanienta, Tosin Tomiwa, Cassie Lewis-Land, and Anna Peeler are with the Johns Hopkins Institute for Clinical and Translational Research, Johns Hopkins University. Monica Guerrero Vazquez is with Centro SOL, Baltimore, MD. Roger Clark is with the Community Research Advisory Council, Johns Hopkins University. Christine Weston is with Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University. Yvonne Bronner is with the Morgan State University School of Community Health and Policy, Baltimore, MD. Tim Rich is with Reaching Innocent Children Hearts Foundation, Baltimore, MD
| | - Tosin Tomiwa
- Hailey N. Miller, Donald Young, Wura Olawole, Trinity Zhu, Samuel Byiringiro, Brittany Cook, and Cheryl R. Himmelfarb are with the Johns Hopkins School of Nursing, Johns Hopkins University, Baltimore, MD. Sarah C. Stevens, Cyd T. Lacanienta, Tosin Tomiwa, Cassie Lewis-Land, and Anna Peeler are with the Johns Hopkins Institute for Clinical and Translational Research, Johns Hopkins University. Monica Guerrero Vazquez is with Centro SOL, Baltimore, MD. Roger Clark is with the Community Research Advisory Council, Johns Hopkins University. Christine Weston is with Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University. Yvonne Bronner is with the Morgan State University School of Community Health and Policy, Baltimore, MD. Tim Rich is with Reaching Innocent Children Hearts Foundation, Baltimore, MD
| | - Monica Guerrero Vazquez
- Hailey N. Miller, Donald Young, Wura Olawole, Trinity Zhu, Samuel Byiringiro, Brittany Cook, and Cheryl R. Himmelfarb are with the Johns Hopkins School of Nursing, Johns Hopkins University, Baltimore, MD. Sarah C. Stevens, Cyd T. Lacanienta, Tosin Tomiwa, Cassie Lewis-Land, and Anna Peeler are with the Johns Hopkins Institute for Clinical and Translational Research, Johns Hopkins University. Monica Guerrero Vazquez is with Centro SOL, Baltimore, MD. Roger Clark is with the Community Research Advisory Council, Johns Hopkins University. Christine Weston is with Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University. Yvonne Bronner is with the Morgan State University School of Community Health and Policy, Baltimore, MD. Tim Rich is with Reaching Innocent Children Hearts Foundation, Baltimore, MD
| | - Wura Olawole
- Hailey N. Miller, Donald Young, Wura Olawole, Trinity Zhu, Samuel Byiringiro, Brittany Cook, and Cheryl R. Himmelfarb are with the Johns Hopkins School of Nursing, Johns Hopkins University, Baltimore, MD. Sarah C. Stevens, Cyd T. Lacanienta, Tosin Tomiwa, Cassie Lewis-Land, and Anna Peeler are with the Johns Hopkins Institute for Clinical and Translational Research, Johns Hopkins University. Monica Guerrero Vazquez is with Centro SOL, Baltimore, MD. Roger Clark is with the Community Research Advisory Council, Johns Hopkins University. Christine Weston is with Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University. Yvonne Bronner is with the Morgan State University School of Community Health and Policy, Baltimore, MD. Tim Rich is with Reaching Innocent Children Hearts Foundation, Baltimore, MD
| | - Trinity Zhu
- Hailey N. Miller, Donald Young, Wura Olawole, Trinity Zhu, Samuel Byiringiro, Brittany Cook, and Cheryl R. Himmelfarb are with the Johns Hopkins School of Nursing, Johns Hopkins University, Baltimore, MD. Sarah C. Stevens, Cyd T. Lacanienta, Tosin Tomiwa, Cassie Lewis-Land, and Anna Peeler are with the Johns Hopkins Institute for Clinical and Translational Research, Johns Hopkins University. Monica Guerrero Vazquez is with Centro SOL, Baltimore, MD. Roger Clark is with the Community Research Advisory Council, Johns Hopkins University. Christine Weston is with Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University. Yvonne Bronner is with the Morgan State University School of Community Health and Policy, Baltimore, MD. Tim Rich is with Reaching Innocent Children Hearts Foundation, Baltimore, MD
| | - Cassie Lewis-Land
- Hailey N. Miller, Donald Young, Wura Olawole, Trinity Zhu, Samuel Byiringiro, Brittany Cook, and Cheryl R. Himmelfarb are with the Johns Hopkins School of Nursing, Johns Hopkins University, Baltimore, MD. Sarah C. Stevens, Cyd T. Lacanienta, Tosin Tomiwa, Cassie Lewis-Land, and Anna Peeler are with the Johns Hopkins Institute for Clinical and Translational Research, Johns Hopkins University. Monica Guerrero Vazquez is with Centro SOL, Baltimore, MD. Roger Clark is with the Community Research Advisory Council, Johns Hopkins University. Christine Weston is with Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University. Yvonne Bronner is with the Morgan State University School of Community Health and Policy, Baltimore, MD. Tim Rich is with Reaching Innocent Children Hearts Foundation, Baltimore, MD
| | - Roger Clark
- Hailey N. Miller, Donald Young, Wura Olawole, Trinity Zhu, Samuel Byiringiro, Brittany Cook, and Cheryl R. Himmelfarb are with the Johns Hopkins School of Nursing, Johns Hopkins University, Baltimore, MD. Sarah C. Stevens, Cyd T. Lacanienta, Tosin Tomiwa, Cassie Lewis-Land, and Anna Peeler are with the Johns Hopkins Institute for Clinical and Translational Research, Johns Hopkins University. Monica Guerrero Vazquez is with Centro SOL, Baltimore, MD. Roger Clark is with the Community Research Advisory Council, Johns Hopkins University. Christine Weston is with Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University. Yvonne Bronner is with the Morgan State University School of Community Health and Policy, Baltimore, MD. Tim Rich is with Reaching Innocent Children Hearts Foundation, Baltimore, MD
| | - Anna Peeler
- Hailey N. Miller, Donald Young, Wura Olawole, Trinity Zhu, Samuel Byiringiro, Brittany Cook, and Cheryl R. Himmelfarb are with the Johns Hopkins School of Nursing, Johns Hopkins University, Baltimore, MD. Sarah C. Stevens, Cyd T. Lacanienta, Tosin Tomiwa, Cassie Lewis-Land, and Anna Peeler are with the Johns Hopkins Institute for Clinical and Translational Research, Johns Hopkins University. Monica Guerrero Vazquez is with Centro SOL, Baltimore, MD. Roger Clark is with the Community Research Advisory Council, Johns Hopkins University. Christine Weston is with Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University. Yvonne Bronner is with the Morgan State University School of Community Health and Policy, Baltimore, MD. Tim Rich is with Reaching Innocent Children Hearts Foundation, Baltimore, MD
| | - Samuel Byiringiro
- Hailey N. Miller, Donald Young, Wura Olawole, Trinity Zhu, Samuel Byiringiro, Brittany Cook, and Cheryl R. Himmelfarb are with the Johns Hopkins School of Nursing, Johns Hopkins University, Baltimore, MD. Sarah C. Stevens, Cyd T. Lacanienta, Tosin Tomiwa, Cassie Lewis-Land, and Anna Peeler are with the Johns Hopkins Institute for Clinical and Translational Research, Johns Hopkins University. Monica Guerrero Vazquez is with Centro SOL, Baltimore, MD. Roger Clark is with the Community Research Advisory Council, Johns Hopkins University. Christine Weston is with Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University. Yvonne Bronner is with the Morgan State University School of Community Health and Policy, Baltimore, MD. Tim Rich is with Reaching Innocent Children Hearts Foundation, Baltimore, MD
| | - Brittany Cook
- Hailey N. Miller, Donald Young, Wura Olawole, Trinity Zhu, Samuel Byiringiro, Brittany Cook, and Cheryl R. Himmelfarb are with the Johns Hopkins School of Nursing, Johns Hopkins University, Baltimore, MD. Sarah C. Stevens, Cyd T. Lacanienta, Tosin Tomiwa, Cassie Lewis-Land, and Anna Peeler are with the Johns Hopkins Institute for Clinical and Translational Research, Johns Hopkins University. Monica Guerrero Vazquez is with Centro SOL, Baltimore, MD. Roger Clark is with the Community Research Advisory Council, Johns Hopkins University. Christine Weston is with Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University. Yvonne Bronner is with the Morgan State University School of Community Health and Policy, Baltimore, MD. Tim Rich is with Reaching Innocent Children Hearts Foundation, Baltimore, MD
| | - Christine Weston
- Hailey N. Miller, Donald Young, Wura Olawole, Trinity Zhu, Samuel Byiringiro, Brittany Cook, and Cheryl R. Himmelfarb are with the Johns Hopkins School of Nursing, Johns Hopkins University, Baltimore, MD. Sarah C. Stevens, Cyd T. Lacanienta, Tosin Tomiwa, Cassie Lewis-Land, and Anna Peeler are with the Johns Hopkins Institute for Clinical and Translational Research, Johns Hopkins University. Monica Guerrero Vazquez is with Centro SOL, Baltimore, MD. Roger Clark is with the Community Research Advisory Council, Johns Hopkins University. Christine Weston is with Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University. Yvonne Bronner is with the Morgan State University School of Community Health and Policy, Baltimore, MD. Tim Rich is with Reaching Innocent Children Hearts Foundation, Baltimore, MD
| | - Yvonne Bronner
- Hailey N. Miller, Donald Young, Wura Olawole, Trinity Zhu, Samuel Byiringiro, Brittany Cook, and Cheryl R. Himmelfarb are with the Johns Hopkins School of Nursing, Johns Hopkins University, Baltimore, MD. Sarah C. Stevens, Cyd T. Lacanienta, Tosin Tomiwa, Cassie Lewis-Land, and Anna Peeler are with the Johns Hopkins Institute for Clinical and Translational Research, Johns Hopkins University. Monica Guerrero Vazquez is with Centro SOL, Baltimore, MD. Roger Clark is with the Community Research Advisory Council, Johns Hopkins University. Christine Weston is with Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University. Yvonne Bronner is with the Morgan State University School of Community Health and Policy, Baltimore, MD. Tim Rich is with Reaching Innocent Children Hearts Foundation, Baltimore, MD
| | - Tim Rich
- Hailey N. Miller, Donald Young, Wura Olawole, Trinity Zhu, Samuel Byiringiro, Brittany Cook, and Cheryl R. Himmelfarb are with the Johns Hopkins School of Nursing, Johns Hopkins University, Baltimore, MD. Sarah C. Stevens, Cyd T. Lacanienta, Tosin Tomiwa, Cassie Lewis-Land, and Anna Peeler are with the Johns Hopkins Institute for Clinical and Translational Research, Johns Hopkins University. Monica Guerrero Vazquez is with Centro SOL, Baltimore, MD. Roger Clark is with the Community Research Advisory Council, Johns Hopkins University. Christine Weston is with Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University. Yvonne Bronner is with the Morgan State University School of Community Health and Policy, Baltimore, MD. Tim Rich is with Reaching Innocent Children Hearts Foundation, Baltimore, MD
| | - Cheryl R Himmelfarb
- Hailey N. Miller, Donald Young, Wura Olawole, Trinity Zhu, Samuel Byiringiro, Brittany Cook, and Cheryl R. Himmelfarb are with the Johns Hopkins School of Nursing, Johns Hopkins University, Baltimore, MD. Sarah C. Stevens, Cyd T. Lacanienta, Tosin Tomiwa, Cassie Lewis-Land, and Anna Peeler are with the Johns Hopkins Institute for Clinical and Translational Research, Johns Hopkins University. Monica Guerrero Vazquez is with Centro SOL, Baltimore, MD. Roger Clark is with the Community Research Advisory Council, Johns Hopkins University. Christine Weston is with Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University. Yvonne Bronner is with the Morgan State University School of Community Health and Policy, Baltimore, MD. Tim Rich is with Reaching Innocent Children Hearts Foundation, Baltimore, MD
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Ogungbe O, Grant JK, Ayoola AS, Bansah E, Miller HN, Plante TB, Sheikhattari P, Commodore-Mensah Y, Turkson-Ocran RAN, Juraschek SP, Martin SS, Lin M, Himmelfarb CR, Michos ED. Strategies for Improving Enrollment of Diverse Populations with a Focus on Lipid-Lowering Clinical Trials. Curr Cardiol Rep 2023; 25:1189-1210. [PMID: 37787858 DOI: 10.1007/s11886-023-01942-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/13/2023] [Indexed: 10/04/2023]
Abstract
PURPOSE OF REVIEW We review under-representation of key demographic groups in cardiovascular clinical trials, focusing on lipid-lowering trials. We outline multilevel strategies to recruit and retain diverse populations in cardiovascular trials. RECENT FINDINGS Barriers to participation in trials occur at the study, participant, health system, sponsor, and policy level, requiring a multilevel approach to effectively increase participation of under-represented groups in research. Increasing the representation of marginalized and under-represented groups in leadership positions in clinical trials can ensure that their perspectives and experiences are considered. Trial design should prioritize patient- and community-indicated needs. Women and individuals from racially/ethnically diverse populations remain under-represented in lipid-lowering and other cardiovascular clinical trials relative to their disease burden in the population. This limits the generalizability of trial results to the broader population in clinical practice. Collaboration between community stakeholders, researchers, and community members can facilitate shared learning about trials and build trust.
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Affiliation(s)
- Oluwabunmi Ogungbe
- Johns Hopkins University School of Nursing, Baltimore, MD, USA
- Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - Jelani K Grant
- Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
- Ciccarone Center for the Prevention of Cardiovascular Disease, Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, 600 N. Wolfe Street, Blalock 524-B, Baltimore, MD, 21287, USA
| | | | - Eyram Bansah
- Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA
| | - Hailey N Miller
- Johns Hopkins University School of Nursing, Baltimore, MD, USA
| | - Timothy B Plante
- Department of Medicine, Larner College of Medicine at the University of Vermont, Burlington, VT, USA
| | - Payam Sheikhattari
- School of Community Health & Policy, Morgan State University, Baltimore, MD, 21251, USA
- Prevention Sciences Research Center, Morgan State University, Baltimore, MD, 21251, USA
| | - Yvonne Commodore-Mensah
- Johns Hopkins University School of Nursing, Baltimore, MD, USA
- Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA
| | - Ruth-Alma N Turkson-Ocran
- Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA
- Harvard Medical School, Boston, MA, USA
| | - Stephen P Juraschek
- Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA
- Harvard Medical School, Boston, MA, USA
| | - Seth S Martin
- Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
- Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA
- Ciccarone Center for the Prevention of Cardiovascular Disease, Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, 600 N. Wolfe Street, Blalock 524-B, Baltimore, MD, 21287, USA
| | | | - Cheryl R Himmelfarb
- Johns Hopkins University School of Nursing, Baltimore, MD, USA
- Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA
- Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Erin D Michos
- Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
- Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
- Ciccarone Center for the Prevention of Cardiovascular Disease, Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, 600 N. Wolfe Street, Blalock 524-B, Baltimore, MD, 21287, USA.
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Reynolds TL, Cobb JG, Steitz BD, Ancker JS, Rosenbloom ST. The State-of-the-Art of Patient Portals: Adapting to External Factors, Addressing Barriers, and Innovating. Appl Clin Inform 2023; 14:654-669. [PMID: 37611795 PMCID: PMC10446914 DOI: 10.1055/s-0043-1770901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2023] [Accepted: 05/26/2023] [Indexed: 08/25/2023] Open
Abstract
BACKGROUND AND OBJECTIVE Recent external factors-the 21st Century Cures Act and the coronavirus disease 2019 (COVID-19) pandemic-have stimulated major changes in the patient portal landscape. The objective of this state-of-the-art review is to describe recent developments in the patient portal literature and to identify recommendations and future directions for the design, implementation, and evaluation of portals. METHODS To focus this review on salient contemporary issues, we elected to center it on four topics: (1) 21st Century Cures Act's impact on patient portals (e.g., Open Notes); (2) COVID-19's pandemic impact on portals; (3) proxy access to portals; and (4) disparities in portal adoption and use. We conducted targeted PubMed searches to identify recent empirical studies addressing these topics, used a two-part screening process to determine relevance, and conducted thematic analyses. RESULTS Our search identified 174 unique papers, 74 were relevant empirical studies and included in this review. Among these papers, we identified 10 themes within our four a priori topics, including preparing for and understanding the consequences of increased patient access to their electronic health information (Cures Act); developing, deploying, and evaluating new virtual care processes (COVID-19); understanding current barriers to formal proxy use (proxy access); and addressing disparities in portal adoption and use (disparities). CONCLUSION Our results suggest that the recent trends toward understanding the implications of immediate access to most test results, exploring ways to close gaps in portal adoption and use among different sub-populations, and finding ways to leverage portals to improve health and health care are the next steps in the maturation of patient portals and are key areas that require more research. It is important that health care organizations share their innovative portal efforts, so that successful measures can be tested in other contexts, and progress can continue.
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Affiliation(s)
- Tera L. Reynolds
- Department of Information Systems, University of Maryland, Baltimore County, Baltimore, Maryland, United States
| | - Jared Guthrie Cobb
- Vanderbilt University Medical Center, Nashville, Tennessee, United States
| | - Bryan D. Steitz
- Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, United States
| | - Jessica S. Ancker
- Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, United States
| | - S. Trent Rosenbloom
- Vanderbilt University Medical Center, Nashville, Tennessee, United States
- Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, United States
- Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, United States
- Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee, United States
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Miller HN, Lindo S, Fish LJ, Roberts J, Stover J, Schwark EH, Eberlein N, Mack D, Falkovic M, Makarushka C, Chatterjee R. Describing current use, barriers, and facilitators of patient portal messaging for research recruitment: Perspectives from study teams and patients at one institution. J Clin Transl Sci 2023; 7:e96. [PMID: 37125060 PMCID: PMC10130833 DOI: 10.1017/cts.2023.522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Revised: 03/28/2023] [Accepted: 03/30/2023] [Indexed: 05/02/2023] Open
Abstract
Introduction The electronic health record (EHR) and patient portal are used increasingly for clinical research, including patient portal recruitment messaging (PPRM). Use of PPRM has grown rapidly; however, best practices are still developing. In this study, we examined the use of PPRM at our institution and conducted qualitative interviews among study teams and patients to understand experiences and preferences for PPRM. Methods We identified study teams that sent PPRMs and patients that received PPRMs in a 60-day period. We characterized these studies and patients, in addition to the patients' interactions with the PPRMs (e.g., viewed, responded). From these groups, we recruited study team members and patients for semi-structured interviews. A pragmatic qualitative inquiry framework was used by interviewers. Interviews were audio-recorded and analyzed using a rapid qualitative analysis exploratory approach. Results Across ten studies, 35,037 PPRMs were sent, 33% were viewed, and 17% were responded to. Interaction rates varied across demographic groups. Six study team members completed interviews and described PPRM as an efficient and helpful recruitment method. Twenty-eight patients completed interviews. They were supportive of receiving PPRMs, particularly when the PPRM was relevant to their health. Patients indicated that providing more information in the PPRM would be helpful, in addition to options to set personalized preferences. Conclusions PPRM is an efficient recruitment method for study teams and is acceptable to patients. Engagement with PPRMs varies across demographic groups, which should be considered during recruitment planning. Additional research is needed to evaluate and implement recommended changes by study teams and patients.
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Affiliation(s)
| | - Sierra Lindo
- Duke Clinical and Translational Science Institute, Recruitment Innovation Center, Duke University, Durham, NC, USA
| | - Laura J. Fish
- Duke Cancer Institute, Behavioral Health and Survey Research Core, Duke University, Durham, NC, USA
- Department of Family Medicine and Community Health, Duke University, Durham, NC, USA
| | | | - John Stover
- Duke University School of Medicine, Durham, NC 27710, USA
| | | | - Nicholas Eberlein
- Duke Clinical and Translational Science Institute, Recruitment Innovation Center, Duke University, Durham, NC, USA
| | - Dalia Mack
- Duke University School of Medicine, Durham, NC 27710, USA
| | - Margaret Falkovic
- Duke Cancer Institute, Behavioral Health and Survey Research Core, Duke University, Durham, NC, USA
| | - Christina Makarushka
- Duke Cancer Institute, Behavioral Health and Survey Research Core, Duke University, Durham, NC, USA
| | - Ranee Chatterjee
- Duke Clinical and Translational Science Institute, Recruitment Innovation Center, Duke University, Durham, NC, USA
- Duke University School of Medicine, Durham, NC 27710, USA
- Address for correspondence: R. Chatterjee, MD, MPH, 710 W. Main Street, 1st floor, Durham, NC 27701, USA.
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Ogungbe O, Slone S, Alharthi A, Tomiwa T, Kumbe B, Bergman A, McNabb K, Smith Wright R, Farley JE, Dennison Himmelfarb CR, Cooper LA, Post WS, Davidson PM, Commodore-Mensah Y. "Living like an empty gas tank with a leak": Mixed methods study on post-acute sequelae of COVID-19. PLoS One 2022; 17:e0279684. [PMID: 36584125 PMCID: PMC9803174 DOI: 10.1371/journal.pone.0279684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2022] [Accepted: 12/12/2022] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND The burden and presentation of post-acute sequela of SARS-CoV-2 infection (PASC) are a developing major public health concern. OBJECTIVES To characterize the burden of PASC in community-dwelling individuals and understand the experiences of people living with PASC. METHODS This mixed-methods study of COVID-19 positive community-dwelling persons involved surveys and in-depth interviews. Main outcome was self-report of possible PASC symptoms 3 weeks or longer after positive COVID-19 test. In-depth interviews were guided by a semi-structured interview guide with open-ended questions and probes based on emerging literature on PASC and the impact of COVID-19. RESULTS With a survey response rate of 70%, 442 participants were included in this analysis, mean (SD) age 45.4 (16.2) years, 71% female, 12% Black/African American. Compared to those with no PASC symptoms, persons who reported PASC symptoms were more likely to be older (mean age: 46.5 vs. 42; p = 0.013), female (74.3% vs. 61.2%; p = 0.010), to have pre-existing conditions (49.6% vs. 34%; p = 0.005), and to have been hospitalized for COVID-19 (14.2% vs. 2.9%; p = 0.002). About 30% of the participants experienced severe fatigue; the proportion of persons reporting severe fatigue was 7-fold greater in those with PASC symptoms (Adjusted Prevalence Ratio [aPR] 6.73, 95%CI: 2.80-16.18). Persons with PASC symptoms were more likely to report poor quality of life (16% vs. 5%, p<0.001) and worse mental health functioning (Mean difference: -1.87 95%CI: -2.38, -1.37, p<0.001). Themes from in-depth interviews revealed PASC was experienced as debilitating. CONCLUSIONS In this study, the prevalence of PASC among community-dwelling adults was substantial. Participants reported considerable coping difficulties, restrictions in everyday activities, invisibility of symptoms and experiences, and impediments to getting and receiving PASC care.
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Affiliation(s)
- Oluwabunmi Ogungbe
- School of Nursing, Johns Hopkins University, Baltimore, Maryland, United States of America
- * E-mail:
| | - Sarah Slone
- School of Nursing, Johns Hopkins University, Baltimore, Maryland, United States of America
| | - Abeer Alharthi
- School of Nursing, Johns Hopkins University, Baltimore, Maryland, United States of America
| | - Tosin Tomiwa
- Texas Tech University, Lubbock, Texas, United States of America
| | - Baridosia Kumbe
- School of Nursing, Johns Hopkins University, Baltimore, Maryland, United States of America
| | - Alanna Bergman
- Center for Infectious Disease and Nursing Innovation, School of Nursing, Johns Hopkins University, Baltimore, Maryland, United States of America
| | - Katherine McNabb
- Center for Infectious Disease and Nursing Innovation, School of Nursing, Johns Hopkins University, Baltimore, Maryland, United States of America
| | - Rhonda Smith Wright
- School of Nursing, Johns Hopkins University, Baltimore, Maryland, United States of America
| | - Jason E. Farley
- School of Nursing, Johns Hopkins University, Baltimore, Maryland, United States of America
- Center for Infectious Disease and Nursing Innovation, School of Nursing, Johns Hopkins University, Baltimore, Maryland, United States of America
| | - Cheryl R. Dennison Himmelfarb
- School of Nursing, Johns Hopkins University, Baltimore, Maryland, United States of America
- School of Medicine, Johns Hopkins University, Baltimore, Maryland, United States of America
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, United States of America
| | - Lisa A. Cooper
- School of Nursing, Johns Hopkins University, Baltimore, Maryland, United States of America
- School of Medicine, Johns Hopkins University, Baltimore, Maryland, United States of America
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, United States of America
| | - Wendy S. Post
- School of Medicine, Johns Hopkins University, Baltimore, Maryland, United States of America
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, United States of America
| | - Patricia M. Davidson
- School of Nursing, Johns Hopkins University, Baltimore, Maryland, United States of America
- University of Wollongong, Wollongong, Australia
| | - Yvonne Commodore-Mensah
- School of Nursing, Johns Hopkins University, Baltimore, Maryland, United States of America
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, United States of America
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Ogungbe O, Gilotra NA, Davidson PM, Farley JE, Dennison Himmelfarb CR, Post WS, Commodore-Mensah Y. Cardiac postacute sequelae symptoms of SARS-CoV-2 in community-dwelling adults: cross-sectional study. Open Heart 2022. [PMCID: PMC9445235 DOI: 10.1136/openhrt-2022-002084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Objective To examine risk factors for cardiac-related postacute sequelae of SARS-CoV-2 infection (PASC) in community-dwelling adults after acute COVID-19 infection. Methods We performed a cross-sectional analysis among adults who tested positive for COVID-19. Outcomes were self-reported cardiac-related PASC. We conducted stepwise multivariable logistic regression to assess association between the risk factors (existing cardiovascular disease (CVD), pre-existing conditions, days since positive test, COVID-19 hospitalisation, age, sex, education, income) and cardiac-related PASC. Results In a sample of 442 persons, mean (SD) age was 45.4 (16.2) years, 71% were women, 13% were black, 46% had pre-existing conditions, 23% had cardiovascular (CV) risk factors and 4% had CVD. Prevalence of cardiac PASC was 43% and newly diagnosed cardiac conditions were 27%. The odds for cardiac-related PASC were higher among persons with underlying pre-existing conditions (adjusted OR (aOR): 2.00, 95% CI: 1.28 to 3.10) and among those who were hospitalised (aOR: 3.03, 95% CI: 1.58 to 5.83). Conclusions More than a third of persons with COVID-19 reported cardiac-related PASC symptoms. Underlying CVD, pre-existing diseases, age and COVID-19 hospitalisation are possible risk factors for cardiac-related PASC symptoms. COVID-19 may exacerbate CV risk factors and increase risk of complications.
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Affiliation(s)
| | - Nisha A Gilotra
- Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - Patricia M Davidson
- Johns Hopkins University School of Nursing, Baltimore, Maryland, USA
- University of Wollongong, Wollongong, New South Wales, Australia
| | - Jason E Farley
- Johns Hopkins University School of Nursing, Baltimore, Maryland, USA
- The Center for Infectious Disease and Nursing Innovation, Johns Hopkins University School of Nursing, Baltimore, Maryland, USA
| | - Cheryl R Dennison Himmelfarb
- Johns Hopkins University School of Nursing, Baltimore, Maryland, USA
- Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - Wendy S Post
- Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - Yvonne Commodore-Mensah
- Johns Hopkins University School of Nursing, Baltimore, Maryland, USA
- Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA
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Hoyo V, Shah RC, Dave G, Volkov BB. Integrating special and underserved populations in translational research: Environmental scan of adaptive capacity and preparedness of Clinical and Translational Science Award (CTSA) program hubs. J Clin Transl Sci 2022; 6:e89. [PMID: 35989859 PMCID: PMC9379934 DOI: 10.1017/cts.2022.414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2022] [Revised: 05/26/2022] [Accepted: 05/31/2022] [Indexed: 11/25/2022] Open
Abstract
The COVID-19 pandemic has exacerbated health disparities and rendered them acutely more visible. Special and underrepresented populations need to be fully integrated into the translational research process from the very beginning and all the way through. This article presents findings and rapid analysis mini-case studies from the Environmental Scan (E-Scan) of adaptive capacity and preparedness of Clinical and Translational Science Award hubs, specific to the goal of integrating special and vulnerable populations in different institutional research settings. In our discussion of the findings and case studies, we flexibly apply local adaptive capacity framework concepts and characteristics, and, whenever possible, we present ideas on how to enhance capacity in those areas, based on the challenges and practices identified through the E-Scan. Although the past year has recorded incredible achievements in vaccine development, clinical trials, diagnostics, and overall biomedical research, these successes continue to be hampered by our inability to turn them into achievements equally available and accessible to all populations.
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Affiliation(s)
- Verónica Hoyo
- Northwestern University Clinical and Translational Sciences Institute (NUCATS), Northwestern University, Chicago, IL, USA
- Clinical and Translational Research Institute, University of California, San Diego, La Jolla, CA, USA
| | - Raj C. Shah
- Institute for Translational Medicine, The University of Chicago, Rush University Medical Center, Chicago, IL, USA
- Department of Family Medicine, Rush Alzheimer’s Disease Center, Rush University Medical Center, Chicago, IL, USA
- Center for Community Health Equity, Rush University, DePaul University, Chicago, IL, USA
| | - Gaurav Dave
- Department of Medicine, University of North Carolina, Chapel Hill, NC, USA
- North Carolina Translational and Clinical Sciences Institute, University of North Carolina, Chapel Hill, NC, USA
| | - Boris B. Volkov
- University of Minnesota Clinical and Translational Science Institute, Minneapolis, MN, USA
- Institute for Health Informatics and Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN, USA
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