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Padala KP, Wilson KB, Jendro AM, Crawford CG, Gauss CH, Das A, Padala PR. Loneliness, social connectedness, and resilience during COVID pandemic among those with and without cognitive impairment. Alzheimers Dement 2021. [DOI: 10.1002/alz.057811] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- Kalpana P Padala
- Central Arkansas Veterans Healthcare System North Little Rock AR USA
- University of Arkansas for Medical Sciences Little Rock AR USA
| | - Kerrie B Wilson
- Central Arkansas Veterans Healthcare System North Little Rock AR USA
| | - Ashlyn M Jendro
- Central Arkansas Veterans Healthcare System North Little Rock AR USA
| | | | - C Heath Gauss
- Central Arkansas Veterans Healthcare System North Little Rock AR USA
- University of Arkansas for Medical Sciences Little Rock AR USA
| | - Aparna Das
- University of Arkansas for Medical Sciences Little Rock AR USA
| | - Prasad R Padala
- Central Arkansas Veterans Healthcare System North Little Rock AR USA
- University of Arkansas for Medical Sciences Little Rock AR USA
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Jendro AM, Padala PR, Gauss CH, Garrison MK, Wilson KB, Parkes CM, Dennis RA, Padala KP. Does Participation In An Exercise Program Increase Physical Activity On Non-Exercise Days? Med Sci Sports Exerc 2021. [DOI: 10.1249/01.mss.0000762172.62045.bc] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Padala KP, Jendro AM, Wilson KB, Padala PR. Technology Use to Bridge the Gap of Social Distancing during COVID-19. ACTA ACUST UNITED AC 2020; 6. [PMID: 33511321 PMCID: PMC7839070 DOI: 10.23937/2469-5858/1510092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Kalpana P Padala
- Geriatric Research Education, and Clinical Center (GRECC), Central Arkansas Veterans Healthcare System (CAVHS), USA.,Department of Geriatrics, University of Arkansas for Medical Sciences (UAMS), USA
| | - Ashlyn M Jendro
- Geriatric Research Education, and Clinical Center (GRECC), Central Arkansas Veterans Healthcare System (CAVHS), USA
| | - Kerrie B Wilson
- Geriatric Research Education, and Clinical Center (GRECC), Central Arkansas Veterans Healthcare System (CAVHS), USA
| | - Prasad R Padala
- Geriatric Research Education, and Clinical Center (GRECC), Central Arkansas Veterans Healthcare System (CAVHS), USA.,Department of Geriatrics, University of Arkansas for Medical Sciences (UAMS), USA.,Department of Psychiatry, University of Arkansas for Medical Sciences (UAMS), USA
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Padala SP, Jendro AM, Orr LC. Facetime to reduce behavioral problems in a nursing home resident with Alzheimer's dementia during COVID-19. Psychiatry Res 2020; 288:113028. [PMID: 32361337 PMCID: PMC7177115 DOI: 10.1016/j.psychres.2020.113028] [Citation(s) in RCA: 47] [Impact Index Per Article: 11.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/02/2020] [Accepted: 04/19/2020] [Indexed: 01/25/2023]
Affiliation(s)
| | - Ashlyn M. Jendro
- Geriatric Research Education, and Clinical Center (GRECC), Central Arkansas Veterans Healthcare System (CAVHS), Little Rock, AR, USA
| | - Lillian C. Orr
- Geriatric Research Education, and Clinical Center (GRECC), Central Arkansas Veterans Healthcare System (CAVHS), Little Rock, AR, USA,Department of Psychiatry, University of Arkansas for Medical Sciences (UAMS), Little Rock, AR, USA,Corresponding author.
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Padala PR, Jendro AM, Gauss CH, Orr LC, Dean KT, Wilson KB, Parkes CM, Padala KP. Participant and Caregiver Perspectives on Clinical Research During Covid-19 Pandemic. J Am Geriatr Soc 2020; 68:E14-E18. [PMID: 32315076 PMCID: PMC7264630 DOI: 10.1111/jgs.16500] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Revised: 04/11/2020] [Accepted: 04/14/2020] [Indexed: 01/09/2023]
Abstract
BACKGROUND/OBJECTIVES The COVID‐19 pandemic has massively disrupted essential clinical research. Many regulatory organizations have rightfully advocated to temporarily halt enrollment and curtail all face‐to‐face interactions. Views and opinions of patients and their caregivers are seldom considered while making such decisions. The objective was to study older participantsʼ and their caregiversʼ perspectives to participate in ongoing clinical research during the COVID‐19 pandemic. DESIGN Cross‐sectional. SETTING VISN‐16/Geriatric Research, Education and Clinical Center (GRECC), Department of Veterans Affairs. PARTICIPANTS Older participants and their caregivers (N = 51) enrolled in ongoing clinical research studies. MEASUREMENTS Questions about perceptions of safety to attend research visit, the level of panic among the general public, and medical centerʼs preparedness in handling the pandemic. Other questions identified the source of pandemic information and the preference of a phone or in‐person visit. RESULTS Mean age was 69.3 (±9.4) years, 53% were male, 39% were caregivers, and 65% were Caucasian. Majority (78%) of the participants felt safe/very safe attending the scheduled research appointment; 63% felt that the extra screening made them feel safe/very safe; 82% felt that the medical center was prepared/very prepared for the pandemic. Participants split evenly on their preference for phone versus in‐person visits. Family members and television news media were the commonly used sources of pandemic information irrespective of their education. Perceptions were influenced by gender and source of information, not by age or education. Females perceived higher level of panic compared to males (P = .02). Those relying on news media felt safer compared to those that relied on family members (P = .008). CONCLUSION Even though informants felt that the medical center was prepared to handle the pandemic, only half the participants preferred the in‐person visit. Pandemic information was obtained from family members or the television news media. Knowing patientsʼ perspectives may help researchers be better prepared for future pandemics. J Am Geriatr Soc 68:E14–E18, 2020.
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Affiliation(s)
- Prasad R Padala
- Geriatric Research Education, and Clinical Center (GRECC), Central Arkansas Veterans Healthcare System (CAVHS), Little Rock, Arkansas, USA.,Department of Psychiatry, University of Arkansas for Medical Sciences (UAMS), Little Rock, Arkansas, USA.,Department of Geriatrics, UAMS, Little Rock, Arkansas, USA
| | - Ashlyn M Jendro
- Geriatric Research Education, and Clinical Center (GRECC), Central Arkansas Veterans Healthcare System (CAVHS), Little Rock, Arkansas, USA
| | - C Heath Gauss
- Geriatric Research Education, and Clinical Center (GRECC), Central Arkansas Veterans Healthcare System (CAVHS), Little Rock, Arkansas, USA.,Department of Biostatistics, UAMS, Little Rock, Arkansas, USA
| | - L Casey Orr
- Geriatric Research Education, and Clinical Center (GRECC), Central Arkansas Veterans Healthcare System (CAVHS), Little Rock, Arkansas, USA.,Department of Psychiatry, University of Arkansas for Medical Sciences (UAMS), Little Rock, Arkansas, USA.,Department of Geriatrics, UAMS, Little Rock, Arkansas, USA
| | - Kim T Dean
- Geriatric Research Education, and Clinical Center (GRECC), Central Arkansas Veterans Healthcare System (CAVHS), Little Rock, Arkansas, USA
| | - Kerrie B Wilson
- Geriatric Research Education, and Clinical Center (GRECC), Central Arkansas Veterans Healthcare System (CAVHS), Little Rock, Arkansas, USA
| | - Christopher M Parkes
- Geriatric Research Education, and Clinical Center (GRECC), Central Arkansas Veterans Healthcare System (CAVHS), Little Rock, Arkansas, USA
| | - Kalpana P Padala
- Geriatric Research Education, and Clinical Center (GRECC), Central Arkansas Veterans Healthcare System (CAVHS), Little Rock, Arkansas, USA.,Department of Geriatrics, UAMS, Little Rock, Arkansas, USA
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Padala PR, Jendro AM, Padala KP. Conducting Clinical Research During the COVID-19 Pandemic: Investigator and Participant Perspectives. JMIR Public Health Surveill 2020; 6:e18887. [PMID: 32250281 PMCID: PMC7141248 DOI: 10.2196/18887] [Citation(s) in RCA: 47] [Impact Index Per Article: 11.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2020] [Accepted: 04/01/2020] [Indexed: 11/18/2022] Open
Abstract
As the medical landscape changes daily with the coronavirus disease (COVID-19) pandemic, clinical researchers are caught off-guard and are forced to make decisions on research visits in their ongoing clinical trials. Although there is some guidance from local and national organizations, the principal investigator (PI) is ultimately responsible for determining the risk-benefit ratio of conducting, rescheduling, or cancelling each research visit. The PI should take into consideration the ethical principles of research, local/national guidance, the community risk of the pandemic in their locale, staffing strain, and the risk involved to each participant, to ultimately decide on the course of action. While balancing the rights and protection of the human subject, we seldom examine patients’ views and opinions about their scheduled research visit(s).
This article discusses the ethical principles of beneficence and autonomy in helping the decision-making process. We discuss ways to weigh-in local and national guidance, staffing strain, and institutional support into the decision-making process and outline potential changes needed for regulatory bodies depending on the decision. Further, we discuss the need to weigh-in the individual risk-benefit ratio for each participant and present a decision tree to navigate this complex process. Finally, we examine participant and caregiver perspectives on their fears, sense of preparedness, and factors that they consider before deciding whether to keep or postpone the research appointments. This entry also provides PIs ways to support their research participants in both scenarios, including provision of psychological support.
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Affiliation(s)
- Prasad R Padala
- Geriatric Research Education and Clinical Center, Eugene J Towbin Healthcare Center, Central Arkansas Veterans Healthcare System, North Little Rock, AR, United States.,Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, United States.,Department of Geriatrics, University of Arkansas for Medical Sciences, Little Rock, AR, United States
| | - Ashlyn M Jendro
- Geriatric Research Education and Clinical Center, Eugene J Towbin Healthcare Center, Central Arkansas Veterans Healthcare System, North Little Rock, AR, United States
| | - Kalpana P Padala
- Geriatric Research Education and Clinical Center, Eugene J Towbin Healthcare Center, Central Arkansas Veterans Healthcare System, North Little Rock, AR, United States.,Department of Geriatrics, University of Arkansas for Medical Sciences, Little Rock, AR, United States
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