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21 results on '"Hartasanchez, Sandra A"'

1. Clinician feedback using a shared decision-making tool for the evaluation of patients with thyroid nodules—an observational study

Author

Singh Ospina, Naykky, Patel Chavez, Chandani, Godinez Leiva, Eddison, Bagautdinova, Diliara, Hidalgo, Jessica, Hartasanchez, Sandra, Algarin Perneth, Sandra, Barb, Diana, Danan, Deepa, Dziegielewski, Peter, Hughley, Brian, Srihari, Ashok, Subbarayan, Sreevidya, Castro, M. Regina, Dean, Diana, Morris, John, Ryder, Mabel, Stan, Marius N., Hargraves, Ian, Bylund, Carma L., Treise, Debbie, Montori, Victor M., and Brito, Juan P.

Published
2024
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2. Patient feedback receiving care using a shared decision making tool for thyroid nodule evaluation—an observational study

Author

Patel Chavez, Chandani Patel, Godinez Leiva, Eddison, Bagautdinova, Diliara, Hidalgo, Jessica, Hartasanchez, Sandra, Barb, Diana, Danan, Deepa, Dziegielewski, Peter, Edwards, Catherine, Hughley, Brian, Srihari, Ashok, Subbarayan, Sreevidya, Castro, M. Regina, Dean, Diana, Morris, John, Ryder, Mabel, Stan, Marius N., Hargraves, Ian, Shepel, Kathryn, Brito, Juan P., Bylund, Carma L., Treise, Debbie, Montori, Victor, and Singh Ospina, Naykky

Published
2023
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5. Feasibility and Acceptability of an Agenda-Setting Kit in the Care of People With Type 2 Diabetes: The QBSAFE ASK Feasibility Study.

Author

Haider, Shanzay, Gonzalez-Lopez, Carolina, Clark, Jennifer, Gravholt, Derek L., Breslin, Maggie, Boehmer, Kasey R., Hartasanchez, Sandra A., Sanchez, Brianna, Montori, Victor M., and Lipska, Kasia J.

Subjects
HEALTH self-care, PATIENT safety, GLYCOSYLATED hemoglobin, INTERPROFESSIONAL relations, RESEARCH funding, PILOT projects, SYMPTOM burden, PROBLEM solving, PATIENT-centered care, SURVEYS, TYPE 2 diabetes, QUALITY of life, PHYSICIAN-patient relations, PHYSICIANS, EMPLOYEES' workload, ADULTS
Abstract

This article reports on a study to assess the feasibility of research procedures and acceptability of QBSAFE, a set of conversation cards focused on quality of life, treatment burden, safety, and avoidance of future events in people with type 2 diabetes. The study enrolled 84 patients and 7 clinicians. Of the 58 patients who completed questionnaires, 64% agreed that the QBSAFE agenda-setting kit (ASK) helped them discuss their situation, 78% agreed that others could benefit from it, and 38% said they would use it again. Most clinicians felt confident responding to issues (in 89% of encounters) and said they would use the kit again (78%) and recommend it to colleagues (82%). The QBSAFE ASK can be feasibly implemented and holds promise in facilitating discussion and collaborative problem-solving. [ABSTRACT FROM AUTHOR]

Published
2024
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7. Comparing Methods for Identifying Post-Market Patient Preferences at the Point of Decision-Making: Insights from Patients with Chronic Pain Considering a Spinal Cord Stimulator Device.

Author

Golembiewski, Elizabeth H, Leon-Garcia, Montserrat, Gravholt, Derek Loy, Brito, Juan P, Spatz, Erica S, Bendel, Markus A, Montori, Victor M, Maraboto, Andrea P, Hartasanchez, Sandra A, and Hargraves, Ian G

Subjects
PATIENT preferences, SPINAL cord, CHRONIC pain, VIDEO coding, ACADEMIC medical centers
Abstract

Purpose: To compare three methods for identifying patient preferences (MIPPs) at the point of decision-making: analysis of video-recorded patient-clinician encounters, post-encounter interviews, and post-encounter surveys. Patients and Methods: For the decision of whether to use a spinal cord stimulator device (SCS), a video coding scheme, interview guide, and patient survey were iteratively developed with 30 SCS decision-making encounters in a tertiary academic medical center pain clinic. Burke's grammar of motives was used to classify the attributed source or justification for a potential preference for each preference block. To compare the MIPPs, 13 patients' encounters with their clinician were video recorded and subsequently analyzed by 4 coders using the final video coding scheme. Six of these patients were interviewed, and 7 surveyed, immediately following their encounters. Results: For videos, an average of 66 (range 33– 106) sets of utterances potentially indicating a patient preference (a preference block), surveys 33 (range 32– 34), and interviews 25 (range 18– 30) were identified. Thirty-eight unique themes (75 subthemes), each a preference topic, were identified from videos, surveys 19 themes (12 subthemes), and interviews 39 themes (54 subthemes). The proportion of preference blocks that were judged as expressing a preference that was clearly important to the patient or affected their decision was highest for interviews (72.8%), surveys (68.0%), and videos (27.0%). Videos mostly attributed preferences to the patient's situation (scene) (65%); interviews, the act of receiving or living with SCS (43%); surveys, the purpose of SCS (40%). Conclusion: MIPPs vary in the type of preferences identified and the clarity of expressed preferences in their data sets. The choice of which MIPP to use depends on projects' goals and resources, recognizing that the choice of MIPP may affect which preferences are found. [ABSTRACT FROM AUTHOR]

Published
2024
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8. Increasing risk-concordant cardiovascular care in diverse health systems: a mixed methods pragmatic stepped wedge cluster randomized implementation trial of shared decision making (SDM4IP)

Author

Ridgeway, Jennifer L., Branda, Megan E., Gravholt, Derek, Brito, Juan P., Hargraves, Ian G., Hartasanchez, Sandra A., Leppin, Aaron L., Gomez, Yvonne L., Mann, Devin M., Nautiyal, Vivek, Thomas, Randal J., Behnken, Emma M., Torres Roldan, Victor D., Shah, Nilay D., Khurana, Charanjit S., and Montori, Victor M.

Published
2021
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10. Clinician feedback using a shared decision-making tool for the evaluation of patients with thyroid nodules—an observational study

Author

Singh Ospina, Naykky, primary, Patel Chavez, Chandani, additional, Godinez Leiva, Eddison, additional, Bagautdinova, Diliara, additional, Hidalgo, Jessica, additional, Hartasanchez, Sandra, additional, Algarin Perneth, Sandra, additional, Barb, Diana, additional, Danan, Deepa, additional, Dziegielewski, Peter, additional, Hughley, Brian, additional, Srihari, Ashok, additional, Subbarayan, Sreevidya, additional, Castro, M. Regina, additional, Dean, Diana, additional, Morris, John, additional, Ryder, Mabel, additional, Stan, Marius N., additional, Hargraves, Ian, additional, Bylund, Carma L., additional, Treise, Debbie, additional, Montori, Victor M., additional, and Brito, Juan P., additional

Published
2023
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13. Patient feedback receiving care using a shared decision making tool for thyroid nodule evaluation—an observational study

Author

Patel Chavez, Chandani Patel, primary, Godinez Leiva, Eddison, additional, Bagautdinova, Diliara, additional, Hidalgo, Jessica, additional, Hartasanchez, Sandra, additional, Barb, Diana, additional, Danan, Deepa, additional, Dziegielewski, Peter, additional, Edwards, Catherine, additional, Hughley, Brian, additional, Srihari, Ashok, additional, Subbarayan, Sreevidya, additional, Castro, M. Regina, additional, Dean, Diana, additional, Morris, John, additional, Ryder, Mabel, additional, Stan, Marius N., additional, Hargraves, Ian, additional, Shepel, Kathryn, additional, Brito, Juan P., additional, Bylund, Carma L., additional, Treise, Debbie, additional, Montori, Victor, additional, and Singh Ospina, Naykky, additional

Published
2022
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14. The design and development of an encounter tool to support shared decision making about preventing cardiovascular events

Author

Hartasanchez, Sandra A., primary, Hargraves, Ian G., additional, Clark, Jennifer E., additional, Gravholt, Derek, additional, Brito, Juan P., additional, Branda, Megan E., additional, Gomez, Yvonne L., additional, Nautiyal, Vivek, additional, Khurana, Charanjit S., additional, Thomas, Randal J., additional, Montori, Victor M., additional, and Ridgeway, Jennifer L., additional

Published
2022
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15. PSAT245 Feasibility of introducing a conversation aid for patients with thyroid nodules in clinical practice: Understanding the clinician experience

Author

Chavez, Chandani Patel, primary, Hartasanchez, Sandra, additional, Hidalgo, Jessica, additional, Leiva, Eddison Godinez, additional, Bagautdinova, Diliara, additional, Regina Castro, M, additional, Dean, Diana, additional, Morris, John C, additional, Ryder, Mabel, additional, Stan, Marius, additional, Barb, Diana, additional, Danan, Deepa, additional, Dziegielewski, Peter, additional, Edwards, Catherine M, additional, Hughley, Brian, additional, Srihari, Ashok, additional, Subbarayan, Sreevidya, additional, Hargraves, Ian G, additional, Shepel, Kathryn, additional, Brito Campana, Juan P, additional, Carma, Bylund, additional, Treise, Debbie, additional, Montori, Victor, additional, and Ospina, Naykky Singh, additional

Published
2022
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16. PSAT246 Decision Making for Patients with Thyroid Nodules: Understanding the Patient's Experience

Author

Patel Chavez, Chandani, primary, Leiva, Eddison Godinez, additional, Bagautdinova, Diliara, additional, Hidalgo, Jessica, additional, Hartasanchez, Sandra, additional, Barb, Diana, additional, Danan, Deepa, additional, Dziegielewski, Peter, additional, Edwards, Catherine, additional, Hughley, Brian, additional, Srihari, Ashok, additional, Subbarayan, Sreevidya, additional, Regina, Castro, additional, Dean, Diana, additional, Morris, John, additional, Mabel, Ryder, additional, Marius, Stan, additional, Hargraves, Ian, additional, Shepel, Kathryn, additional, Campana, Juan Brito, additional, Bylund, Carma, additional, Debbie, Treise, additional, Montori, Victor, additional, and Ospina, Naykky Singh, additional

Published
2022
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19. Pregnancy Loss and Carotid Intima–Media Thickness in Mexican Women

Author

Hartasanchez, Sandra A., primary, Flores‐Torres, Mario, additional, Monge, Adriana, additional, Yunes, Elsa, additional, Rodriguez, Beatriz, additional, Cantu‐Brito, Carlos, additional, Colaci, Daniela, additional, Lamadrid‐Figueroa, Hector, additional, Lopez‐Ridaura, Ruy, additional, and Lajous, Martin, additional

Published
2018
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21. Pregnancy Loss is Associated With Subclinical Cardiovascular Disease in Mexican Women.

Author

Hartasanchez, Sandra A., Flores, Mario, Monge, Adriana, Yunes, Elsa, Cantu-Brito, Carlos, Espinosa, Luis, Lopez-Ridaura, Ruy, and Lajous, Martin

Abstract

Introduction: Cardiovascular disease (CVD) in women often develops in the absence of conventional risk factors. Prenatal loss, a common pregnancy outcome, may result in physiologic changes that could affect future risk of myocardial infarction. Little is known about the impact of pregnancy loss on early markers of CVD risk. Hypothesis: Pregnancy loss affects carotid artery intima-media thickness (CIMT). Methods: We conducted a cross-sectional analysis among 1,769 disease-free women from the Mexican Teachers' Cohort who had been pregnant to evaluate the relation between pregnancy loss and CIMT. In 2008 participants answered a baseline questionnaire on reproductive history, risk factors for chronic disease and medical conditions that was updated in 2011. We defined pregnancy loss as abortion and/or stillbirth. Between 2012 and 2016, CIMT was measured by trained neurologists using ultrasound in three clinical sites. We log-transformed CIMT and defined carotid atherosclerosis as CIMT ≥0.8mm or plaque. We used multivariable linear and logistic regression models to assess the relation between pregnancy loss, CIMT and carotid atherosclerosis. Results: Mean age of participants was 49.8 (SD ± 5.1) years. The prevalence of pregnancy loss was 22% (394 of 1769), while we observed carotid atherosclerosis in 23% (405 of 1769) of participants. Comparing participants who reported a pregnancy loss to those who did not, the multivariable-adjusted odds ratio for carotid atherosclerosis was 1.52 (95% CI 1.12, 2.06). Women who experienced a stillbirth had 2.32 higher odds (95% CI 1.03, 5.21) of carotid atherosclerosis than those who did not. Mean CIMT appeared to be higher in women who reported a pregnancy loss relative to those who did not, however, in multivariable analyses, pregnancy loss and stillbirth were not significantly associated with CIMT. Conclusions: Abortion and stillbirth may be associated with a higher risk of CVD. Additional investigation on potential underlying mechanisms for this association is required. [ABSTRACT FROM AUTHOR]

Published
2017
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