Lessons learned from frontline skilled nursing facility staff regarding COVID-19 vaccine hesitancy
March 25, 2021
Resource Type
Update on Two IMPACT Funded Pilot Studies
March 2021 – In Grand Rounds 15, Drs. Forester and Hwang share experiences as Pilot Cycle 1 awardees and provide updates to their funded pilot studies.
Brent P. Forester, MD, MSc on his pilot: Implementation of the Care Ecosystem training model for individuals with dementia in a high risk, integrated care management program
Ula Hwang, MD, MPH on her pilot: Pathway to Detection & Differentiation of Delirium & Dementia in the Emergency Department
Speakers
Brent P. Forester, MD, MSc
Chief, Center of Excellence in Geriatric Psychiatry, McLean Hospital Medical
Director, Behavioral Health Integration, Quality, and Patient Experience, Mass General Brigham
Ula Hwang, MD, MPH
Professor, Vice Chair for Research, Department of Emergency Medicine
Yale School of Medicine
Learning Objectives
Dr. Forester:
- To understand the rationale and design of our adaptation of the Care Ecosystem model to train nurse case managers to deliver telephone-based collaborative dementia care.
- To appreciate the successes and challenges encountered in stakeholder engagement, adaptation of the Care Ecosystem training program and implementation of the model.
- To describe updates on pilot progress to date and plans for a larger embedded pragmatic clinical trial.
Dr. Hwang:
- To describe the Pathway to Detection & Differentiation of Delirium & Dementia in the Emergency Department (PD4ED) pilot.
- To share challenges and solutions of implementation with an embedded pragmatic trial (during a pandemic and institution move).
- To provide updates on the status of the PD4ED pilot study implementation.
Ethical challenges with pragmatic RCTs: General issues and special considerations in dementia
February 2021 – In Grand Rounds 14, Dr. Nicholls provides an overview of ethical issues raised by pragmatic randomized controlled trials (RCTs), outlines challenges in conducting empirical studies of the published literature, and provides preliminary data on the reporting of key ethical issues in published pragmatic RCTs in AD/ADRD.
Speaker
Stuart G. Nicholls, PhD
Ottawa Health Research Institute
Watch the Webinar
Learning Objectives
- Describe key ethical issues raised by pragmatic RCTs and which may be particularly salient to the ADRD context
- Describe the challenges of identifying a sample of pragmatic RCTs from the literature
- Describe the landscape of key ethical issues in published pragmatic RCTs in ADRD
Podcast
Implementation in ongoing ADRD ePCTS in different health care settings using real examples
January 2021 – Ground Rounds 13, features Drs. Brody, McCreedy, and Colburn providing examples of ongoing implementation of ePCTs within health care systems for people with AD/ADRD followed by a response from Dr. Mittman, a prominent scientist with expertise in implementation of complex interventions in health care systems.
Webinar Recording
Learning Objectives
- Understand the implementation strategies used in 3 pragmatic clinical trials among persons living with dementia
- Gain knowledge about implementation barriers and facilitators of complex interventions in pragmatic trials
- Apply a novel framework to promote complex health intervention implementation in health care systems
Podcast
Improving Serious Illness Care Through Large Pragmatic Trials
December 2020 – In Grand Rounds 12, Dr. Halpern discusses improving care through large pragmatic trials. Dr. Halpern reviews explanatory trials in serious illness care, informed consent, and many other approaches of pragmatic clinical trials to improve the palliative care for seriously ill, hospitalized patients.
Webinar Recording
Learning Objectives
- Participants will understand the importance of improving serious illness care and how it can be done through large pragmatic trials
- Participants will understand the use of explanatory trials in serious illness care
- Participants will understand how pragmatic trials can improve palliative care for hospitalized patients