New Haven, CT 06519
Virtual Multimedia Interactive Informed Consent (VIC)
The Informed Consent is a process designed to protect patients and ensure ethical conduct of clinical care and research. However, patients may not understand the risks, the benefits and alternatives of their treatments, even after signing a consent form. To minimize cost and risks, the Dr. Fuad Abujarad developed a new mHealth tool known as Patient Center Virtual Multimedia Interactive Informed Consent (VIC) that uses virtual coaching to conduct a brief interview with patients and to complete the informed consent process. He uses iPads equipped with a comprehensive multimedia library to explains the risks, benefits, and alternatives of the clinical care to enhance patient comprehension. VIC includes many functions and features such as ‘teach-back’ process, automated readability evaluation, retrievable electronic IC, electronic signature, and integration with electronic health record. The VIC team is composed of the project PI Fuad Abujarad (PhD), and Co-investigators Geoffrey Chupp (MD), Sandra Alfano (PharmD), and Peter Peduzzi (PhD). They developed, tested, and refined the VIC mHealth tool via User-Centered Design (UCD) methodology and User Experience (UX) evaluations. VIC research project was funded by an R21 grant from AHRQ.
Community Complex Case Response Team (C3RT)
At the Yale School of Medicine, efforts are being concentrated into alleviating the health repercussions of elder abuse and neglect (EA/N). EA/N is now deemed a public health and safety epidemic given outcomes linking to increased emergency department utilization, nursing home placement, financial loss incurrence, and mortality risk. Hence, the starker presence of EA/N necessitates a more integrated, and efficient standard to aid EA/N survivors. In this project, the Community Complex Case Response Team (C3RT) helps provide e-referral, coordinated case management, and multi-sector service delivery for EA/N survivors and those at risk for EA/N. C3RT operates from the rationale of reducing individual vulnerability and increasing individual capacity for self-care and interdependence. Vital component processes of the C3RT model also include obtaining uniform consent, client data sharing, secure electronic case management, and referrals from agencies that often interact with an older adult cohort. The project received funding from the Robert Wood Johnson Foundation (RWJF), Systems for Action, US Department of Justice’s Office of Violence Against Women, and the Hartford Foundation and in collaboration with Christopher D. Maxwell, PhD (Michigan State University), Carolyn E. Z. Pickering, PhD, RN(University of Texas Health Science Center at San Antonio), and Fuad Abujarad, PhD (Yale University)
An Integrated Model for Personal Assistant Research and Training (IMPART)
A rapidly aging population highlights the urgency for quality healthcare services, which are both affordable and accessible at home. Due to peak demands, there is a critical shortage of trained personal care aides (PCAs) to support this accumulating elderly cohort. Employing an increased quantity of PCAs should be contingent on preserving overall PCA quality (i.e., competence and communication). As a result, employers are scrambling to recruit and retain skilled direct care workers and PCAs. Dr. Abujarad is collaborating on piloting an Integrated Model for Personal Assistant Research and Training (IMPART). The objective of the project is to create a larger and more adept PCA workforce, through the adoption of an integrated model. A diverse, statewide coalition of stakeholders will help forge feasible win-win strategies for ensuring access to a high-quality PCA workforce in Michigan. As part of the IMPART team, Dr. Abujarad also works closely with the project PI Dr. Clare Luz (PhD, Michigan State University/College of Human Medicine (MSU/CHM) Department of Family Medicine), Zhehui Luo (PhD, MSU/CHM Department of Epidemiology and Biostatistics), Sarah J. Swierenga (PhD, Director, MSU Usability/Accessibility Research and Consulting), Chris Curtin (RN-BC, Executive Director, Community Services Network) and Lauren Swanson-Aprill (M.A., Michigan Department of Health and Human Services). IMPART is supported by a grant from the Michigan Health Endowment Fund.