Chronic Care Management: Emphasis in Cancer & Cardiovascular Outcomes
Chronic care management encompasses the array of supports intended to help patients manage chronic conditions and improve health outcomes. At UNMC College of Nursing, researchers are investigating ways to improve these supports with a focus on the leading chronic diseases impacting Americans today—cancer and cardiovascular disease.
Active Chronic Care Management Projects
HEART Camp Connect
Heart failure with preserved ejection fraction (HFpEF) is one of the greatest unmet needs in cardiovascular medicine today. Exercise training is a promising therapy in this high need population, but initiation and long-term adherence to exercise are an ongoing challenge. This study is a three-group, repeated measures, randomized controlled trial testing the effects of two behavioral interventions against enhanced usual care on adherence to moderate intensity exercise in 300 adults with HFpEF. (Alonso)
Geographic/Racial Disparities of Kidney Disease
The goal of this NIH-sponsored project is to develop a mortality risk score for persons with end-stage kidney disease based on social determinants of health at the local level where the patient lives. This will provide healthcare clinicians with specific social determinants to act upon to reduce the risk of death from end-stage kidney disease. (Varilek)
Assessing Usability of ANCHOR
The objective of this twelve-month, two-phase intervention development pre-pilot study is to refine and user test ANCHOR (Addressing Needs of Caregiving Youth to Help improve Outcomes, & Resiliency), a telehealth intervention targeting coping resources such as emotion identification and regulation, effective communication and uncertainty management, to ultimately improve psychological well-being among adolescent caregiving youth between the ages of 12-18 years old of parents with cancer. This project is sponsored by the American Association for Cancer Education. (Hendricks)
Want to Beat Breast Cancer Disparities?
Women of color, and women who live in communities that lack resources, die more often from breast cancer than other women. (Lally)
REALIZE
The purpose of REALIZE (IntegRating EHeAlth and Lay navigation to OptImiZe TrEatment Initiation and Adherence) is to collect data on the initial implementation of lay- and nurse navigation- influenced eHealth and their integration in a pilot feasibility implementation study. (Lally)
REBOUND
This project will evaluate the impact of the REBOUND intervention on self-management by patients representative of diverse socioeconomic status who have been hospitalized for an acute exacerbation of their COPD. The REBOUND intervention includes: self-management of COPD health coaching using motivational interviewing to promote patient activation of illness management and use of an exercise and relaxation intervention using virtual reality. (Barnason)