Past TRIPLL Webinars

May 22, 2017: Racial and Ethnic Pain-Related Disparities: Provider and Contextual Factors and Potential Solutions.

Presenter: Adam T. Hirsh, PhD, Indiana University -Purdue University Indianapolis

Overview: Pain-related disparities for racial/ethnic minority groups exist at multiple stages of the pain care continuum. Dr. Hirsh’s presentation will focus on the provider and contextual factors that contribute to these disparities. He will highlight theoretical and empirical findings indicating how these factors influence pain care and discuss key questions for future research. Dr. Hirsh will also discuss two novel interventions that use virtual human technology to reduce disparities and improve care for low-income minority patients with chronic pain.

 

April 24, 2017: Patient Expectations and Decision Support Strategies in Pain Care. 

Presenter: Jon Lurie, MD, Dartmouth College

Overview: Dr. Lurie will review the importance of patient expectations as a factor in predicting surgical outcomes. He will also discuss decision support interventions for patients considering spinal surgery as a means of improving pain care.

 

March 27, 2017: Innovative Ways to Incorporate Patient Preferences into Medical Decision Making.

Presenter: Liana Fraenkel, MD, MPH, Yale University

Overview: Dr. Fraenkel will discuss health communication in the context of pain management. Her discussion will review methods for incorporating patients’ preferences into medical decision-making, including the use of innovative patient decision support tools.

 

February 27, 2017: Applying Research on Financial Decision Making in Aging to Social and Health Domains

Presenter: Gregory Samanez-Larkin, PhD, Yale University

Overview: Dr. Samanez-Larkin will discuss how monetary decisions are made across adulthood, using a combination of study approaches from behavioral (performance and computational modeling) and neuroimaging techniques (fMRI, PET) in the laboratory to experience sampling in everyday life. He will discuss recent extensions of this approach, studying health-related and social decision making in the aging population.

January 9, 2017: The Impact of Age on Pain Management Decision-Making: An Introduction to Our Webinar Series

Presenter: Corinna Loeckenhoff, PhD, Associate Professor, Cornell University

Overview: Dr. Loeckenhoff will provide a broad overview of the current state of research on age differences in decision making ranging from information seeking and reasoning about specific choices to broad contextual factors including family involvement and patient-provider relations. Within each of these domains, potential implications for pain management in later life will be discussed.

 

July 25, 2016: mHealth Tools for Older Adults: Usability and Possible Aging Barriers

Presenter: Gaby Anne Wildenbos,M.S., M.A., Academic Medical Center, University of Amsterdam, Department of Medical Informatics, Center for Human Factors Engineering of Health Information Technology (HIT-Lab), The Netherlands.

Overview: Mobile health (mHealth) apps can play a significant role in supporting older adult patients. Existing usability guidelines address themes for mHealth app development in general. A plea could be made to create more patient specific guidelines and to address possible aging barriers that older users face in working with touch screen based applications. This webinar provides a case study on a usability evaluation of a mHealth app for older adults and contemplates on possible aging barriers.

 

June 27, 2016: The Ins & Outs of Building mHealth for Older Adults.

Presenter: Kelly Grindrod, PharmD, MSc, Assistant Professor, University of Waterloo School of Pharmacy.

Overview: This webinar will focus on special considerations for designing, building and testing mHealth with older adults. The digital divide means that older adults are often overlooked as potential users of mHealth. However, the very factors that make people less likely to use technology (age, low literacy, low income), are the same factors that increase the risk of chronic disease. Dr. Grindrod will discuss strategies for overcoming the digital divide in mHealth research and will share design patterns that can be used to improve the design of mHealth tools.

 

May 23, 2016: A Design Research Approach to Geriatric Care

Presenters: Tom Page PhD, MPhil, BSc. (Hons), C. Eng, MIET, MIEEE, Senior Lecturer in Electronic Product Design and George Edward Torrens, PhD, BA hons, MCSD, Senior Lecturer, Loughborough Design School, Loughborough University, UK.

Dr. Page focused on how increasing advance and use of technology presents challenges for older users and older generations who often experience difficulty in using new technology compared with their younger counterparts. Dr. Page investigated how touchscreen devices have affected the usability of interactive consumer products by older adults. The research was conducted with participants and each was required to carry out common tasks on mobile phones which they were unfamiliar with. It was seen that some older users are frequent users of modern technologies such as touchscreens and find this easier to use than systems which are generally perceived as more ‘simple’ systems such as keypads on a mobile phone. Technological advances show a change in interface design, making use easier for all users, in particular older people, yet this has not been developed to its full potential and still deters certain users from choosing to use products implementing these technologies. It is recommended that technology developers consider the needs and desires of older adults as a user group.

Dr. Torrens focused on empathy and affinity: getting to know older people. Mobile health technology now involves proprietary as well as bespoke medical products, both physical and digital. This section of the Webinar will introduce ways in which healthcare practitioners and healthcare product designers can cost-effectively research and develop new mhealth products and services from a social healthcare model. The topics will include: effective literature review; bottom up versus top down research; understanding your product user, empathic modelling, participant recruitment; participatory design; challenges of constrained dialogue; route to market.

 

April 25, 2016: Improving Self Managment Support for Chronic Pain via Mobile Health tools

Presenter: John Piette, PhD, University of Michigan

Overview: Psychotherapies such as Cognitive Behavioral Therapy can help people with chronic pain reduce their symptoms and improve functioning. Unfortunately, these services are often labor intensive, and require frequent face-to-face therapist visits that are inaccessible to many pain sufferers. This webinar will focus on the use of mobile health tools such as automated calls (IVR) and text messaging to increase access to evidence-based treatments. Two models in particular – the COPES program and the CarePartner program show promise for addressing patients’ pain while managing the costs of care. As time allows, we also will review ongoing trials that blend these mobile health strategies with artificial intelligence-based optimization to ensure that users get the services they need while using clinician time as efficiently as possible.

 

March 21, 2016: Putting Behavioral Treatments for Pain Online: Evidence and Lessons

Presenter: Christopher Eccleston, PhD. Professor of Medical Psychology and Director, Centre for Pain Research, The University of Bath

Overview: The population and personal burden of chronic pain is now well documented. There is good evidence that behavioral medicine interventions are effective in reaching the core goals of self-management: distress reduction, activity engagement, and a reduction in pain report. However, access to face-to-face therapy is poor, meaning that most of the population who could benefit have no opportunity to benefit. E-health interventions are often presented as a solution. But do they work? This seminar reviews the evidence for psychological interventions and looks critically at those that have been tried on line. A summary of lessons learned and the features of potentially successful e-health innovations will be developed in the seminar.

February 29, 2016: mHealth Technology for Management of Pain: Implementation of of a Smartphone Pain App and Activity Data Recorder with Chronic Pain Patients

Presenter: Robert, N. Jamison, Ph.D., Professor, Departments of Anesthesia and Psychiatry, Brigham and Women’s Hospital, Harvard Medical School

Overview: There has been an explosion of mobile devices that have been used to track health data and change the approach to management of chronic diseases. Mobile health technology is the fastest growing sector of the communications industry and smart phones are available for the majority of the population worldwide. mHealth allows for easy, time-effective coverage of patients at a low cost and offers significant opportunities to improve access to health care, contain costs, and improve clinical outcomes. These devices and programs allow data to be transferred to health care professionals and can offer interventions to a greater number of patients than could be seen individually. A critical barrier to incorporation of technology in assessing and delivering behavioral treatments for patients with pain are outcome studies that demonstrate improvement of care with a decrease in healthcare utilization. Dr. Jamison will review the literature on the use of smartphone pain apps, web-based electronic pain assessment programs, text messaging, and activity monitors, to help manage pain patients’ conditions remotely and that have the potential to decrease healthcare utilization. He will detail the content, face validity, reliability, usability, expense, and technical issues associated with the use of mHealth technology and describe findings from a year-long study of patients with cancer and noncancer chronic pain who are using a smartphone pain app and an activity monitor. This study was designed to assess whether a smartphone pain app (downloaded for free on Android and iPhone devices) would allow patients and physicians to more easily 1) identify factors exacerbating or relieving pain, 2) modify treatment, and 3) help the individuals understand and control their pain. Initial results demonstrate the benefits of movement monitors and 2-way supportive messaging to improve compliance. Future study opportunities with increased focus on preventative health, remote feedback, and wellness tracking using mHealth technology for persons with pain will be presented.

 

January 25, 2016: One Size Doesn’t Fit All: Personalized Digital Health Approaches to Chronic Disease Management

Presenter: Jennifer Stinson, RN-EC, PhD, CPNP, The Hospital for Sick Children

Overview: One in five Canadian children and youth will suffer from recurrent or chronic pain. Many children with chronic pain do not have access to an integrated care approach, which encompasses multiple treatment modalities (pharmacological, physical and psychological) to address the multifaceted nature of this condition. The use of digital health technologies has facilitated access to appropriate and timely care. Dr. Stinson will provide examples of web and smartphone based applications for the assessment and management of chronic pain in children. She will also discuss how this research has applications for the management of pain in older adults.

 

June 30, 2015: Propensity Score Method in Chronic Pain Research

Presenter: Felix Thoemmes, PhD; Assistant Professor, Department of Human Development, College of Human Ecology, Cornell University

Overview: Research on chronic pain is often faced with the inability to randomly assign participants. This lack of randomization gives rise to selection bias, which has traditionally been addressed using regression adjustment. Propensity score analysis (PSA) is an alternative that models the relationship between confounders and treatment selection. PSA provides several model adequacy checks, and is typically more robust (less model-dependent) than regression adjustment. This webinar will highlight the underlying logic of PSA, and present some software implementations, alongside an applied example of the use of PSA in chronic pain research using the MIDUS dataset.

 

April 27, 2015: Age Differences in Decision Making

Presenter: Catherine Riffin, PhD; Department of Human Development, College of Human Ecology, Cornell University

Overview: Compared to younger adults, older individuals seek less pre-decisional information, focus more on emotionally salient and personally relevant material, and delegate difficult choices to trusted social network partners. They also favor experience-based decision strategies over systematic and complex approaches. This webinar will offer an overview of typical age patterns in decision-making strategies and preferences among older adults (aged 65+).

 

March 23, 2015Treating Chronic Pain in Older Adults: New Opportunities for Intervention

Presenter: Cary Reid, MD, PhD; Director of TRIPLL, Irving Sherwood Wright Associate Professor and Director of the Office of Geriatric Research in the Division of Geriatrics and Palliative Medicine at Weill Cornell Medical College

Overview: This Webinar will present an overview of the impact of pain in later life, highlight knowledge gaps, and describe opportunities to improve its management with a particular focus on behavioral interventions and emerging technologies.

 

June 23, 2014Treating Chronic Refractory Pain in Older Adults: What are the issues?

Presenter: Cary Reid, MD, PhD; Director of TRIPLL, Irving Sherwood Wright Associate Professor and Director of the Office of Geriatric Research in the Division of Geriatrics and Palliative Medicine at Weill Cornell Medical College

Overview: Chronic pain is a significant public health problem and confers substantial morbidity and suffering across all age groups, particularly among persons ages 65 and above. Advancing age constitutes an important risk factor for underassessment and undertreatment of pain, providing strong support for efforts that seek to develop and translate effective interventions for older adults with chronic pain. Some of this work may involve developing new models of dissemination for existing evidence-based programs, as well as developing new targets for intervention. This Webinar will present an overview of the impact of pain in later life, describe gaps in management, and outline recommendations to improve pain care of older adults.

 

May 19, 2014: Identifying the Continuum of Contextual Factors Contributing to Pain Disparities:From Variants of Age Discrimination, Cultural Sensitivity, and Beyond

Presenter: Tamara Baker, PhD; Associate Professor, School of Aging Studies, University of South Florida College of Behavioral & Community Sciences

Overview: Disparities in the management of pain is often described at the peripheral level, thus only highlighting descriptives that differences occur. There are, however a myriad of social and cultural issues that not only describe these differences, but more importantly, define why such disparities occur and continue to exist. This webinar will define how cultural, social, and societal issues contribute to inequities in pain management among diverse populations (beyond just race).  Understanding pain disparities from a life course (historical) perspective will be addressed, while highlighting current initiatives designed to ensure equal treatment for all.

 

April 28, 2014: The Problem & Consequences of Multisite Pain in Older Adults

Presenter: Suzanne Leveille, PhD; PhD Program Director and Professor, Department of Nursing, University of Massachusetts Department of Nursing

Overview: This webinar will review the current evidence about the problem of multisite musculoskeletal pain in older persons.  Consequences of chronic pain include loss of mobility, reduce ability to perform daily activities, and risk for falls. By the end of the seminar, participants will understand the scope of the problem of pain, how elders are managing their pain in general, and functional difficulties elders experience as a result of living with chronic pain.

 

March 24, 2014: Management of Osteoarthritis in the Older Adult: A Rheumatologist’s Perspective

Presenter: Una Makris, MD; Assistant Professor of Internal Medicine, UT Southwestern Medical Center

Overview: Osteoarthritis is the most common type of musculoskeletal related pain; it is highly prevalent in older adults, leads to significant morbidity and related costs. The objectives for this webinar presentation are to 1) briefly review the epidemiology of osteoarthritis, 2) review non- pharmacological and pharmacological management of osteoarthritis, and 3) review surgical referral when appropriate. This presentation will focus on hand, knee, hip, and generalized osteoarthritis.

 

February 24, 2013: Quality Pain Care for All Older Adults: Progress & Future Directions

Presenter: Keela Herr, PhD, RN; Co-Director, John A. Hartford Center for Geriatric Nursing Excellence, University of Iowa College of Nursing

Overview: Assuring quality pain care to older adults regardless of setting is a goal for most clinicians and researchers. This TRIPLL webinar will describe the current state of pain care for older adults, including prevalence of untreated pain and key challenges to quality pain care in older adults. Progress toward improving pain practices in older adults will be highlighted discussing current efforts and future research and clinical directions.

 

January 27, 2013Improvements in Pain Management through Appreciation of Nocioceptive Pathways and Analgesic Mechanism of Action

Presenter: Joseph Shega, MD; Regional Medical Director, VITAS Innovative Hospice Care

Overview: A plethora of analgesics are available for use and each maintains a unique mechanisms of action. Studies suggest pain management can be improved by blocking nocioceptive pathways in multiple locations, but necessitates a strategic approach based upon the most relevant pathways. Nocioceptive pathways will be reviewed and analgesic mechanism of actions discussed. Case studies highlight the technique and incorporates a review of the evidence.

 

October 30, 2013: Utilizing the NIH Patient-Reported Outcomes Measurement Information System.

Presenter: Thelma J. Mielenz, PhD; Assistant Professor of Epidemiology, Columbia University Mailman School of Public Health

Overview: This webinar provided an introduction to basic concepts of measurement theory -classical test and modern -and how they are applied to measures in the NIH Roadmap Patient-Reported Outcomes Measurement Information System (PROMIS). At the end of the webinar, participants  were able to describe the three broad objectives of PROMIS, including: item banks, CATs and the PROMIS Assessment Center. The webinar briefly demonstrated what the PROMIS Assessment Center can do, including: selecting PROMIS instruments for use in studies, creating surveys, collecting data and utilizing CATs.

 

September 11, 2013: Oral Health and Healthcare for the Older Adult:Why it Matters

Presenters: Kavita P. Ahluwalia, DDS, MPH; Associate Professor of Dental Medicine (at CUMC), College of Dental Medicine, Columbia University & Ira B. Lamster, DDS, MMSc; Dean Emeritus, Columbia University College of Dental Medicine and Professor, Department of Health Policy and Management, Mailman School of Public Health.

Overview: The increasing proportion of retained teeth in older adults has resulted in an increase in oral disease and oral healthcare needs in this population.  This webinar will describe the role of the oral cavity in maintaining quality of life, function and health in the older adult, and will underscore the impact of systemic diseases and declines in physical and cognitive function on oral health outcomes.  Practical steps that older adults, caregivers, and non-dental providers can take to prevent oral diseases and mitigate the symptoms associated with early disease will be discussed.

 

June 11, 2013: Practical Skills in Conducting Effective Focus Groups

Presenter: Laura Robbins, DSW; Senior Vice President of Education and Academic Affairs and Associate Scientist in the Research Division at Hospital for Special Surgery and Associate Professor in Internal Medicine at Weill Cornell Medical Center.

Overview: Health care practitioners and researchers conduct focus groups to gather valuable insight about and a better understanding of clients who reside in hospitals and community settings. This webinar focused on the practical skills needed to conduct focus groups with an emphasis on group dynamics, development of questions and active listening.

 

May 15, 2013: Issues in the Management of Pain in Later Life

Presenter: Cary Reid, MD, PhD; Director of TRIPLL, Irving Sherwood Wright Associate Professor and Director of the Office of Geriatric Research in the Division of Geriatrics and Palliative Medicine at Weill Cornell Medical College.

Overview Chronic pain is a significant public health problem and confers substantial morbidity and suffering across all age groups, particularly among persons ages 65 and above. Advancing age constitutes an important risk factor for underassessment and undertreatment of pain, providing strong support for efforts that seek to develop and translate effective interventions for older adults with chronic pain. Some of this work may involve developing new models of dissemination for existing evidence-based programs, as well as developing new targets for intervention. This Webinar presented an overview of the impact of pain in later life, described gaps in management, and outlined recommendations for improving pain care among older adults.

 

April 19, 2013: Managing Refractory Pain in Patients with Musculoskeletal Disorders

Presenter: Stephen Paget, MD; Physician in Chief Emeritus, Prior HSS Chairman of the Division of Rheumatology, Director of the HSS Rheumatology Academy of Medical Educators and the Stephen A. Paget, Rheumatology Leadership Chair.

Overview: This webinar focused on the diagnostic algorithms and treatment options employed in the setting of acute and chronic pain syndromes that arise in a broad range of patients with musculoskeletal and systemic autoimmune/inflammatory disorders.

 

March 11, 2013: Survey Design Made Simple: Tips for Conducting a Local Survey

Presenter: Karl Pillemer, PhD; Professor of Human Development, Cornell University and  Professor of Gerontology in Medicine, Weill Cornell Medical College.

Overview: Many organizations conduct surveys to assess local needs, shed light on client satisfaction, or to gather other kinds of knowledge from a specified group of people. This webinar provided a non-technical overview of some principles of good survey design that participants can put into use. Dr. Pillemer reviewed common mistakes that can bias the outcome of surveys, and described the steps for conducting a successful survey.