Sunil Kripalani

Summary

Affiliation: Emory University
Country: USA

Publications

  1. ncbi Development and psychometric evaluation of the Self-efficacy for Appropriate Medication Use Scale (SEAMS) in low-literacy patients with chronic disease
    Jessica Risser
    Emory University School of Medicine, Atlanta, GA 30317, USA
    J Nurs Meas 15:203-19. 2007
  2. doi Frequency and predictors of prescription-related issues after hospital discharge
    Sunil Kripalani
    Division of General Internal Medicine and Public Health, Department of Medicine, Vanderbilt University, Nashville, Tennessee, USA
    J Hosp Med 3:12-9. 2008
  3. pmc Low-literacy interventions to promote discussion of prostate cancer: a randomized controlled trial
    Sunil Kripalani
    Division of General Medicine, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia 30303, USA
    Am J Prev Med 33:83-90. 2007
  4. pmc A prescription for cultural competence in medical education
    Sunil Kripalani
    Emory University School of Medicine, Atlanta, GA, USA
    J Gen Intern Med 21:1116-20. 2006
  5. ncbi Development of an illustrated medication schedule as a low-literacy patient education tool
    Sunil Kripalani
    Division of General Medicine, Emory University School of Medicine, Atlanta, GA 30303, USA
    Patient Educ Couns 66:368-77. 2007
  6. ncbi Interventions to enhance medication adherence in chronic medical conditions: a systematic review
    Sunil Kripalani
    Division of General Medicine, Department of Internal Medicine, Emory University School of Medicine, Atlanta, GA 30303, USA
    Arch Intern Med 167:540-50. 2007
  7. pmc Teaching about health literacy and clear communication
    Sunil Kripalani
    Emory University School of Medicine, Atlanta, GA, USA
    J Gen Intern Med 21:888-90. 2006
  8. pmc Predictors of medication self-management skill in a low-literacy population
    Sunil Kripalani
    Division of General Medicine, Emory University School of Medicine, Atlanta, GA 30303, USA
    J Gen Intern Med 21:852-6. 2006
  9. ncbi Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists
    Sunil Kripalani
    Emory University School of Medicine, Atlanta, GA 30303, USA
    J Hosp Med 2:314-23. 2007
  10. ncbi Prostate cancer screening in a low-literacy population: does informed decision making occur?
    Sunil Kripalani
    Emory University School of Medicine, Atlanta, GA 30303, USA
    Cancer Control 12:116-7. 2005

Collaborators

Detail Information

Publications46

  1. ncbi Development and psychometric evaluation of the Self-efficacy for Appropriate Medication Use Scale (SEAMS) in low-literacy patients with chronic disease
    Jessica Risser
    Emory University School of Medicine, Atlanta, GA 30317, USA
    J Nurs Meas 15:203-19. 2007
    ..The SEAMS is a reliable and valid instrument that may provide a valuable assessment of medication self-efficacy in chronic disease management, and appears appropriate for use in patients with low literacy skills...
  2. doi Frequency and predictors of prescription-related issues after hospital discharge
    Sunil Kripalani
    Division of General Internal Medicine and Public Health, Department of Medicine, Vanderbilt University, Nashville, Tennessee, USA
    J Hosp Med 3:12-9. 2008
    ..In the period immediately following hospital discharge, patients often experience difficulty with medication management. The problems related to patients' handling of discharge prescriptions are not well characterized...
  3. pmc Low-literacy interventions to promote discussion of prostate cancer: a randomized controlled trial
    Sunil Kripalani
    Division of General Medicine, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia 30303, USA
    Am J Prev Med 33:83-90. 2007
    ..However, few studies have tested strategies to encourage such discussions, particularly among high-risk populations. We examined the effects of two low-literacy interventions on the frequency of prostate cancer discussion and screening...
  4. pmc A prescription for cultural competence in medical education
    Sunil Kripalani
    Emory University School of Medicine, Atlanta, GA, USA
    J Gen Intern Med 21:1116-20. 2006
    ..This "prescription for cultural competence" is intended to promote an active and integrated approach to multicultural issues throughout medical school training...
  5. ncbi Development of an illustrated medication schedule as a low-literacy patient education tool
    Sunil Kripalani
    Division of General Medicine, Emory University School of Medicine, Atlanta, GA 30303, USA
    Patient Educ Couns 66:368-77. 2007
    ..This article describes the development, implementation, and preliminary evaluation of an illustrated medication schedule (a "pill card") that depicts a patient's daily medication regimen using pill images and icons...
  6. ncbi Interventions to enhance medication adherence in chronic medical conditions: a systematic review
    Sunil Kripalani
    Division of General Medicine, Department of Internal Medicine, Emory University School of Medicine, Atlanta, GA 30303, USA
    Arch Intern Med 167:540-50. 2007
    ..Approximately 20% to 50% of patients are not adherent to medical therapy. This review was performed to summarize, categorize, and estimate the effect size (ES) of interventions to improve medication adherence in chronic medical conditions...
  7. pmc Teaching about health literacy and clear communication
    Sunil Kripalani
    Emory University School of Medicine, Atlanta, GA, USA
    J Gen Intern Med 21:888-90. 2006
  8. pmc Predictors of medication self-management skill in a low-literacy population
    Sunil Kripalani
    Division of General Medicine, Emory University School of Medicine, Atlanta, GA 30303, USA
    J Gen Intern Med 21:852-6. 2006
    ..Patients' ability to manage medications is critical to chronic disease control. Also known as medication management capacity (MMC), it includes the ability to correctly identify medications and describe how they should be taken...
  9. ncbi Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists
    Sunil Kripalani
    Emory University School of Medicine, Atlanta, GA 30303, USA
    J Hosp Med 2:314-23. 2007
    ..By understanding the key challenges and adopting strategies to improve patient care in the transition from hospital to home, hospitalists could significantly reduce medical errors in the postdischarge period...
  10. ncbi Prostate cancer screening in a low-literacy population: does informed decision making occur?
    Sunil Kripalani
    Emory University School of Medicine, Atlanta, GA 30303, USA
    Cancer Control 12:116-7. 2005
  11. pmc Hospitalists as teachers
    Sunil Kripalani
    Division of General Medicine, Emory University School of Medicine, Atlanta, GA 30303, USA
    J Gen Intern Med 19:8-15. 2004
    ..To compare evaluations of teaching effectiveness among hospitalist, general medicine, and subspecialist attendings on general medicine wards...
  12. ncbi Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care
    Sunil Kripalani
    Division of General Medicine, Department of Internal Medicine, Emory University School of Medicine, Atlanta, GA 30303, USA
    JAMA 297:831-41. 2007
    ..Delayed or inaccurate communication between hospital-based and primary care physicians at hospital discharge may negatively affect continuity of care and contribute to adverse events...
  13. pmc Improving Medication Adherence through Graphically Enhanced Interventions in Coronary Heart Disease (IMAGE-CHD): a randomized controlled trial
    Sunil Kripalani
    Section of Hospital Medicine, Division of General Internal Medicine and Public Health, Department of Medicine, Vanderbilt University, Nashville, TN 37232, USA
    J Gen Intern Med 27:1609-17. 2012
    ..Up to 50 % of patients do not take medications as prescribed. Interventions to improve adherence are needed, with an understanding of which patients benefit most...
  14. doi Association of age, health literacy, and medication management strategies with cardiovascular medication adherence
    Sunil Kripalani
    Section of Hospital Medicine, Division of General Internal Medicine and Public Health, Department of Medicine, Vanderbilt University, Nashville, TN 37232, USA
    Patient Educ Couns 81:177-81. 2010
    ..To examine patients' use of medication management strategies (e.g., reminders, pill boxes), and to determine how their use influences the relationship between patient characteristics and medication adherence...
  15. pmc Hospitalist handoffs: a systematic review and task force recommendations
    Vineet M Arora
    Section of General Internal Medicine, Department of Medicine, University of Chicago, Chicago, Illinois 60637, USA
    J Hosp Med 4:433-40. 2009
    ..Handoffs are ubiquitous to Hospital Medicine and are considered a vulnerable time for patient safety...
  16. pmc Illustrated medication instructions as a strategy to improve medication management among Latinos: a qualitative analysis
    Arun V Mohan
    Emory University School of Medicine, Atlanta, GA 30322, USA
    J Health Psychol 18:187-97. 2013
    ..Patients expressed preference for illustrated medication instructions which could address several of the challenges raised by patients...
  17. pmc Development of a patient-centered bilingual prescription drug label
    Arun Mohan
    a Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA
    J Health Commun 18:49-61. 2013
    ..This design may serve as a prototype for improving prescription drug labeling. ..
  18. pmc Association of brief health literacy screening and blood pressure in primary care
    David E Willens
    a Henry Ford Health System, Department of Medicine, Detroit, Michigan, USA
    J Health Commun 18:129-42. 2013
    ..Future research is needed to explore this unexpected finding...
  19. pmc Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial
    Sunil Kripalani
    Department of Medicine, Vanderbilt University, 1215 21st Avenue South, Suite 6000 Medical Center East, Nashville, TN 37232, USA
    Ann Intern Med 157:1-10. 2012
    ..They include preventable or ameliorable adverse drug events (ADEs), as well as medication discrepancies or nonadherence with high potential for future harm (potential ADEs)...
  20. doi Assessment of gender-specific preventive cardiovascular knowledge among house staff: Potential impact on cardiovascular management
    Don O Rowe
    Division of Cardiovascular Medicine, Emory University School of Medicine, Atlanta, Georgia, USA
    Gend Med 6:471-8. 2009
    ..Gender differences in cardiovascular prevention and treatment may be related to physicians' level of postgraduate training and gender...
  21. pmc Factors associated with medication refill adherence in cardiovascular-related diseases: a focus on health literacy
    Julie A Gazmararian
    Emory Center on Health Outcomes and Quality, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
    J Gen Intern Med 21:1215-21. 2006
    ..The factors influencing medication adherence have not been fully elucidated. Inadequate health literacy skills may impair comprehension of medical care instructions, and thereby reduce medication adherence...
  22. doi A qualitative evaluation of a health literacy intervention to improve medication adherence for underserved pharmacy patients
    Sarah C Blake
    Department of Health Policy and Management, Rollins School of Public Health RSPH, Emory University, Atlanta, GA 30322, USA
    J Health Care Poor Underserved 21:559-67. 2010
    ..To evaluate the implementation of a health literacy intervention to improve medication adherence among patients in an inner-city health system...
  23. pmc Patient literacy and question-asking behavior during the medical encounter: a mixed-methods analysis
    Marra G Katz
    Emory University School of Medicine, Atlanta, Georgia 30303, USA
    J Gen Intern Med 22:782-6. 2007
    ..Patients' literacy level may affect their level of participation and question-asking behaviors...
  24. ncbi The Hospital Medicine Reengineering Network (HOMERuN): a learning organization focused on improving hospital care
    Andrew D Auerbach
    Dr Auerbach is professor of medicine, University of California, San Francisco Division of Hospital Medicine, San Francisco, California Dr Patel is resident physician, Perelman School of Medicine, University of Pennsylvania, Section of Hospital Medicine, Philadelphia, Pennsylvania Dr Metlay is professor of medicine, Perelman School of Medicine, University of Pennsylvania, Section of Hospital Medicine, Philadelphia, Pennsylvania Dr Schnipper is associate professor of medicine, Division of General Medicine, Brigham and Women s Hospital, and Harvard Medical School, Boston, Massachusetts Dr Williams is professor of medicine, Northwestern University Feinberg School of Medicine, Division of Hospital Medicine, Chicago, Illinois Dr Robinson is physician in chief and associate chief medical officer, Christiana Care Health System, Wilmington, Delaware Dr Kripalani is associate professor, Section of Hospital Medicine, Division of General Internal Medicine and Public Health, Department of Medicine, Vanderbilt University, Nashville, Tennessee Dr Lindenauer is associate professor of medicine, Tufts University School of Medicine, Boston, Massachusetts, and Director, Center for Quality of Care Research, Baystate Medical Center, Springfield, Massachusetts
    Acad Med 89:415-20. 2014
    ..Next steps and sustainability of the organization are discussed, including benchmarking, collaboration, and effective dissemination of best practices to stakeholders. ..
  25. pmc PictureRx: Illustrated medication instructions for patients with limited health literacy
    Arun Mohan
    Division of Hospital Medicine, School of Medicine, Emory University, 1364 Clifton Rd NE, Atlanta, GA 30322, USA
    J Am Pharm Assoc (2003) 52:e122-9. 2012
    ..To describe the role of illustrated medication instructions in pharmacy practice, the evidence for their use, and our experience with their implementation...
  26. pmc Health literacy and control in the medical encounter: a mixed-methods analysis
    Safiya A Arthur
    Emory University, Atlanta, Georgia, USA
    J Natl Med Assoc 101:677-83. 2009
    ..Patients with inadequate health literacy skills may be less-active participants in their care and more likely to have paternalistic encounters...
  27. pmc Health literacy and the quality of physician-patient communication during hospitalization
    Sunil Kripalani
    Section of Hospital Medicine, Division of General Internal Medicine and Public Health, Department of Medicine, Vanderbilt University, Nashville, Tennessee 37232, USA
    J Hosp Med 5:269-75. 2010
    ..We analyzed patients' ratings of the quality of physician-patient communication during hospitalization and how this varies by health literacy...
  28. pmc Use of handheld computers in medical education. A systematic review
    Anna Kho
    Emory University School of Medicine, Atlanta, GA, USA
    J Gen Intern Med 21:531-7. 2006
    ..Over the past decade, handheld computers (or personal digital assistants [PDAs]) have become a popular tool among medical trainees and physicians. Few comprehensive reviews of PDA use in medicine have been published...
  29. ncbi The use of standardized patients to teach low-literacy communication skills
    Kimberly D Manning
    Division of General Medicine, Emory University School of Medicine, Atlanta, GA 30303, USA
    Am J Health Behav 31:S105-10. 2007
    ..To describe methods for incorporating standardized patients into health literacy training programs...
  30. pmc Determinants of health after hospital discharge: rationale and design of the Vanderbilt Inpatient Cohort Study (VICS)
    Abby G Meyers
    Division of General Internal Medicine and Public Health, Department of Medicine, Vanderbilt University, 1215 21st Ave S, Suite 6000 Medical Center East, Nashville 37232, TN, USA
    BMC Health Serv Res 14:10. 2014
    ..Little research has examined the role of health literacy and other social determinants of health in predicting post-discharge outcomes...
  31. pmc Bridging the digital divide in diabetes: family support and implications for health literacy
    Lindsay S Mayberry
    Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232 8300, USA
    Diabetes Technol Ther 13:1005-12. 2011
    ..Participant statements suggest family members may bridge the HIT "digital divide" in diabetes by helping adults access a PWP or HIT for diabetes management...
  32. pmc Predictors of medication adherence postdischarge: the impact of patient age, insurance status, and prior adherence
    Marya J Cohen
    Division of General Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 02114, USA
    J Hosp Med 7:470-5. 2012
    ..Optimizing postdischarge medication adherence is a target for avoiding adverse events. Nevertheless, few studies have focused on predictors of postdischarge medication adherence...
  33. doi Association of health literacy with medication knowledge, adherence, and adverse drug events among elderly veterans
    Hilary J Mosher
    Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA
    J Health Commun 17:241-51. 2012
    ..14; or with adverse drug events at 1 year (48% vs. 33% vs. 40%; p = .30). Patients with lower health literacy have poorer medication knowledge but not lower adherence or increased adverse drug events...
  34. pmc The effect of reducing maximum shift lengths to 16 hours on internal medicine interns' educational opportunities
    Cecelia N Theobald
    Department of Medicine, School of Medicine, Vanderbilt University, Nashville, Tennessee 37212, USA
    Acad Med 88:512-8. 2013
    ..To evaluate educational experiences of internal medicine interns before and after maximum shift lengths were decreased from 30 hours to 16 hours...
  35. pmc Development and validation of the General Health Numeracy Test (GHNT)
    Chandra Y Osborn
    Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232 8300, USA
    Patient Educ Couns 91:350-6. 2013
    ..Because existing numeracy measures may not optimally assess 'health numeracy', we developed and validated the General Health Numeracy Test (GHNT)...
  36. pmc Development and validation of a Spanish diabetes-specific numeracy measure: DNT-15 Latino
    Richard O White
    Department of Internal Medicine, Meharry Medical College, Nashville, Tennessee 37208, USA
    Diabetes Technol Ther 13:893-8. 2011
    ....
  37. doi Effect of a pharmacy-based health literacy intervention and patient characteristics on medication refill adherence in an urban health system
    Julie Gazmararian
    Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
    Ann Pharmacother 44:80-7. 2010
    ..Limited health literacy is associated with poor understanding of medication instructions and may be related to medication adherence...
  38. pmc Medication use in the transition from hospital to home
    Yvette M Cua
    Division of General Medicine, Department of Medicine, Emory University School of Medicine, Atlanta, GA 30303, USA
    Ann Acad Med Singapore 37:136-6. 2008
    ....
  39. ncbi Preparing for "diastole": advanced training opportunities for academic hospitalists
    Vineet Arora
    Section of General Internal Medicine, Department of Medicine, University of Chicago, Chicago, Illinois 60637, USA
    J Hosp Med 1:368-77. 2006
    ..By informing future hospitalists about the career opportunities within academic hospital medicine possible through managing their diastolic time, we hope that future generations of trainees will be better prepared to enter this field...
  40. ncbi Hospital medicine fellowships: works in progress
    Sumant R Ranji
    Department of Medicine, University of California San Francisco, San Francisco, CA 94143 0131, USA
    Am J Med 119:72.e1-7. 2006
    ..Although hospitalist fellowships are still in evolution, they will play an important role in the development of hospital medicine...
  41. doi Medication use among inner-city patients after hospital discharge: patient-reported barriers and solutions
    Sunil Kripalani
    Division of General Internal Medicine and Public Health, Vanderbilt Center for Health Services Research, 1215 21st Ave S, Ste 6000 Medical Center East, Nashville, TN 37232, USA
    Mayo Clin Proc 83:529-35. 2008
    ..To better characterize medication-related problems among inner-city patients after hospital discharge and to suggest potential interventions...
  42. ncbi Use of pictorial aids in medication instructions: a review of the literature
    Marra G Katz
    New York Univeristy, New York, NY, USA
    Am J Health Syst Pharm 63:2391-7. 2006
    ..The effects of pictorial aids in medication instructions on medication recall, comprehension, and adherence are reviewed...
  43. pmc Brief report: Resident recognition of low literacy as a risk factor in hospital readmission
    Caroline K Powell
    Medical University of South Carolina, Charleston, SC, USA
    J Gen Intern Med 20:1042-4. 2005
    ..Low literacy is associated with poor self-management of disease and increased hospitalization, yet few studies have explored the extent to which physicians consider literacy in their patient care...
  44. ncbi Identifying and assisting low-literacy patients with medication use: a survey of community pharmacies
    Jessica L Praska
    Department of Veterans Affairs, Pharmacy Service, Denver, CO 80220 3808, USA
    Ann Pharmacother 39:1441-5. 2005
    ..Low patient literacy is associated with poor medication adherence and health outcomes. However, little is known about how pharmacies address literacy-related needs among patrons...
  45. ncbi Clinical research in low-literacy populations: using teach-back to assess comprehension of informed consent and privacy information
    Sunil Kripalani
    Section of Hospital Medicine, Division of General Internal Medicine and Public Health, Vanderbilt University, Nashville, TN, USA
    IRB 30:13-9. 2008
  46. ncbi Combining cancer control information with adult literacy education: opportunities to reach adults with limited literacy skills
    Ian M Bennett
    Department of Family Practice and Community Medicine, University of Pennsylvania, Philadelphia, 19104, USA
    Cancer Control 10:81-3. 2003

Research Grants2

  1. Training in Medication Compliance and Health Literacy
    Sunil Kripalani; Fiscal Year: 2007
    ..If successful, the proposed research could serve as a model for other interventions to improve compliance and cardiovascular care, particularly among low-literate and underserved populations. ..
  2. Pharmacist Intervention for Low Literacy in Cardiovascular Disease (PILL-CVD)
    Sunil Kripalani; Fiscal Year: 2007
    ..Program costs will also be assessed. If successful, this intervention could offer an important means of reducing medication errors in the post-hospitalization period. ..