Affiliation: University of Rochester
- Latent classes of prognosis conversations in palliative care: a mixed-methods studyRobert Gramling
Department of Family Medicine, University of Rochester, Rochester, New York, USA
J Palliat Med 16:653-60. 2013..This study empirically identifies and describes major types of prognosis conversations that occur in the natural setting of PC consultation...
- Values and options in cancer care (VOICE): study design and rationale for a patient-centered communication and decision-making intervention for physicians, patients with advanced cancer, and their caregiversMichael Hoerger
Rochester Healthcare Decision Making Group, University of Rochester Medical Center, Rochester, NY, USA
BMC Cancer 13:188. 2013..This article describes an investigation designed to facilitate communication and decision making among oncologists, patients with advanced cancer, and their caregivers...
- Direct observation of prognosis communication in palliative care: a descriptive studyRobert Gramling
University of Rochester, Rochester, New York 14620, USA
J Pain Symptom Manage 45:202-12. 2013..Palliative care (PC) consultations result in improved patient understanding of prognosis and better quality of life, yet the content and processes of prognosis communication during PC consultations remain unknown...
- Family history of later-onset breast cancer, breast healthy behavior and invasive breast cancer among postmenopausal women: a cohort studyRobert Gramling
Department of Family Medicine, University of Rochester, NY 14620, USA
Breast Cancer Res 12:R82. 2010....
- Hormone replacement therapy, family history, and breast cancer risk among postmenopausal womenRobert Gramling
Department of Epidemiology, Boston University School of Public Health, Boston, MA, USA
Epidemiology 20:752-6. 2009..We investigated whether the risk difference for invasive breast cancer attributable to estrogen plus progesterone replacement therapy is greater among women with a first-degree family history of the disease...
- Racial distribution of patient population and family physician endorsed importance of screening patients for inherited predisposition to cancerRobert Gramling
University of Rochester, School of Medicine and Dentistry, Center to Improve Communications in Health Care, Famioly Medicine Research Programs, Rochester, NY 14620, USA
J Health Care Poor Underserved 20:50-4. 2009..More research is necessary to confirm these findings and to determine whether these factors affect disparities in genetic testing and health outcomes...
- Self-rated cardiovascular risk and 15-year cardiovascular mortalityRobert Gramling
Center for Primary Care and Prevention, Memorial Hospital of Rhode Island, Pawtucket, Rhode Island, USA
Ann Fam Med 6:302-6. 2008..We evaluated whether lower self-ratings of CVD risk are associated with lower rates of CVD death after addressing potential confounding by an extensive set of social and biologic CVD risk factors...
- Is the association between optimistic cardiovascular risk perceptions and lower rates of cardiovascular disease mortality explained by biomarkers of systemic inflammation or endothelial function? A case-cohort studyRobert Gramling
Department of Family Medicine, University of Rochester, 1381 South Avenue, Rochester, NY 14620, USA
Biopsychosoc Med 4:11. 2010..e. inflammation or endothelial dysfunction)...
- Family history assessment: impact on disease risk perceptionsCatharine Wang
Department of Community Health Sciences, Boston University School of Public Health, Boston, MA 02118, USA
Am J Prev Med 43:392-8. 2012..The Family Healthware Impact Trial (FHITr) set out to examine the clinical utility of presenting personalized preventive messages tailored to family history risk for improving health behaviors...
- Effect of preventive messages tailored to family history on health behaviors: the Family Healthware Impact TrialMack T Ruffin
Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA
Ann Fam Med 9:3-11. 2011....
- Social isolation, C-reactive protein, and coronary heart disease mortality among community-dwelling adultsKathi L Heffner
The Rochester Center for Mind Body Research, Department of Psychiatry, University of Rochester, 300 Crittenden Boulevard, Box PSYCH BPSM, Rochester, NY 14642, United States
Soc Sci Med 72:1482-8. 2011..Prospective study of inflammatory pathways related to social isolation and mortality are needed to fully delineate whether and how CRP or other inflammatory markers contribute to mechanisms linking social isolation to CVD health...
- Family history and perceptions about risk and prevention for chronic diseases in primary care: a report from the family healthware impact trialLouise S Acheson
Department of Family Medicine, Case Western Reserve University, Cleveland, Ohio, USA
Genet Med 12:212-8. 2010..To determine whether family medical history as a risk factor for six common diseases is related to patients' perceptions of risk, worry, and control over getting these diseases...
- Physicians' perceptions of barriers and facilitators regarding adoption of the National Cholesterol Education Program guidelinesDonna R Parker
Center for Primary Care and Prevention, The Warren Alpert Medical School of Brown University Memorial Hospital of Rhode Island, Pawtucket, RI 02860, USA
Prev Cardiol 11:29-35. 2008..Opportunities may exist for improving adherence to cholesterol guidelines by providing training to providers and developing structural support through patient-physician activation tools...
- Patient and family members' perceptions of palliative care in heart failureMaureen Metzger
University of Rochester School of Nursing, Box SON, 601 Elmwood Avenue, Rochester, NY 14642, USA
Heart Lung 42:112-9. 2013..To describe patients with HF and their family members' (FMs) experiences with, and perceptions of, inpatient PC consultations...
- Patients' perceptions of cholesterol, cardiovascular disease risk, and risk communication strategiesRoberta E Goldman
Department of Family Medicine, Brown Medical School, Providence, RI, USA
Ann Fam Med 4:205-12. 2006..We undertook a qualitative study that explored patients' perceptions of cholesterol and cardiovascular disease (CVD) risk and their reactions to 3 strategies for communicating CVD risk...
- Self-rated breast cancer risk among women reporting a first-degree family history of breast cancer on office screening questionnaires in routine medical care: the role of physician-delivered risk feedbackRobert Gramling
Brown Medical School, Providence, Rhode Island, USA
Genet Med 8:658-64. 2006..We investigated whether risk-related feedback delivered by one's primary care physician is associated with self-ratings of risk among women found to have a first-degree family history of breast cancer on office screening questionnaires...
- Prospective association of vascular endothelial growth factor-A (VEGF-A) with coronary heart disease mortality in southeastern New EnglandCharles B Eaton
Center for Primary Care and Prevention, Memorial Hospital of RI, Pawtucket, RI 02860, USA
Atherosclerosis 200:221-7. 2008....
- Envisaging and applying a unifying three-dimensional theoretical framework for generalist physiciansSean P David
Brown University Center for Primary Care and Prevention, Pawtucket, RI 02860, USA
Med Health R I 87:336-40. 2004
- Genetic susceptibility to breast cancer: teaching pointsRobert Gramling
Department of Family Medicine, Memorial Hospital of Rhode Island, Pawtucket, RI 02860, USA
Fam Med 35:466-8. 2003
- Family physician self-efficacy with screening for inherited cancer riskRobert Gramling
Department of Family Medicine, Brown Medical School, Memorial Hospital of Rhode Island, Pawtucket, RI 02860, USA
Ann Fam Med 2:130-2. 2004..We investigated family physicians' beliefs about screening their patients for inherited cancer risk, measuring their perceptions of self-efficacy and the importance of screening...
- CVD Risk Perception, Behavioral Support and 25-year SurvivalRobert Gramling; Fiscal Year: 2007..Given that many emerging technologies (i.e. DNA testing, advanced imaging) will shape beliefs about personal CVD risk, understanding the long-term implications of risk perception is a crucial and timely public health concern. ..