Kendra Brandstein - Academia.edu (original) (raw)

Uploads

Papers by Kendra Brandstein

Stroke, 2022

Introduction: Mood disorders after stroke are common, with up to one-third of patients developing... more Introduction: Mood disorders after stroke are common, with up to one-third of patients developing depression and/or anxiety. Identifying those at greatest risk may be challenging in the acute care setting. We sought to better understand post-hospital barriers impacting emotional well-being for those who suffered a stroke and to evaluate needs for additional resources post hospital discharge. Methods: A Stroke Transitional Care Program (STCP) was initiated at a large two-campus hospital in Southern California in October 2020. All patients discharged home with acute ischemic stroke (AIS), hemorrhagic stroke (HS), and transient ischemic attack (TIA) received a follow-up phone within 3-7 days of hospital discharge from a community health worker familiar with the community and language. An initial needs assessment was completed over the phone to evaluate barriers for post-hospital care, address social and economic needs, and help patients navigate the healthcare system. Data from the ini...

Journal of Community Health, 2010

Health professionals in community settings are generally unprepared for disasters. From 2006 to 2... more Health professionals in community settings are generally unprepared for disasters. From 2006 to 2008 the California Statewide Area Health Education Center (AHEC) program conducted 90 table top exercises in community practice sites in 18 counties. The exercises arranged and facilitated by AHEC trained local coordinators and trainers were designed to assist health professionals in developing and applying their practice site emergency plans using simulated events about pandemic influenza or other emergencies. Of the 1,496 multidisciplinary health professionals and staff participating in the exercises, 1,176 (79%) completed learner evaluation forms with 92-98% of participants rating the training experiences as good to excellent. A few reported helpful effects when applying their training to a real time local disaster. Assessments of the status of clinic emergency plans using 15 criteria were conducted at three intervals: when the exercises were scheduled, immediately before the exercises, and for one-third of sites, three months after the

Journal of Immigrant Health, 2003

Refugees experience a threefold challenge to their health and well-being: 1) psychiatric disorder... more Refugees experience a threefold challenge to their health and well-being: 1) psychiatric disorders precipitated by the refugee experience, 2) infectious and parasitic diseases endemic to countries of origin, and 3) chronic diseases endemic to host countries. This paper documents the “journey to wellness” in which these challenges are faced in stages by the refugees themselves and by the array of

I would like to acknowledge the dissertation committee for their support, mentoring and guidance.... more I would like to acknowledge the dissertation committee for their support, mentoring and guidance. Thank you for helping me get there! A special thank you to Dr. Shu-Hong Zhu for all your teachings. Thanks to Drs. Covell, Daley, Hofherr, McKennett, Navarrro and Serpas for the long talks and inspiring me to pursue my doctorate. Thank you to my mother, DeAnne Hill, I am lucky to have been given your passion for learning. You taught me how important education is for women! Thank you Papa, David Brandstein for the writing lessons and for all the encouragement along the way to enjoy the journey. Without the support of my boss and mentor, Todd Hoff I could not have been able to have the flexibility of work. Thanks for believing in me. Also, thank you to my staff Porscha Smith and Hilda Araiza who put up with me under stress for so many years. Thank you Donna Agan for teaching me statistics the fun way!. All the Scripps Mercy Respiratory Therapists and staff, Mike Donor, Pam Jupiter, Tami Langguth, Lori Rozenburg and Sean Smith. I could never have done this study without your commitment to recruitment. Thank you to The California Smokers Helpline staff-Julie Wang, for your hard work in counseling study participants. Victor Wong, thank you for your help with statistics. Sharon Cummins, thank you for teaching me to write and spending endless hours working with me on my dissertation! Sandra Hernandez, Janette Pelayo, and Noel Nguyen, thanks for leading the evaluation efforts and to Carrie Kirby for just being there as my Helpline friend. xiii Audrey Barrett, you're my brilliant friend and when I needed you most you were there! I will always be grateful. My closest friends. I love you and thank you for the love and support throughout the years.

Journal of Health Care for the Poor and Underserved, 2013

A collaborative approach to identify opportunities for interactions between multiple systems is a... more A collaborative approach to identify opportunities for interactions between multiple systems is an important model for childhood obesity prevention. This paper describes a process aligning multiple partners in primary care, public health, university research, schools, and community organizations. Jointly implemented strategies in a Latino underserved community included: (1) building an e ective and sustainable collaborative team; (2) disseminating a healthy weight message across sectors; (3) assessing weight status and healthy weight plans in primary care, school, and early childhood settings; and (4) implementing policy changes to support healthy eating and physical activity. The process and lessons learned were analyzed so other communities can utilize a systems approach to develop culturally appropriate interventions tailored to a speci c community.

Results: The 30-day abstinence rate at 6months was 22.8% for the nicotine patch condition and 18.... more Results: The 30-day abstinence rate at 6months was 22.8% for the nicotine patch condition and 18.3% for the no-patch condition (p1⁄40.051). Nearly all participants (99%) in the patch condition were provided nicotine patches, although 36%were sent post-discharge. The abstinence rates were 20.0% and 21.1% for counseling and no counseling conditions, respectively (p1⁄40.651). Fewer than half of the participants in the counseling condition (47%) received counseling (mean follow-up sessions, 3.6).

Urologic Nursing, 2016

Patient anxiety related to prostate cancer surgery may lead to reduced patient satisfaction. Repe... more Patient anxiety related to prostate cancer surgery may lead to reduced patient satisfaction. Repeated reinforcement of pre-operative education to reduce anxiety greatly impacts provider time. Improved knowledge retention of what to expect postoperatively may reduce patient anxiety. This quality improvement project demonstrated that a take-home educational video supports patient knowledge retention, reduces patient anxiety, increases patient satisfaction, and saves postoperative provider time.

American journal of preventive medicine, 2016

Most smokers abstain from smoking during hospitalization but relapse upon discharge. This study t... more Most smokers abstain from smoking during hospitalization but relapse upon discharge. This study tests the effectiveness of two proven treatments (i.e., nicotine patches and telephone counseling) in helping these patients stay quit after discharge from the hospital, and assesses a model of hospital-quitline partnership. This study had a 2×2 factorial design in which participants were stratified by recruitment site and smoking rate and randomly assigned to usual care, nicotine patches only, counseling only, or patches plus counseling. They were evaluated at 2 and 6 months post-randomization. A total of 1,270 hospitalized adult smokers were recruited from August 2011 to November 2013 from five hospitals within three healthcare systems. Participants in the patch condition were provided 8 weeks of nicotine patches at discharge (or were mailed them post-discharge). Quitline staff started proactively calling participants in the counseling condition 3 days post-discharge to provide standard...

Trials, 2012

Background Hospitalized smokers often quit smoking, voluntarily or involuntarily; most relapse so... more Background Hospitalized smokers often quit smoking, voluntarily or involuntarily; most relapse soon after discharge. Extended follow-up counseling can help prevent relapse. However, it is difficult for hospitals to provide follow-up and smokers rarely leave the hospital with quitting aids (for example, nicotine patches). This study aims to test a practical model in which hospitals work with a state cessation quitline. Hospital staff briefly intervene with smokers at bedside and refer them to the quitline. Depending on assigned condition, smokers may receive nicotine patches at discharge or extended quitline telephone counseling post-discharge. This project establishes a practical model that lends itself to broader dissemination, while testing the effectiveness of the interventions in a rigorous randomized trial. Methods/design This randomized clinical trial (N = 1,640) tests the effect of two interventions on long-term quit rates of hospitalized smokers in a 2 x 2 factorial design. ...

Although the demand for perinatal services is great in San Diego, CA, its health care safety net ... more Although the demand for perinatal services is great in San Diego, CA, its health care safety net system is fragmented and overburdened. This border area is characterized by ethnic diversity; high levels of monolingual non-English speakers; low levels of educational attainment; and high levels of unemployment and poverty. Barriers to accessing existing services include cultural issues and language barriers; lack of trust; immigration status fears; and lack of available information. Project Concern International's (PCI) Health Resources and Services Administration-funded California Border Healthy Start (CBHS) project will work with eight core partners over the next three years to close health services and systems gaps, address prevailing barriers among the target population, and maximize utilization of existing services in areas with the poorest birth outcomes and highest levels of poverty in San Diego. CBHS will provide 540 high-risk women and their children with intensive prenat...

Stroke, 2022

Introduction: Mood disorders after stroke are common, with up to one-third of patients developing... more Introduction: Mood disorders after stroke are common, with up to one-third of patients developing depression and/or anxiety. Identifying those at greatest risk may be challenging in the acute care setting. We sought to better understand post-hospital barriers impacting emotional well-being for those who suffered a stroke and to evaluate needs for additional resources post hospital discharge. Methods: A Stroke Transitional Care Program (STCP) was initiated at a large two-campus hospital in Southern California in October 2020. All patients discharged home with acute ischemic stroke (AIS), hemorrhagic stroke (HS), and transient ischemic attack (TIA) received a follow-up phone within 3-7 days of hospital discharge from a community health worker familiar with the community and language. An initial needs assessment was completed over the phone to evaluate barriers for post-hospital care, address social and economic needs, and help patients navigate the healthcare system. Data from the ini...

Journal of Community Health, 2010

Health professionals in community settings are generally unprepared for disasters. From 2006 to 2... more Health professionals in community settings are generally unprepared for disasters. From 2006 to 2008 the California Statewide Area Health Education Center (AHEC) program conducted 90 table top exercises in community practice sites in 18 counties. The exercises arranged and facilitated by AHEC trained local coordinators and trainers were designed to assist health professionals in developing and applying their practice site emergency plans using simulated events about pandemic influenza or other emergencies. Of the 1,496 multidisciplinary health professionals and staff participating in the exercises, 1,176 (79%) completed learner evaluation forms with 92-98% of participants rating the training experiences as good to excellent. A few reported helpful effects when applying their training to a real time local disaster. Assessments of the status of clinic emergency plans using 15 criteria were conducted at three intervals: when the exercises were scheduled, immediately before the exercises, and for one-third of sites, three months after the

Journal of Immigrant Health, 2003

Refugees experience a threefold challenge to their health and well-being: 1) psychiatric disorder... more Refugees experience a threefold challenge to their health and well-being: 1) psychiatric disorders precipitated by the refugee experience, 2) infectious and parasitic diseases endemic to countries of origin, and 3) chronic diseases endemic to host countries. This paper documents the “journey to wellness” in which these challenges are faced in stages by the refugees themselves and by the array of

I would like to acknowledge the dissertation committee for their support, mentoring and guidance.... more I would like to acknowledge the dissertation committee for their support, mentoring and guidance. Thank you for helping me get there! A special thank you to Dr. Shu-Hong Zhu for all your teachings. Thanks to Drs. Covell, Daley, Hofherr, McKennett, Navarrro and Serpas for the long talks and inspiring me to pursue my doctorate. Thank you to my mother, DeAnne Hill, I am lucky to have been given your passion for learning. You taught me how important education is for women! Thank you Papa, David Brandstein for the writing lessons and for all the encouragement along the way to enjoy the journey. Without the support of my boss and mentor, Todd Hoff I could not have been able to have the flexibility of work. Thanks for believing in me. Also, thank you to my staff Porscha Smith and Hilda Araiza who put up with me under stress for so many years. Thank you Donna Agan for teaching me statistics the fun way!. All the Scripps Mercy Respiratory Therapists and staff, Mike Donor, Pam Jupiter, Tami Langguth, Lori Rozenburg and Sean Smith. I could never have done this study without your commitment to recruitment. Thank you to The California Smokers Helpline staff-Julie Wang, for your hard work in counseling study participants. Victor Wong, thank you for your help with statistics. Sharon Cummins, thank you for teaching me to write and spending endless hours working with me on my dissertation! Sandra Hernandez, Janette Pelayo, and Noel Nguyen, thanks for leading the evaluation efforts and to Carrie Kirby for just being there as my Helpline friend. xiii Audrey Barrett, you're my brilliant friend and when I needed you most you were there! I will always be grateful. My closest friends. I love you and thank you for the love and support throughout the years.

Journal of Health Care for the Poor and Underserved, 2013

A collaborative approach to identify opportunities for interactions between multiple systems is a... more A collaborative approach to identify opportunities for interactions between multiple systems is an important model for childhood obesity prevention. This paper describes a process aligning multiple partners in primary care, public health, university research, schools, and community organizations. Jointly implemented strategies in a Latino underserved community included: (1) building an e ective and sustainable collaborative team; (2) disseminating a healthy weight message across sectors; (3) assessing weight status and healthy weight plans in primary care, school, and early childhood settings; and (4) implementing policy changes to support healthy eating and physical activity. The process and lessons learned were analyzed so other communities can utilize a systems approach to develop culturally appropriate interventions tailored to a speci c community.

Results: The 30-day abstinence rate at 6months was 22.8% for the nicotine patch condition and 18.... more Results: The 30-day abstinence rate at 6months was 22.8% for the nicotine patch condition and 18.3% for the no-patch condition (p1⁄40.051). Nearly all participants (99%) in the patch condition were provided nicotine patches, although 36%were sent post-discharge. The abstinence rates were 20.0% and 21.1% for counseling and no counseling conditions, respectively (p1⁄40.651). Fewer than half of the participants in the counseling condition (47%) received counseling (mean follow-up sessions, 3.6).

Urologic Nursing, 2016

Patient anxiety related to prostate cancer surgery may lead to reduced patient satisfaction. Repe... more Patient anxiety related to prostate cancer surgery may lead to reduced patient satisfaction. Repeated reinforcement of pre-operative education to reduce anxiety greatly impacts provider time. Improved knowledge retention of what to expect postoperatively may reduce patient anxiety. This quality improvement project demonstrated that a take-home educational video supports patient knowledge retention, reduces patient anxiety, increases patient satisfaction, and saves postoperative provider time.

American journal of preventive medicine, 2016

Most smokers abstain from smoking during hospitalization but relapse upon discharge. This study t... more Most smokers abstain from smoking during hospitalization but relapse upon discharge. This study tests the effectiveness of two proven treatments (i.e., nicotine patches and telephone counseling) in helping these patients stay quit after discharge from the hospital, and assesses a model of hospital-quitline partnership. This study had a 2×2 factorial design in which participants were stratified by recruitment site and smoking rate and randomly assigned to usual care, nicotine patches only, counseling only, or patches plus counseling. They were evaluated at 2 and 6 months post-randomization. A total of 1,270 hospitalized adult smokers were recruited from August 2011 to November 2013 from five hospitals within three healthcare systems. Participants in the patch condition were provided 8 weeks of nicotine patches at discharge (or were mailed them post-discharge). Quitline staff started proactively calling participants in the counseling condition 3 days post-discharge to provide standard...

Trials, 2012

Background Hospitalized smokers often quit smoking, voluntarily or involuntarily; most relapse so... more Background Hospitalized smokers often quit smoking, voluntarily or involuntarily; most relapse soon after discharge. Extended follow-up counseling can help prevent relapse. However, it is difficult for hospitals to provide follow-up and smokers rarely leave the hospital with quitting aids (for example, nicotine patches). This study aims to test a practical model in which hospitals work with a state cessation quitline. Hospital staff briefly intervene with smokers at bedside and refer them to the quitline. Depending on assigned condition, smokers may receive nicotine patches at discharge or extended quitline telephone counseling post-discharge. This project establishes a practical model that lends itself to broader dissemination, while testing the effectiveness of the interventions in a rigorous randomized trial. Methods/design This randomized clinical trial (N = 1,640) tests the effect of two interventions on long-term quit rates of hospitalized smokers in a 2 x 2 factorial design. ...

Although the demand for perinatal services is great in San Diego, CA, its health care safety net ... more Although the demand for perinatal services is great in San Diego, CA, its health care safety net system is fragmented and overburdened. This border area is characterized by ethnic diversity; high levels of monolingual non-English speakers; low levels of educational attainment; and high levels of unemployment and poverty. Barriers to accessing existing services include cultural issues and language barriers; lack of trust; immigration status fears; and lack of available information. Project Concern International's (PCI) Health Resources and Services Administration-funded California Border Healthy Start (CBHS) project will work with eight core partners over the next three years to close health services and systems gaps, address prevailing barriers among the target population, and maximize utilization of existing services in areas with the poorest birth outcomes and highest levels of poverty in San Diego. CBHS will provide 540 high-risk women and their children with intensive prenat...