Browsing by Author "Lee, Hee"

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    Health Information Technology Use for Dementia Care
    (University of Alabama Libraries, 2022) Luo, Yan; Ruggiano, Nicole; University of Alabama Tuscaloosa
    Health information technology (HIT) use can improve the quality of care and potentially make healthcare more cost effective, which would benefit individual patients as well as their caregivers, healthcare providers and healthcare organizations, public health professionals, researchers, community-based organizations, and healthcare payers. It has been demonstrated that HIT has potential to improve dementia care, which is often complex because the needs of care change as the disease progresses, and the care involve various components. However, limited studies have been conducted to explore the implementation of HIT in dementia caregiving. Two major applications of consumer HIT include electronic personal health records (ePHRs) and telehealth. While plenty of studies have been conducted to explore implementation of HIT from the healthcare provider side, more studies are warranted to understand HIT implementation among the consumers.To fill the research gap, this dissertation aimed to: (1) review previous implementation of ePHRs for dementia care; (2) assess the level of dementia caregivers' proxy access to care recipients' ePHRs and examine the factors that are associated with proxy access to care recipients' ePHRs among dementia caregivers and non-dementia caregivers; and (3) assess the level of telemedicine services utilization among dementia caregivers and non-dementia caregivers, and examine factors related to receipt of telemedicine services among dementia caregivers and non-dementia caregivers. This dissertation will improve understanding of HIT use, especially ePHRs and telemedicine use for dementia care, and have implications for future development of HIT system to better meet dementia care needs.
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    The Intersectional Impact of Race and Gender on Quality of Life At the End of Life
    (University of Alabama Libraries, 2022) Suntai, Zainab; Noh, Hyunjin; University of Alabama Tuscaloosa
    Racial and gender disparities at the end of life have been well-studied in the literature, but few studies have considered the impact of intersectionality on end-of-life outcomes. This study examined the intersectional impact of race and gender on eight indicators of quality of life at the end of life; hospice care, pain, anxiety/depression, dying alone, religious belief discussions, treatment with respect, having decisions made without the patient’s input, and overall care rating.In this study, data were derived from the combined 2013 (Round 3) to 2020 (Round 10) National Health and Aging Trends Study (NHATS). Chi-square tests were used for bivariate analyses, and two multivariate logistic regressions were used to assess the impact of race and gender on quality of life at the end of life. Model 1 included the main effects of race and gender, while Model 2 included the interaction term for race/gender. The interaction models for all dependent variables were significant, except for the “treated with respect” variable. Regarding the gender effects of race, White women and Black women had worse outcomes compared to their male peers. For the race effects of gender, Black men and Black women had worse outcomes compared to their White peers. Black women had the worse outcomes for both race and gender effects, thus confirming the theory of intersectionality. Provider cultural humility training, early intervention, and culturally sensitive patient education may help in mitigating these disparities. Future research should consider primary data collection and include qualitative accounts to guide targeted interventions.