Terry Rabinowitz
University of Vermont
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Publication
Featured researches published by Terry Rabinowitz.
Journal of the American Geriatrics Society | 2003
Richard N. Jones; Edward R. Marcantonio; Terry Rabinowitz
Objectives: To provide descriptive epidemiological information on identified depression in nursing home residents.
BMC Geriatrics | 2005
Melissa Koehler; Terry Rabinowitz; John P. Hirdes; Michael J. Stones; G. Iain Carpenter; Brant E. Fries; John N. Morris; Richard N. Jones
BackgroundThe objective of this study was to examine the Minimum Data Set (MDS) and Geriatric Depression Scale (GDS) as measures of depression among nursing home residents.MethodsThe data for this study were baseline, pre-intervention assessment data from a research study involving nine nursing homes and 704 residents in Massachusetts. Trained research nurses assessed residents using the MDS and the GDS 15-item version. Demographic, psychiatric, and cognitive data were obtained using the MDS. Level of depression was operationalized as: (1) a sum of the MDS Depression items; (2) the MDS Depression Rating Scale; (3) the 15-item GDS; and (4) the five-item GDS. We compared missing data, floor effects, means, internal consistency reliability, scale score correlation, and ability to identify residents with conspicuous depression (chart diagnosis or use of antidepressant) across cognitive impairment strata.ResultsThe GDS and MDS Depression scales were uncorrelated. Nevertheless, both MDS and GDS measures demonstrated adequate internal consistency reliability. The MDS suggested greater depression among those with cognitive impairment, whereas the GDS suggested a more severe depression among those with better cognitive functioning. The GDS was limited by missing data; the DRS by a larger floor effect. The DRS was more strongly correlated with conspicuous depression, but only among those with cognitive impairment.ConclusionsThe MDS Depression items and GDS identify different elements of depression. This may be due to differences in the manifest symptom content and/or the self-report nature of the GDS versus the observer-rated MDS. Our findings suggest that the GDS and the MDS are not interchangeable measures of depression.
American Journal of Hospice and Palliative Medicine | 2003
Knight Steel; Gunnar Ljunggren; Eva Topinkova; J. N. Morris; C. Vitale; J. Parzuchowski; S. Nonemaker; Dinnus Frijters; Terry Rabinowitz; K. M. Murphy; Miel W. Ribbe; B. E. Fries
Large numbers of persons in most types of healthcare settings have palliative care needs that have considerable impact on their quality of life. Therefore, InterRAI, a multinational consortium of researchers, clinicians, and regulators that uses assessment systems to improve the care of elderly and disabled persons, designed a standardized assessment tool, the Resident Assessment Instrument for Palliative Care (RAI-PC). The RAI-PC can be used for both the design of individual care plans and for case mix and outcomes research. Some elements of this instrument are taken from the resident assessment instrument (RAI) mandated for use in all nursing homes in the United States and widely used throughout the world. The RAI-PC can be used alone or in conjunction with the other assessment tools designed by the InterRAI collaboration: the RAI for homecare (RAI-HC), for acute care (RAI-AC), and for mental health care (RAI-MH). The objective of this study was to field test and carry out reliability studies on the RAI-PC. After appropriate approvals were obtained, the RAI-PC instrument was field tested on 151 persons in three countries in more than five types of settings. Data obtained from 144 of these individuals were analyzed for reliability. The reliability of the instrument was very good, with about 50 percent of the questions having kappa values of 0.8 or higher, and the average kappa value for each of the eight domains ranging from 0.76 to 0.95. The 54 men and 95 women had a mean age of 79 years. Thirty-four percent of individuals suffered pain daily. Eighty percent tired easily; 52 percent were breathless on exertion; and 19 to 53 percent had one or more other symptoms, including change in sleep pattern, dry mouth, nausea and vomiting, anorexia, breathlessness at rest, constipation, and diarrhea. The number of symptoms an individual reported increased as the estimated time until death declined. The “clinician friendly” RAI-PC can be used in multiple sites of care to facilitate both care planning and case mix and outcomes research.
Telemedicine Journal and E-health | 2010
Terry Rabinowitz; Katharine M Murphy; Judith L. Amour; Michael A. Ricci; Michael P. Caputo; Paul A. Newhouse
Psychiatric care for nursing home residents is difficult to obtain, especially in rural areas, and this deficiency may lead to significant morbidity or death. Providing this service by videoconference may be a helpful, cost-effective, and acceptable alternative to face-to-face treatment. We analyzed data for 278 telepsychiatry encounters for 106 nursing home residents to estimate potential cost and time savings associated with this modality compared to in-person care. A total of 843.5 hours (105.4 8-hour work days) of travel time was saved compared to in-person consultation for each of the 278 encounters if they had occurred separately. If four resident visits were possible for each trip, the time saved would decrease to 26.4 workdays. Travel distance saved was 43,000 miles; 10,750 miles if four visits per trip occurred. More than
Cancer Investigation | 2006
Terry Rabinowitz; Ryan Peirson
3,700 would be spent on gasoline for 278 separate encounters; decreased to
Telemedicine Journal and E-health | 2013
Carolyn Turvey; Mirean Coleman; Oran Dennison; Kenneth Drude; Mark Goldenson; Phil Hirsch; Robert Jueneman; Greg M. Kramer; David D. Luxton; Marlene M. Maheu; Tania S. Malik; Matt C. Mishkind; Terry Rabinowitz; Lisa Roberts; Thomas Sheeran; Jay H. Shore; Peter Shore; Frank van Heeswyk; Brian Wregglesworth; Peter Yellowlees; Murray L. Zucker; Elizabeth A. Krupinski; Jordana Bernard
925 for four visits per roundtrip. Personnel cost savings estimates ranged from
Journal of Psychiatric and Mental Health Nursing | 2009
Lynn Martin; John P. Hirdes; J. N. Morris; P. Montague; Terry Rabinowitz; Brant E. Fries
33,739 to
International Journal of Geriatric Psychiatry | 2008
D Dalby; John P. Hirdes; David B. Hogan; Scott B. Patten; Cynthia A. Beck; Terry Rabinowitz; Colleen J. Maxwell
67,477. Physician costs associated with additional travel time ranged from
Telemedicine Journal and E-health | 2008
Rita Kobb; Neale R. Chumbler; David M. Brennan; Terry Rabinowitz
84,347 to
Telemedicine Journal and E-health | 2008
David M. Brennan; Bree Holtz; Neale R. Chumbler; Rita Kobb; Terry Rabinowitz
253,040 for 278 encounters, or from