Joyce Dains, DrPH, JD, RN, FNP-BC, FNAP, FAANP
Primary Care APRN Survey: Utilization of Cancer Screening Guidelines The University of Texas MD Anderson Cancer Center, 2013
Dr. Dains’ research focuses on APRN practice related to cancer prevention, program evaluation, and patient experience with care by APRNs. Her most recent study, “In Their Voices”, addresses a gap in the literature regarding oncology patient care perceptions and attitudes regarding acceptance of or willingness to see Nurse Practitioners or Physician Assistants in autonomous outpatient visits in oncology care. Results from her study of APRN utilization of cancer screening guidelines identified APRN uncertainty about which set of cancer screening guidelines, the difficulty in keeping up with the updates, and the need for easily accessible guidelines that could be automatically updated. She plans to explore the development of a smart phone app that would address the utilization issues.
Dr. Dains conducted a cancer prevention and screening education initiative in rural and medically underserved areas of Texas and completed a decade of program evaluation. Through more than 50 programs participants impacted the health of over 130,000 Texans through improved knowledge in cancer screening, increased proficiency in performing clinical breast examination, and incorporation of cancer screening education and services in community clinical practices.
Anecita Fadol, Ph.D., RN, FNP-BC, FAANP
Dr. Fadol’s research interests include cardiac complications of cancer therapy and symptom management of patients with cancer and heart failure. She received the 2015 James S. and Suzanne Cyrus Award for Excellence in Clinical Research. She is the principal investigator for the following funded protocols:
Principal Investigator, Recovery of Left Ventricular Dysfunction in Cancer Patients (RECAP Trial):
The purpose of this study is to investigate if cancer survivors with a history of chemotherapy-induced left ventricular dysfunction resulting in heart failure (HF) who achieved left ventricular ejection fraction (LVEF) recovery with recommended heart failure medications will maintain their LVEF if HF medications are discontinued. Funding: Cancer Survivorship Seed Money Grant, MD Anderson Cancer Center
Principal Investigator, CAncer Patients with HearT FailURE: A Retrospective Review for Eligibility for Cardiac Resynchronization Therapy (CAPTURE-CRT):
The purpose of this study is to conduct a retrospective chart review to examine the prevalence of heart failure (HF) in cancer patients and cancer survivors who are potential candidates for utilization of cardiac resynchronization therapy (CRT). The findings from this study will provide baseline information to assist in the development and implementation of a practice-based protocol that will identify cancer patients and cancer survivors who meet CRT indications and ensure that they receive appropriate evaluation. Optimization of recommended therapies may improve the patient’s quality of life and allow oncologists to continue with life-saving cancer treatments that can potentially prolong survival. Funding: Medtronic, Inc.
Principal Investigator, Addressing the Symptom Management Gap in Patients with Cancer and Heart Failure using the Interactive Voice Response System: a Pilot Study:
The purpose of this pilot study was to evaluate if the M.D. Anderson Symptom Inventory- Heart Failure (MDASI-HF) instrument preprogrammed via the interactive voice response system (IVRS) can be used to collect symptom data that will generate symptom alerts to providers based on preset severity levels. Funding: Oncology Nursing Society Foundation
Principal Investigator, Reliability and Validity Testing of the MDASI-HF: An Evaluative Instrument for Symptom Identification in Cancer Patients with Heart Failure:
This study evaluated the psychometric properties of the MD Anderson Symptom Inventory - Heart Failure (MDASI-HF), a 27-item self-report assessment instrument for patients with cancer and concurrent HF. Funding: Houston Area Nurse Practitioners
Bob Massey, Ph.D., R.N., NEA-BC
Dr. Massey’s research interests include using patient-reported outcomes symptoms intensity and interference with enhanced recovery from surgical procedures and their effects on quality of recovery from surgery. Use of sensor-based technology to monitor physical activity prior to, immediately after and after discharge from hospital of patients recovering from surgery.
Dr. Massey’s current research funded by the Wanda Murray Estate Fund is exploring the effect of rocking chair motion (RCM) compared to standard care (SC) on the surgical stress response, postoperative ileus duration, and patient-reported outcomes intensity and interference with general activity and walking ability after abdominal surgery. His current study is measuring the effect of RCM as an inducer of the relaxation response by measuring salivary cortisol levels and patient-reported outcomes using the MDASI-GI. He is using sensor-based technology to measure the time patients spend out of bed sitting in a chair and walking after abdominal surgery in order to determine how much of each is required to enhance their recovery after surgery.
Dr. Massey is the nurse leader on the institutional Enhanced Recovery from Surgery (ERS) program, Teledischarge program, and creator of the Rock N Go program to enhance postop recovery.
Dr. Massey is a co-investigator with Dr. Wang of the Department of Symptom Research on an RO1 grant to determine the patient-reported symptom recovery trajectory of surgical patients participating in the ERS program.
He is a collaborator on multiple studies to include: Rapid Recovery from Robotic Colectomy with Dr. Chang; ERS for Liver, Pancreas, Esophagectomy, and Nephrectomy with Drs. Katz, Aloia, Karam, and Hostetler; and Telerounding protocol with Drs. Matin and Popadopous. He is also exploring the effectiveness of capnography monitoring in reducing late to rescue use of naloxone for patients experiencing respiratory depression from opioids after surgery.
He continues to mentor to multiple doctoral students and is an active dissertation committee member.