Gavin W Hougham

Gavin W Hougham
New York Medical College | NYMC · School of Medicine

PhD

About

63
Publications
8,725
Reads
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1,417
Citations
Introduction
Sociologist, educator, and health care research executive Gavin W. Hougham, PhD, has held leadership positions at the Center for Home Care Research and Policy, Visiting Nurse Society of New York; Battelle Seattle Research Center at Battelle Memorial Institute; Department of Medicine/Pritzker School of Medicine/Center for Health and the Social Sciences at The University of Chicago; John A. Hartford Foundation. Aging, clinical medicine, new research methods, cross-cultural Japanese gerontology.
Additional affiliations
February 2020 - present
Visiting Nurse Service of New York
Position
  • Senior Researcher
May 2015 - present
Battelle Memorial Institute
Position
  • Managing Director
Description
  • Scientific leadership and oversight of the Seattle regional office of Battelle, a federal contractor. Responsible for strategic direction; market analyses; regional stakeholder management; local philanthropy; managing health-research-focused scientists.
June 2010 - May 2015
University of Chicago
Position
  • Managing Director

Publications

Publications (63)
Article
Full-text available
Objectives. To examine the prevalence of social isolation among older patients admitted to a hospital, and the effects of sociodemographic and health-related factors on the availability of their family, friends, and neighbor networks. Methods. Analyses are based on interviews with a sample of 2,449 older patients admitted to an urban academic medic...
Chapter
Full-text available
"Grounded in a unique team-based geriatrics perspective, this book delivers a broad range of current, evidence-based knowledge about innovative technology that has the potential to advance the care and well-being of older adults. It provides key information about the development, selection, and implementation of technology products, and describes r...
Chapter
Full-text available
"Grounded in a unique team-based geriatrics perspective, this book delivers a broad range of current, evidence-based knowledge about innovative technology that has the potential to advance the care and well-being of older adults. It provides key information about the development, selection, and implementation of technology products, and describes r...
Article
Full-text available
Background: There is an emerging literature on the physician competencies most meaningful to patients and their families. However, there has been no systematic review on physician competency domains outside direct clinical care most important for patient- and family-centered outcomes in critical care settings at the end of life (EOL). Physician co...
Article
a b s t r a c t Disparities in unmet health care demand resulting from socioeconomic, racial, and financial factors have received a great deal of attention in the United States. However, out-of-pocket costs alone do not fully reflect the total opportunity cost that patients must consider as they seek medical attention. While there is an extensive l...
Article
Full-text available
In patients hospitalized with community-acquired pneumonia (CAP), indicators of clinical instability at discharge (fever, tachycardia, tachypnea, hypotension, hypoxia, decreased oral intake and altered mental status) are associated with poor outcomes. It is not known whether the order of indicator stabilization is associated with outcomes. To descr...
Article
Full-text available
Objectives: Gender differences of social interactions and their effects on subjective well-being among Japanese elders over three years were examined. Methods: Repeated measurements of 498 elders over a three-year survey interval were obtained from a baseline mail survey and two- and three-year follow-up surveys. Outcomes were analyzed using Hie...
Article
Although the fields of hospice and palliative medicine and geriatrics have developed from separate origins, they share much in common. They share concerns for optimizing care of older adults with advanced illness. They both seek to address the common problem of care fragmentation for those with chronic illness. Both subspecialties see the patient a...
Article
Full-text available
This study examines the patterns of grieving among caregivers of patients with dementia over the course of the caregiving period. We interviewed (by telephone) spouses and adult children of dementia patients (n = 87) who had received care at two geriatrics clinics 2 to 9 months after the patient's death. There appeared to be significant heterogenei...
Article
To compare assessments of the decisional capacity of cognitively impaired patients by research assistants (RAs) and by family caregiver/proxies and to determine whether either or both groups judge capacity differently depending on the specific (hypothetical) research enrollment decision being made. Cross-sectional. Three clinics, one each in Ohio,...
Article
Full-text available
The purpose of this study is to clarify causal relations between coping strategies and burnout in family caregivers of frail elders in Japan. Baseline and 1-year follow-up interviews were conducted with 546 caregivers living in suburban Tokyo. Using newly refined measures, five coping strategies of caregivers (Keeping Their Own Pace, Positive Accep...
Article
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To evaluate the feasibility of developing consensus recommendations for appropriate prescribing for patients with advanced dementia using a new conceptual framework and to determine the frequency of inappropriate medication use based on these recommendations in a small sample of patients with advanced dementia. Medication data were obtained using c...
Article
Full-text available
To evaluate the impact hospice enrollment has on the terminal care of patients with dementia and describe the symptom burden these patients experience, caregivers of dementia decedents were assessed in a mortality follow-back survey. Patients had been managed through academic outpatient geriatric clinics in Chicago, IL. A total of 135 family member...
Article
Full-text available
Our purpose was to determine the factors that correlate with healthy older adults' intention to get tested for mild cognitive impairment (MCI) under 3 different hypothetical conditions: (1) if they noticed they were having memory problems; (2) if a family member suggested that they are having memory problems; or (3) as part of a regular medical exa...
Article
To investigate the general awareness of cognitive impairment in persons with documented dementia, evaluate the subject's recall of a diagnostic disclosure from a physician and their recollection of the discussion, and determine whether this awareness of cognitive impairment or the recall of diagnostic disclosure is associated with poorer self-rated...
Article
To evaluate a research advance directive for persons with established dementia diagnoses and their family caregivers or proxies. Prospective randomized, controlled trial. Three clinics, one each in Ohio, Kentucky, and Illinois. At the end of separate interviews about enrollment choices in five types of hypothetical research projects, 149 persons wi...
Article
To explore the pharmacological treatment of noncancer pain in persons with dementia and identify predictors associated with insufficient analgesia. Cross-sectional analysis of an observational cohort study. Academic outpatient geriatric clinic in Chicago, Illinois. A total of 115 dyads, mostly African American, consisting of community-dwelling pers...
Article
To assess whether geriatricians documented the bothersome symptoms of patients with advanced dementia, proxy reports of the most-bothersome symptoms affecting those patients (as elicited in research interviews) were compared with what geriatricians who had seen those patients in a proximate clinic visit documented in the medical record. Retrospecti...
Article
To assess interest of older adults in screening and treatment for mild cognitive impairment (MCI). Cross-sectional, in-person pilot survey with a convenience sample. Two university-based geriatrics clinic waiting rooms in Chicago. Healthy adults aged 35 and older without cognitive impairment (n = 149). Following a description of MCI extracted from...
Article
Full-text available
To examine one model of research advance directive as a possible way to reduce the mismatch between patient and proxy choices and also to learn more about how patients with mild to moderate dementia may want to keep decision making or cede it to their proxies in the future. Separate interviews were conducted with 149 dyads of dementia patients and...
Article
Full-text available
Among cognitively intact patients, self- and caregiver report of patient pain has been associated with worse psychological health for both the patient and caregiver. Little existing research examines factors associated with patient self-report of pain and caregiver report of patient pain among community-dwelling persons with dementia. To identify p...
Article
Full-text available
Programs that provide palliative care to individuals with dementia, which is a progressive terminal illness, are likely to encounter different issues (e.g., management of problem behaviors, caregiver strain extending over years) from those typically addressed by hospice programs. Little research is available on palliative care for individuals with...
Article
To better understand the pain experience of persons with dementia and to describe what factors are related to congruence of pain reports within patient-caregiver dyads, a cohort study enrolled patient-caregiver dyads at a primary care geriatrics clinic. Thirty-two percent of persons with dementia self-report pain "right now." Of these, 65% report s...
Article
Full-text available
This study examined how the psychological well-being of Japanese caregivers changed over time; it also examined the variation across kin relationships with care recipients. Three interviews over the course of 30 months were conducted with a representative sample of community-dwelling caregivers of frail elderly persons living in a Tokyo suburb. Lat...
Article
Persons with impaired decision-making capacity require special ethical protections during recruitment for and participation in research. To assess how fully basic protections for these persons were reported in the literature, the first structured review of a sample of reports of trials including Alzheimer's subjects was performed in 62 journals bet...
Article
Full-text available
In advanced dementia, many difficult decisions may arise as the disease progresses, including whether to use feeding by tube. Several recent articles question the benefit of percutaneous endoscopic gastrostomy (PEG) tube placement in persons with advanced dementia. However, patients with advanced dementia are still referred for PEG tubes. This stud...
Article
Deliberative bodies have recommended additional protections for persons with dementia included in clinical trials. This survey of experienced dementia researchers revealed that 45 to 64% considered that specific ones of these recommendations would increase subject protection, and 40 to 86% considered they would make research less feasible. The real...
Conference Paper
Deliberative bodies have recommended additional protections for persons with dementia included in clinical trials. This survey of experienced dementia researchers revealed that 45 to 64% considered that specific ones of these recommendations would increase subject protection, and 40 to 86% considered they would make research less feasible. The real...
Article
Full-text available
Hospice is the standard method for providing quality end-of-life care in the United States. However, studies reveal that persons with dementia are infrequently referred to hospice, that barriers exist to increasing hospice utilization in this population, and that patients with dementia would benefit from hospice or hospice-like services earlier in...
Article
Full-text available
This study examines the effects of social ties (with spouse, children, friends, neighbors, other relatives, and community groups) on depressive symptom levels in U.S. and Japanese adults aged 60 and over. Nationally representative survey data from the United States (N= 1,419) and Japan (N= 2,200) indicate that having a spouse, or increased contacts...
Article
Full-text available
There are many patients with terminal illness for whom hospice care would be appropriate, but they either never enroll or enroll very late. In a pre-hospice program designed to help patients make the transition into hospice, we observed that many patients did not make the transition. To understand more about the transition to hospice and the functi...
Article
To assess the quality of reporting of research ethics in published clinical research that involves a particularly vulnerable population: nursing home residents. A structured review of publications researched from 1992 to 1996 that involve nursing home residents. The review instrument assessed each publication's compliance with four common standards...