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Seattle-Denver Center of Innovation (COIN)

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COIN Investigators & Staff

COIN Investigators

 

David B. Bekelman, MD, MPH
Title: Physician
Professor of Medicine and Psychiatry
Contact: David.Bekelman@va.gov
Location: Denver
University of Colorado webpage
See Dr. Bekelman's Dimensions profile that includes: publications, grants, datasets, patents and clinical trials
Dr. Bekelman conducts research to improve the quality of life for people with chronic heart failure and chronic lung disease and their families. His research expertise is in measuring and improving quality of life and testing novel health care delivery interventions using clinical trials. He has tested telephone, team (nurse and social worker), and peer (layperson) interventions to integrate early palliative care and psychosocial care into the outpatient setting.
I am inspired by the commitment Veterans have given our country. I aim to make life a little better for Veterans living with serious illnesses.
I hope VA will adopt programs I develop that ease the burden of serious illness for Veterans and their families. I also aim to train the next generation of patient-oriented researchers.

The following images visualize Dr. Bekelman's work. The word cloud is drawn from publication titles. The research collaboration map shows research relationships (click the image to enlarge):

Dr. Bekelman's publication titles indicate his primary work is heart care
Word cloud from pub titles
Dr. Bekelman's collaborations are primarily from the University of Colorado
Research collaboration map
The following research fields have been used to summarize Dr. Bekelman's publications and grants. The categories are based on 117 publications and 5 grants.
Publications Grants
Clinical Research Pain Research
Behavioral and Social Science Chronic Pain
Cardiovascular Health Services
Heart Disease Behavioral and Social Science
Aging Clinical Research
Mental Health Clinical Trials and Supportive Activities
Pain Research Aging
Health Services Cardiovascular
Depression Chronic Obstructive Pulmonary Disease
Clinical Trials and Supportive Activities Lung

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Recent Publications (2019 - 2022)

 

2022

 

Kavalieratos D, Harinstein ME, Rose B, Lowers J, Hoydich ZP, Bekelman DB, Allen LA, Rollman BL, Ernecoff NC, Moreines LT, Bakitas MA, Arnold RM. Primary palliative care for heart failure provided within ambulatory cardiology: A randomized pilot trial. Heart Lung. 2022 Jul 18;56:125-132. doi: 10.1016/j.hrtlng.2022.07.002. Epub ahead of print. PMID: 35863099
Learn more about this publication on Dimensions

Portz JD, Powers JD, Baldwin M, Gleason K, Casillas A, Bekelman DB, Boxer R, Bayliss E, Palen TE. How can patient portals support caregivers of older adults near the end-of-life? A mixed-methods study. J Am Geriatr Soc. 2022 Apr 29. doi: 10.1111/jgs.17818. Epub ahead of print. PMID: 35488465
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Deng LR, Matlock DD, Bekelman DB. Preferred Role in Healthcare Decision-Making Over Time among Patients with Heart Failure: My Decision, Or My Doctor's Decision? J Card Fail. 2022 Apr 22:S1071-9164(22)00493-6. doi: 10.1016/j.cardfail.2022.03.357. Epub ahead of print. PMID: 35470060
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Ha DM, Deng LR, Lange AV, Swigris JJ, Bekelman DB. Reliability, Validity, and Responsiveness of the DEG, a Three-Item Dyspnea Measure. J Gen Intern Med. 2022 Jan 3. doi: 10.1007/s11606-021-07307-1. Epub ahead of print. PMID: 34981344
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2021

 

Haverfield MC, Garcia A, Giannitrapani KF, Walling A, Rigdon J, Bekelman DB, Lo N, Lehmann LS, Jacobs J, Festa N, Lorenz KA. Goals of Care Documentation: Insights from A Pilot Implementation Study. J Pain Symptom Manage. 2021 Dec 21:S0885-3924(21)00701-6. doi: 10.1016/j.jpainsymman.2021.12.023. Epub ahead of print. PMID: 34952172

Ha DM, Prochazka AV, Bekelman DB, Stevens-Lapsley JE, Studts JL, Keith RL. Modifiable factors associated with health-related quality of life among lung cancer survivors following curative intent therapy. Lung Cancer. 2021 Dec 2;163:42-50. doi: 10.1016/j.lungcan.2021.11.012. Epub ahead of print. PMID: 34896804

Portz JD, Graney BA, Bekelman DB. "Made Me Realize That Life Is Worth Living": A Qualitative Study of Patient Perceptions of a Primary Palliative Care Intervention. J Palliat Med. 2021 Jul 14. doi: 10.1089/jpm.2021.0015. Epub ahead of print. PMID: 34264752

Deng LR, Masters KS, Schmiege SJ, Hess E, Bekelman DB. Factor Structure of Functional Assessment of Chronic Illness Therapy: Spiritual Well-Being Scale in Patients with Heart Failure Depends on Method Used. J Palliat Med. 2021 Jun;24(6):807-808. doi: 10.1089/jpm.2021.0064. PMCID: PMC8147496. PMID: 34061665

Ahluwalia SC, Bandini JI, Coulourides Kogan A, Bekelman DB, Olsen B, Phillips J, Sudore RL. Impact of group visits for older patients with heart failure on advance care planning outcomes: Preliminary data. J Am Geriatr Soc. 2021 Jun 2. doi: 10.1111/jgs.17283. Epub ahead of print. PMID: 34077563

Ma JE, Haverfield M, Lorenz KA, Bekelman DB, Brown-Johnson C, Lo N, Foglia MB, Lowery JS, Walling AM, Giannitrapani KF. Exploring expanded interdisciplinary roles in goals of care conversations in a national goals of care initiative: A qualitative approach. Palliat Med. 2021 Jun 3:2692163211020473. doi: 10.1177/02692163211020473. Epub ahead of print. PMID: 34080488

Portz JD, Powers JD, Casillas A, Baldwin M, Bekelman DB, Palen TE, Bull S, Kutner JS, Bayliss E. Characteristics of Patients and Proxy Caregivers Using Patient Portals in the Setting of Serious Illness and End of Life. J Palliat Med. 2021 May 28. doi: 10.1089/jpm.2020.0667. Epub ahead of print. PMID: 34061675

Deng LR, Masters KS, Schmiege SJ, Hess E, Bekelman DB. Two Factor Structures Possible for the FACIT-Sp in Patients with Heart Failure. J Pain Symptom Manage. 2021 May 18:S0885-3924(21)00341-9. doi: 10.1016/j.jpainsymman.2021.05.009. Epub ahead of print. PMID: 34019976

Portz JD, Powers JD, Baldwin M, Bekelman DB, Casillas A, Kutner JS, Bayliss E. Patient Portal Use Near the End-of-Life. J Gen Intern Med. 2021 Jan 27. doi: 10.1007/s11606-020-06333-9. Epub ahead of print. PMID: 33506403

Ha DM, Prochazka AV, Bekelman DB, Stevens-Lapsley JE, Chan ED, Keith RL. Association of Leisure-Time Physical Activity With Health-Related Quality of Life Among US Lung Cancer Survivors. JNCI Cancer Spectr. 2021 Jan 23;5(1):pkaa118. doi: 10.1093/jncics/pkaa118. PMCID: PMC7853156. PMID: 35075444

Bandini JI, Kogan AC, Olsen B, Phillips J, Sudore RL, Bekelman DB, Ahluwalia SC. Feasibility of Group Visits for Advance Care Planning Among Patients with Heart Failure and Their Caregivers. J Am Board Fam Med. 2021 Jan-Feb;34(1):171-180. doi: 10.3122/jabfm.2021.01.200184. PMID: 33452095

2020

 

Sheffler JL, Schmiege SJ, Sussman J, Bekelman DB. A longitudinal analysis of the relationships between depression, fatigue, and pain in patients with heart failure. Aging Ment Health. 2020 Dec 7:1-7. doi: 10.1080/13607863.2020.1855626. Epub ahead of print. PMID: 33287562

Portz JD, Ford KL, Doyon K, Bekelman DB, Boxer RS, Kutner JS, Czaja S, Bull S. Using Grounded Theory to Inform the Human-Centered Design of Digital Health in Geriatric Palliative Care. J Pain Symptom Manage. 2020 Dec;60(6):1181-1192.e1. doi: 10.1016/j.jpainsymman.2020.06.027. Epub 2020 Jun 29. PMID: 32615298

Schenker Y, Ellington L, Bell L, Kross EK, Rosenberg AR, Kutner JS, Bickel KE, Ritchie C, Kavalieratos D, Bekelman DB, Mooney KB, Fischer SM. The National Postdoctoral Palliative Care Research Training Collaborative: History, Activities, Challenges, and Future Goals. J Palliat Med. 2020 Sep 21. doi: 10.1089/jpm.2020.0411. Epub ahead of print. PMID: 32955969

Portz JD, Ford KL, Elsbernd K, Knoepke CE, Flint K, Bekelman DB, Boxer RS, Bull S. ""I Like the Idea of It…But Probably Wouldn't Use It"" - Health Care Provider Perspectives on Heart Failure mHealth: Qualitative Study. JMIR Cardio. 2020 Sep 4;4(1):e18101. doi: 10.2196/18101. PMID: 32885785

Griffith MF, Chen HP, Bekelman DB, Feemster LC, Spece LJ, Donovan LM, Au DH, Carey EP. Comorbid Anxiety and Depression, Though Underdiagnosed, Are Not Associated with High Rates of Low-Value Care in Patients with COPD. Ann Am Thorac Soc. 2020 Dec 11. doi: 10.1513/AnnalsATS.201912-877OC. Epub ahead of print. PMID: 33306930

Brown-Johnson C, Haverfield MC, Giannitrapani KF, Lo N, Lowery JS, Foglia MB, Walling AM, Bekelman DB, Shreve ST, Lehmann LS, Lorenz KA. Implementing Goals-of-Care Conversations: Lessons From High- and Low-Performing Sites From a VA National Initiative. J Pain Symptom Manage. 2020 Aug 8:S0885-3924(20)30652-7. doi: 10.1016/j.jpainsymman.2020.07.040. Online ahead of print.PMID: PMID: 32781166

Cooney TM, Proulx CM, Bekelman DB. Changes in Social Support and Relational Mutuality as Moderators in the Association Between Heart Failure Patient Functioning and Caregiver Burden. J Cardiovasc Nurs. 2020 Jul 29. doi: 10.1097/JCN.0000000000000726. Online ahead of print. PMID: 32740225

Hadler RA, Curtis BR, Ikejiani DZ, Bekelman DB, Harinstein M, Bakitas MA, Hess R, Arnold RM, Kavalieratos D. ""I'd Have to Basically Be on My Deathbed"": Heart Failure Patients' Perceptions of and Preferences for Palliative Care. J Palliat Med. 2020 Jul;23(7):915-921. doi: 10.1089/jpm.2019.0451. Epub 2020 Jan 9. PMID: 31916910

Portz JD, Lum HD, Bull S, Boxer RS, Bekelman DB, Ford KL, Gleason K, Casillas A, Bayliss EA. Perceptions of Patient Portal Use for Advance Directive Documentation among Older Adults with Multiple Chronic Conditions. J Soc Work End Life Palliat Care. 2020 Jul-Sep;16(3):238-249. doi: 10.1080/15524256.2020.1771806. Epub 2020 Jun 1. PMID: 32482160

Bekelman DB, Fink RM, Sannes T, Kline DM, Borrayo EA, Turvey C, Fischer SM. Puente para cuidar (bridge to caring): A palliative care patient navigator and counseling intervention to improve distress in Latino/as with advanced cancer. Psychooncology. 2020 Apr;29(4):688-695. doi: 10.1002/pon.5313. Epub 2019 Dec 27. PMID: 31834646

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Current/Recent Grants

 

Improving Patient and Caregiver Outcomes in Pulmonary Fibrosis: a Novel, Dyadic Assessment of Caregiver Burden

 

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In the News

 

 Funding: Improving Implementation of Outpatient Goals of Care Conversations for Veterans with Serious Illness, David Bekelman, MD, MPH
15 January 2021 - Dr. David Bekelman, MD, MPH, has received funding along with Dr. Annie Walling, MD, PhD, of VA Greater Los Angeles and Karleen Giannitrapani, PhD of VA Palo Alto to study how to improve implementation of the VA Life Sustaining Treatment Decisions Initiative (LSTDI).

The VA LSTDI is an initiative to elicit, document, and honor the values, goals, and preferences of Veterans with serious illness. The LSTDI is important to Veterans because it ensures they can express their preferences for life sustaining treatments (e.g., cardiopulmonary resuscitation, breathing machine, artificial nutrition) and have them honored. However, across VA nationally, only 39% of LSTDI conversations occur in the outpatient setting; the majority occur in the inpatient setting often close to death. At this late stage, Veterans are often not able to make their preferences known because they are so ill. Decisions fall to surrogates who may be uncertain about what the Veteran would have wanted.

This study will examine ways to increase LSTDI conversations among Veterans and their health care providers earlier in illness in the outpatient setting. The primary aim of this project is to use a clinician-level Sequential Multiple Assignment Randomized Trial (SMART) in three VA health systems to determine the effectiveness of clinician and patient implementation strategies to improve the occurrence of documented goals of care conversations in Veterans with serious medical illness.