Daniel David

Faculty

Daniel David headshot

Daniel David

PhD RN

Assistant Professor

1 212 992 5930

433 First Ave
Room 422
New York, NY 10010
United States

Accepting PhD students

Daniel David's additional information

Daniel David, RN, PhD, is an assistant professor at NYU Rory Meyers College of Nursing and National Palliative Care Center Kornfeld Scholar. His research investigates older adults and their informal caregivers in the context of serious illness. He is particularly interested in technology-based interventions that improve caregiving, communication, palliative care, and advance care planning.

David is the principal investigator of the PC-CRAFT Assisted Living Project (Palliative Care – Connecting Residents And Family through Technology), which uses video technology to support palliative care consultation between providers, residents of assisted living, and their informal caregivers.

Prior to joining the faculty at NYU, David was an adjunct assistant professor in the Department of Community Health Systems at the University of California, San Francisco (UCSF) School of Nursing and a postdoctoral fellow in the VA Quality Scholar Program in the UCSF Division of Geriatrics.

David received his PhD in nursing from Northeastern University, MS from the University of Colorado, and BSN from the University of Virginia.

PhD - Northeastern University
BSN - University of Virginia
MS - University of Colorado

Gerontology
Palliative care

American Geriatrics Society
Gerontological Society of America
Hospice and Palliative Nurses Association
Palliative Care Research Cooperative
Sigma Theta Tau

Faculty Honors Awards

Junior Investigator, Palliative Care Research Consortium (2018)
VA Quality Scholar, VA Medical Center, San Francisco (2018)
Scholarship, End of Life Nursing Education Consortium (2017)
Sigma Theta Tau, Scholar Research Award, Northeastern University (2016)
Kaneb Foundation Research Award, Regis College (2015)
Scholar, Summer Genetics Institute, NINR, National Institute of Health (2014)
Scholar, Jonas Center for Nursing Excellence (2014)
Sigma Theta Tau, Rising Star Award, Northeastern University (2013)
Sigma Theta Tau, Beta Kappa (2004), Gamma Epsilon Chapter (2013)
Distinguished Nursing Student Award, University of Virginia (2005)
Raven Society, University of Virginia (2005)

Publications

Aliviado Mobile App for Hospice Providers: A Usability Study

David, D., Lin, S. Y., Groom, L. L., Ford, A., & Brody, A. A. (2022). Journal of Pain and Symptom Management, 63(1), e37-e45. 10.1016/j.jpainsymman.2021.07.019
Abstract
Abstract
Context: Evaluation of usability and mobile health content is critical for ensuring effective implementation of technology utilizing interventions tailored to the needs of hospice care providers for people living with dementia in community-based settings. Objectives: To evaluate the usability, content, and “readiness to launch” of the Aliviado mobile health app for interdisciplinary team members participating in the Hospice Advanced Dementia Symptom Management and Quality of Life. Methods: Usability of the Aliviado app was assessed in 86 respondents with an adapted IBM Computer Usability Satisfaction Questionnaire following Hospice Advanced Dementia Symptom Management and Quality of Life training and implementation of the mobile app. Results: More than half of users receiving training employed the mobile app in practice. Users reported use as: Daily-6.3%, Weekly-39.6%, monthly-54.2%. The highest measured attributes were usefulness, value, and effectiveness. Over 90% deemed the app “ready to launch” with no or minimal problems. Conclusion: This study shows that a newly-developed mobile app is usable and can be successfully adopted for care of people living with dementia.

A Controlled Pilot Study of the Wish Outcome Obstacle Plan Strategy for Spouses of Persons With Early-Stage Dementia

Monin, J. K., Oettingen, G., Laws, H., David, D., DeMatteo, L., & Marottoli, R. (2022). The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 77(3), 513-524. 10.1093/geronb/gbab115
Abstract
Abstract
OBJECTIVES: Behavioral interventions can reduce distress for couples coping with early-stage dementia. However, most interventions are limited in accessibility and fail to address individualized goals. This pilot study examined the dyadic effects on multiple indicators of well-being of the Wish Outcome Obstacle Plan (WOOP) intervention, which guides participants to use Mental Contrasting with Implementation Intentions to achieve attainable goals in their daily lives. METHODS: This randomized controlled trial included 45 older persons with early-stage dementia (PWD) and their spousal care partners (CPs: n = 90 individuals). CPs were assigned randomly to WOOP training immediately after baseline (WOOP) or after a 3-month follow-up interview (Control; CON). Both groups received a dementia care education booklet. WOOP CPs were instructed to practice WOOP at least once a day for 2 weeks. All CPs and PWDs completed home surveys (baseline, 2 weeks, and 3 months), measuring perceived stress, depressive symptoms, quality of life, and affect. RESULTS: Mixed-effects models showed significant intervention × time interaction effects with large effect sizes for CPs on three of the five outcomes over 3 months. Compared with CON, WOOP CPs had decreased perceived stress (δ = 1.71) and increased quality of life (δ = 1.55) and positive affect (δ = 2.30). WOOP PWD showed decreased perceived stress (δ = 0.87) and increased quality of life (δ = 1.26), but these effects were not statistically significant. DISCUSSION: WOOP is a promising, brief intervention to improve dementia CPs' well-being that may also positively affect their partners with dementia.

Supporting dementia family care partners during COVID-19: Perspectives from hospice staff

Lin, S. Y., Jones, T., David, D., Lassell, R. K., Durga, A., Convery, K., Ford, A., & Brody, A. A. (2022). Geriatric Nursing, 47, 265-272. 10.1016/j.gerinurse.2022.08.003

Engaging Nursing Assistants to Enhance Receptivity to the Coronavirus Disease 2019 Vaccine

Sadarangani, T. R., David, D., & Travers, J. (2021). Journal of the American Medical Directors Association, 22(6), 1125-1127. 10.1016/j.jamda.2021.03.016

Anxious, Depressed, and Planning for the Future: Advance Care Planning in Diverse Older Adults

McMahan, R. D., Barnes, D. E., Ritchie, C. S., Jin, C., Shi, Y., David, D., Walker, E. J., Tang, V. L., & Sudore, R. L. (2020). Journal of the American Geriatrics Society, 68(11), 2638-2642. 10.1111/jgs.16754
Abstract
Abstract
OBJECTIVES: To determine whether depression and anxiety are associated with advance care planning (ACP) engagement or values concerning future medical care. DESIGN: Cross-sectional. PARTICIPANTS: English- and Spanish-speaking patients, aged 55 years and older, from a San Francisco, CA, county hospital. MEASURES: Depression was measured by the Patient Health Questionnaire 8-item scale, and anxiety was measured by the Generalized Anxiety Disorder 7-item scale, using standardized cutoffs of 10 or more for moderate-to-severe symptoms. ACP engagement was measured using validated surveys of ACP behavior change (e.g., self-efficacy and readiness; mean five-point Likert score) and ACP actions (e.g., ask, discuss, and document wishes; 0- to 25-point scale), with higher scores representing higher engagement. In addition, we asked a question about valuing life extension (“some health situations would make life not worth living”). We used adjusted linear and logistic regression. RESULTS: Mean age of 986 participants was 63 years, 81% were non-White, 39% had limited health literacy, 45% were Spanish speaking, 13% had depression, and 10% had anxiety. After adjustment for demographic and health status variables, participants who were depressed versus not depressed had higher ACP behavior change scores (0.2 points; 95% confidence interval (CI) = 0.06–0.38; P =.007), higher ACP action scores (1.5 points; 95% CI = 0.51–2.57; P =.003), and higher odds of not valuing life extension (odds ratio (OR) = 2.5; 95% CI = 1.5–4.3; P <.001). Results were similar in participants with versus without anxiety (ACP behavior change: 0.2 points; 95% CI = 0.05–0.40; P =.01; ACP action scores: 1.2 points; 95% CI = 0.14–2.32; P =.028; odds of not valuing life extension: OR = 2.3; 95% CI = 1.3–3.9; P =.004). CONCLUSION: Depression and anxiety were associated with greater ACP engagement and not valuing life extension. Although the direction of association between ACP engagement and values with anxiety and depression cannot be determined in this cross-sectional study, these conditions may influence ACP preferences. Future studies should assess whether changes in anxiety or depression affect ACP preferences over time.

Family Communication in Long-Term Care During a Pandemic: Lessons for Enhancing Emotional Experiences

Monin, J. K., Ali, T., Syed, S., Piechota, A., Lepore, M., Mourgues, C., Gaugler, J. E., Marottoli, R., & David, D. (2020). American Journal of Geriatric Psychiatry, 28(12), 1299-1307. 10.1016/j.jagp.2020.09.008
Abstract
Abstract
Objective: Family visits with residents at long-term care (LTC) facilities have been restricted during the COVID-19 pandemic. The objective was to examine what communication methods, other than in-person visits, during the pandemic were associated with greater positive and lower negative emotional experiences for LTC residents and their family members and friends. Design: Cross-sectional. Setting: Nationally targeted online survey. Participants: One hundred sixty-one community-dwelling adults who had a family member or friend in a LTC facility. Measurements: The Positive and Negative Affect Scale was used to assess participant's own emotions and perceived resident emotions during the pandemic. Questions were asked about nine communication methods other than physical visits (e.g., phone, video-conference, e-mail, and letters) in terms of frequency of use during the pandemic. Sociodemographics, resident health, and facility factors were assessed and used as covariates where indicated. Results: During the pandemic, greater phone frequency was associated with less participant negative emotions (β = −0.17). Greater e-mail frequency was associated with more perceived resident positive emotions (β = 0.28). Greater frequency of letters delivered by staff was associated with more participant negative emotions (β = 0.23). Greater frequency of letters delivered by staff and the postal service were associated with more perceived resident negative emotions (β = 0.28; β = 0.34, respectively). Conclusion: These findings highlight the importance of synchronous, familiar methods of communication like the phone and email between families and LTC residents to maintain their emotional well-being when in-person visits are restricted.

Family- And person-centered interdisciplinary telehealth: Policy and practice implications following onset of the COVID-19 pandemic

Brody, A. A., Sadarangani, T., Jones, T. M., Convery, K., Groom, L., Bristol, A. A., & David, D. (2020). Journal of Gerontological Nursing, 46(9), 9-13. 10.3928/00989134-20200811-03
Abstract
Abstract
With the onset of the COVID-19 pandemic, telehealth was thrust to the forefront, becoming one of the most predominant forms of care almost overnight. Despite years of research, practice, and policymaking, tenets for providing telehealth in an interdisciplinary, family- and person-centered fashion, and across a wide breadth of settings remain underdeveloped. In addition, although telehealth has the potential to increase equity in care, it can also further exacerbate disparities. The current article discusses the opening created by the pandemic and provides recommendations for how to make permanent changes in telehealth policy and practice to allow for interdisciplinary, person- and family-centered care while also taking care to address issues of equity and ethics and privacy issues related to telehealth and remote monitoring. [Journal of Gerontological Nursing, 46(9), 9-13.]

Original Research: Understanding Nursing Home Staff Attitudes Toward Death and Dying: A Survey

Bui, N., Halifax, E., David, D., Hunt, L., Uy, E., Ritchie, C., & Stephens, C. (2020). American Journal of Nursing, 120(8), 24-31. 10.1097/01.NAJ.0000694336.19444.5a
Abstract
Abstract
Background:Nearly 70% of nursing home residents are eligible for palliative care, yet few receive formal palliative care outside of hospice. Little is known about nursing home staff attitudes, knowledge, skills, and behaviors related to palliative care.Methods:We administered a modified survey measuring attitudes toward death to 146 nursing home staff members, including both clinical and nonclinical staff, from 14 nursing homes.Results:Nursing home staff generally reported feeling comfortable caring for the dying, but half believed the end of life is a time of great suffering. Pain control (63%), loneliness (52%), and depression (48%) were the most important issues identified with regard to these patients, and there was ambivalence about the use of strong pain medications and the utility of feeding tubes at the end of life. Top priorities identified for improving palliative care included greater family involvement (43%), education and training in pain control (50%) and in management of other symptoms (37%), and use of a palliative care team (35%) at their facility.Conclusions:Findings show there is a need for more palliative care training and education, which should be built on current staff knowledge, skills, and attitudes toward palliative care.

“They Don’t Trust Us”: The Influence of Perceptions of Inadequate Nursing Home Care on Emergency Department Transfers and the Potential Role for Telehealth

Stephens, C. E., Halifax, E., David, D., Bui, N., Lee, S. J., Shim, J., & Ritchie, C. S. (2020). Clinical Nursing Research, 29(3), 157-168. 10.1177/1054773819835015
Abstract
Abstract
In this descriptive, qualitative study, we conducted eight focus groups with diverse informal and formal caregivers to explore their experiences/challenges with nursing home (NH) to emergency department (ED) transfers and whether telehealth might be able to mitigate some of those concerns. Interviews were transcribed and analyzed using a grounded theory approach. Transfers were commonly viewed as being influenced by a perceived lack of trust in NH care/capabilities and driven by four main factors: questioning the quality of NH nurses’ assessments, perceptions that physicians were absent from the NH, misunderstandings of the capabilities of NHs and EDs, and perceptions that responses to medical needs were inadequate. Participants believed technology could provide “the power of the visual” permitting virtual assessment for the off-site physician, validation of nursing assessment, “real time” assurance to residents and families, better goals of care discussions with multiple parties in different locations, and family ability to say goodbye.

Living Wills: One Part of the Advance Care Planning Puzzle

David, D., McMahan, R. D., & Sudore, R. L. (2019). Journal of the American Geriatrics Society, 67(1), 9-10. 10.1111/jgs.15688