Maya Clark-Cutaia

Faculty

Maya Clark-Cutaia headshot

Maya Clark-Cutaia

MSN PhD RN

Assistant Professor

1 212 998 5280
Accepting PhD students

Maya Clark-Cutaia's additional information

Maya Clark-Cutaia, RN, MSN, PhD, is an assistant professor of nursing at NYU Rory Meyers College of Nursing. Her scholarship focuses on the increased risk morbidity and mortality that result from ESRD and hemodialysis renal replacement therapy. This patient population is more likely to suffer from sudden cardiac events, are two to three times more likely to be rehospitalized than the general population, and spend a disproportionally high percentage of Medicare funds. Clark-Cutaia’s long-term goal is to impact ESRD sufferer's quality of life by decreasing symptom burden. Clark-Cutaia continues to practice as a nurse practitioner in the fields of Urology, General Surgery, and Otorhinolaryngology.

Clark-Cutaia received a K23 Mentored Patient-Oriented Research Career Development Award (1K23NR015058) from the National Institute of Nursing Research to build her program of research in symptom science to determine the effects of carefully monitored levels of sodium-intake as set forth by the National Kidney Foundation, Dietary Guidelines for Americans 2010, and AHA on symptoms and signs in ESRD patients undergoing hemodialysis. 

Prior to joining the faculty at NYU Meyers, Clark-Cutaia was a senior lecturer at the University of Pennsylvania School of Nursing. She was a clinical faculty member in the Adult-Gerontology Acute Care Program and co-taught the undergraduate and graduate-level "Scientific Inquiry for Evidence-Based Practice" courses. 

Clark-Cutaia received her PhD in nursing from the University of Pittsburgh and MS and BS in nursing from the University of Pennsylvania. Clark-Cutaia’s predoctoral training was initially supported by a T32 predoctoral fellowship (T32NR00885705) and then by an individual NRSA F31 predoctoral fellowship (1F31NR014310) for her research on dietary modification management in end-stage renal disease sufferers on hemodialysis. Immediately after completing her PhD, she returned to the University of Pennsylvania School of Nursing for a T32 postdoctoral fellowship (T32NR007100), which culminated in Clark-Cutaia’s receipt of the K23 Mentored Patient-Oriented Research Career Development Award (cited above).

PhD, University of Pittsburgh
MSN, University of Pennsylvania
BS, University of Pennsylvania

Acute care

American Association for Nurse Practitioners
American Heart Association
American Nurses Association
Eastern Nursing Research Society
Military Officers Association of America
National Black Nurses Association
National Kidney Foundation
Pennsylvania Coalition of Nurse Practitioners
Pennsylvania State Nurses Association
Reserve Officer Association
Sigma Theta Tau International Honor Society for Nursing

Faculty Honors Awards

Sigma Theta Tau Honor Society, Eta Chapter, Xi Chapter (2011)
Nursing Award for Special Achievement (2003)
Sojourner Truth Award (2003)

Publications

Content Validity Assessment of the Revised Illness Perception Questionnaire in CKD Using Qualitative Methods

Rivera, E., Levoy, K., Clark-Cutaia, M. N., Schrauben, S., Townsend, R. R., Rahman, M., Lash, J., Saunders, M., Frazier, R., Rincon-Choles, H., & Hirschman, K. B. (2022). International Journal of Environmental Research and Public Health, 19(14). 10.3390/ijerph19148654
Abstract
Abstract
Background: The Revised Illness Perception Questionnaire (IPQ-R) measures individuals’ unique perceptions of their illness. While psychometric properties of the IPQ-R have been demonstrated in many disease populations, its content validity has not been extensively studied in non-dialysis chronic kidney disease (CKD). Unique features of CKD (e.g., few symptoms in early stages) may impact the measurement of illness perceptions. The purpose of this study was to explore the IPQ-R content validity in a sample of CKD patients. Methods: Thirty-one participants completed the IPQ-R and were interviewed regarding their subscale scores (timeline, consequences, personal control, treatment control, coherence, cyclical, and emotions). Participants’ agreement with their scores was tallied and assessed qualitatively for themes related to the content validity of the measure. Results: Individual participant agreement with their subscale scores averaged 79% (range: 29–100%). Subscale agreement varied: timeline (100%), consequences, coherence, and emotion (83% each), cyclical (75%), personal control (65%), and treatment control (64%). A qualitative exploration of disagreement responses revealed concerns with the relevance and comprehensibility of personal control and treatment control. Conclusions: Some IPQ-R subscales may pose content validity concerns in the non-dialysis CKD population. Item modification for comprehensibility (personal control) and relevance (treatment control) should be considered. Future studies should explore the impact of a patient’s symptom experience on IPQ-R validity, especially in populations like CKD with a higher proportion of asymptomatic patients.

Editorial: New perspectives on estimated glomerular filtration rate and health equity

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Exploring the Evidence: Symptom Burden in Chronic Kidney Disease

Clark-Cutaia, M. N., Rivera, E., Iroegbu, C., Arneson, G., Deng, R., & Anastasi, J. K. (2022). Nephrology Nursing Journal : Journal of the American Nephrology Nurses’ Association, 49(3), 227-255.
Abstract
Abstract
Chronic kidney disease (CKD) is more prevalent in individuals with obesity, diabetes mellitus, or hypertension. Individuals with CKD are prone to kidney failure, with symptom experiences that rival those of patients with cancer. We explored symptom burden in individuals with CKD via a systematic review of 30 quantitative and qualitative articles. The most common CKD symptoms were fatigue, weakness, pain, sleep disturbances and itchy skin. Instruments used to assess symptoms were the Kidney Disease Quality of Life (KDQOL)-36, the Palliative Outcome Symptom-Scale renal (POS-r)-13, and the Dialysis Symptom Index (DSI)-10. The included qualitative studies expand and expound on the quantitative data presented. This article describes the prevalence of symptom burden in individuals with CKD in relation to psychosocial and demographic factors and discuss the importance of symptom management.

Treatment Adherence in CKD and Support From Health care Providers: A Qualitative Study

Rivera, E., Clark-Cutaia, M. N., Schrauben, S. J., Townsend, R. R., Lash, J. P., Hannan, M., Jaar, B. G., Rincon-Choles, H., Kansal, S., He, J., Chen, J., & Hirschman, K. B. (2022). Kidney Medicine, 4(11). 10.1016/j.xkme.2022.100545
Abstract
Abstract
Rationale & Objective: Adherence to recommended medical treatment is critical in chronic kidney disease (CKD) to prevent complications and progression to kidney failure. Overall adherence to treatment is low in CKD, and as few as 40% of patients with kidney failure receive any documented CKD-related care. The purpose of this study was to explore the experiences of patients with CKD and their adherence to CKD treatment plans, and the role their health care providers played in supporting their adherence. Study Design: One-on-one interviews were conducted in 2019-2020 using a semi-structured interview guide. Participants described experiences with adherence to treatment plans and what they did when experiencing difficulty. Setting & Participants: Participants were recruited from the Chronic Renal Insufficiency Cohort (CRIC) study. All CRIC participants were older than 21 years with CKD stages 2-4; this sample consisted of participants from the University of Pennsylvania CRIC site. Analytical Approach: Interviews were recorded, transcribed, and coded using conventional content analysis. Data were organized into themes using NVivo 12. Results: The sample (n = 32) had a mean age of 67 years, 53% were women, 59% were non-White, with a mean estimated glomerular filtration rate of 56.6 mL/min/1.73 m2. From analysis of factors relevant to treatment planning and adherence, following 4 major themes emerged: patient factors (multiple chronic conditions, motivation, outlook), provider factors (attentiveness, availability/accessibility, communication), treatment planning factors (lack of plan, proactive research, provider-focused treatment goals, and shared decision making), and treatment plan responses (disagreeing with treatment, perceived capability deficit, lack of information, and positive feedback). Limitations: The sample was drawn from the CRIC study, which may not be representative of the general population with CKD. Conclusions: These themes align with Behavioral Learning Theory, which includes concepts of internal antecedents (patient factors), external antecedents (provider factors), behavior (treatment planning factors), and consequences (treatment plan responses). In particular, the treatment plan responses point to innovative potential intervention approaches to support treatment adherence in CKD.

“Should I stay or should I go?” Nurses' perspectives about working during the Covid-19 pandemic's first wave in the United States: A summative content analysis combined with topic modeling

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Disparities in chronic kidney disease-the state of the evidence

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Therapeutic options to improve cardiovascular outcomes with long-term hemodialysis

Clark-Cutaia, M. N., & Townsend, R. R. (2021). Clinical Journal of the American Society of Nephrology, 16(4), 511-513. 10.2215/CJN.02010221

The Perfect Storm: Stakeholder Perspectives on Factors Contributing to Hospital Admissions for Patients Undergoing Maintenance Hemodialysis

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Feasibility of Assessing Sodium-Associated Body Fluid Composition in End-Stage Renal Disease

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Perceived Barriers to Adherence to Hemodialysis Dietary Recommendations

Clark-Cutaia, M. N., Sevick, M. A., Thurheimer-Cacciotti, J., Hoffman, L. A., Snetselaar, L., Burke, L. E., & Zickmund, S. L. (2019). Clinical Nursing Research, 28(8), 1009-1029. 10.1177/1054773818773364
Abstract
Abstract
Barriers to following dietary recommendations have been described; however, they remain poorly understood. The purpose of this qualitative study was to explore perceived barriers to adherence to dietary recommendations in a diverse hemodialysis patient population. Participants were eligible to participate in a semi-structured qualitative telephone interview prior to randomization for an ongoing clinical trial to evaluate the efficacy of an intervention designed to reduce dietary sodium intake. Interviews were digitally recorded, transcribed verbatim and coded using an iterative qualitative process. In total, 30 (37% females, 53% Caucasians) participants, 63.2 ± 13.3 years, were interviewed. Time, convenience, and financial constraints hindered dietary adherence. Dietary counseling efforts were rated positively but require individualization. Ability to follow recommended guidelines was challenging. Suggestions for addressing barriers include technology-based interventions that allow patients to improve food choices and real-time decision-making, and permit tailoring to individual barriers and preferences.