Janet Prvu Bettger, ScD, FAHA

Assistant Professor
Phone: 
(919) 684-9380
Office: 
DUMC 3322, 307 Trent Drive

Janet Prvu Bettger, ScD, FAHA is an assistant professor and health services researcher at the Duke University School of Nursing and Duke Clinical Research Institute (DCRI), and a Senior Fellow of the Duke Center for the Study of Aging and Human Development. She serves as a Senior Scientist for the Duke Translational Nursing Institute (DTNI), a member of the Duke University Health System Evidence-based Practice Nursing Council, and was a co-investigator of Duke’s AHRQ funded Evidence-based Practice Center.

Dr. Bettger’s research is dedicated to improving health care quality and care coordination for older adults with chronic conditions, particularly stroke and those at risk for functional decline or rehospitalization. She is the principal investigator (PI) on a Patient-Centered Outcomes Research Institute (PCORI) grant to study the comparative effectiveness of rehabilitation services for survivors of an acute ischemic stroke. As a project PI for Duke’s NINR funded ADAPT Center she is studying cognitive status changes among stroke patients receiving acute rehabilitation. Related to these large database studies is the implementation research she leads on transitional care and interdisciplinary interventions to prevent adverse events.

Dr. Bettger received her BA from the University of Western Ontario, Canada and her MS from the University of Wisconsin–LaCrosse where she studied community reintegration for stroke and brain-injured patients transitioning from hospital to home. Her doctoral training in Rehabilitation Sciences, completed at Boston University, concluded with an investigation of patterns of functional recovery and factors affecting outcomes in patients transitioning home following acute rehabilitation. While working on her doctorate, she also worked in state government as the director of the Paul Coverdell National Acute Stroke Registry. Dr. Bettger completed post-doctoral training at the University of Pennsylvania with a NIH NRSA research fellowship in neurorehabilitation, a research fellowship at the NewCourtland Center for Transitions and Health, and a Switzer Fellowship funded by the National Institute on Disability and Rehabilitation Research to study the role of the environment on functional outcomes. She completed additional research training at Duke as a mentored scholar in comparative effectiveness research funded by AHRQ.

Academic Program Affiliations

  • PhD in Nursing Program
  • Doctor of Nursing Practice Program
  • Master of Science in Nursing Program

Education

  • ScD - Boston University
  • MS - University of Wisconsin - La Crosse
  • BA - University of Western Ontario

Research Interests

Dr. Prvu Bettger's areas of research interest include quality of care, care coordination, access to care, transitions in care, organizational change and quality improvement, team-based care, integration of health and social service systems, comparative effectiveness, function and participation outcomes, stroke rehabilitation and recovery, social networks, and social environment.

Awards and Honors

  • 2010 || Associate Fellow, Center for Public Health Initiatives, University of Pennsylvania
  • 2010 || Fellow, American Heart Association/American Stroke Association (FAHA)
  • 2008 || Helen B. Spaulding Stroke Community Service Award, American Heart Association, Northeast Affiliate
  • 2008 || Switzer Research Fellow, (DoE - NIDRR)
  • 2007 || Provost Interdisciplinary Seminar Fund Award, University of Pennsylvania
  • 2006 || Best Poster Presentation, American Congress of Rehabilitation Medicine-American Society of Neurorehabilitation Joint Conference: Translating Research into Practice (Boston, MA)
  • 2006 || Inducted, Sigma Xi
  • 2006 || Research Fellow in Neurorehabilitation, Physical Medicine and Rehabilitation, University of Pennsylvania
  • 2004 || Fellowship, 5th Scientific Forum on Quality of Care and Outcomes Research in Cardiovascular Disease and Stroke (Washington, DC)
  • 1999 || Graduate Student Achievement Award, University of Wisconsin–La Crosse College of Health, Physical Education, Recreation and Teaching Education
  • 1999 || “Up & Coming” Professional of the Year, New England Therapeutic Recreation Association
  • 1998 || Inducted, Rho Phi Lambda Honor Society
  • 1998 || Peg Connolly Scholarship Award, American Therapeutic Recreation Association
  • 1997 || Professional Development Travel Awards (4), University of Wisconsin–La Crosse

Areas of Expertise

  • Chronic Illness
  • Gerontology
  • Quality of Care / Patient Safety
  • Translational Research

Areas of Interest

Neurorehabilitation
Stroke
Public health
Aging
Health care quality
Translating research into practice
Health policy

Representative Publications

  • 2013 -- Abbott, K. and Prvu Bettger, J. and Hampton, K and Kohler, H. P. The feasibility of measuring social networks among older adults in assisted living and dementia special care units. Dementia: The International Journal of Social Research and Practice. 2013, in press
  • 2013 -- Bryne, T. and Brusilovskiy, E. and Prvu-Bettger, J. and Metraux, S. and Wong, Y. L. I. and Salzer, M. Comparing neighborhood characteristics of adults with serious mental illness and members of the general population in Philadelphia: Implications for research on determinants of community integration. Psychiatric Services. 2013, in press
  • 2013 -- Jackson, G. L. and Powers, B. J. and Chatterjee, R. and Bettger, J. Prvu and Kemper, A. R. and Hasselblad, V. and Dolor, R. J. and Irvine, R. J. and Heidenfelder, B. L. and Kendrick, A. S. and Gray, R. and Williams Jr., J. W., Jr. The patient-centered medical home: A systematic review. Annals of Internal Medicine. February 5, 2013 158(3); 169-178
  • 2013 -- PubMed # : 22858797 Prvu Bettger, J. A. and Kaltenbach, L. and Reeves, M. J. and Smith, E. E. and Fonarow, G. C. and Schwamm, L. H. and Peterson, E. D. Assessing stroke patients for rehabilitation during the acute hospitalization: findings from the get with the guidelines-stroke program. Arch Phys Med Rehabil. January, 2013 94(1); 38-45
  • 2012 -- PubMed # : 22292979 Abbott, K. M. and Bettger, J. P. and Hanlon, A. and Hirschman, K. B. Factors associated with health discussion network size and composition among elderly recipients of long-term services and supports. Health Commun. November, 2012 27(8); 784-93
  • 2012 -- PubMed # : 22929373 Bettger, J. P. Foreword: the social environment supporting elder health: an exploration of social ties, networks, and resources. Fam Community Health. October, 2012 35(4); 274-5
  • 2012 -- PubMed # : 23095974 Bettger, J. P. and Granger, B. B. Engaging research partners to advance clinical inquiry. AACN Adv Crit Care. 23(4); 471-6
  • 2012 -- PubMed # : 22929378 Abbott, K. M. and Bettger, J. P. and Hampton, K. and Kohler, H. Exploring the use of social network analysis to measure social integration among older adults in assisted living. Fam Community Health. October, 2012 35(4); 322-33
  • 2012 -- PubMed # : 22986378 Prvu Bettger, J. and Alexander, K. P. and Dolor, R. J. and Olson, D. M. and Kendrick, A. S. and Wing, L. and Coeytaux, R. R. and Graffagnino, C. and Duncan, P. W. Transitional care after hospitalization for acute stroke or myocardial infarction: a systematic review. Ann Intern Med. September, 2012 157(6); 407-16
  • 2012 -- PubMed # : 22902975 Bettger, J. P. and Sochalski, J. A. and Foust, J. B. and Zubritsky, C. D. and Hirschman, K. B. and Abbott, K. M. and Naylor, M. D. Measuring nursing care time and tasks in long-term services and supports: one size does not fit all. J Nurs Res. September, 2012 20(3); 159-68

Pages

Grant Funding (Selected)

  • Comparative effectiveness of rehabilitation services for survivors of an acute ischemic stroke

    Patient-Centered Outcomes Research Institute (PCORI)
    PCORI ID 130
    03/2013 to 02/2016

    Project Goals: This project’s purpose is to determine the best options for rehabilitation and the potential for recovery given stroke survivors’ needs.

  • Cognitive Status Changes Among Stroke Patients Receiving Acute Rehabilitation

    National Institutes of Health
    1P30-NR014139-01
    09/2012 to 06/2017
    Role: Project PI

    P30 Grant Title: Center for Adaptive Leadership in Symptom Science. Project description within the center: Cognitive Status Changes Among Stroke Patients Receiving Acute Rehabilitation. Project goals: To explore the trajectory of cognitive status among acute stroke patients, the association of patient sociodemographic and clinical characteristics, the mediating effects of stroke sequelae, and the independent predictors of length of stay. Center: The proposed Center of Excellence (P30), “Adaptive Leadership for Cognitive/Affective Symptom Science (ADAPT)” at Duke University School of Nursing will promote biobehavioral research to advance symptom science using a new lens—the Adaptive Leadership (AL) framework—to conceptualize and study cognitive/affective symptoms, and/or intervene in ways that promote patients’ and their family caregivers’ adaptive abilities.

  • Ohio Coverdell Stroke Registry Transitions of Care

    Ohio Department of Health
    10/2012 to 06/2015
    Role: PI

    The aims of this project are to develop, implement and evaluate multi-site transitional care intervention to prevent hospital readmissions for stroke survivors.

  • Effectiveness of Post-acute Care for Elderly Stroke Survivors

    Duke Mentored Comparative Effectiveness Research Scholar Program (AHRQ)
    K12-HS019479
    09/2010 to 09/2013
    Role: K-12 Mentored Scholar

    K12 grant title: Training in Comparative Effectiveness Research. This is an institutional training grant to Duke University in support of developing scholars in comparative effectiveness research. Specific project: effectiveness of post-acute care for elderly stroke survivors.

  • ODH-Coverdell Acute Stroke Registry Program

    Ohio Department of Health
    PO #DOH01-0000031666 -ATDS56745
    03/2013 to 06/2013

    The aims of this project are to develop, implement and evaluate multi-site transitional care intervention to prevent hospital readmissions for stroke survivors.

  • Post-stroke PERQ (Partnership Examining Rehabilitation Quality)

    Duke University School of Nursing Small Grant Project
    05/2012 to 04/2013
    Role: Principal Investigator (effort under K award)

    The aim of this project is to study the relationship between stroke patient characteristics and physical function and self-care at discharge from inpatient rehabilitation.

  • Stroke Rehabilitation Outcomes Evaluation

    Cannon Research Center, Carolinas Medical Center
    04/2012 to 03/2013
    Role: Co-PI (effort under K award)

    The aims of this project are to identify the person-level sociodemographic and clinical characteristics associated with stroke patient outcomes at discharge and at 3-months.

  • Closing the Quality Gap Series: The Medical Home

    Agency for Healthcare Research and Quality (AHRQ)
    HHSA 290-2007-10066-I, T.O.9
    09/2011 to 07/2012
    Role: Co-Investigator

    The aim of this project is to systematically review the evidence for patient centered medical homes designed to support the health and wellness for community-dwelling children and adults. The results of the review will be integrated into the AHRQ Closing the Quality Gap Series for advancing evidence-based primary care.

  • Social Networks in Long-Term Care: Feasibility Pilot for Enhancing Existing Approaches to Measurement.

    Institute on Aging, University of Pennsylvania
    07/2010 to 06/2011
    Role: Co-Investigator

    The proposed pilot study is designed to evaluate the feasibility of recruiting, consenting, enrolling and interviewing long-term care providers, elders in long-term care of different genders, race, ethnicity, and levels of cognitive impairment, and elders’ caregivers.

  • Social Networks in Long-Term Care: Pilot Testing Novel Approaches to Measurement

    Francis E. Parker Memorial Home, Inc.
    07/2010 to 06/2011
    Role: Co-PI

    The proposed pilot study is designed to evaluate the feasibility of a sociocentric approach to data collection and social network analyses for elders in long-term care.

Pages

Faculty News

Duke, Fudan Co-sponsor International Forum on Global Health, Nursing

2013-02-20
Duke University School of Nursing and Fudan University School of Nursing in China are co-sponsoring an international forum March 10-11, 2013, in Shanghai, China, entitled “Global Health and Nursing—...

Duke Nursing Professor Receives PCORI Award to Study Effectiveness of Stroke Survivor Care

2013-01-31
Janet Prvu Bettger, ScD, FAHA, assistant professor of nursing at Duke University School of Nursing (DUSON), and a health services researcher at both DUSON and the Duke Clinical Research Institute (...

Bettger Publishes in Annals of Internal Medicine

2012-12-02
Janet Bettger co-authored an article entitled "The Patient-centered medical home: A systematic review" in Annals of Internal Medicine. Article