We include here publications arising directly from VCL Projects.

Manuscripts & Books

  • Javed A, Rizzo D, Suk Lee B, Gramling R. SOMTimeS: Self Organizing Maps for Time Series Clustering and its Application to Serious Illness Conversations. (https://arxiv.org/)
  • Gramling R, Javed A, Durieux BN, Clarfeld LA, Matt JE, Rizzo DM, Wong A, Braddish T, Gramling CJ, Wills J, Arnoldy FL, Straton J, Cheney N, Eppstein MJ, Gramling D. Conversational Stories & Self Organizing Maps: Innovations for the Study of Uncertainty in Healthcare Communication. Patient, Education & Counseling. 2021. Aug 6 (online ahead of print)
  • Clarfeld L, Gramling R, Rizzo D, Eppstein M.  A general model of conversational dynamics with application in serious illness communication. PLoS One. 2021. Jul 1;16(7):e0253124
  • Tarbi E, Gramling R, Bradway C, Meghani S. “If it’s the Time, It’s the Time”: Existential Communication in Naturally-Occurring Palliative Care Conversations with Individuals with Advanced Cancer, Their Families, and Clinicians. Patient, Education & Counseling. 2021. May 10 (online ahead of print)
  • Gramling R, Straton J, Ingersoll LT, Clarfeld LA, Hirsch L, Gramling CJ, Durieux BN, Eppstein MJ, Rizzo DM, Alexander SC. Epidemiology of Fear, Sadness and Anger Expression in Palliative Care Conversations. Journal of Pain & Symptom Management. 2021. Feb; 61(2):246-253
  • Hirsch L, Rizzo DM, Straton J, Clarfeld LA, Gramling CJ, Durieux BN, Eppstein MJ, Gramling R. Does hospital room environment affect serious illness conversation dynamics? Journal of Palliative Medicine. 2021. Jan;24(1):3-4
  • van den Broek-Altenburg E, Gramling R, Gothard K, Kroesen M, Chorus C. Using Natural Language Processing to Explore Heterogeneity in Moral Terminology in Palliative Care Consultations. BMC Palliative Care. 2021. Jan 25;20(1):23.
  • Cheung K, Tamura M, Rabinowitz T, Lamantia M, Gramling R. Feasibility and Acceptability of TelePalliative Medicine Consultation in Rural Dialysis Units. Journal of Palliative Medicine. 2021. Jan 19 (online ahead of print)
  • Tarbi E, Gramling R, Bradway C, Broden EG, Meghani S. “I Had a Lot More Planned”: A Mixed Methods Inquiry into the Existential Dimensions of Prognosis Communication with Adults with Advanced Cancer. Journal of Palliative Medicine. 2021. Feb 2 (online ahead of print)
  • Ross L, Danforth C, Eppstein M, Clarfeld L, Durieux BN, Gramling CJ, Hirsch L, Rizzo D, Gramling R. Story Arcs in Serious Illness: Natural Language Processing features of Palliative Care Conversations. Patient Education & Counseling. 2020. April;103(4):826-832.
  • Ingersoll LT, Alexander SC, Anderson WG, Ladwig S, Norton SA, Gramling R. The contagion of optimism: The relationship between patient optimism and palliative care clinician overestimation of survival among hospitalized patients with advanced cancer. PsychoOncology. 2019 Jun;28(6):1286-1292
  • Ingersoll LT, Alexander SC, Priest J, Ladwig S, Anderson WA, Fiscella K, Epstein R, Norton SA, Gramling R. Racial/Ethnic Differences in PrognosisTalk during Inpatient Palliative Care Consultations among People with Advanced Cancer. Patient, Education & Counseling. 2019 Jun;102(6):1098-1103
  • Gramling R, Gajary-Coots E, Cimino J, Fiscella K, Epstein R, Ladwig S, Anderson W, Alexander SA, Han PK, Gramling D, Norton SA. Palliative Care Clinician Overestimation of Survival in Advanced Cancer: Disparities and Association with End-of-Life Care. Journal of Pain and Symptom Management. 2019. Feb;57(2)233-240. Listen to the GeriPal Podcast
  • Gramling R, Ingersoll L, Priest J, Berns S, Cheung K, Anderson W, Norton SA, Alexander SC. End-of-life treatment preferences, prognosis conversations, and hospice enrollment in palliative care: a direct observation cohort study among people with advanced cancer. Journal of Palliative Medicine. 2019. Feb;22(2):152-156
  • Gramling D and Gramling R. Palliative Care Conversations: Clinical and Applied Linguistics Perspectives. (de Gruyter Press). January 2019 
  • Manukyan V, Durieux B, Gramling C, Clarfeld L, Rizzo D, Eppstein M, Gramling R. Automated Detection of Conversational Pauses from Audio Recordings of Serious Illness Conversations in Natural Hospital Settings. Journal of Palliative Medicine. Dec 2018. 21 (12), p 1724-1728 
  • Durieux B, Gramling C, Manukyan V, Clarfeld L, Ryan A, Ross L, Niland M, Rizzo D, Eppstein M, Alexander SC, Gramling R. Tandem Machine Learning-Human Coding Method for Identification of Connectional Silence in Serious Illness Conversations. Journal of Palliative Medicine. Dec 2018. 21 (12), p 1755-1760
  • Ingersoll L, Alexander S, Anderson WG, Ladwig S, Norton SA, Gramling R. Benchmarking the Inpatient Palliative Care Heard & Understood Quality Indicator among Patients with Advanced Cancer. Journal of Pain & Symptom Management. 2018. Aug;56(2):239-244
  • Gramling R, Stanek S, Han PK, Duberstein P, Quill TE, Temel J, Alexander S, Anderson WG, Ladwig S, Norton SA. Distress due to Prognostic Uncertainty in Palliative Care: Frequency, Distribution and Outcomes Among Hospitalized Patients with Advanced Cancer. Journal of Palliative Medicine. 2018. Mar;21(3):315-321.
  • Gramling R, Stanek S, Ladwig S, Gajary-Coots L, Cimino J, Anderson W, Norton SA and the AAHPM Research Committee Writing Group. Feeling heard and understood: a patient-reported quality measure for the inpatient palliative care setting. Journal of Pain & Symptom Management. 2016. Feb;51(2):150-4.
  • Gramling R, Gajary-Coots E, Stanek S, Dougoud N, Pyke H, Thomas M, Cimino J, Sanders M, Alexander SC, Epstein R, Fiscella K, Gramling D, Ladwig S, Anderson W, Pantilat S, Norton SA. Design and Enrollment in the Palliative Care Communication Research Initiative: a Direct-Observation Cohort Study. BMC Palliative Care. 2015. Aug 19;14:40.

Dissertations & Theses

  • “Expressions of Loneliness in Conversational Storytelling” Ann Wong (Undergraduate Thesis, University of Vermont Honors College; Defense anticipated Spring 2023
  • “Metaphor in Serious Illness Conversations” Aidan May (Undergraduate Thesis, University of Vermont Honors College; Defense anticipated Spring 2022)
  • “Machine Learning Identification of Connectional Silence in Serious Illness Conversation” Jeremy Matt (Doctoral Dissertation, University of Vermont Department of Computer Science; Defense anticipated Spring 2022)
  • “Cluster Analysis of Time Series Data with Application to Hydrological Events and Serious Illness Conversations” Ali Javed, Ph.D. (Doctoral Dissertation, University of Vermont Department of Computer Science; Defended June 2021)
  • “Exploring Hidden Networks Yields Important Insights in Disparate Fields of Study” Larry Clarfeld, Ph.D. (Doctoral Dissertation, University of Vermont Department of Computer Science; Defended November 2020)
  • “Expressions of Existential Experience in Palliative Care Conversations” Elise Tarbi, Ph.D., RN, APRN (Doctoral Dissertation, University of Pennsylvania School of Nursing; Defended June 2020)
  • “Patient & Family Expressions of Uncertainty in Palliative Care Conversations” Susan Stanek, PH.D., RN (Doctoral Dissertation, University of Rochester School of Nursing; Defended June 2020)
  • “Family Contributions to Palliative Care Conversations” Nathalie Dougoud, Ph.D., RN, APRN (Doctoral Dissertation, University of Rochester School of Nursing; Defended June 2020)
  • “Exploration of StoryArcs in Palliative Care Conversations using Natural Language Processing” Lindsay Ross B.S. (Undergraduate Thesis, University of Vermont Honors College; Defended April 2019)