Scholars@Duke
Hayden Barry Bosworth

Hayden Barry Bosworth

Professor in Population Health Sciences
Population Health Sciences
boswo001@duke.edu
411 West Chapel Hill Street, Suite 600, Durham, NC 27701
HSR & D (152) VA, 508 Fulton St, Durham, NC 27705

Selected Publications

Virtual adaptation of a nurse-driven strategy to improve blood pressure control among people with HIV.

Journal Article HIV Res Clin Pract · December 2025 People with HIV are at increased risk of cardiovascular events; thus, care delivery strategies that increase access to comprehensive cardiovascular disease (CVD) risk management are a priority. We report the results of a multi-component telemedicine-based ... Full text Link to item Cite

Supplementary Table 1 from Association of Race and Ethnicity with Genomic Testing at a Comprehensive Cancer Center in North Carolina

Other · April 3, 2025 <p>Supplementary Tables S1a-S1d show estimates for the association between any genomic testing and race and ethnicity among non-Hispanic Black and non-Hispanic White patients by cancer type</p> ... Full text Cite

Medication adherence in rheumatoid arthritis: implications for cardiovascular disease risk and strategies to address in U.S. veterans.

Journal Article Expert Rev Pharmacoecon Outcomes Res · April 2025 INTRODUCTION: Rheumatoid arthritis (RA) is a systemic inflammatory disease associated with an increased risk of cardiovascular disease (CVD) and premature mortality. The risk of CVD is closely associated with RA disease activity, and achieving RA remission ... Full text Link to item Cite

Advancement of the implementation of evidence-based therapies for cardiovascular-kidney-metabolic conditions: A multi-stakeholder perspective.

Journal Article Am Heart J · March 17, 2025 Cardiovascular disease remains the leading cause of mortality and healthcare expenditures in the United States. It is also a major contributor to premature mortality, years lived with disability, and rising healthcare costs around the world. Despite the av ... Full text Link to item Cite

Implementing guideline-directed medical therapy: Stakeholder-identified barriers and facilitators.

Journal Article Am Heart J · March 2025 BACKGROUND: Despite strong evidence and Class I recommendations to support the use of guideline-directed medical therapy (GDMT) for patients with heart failure with reduced ejection fraction (HFrEF), use of these medications remain suboptimal. There is a g ... Full text Link to item Cite

Tailoring Chronic Disease Interventions to Meet Specific Needs of Women: A Case Example of a Hypertension Program

Journal Article Women's Health Reports · March 1, 2025 Background: Women have a unique risk profile for cardiovascular disease (CVD) due to underlying sociocultural and biological determinants. Current CVD prevention and treatment interventions, however, largely remain agnostic to the influences of an individu ... Full text Cite

Recommendations for interdisciplinary research collaboration for early career dissemination and implementation researchers: A multi-phase study.

Journal Article J Clin Transl Sci · 2025 INTRODUCTION: Dissemination and implementation (D&I) scientists are key members of collaborative, interdisciplinary clinical and translational research teams. Yet, early career D&I researchers (ECRs) have few guidelines for cultivating productive research ... Full text Link to item Cite

Impact of Individualized Versus Weight-Based Pain Protocols on Patient Satisfaction for Patients With Sickle Cell Disease Experiencing a Vaso-Occlusive Episode

Journal Article Journal of Emergency Nursing · January 1, 2025 Introduction: National guidelines for the acute management of sickle cell disease vaso-occlusive episodes recommend the use of a patient-specific or a weight-based protocol. The authors compared patient satisfaction with pain management between those rando ... Full text Cite

Acceptability and Feasibility of a Multicomponent Intervention to Improve Acute Myocardial Infarction Care in Northern Tanzania: the MIMIC Pilot Trial.

Journal Article medRxiv · December 16, 2024 BACKGROUND: The Multicomponent Intervention to Improve Acute Myocardial Infarction Care (MIMIC) was developed to increase uptake of evidence-based care for acute myocardial infarction in Tanzania. MIMIC consists of five components: triage cards, pocket car ... Full text Link to item Cite

Diabetes distress in Veterans with type 2 diabetes mellitus: Qualitative descriptive study.

Journal Article J Health Psychol · December 2024 Diabetes distress (DD) is a negative psychosocial response to living with type 2 diabetes mellitus (T2DM). We sought insight into Veterans' experiences with DD in the context of T2DM self-management. The four domains in the Diabetes Distress Scale (i.e. re ... Full text Open Access Link to item Cite

The search for the missing link between health misinformation & health disparities.

Journal Article Patient education and counseling · December 2024 Relative to the rapid increase in available health information, little has been published on the differential impact misinformation has on the health of communities. Observations during the height of the COVID-19 pandemic indicated there were communities t ... Full text Open Access Cite

Supplementary Table 1 from Association of Race and Ethnicity with Genomic Testing at a Comprehensive Cancer Center in North Carolina

Other · November 18, 2024 <p>Supplementary Tables S1a-S1d show estimates for the association between any genomic testing and race and ethnicity among non-Hispanic Black and non-Hispanic White patients by cancer type</p> ... Full text Cite

Table 2 from Association of Race and Ethnicity with Genomic Testing at a Comprehensive Cancer Center in North Carolina

Other · November 18, 2024 <p>Percentage of patients who used genomic testing by cancer type, race/ethnicity, and type of test</p> ... Full text Cite

Table 3 from Association of Race and Ethnicity with Genomic Testing at a Comprehensive Cancer Center in North Carolina

Other · November 18, 2024 <p>Regression analysis evaluating the association between any genomic testing and race and ethnicity among NH Black and NH White patients with stage IV cancer diagnosed during 2014 to 2019, stratified by cancer type</p> ... Full text Cite

Table 1 from Association of Race and Ethnicity with Genomic Testing at a Comprehensive Cancer Center in North Carolina

Other · November 18, 2024 <p>Sociodemographic and clinical characteristics of patients with stage IV cancer diagnosed during 2014 to 2019 (<i>n</i> = 3,461), overall and stratified by use of genomic testing</p> ... Full text Cite

Data from Association of Race and Ethnicity with Genomic Testing at a Comprehensive Cancer Center in North Carolina

Other · November 18, 2024 <div>Abstract<p>Genomic testing, which analyzes tumor cells or circulating tumor DNA to guide cancer treatment, is increasingly used in precision oncology. However, data on racial and ethnic disparities in its use are limited. This retr ... Full text Cite

Abstract Sa701: Sex disparities in receipt of bystander-initiated cardiopulmonary resuscitation and associated time measures

Conference Circulation · November 12, 2024 Introduction: Female sex is associated with lower rates of bystander cardiopulmonary resuscitation (B-CPR) in public. Telecommunicator CPR (T-CPR), or provision of CPR instructions when individuals ca ... Full text Cite

Prescription Fills Among Patients With Type 2 Diabetes After Hospitalization for Acute Coronary Syndrome.

Journal Article JAMA Netw Open · November 4, 2024 IMPORTANCE: Individuals with type 2 diabetes (T2D) have high rates of mortality following myocardial infarction (MI). Hospitalization is an opportunity to initiate or continue evidence-based treatment to reduce risk in individuals with T2D and acute corona ... Full text Link to item Cite

Understanding veterans' experiences with lung cancer and psychological distress: A multimethod approach.

Journal Article Psychol Serv · November 2024 Psychological distress while coping with cancer is a highly prevalent and yet underrecognized and burdensome adverse effect of cancer diagnosis and treatment. Left unaddressed, psychological distress can further exacerbate poor mental health, negatively in ... Full text Open Access Link to item Cite

RAndomized Cluster Evaluation of Cardiac ARrest Systems (RACE-CARS) trial: Study rationale and design.

Journal Article Am Heart J · November 2024 Out-of-hospital cardiac arrest (OHCA) occurs in nearly 350,000 people each year in the United States (US). Despite advances in pre and in-hospital care, OHCA survival remains low and is highly variable across systems and regions. The critical barrier to im ... Full text Open Access Link to item Cite

EXpanding Technology-Enabled, Nurse-Delivered Chronic Disease Care (EXTEND): Protocol and Baseline Data for a Randomized Trial.

Journal Article Contemp Clin Trials · November 2024 BACKGROUND: Approximately 10-15 % of individuals with type 2 diabetes have persistently poorly-controlled diabetes mellitus (PPDM) despite receiving available care, and frequently have comorbid hypertension. Mobile monitoring-enabled telehealth has the pot ... Full text Open Access Link to item Cite

Nurse-Supported Self-Directed Cognitive Behavioral Therapy for Insomnia: A Randomized Clinical Trial.

Journal Article JAMA Intern Med · November 1, 2024 IMPORTANCE: Cognitive behavioral therapy for insomnia (CBTi) is the standard of care for treating insomnia disorder, but access is limited. Alternative approaches are needed to expand access to the standard of care. OBJECTIVE: To examine the effectiveness ... Full text Link to item Cite

Association of Race and Ethnicity with Genomic Testing at a Comprehensive Cancer Center in North Carolina.

Journal Article Cancer Res Commun · November 1, 2024 Non-Hispanic Black patients diagnosed with prostate cancer between 2014 and 2019 and treated at a comprehensive cancer center were less likely to use tumor-specific genomic testing compared with non-Hispanic White patients. Disparities in the use of precis ... Full text Link to item Cite

Stakeholder preferences for implementation strategies to address barriers to depression treatment among Latino/a/x teens.

Journal Article Psychol Serv · October 24, 2024 U.S. Latino/a/x adolescents experience inequities in depression treatment use in comparison to non-Latino/a/x White peers. The purpose of this study was to describe barriers to depression treatment use and implementation strategy preferences to address the ... Full text Link to item Cite

Clinical Outcomes Among High-Risk Primary Care Patients With Diabetic Kidney Disease: Methodological Challenges and Results From the STOP-DKD Study.

Journal Article Med Care · October 1, 2024 BACKGROUND/OBJECTIVE: Slowing the progression of diabetic kidney disease (DKD) is critical. We conducted a randomized controlled trial to target risk factors for DKD progression. METHODS: We evaluated the effect of a pharmacist-led intervention focused on ... Full text Open Access Link to item Cite

Multicomponent Intervention to Improve Acute Myocardial Infarction Care in Tanzania: Protocol for a Pilot Implementation Trial.

Journal Article JMIR Res Protoc · September 24, 2024 BACKGROUND: Although the incidence of acute myocardial infarction (AMI) is rising in sub-Saharan Africa, the uptake of evidence-based care for the diagnosis and treatment of AMI is limited throughout the region. In Tanzania, studies have revealed common mi ... Full text Link to item Cite

Implementation of a Clinician-led Medication Adherence Intervention Among Patients With Systemic Lupus Erythematosus.

Journal Article J Rheumatol · September 1, 2024 OBJECTIVE: Medication nonadherence in systemic lupus erythematosus (SLE) leads to poor clinical outcomes. We developed a clinician-led adherence intervention that involves reviewing real-time pharmacy refill data and using effective communication to addres ... Full text Open Access Link to item Cite

Disclosure of HIV Status to Sexual Partners Among People With HIV in Singida Regional Referral Hospital of Tanzania: A Cross-Sectional Study.

Journal Article J Assoc Nurses AIDS Care · September 2024 HIV status nondisclosure to sexual partners remains a major challenge in Tanzania's health system. This hospital-based, descriptive, cross-sectional study design recruited 380 people living with HIV (PLWH) to assess voluntary HIV status disclosure to sexua ... Full text Open Access Link to item Cite

Kidney and Cardiovascular Effectiveness of SGLT2 Inhibitors vs GLP-1 Receptor Agonists in Type 2 Diabetes.

Journal Article J Am Coll Cardiol · August 20, 2024 BACKGROUND: Emerging data suggest that glucagon-like peptide-1 receptor agonists (GLP-1 RAs) improve kidney outcomes for people with type 2 diabetes (T2D). Direct comparisons of the kidney and cardiovascular effectiveness of GLP-1 RA with sodium-glucose co ... Full text Open Access Link to item Cite

Evaluating Factors Associated With Telehealth Appropriateness in Outpatient Rheumatoid Arthritis Encounters Using the Encounter Appropriateness Score for You (EASY).

Journal Article J Rheumatol · August 1, 2024 OBJECTIVE: Telehealth has been proposed as a safe and effective alternative to in-person care for rheumatoid arthritis (RA). The purpose of this study was to evaluate factors associated with telehealth appropriateness in outpatient RA encounters. METHODS: ... Full text Open Access Link to item Cite

Semaglutide and cardiovascular outcomes in patients with obesity and prevalent heart failure: a prespecified analysis of the SELECT trial.

Journal Article Lancet (London, England) · August 2024 BackgroundSemaglutide, a GLP-1 receptor agonist, reduces the risk of major adverse cardiovascular events (MACE) in people with overweight or obesity, but the effects of this drug on outcomes in patients with atherosclerotic cardiovascular disease ... Full text Open Access Cite

Food insecurity among university students in the United States amidst the COVID-19 pandemic.

Journal Article J Am Coll Health · July 2024 OBJECTIVE: This study reports on food insecurity (FI) amidst the COVID-19 pandemic. PARTICIPANTS AND METHODS: College students in four regions of the US completed the two-item validated Hunger Vital Signâ„¢ screening tool on Qualtrics. RESULTS: FI increased ... Full text Link to item Cite

Post-trial responsibilities in pragmatic clinical trials: Fulfilling the promise of research to drive real-world change.

Journal Article Learn Health Syst · July 2024 While considerable scholarship has explored responsibilities owed to research participants at the conclusion of explanatory clinical trials, no guidance exists regarding responsibilities owed at the conclusion of a pragmatic clinical trial (PCT). Yet post- ... Full text Open Access Link to item Cite

Behavioral Engagement and Activation Model Study (BEAMS): A latent class analysis of adopters and non-adopters of digital health technologies among people with Type 2 diabetes.

Journal Article Translational behavioral medicine · July 2024 Many people with Type 2 diabetes (T2D) who could benefit from digital health technologies (DHTs) are either not using DHTs or do use them, but not for long enough to reach their behavioral or metabolic goals. We aimed to identify subgroups within DHT adopt ... Full text Open Access Cite

Kidney and Cardiovascular Effectiveness of Empagliflozin Compared With Dipeptidyl Peptidase-4 Inhibitors in Patients With Type 2 Diabetes.

Journal Article Am J Cardiol · June 15, 2024 Placebo-controlled trials of sodium-glucose co-transporter-2 inhibitors demonstrate kidney and cardiovascular benefits for patients with type 2 diabetes and chronic kidney disease (CKD). We used real-world data to compare the kidney and cardiovascular effe ... Full text Open Access Link to item Cite

912-P: Kidney and Cardiovascular Effectiveness of SGLT2 Inhibitors Compared with GLP-1 Receptor Agonists in Patients with Type 2 Diabetes

Conference Diabetes · June 14, 2024 Introduction & Objective: In placebo-controlled trials, SGLT2 inhibitors (SGLT2i) and GLP-1 receptor agonists (GLP1RA) improve kidney and cardiovascular outcomes. However, direct comparisons are lacking.Methods: ... Full text Cite

Racial and ethnic disparities in genomic testing among lung cancer patients: a systematic review.

Journal Article J Natl Cancer Inst · June 7, 2024 BACKGROUND: Racial and ethnic disparities in genomic testing could exacerbate disparities in access to precision cancer therapies and survival-particularly in the context of lung cancer where genomic testing has been recommended for the past decade. Howeve ... Full text Open Access Link to item Cite

Concordance With Screening and Treatment Guidelines for Chronic Kidney Disease in Type 2 Diabetes.

Journal Article JAMA Netw Open · June 3, 2024 IMPORTANCE: Chronic kidney disease (CKD) is an often-asymptomatic complication of type 2 diabetes (T2D) that requires annual screening to diagnose. Patient-level factors linked to inadequate screening and treatment can inform implementation strategies to f ... Full text Open Access Link to item Cite

Improving medication adherence in cardiovascular disease.

Journal Article Nature reviews. Cardiology · June 2024 Non-adherence to medication is a global health problem with far-reaching individual-level and population-level consequences but remains unappreciated and under-addressed in the clinical setting. With increasing comorbidity and polypharmacy as well as an ag ... Full text Open Access Cite

Evaluating Therapeutic Inertia in Two Telehealth Interventions for Type 2 Diabetes: Secondary Analyses of a Randomized Trial.

Journal Article Telemed J E Health · June 2024 Introduction: Although therapeutic inertia is a known driver of suboptimal type 2 diabetes control, little is known about how to combat this phenomenon. We analyzed randomized trial data to determine whether a comprehensive telehealth intervention was more ... Full text Link to item Cite

Association Between Frailty and Management and Outcomes of Acute Myocardial Infarction Complicated by Cardiogenic Shock.

Journal Article JACC Adv · June 2024 BACKGROUND: Cardiogenic shock (CS) in the setting of acute myocardial infarction (AMI) is associated with high morbidity and mortality. Frailty is a common comorbidity in patients with cardiovascular disease and is also associated with adverse outcomes. Th ... Full text Open Access Link to item Cite

Factors Affecting Post-trial Sustainment or De-implementation of Study Interventions: A Narrative Review.

Journal Article J Gen Intern Med · May 2024 In contrast to traditional randomized controlled trials, embedded pragmatic clinical trials (ePCTs) are conducted within healthcare settings with real-world patient populations. ePCTs are intentionally designed to align with health system priorities levera ... Full text Open Access Link to item Cite

Frailty and In-Hospital Outcomes for Management of Cardiogenic Shock without Acute Myocardial Infarction.

Journal Article J Clin Med · April 3, 2024 (1) Background: Cardiogenic shock (CS) is associated with high morbidity and mortality. Frailty and cardiovascular diseases are intertwined, commonly sharing risk factors and exhibiting bidirectional relationships. The relationship of frailty and non-acute ... Full text Open Access Link to item Cite

Improving acute myocardial infarction care in northern Tanzania: barrier identification and implementation strategy mapping.

Journal Article BMC Health Serv Res · March 28, 2024 BACKGROUND: Evidence-based care for acute myocardial infarction (AMI) reduces morbidity and mortality. Prior studies in Tanzania identified substantial gaps in the uptake of evidence-based AMI care. Implementation science has been used to improve uptake of ... Full text Open Access Link to item Cite

Nurse-Led Strategy to Improve Blood Pressure and Cholesterol Level Among People With HIV: A Randomized Clinical Trial.

Journal Article JAMA Netw Open · March 4, 2024 IMPORTANCE: Despite higher atherosclerotic cardiovascular disease (ASCVD) risk, people with HIV (PWH) experience unique barriers to ASCVD prevention, such as changing models of HIV primary care. OBJECTIVE: To test whether a multicomponent nurse-led strateg ... Full text Open Access Link to item Cite

Self-Measured Blood Pressure-Guided Pharmacotherapy: A Systematic Review and Meta-Analysis of United States-Based Telemedicine Trials.

Journal Article Hypertension (Dallas, Tex. : 1979) · March 2024 BackgroundThe optimal approach to implementing telemedicine hypertension management in the United States is unknown.MethodsWe examined telemedicine hypertension management versus the effect of usual clinic-based care on blood pressure (BP ... Full text Open Access Cite

Factors influencing support for the implementation of community-based out-of-hospital cardiac arrest interventions in high- and low-performing counties.

Journal Article Resusc Plus · March 2024 AIM OF THE STUDY: Survival to hospital discharge from out-of-hospital cardiac arrest (OHCA) after receiving treatment from emergency medical services (EMS) is less than 10% in the United States. Community-focused interventions improve survival rates, but t ... Full text Open Access Link to item Cite

Improving Guideline-Directed Medical Therapy for Patients With Heart Failure With Reduced Ejection Fraction: A Review of Implementation Strategies.

Journal Article Journal of cardiac failure · February 2024 Despite recent advances in the use of guideline-directed medical therapy (GDMT) for patients with heart failure with reduced ejection fraction (HFrEF), achievement of target GDMT use and up-titration to goal dosages continue to be modest. In recent years, ... Full text Open Access Cite

A qualitative study of facilitators of medication adherence in systemic lupus erythematosus: Perspectives from rheumatology providers/staff and patients.

Journal Article Lupus · February 2024 OBJECTIVE: Systemic lupus erythematosus (SLE) disproportionately affects patients from racial and ethnic minority groups. Medication adherence is lower among these patient populations, and nonadherence is associated with worse health outcomes. We aimed to ... Full text Open Access Link to item Cite

Defining and Improving Outcomes Measurement for Virtual Care: Report from the VHA State-of-the-Art Conference on Virtual Care.

Journal Article J Gen Intern Med · February 2024 Virtual care, including synchronous and asynchronous telehealth, remote patient monitoring, and the collection and interpretation of patient-generated health data (PGHD), has the potential to transform healthcare delivery and increase access to care. The V ... Full text Open Access Link to item Cite

Patient Characteristics Associated with Telemedicine Use for Diabetes Mellitus Care: Experience of a University Health System.

Journal Article South Med J · January 2024 OBJECTIVES: The objective was to understand the characteristics of patients who used telemedicine for diabetes management to inform future implementation of telemedicine. METHODS: We examined patient characteristics associated with telemedicine use for dia ... Full text Open Access Link to item Cite

Community Health Worker Optimization of Antihypertensive Care in HIV (COACH): Study protocol for a pilot trial of an intervention to improve hypertension care among Tanzanians with HIV.

Journal Article PLoS One · 2024 OBJECTIVE: This study will evaluate the feasibility and preliminary effectiveness of the COACH (Community Health Worker Optimization of Antihypertensive Care in HIV) intervention, which integrates hypertension management into existing HIV care for people l ... Full text Link to item Cite

Specialty preference for cardiovascular prevention practice in the Southeast US and role of a preventive cardiologist.

Journal Article Postgrad Med J · December 21, 2023 INTRODUCTION: Cardiovascular disease (CVD) prevention is practiced concurrently by providers from several specialties. Our goal was to understand providers' preference of specialties in CVD prevention practice and the role of preventive cardiologists. MATE ... Full text Open Access Link to item Cite

A multilevel mHealth intervention boosts adherence to hydroxyurea in individuals with sickle cell disease.

Journal Article Blood Adv · December 12, 2023 Hydroxyurea reduces sickle cell disease (SCD) complications, but medication adherence is low. We tested 2 mobile health (mHealth) interventions targeting determinants of low adherence among patients (InCharge Health) and low prescribing among providers (HU ... Full text Open Access Link to item Cite

The impact of COVID-19 on cardiovascular health behaviors in people living with HIV.

Journal Article AIDS Care · December 2023 The COVID-19 pandemic's impact on cardiovascular health behaviors including diet, physical activity, medication adherence, and self-care among people living with HIV (PLWH) remains unknown. Using qualitative analyses, we examined the impact of the COVID-19 ... Full text Open Access Link to item Cite

A comparison of the effect of patient-specific versus weight-based protocols to treat vaso-occlusive episodes in the emergency department.

Journal Article Acad Emerg Med · December 2023 BACKGROUND: Vaso-occlusive crises (VOCs) cause debilitating pain and are a common cause of emergency department (ED) visits, for people with sickle cell disease (SCD). Strategies for achieving optimal pain control vary widely despite evidence-based guideli ... Full text Open Access Link to item Cite

A telehealth-delivered intervention to extend the veteran HIV treatment cascade for cardiovascular disease prevention: V-EXTRA-CVD study protocol for a randomized controlled trial.

Journal Article HIV Res Clin Pract · December 2023 Background: Veterans living with HIV have up to twice the risk of atherosclerotic cardiovascular disease (ASCVD) compared to those without HIV.Objective: Our study seeks to test a non-physician led virtual self-management implementation strategy to reduce ... Open Access Link to item Cite

The Impact of COVID-19 on Hypertension and Hypertension Medication Adherence Among Underrepresented Racial and Ethnic Groups: A Scoping Review.

Journal Article Curr Hypertens Rep · November 2023 PURPOSE OF REVIEW: To conduct a scoping review of articles which examined the impact of COVID-19 on HTN and HTN medication adherence among underrepresented racial/ethnic minorities. RECENT FINDINGS: Seven studies were included in this review and impact of ... Full text Open Access Link to item Cite

Association of Unmet Social Needs With Metformin Use Among Patients With Type 2 Diabetes.

Journal Article Diabetes Care · November 1, 2023 OBJECTIVE: To evaluate the relationship between social needs and metformin use among adults with type 2 diabetes (T2D). RESEARCH DESIGN AND METHODS: In a prospective cohort study of adults with T2D (n = 722), we linked electronic health record (EHR) and Su ... Full text Open Access Link to item Cite

Availability of Specialty Services for Cardiovascular Prevention Practice in the Southeastern United States.

Journal Article South Med J · November 2023 OBJECTIVES: A comprehensive cardiovascular disease (CVD) prevention approach should address patients' medical, behavioral, and psychological issues. The aim of this study was to understand the clinician-reported availability of a pertinent CVD preventive w ... Full text Open Access Link to item Cite

Evidence2Practice (E2P): Leveraging Implementation Science to Promote Careers in HIV Research Among Students From Historically Black Colleges and Universities.

Journal Article J Acquir Immune Defic Syndr · October 1, 2023 BACKGROUND: The HIV research workforce is not representative of populations most affected by the epidemic. Innovative educational programs are needed to motivate diverse student populations to pursue careers in HIV research. METHODS: The Duke University Ce ... Full text Open Access Link to item Cite

Clinicians' self-reported efficacy in cardiovascular prevention practice in the southeastern United States.

Journal Article Future Cardiol · September 2023 Aim: We assessed self-reported efficacy in cardiovascular prevention practice among internal medicine, family medicine, endocrinology and cardiology clinicians. Patients & methods: We emailed a 21-item questionnaire to 956 physicians, nurse practitioners, ... Full text Link to item Cite

Incorporating TechQuity in Virtual Care Within the Veterans Health Administration: Identifying Future Research and Operations Priorities.

Journal Article J Gen Intern Med · July 2023 BACKGROUND: The Covid-19 pandemic dramatically changed healthcare delivery, driving rapid expansion of synchronous (i.e., real-time) audio-only and video telehealth, otherwise known as virtual care. Yet evidence describes significant inequities in virtual ... Full text Open Access Link to item Cite

Team-Based Qualitative Rapid Analysis: Approach and Considerations for Conducting Developmental Formative Evaluation for Intervention Design.

Journal Article Qual Health Res · July 2023 Qualitative rapid analysis is one of many rapid research approaches that offer a solution to the problem of time constrained health services evaluations and avoids sacrificing the richness of qualitative data that is needed for intervention design. We desc ... Full text Open Access Link to item Cite

Research-practice partnerships: Adapting a care coordination intervention for rural Veterans over 3 years at multiple sites.

Conference J Rural Health · June 2023 PURPOSE: Rural Veterans are more likely than urban Veterans to qualify for community care (Veterans Health Administration [VHA]-paid care delivered outside of VHA) due to wait times ≥30 days and longer travel times for VHA care. For rural Veterans receivin ... Full text Link to item Cite

Research Inclusion Across the Lifespan: A Good Start, but There Is More Work to Be Done.

Journal Article J Gen Intern Med · June 2023 While older adults account for a disproportionate amount of healthcare spending, they are often underrepresented in clinical research needed to guide clinical care. The purpose of this perspective is to make readers aware of new data on age at enrollment f ... Full text Open Access Link to item Cite

Provider Interaction With an Electronic Health Record Notification to Identify Eligible Patients for a Cluster Randomized Trial of Advance Care Planning in Primary Care: Secondary Analysis.

Journal Article J Med Internet Res · May 12, 2023 BACKGROUND: Advance care planning (ACP) improves patient-provider communication and aligns care to patient values, preferences, and goals. Within a multisite Meta-network Learning and Research Center ACP study, one health system deployed an electronic heal ... Full text Open Access Link to item Cite

Time to pain relief: A randomized controlled trial in the emergency department during vaso-occlusive episodes in sickle cell disease.

Journal Article Eur J Haematol · May 2023 OBJECTIVE: Compare time to pain relief (minimum of a 13 mm and 30% reduction) during an Emergency Department (ED) visit among patients with sickle cell disease (SCD) experiencing severe pain associated with a vaso-occlusive episode who were randomized to r ... Full text Open Access Link to item Cite

Pilot Intervention to Improve Medication Adherence Among Patients With Systemic Lupus Erythematosus Using Pharmacy Refill Data.

Journal Article Arthritis Care Res (Hoboken) · March 2023 OBJECTIVE: Despite high rates of medication nonadherence among patients with systemic lupus erythematosus (SLE), effective interventions to improve adherence in SLE are limited. We aimed to assess the feasibility of a pilot intervention and explore its eff ... Full text Open Access Link to item Cite

Association of Perceived Health Competence With Cardiac Rehabilitation Initiation.

Journal Article J Cardiopulm Rehabil Prev · March 1, 2023 PURPOSE: Cardiac rehabilitation (CR), a program of supervised exercise and cardiovascular risk management, is widely underutilized. Psychological factors such as perceived health competence, or belief in one's ability to achieve health-related goals, may p ... Full text Open Access Link to item Cite

Provider-supported self-management cognitive behavioral therapy for insomnia (Tele-Self CBTi): Protocol for a randomized controlled trial.

Journal Article Contemporary clinical trials · February 2023 BackgroundCognitive Behavioral Therapy for Insomnia (CBTi) is recommended as first-line treatment for insomnia, yet patient access to CBTi is limited. Self-help CBTi could increase patient access. Self-help CBTI with provider sup]port is more effe ... Full text Open Access Cite

Prevalence of food insecurity among students attending four Historically Black Colleges and Universities.

Journal Article J Am Coll Health · January 2023 Objective: This study examined the prevalence of food insecurity (FI) among students attending Historically Black Colleges and Universities (HBCUs) in the Southeastern United States. Participants: Students attending four HBCUs (N = 351) completed an anonym ... Full text Open Access Link to item Cite

How Medication Adherence Affects Disease Management in Veterans with Glaucoma: Lessons Learned from a Clinical Trial.

Journal Article Ophthalmic Res · 2023 INTRODUCTION: We conducted a secondary, real-world clinical assessment of a randomized controlled trial to determine how a glaucoma medication adherence intervention impacted the clinical outcomes of participants at 12 months post-randomization. Participan ... Full text Open Access Link to item Cite

Adherence to FDA-Approved Medications for Alcohol Use Disorder

Conference INTERNATIONAL JOURNAL OF CLINICAL PHARMACY · 2023 Cite

Optimizing the Equitable Deployment of Virtual Care for Women: Protocol for a Qualitative Evidence Synthesis Examining Patient and Provider Perspectives Supplemented with Primary Qualitative Data.

Journal Article Health Equity · 2023 INTRODUCTION: Women experience numerous barriers to patient-centered health care (e.g., lack of continuity). Such barriers are amplified for women from marginalized communities. Virtual care may improve equitable access. We are conducting a partner-engaged ... Full text Open Access Link to item Cite

A Quantitative Framework for Medication Non-Adherence: Integrating Patient Treatment Expectations and Preferences.

Journal Article Patient Prefer Adherence · 2023 INTRODUCTION: Medication non-adherence remains a significant challenge in healthcare, impacting treatment outcomes and the overall effectiveness of medical interventions. This article introduces a novel approach to understanding and predicting medication n ... Full text Open Access Link to item Cite

Digital Medicine System in Veterans With Severe Mental Illness: Feasibility and Acceptability Study.

Journal Article JMIR Form Res · December 22, 2022 BACKGROUND: Suboptimal medication adherence is a significant problem for patients with serious mental illness. Measuring medication adherence through subjective and objective measures can be challenging, time-consuming, and inaccurate. OBJECTIVE: The prima ... Full text Open Access Link to item Cite

EngagINg the COmmunity to Reduce Preterm birth via Adherence To an Individualized Prematurity Prevention Plan (INCORPorATe IP3): intervention development and future pilot study design.

Journal Article J Matern Fetal Neonatal Med · December 2022 OBJECTIVE: Non-Hispanic Black birthing individuals are at increased risk of preterm birth compared to other racial and ethnic groups. In our clinical setting, we offer a tailored package of recommendations to reduce the risk of preterm birth known as an in ... Full text Open Access Link to item Cite

Within-Trial Cost-Effectiveness of an Adherence-Enhancing Educational Intervention for Glaucoma.

Journal Article Am J Ophthalmol · December 2022 PURPOSE: To assess the within-trial cost-effectiveness of a behavioral intervention to improve glaucoma medication adherence. DESIGN: Prospective cost-effectiveness analysis of randomized, controlled trial data. METHODS: The study setting was a Veterans Af ... Full text Open Access Link to item Cite

Intensifying approaches to address clinical inertia among cardiovascular disease risk factors: A narrative review.

Journal Article Patient education and counseling · December 2022 ObjectiveClinical inertia, the absence of treatment initiation or intensification for patients not achieving evidence-based therapeutic goals, is a primary contributor to poor clinical outcomes. Effectively combating clinical inertia requires coor ... Full text Open Access Cite

A Tailored SMS Text Message-Based Intervention to Facilitate Patient Access to Referred Community-Based Social Needs Resources: Protocol for a Pilot Feasibility and Acceptability Study.

Journal Article JMIR Res Protoc · October 11, 2022 BACKGROUND: Health care providers are increasingly screening patients for unmet social needs (eg, food, housing, transportation, and social isolation) and referring patients to relevant community-based resources and social services. Patients' connection to ... Full text Open Access Link to item Cite

Barriers to Taking Medications for Systemic Lupus Erythematosus: A Qualitative Study of Racial Minority Patients, Lupus Providers, and Clinic Staff.

Journal Article Arthritis Care Res (Hoboken) · September 2022 OBJECTIVE: Underrepresented racial and ethnic minorities are disproportionately affected by systemic lupus erythematosus (SLE). Racial and ethnic minorities also have more severe SLE manifestations that require use of immunosuppressive medications, and oft ... Full text Open Access Link to item Cite

Implementation of an Intensive Telehealth Intervention for Rural Patients with Clinic-Refractory Diabetes.

Journal Article J Gen Intern Med · September 2022 BACKGROUND: Rural patients with type 2 diabetes (T2D) may experience poor glycemic control due to limited access to T2D specialty care and self-management support. Telehealth can facilitate delivery of comprehensive T2D care to rural patients, but implemen ... Full text Open Access Link to item Cite

Secondary Prevention Risk Interventions via Telemedicine and Tailored Patient Education (SPRITE): A randomized trial to improve post myocardial infarction management.

Journal Article Patient Educ Couns · September 2022 OBJECTIVE: We evaluated the impact of a low intensity web-based and intensive nurse-administered intervention to reduce systolic blood pressure (SBP) among patients with prior MI. METHODS: Secondary Prevention Risk Interventions via Telemedicine and Tailor ... Full text Open Access Link to item Cite

Factors Related to Biologic Adherence and Outcomes Among Moderate-to-Severe Asthma Patients.

Journal Article J Allergy Clin Immunol Pract · September 2022 BACKGROUND: Adherence barriers to asthma biologics may not be uniform across administration settings for patients with moderate-to-severe asthma. OBJECTIVE: To examine differences in asthma biologic adherence and associated factors, as well as association ... Full text Open Access Link to item Cite

Effect of a Comprehensive Telehealth Intervention vs Telemonitoring and Care Coordination in Patients With Persistently Poor Type 2 Diabetes Control: A Randomized Clinical Trial.

Journal Article JAMA Intern Med · September 1, 2022 IMPORTANCE: Persistently poorly controlled type 2 diabetes (PPDM) is common and causes poor outcomes. Comprehensive telehealth interventions could help address PPDM, but effectiveness is uncertain, and barriers impede use in clinical practice. OBJECTIVE: T ... Full text Open Access Link to item Cite

COVID-19 vaccination intention and activation among health care system employees: A mixed methods study.

Journal Article Vaccine · August 19, 2022 BACKGROUND: Achieving high COVID-19 vaccination rates among employees is necessary to prevent outbreaks in health care settings. The goal of the study was to produce actionable and timely evidence about factors underlying the intention and decisions to obt ... Full text Open Access Link to item Cite

Addressing Hypertension Outcomes Using Telehealth and Population Health Managers: Adaptations and Implementation Considerations.

Journal Article Current hypertension reports · August 2022 Purpose of reviewThere is a growing evidence base describing population health approaches to improve blood pressure control. We reviewed emerging trends in hypertension population health management and present implementation considerations from an ... Full text Open Access Cite

How can equitable video visit access be delivered in primary care? A qualitative study among rural primary care teams and patients.

Journal Article BMJ open · August 2022 ObjectiveThe COVID-19 pandemic sparked exponential growth in video visit use in primary care. The rapid shift to virtual from in-person care exacerbated digital access disparities across racial groups and rural populations. Moving forward, it is c ... Full text Open Access Cite

Multifaceted Intervention to Improve P2Y12 Inhibitor Adherence After Percutaneous Coronary Intervention: A Stepped Wedge Trial.

Journal Article J Am Heart Assoc · July 5, 2022 Background P2Y12 inhibitor medications are critical following percutaneous coronary intervention (PCI); however, adherence remains suboptimal. Our objective was to assess the effectiveness of a multifaceted intervention to improve P2Y12 inhibitor adherence ... Full text Open Access Link to item Cite

Underutilization of Guideline-based Abdominal Aortic Aneurysm Screening in an Academic Health System.

Conference Ann Vasc Surg · July 2022 OBJECTIVES: The US Preventive Services Task Force (USPSTF) recommends a 1 time screening for AAA with ultrasonography in men aged 65-75 who have ever smoked. Our objectives were to identify the AAA screening rates in a large academic health system and asse ... Full text Link to item Cite

Cardiometabolic Comorbidities in Cancer Survivors: JACC: CardioOncology State-of-the-Art Review.

Journal Article JACC. CardioOncology · June 2022 There are nearly 17 million cancer survivors in the United States, including those who are currently receiving cancer therapy with curative intent and expected to be long-term survivors, as well as those with chronic cancers such as metastatic disease or c ... Full text Open Access Cite

Improving implementation of evidence-based therapies for heart failure.

Journal Article Clin Cardiol · June 2022 Treatment options for patients with heart failure have improved rapidly over the last few decades. Data from large scale clinical trials demonstrate that medical and device therapies can improve quality of life, reduce hospitalizations for acute heart fail ... Full text Open Access Link to item Cite

55-OR: Veterans with Type 2 Diabetes: An Explanatory Sequential Mixed-Methods Approach to Understanding Diabetes Distress

Conference Diabetes · June 1, 2022 Diabetes Distress (DD, i.e., regimen, emotional, interpersonal, clinician) in adults with type 2 diabetes (T2DM) is associated with poor glycemic control, poorer diet and exercise, and more T2DM complications. We describe a multi-phased study to de ... Full text Cite

Using geographic information systems to characterize food environments around historically black colleges and universities: Implications for nutrition interventions.

Journal Article J Am Coll Health · April 2022 ObjectiveTo understand the distribution of healthy and unhealthy food stores near historically black colleges and universities (HBCUs). Participants and methods: Using ArcGIS Pro's network analysis tools and ReferenceUSA database, this study characterized ... Full text Open Access Link to item Cite

eConsults' Impact on Care Access and Wait Times in Rheumatology.

Journal Article J Clin Rheumatol · April 1, 2022 BACKGROUND/OBJECTIVE: A growing number of health systems have implemented eConsults to improve access to specialty advice, but few studies have described their use in rheumatology or impact on visit wait times. We evaluated the uptake of an eConsult progra ... Full text Open Access Link to item Cite

Patients' Experiences With Staphylococcus aureus and Gram-Negative Bacterial Bloodstream Infections: Results From Cognitive Interviews to Inform Assessment of Health-Related Quality of Life.

Journal Article Open Forum Infect Dis · February 2022 BACKGROUND: We previously conducted a concept elicitation study on the impact of Staphylococcus aureus and gram-negative bacterial bloodstream infections (SAB/GNB) on health-related quality of life (HRQoL) from the patient's perspective and found significa ... Full text Open Access Link to item Cite

Understanding Telemedicine's "New Normal": Variations in Telemedicine Use by Specialty Line and Patient Demographics.

Journal Article Telemed J E Health · January 2022 Background:Our objective was to examine the variation in telemedicine adoption by specialty line and patient demographic characteristics after the initial peak period of the coronavirus disease 2019 pandemic when in-person visits had resumed and visit volu ... Full text Open Access Link to item Cite

Improved Glaucoma Medication Adherence in a Randomized Controlled Trial.

Journal Article Ophthalmology. Glaucoma · January 2022 PurposeTo test the effectiveness of an intervention designed to improve glaucoma medication adherence.DesignRandomized, controlled trial at a Veterans Affairs (VA) eye clinic.ParticipantsVeterans with medically treated glaucoma w ... Full text Open Access Cite

Health Literacy and Success with Glaucoma Drop Administration.

Journal Article Ophthalmology. Glaucoma · January 2022 PurposeTo assess the relationship between health literacy and successful glaucoma drop administration.DesignSubstudy of a single-site interventional randomized controlled trial.ParticipantsVeterans receiving care at the Durham Ve ... Full text Open Access Cite

Race, Income, and Medical Care Spending Patterns in High-Risk Primary Care Patients: Results From the STOP-DKD (Simultaneous Risk Factor Control Using Telehealth to Slow Progression of Diabetic Kidney Disease) Study.

Journal Article Kidney Med · January 2022 RATIONALE & OBJECTIVE: Little is known about how socioeconomic status (SES) relates to the prioritization of medical care spending over personal expenditures in individuals with multiple comorbid conditions, and whether this relationship differs between Bl ... Full text Open Access Link to item Cite

Feasibility of Post-hospitalization Telemedicine Video Visits for Children With Medical Complexity.

Journal Article J Pediatr Health Care · 2022 OBJECTIVES: To evaluate feasibility and acceptability of post-hospitalization telemedicine video visits (TMVV) during hospital-to-home transitions for children with medical complexity (CMC); and explore associations with hospital utilization, caregiver sel ... Full text Open Access Link to item Cite

A Social-Ecological Exploration of College and University Students’ COVID-19 Infection Preventive Behaviors

Journal Article American Journal of Health Education · January 1, 2022 Background: The practice of preventive health behaviors, such as regular handwashing, use of hand sanitizers, wearing facemasks in public, and maintaining safe physical distance can help contain the spread of the COVID-19 virus. Purpose: This study aimed t ... Full text Cite

The Implementation of Farm-to-University Program in Historically Black Colleges and Universities: Assessment of Feasibility and Barriers

Journal Article American Journal of Health Education · January 1, 2022 Background: Farm-to-University (Farm2U) programs make healthy eating accessible, easier, and the default option. Yet, few published studies have focused on Farm2U implementations in Historically Black Colleges and Universities (HBCUs) in conjunction with m ... Full text Cite

What does it mean to be affiliated with care?: Delphi consensus on the definition of "unaffiliation" and "specialist" in sickle cell disease.

Journal Article PLoS One · 2022 Accruing evidence reveals best practices for how to help individuals living with Sickle Cell Disease (SCD); yet, the implementation of these evidence-based practices in healthcare settings is lacking. The Sickle Cell Disease Implementation Consortium (SCDI ... Full text Open Access Link to item Cite

Evaluating the implementation of a multi-level mHealth study to improve hydroxyurea utilization in sickle cell disease.

Journal Article Front Health Serv · 2022 BACKGROUND: Sickle Cell Disease (SCD) is a progressive genetic disease that causes organ damage and reduces longevity. Hydroxyurea is an underutilized evidence-based medication that reduces complications and improves survival in SCD. In a multi-site clinic ... Full text Open Access Link to item Cite

Urine tricarboxylic acid cycle signatures of early-stage diabetic kidney disease.

Journal Article Metabolomics · December 20, 2021 INTRODUCTION: Urine tricarboxylic acid (TCA) cycle organic anions (OAs) are elevated in diabetes and may be biomarkers for diabetic kidney disease (DKD) progression. OBJECTIVES: We assessed associations of 10 urine TCA cycle OAs with estimated glomerular f ... Full text Open Access Link to item Cite

Diet quality and exercise in older veterans with PTSD: a pilot study.

Journal Article Transl Behav Med · December 14, 2021 Older veterans with posttraumatic stress disorder (PTSD) are at increased risk of obesity and cardiometabolic disease. Physical activity and healthy eating are two behaviors that impact health, functional independence, and disease risk in later life, yet f ... Full text Open Access Link to item Cite

Assessing a Digital Medicine System in Veterans with Severe Mental Illness: A provider-randomized clinical trial (Preprint)

Journal Article · December 9, 2021 BACKGROUNDSuboptimal medication adherence is a significant problem for patients with serious mental illness (SMI). Measuring medication adherence through subjective and objective measures ... Full text Open Access Cite

Patient experiences with a phone-based cardiovascular risk reduction intervention: Are there differences between women and men?

Journal Article Patient Educ Couns · November 2021 OBJECTIVES: To explore gender-based differences in experiences with a telehealth-delivered intervention for reduction of cardiovascular risk. METHODS: We conducted 23 semi-structured qualitative interviews by telephone with 11 women and 12 men who received ... Full text Open Access Link to item Cite

Veterans' Interpretation of Diabetes Distress in Diabetes Self-Management: Findings From Cognitive Interviews.

Journal Article Sci Diabetes Self Manag Care · October 2021 PURPOSE: The purpose of this project was to identify additional facets of diabetes distress (DD) in veterans that may be present due to the veteran's military-related experience. METHODS: The study team completed cognitive interviews with veterans with typ ... Full text Open Access Link to item Cite

An Adaptable Framework for Factors Contributing to Medication Adherence: Results from a Systematic Review of 102 Conceptual Frameworks.

Journal Article Journal of general internal medicine · September 2021 ObjectiveTo summarize the available conceptual models for factors contributing to medication adherence based on the World Health Organization (WHO)'s five dimensions of medication adherence via a systematic review, identify the patient groups desc ... Full text Open Access Cite

Accelerating Implementation of Virtual Care in an Integrated Health Care System: Future Research and Operations Priorities.

Journal Article Journal of general internal medicine · August 2021 BackgroundVirtual care is critical to Veterans Health Administration (VHA) efforts to expand veterans' access to care. Health care policies such as the Veterans Access, Choice, and Accountability (CHOICE) Act and the Maintaining Internal Systems a ... Full text Open Access Cite

Patients' Experiences With Staphylococcus aureus and Gram-negative Bacterial Bloodstream Infections: A Qualitative Descriptive Study and Concept Elicitation Phase To Inform Measurement of Patient-reported Quality of Life.

Journal Article Clin Infect Dis · July 15, 2021 BACKGROUND: Although Staphylococcus aureus and gram-negative bacterial bloodstream infections (SAB/GNB) cause substantial morbidity, little is known regarding patient perceptions' of their impact on quality of life (QOL). Guidance for assessing QOL and dis ... Full text Open Access Link to item Cite

Racial Differences in Patient-provider Communication, Patient Self-efficacy, and Their Associations With Systemic Lupus Erythematosus-related Damage: A Cross-sectional Survey.

Journal Article J Rheumatol · July 2021 OBJECTIVE: Despite significant racial disparities in systemic lupus erythematosus (SLE) outcomes, few studies have examined how disparities may be perpetuated in clinical encounters. We aimed to explore associations between areas of clinical encounters - p ... Full text Open Access Link to item Cite

Prevalence of insomnia disorder and sleep apnea in a sample of veterans at risk for cardiovascular disease.

Journal Article J Clin Sleep Med · July 1, 2021 STUDY OBJECTIVES: The objectives of this study were to examine the proportion of study participants screening positive for insomnia disorder and/or sleep apnea in veterans engaged in routine health care and known to be at risk for cardiovascular disease an ... Full text Open Access Link to item Cite

Impact of financial medication assistance on medication adherence: a systematic review.

Journal Article J Manag Care Spec Pharm · July 2021 BACKGROUND: The prevalence of financial medication assistance (FMA), including patient assistance programs, coupons/copayment cards, vouchers, discount cards, and programs/pharmacy services that help patients apply for such programs, has increased. The imp ... Full text Open Access Link to item Cite

Prevention of Urinary Stones With Hydration (PUSH): Design and Rationale of a Clinical Trial.

Journal Article Am J Kidney Dis · June 2021 RATIONALE & OBJECTIVE: Although maintaining high fluid intake is an effective low-risk intervention for the secondary prevention of urinary stone disease, many patients with stones do not increase their fluid intake. STUDY DESIGN: We describe the rationale ... Full text Open Access Link to item Cite

Randomized controlled trial of an education-based intervention to improve medication adherence: Design considerations in the medication adherence in glaucoma to improve care study.

Journal Article Clin Trials · June 2021 BACKGROUND: Glaucoma treatment requires patients to follow daily, often times complex, eye drop regimens, but adherence is poor for many patients, putting them at risk for irreversible vision loss. A comprehensive approach is needed to address the challeng ... Full text Open Access Link to item Cite

Applied Rapid Qualitative Analysis to Develop a Contextually Appropriate Intervention and Increase the Likelihood of Uptake.

Journal Article Med Care · June 1, 2021 BACKGROUND: Rapid approaches to collecting and analyzing qualitative interview data can accelerate discovery timelines and intervention development while maintaining scientific rigor. We describe the application of these methods to a program designed to im ... Full text Open Access Link to item Cite

The impact of out-of-pocket expenditures on missed appointments at HIV care and treatment centers in Northern Tanzania

Journal Article Global Health Journal · June 1, 2021 Background: Missed clinic appointments negatively impact clinic patient flow and health outcomes of people living with HIV (PLHIV). PLHIV likelihood of missing clinic appointments is associated with direct and indirect expenditures made while accessing HIV ... Full text Open Access Cite

Transportation as a barrier to colorectal cancer care.

Journal Article BMC Health Serv Res · April 13, 2021 BACKGROUND: Transportation barriers limit access to cancer care services and contribute to suboptimal clinical outcomes. Our objectives were to describe the frequency of Veterans reporting and the factors associated with transportation barriers to or from ... Full text Open Access Link to item Cite

Dissemination of Evidence-Based Recommendations for Sickle Cell Disease to Primary Care and Emergency Department Providers in North Carolina: A Cost Benefit Analysis.

Journal Article J Health Econ Outcomes Res · April 1, 2021 Background: Sickle cell disease (SCD) is a genetic condition affecting primarily individuals of African descent, who happen to be disproportionately impacted by poverty and who lack access to health care. Individuals with SCD are at high likelihood of high ... Full text Open Access Link to item Cite

Improving cardiovascular outcomes by using team-supported, EHR-leveraged, active management: Disseminating a successful quality improvement project.

Journal Article Contemporary clinical trials communications · March 2021 BackgroundUncontrolled blood pressure (BP) is common among Veterans. Rural Veterans are at risk for suboptimal care coordination as successful programs may be implemented at lower rates due to individual- and system-level factors. There is strong ... Full text Open Access Cite

Understanding constraints on integrated care for people with HIV and multimorbid cardiovascular conditions: an application of the Theoretical Domains Framework.

Journal Article Implement Sci Commun · February 12, 2021 BACKGROUND: People with HIV (PWH) experience increased cardiovascular disease (CVD) risk. Many PWH in the USA receive their primary medical care from infectious disease specialists in HIV clinics. HIV care teams may not be fully prepared to provide evidenc ... Full text Open Access Link to item Cite

Therapeutic Inertia in Prescribing Biologics for Patients with Moderate-to-Severe Asthma: Workshop Summary.

Journal Article Patient Prefer Adherence · 2021 Moderate-to-severe asthma represents about a quarter of the nearly 10% of Americans diagnosed with asthma. Many patients with moderate-to-severe asthma have uncontrolled symptoms that lead to exacerbations requiring oral corticosteroids. There are many fac ... Full text Open Access Link to item Cite

Relevant Journals for Identifying Implementation Science Articles: Results of an International Implementation Science Expert Survey.

Journal Article Front Public Health · 2021 In implementation science (IS), conducting well-targeted and reproducible literature searches is challenging due to non-specific and varying terminology that is fragmented over multiple disciplines. A list of journals that publish IS-relevant content for u ... Full text Open Access Link to item Cite

The influence of healthcare financing on cardiovascular disease prevention in people living with HIV.

Journal Article BMC Public Health · November 23, 2020 BACKGROUND: People living with HIV are diagnosed with age-related chronic health conditions, including cardiovascular disease, at higher than expected rates. Medical management of these chronic health conditions frequently occur in HIV specialty clinics by ... Full text Open Access Link to item Cite

Racial Differences in the Effectiveness of a Multifactorial Telehealth Intervention to Slow Diabetic Kidney Disease.

Journal Article Med Care · November 2020 BACKGROUND: African Americans are significantly more likely than non-African Americans to have diabetes, chronic kidney disease, and uncontrolled hypertension, increasing their risk for kidney function decline. OBJECTIVE: The objective of this study was to ... Full text Open Access Link to item Cite

Provision and Utilization of Team- and Community-Based Operative Care for Patients With Cleft Lip/Palate in North Carolina.

Journal Article Cleft Palate Craniofac J · November 2020 OBJECTIVE: To characterize operative care for cleft lip and/or palate (CL/P) based on location (ie, from American Cleft Palate Craniofacial Association [ACPA]-approved multidisciplinary teams or from community providers). DESIGN: Cross-sectional analysis o ... Full text Open Access Link to item Cite

Practical telehealth to improve control and engagement for patients with clinic-refractory diabetes mellitus (PRACTICE-DM): Protocol and baseline data for a randomized trial.

Journal Article Contemp Clin Trials · November 2020 BACKGROUND: Persistent poorly-controlled type 2 diabetes mellitus (PPDM), or maintenance of a hemoglobin A1c (HbA1c) ≥8.5% despite receiving clinic-based diabetes care, contributes disproportionately to the national diabetes burden. Comprehensive telehealt ... Full text Open Access Link to item Cite

Evidence and Recommendations on the Use of Telemedicine for the Management of Arterial Hypertension: An International Expert Position Paper.

Journal Article Hypertension · November 2020 Telemedicine allows the remote exchange of medical data between patients and healthcare professionals. It is used to increase patients' access to care and provide effective healthcare services at a distance. During the recent coronavirus disease 2019 (COVI ... Full text Open Access Link to item Cite

Implementation of a stepped wedge cluster randomized trial to evaluate a hospital mobility program.

Journal Article Trials · October 16, 2020 BACKGROUND: Stepped wedge cluster randomized trials (SW-CRT) are increasingly used to evaluate new clinical programs, yet there is limited guidance on practical aspects of applying this design. We report our early experiences conducting a SW-CRT to examine ... Full text Open Access Link to item Cite

Warrior Wellness: A Randomized Controlled Pilot Trial of the Effects of Exercise on Physical Function and Clinical Health Risk Factors in Older Military Veterans With PTSD.

Journal Article J Gerontol A Biol Sci Med Sci · October 15, 2020 BACKGROUND: Military veterans living with post-traumatic stress disorder (PTSD) face significant physical and functional health disparities, which are often aggravated over time and in the context aging. Evidence has shown that physical activity can positi ... Full text Open Access Link to item Cite

Measurement Properties of Existing Patient-Reported Outcome Measures on Medication Adherence: Systematic Review.

Journal Article J Med Internet Res · October 9, 2020 BACKGROUND: Medication adherence is essential for improving the health outcomes of patients. Various patient-reported outcome measures (PROMs) have been developed to measure medication adherence in patients. However, no study has summarized the psychometri ... Full text Open Access Link to item Cite

Development of an Item Bank to Measure Medication Adherence: Systematic Review.

Journal Article J Med Internet Res · October 8, 2020 BACKGROUND: Medication adherence is important in managing the progression of chronic diseases. A promising approach to reduce cognitive burden when measuring medication adherence lies in the use of computer-adaptive tests (CATs) or in the development of sh ... Full text Open Access Link to item Cite

Lessons learned from two randomized controlled trials: CITIES and STOP-DKD.

Journal Article Contemp Clin Trials Commun · September 2020 BACKGROUND: Even well-designed, theoretically driven clinical trials can fall short of achieving the desired clinical outcomes. Our research team had an opportunity to conduct two randomized controlled trials that were enrolling patients in parallel. While ... Full text Open Access Link to item Cite

Cardiovascular Disease Risk Management in Persons With HIV: Does Clinician Specialty Matter?

Journal Article Open Forum Infect Dis · September 2020 BACKGROUND: The impact of clinician specialty on cardiovascular disease risk factor outcomes among persons with HIV (PWH) is unclear. METHODS: PWH receiving care at 3 Southeastern US academic HIV clinics between January 2014 and December 2016 were retrospe ... Full text Open Access Link to item Cite

Pilot randomized controlled trial of exercise training for older veterans with PTSD.

Journal Article J Behav Med · August 2020 Exercise training positively impacts mental health, yet remains untested in older adults with posttraumatic stress disorder (PTSD). We conducted a randomized controlled pilot trial to test the feasibility and acceptability of exercise training in older vet ... Full text Open Access Link to item Cite

Impact of bystander-focused public health interventions on cardiopulmonary resuscitation and survival: a cohort study.

Journal Article Lancet Public Health · August 2020 BACKGROUND: Bystander cardiopulmonary resuscitation (CPR) increases an individual's chance of survival from out-of-hospital cardiac arrest (OHCA), but the frequency of bystander CPR is low in many communities. We aimed to assess the cumulative effect of CP ... Full text Open Access Link to item Cite

Integration of Mobile Health Into Sickle Cell Disease Care to Increase Hydroxyurea Utilization: Protocol for an Efficacy and Implementation Study.

Journal Article JMIR Res Protoc · July 14, 2020 BACKGROUND: Hydroxyurea prevents disease complications among patients with sickle cell disease (SCD). Although its efficacy has been endorsed by the National Health Lung and Blood Institute evidence-based guidelines, its adoption is low, both by patients w ... Full text Open Access Link to item Cite

Racial Disparities in Medication Adherence between African American and Caucasian Patients With Systemic Lupus Erythematosus and Their Associated Factors.

Journal Article ACR Open Rheumatol · July 2020 OBJECTIVE: Medication nonadherence is more common in African Americans compared with Caucasians. We examined the racial adherence gaps among patients with systemic lupus erythematosus (SLE) and explored factors associated with nonadherence. METHODS: Cross- ... Full text Open Access Link to item Cite

526-P: Urine Tricarboxylic Acid Cycle Organic Anions and Progression of Diabetic Kidney Disease

Conference Diabetes · June 1, 2020 Background: Urine tricarboxylic acid (TCA) cycle organic anions (OAs) are elevated in diabetes and may be biomarkers for diabetic kidney disease (DKD) progression.Methods: We conducted an ancillary study to the Simu ... Full text Cite

Abstract A076: Adherence to adjuvant endocrine therapy: Do racial disparities persist among the insured?

Conference Cancer Epidemiology, Biomarkers & Prevention · June 1, 2020 AbstractPurpose: Adjuvant endocrine therapy (AET) improves survival in women with hormone receptor-positive (HR+) breast cancer (BC). Yet medication adherence is suboptimal. The aim of this study was to asse ... Full text Cite

Adherence to adjuvant endocrine therapy: Do racial disparities persist among the insured?

Conference CANCER EPIDEMIOLOGY BIOMARKERS & PREVENTION · June 2020 Link to item Cite

21-OR: Implementation of an Intensive Telehealth Intervention for Rural Patients with Uncontrolled Diabetes

Journal Article Diabetes · June 1, 2020 Background: In rural areas, lack of access to specialty care and intensive self-management programs may perpetuate poor diabetes outcomes. Telehealth presents an opportunity to extend specialized diabetes care to rural areas, but may be difficult t ... Full text Cite

Improving health engagement and lifestyle management for breast cancer survivors with diabetes.

Journal Article Contemp Clin Trials · May 2020 Breast cancer survivors with type 2 diabetes are at high risk for cancer recurrence, serious health complications, more severe symptoms, psychological distress, and premature death relative to breast cancer survivors without diabetes. Maintaining glycemic ... Full text Open Access Link to item Cite

Barriers and facilitators to implementation of epilepsy self-management programs: a systematic review using qualitative evidence synthesis methods.

Journal Article Syst Rev · April 25, 2020 BACKGROUND: Epilepsy affects nearly 50 million people worldwide. Self-management is critical for individuals with epilepsy in order to maintain optimal physical, cognitive, and emotional health. Implementing and adopting a self-management program requires ... Full text Open Access Link to item Cite

Measurement Properties of Existing Patient-Reported Outcome Measures on Medication Adherence: Systematic Review (Preprint)

Journal Article · April 11, 2020 BACKGROUNDMedication adherence is essential for improving the health outcomes of patients. Various patient-reported outcome measures (PROMs) have been developed to measure medication adhe ... Full text Open Access Cite

Development of an Item Bank to Measure Medication Adherence: Systematic Review (Preprint)

Journal Article · April 7, 2020 BACKGROUNDMedication adherence is important in managing the progression of chronic diseases. A promising approach to reduce cognitive burden when measuring medication adherence lies in th ... Full text Cite

Report of the National Heart, Lung, and Blood Institute Working Group on Hypertension: Barriers to Translation.

Journal Article Hypertension · April 2020 The National Heart, Lung, and Blood Institute convened a multidisciplinary working group of hypertension researchers on December 6 to 7, 2018, in Bethesda, MD, to share current scientific knowledge in hypertension and to identify barriers to translation of ... Full text Open Access Link to item Cite

The need for a Serious Illness Digital Ecosystem (SIDE) to improve outcomes for patients receiving palliative and hospice care.

Journal Article Am J Manag Care · April 2020 Palliative and hospice care services produce immense benefits for patients living with serious illness and for their families. Due to the national shift toward value-based payment models, health systems and payers share a heightened awareness of the need t ... Full text Open Access Link to item Cite

Medication rebates and health disparities: Mind the gap.

Journal Article Res Social Adm Pharm · March 2020 Compared to white patients in the United States, people of racial and ethnic minority groups face higher rates of chronic disease including diabetes, obesity, stroke, cardiovascular disease and cancer. Minority groups are also less likely to receive medica ... Full text Open Access Link to item Cite

Self-monitoring of Blood Pressure in Patients With Hypertension-Related Multi-morbidity: Systematic Review and Individual Patient Data Meta-analysis.

Journal Article American journal of hypertension · March 2020 BackgroundStudies have shown that self-monitoring of blood pressure (BP) is effective when combined with co-interventions, but its efficacy varies in the presence of some co-morbidities. This study examined whether self-monitoring can reduce clini ... Full text Open Access Cite

Primary Care Providers' Acceptance of Pharmacists' Recommendations to Support Optimal Medication Management for Patients with Diabetic Kidney Disease.

Journal Article J Gen Intern Med · January 2020 BACKGROUND: Patients with diabetic kidney disease (DKD) often struggle with blood pressure control. In team-based models of care, pharmacists and primary care providers (PCPs) play important roles in supporting patients' blood pressure management. OBJECTIV ... Full text Open Access Link to item Cite

Does Antiretroviral Therapy Packaging Matter? Perceptions and Preferences of Antiretroviral Therapy Packaging for People Living with HIV in Northern Tanzania.

Journal Article Patient Prefer Adherence · 2020 INTRODUCTION: Despite improvements in treatment (eg, reduction in pill intake), antiretroviral therapy (ART) is dispensed in socially inefficient and uneconomical packaging. To make pills less conspicuous and decrease the risk of being stigmatized, people ... Full text Open Access Link to item Cite

Use of a human-centered design approach to adapt a nurse-led cardiovascular disease prevention intervention in HIV clinics.

Journal Article Prog Cardiovasc Dis · 2020 Stakeholder-informed strategies addressing cardiovascular disease (CVD) burden among people living with HIV (PWH) are needed within healthcare settings. This study provides an assessment of how human-centered design (HCD) guided the adaptation of a nurse-l ... Full text Open Access Link to item Cite

ImPlementation REsearCh to DEvelop Interventions for People Living with HIV (the PRECluDE consortium): Combatting chronic disease comorbidities in HIV populations through implementation research.

Journal Article Prog Cardiovasc Dis · 2020 Antiretroviral therapy (ART) prevented premature mortality and improved the quality of life among people living with the human immunodeficiency virus (PLWH), such that now more than half of PLWH in the United States are 50 years of age and older. Increased ... Full text Open Access Link to item Cite

Why Do People Living with HIV Adhere to Antiretroviral Therapy and Not Comorbid Cardiovascular Disease Medications? A Qualitative Inquiry.

Journal Article Patient Prefer Adherence · 2020 BACKGROUND: After achieving viral suppression, it is critical for persons living with HIV (PLWH) to focus on prevention of non-AIDS comorbidities such as cardiovascular disease (CVD) in order to enhance their quality of life and longevity of life. Despite ... Full text Open Access Link to item Cite

Women Veterans Experience with the VA MOVE! Weight Management Program.

Journal Article Women's health reports (New Rochelle, N.Y.) · January 2020 Background: Obesity prevalence is higher in women veterans overall than their civilian counterparts considering 44% of women veterans are obese. Thus, there is a critical need to understand the facilitators and barriers to women veterans' par ... Full text Open Access Cite

Novel application of approaches to predicting medication adherence using medical claims data.

Journal Article Health Serv Res · December 2019 OBJECTIVE: To compare predictive analytic approaches to characterize medication nonadherence and determine under which circumstances each method may be best applied. DATA SOURCES/STUDY SETTING: Medicare Parts A, B, and D claims from 2007 to 2013. STUDY DES ... Full text Open Access Link to item Cite

The Association of an Upper Extremity Functional Survey and Glaucoma Medication Administration Success.

Journal Article Curr Eye Res · October 2019 Purpose/Aim: To determine if an upper extremity functional survey may identify which patients will have eye drop administration difficulty. Materials and Methods: Participants with glaucoma treated at a Veterans Affairs Eye Clinic who did not self-report 1 ... Full text Link to item Cite

Rationale and design of a nurse-led intervention to extend the HIV treatment cascade for cardiovascular disease prevention trial (EXTRA-CVD).

Journal Article Am Heart J · October 2019 Persons living with human immunodeficiency virus (PLHIV) are at increased risk of atherosclerotic cardiovascular disease (ASCVD). In spite of this, uptake of evidence-based clinical interventions for ASCVD risk reduction in the HIV clinic setting is sub-op ... Full text Open Access Link to item Cite

Integration of Mobile Health Into Sickle Cell Disease Care to Increase Hydroxyurea Utilization: Protocol for an Efficacy and Implementation Study (Preprint)

Journal Article · September 24, 2019 BACKGROUNDHydroxyurea prevents disease complications among patients with sickle cell disease (SCD). Although its efficacy has been endorsed by the National Health Lung and Blood Institute ... Full text Cite

The relationship between Pittsburgh Sleep Quality Index subscales and diabetes control.

Journal Article Chronic Illn · September 2019 OBJECTIVES:: Data suggest that poor sleep quality as measured by the Pittsburgh Sleep Quality Index (PSQI) contributes to suboptimal diabetes control. How the subscales comprising the PSQI individually relate to diabetes control is poorly understood. METHO ... Full text Open Access Link to item Cite

Adoption of direct-acting antiviral medications for hepatitis C: a retrospective observational study.

Journal Article BMC Health Serv Res · July 25, 2019 BACKGROUND: Approximately 3.5 million Americans are infected with the hepatitis C virus (HCV). Although many patients with HCV are asymptomatic, HCV is the leading cause of infection-related death in the U.S. With advances in curative medication therapy fo ... Full text Open Access Link to item Cite

Self-management of Epilepsy: A Systematic Review.

Journal Article Ann Intern Med · July 16, 2019 BACKGROUND: Although self-management is recommended for persons with epilepsy, its optimal strategies and effects are uncertain. PURPOSE: To evaluate the components and efficacy of self-management interventions in the treatment of epilepsy in community-dwe ... Full text Open Access Link to item Cite

Bridging the integration gap between patient-generated blood glucose data and electronic health records.

Journal Article J Am Med Inform Assoc · July 1, 2019 Telemedicine can facilitate population health management by extending the reach of providers to efficiently care for high-risk, high-utilization populations. However, for telemedicine to be maximally useful, data collected using telemedicine technologies m ... Full text Open Access Link to item Cite

Assessing Key Stakeholders' Knowledge, Needs, and Preferences for Head and Neck Cancer Survivorship Care Plans.

Journal Article J Cancer Educ · June 2019 Cancer survivorship care plans (SCPs) are endorsed to support quality care for cancer survivors, but uptake is slow. We assessed knowledge, needs, and preferences for SCP content and delivery from a wide variety of stakeholders. We focused SCP content for ... Full text Open Access Link to item Cite

Adherence to Adjuvant Endocrine Therapy in Insured Black and White Breast Cancer Survivors: Exploring Adherence Measures in Patient Data.

Journal Article J Manag Care Spec Pharm · May 2019 BACKGROUND: Adjuvant endocrine therapy (AET) is a critical therapy in that it improves survival in women with hormone receptor-positive (HR+) breast cancer (BC), but adherence to AET is suboptimal. The purpose of this study was to fill scientific gaps abou ... Full text Open Access Link to item Cite

Potential impact of pharmaceutical industry rebates on medication adherence.

Journal Article Am J Manag Care · May 1, 2019 Many patients struggle to take their prescription medications as prescribed. Multiple interacting factors influence medication nonadherence. The cost of medications, particularly a patient's out-of-pocket cost, spans several of these domains. One proposed ... Open Access Link to item Cite

Addressing Diabetes and Poorly Controlled Hypertension: Pragmatic mHealth Self-Management Intervention.

Journal Article J Med Internet Res · April 9, 2019 BACKGROUND: Patients with diabetes and poorly controlled hypertension are at increased risk for adverse renal and cardiovascular outcomes. Identifying these patients early and addressing modifiable risk factors is central to delaying renal complications su ... Full text Open Access Link to item Cite

Keeping care connected: e-Consultation program improves access to nephrology care.

Journal Article J Telemed Telecare · April 2019 INTRODUCTION: Health systems are seeking innovative solutions to improve specialty care access. Electronic consultations (eConsults) allow specialists to provide formal clinical recommendations to primary care providers (PCPs) based on patient chart review ... Full text Link to item Cite

Co-occurring reasons for medication nonadherence within subgroups of patients with hyperlipidemia.

Journal Article J Behav Med · April 2019 Medication nonadherence is a significant clinical problem among individuals taking statins. Poor adherence is often attributable to several reasons, yet most adherence interventions target a single reason. Baseline data were examined from a randomized clin ... Full text Open Access Link to item Cite

The Relationship of Self-Report and Medication Possession With Glaucoma Medication Administration Success.

Conference J Glaucoma · March 2019 PURPOSE: Many glaucoma eye drop users cannot successfully self-administer drops, and observing patients' drop technique can be time-consuming. We sought to examine the association of patient self-reported efficacy of eye drop technique and medication posse ... Full text Link to item Cite

Higher symptom burden is associated with lower function in women taking adjuvant endocrine therapy for breast cancer.

Journal Article J Geriatr Oncol · March 2019 OBJECTIVE: To explore the impact of symptoms on physical function in women on adjuvant endocrine therapy for breast cancer. METHODS: Eligible women were postmenopausal, had hormone receptor positive, stage I-IIIA breast cancer, completed surgery, chemother ... Full text Link to item Cite

Self-reported medication nonadherence predicts cholesterol levels over time.

Journal Article J Psychosom Res · March 2019 OBJECTIVE: Self-report measures of medication nonadherence are frequently adapted to new clinical populations without evidence of validity. We evaluated the predictive validity of a medication nonadherence measure previously validated in patients with hype ... Full text Open Access Link to item Cite

Moving from the Trial to the Real World: Improving Medication Adherence Using Insights of Implementation Science.

Journal Article Annu Rev Pharmacol Toxicol · January 6, 2019 Medication nonadherence is a serious public health concern. Although there are promising interventions that improve medication adherence, most interventions are developed and tested in tightly controlled research environments that are dissimilar from the r ... Full text Open Access Link to item Cite

Using a geriatric oncology assessment to link with services (GOAL).

Journal Article J Geriatr Oncol · January 2019 OBJECTIVE: Geriatric screening tools assess functional limitations and inform clinical decision-making for older adults with cancer. Our objective was to evaluate the feasibility and effectiveness of a screener in community-based oncology clinics. MATERIAL ... Full text Link to item Cite

Mobile Complex Care Plans to Enhance Parental Engagement for Children With Medical Complexity.

Journal Article Clin Pediatr (Phila) · January 2019 Care plans can reduce care fragmentation for children with medical complexity (CMC); however, implementation is challenging. Mobile health innovations could improve implementation. This mixed methods study's objectives were to (1) evaluate feasibility of m ... Full text Open Access Link to item Cite

Testing a behavioral intervention to improve adherence to adjuvant endocrine therapy (AET).

Journal Article Contemp Clin Trials · January 2019 Adjuvant endocrine therapy (AET) is used to prevent recurrence and reduce mortality for women with hormone receptor positive breast cancer. Poor adherence to AET is a significant problem and contributes to increased medical costs and mortality. A variety o ... Full text Open Access Link to item Cite

Exploring Emergency Department Provider Experiences With and Perceptions of Weight-Based Versus Individualized Vaso-Occlusive Treatment Protocols in Sickle Cell Disease.

Journal Article Adv Emerg Nurs J · 2019 Treatment of vaso-occlusive episodes (VOEs) is the most common reason for emergency department (ED) treatment of sickle cell disease (SCD). We (1) compared perceptions of the usability and ability to manage VOE pain between ED nurses and other ED provider ... Full text Open Access Link to item Cite

Clinical factors associated with persistently poor diabetes control in the Veterans Health Administration: A nationwide cohort study.

Journal Article PLoS One · 2019 OBJECTIVE: Patients with persistent poorly-controlled diabetes mellitus (PPDM) despite engagement in clinic-based care are at particularly high risk for diabetes complications and costs. Understanding this population's demographics, comorbidities and care ... Full text Open Access Link to item Cite

Cardiovascular disease-related chronic conditions among Veterans Affairs nonmetastatic colorectal cancer survivors: a matched case-control analysis.

Journal Article Cancer Manag Res · 2019 PURPOSE: The growing number of colorectal cancer (CRC) survivors often have multiple chronic conditions. Comparing nonmetastatic CRC survivors and matched noncancer controls, our objectives were to determine the odds of CRC survivors being diagnosed with c ... Full text Open Access Link to item Cite

Reprint of: Prevention and Control of Hypertension: JACC Health Promotion Series.

Journal Article J Am Coll Cardiol · December 11, 2018 Hypertension, the leading risk factor for cardiovascular disease, originates from combined genetic, environmental, and social determinants. Environmental factors include overweight/obesity, unhealthy diet, excessive dietary sodium, inadequate dietary potas ... Full text Open Access Link to item Cite

Telehealth Interventions Designed for Women: an Evidence Map.

Journal Article J Gen Intern Med · December 2018 BACKGROUND: Telehealth employs technology to connect patients to the right healthcare resources at the right time. Women are high utilizers of healthcare with gender-specific health issues that may benefit from the convenience and personalization of telehe ... Full text Open Access Link to item Cite

Effectiveness of an App and Provider Counseling for Obesity Treatment in Primary Care.

Journal Article Am J Prev Med · December 2018 INTRODUCTION: Obesity treatment is less successful for socioeconomically disadvantaged populations, particularly when delivered in primary care. Digital health strategies can extend the reach of clinical obesity treatments to care settings serving patients ... Full text Link to item Cite

Life Program: Pilot Testing a Palliative Psychology Group Intervention.

Journal Article J Palliat Med · November 2018 BACKGROUND: Psychosocial interventions for palliative care populations, individuals with life-limiting illness, improve distress; however, less is known about these interventions among military Veterans. OBJECTIVES: This quality improvement project evaluat ... Full text Open Access Link to item Cite

The role of psychological science in efforts to improve cardiovascular medication adherence.

Journal Article Am Psychol · November 2018 Poor adherence to cardiovascular disease medications carries significant psychological, physical, and economic costs, including failure to achieve therapeutic goals, high rates of hospitalization and health care costs, and incidence of death. Despite much ... Full text Open Access Link to item Cite

The Association Between Engagement and Weight Loss Through Personal Coaching and Cell Phone Interventions in Young Adults: Randomized Controlled Trial.

Journal Article JMIR Mhealth Uhealth · October 18, 2018 BACKGROUND: Understanding how engagement in mobile health (mHealth) weight loss interventions relates to weight change may help develop effective intervention strategies. OBJECTIVE: This study aims to examine the (1) patterns of participant engagement over ... Full text Open Access Link to item Cite

Self-Efficacy and Adherence Behaviors in Rheumatoid Arthritis Patients.

Journal Article Prev Chronic Dis · October 18, 2018 INTRODUCTION: Rheumatoid arthritis (RA) is a common disease that requires patient self-management with chronic medications. Adherence rates for RA medications are suboptimal. This study explores medication adherence and self-efficacy behaviors among RA pat ... Full text Open Access Link to item Cite

Clinical Inertia in a Randomized Trial of Telemedicine-Based Chronic Disease Management: Lessons Learned.

Journal Article Telemed J E Health · October 2018 BACKGROUND: Treatment nonadherence and clinical inertia perpetuate poor cardiovascular disease (CVD) risk factor control. Telemedicine interventions may counter both treatment nonadherence and clinical inertia. INTRODUCTION: We explored why a telemedicine ... Full text Link to item Cite

Prevention and Control of Hypertension: JACC Health Promotion Series.

Journal Article J Am Coll Cardiol · September 11, 2018 Hypertension, the leading risk factor for cardiovascular disease, originates from combined genetic, environmental, and social determinants. Environmental factors include overweight/obesity, unhealthy diet, excessive dietary sodium, inadequate dietary potas ... Full text Open Access Link to item Cite

Adherence to Pharmacological Smoking Cessation Interventions: A Literature Review and Synthesis of Correlates and Barriers.

Journal Article Nicotine Tob Res · September 4, 2018 INTRODUCTION: Efficacious pharmacological interventions for smoking cessation are available, but poor adherence to these treatments may limit these interventions overall impact. To improve adherence to smoking cessation interventions, it is first necessary ... Full text Open Access Link to item Cite

How Views of the Organization of Primary Care Among Patients with Hypertension Vary by Race or Ethnicity.

Journal Article Mil Med · September 1, 2018 INTRODUCTION: We assessed potential racial or ethnic differences in the degree to which veterans with pharmaceutically treated hypertension report experiences with their primary care system that are consistent with optimal chronic illness care as suggested ... Full text Open Access Link to item Cite

Simultaneous Risk Factor Control Using Telehealth to slOw Progression of Diabetic Kidney Disease (STOP-DKD) study: Protocol and baseline characteristics of a randomized controlled trial.

Journal Article Contemp Clin Trials · June 2018 UNLABELLED: Diabetic kidney disease (DKD) is the leading cause of end-stage kidney disease (ESKD) in the United States. Multiple risk factors contribute to DKD development, yet few interventions target more than a single DKD risk factor at a time. This man ... Full text Open Access Link to item Cite

Closing the Referral Loop: an Analysis of Primary Care Referrals to Specialists in a Large Health System.

Journal Article J Gen Intern Med · May 2018 PURPOSE: Ideally, a referral from a primary care physician (PCP) to a specialist results in a completed specialty appointment with results available to the PCP. This is defined as "closing the referral loop." As health systems grow more complex, regulatory ... Full text Open Access Link to item Cite

Telemedicine cardiovascular risk reduction in veterans: The CITIES trial.

Journal Article Am Heart J · May 2018 BACKGROUND: Comprehensive programs addressing tailored patient self-management and pharmacotherapy may reduce barriers to cardiovascular disease (CVD) risk reduction. METHODS: This is a 2-arm (clinical pharmacist specialist-delivered, telehealth interventi ... Full text Open Access Link to item Cite

Cognitive Mediators of Change in Physical Functioning in Response to a Multifaceted Intervention for Managing Osteoarthritis.

Journal Article Int J Behav Med · April 2018 PURPOSE: Although non-pharmacological interventions have been shown to improve physical functioning in individuals with osteoarthritis (OA), the mechanisms by which this occurs are often unclear. This study assessed whether changes in arthritis self-effica ... Full text Link to item Cite

The effect of a practice-based multicomponent intervention that includes health coaching on medication adherence and blood pressure control in rural primary care.

Journal Article J Clin Hypertens (Greenwich) · April 2018 Low adherence to anti-hypertensive medications contributes to worse outcomes. The authors conducted a secondary data analysis to examine the effects of a health-coaching intervention on medication adherence and blood pressure (BP), and to explore whether c ... Full text Open Access Link to item Cite

The Association Between Engagement and Weight Loss Through Personal Coaching and Cell Phone Interventions in Young Adults: Randomized Controlled Trial (Preprint)

Journal Article · March 22, 2018 BACKGROUNDUnderstanding how engagement in mobile health (mHealth) weight loss interventions relates to weight change may help develop effective intervention strategies. ... Full text Open Access Cite

The Warrior Wellness Study: A Randomized Controlled Exercise Trial for Older Veterans with PTSD.

Journal Article Transl J Am Coll Sports Med · March 15, 2018 Posttraumatic stress disorder (PTSD) affects up to 30% of military veterans. Older veterans, many of whom have lived with PTSD symptoms for several decades, report a number of negative health outcomes. Despite the demonstrated benefits of regular exercise ... Full text Open Access Link to item Cite

Prevalence of and characteristics associated with insomnia and obstructive sleep apnea among veterans with knee and hip osteoarthritis.

Journal Article BMC Musculoskelet Disord · March 9, 2018 BACKGROUND: Few studies have examined patterns of specific sleep problems among individuals with osteoarthritis (OA). The primary objective of this study was to examine prevalence of symptoms of insomnia and obstructive sleep apnea (OSA) among Veterans wit ... Full text Open Access Link to item Cite

Changing CHANGE: adaptations of an evidence-based telehealth cardiovascular disease risk reduction intervention.

Journal Article Transl Behav Med · March 1, 2018 Relatively few successful medication adherence interventions are translated into real-world clinical settings. The Prevention of Cardiovascular Outcomes in African Americans with Diabetes (CHANGE) intervention was originally conceived as a randomized contr ... Full text Open Access Link to item Cite

Chronic disease management perspectives of colorectal cancer survivors using the Veterans Affairs healthcare system: a qualitative analysis.

Journal Article BMC health services research · March 2018 BackgroundColorectal cancer (CRC) is the third most commonly diagnosed cancer in the US. CRC survivors may have complex healthcare needs requiring care from both specialists and primary care. Our objective was to understand how CRC survivors perce ... Full text Open Access Cite

Assessing key stakeholders' knowledge, needs, and preferences for cancer survivorship care plans.

Conference Journal of Clinical Oncology · March 1, 2018 30 Background: Survivorship care plans (SCPs) are individualized documents that summarize cancer treatment received and provide guidelines for monitoring and maintaining survivors’ health. While SCPs are intended to facilitate ca ... Full text Cite

Cardiovascular disease-related chronic conditions among Veterans Affairs colorectal cancer survivors: A matched case-control analysis.

Conference Journal of Clinical Oncology · March 1, 2018 4 Background: The growing number of colorectal cancer (CRC) survivors often have multiple chronic conditions. Comparing CRC survivors and matched non-cancer controls, our objectives were to determine the odds of CRC survivors bei ... Full text Cite

A randomized controlled trial comparing two vaso-occlusive episode (VOE) protocols in sickle cell disease (SCD).

Journal Article Am J Hematol · February 2018 Limited evidence guides opioid dosing strategies for acute Sickle Cell (SCD) pain. We compared two National Heart, Lung and Blood (NHBLI) recommended opioid dosing strategies (weight-based vs. patient-specific) for ED treatment of acute vaso-occlusive epis ... Full text Open Access Link to item Cite

Advantages to Using Social-Behavioral Models of Medication Adherence in Research and Practice.

Journal Article Journal of general internal medicine · February 2018 Achieving and sustaining high levels of adherence to medication regimens is essential to improving health outcomes, but continues to be a challenge for a sizable proportion of patients. Decades of research suggests that medication adherence is determined b ... Full text Open Access Cite

Outcome by Gender in the Veterans Health Administration Motivating Overweight/Obese Veterans Everywhere Weight Management Program.

Journal Article Journal of women's health (2002) · January 2018 BackgroundFew evaluations of the Veterans Health Administration Motivating Overweight/Obese Veterans Everywhere (MOVE!) weight management program have assessed 6-month weight change or factors associated with weight change by gender.Materials ... Full text Open Access Cite

The importance of cholesterol medication adherence: the need for behavioral change intervention programs.

Journal Article Patient Prefer Adherence · 2018 Lipid-lowering medications have been shown to be efficacious, but adherence is suboptimal. This is a narrative, perspective review of recently published literature in the field of medication adherence research for lipid-lowering medications. We provide an ... Full text Open Access Link to item Cite

Relationship between electronically measured medication adherence and vision-related quality of life in a cohort of patients with open-angle glaucoma.

Journal Article BMJ Open Ophthalmol · 2018 OBJECTIVE: To investigate whether electronically measured medication adherence is associated with vision-related quality of life (VRQoL) in patients with open-angle glaucoma. METHODS AND ANALYSIS: This is a 3-year prospective cohort study of 79 subjects wi ... Full text Open Access Link to item Cite

A feasibility study to develop and test a Spanish patient and provider intervention for managing osteoarthritis in Hispanic/Latino adults (PRIMO-Latino).

Journal Article Pilot Feasibility Stud · 2018 BACKGROUND: Arthritis affects approximately 50 million adults in the USA. Hispanics/Latinos have a higher prevalence of arthritis-attributed activity limitations primarily related to osteoarthritis (OA). Hispanic/Latinos are less likely to receive hip repl ... Full text Open Access Link to item Cite

The new landscape of medication adherence improvement: where population health science meets precision medicine.

Journal Article Patient Prefer Adherence · 2018 Despite the known health and economic benefits of medications, nonadherence remains a significant, yet entirely preventable public health burden. Over decades, there have been numerous research studies evaluating health interventions and policy efforts aim ... Full text Open Access Link to item Cite

Racial differences in nocturnal dipping status in diabetic kidney disease: Results from the STOP-DKD (Simultaneous Risk Factor Control Using Telehealth to Slow Progression of Diabetic Kidney Disease) study.

Journal Article J Clin Hypertens (Greenwich) · December 2017 While racial variation in ambulatory blood pressure (BP) is known, patterns of diurnal dipping in the context of diabetic kidney disease have not been well defined. The authors sought to determine the association of race with nocturnal dipping status among ... Full text Open Access Link to item Cite

Unmet expectations of medications and care providers among patients with heart failure assessed to be poorly adherent: results from the Chronic Heart Failure Intervention to Improve MEdication Adherence (CHIME) study.

Journal Article Eur J Cardiovasc Nurs · October 2017 BACKGROUND: Ineffective medication management contributes to repeated hospitalisation and death among patients with heart failure. The meaning ascribed to medications and the influence of meaning on how patients manage medications is unknown. The purpose o ... Full text Open Access Link to item Cite

Improving Medication Adherence in Coronary Heart Disease.

Journal Article Curr Cardiol Rep · September 22, 2017 PURPOSE OF REVIEW: The purpose of this review was to synthesize research findings from recently published randomized controlled trials (RCTs) targeting any phase of medication adherence, from initiation to discontinuation, among patients with coronary hear ... Full text Open Access Link to item Cite

Breast cancer oral anti-cancer medication adherence: a systematic review of psychosocial motivators and barriers.

Journal Article Breast Cancer Res Treat · September 2017 PURPOSE: In the past decade, there has been an increase in the development and use of oral anti-cancer medications (OAMs), especially for breast cancer-the most prevalent cancer in women. However, adherence rates for OAMs are often suboptimal, leading to l ... Full text Open Access Link to item Cite

Self-monitoring of blood pressure in hypertension: A systematic review and individual patient data meta-analysis.

Journal Article PLoS Med · September 2017 BACKGROUND: Self-monitoring of blood pressure (BP) appears to reduce BP in hypertension but important questions remain regarding effective implementation and which groups may benefit most. This individual patient data (IPD) meta-analysis was performed to b ... Full text Open Access Link to item Cite

Evaluation of a packaging approach to improve cholesterol medication adherence.

Journal Article Am J Manag Care · September 1, 2017 OBJECTIVES: Elevated low-density lipoprotein cholesterol (LDL-C) is a major modifiable risk factor for cardiovascular disease, a leading cause of death in the United States. Our goal was to evaluate a simple, scalable, and affordable medication packaging m ... Open Access Link to item Cite

Veterans Affairs Primary Care Provider Perceptions of Insomnia Treatment.

Journal Article J Clin Sleep Med · August 15, 2017 STUDY OBJECTIVES: Insomnia is a widespread issue among United States adults and rates of insomnia among veterans are even higher than the general population. Prior research examining primary care provider (PCP) perspectives on insomnia treatment found that ... Full text Open Access Link to item Cite

Impact of Gender on Satisfaction and Confidence in Cholesterol Control Among Veterans at Risk for Cardiovascular Disease.

Journal Article J Womens Health (Larchmt) · July 2017 BACKGROUND: Compared with men, women have poorer lipid control. Although potential causes of this disparity have been explored, it is unknown whether patient-centered factors such as satisfaction and confidence contribute. We evaluated (1) whether satisfac ... Full text Open Access Link to item Cite

Medication adherence: A practical measurement selection guide using case studies.

Journal Article Patient Educ Couns · July 2017 OBJECTIVES: Medication adherence is a complex problem and can be evaluated using a variety of methods. There is no single or perfect strategy to assess adherence. The "best" measure depends on contextual factors. Our objective is to provide a practical, il ... Full text Open Access Link to item Cite

Trajectory of systolic blood pressure in a low-income, racial-ethnic minority cohort with diabetes and baseline uncontrolled hypertension.

Journal Article J Clin Hypertens (Greenwich) · July 2017 In two primary care clinics in Texas serving low-income patients, systolic blood pressure (SBP) trajectory was examined during 2 years in patients with diabetes mellitus (mean SBP ≥140 mm Hg: 152 mm Hg±11.2 in the baseline year). Among 860 eligible patient ... Full text Open Access Link to item Cite

Persistent Depressive Symptoms are Independent Predictors of Low-Grade Inflammation Onset Among Healthy Individuals.

Journal Article Arq Bras Cardiol · June 29, 2017 BACKGROUND: Depressive symptoms are independently associated with an increased risk of cardiovascular disease (CVD) among individuals with non-diagnosed CVD. The mechanisms underlying this association, however, remain unclear. Inflammation has been indicat ... Full text Open Access Link to item Cite

Testing a behavioral intervention to improve adherence to adjuvant endocrine therapy (AET).

Conference Journal of Clinical Oncology · May 20, 2017 TPS10128 Background: Adjuvant endocrine therapy (AET) is a crucial component of treatment used to prevent recurrence and reduce mortality for women with hormone receptor positive breast cancer. Poor adherence to AET is a signific ... Full text Cite

Linkage between theory-based measurement of organizational readiness for change and lessons learned conducting quality improvement-focused research.

Journal Article Learn Health Syst · April 2017 Organizations have different levels of readiness to implement change in the patient care process. The Hypertension Telemedicine Nurse Implementation Project for Veterans (HTN-IMPROVE) is an example of an innovation that seeks to enhance delivery of care fo ... Full text Open Access Link to item Cite

Patient, Provider, and Combined Interventions for Managing Osteoarthritis in Primary Care: A Cluster Randomized Trial.

Journal Article Ann Intern Med · March 21, 2017 BACKGROUND: A single-site study showed that a combined patient and provider intervention improved outcomes for patients with knee osteoarthritis, but it did not assess separate effects of the interventions. OBJECTIVE: To examine whether patient-based, prov ... Full text Open Access Link to item Cite

Economic Analysis of Primary Care-Based Physical Activity Counseling in Older Men: The VA-LIFE Trial.

Journal Article J Am Geriatr Soc · March 2017 OBJECTIVES: To perform an economic evaluation of a primary care-based physical activity counseling intervention that improved physical activity levels and rapid gait speed in older veterans. DESIGN: Secondary objective of randomized trial that assessed the ... Full text Open Access Link to item Cite

Recommendations for Providers on Person-Centered Approaches to Assess and Improve Medication Adherence.

Journal Article J Gen Intern Med · January 2017 Medication non-adherence is a significant clinical challenge that adversely affects psychosocial factors, costs, and outcomes that are shared by patients, family members, providers, healthcare systems, payers, and society. Patient-centered care (i.e., invo ... Full text Open Access Link to item Cite

Patient perceptions of a comprehensive telemedicine intervention to address persistent poorly controlled diabetes.

Journal Article Patient Prefer Adherence · 2017 OBJECTIVE: We studied a telemedicine intervention for persistent poorly controlled diabetes mellitus (PPDM) that combined telemonitoring, self-management support, and medication management. The intervention was designed for practical delivery using existin ... Full text Open Access Link to item Cite

Coming full circle in the measurement of medication adherence: opportunities and implications for health care.

Journal Article Patient Prefer Adherence · 2017 There is little debate that medication nonadherence is a major public health issue and that measuring nonadherence is a crucial step toward improving it. Moreover, while measuring adherence is becoming both more feasible and more common in the era of elect ... Full text Open Access Link to item Cite

Erratum

Journal Article Arquivos Brasileiros de Cardiologia · 2017 Full text Open Access Cite

Colorectal Cancer Statistics From the Veterans Affairs Central Cancer Registry.

Journal Article Clin Colorectal Cancer · December 2016 BACKGROUND: Colorectal cancer (CRC) is a common and potentially deadly disease. Although the United States has robust cancer data reporting, information from the Department of Veterans Affairs (VA) healthcare system has often been underrepresented in natio ... Full text Open Access Link to item Cite

A time-series analysis of the relation between unemployment rate and hospital admission for acute myocardial infarction and stroke in Brazil over more than a decade.

Journal Article Int J Cardiol · December 1, 2016 BACKGROUND: The effect of socioeconomic stressors on the incidence of cardiovascular disease (CVD) is currently open to debate. Using time-series analysis, our study aimed to evaluate the relationship between unemployment rate and hospital admission for ac ... Full text Open Access Link to item Cite

Statin Adherence: Does Gender Matter?

Journal Article Current atherosclerosis reports · November 2016 Purpose of reviewCardiovascular disease (CVD) continues to be the leading cause of death for men and women in the USA. Statins have contributed significantly to noted declines in cardiovascular-related mortality in the last decade; however, the be ... Full text Open Access Cite

Physical Activity Counseling Promotes Physical and Psychological Resilience in Older Veterans with Posttraumatic Stress Disorder.

Journal Article Ment Health Phys Act · October 2016 UNLABELLED: Individuals with posttraumatic stress disorder (PTSD) have elevated rates of morbidity, and a sedentary lifestyle can cause and aggravate the physical health needs of adults with PTSD. The primary aim of this paper was to explore the impact of ... Full text Open Access Link to item Cite

Open-label randomized trial of titrated disease management for patients with hypertension: Study design and baseline sample characteristics.

Journal Article Contemp Clin Trials · September 2016 Despite the availability of efficacious treatments, only half of patients with hypertension achieve adequate blood pressure (BP) control. This paper describes the protocol and baseline subject characteristics of a 2-arm, 18-month randomized clinical trial ... Full text Open Access Link to item Cite

Practical Telemedicine for Veterans with Persistently Poor Diabetes Control: A Randomized Pilot Trial.

Journal Article Telemed J E Health · May 2016 BACKGROUND: Telemedicine-based diabetes management improves outcomes versus clinic care but is seldom implemented by healthcare systems. In order to advance telemedicine-based management as a practical option for veterans with persistent poorly controlled ... Full text Link to item Cite

Health beliefs and desire to improve cholesterol levels among patients with hyperlipidemia.

Journal Article Patient Educ Couns · May 2016 OBJECTIVE: Because hyperlipidemia is asymptomatic, many veterans affairs (VA) patients may not perceive it seriously. We assessed key Health Belief model concepts to describe patients' cholesterol-related health beliefs and examine associations between pat ... Full text Open Access Link to item Cite

Group Versus Individual Physical Therapy for Veterans With Knee Osteoarthritis: Randomized Clinical Trial.

Journal Article Phys Ther · May 2016 BACKGROUND: Efficient approaches are needed for delivering nonpharmacological interventions for management of knee osteoarthritis (OA). OBJECTIVE: This trial compared group-based versus individual physical therapy interventions for management of knee OA. D ... Full text Open Access Link to item Cite

Mobile health devices: will patients actually use them?

Journal Article J Am Med Inform Assoc · May 2016 Although mobile health (mHealth) devices offer a unique opportunity to capture patient health data remotely, it is unclear whether patients will consistently use multiple devices simultaneously and/or if chronic disease affects adherence. Three healthy and ... Full text Open Access Link to item Cite

Track: A randomized controlled trial of a digital health obesity treatment intervention for medically vulnerable primary care patients.

Journal Article Contemp Clin Trials · May 2016 INTRODUCTION: Obesity continues to disproportionately affect medically vulnerable populations. Digital health interventions may be effective for delivering obesity treatment in low-resource primary care settings. METHODS: Track is a 12-month randomized con ... Full text Open Access Link to item Cite

Baseline Antihypertensive Drug Count and Patient Response to Hypertension Medication Management.

Journal Article J Clin Hypertens (Greenwich) · April 2016 Telemedicine-based medication management improves hypertension control, but has been evaluated primarily in patients with low antihypertensive drug counts. Its impact on patients taking three or more antihypertensive agents is not well-established. To addr ... Full text Open Access Link to item Cite

Health Information Technology: Meaningful Use and Next Steps to Improving Electronic Facilitation of Medication Adherence.

Journal Article JMIR Med Inform · March 15, 2016 BACKGROUND: The use of health information technology (HIT) may improve medication adherence, but challenges for implementation remain. OBJECTIVE: The aim of this paper is to review the current state of HIT as it relates to medication adherence programs, ac ... Full text Open Access Link to item Cite

Colorectal cancer survivorship statistics: A Veterans Affairs Central Cancer Registry analysis.

Conference Journal of Clinical Oncology · January 20, 2016 e267 Background: Our objective was to evaluate VA CRC incidence and survival and compare with the National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) data. Methods: Data were obtained from VACCR for vet ... Full text Cite

A Combined Patient and Provider Intervention for Management of Osteoarthritis in Veterans: A Randomized Clinical Trial.

Journal Article Ann Intern Med · January 19, 2016 BACKGROUND: Management of osteoarthritis requires both medical and behavioral strategies, but some recommended therapies are underused. OBJECTIVE: To examine the effectiveness of a combined patient and provider intervention for improving osteoarthritis out ... Full text Open Access Link to item Cite

Quantifying Glaucoma Medication Adherence: The Relationship Between Self-Report, Electronic Monitoring, and Pharmacy Refill.

Journal Article J Ocul Pharmacol Ther · 2016 PURPOSE: Glaucoma medications reduce the risk of progressive visual field loss, but adherence to these medications is often poor. A better understanding of the appropriate metrics for quantifying glaucoma medication adherence is needed. We describe and com ... Full text Link to item Cite

Urinary Incontinence and Health-Seeking Behavior Among White, Black, and Latina Women.

Journal Article Female Pelvic Med Reconstr Surg · 2016 OBJECTIVE: Fewer than half of women with urinary incontinence (UI) seek care for their condition. Our objective was to qualitatively assess the themes surrounding treatment-seeking behaviors. METHODS: We conducted 12 focus groups with women and, using purp ... Full text Open Access Link to item Cite

A renewed Medication Adherence Alliance call to action: harnessing momentum to address medication nonadherence in the United States.

Journal Article Patient Prefer Adherence · 2016 THE PROBLEM: Nonadherence to prescription medications is a common and costly problem with multiple contributing factors, spanning the dimensions of individual behavior change, psychology, medicine, and health policy, among others. Addressing the problem of ... Full text Open Access Link to item Cite

Lessons Learned From Implementing Health Coaching in The Heart Healthy Lenoir Hypertension Study.

Journal Article Prog Community Health Partnersh · 2016 BACKGROUND: Health coaching is increasingly important in patient-centered medical homes. OBJECTIVES: Describe formative evaluation results and lessons learned from implementing health coaching to improve hypertension self-management in rural primary care. ... Full text Link to item Cite

Long-Term Impact of an Electronic Health Record-Enabled, Team-Based, and Scalable Population Health Strategy Based on the Chronic Care Model.

Journal Article AMIA Annu Symp Proc · 2016 The Chronic Care Model (CCM) is a promising framework for improving population health, but little is known regarding the long-term impact of scalable, informatics-enabled interventions based on this model. To address this challenge, this study evaluated th ... Open Access Link to item Cite

Drug use and validity of substance use self-reports in veterans seeking help for posttraumatic stress disorder

Chapter · January 1, 2016 The present study assessed drug use and the validity of self-reports of substance use among help-seeking veterans referred to a specialty clinic for the assessment of posttraumatic stress disorder (PTSD). Patients (n = 341) were asked to provide a urine sa ... Full text Cite

Adaptive intervention design in mobile health: Intervention design and development in the Cell Phone Intervention for You trial.

Journal Article Clin Trials · December 2015 BACKGROUND/AIMS: The obesity epidemic has spread to young adults, and obesity is a significant risk factor for cardiovascular disease. The prominence and increasing functionality of mobile phones may provide an opportunity to deliver longitudinal and scala ... Full text Open Access Link to item Cite

Cell phone intervention for you (CITY): A randomized, controlled trial of behavioral weight loss intervention for young adults using mobile technology.

Journal Article Obesity (Silver Spring) · November 2015 OBJECTIVE: To determine the effect on weight of two mobile technology-based (mHealth) behavioral weight loss interventions in young adults. METHODS: Randomized, controlled comparative effectiveness trial in 18- to 35-year-olds with BMI ≥ 25 kg/m(2) (overwe ... Full text Open Access Link to item Cite

Medication taking behaviors among breast cancer patients on adjuvant endocrine therapy.

Journal Article Breast · October 2015 PURPOSE: To explore how symptoms and psychosocial factors are related to intentional and unintentional non-adherent medication taking behaviors. METHODS: Included were postmenopausal women with hormone receptor positive, stage I-IIIA breast cancer, who had ... Full text Link to item Cite

Individual patient data meta-analysis of self-monitoring of blood pressure (BP-SMART)

Journal Article JOURNAL OF HUMAN HYPERTENSION · October 1, 2015 Link to item Cite

Individual patient data meta-analysis of self-monitoring of blood pressure (BP-SMART): a protocol.

Journal Article BMJ Open · September 15, 2015 INTRODUCTION: Self-monitoring of blood pressure is effective in reducing blood pressure in hypertension. However previous meta-analyses have shown a considerable amount of heterogeneity between studies, only part of which can be accounted for by meta-regre ... Full text Open Access Link to item Cite

Willingness of Patients to Use Computers for Health Communication and Monitoring Following Myocardial Infarction.

Journal Article Comput Inform Nurs · September 2015 We describe the computer use characteristics of 406 post-myocardial infarction (MI) patients and their willingness to engage online for health communication and monitoring. Most participants were computer users (n = 259; 63.8%) and half (n = 209; 51.5%) re ... Full text Open Access Link to item Cite

The association of comorbid conditions with patient-reported outcomes in Veterans with hip and knee osteoarthritis.

Conference Clin Rheumatol · August 2015 There is limited understanding of how comorbid health conditions affect osteoarthritis (OA)-related outcomes. This study examined associations of different comorbidity measures with baseline OA-related patient-reported outcomes (PROs) among patients with h ... Full text Link to item Cite

What constitutes quality of family experience at the end of life? Perspectives from family members of patients who died in the hospital.

Journal Article Palliat Support Care · August 2015 OBJECTIVE: Most palliative care efforts focus on assessing and improving the quality of life and quality of care for patients. Palliative care views the family as the unit of care; therefore, excellent comprehensive palliative care should also address the ... Full text Open Access Link to item Cite

Associations between sleep difficulties and risk factors for cardiovascular disease in veterans and active duty military personnel of the Iraq and Afghanistan conflicts.

Journal Article J Behav Med · June 2015 Recent evidence suggests that sleep disturbance may play an important role in the development of cardiovascular disease (CVD). Despite the prevalence of sleep complaints among service members of recent military conflicts, few studies have examined associat ... Full text Open Access Link to item Cite

Patient-reported medication adherence barriers among patients with cardiovascular risk factors.

Journal Article J Manag Care Spec Pharm · June 2015 BACKGROUND: Many patients experience barriers that make it difficult to take cardiovascular disease (CVD)-related medications as prescribed. The Cardiovascular Intervention Improvement Telemedicine Study (CITIES) was a tailored behavioral pharmacist-admini ... Full text Open Access Link to item Cite

Innovative interventions to promote behavioral change in overweight or obese individuals: A review of the literature.

Journal Article Ann Med · May 2015 The overweight and obesity trends have risen over the past few decades, placing significant burdens on health care in terms of increased morbidity and cost. Behavioral change therapy is an effective treatment strategy and includes goal setting, self-monito ... Full text Open Access Link to item Cite

Nurse-led behavioral management of diabetes and hypertension in community practices: a randomized trial.

Journal Article J Gen Intern Med · May 2015 BACKGROUND: Several trials have demonstrated the efficacy of nurse telephone case management for diabetes (DM) and hypertension (HTN) in academic or vertically integrated systems. Little is known about the real-world potency of these interventions. OBJECTI ... Full text Open Access Link to item Cite

Adherence to adjuvant endocrine therapy for breast cancer: importance in women with low income.

Journal Article J Womens Health (Larchmt) · May 2015 There are wide disparities in breast cancer-specific survival by patient sociodemographic characteristics. Women of lower income, for instance, have higher relapse and death rates from breast cancer. One possible contributing factor for this disparity is l ... Full text Open Access Link to item Cite

Results of the Chronic Heart Failure Intervention to Improve MEdication Adherence study: A randomized intervention in high-risk patients.

Journal Article Am Heart J · April 2015 BACKGROUND: Poor adherence to evidence-based medications in heart failure (HF) is a major cause of avoidable hospitalizations, disability, and death. To test the feasibility of improving medication adherence, we performed a randomized proof-of-concept stud ... Full text Open Access Link to item Cite

Results of the chronic heart failure intervention to improve medication adherence study: A randomized intervention in high-risk patients

Journal Article American Heart Journal · April 1, 2015 Background Poor adherence to evidence-based medications in heart failure (HF) is a major cause of avoidable hospitalizations, disability, and death. To test the feasibility of improving medication adherence, we performed a randomized proof-of-concept study ... Full text Open Access Cite

A nurse-led email reminder programme on healthy lifestyle can improve cardiovascular risk factors in hypertensive adults.

Journal Article Evid Based Nurs · April 2015 Implications for practice and research: Individuals receiving a nurse-led reminder programme through email observed improvements in risk factors for cardiovascular disease, relative to a usual care control group. Issues to consider what would further enhan ... Full text Open Access Link to item Cite

Barriers to urinary incontinence care seeking in White, Black, and Latina women.

Journal Article Female Pelvic Med Reconstr Surg · 2015 OBJECTIVE: We compared barriers to urinary incontinence (UI) healthcare seeking between white, black, and Latina women. METHODS: This is a cross-sectional study using a convenience sample of white, black, and Latina women. Women completed the Barriers to I ... Full text Open Access Link to item Cite

Medication non-adherence after myocardial infarction: an exploration of modifying factors.

Journal Article J Gen Intern Med · January 2015 BACKGROUND: Medication non-adherence is a major impediment to the management of cardiovascular disease risk factors. A better understanding of the modifying factors underlying medication non-adherence among individuals with known cardiovascular disease may ... Full text Open Access Link to item Cite

Patient-centered priorities for improving medication management and adherence.

Journal Article Patient Educ Couns · January 2015 OBJECTIVE: The Centers for Education and Research on Therapeutics convened a workshop to examine the scientific evidence on medication adherence interventions from the patient-centered perspective and to explore the potential of patient-centered medication ... Full text Open Access Link to item Cite

Improving diabetes medication adherence: successful, scalable interventions.

Journal Article Patient Prefer Adherence · 2015 Effective medications are a cornerstone of prevention and disease treatment, yet only about half of patients take their medications as prescribed, resulting in a common and costly public health challenge for the US health care system. Since poor medication ... Full text Open Access Link to item Cite

Patient-provider communication, self-reported medication adherence, and race in a postmyocardial infarction population.

Journal Article Patient Prefer Adherence · 2015 OBJECTIVES: Our objectives were to: 1) describe patient-reported communication with their provider and explore differences in perceptions of racially diverse adherent versus nonadherent patients; and 2) examine whether the association between unanswered qu ... Full text Open Access Link to item Cite

Selecting, adapting, and sustaining programs in health care systems.

Journal Article J Multidiscip Healthc · 2015 Practitioners and researchers often design behavioral programs that are effective for a specific population or problem. Despite their success in a controlled setting, relatively few programs are scaled up and implemented in health care systems. Planning fo ... Full text Open Access Link to item Cite

Cognitive dysfunction and poor health literacy are common in veterans presenting with acute coronary syndrome: insights from the MEDICATION study.

Journal Article Patient Prefer Adherence · 2015 BACKGROUND: Patient nonadherence to cardiac medications following acute coronary syndrome (ACS) is associated with increased risk of recurrent events. However, the prevalence of cognitive dysfunction and poor health literacy among ACS patients and their as ... Full text Open Access Link to item Cite

Perspectives of patients on factors relating to adherence to post-acute coronary syndrome medical regimens.

Journal Article Patient Prefer Adherence · 2015 PURPOSE: Poor adherence to cardioprotective medications after acute coronary syndrome (ACS) hospitalization is associated with increased risk of rehospitalization and mortality. Clinical trials of multifaceted interventions have improved medication adheren ... Full text Open Access Link to item Cite

Differences between completely physically inactive and low active older men and their response to an exercise intervention: the Veterans LIFE study.

Journal Article Healthy Aging Res · 2015 BACKGROUND: Physical activity interventions typically do not report behavioral changes in activity sub-groups. The aim of this study was to compare baseline differences and changes in physical activity between truly physically inactive men and low active m ... Full text Open Access Link to item Cite

Clinic variation in recruitment metrics, patient characteristics and treatment use in a randomized clinical trial of osteoarthritis management.

Journal Article BMC Musculoskelet Disord · December 6, 2014 BACKGROUND: The Patient and PRovider Interventions for Managing Osteoarthritis (OA) in Primary Care (PRIMO) study is one of the first health services trials targeting OA in a multi-site, primary care network. This multi-site approach is important for asses ... Full text Open Access Link to item Cite

Factors associated with persistent poorly controlled diabetes mellitus: clues to improving management in patients with resistant poor control.

Journal Article Chronic Illn · December 2014 OBJECTIVES: Patients with persistent poorly controlled diabetes mellitus (PPDM), defined as an uninterrupted hemoglobin A1c >8.0% for ≥1 year despite standard care, are at high risk for complications. Additional research to define patient factors associate ... Full text Open Access Link to item Cite

Validation of a measure of family experience of patients with serious illness: the QUAL-E (Fam).

Journal Article J Pain Symptom Manage · December 2014 CONTEXT: Family members of seriously ill patients experience significant burden as they advocate with providers and participate in key decisions for loved ones. Most assessments focus on patient experience, yet family members' own quality of experience is ... Full text Open Access Link to item Cite

Behavioral interventions to improve hypertension control in the Veterans Affairs healthcare system.

Journal Article J Clin Hypertens (Greenwich) · November 2014 Hypertension is a common and costly disease among US veterans. The Veterans Affairs (VA) healthcare system is the largest integrated healthcare provider in the United States and reviewing hypertension interventions developed in the VA may inform interventi ... Full text Open Access Link to item Cite

Striking a balance in communicating pharmacogenetic test results: promoting comprehension and minimizing adverse psychological and behavioral response.

Journal Article Patient Educ Couns · October 2014 OBJECTIVE: Pharmacogenetic (PGx) testing can provide information about a patient's likelihood to respond to a medication or experience an adverse event, and be used to inform medication selection and/or dosing. Promoting patient comprehension of PGx test r ... Full text Open Access Link to item Cite

A protocol to evaluate the efficacy, perceptions, and cost of a cholesterol packaging approach to improve medication adherence.

Journal Article Contemp Clin Trials · September 2014 PURPOSE: Elevated low-density lipoprotein cholesterol (LDL-C) is a major modifiable risk factor for cardiovascular disease (CVD), a leading cause of death in the United States. Despite clinical practice guidelines aimed at facilitating LDL-C control, many ... Full text Open Access Link to item Cite

Addressing barriers to optimal oral anticoagulation use and persistence among patients with atrial fibrillation: Proceedings, Washington, DC, December 3-4, 2012.

Journal Article Am Heart J · September 2014 Approximately half of patients with atrial fibrillation and with risk factors for stroke are not treated with oral anticoagulation (OAC), whether it be with vitamin K antagonists (VKAs) or novel OACs (NOACs); and of those treated, many discontinue treatmen ... Full text Open Access Link to item Cite

Strategic planning to reduce the burden of stroke among veterans: using simulation modeling to inform decision making.

Journal Article Stroke · July 2014 BACKGROUND AND PURPOSE: Reducing the burden of stroke is a priority for the Veterans Affairs Health System, reflected by the creation of the Veterans Affairs Stroke Quality Enhancement Research Initiative. To inform the initiative's strategic planning, we ... Full text Open Access Link to item Cite

A health literacy pilot intervention to improve medication adherence using Meducation® technology.

Journal Article Patient Educ Couns · May 2014 OBJECTIVE: To determine whether antihypertensive medication adherence could improve using a Meducation® technology health literacy intervention. METHODS: We conducted a six-month feasibility study among patients with cardiovascular disease (CVD) risk facto ... Full text Open Access Link to item Cite

A randomised controlled trial of providing personalised cardiovascular risk information to modify health behaviour.

Journal Article J Telemed Telecare · April 2014 We conducted a feasibility study of a web-based intervention, which provided personalized cardiovascular disease (CVD) risk information, behavioural risk reduction strategies and educational resources. Participants were block-randomized to the 3-month inte ... Full text Link to item Cite

PHYSICAL ACTIVITY COUNSELING IMPROVES HEALTH IN OLDER VETERANS WITH PTSD

Journal Article ANNALS OF BEHAVIORAL MEDICINE · April 1, 2014 Link to item Cite

Weight loss intervention for young adults using mobile technology: design and rationale of a randomized controlled trial - Cell Phone Intervention for You (CITY).

Journal Article Contemp Clin Trials · March 2014 BACKGROUND: The obesity epidemic has spread to young adults, leading to significant public health implications later in adulthood. Intervention in early adulthood may be an effective public health strategy for reducing the long-term health impact of the ep ... Full text Open Access Link to item Cite

Do the benefits of participation in a hypertension self-management trial persist after patients resume usual care?

Journal Article Circ Cardiovasc Qual Outcomes · March 2014 BACKGROUND: Hypertension self-management has been shown to improve systolic blood pressure (BP) control, but longer-term economic and clinical impacts are unknown. The purpose of this article is to examine clinical and economic outcomes 18 months after com ... Full text Open Access Link to item Cite

Characteristics of diabetic patients associated with achieving and maintaining blood pressure targets in the Adherence and Intensification of Medications program.

Journal Article Chronic Illn · March 2014 OBJECTIVES: To determine patient characteristics associated with achieving and sustaining blood pressure (BP) targets in the Adherence and Intensification of Medications program, a program led by pharmacists trained in motivational interviewing and authori ... Full text Open Access Link to item Cite

The Cardiovascular Intervention Improvement Telemedicine Study (CITIES): rationale for a tailored behavioral and educational pharmacist-administered intervention for achieving cardiovascular disease risk reduction.

Journal Article Telemed J E Health · February 2014 BACKGROUND: Hypertension, hyperlipidemia, and diabetes are significant, but often preventable, contributors to cardiovascular disease (CVD) risk. Medication and behavioral nonadherence are significant barriers to successful hypertension, hyperlidemia, and ... Full text Link to item Cite

Multifaceted intervention to improve medication adherence and secondary prevention measures after acute coronary syndrome hospital discharge: a randomized clinical trial.

Journal Article JAMA Intern Med · February 1, 2014 IMPORTANCE: Adherence to cardioprotective medication regimens in the year after hospitalization for acute coronary syndrome (ACS) is poor. OBJECTIVE: To test a multifaceted intervention to improve adherence to cardiac medications. DESIGN, SETTING, AND PART ... Full text Open Access Link to item Cite

mHealth interventions for weight loss: a guide for achieving treatment fidelity.

Journal Article J Am Med Inform Assoc · 2014 UNLABELLED: mHealth interventions have shown promise for helping people sustain healthy behaviors such as weight loss. However, few have assessed treatment fidelity, that is, the accurate delivery, receipt, and enactment of the intervention. Treatment fide ... Full text Open Access Link to item Cite

PTSD is negatively associated with physical performance and physical function in older overweight military Veterans.

Journal Article J Rehabil Res Dev · 2014 This study examines the effect of posttraumatic stress disorder (PTSD) on function and physical performance in older overweight military Veterans with comorbid conditions. This is a secondary data analysis of older Veterans (mean age = 62.9 yr) participati ... Full text Open Access Link to item Cite

Medication adherence: process for implementation.

Journal Article Patient Prefer Adherence · 2014 Improving medication adherence is a critically important, but often enigmatic objective of patients, providers, and the overall health care system. Increasing medication adherence has the potential to reduce health care costs while improving care quality, ... Full text Open Access Link to item Cite

Heart matters: Gender and racial differences cardiovascular disease risk factor control among veterans.

Journal Article Womens Health Issues · 2014 BACKGROUND: Cardiovascular disease (CVD) is the leading cause of mortality for U.S. women. Racial minorities are a particularly vulnerable population. The increasing female veteran population has an higher prevalence of certain cardiovascular risk factors ... Full text Open Access Link to item Cite

Enlisting New Teachers in Clinical Environments (ENTICE); novel ways to engage clinicians.

Journal Article Adv Med Educ Pract · 2014 PURPOSE: To explore the barriers and incentives that affect primary care providers who precept students in outpatient clinics in the US. METHOD: In 2013, leadership of our large primary care group sent a 20-question survey via e-mail to all of the 180 prov ... Full text Open Access Link to item Cite

Mobile health messages help sustain recent weight loss.

Journal Article Am J Med · November 2013 BACKGROUND: Using regulatory focus theory, an intervention of daily weight loss-sustaining messages was developed and tested for acceptability, feasibility, and efficacy on helping people sustain weight loss. METHODS: Participants (n = 120) were randomized ... Full text Link to item Cite

Association between perceived life chaos and medication adherence in a postmyocardial infarction population.

Journal Article Circ Cardiovasc Qual Outcomes · November 2013 BACKGROUND: The benefits of medication adherence to control cardiovascular disease (CVD) are well defined, yet multiple studies have identified poor adherence. The influence of life chaos on medication adherence is unknown. Because this is a novel applicat ... Full text Open Access Link to item Cite

Challenges facing translational research organizations in China: a qualitative multiple case study.

Journal Article J Transl Med · October 13, 2013 BACKGROUND: Translational medicine is attracting much attention worldwide and many translational research organizations (TROs) have been established. In China, translational medicine has developed rapidly, but faces many challenges. This study was aimed at ... Full text Open Access Link to item Cite

Blood pressure control in a hypertension telemedicine intervention: does distance to primary care matter?

Journal Article J Clin Hypertens (Greenwich) · October 2013 Although telemedicine may help overcome geographic access barriers, it is unknown whether rural patients receive greater benefits. In a secondary analysis of 503 veterans participating in a hypertension telemedicine study, the authors hypothesized that pat ... Full text Open Access Link to item Cite

Organizational factors associated with readiness to implement and translate a primary care based telemedicine behavioral program to improve blood pressure control: the HTN-IMPROVE study.

Journal Article Implement Sci · September 8, 2013 BACKGROUND: Hypertension is prevalent and often sub-optimally controlled; however, interventions to improve blood pressure control have had limited success. OBJECTIVES: Through implementation of an evidence-based nurse-delivered self-management phone inter ... Full text Open Access Link to item Cite

Tailored Case Management for Diabetes and Hypertension (TEACH-DM) in a community population: study design and baseline sample characteristics.

Journal Article Contemp Clin Trials · September 2013 BACKGROUND: Despite recognition of the benefits associated with well-controlled diabetes and hypertension, control remains suboptimal. Effective interventions for these conditions have been studied within academic settings, but interventions targeting both ... Full text Open Access Link to item Cite

The role of home blood pressure telemonitoring in managing hypertensive populations.

Journal Article Current hypertension reports · August 2013 Hypertension is a common chronic disease affecting nearly one-third of the United States population. Many interventions have been designed to help patients manage their hypertension. With the evolving climate of healthcare, rapidly developing technology, a ... Full text Open Access Cite

Recruiting young adults into a weight loss trial: report of protocol development and recruitment results.

Journal Article Contemp Clin Trials · July 2013 Obesity has spread to all segments of the U.S. population. Young adults, aged 18-35 years, are rarely represented in clinical weight loss trials. We conducted a qualitative study to identify factors that may facilitate recruitment of young adults into a we ... Full text Open Access Link to item Cite

The Cholesterol, Hypertension, And Glucose Education (CHANGE) study: results from a randomized controlled trial in African Americans with diabetes.

Journal Article Am Heart J · July 2013 BACKGROUND: Cardiovascular disease (CVD) and diabetes account for one-third of the mortality difference between African American and white patients. We evaluated the effect of a CVD risk reduction intervention in African Americans with diabetes. METHODS: W ... Full text Open Access Link to item Cite

The meanings associated with medicines in heart failure patients.

Journal Article Eur J Cardiovasc Nurs · June 2013 BACKGROUND: The purpose of this study was to explore the theoretical linkages between symptom experiences and meaning associated with medication adherence. The specific objectives were to evaluate the key constructs of Meaning-Response theory for understan ... Full text Open Access Link to item Cite

Differences in osteoarthritis self-management support intervention outcomes according to race and health literacy.

Journal Article Health Educ Res · June 2013 We explored whether the effects of a telephone-based osteoarthritis (OA) self-management support intervention differed by race and health literacy. Participants included 515 veterans with hip and/or knee OA. Linear mixed models assessed differential effect ... Full text Open Access Link to item Cite

Development of a Theoretically Driven mHealth Text Messaging Application for Sustaining Recent Weight Loss.

Journal Article JMIR Mhealth Uhealth · May 7, 2013 BACKGROUND: Mobile phone short message service (SMS) text messaging, has the potential to serve as an intervention medium to promote sustainability of weight loss that can be easily and affordably used by clinicians and consumers. OBJECTIVE: To develop the ... Full text Open Access Link to item Cite

Telemedicine cardiovascular risk reduction in veterans.

Journal Article Am Heart J · April 2013 BACKGROUND: Patients with co-occurrence of hypertension, hyperlipidemia, and diabetes have an increased risk of cardiovascular disease (CVD) events. Comprehensive programs addressing both tailored patient self-management and pharmacotherapy are needed to a ... Full text Open Access Link to item Cite

Predictors of fatigue in patients with hip and knee osteoarthritis

Conference Osteoarthritis and Cartilage · April 2013 Full text Cite

Health literacy and glaucoma.

Journal Article Curr Opin Ophthalmol · March 2013 PURPOSE OF REVIEW: This review discusses the concept and measurement of health literacy, with a focus on the care of patients with glaucoma. RECENT FINDINGS: Nearly one-fourth of adults in the USA lack the skills needed to fully comprehend and act on verba ... Full text Open Access Link to item Cite

Group physical therapy for veterans with knee osteoarthritis: study design and methodology.

Journal Article Contemp Clin Trials · March 2013 Physical therapy (PT) is a key component of treatment for knee osteoarthritis (OA) and can decrease pain and improve function. Given the expected rise in prevalence of knee OA and the associated demand for treatment, there is a need for models of care that ... Full text Open Access Link to item Cite

Nocturnal blood pressure non-dipping, posttraumatic stress disorder, and sleep quality in women.

Journal Article Behav Med · 2013 Women with posttraumatic stress disorder (PTSD) have poor sleep quality and increased risk of cardiovascular disease (CVD). Non-dipping of nocturnal blood pressure may be an explanatory factor for the relationship between sleep and CVD found in previous re ... Full text Link to item Cite

Factors associated with non-adherence to three hypertension self-management behaviors: preliminary data for a new instrument.

Journal Article J Gen Intern Med · January 2013 BACKGROUND: Clinicians have difficulty in identifying patients that are unlikely to adhere to hypertension self-management. Identifying non-adherence is essential to addressing suboptimal blood pressure control and high costs. OBJECTIVES: 1) To identify ri ... Full text Open Access Link to item Cite

A randomized controlled trial to evaluate the effectiveness of CouPLES: a spouse-assisted lifestyle change intervention to improve low-density lipoprotein cholesterol.

Journal Article Prev Med · January 2013 OBJECTIVE: This randomized controlled trial evaluated the effectiveness of a telephone-delivered, spouse-assisted lifestyle intervention to reduce patient LDL-C. METHOD: From 2007 to 2010, 255 outpatients with LDL-C>76 mg/dL and their spouses from the Durh ... Full text Open Access Link to item Cite

Patient self-efficacy and spouse perception of spousal support are associated with lower patient weight: baseline results from a spousal support behavioral intervention.

Journal Article Psychol Health Med · 2013 Obesity and related chronic illnesses are leading causes of death and excessive health care costs, necessitating identification of factors that can help patients achieve and maintain healthy weight. Greater self-efficacy and perceived spousal support in pa ... Full text Link to item Cite

Racial differences in the effect of a telephone-delivered hypertension disease management program.

Journal Article J Gen Intern Med · December 2012 BACKGROUND: African Americans are significantly more likely than whites to have uncontrolled hypertension, contributing to significant disparities in cardiovascular disease and events. OBJECTIVE: The goal of this study was to examine whether there were dif ... Full text Open Access Link to item Cite

Short message service (SMS) text messaging as an intervention medium for weight loss: A literature review.

Journal Article Health Informatics J · December 2012 Nearly 68% of American adults are obese or overweight. Mobile devices such as mobile phones have emerged as a mode of intervention delivery to help people improve their health, particularly in relation to weight loss. This literature review examines the re ... Full text Open Access Link to item Cite

Assessment of the psychometric properties of an English version of the cancer dyspnea scale in people with advanced lung cancer.

Journal Article J Pain Symptom Manage · November 2012 CONTEXT: Dyspnea is a poorly understood subjective sensation. Existing dyspnea measures fail to adequately address its multidimensionality. A Japanese group developed and validated the Cancer Dyspnea Scale (CDS) for assessing dyspnea in patients with advan ... Full text Open Access Link to item Cite

Enhanced fitness: a randomized controlled trial of the effects of home-based physical activity counseling on glycemic control in older adults with prediabetes mellitus.

Journal Article J Am Geriatr Soc · September 2012 OBJECTIVES: To determine whether a home-based multicomponent physical activity counseling (PAC) intervention is effective in reducing glycemic measures in older outpatients with prediabetes mellitus. DESIGN: Controlled clinical trial. SETTING: Primary care ... Full text Open Access Link to item Cite

Patient-centered adherence intervention after acute coronary syndrome hospitalization.

Journal Article Circ Cardiovasc Qual Outcomes · July 1, 2012 BACKGROUND: Adherence to cardioprotective medications in the year after acute coronary syndrome hospitalization is generally poor and is associated with increased risk of rehospitalization and mortality. Few interventions have specifically targeted this hi ... Full text Open Access Link to item Cite

Improving blood pressure control through a clinical pharmacist outreach program in patients with diabetes mellitus in 2 high-performing health systems: the adherence and intensification of medications cluster randomized, controlled pragmatic trial.

Journal Article Circulation · June 12, 2012 BACKGROUND: Even in high-performing health systems, some patients with diabetes mellitus have poor blood pressure (BP) control because of poor medication adherence and lack of medication intensification. We examined whether the Adherence and Intensificatio ... Full text Open Access Link to item Cite

Economic evaluation of telephone self-management interventions for blood pressure control.

Journal Article Am Heart J · June 2012 BACKGROUND: Half of patients with hypertension have poor blood pressure (BP) control. Recent models for treating hypertension have integrated disease monitoring and telephone-based interventions delivered in patients' homes. This study evaluated the costs ... Full text Open Access Link to item Cite

Baseline medication adherence and blood pressure in a 24-month longitudinal hypertension study.

Journal Article J Clin Nurs · May 2012 Featured Publication AIM AND OBJECTIVES: We sought to identify the feasibility and predictive validity of an easy and quick self-reported measure of medication adherence and to identify characteristics of people with hypertension that may warrant increase attentiveness by nurs ... Full text Open Access Link to item Cite

Patient and provider interventions for managing osteoarthritis in primary care: protocols for two randomized controlled trials.

Journal Article BMC Musculoskelet Disord · April 24, 2012 BACKGROUND: Osteoarthritis (OA) of the hip and knee are among the most common chronic conditions, resulting in substantial pain and functional limitations. Adequate management of OA requires a combination of medical and behavioral strategies. However, some ... Full text Open Access Link to item Cite

Enhancing medication adherence: The public health dilemma

Book · January 1, 2012 Enhancing Medication Adherence: The Public Health Dilemma is a comprehensive guide to medication adherence for the healthcare professional. Clinicians and pharmacists alike can benefit from key opinion leader and author Hayden Bosworth’s text as he explain ... Full text Cite

Self-management and hypertension

Chapter · January 1, 2012 Chronic diseases such as hypertension have become the leading cause of death and disability in most countries of the world [1]. Hypertension is the major modi able risk factor for cardiovascular disease, stroke, chronic heart failure, and renal diseases [2 ... Cite

Participant evaluation of a telephone-based osteoarthritis self-management program, 2006-2009.

Journal Article Prev Chronic Dis · 2012 INTRODUCTION: Self-management support interventions can help improve osteoarthritis outcomes but are underused. Little is known about how participants evaluate the helpfulness of these programs. We describe participants' evaluations of a telephone-based, o ... Open Access Link to item Cite

The Latino Health Project: pilot testing a culturally adapted behavioral weight loss intervention in obese and overweight Latino adults.

Journal Article Ethn Dis · 2012 OBJECTIVE: To pilot test a culturally adapted behavioral weight loss intervention in obese and overweight Latino adults. DESIGN: Pilot study. SETTING: Latino community organization in Durham, North Carolina. PARTICIPANTS: Overweight and obese, self-identif ... Open Access Link to item Cite

The hypertension team: the role of the pharmacist, nurse, and teamwork in hypertension therapy.

Journal Article J Clin Hypertens (Greenwich) · January 2012 Team-based care is one of the key components of the patient-centered medical home. Studies have consistently demonstrated that teams involving pharmacists or nurses in patient management can significantly improve blood pressure control. These findings have ... Full text Open Access Link to item Cite

Resilience in chronic illness

Journal Article · December 1, 2011 Resilience has been written about and valued since time immemorial. Its value is transmitted down generations through adages, mythology, anecdotes, and even children's books. In essence, resilience can be thought of as a process of successfully adapting to ... Full text Open Access Cite

A re-conceptualization of access for 21st century healthcare.

Journal Article J Gen Intern Med · November 2011 Featured Publication Many e-health technologies are available to promote virtual patient-provider communication outside the context of face-to-face clinical encounters. Current digital communication modalities include cell phones, smartphones, interactive voice response, text ... Full text Open Access Link to item Cite

Defining core issues in utilizing information technology to improve access: evaluation and research agenda.

Journal Article J Gen Intern Med · November 2011 Featured Publication The Department of Veterans Affairs (VA) has been at the vanguard of information technology (IT) and use of comprehensive electronic health records. Despite the widespread use of health IT in the VA, there are still a variety of key questions that need to b ... Full text Open Access Link to item Cite

Lessons learned when innovations go awry: a baseline description of a behavioral trial-the Enhancing Fitness in Older Overweight Veterans with Impaired Fasting Glucose study.

Journal Article Transl Behav Med · November 2011 Individuals diagnosed with impaired glucose tolerance (i.e., prediabetes) are at increased risk for developing diabetes. We proposed a clinical trial with a novel adaptive randomization designed to examine the impact of a home-based physical activity (PA) ... Full text Open Access Link to item Cite

Treatment intensification in a hypertension telemanagement trial: clinical inertia or good clinical judgment?

Journal Article Hypertension · October 2011 Featured Publication Clinical inertia represents a barrier to hypertension management. As part of a hypertension telemanagement trial designed to overcome clinical inertia, we evaluated study physician reactions to elevated home blood pressures. We studied 296 patients from th ... Full text Open Access Link to item Cite

Medication adherence: a call for action.

Journal Article Am Heart J · September 2011 Featured Publication Poor adherence to efficacious cardiovascular-related medications has led to considerable morbidity, mortality, and avoidable health care costs. This article provides results of a recent think-tank meeting in which various stakeholder groups representing ke ... Full text Open Access Link to item Cite

Home blood pressure management and improved blood pressure control: results from a randomized controlled trial.

Journal Article Arch Intern Med · July 11, 2011 Featured Publication BACKGROUND: To determine which of 3 interventions was most effective in improving blood pressure (BP) control, we performed a 4-arm randomized trial with 18-month follow-up at the primary care clinics at a Veterans Affairs Medical Center. METHODS: Eligible ... Full text Open Access Link to item Cite

Medication adherence: emerging use of technology.

Journal Article Curr Opin Cardiol · July 2011 Featured Publication PURPOSE OF REVIEW: Adherence to proven, effective medications remains low, resulting in high rates of clinical complications, hospital readmissions, and death. The use of technology to identify patients at risk and to target interventions for poor adherenc ... Full text Open Access Link to item Cite

The trials and tribulations of enrolling couples in a randomized, controlled trial: a self-management program for hyperlipidemia as a model.

Journal Article Patient Educ Couns · July 2011 Featured Publication OBJECTIVE: Capitalizing on spousal support may enhance the effectiveness of interventions for chronic disease management. However, couples-based interventions present logistical challenges. We describe our experience and lessons learned while recruiting co ... Full text Open Access Link to item Cite

Measuring blood pressure for decision making and quality reporting: where and how many measures?

Journal Article Ann Intern Med · June 21, 2011 Featured Publication BACKGROUND: The optimal setting and number of blood pressure (BP) measurements that should be used for clinical decision making and quality reporting are uncertain. OBJECTIVE: To compare strategies for home or clinic BP measurement and their effect on clas ... Full text Open Access Link to item Cite

Racial differences in two self-management hypertension interventions.

Journal Article Am J Med · May 2011 Featured Publication BACKGROUND: Only one half of Americans have their blood pressure controlled, and there are significant racial differences in blood pressure control. The goal of this study was to examine the effectiveness of 2 patient-directed interventions designed to imp ... Full text Open Access Link to item Cite

The effectiveness of personalized coronary heart disease and stroke risk communication.

Journal Article Am Heart J · April 2011 Featured Publication BACKGROUND: Current guidelines recommend global risk assessment to guide vascular risk factor management; however, most provider-patient communication focuses on individual risk factors in isolation. We sought to evaluate the impact of personalized coronar ... Full text Open Access Link to item Cite

Secondary prevention risk interventions via telemedicine and tailored patient education (SPRITE): a randomized trial to improve postmyocardial infarction management.

Journal Article Circ Cardiovasc Qual Outcomes · March 2011 Featured Publication BACKGROUND: Secondary prevention by risk factor modification improves patient outcomes, yet it is often not achieved in clinical practice. Reasons for failure stem from challenges of prioritizing risk factor reduction and engaging patients in changing thei ... Full text Open Access Link to item Cite

Evaluation of a self-management implementation intervention to improve hypertension control among patients in Medicaid.

Journal Article Transl Behav Med · March 2011 Elevated blood pressure can lead to serious patient morbidity and mortality. The aim of the study was to evaluate the implementation of a tailored multifaceted program, administered by care managers in a Medicaid setting to improve hypertension medication ... Full text Open Access Link to item Cite

Long-term changes in physical activity following a one-year home-based physical activity counseling program in older adults with multiple morbidities.

Journal Article J Aging Res · December 26, 2010 Featured Publication This study assessed the sustained effect of a physical activity (PA) counseling intervention on PA one year after intervention, predictors of sustained PA participation, and three classes of post-intervention PA trajectories (improvers, maintainers, and de ... Full text Open Access Link to item Cite

Medication adherence

Journal Article · December 1, 2010 A key component in the management of health-care conditions is the use of prescribed medications. The effectiveness of medications and their long-term benefits depends on adherence to the prescriber's instructions [1]. Adherence is defined as the extent to ... Full text Cite

Improving patient treatment adherence: A clinician's guide

Journal Article Improving Patient Treatment Adherence: A Clinician's Guide · December 1, 2010 Virtually all medical and behavioral health treatments require at least some degree of patient adherence to succeed. Despite the relationship between health behaviors and outcomes, little attention is paid to developing proven methods for identifying and a ... Full text Cite

Telephone-based self-management of osteoarthritis: A randomized trial.

Journal Article Ann Intern Med · November 2, 2010 Featured Publication BACKGROUND: Osteoarthritis is a leading cause of pain and disability, and self-management behaviors for osteoarthritis are underutilized. OBJECTIVE: To examine the effectiveness of a telephone-based self-management intervention for hip or knee osteoarthrit ... Full text Open Access Link to item Cite

Patient self-management support: novel strategies in hypertension and heart disease.

Journal Article Cardiol Clin · November 2010 Featured Publication Cardiovascular diseases (CVDs) have become the leading cause of death and disability in most countries in the world. This article addresses how patient self-management is a crucial component of effective high-quality health care for hypertension and CVD. T ... Full text Link to item Cite

Study protocol: the Adherence and Intensification of Medications (AIM) study--a cluster randomized controlled effectiveness study.

Journal Article Trials · October 12, 2010 Featured Publication BACKGROUND: Many patients with diabetes have poor blood pressure (BP) control. Pharmacological therapy is the cornerstone of effective BP treatment, yet there are high rates both of poor medication adherence and failure to intensify medications. Successful ... Full text Open Access Link to item Cite

Individual progress toward self-selected goals among older adults enrolled in a physical activity counseling intervention.

Journal Article J Aging Phys Act · October 2010 Featured Publication The purpose of this study was to examine what happens to goals over the course of a physical activity counseling trial in older veterans. At baseline, participants (N = 313) identified 1 health-related goal and 1 walking goal for their participation in the ... Full text Link to item Cite

Measuring social health in the patient-reported outcomes measurement information system (PROMIS): item bank development and testing.

Journal Article Qual Life Res · September 2010 Featured Publication PURPOSE: To develop a social health measurement framework, to test items in diverse populations and to develop item response theory (IRT) item banks. METHODS: A literature review guided framework development of Social Function and Social Relationships sub- ... Full text Open Access Link to item Cite

Economic analysis of a tailored behavioral intervention to improve blood pressure control for primary care patients.

Journal Article Am Heart J · August 2010 Featured Publication BACKGROUND: Few telemedicine programs have undergone cost analyses, impeding their implementation into practice. We report on the economic analysis of a nurse-administered intervention designed to improve blood pressure control among hypertensive veterans. ... Full text Open Access Link to item Cite

Is there a nonadherent subtype of hypertensive patient? A latent class analysis approach.

Journal Article Patient Prefer Adherence · July 21, 2010 Featured Publication To determine subtypes of adherence, 636 hypertensive patients (48% White, 34% male) reported adherence to medications, diet, exercise, smoking, and home blood pressure monitoring. A latent class analysis approach was used to identify subgroups that adhere ... Full text Open Access Link to item Cite

The implementation of a translational study involving a primary care based behavioral program to improve blood pressure control: The HTN-IMPROVE study protocol (01295).

Journal Article Implement Sci · July 16, 2010 Featured Publication BACKGROUND: Despite the impact of hypertension and widely accepted target values for blood pressure (BP), interventions to improve BP control have had limited success. OBJECTIVES: We describe the design of a 'translational' study that examines the implemen ... Full text Open Access Link to item Cite

Can this patient read and understand written health information?

Journal Article JAMA · July 7, 2010 Featured Publication CONTEXT: Patients with limited literacy are at higher risk for poor health outcomes; however, physicians' perceptions are inaccurate for identifying these patients. OBJECTIVE: To systematically review the accuracy of brief instruments for identifying patie ... Full text Open Access Link to item Cite

Hypertension Improvement Project (HIP) Latino: results of a pilot study of lifestyle intervention for lowering blood pressure in Latino adults.

Journal Article Ethn Health · June 2010 Featured Publication OBJECTIVES: To assess the feasibility of a culturally tailored behavioral intervention for improving hypertension-related health behaviors in Hispanic/Latino adults. DESIGN: Feasibility pilot study in a community health center and a Latino organization in ... Full text Link to item Cite

Change in goal ratings as a mediating variable between self-efficacy and physical activity in older men.

Journal Article Ann Behav Med · June 2010 Featured Publication BACKGROUND: Few studies have examined the associations between exercise self-efficacy, goals, and physical activity over time. PURPOSE: This study examines whether self-selected goals mediate the changes in exercise self-efficacy on physical activity over ... Full text Open Access Link to item Cite

The impact of self-reported arthritis and diabetes on response to a home-based physical activity counselling intervention.

Journal Article Scand J Rheumatol · May 2010 Featured Publication OBJECTIVES: Physical activity (PA) has the potential to improve outcomes in both arthritis and diabetes, but these conditions are rarely examined together. Our objective was to explore whether persons with arthritis alone or those with both arthritis and d ... Full text Link to item Cite

Economic evaluation of home blood pressure monitoring with or without telephonic behavioral self-management in patients with hypertension.

Journal Article Am J Hypertens · February 2010 Featured Publication BACKGROUND: The Take Control of Your Blood Pressure trial evaluated the effect of a multicomponent telephonic behavioral lifestyle intervention, patient self-monitoring, and both interventions combined compared with usual care on reducing systolic blood pr ... Full text Link to item Cite

Racial differences in osteoarthritis pain and function: potential explanatory factors.

Journal Article Osteoarthritis Cartilage · February 2010 Featured Publication OBJECTIVE: This study examined factors underlying racial differences in pain and function among patients with hip and/or knee osteoarthritis (OA). METHODS: Participants were n=491 African Americans and Caucasians enrolled in a clinical trial of telephone-b ... Full text Link to item Cite

Introduction

Chapter · 2010 Full text Cite

Toward the development of national telehealth services: the role of Veterans Health Administration and future directions for research.

Journal Article Telemed J E Health · 2010 Featured Publication The Veterans Health Administration (VHA) in the Department of Veteran Affairs (VA) has emerged as a national and international leader in the delivery and research of telehealth-based treatment. Several unique characteristics of care in VA settings intersec ... Full text Open Access Link to item Cite

Implementing evidence-based patient self-management programs in the Veterans Health Administration: perspectives on delivery system design considerations.

Journal Article J Gen Intern Med · January 2010 Featured Publication While many patient self-management (PSM) programs have been developed and evaluated for effectiveness, less effort has been devoted to translating and systematically delivering PSM in primary and specialty care. Therefore, the purpose of this paper is to r ... Full text Link to item Cite

Is diabetes associated with poorer self-efficacy and motivation for physical activity in older adults with arthritis?

Journal Article Scand J Rheumatol · 2010 Featured Publication OBJECTIVES: The primary aim was to explore whether arthritis is associated with poorer self-efficacy and motivation for, and participation in, two specific types of physical activity (PA): endurance training (ET) and strength training (ST). A further objec ... Full text Link to item Cite

Toward the development of national telehealth services: the role of Veterans Health Administration and future directions for research.

Journal Article Telemedicine journal and e-health : the official journal of the American Telemedicine Association · January 1, 2010 The Veterans Health Administration (VHA) in the Department of Veteran Affairs (VA) has emerged as a national and international leader in the delivery and research of telehealth-based treatment. Several unique characteristics of care in VA settings intersec ... Cite

Two self-management interventions to improve hypertension control: a randomized trial.

Journal Article Ann Intern Med · November 17, 2009 Featured Publication BACKGROUND: Fewer than 40% of persons with hypertension in the United States have adequate blood pressure (BP) control. OBJECTIVE: To compare 2 self-management interventions for improving BP control among hypertensive patients. DESIGN: A 2 x 2 randomized t ... Full text Link to item Cite

Diversity, health, and the state of patient care in the US health care system.

Journal Article J Gen Intern Med · November 2009 Featured Publication Full text Link to item Cite

The moderating role of personality factors in the relationship between depression and neuropsychological functioning among older adults.

Journal Article Int J Geriatr Psychiatry · September 2009 Featured Publication OBJECTIVE: Depression is often associated with decreased cognitive performance among older adults. The current study focused on the association of neuropsychological functioning and personality traits in depressed and non-depressed older adults. METHODS: D ... Full text Link to item Cite

The Cholesterol, Hypertension, and Glucose Education (CHANGE) study for African Americans with diabetes: study design and methodology.

Journal Article Am Heart J · September 2009 Featured Publication BACKGROUND: Cardiovascular disease (CVD) and diabetes account for over one third of the mortality difference between African Americans and white patients. The increased CVD risk in African Americans is due in large part to the clustering of multiple CVD ri ... Full text Link to item Cite

The effect of a hypertension self-management intervention on diabetes and cholesterol control.

Journal Article Am J Med · July 2009 Featured Publication BACKGROUND: Most patient chronic disease self-management interventions target single-disease outcomes. We evaluated the effect of a tailored hypertension self-management intervention on the unintended targets of glycosylated hemoglobin (HbA1c) and low-dens ... Full text Link to item Cite

The Veterans Learning to Improve Fitness and Function in Elders Study: a randomized trial of primary care-based physical activity counseling for older men.

Journal Article J Am Geriatr Soc · July 2009 Featured Publication OBJECTIVES: To determine the effects of primary care-based, multicomponent physical activity counseling (PAC) promoting physical activity (PA) guidelines on gait speed and related measures of PA and function in older veterans. DESIGN: Randomized controlled ... Full text Link to item Cite

The associations of patient demographic characteristics and health information recall: the mediating role of health literacy.

Journal Article Neuropsychol Dev Cogn B Aging Neuropsychol Cogn · July 2009 We examined the mediating role of health literacy in the relationships between participant demographic characteristics and health information recall. Baseline data from two studies that focused on hypertensive adults (N = 1190; M = 62.28 years, SD = 11.98; ... Full text Link to item Cite

Strategies for implementing and sustaining therapeutic lifestyle changes as part of hypertension management in African Americans.

Journal Article Postgrad Med · May 2009 Featured Publication African Americans with high blood pressure (BP) can benefit greatly from therapeutic lifestyle changes (TLC) such as diet modification, physical activity, and weight management. However, they and their health care providers face many barriers in modifying ... Full text Link to item Cite

Medication acquisition and self-reported adherence in veterans with hypertension.

Journal Article Med Care · April 2009 Featured Publication OBJECTIVES: To examine factors associated with oversupply and undersupply of antihypertensive medication, and examine evidence for medication acquisition as distinct from self-reported adherence. RESEARCH DESIGN: Analysis of pharmacy refill records, medica ... Full text Link to item Cite

Patient education and provider decision support to control blood pressure in primary care: a cluster randomized trial.

Journal Article Am Heart J · March 2009 Featured Publication BACKGROUND: Less than one third of the 65 million Americans with hypertension have adequate blood pressure (BP) control. This study examined the effectiveness of 2 interventions for improving patient BP control. METHODS: This was a 2-level (primary care pr ... Full text Link to item Cite

Study protocol: Couples Partnering for Lipid Enhancing Strategies (CouPLES) - a randomized, controlled trial.

Journal Article Trials · February 6, 2009 Featured Publication BACKGROUND: Almost 50% of Americans have elevated low-density lipoprotein cholesterol (LDL-C). The behaviors required to lower LDL-C levels may be difficult to adhere to if they are inconsistent with spouses' health practices, and, alternatively, may be en ... Full text Link to item Cite

Feasibility of blood pressure telemonitoring in patients with poor blood pressure control.

Journal Article J Telemed Telecare · 2009 Featured Publication We examined the feasibility of using home blood pressure (BP) telemonitoring devices for managing patients with poor BP control. We enrolled 591 subjects with a diagnosis of hypertension. Patients were randomized to usual care (n = 147) or to the intervent ... Full text Link to item Cite

Patient characteristics associated with receipt of lifestyle behavior advice.

Journal Article N C Med J · 2009 Featured Publication BACKGROUND: Lifestyle behaviors such as reducing weight if overweight or obese, reducing salt intake, exercising, reducing alcohol intake, quitting smoking, and eating a healthy diet are related to the prevention and control of chronic diseases. However th ... Link to item Cite

Racial differences in hypertension knowledge: effects of differential item functioning.

Journal Article Ethn Dis · 2009 Featured Publication Health-related knowledge is an important component in the self-management of chronic illnesses. The objective of this study was to more accurately assess racial differences in hypertension knowledge by using a latent variable modeling approach that control ... Link to item Cite

The Support, Education, and Research in Chronic Heart Failure Study (SEARCH): a mindfulness-based psychoeducational intervention improves depression and clinical symptoms in patients with chronic heart failure.

Journal Article Am Heart J · January 2009 Featured Publication BACKGROUND: The Support, Education, and Research in Chronic Heart Failure (SEARCH) study was designed to assess the impact of a mindfulness-based psychoeducational intervention on clinical outcomes, depression, and quality of life in patients with chronic ... Full text Link to item Cite

Strategies for analyzing multilevel cluster-randomized studies with binary outcomes collected at varying intervals of time.

Journal Article Stat Med · December 20, 2008 Featured Publication Frequently, studies are conducted in a real clinic setting. When the outcome of interest is collected longitudinally over a specified period of time, this design can lead to unequally spaced intervals and varying numbers of assessments. In our study, these ... Full text Link to item Cite

The association of emotional well-being and marital status with treatment adherence among patients with hypertension.

Journal Article J Behav Med · December 2008 Featured Publication We were interested in examining the relationship between psychosocial factors and hypertension-related behaviors. We hypothesized that lower emotional well-being and unmarried status would be related to higher BP, poorer medication adherence, greater diffi ... Full text Link to item Cite

Literacy and blood pressure--do healthcare systems influence this relationship? A cross-sectional study.

Journal Article BMC Health Serv Res · October 23, 2008 Featured Publication BACKGROUND: Limited literacy is common among patients with chronic conditions and is associated with poor health outcomes. We sought to determine the association between literacy and blood pressure in primary care patients with hypertension and to determin ... Full text Link to item Cite

Death or hospitalization of patients on chronic hemodialysis is associated with a physician-based diagnosis of depression.

Journal Article Kidney Int · October 2008 Featured Publication Depressive symptoms, assessed using a self-report type of questionnaire, have been associated with poor outcomes in dialysis patients. Here we determined if depressive disorders diagnosed by physicians are also associated with such outcomes. Ninety-eight c ... Full text Link to item Cite

Patient and social environment factors associated with self blood pressure monitoring by male veterans with hypertension.

Journal Article J Clin Hypertens (Greenwich) · September 2008 Featured Publication Self blood pressure monitoring (SBPM) can facilitate hypertension management, but determinants of SBPM are understudied. The authors examined the relationship of patient and social environment characteristics to monitor possession and frequency of SBPM in ... Full text Link to item Cite

The Self-Management of OsteoArthritis in Veterans (SeMOA) Study: design and methodology.

Journal Article Contemp Clin Trials · July 2008 Featured Publication BACKGROUND: Osteoarthritis (OA) is a leading cause of disability among adults. Although self-management behaviors such as exercise and weight management can improve pain and function, these behaviors are vastly underutilized. There is a need to implement e ... Full text Link to item Cite

Content validity in the PROMIS social-health domain: a qualitative analysis of focus-group data.

Journal Article Qual Life Res · June 2008 Featured Publication PURPOSE: Our aim was to assess the content validity of the Patient-Reported Outcomes Measurement Information System (PROMIS) social health item banks by comparing a prespecified conceptual model with concepts that focus-group participants identified as imp ... Full text Link to item Cite

Racial differences in blood pressure control: potential explanatory factors.

Journal Article J Gen Intern Med · May 2008 Featured Publication OBJECTIVE: The objective of the study was to identify potential explanatory factors for racial differences in blood pressure (BP) control. DESIGN: The design of the study was a cross-sectional study PATIENTS/PARTICIPANTS: The study included 608 patients wi ... Full text Link to item Cite

Perceived and actual stroke risk among men with hypertension.

Journal Article J Clin Hypertens (Greenwich) · April 2008 Featured Publication The purposes of this study were to determine whether there is a significant correlation between the perceived and actual stroke risk among hypertensive patients and to identify patient characteristics associated with inaccurate estimation of stroke risk. T ... Full text Link to item Cite

Take Control of Your Blood Pressure (TCYB) study: a multifactorial tailored behavioral and educational intervention for achieving blood pressure control.

Journal Article Patient Educ Couns · March 2008 Featured Publication OBJECTIVE: Evaluating a randomized controlled trial involving a tailored behavioral intervention conducted to improve blood pressure control. METHODS: Adults with hypertension from two outpatient primary care clinics were randomly allocated to receive a nu ... Full text Link to item Cite

Selective adherence to antihypertensive medications as a patient-driven means to preserving sexual potency.

Journal Article Patient Prefer Adherence · February 2, 2008 Featured Publication OBJECTIVE: To describe hypertensive patients' experiences with sexual side effects and their consequences for antihypertensive medication adherence. METHODS: Data were from a study conducted to identify facilitators of and barriers to adherence to blood pr ... Full text Link to item Cite

The effects of antidepressant medication adherence as well as psychosocial and clinical factors on depression outcome among older adults.

Journal Article Int J Geriatr Psychiatry · February 2008 Featured Publication OBJECTIVE: To examine the contribution of medication adherence to 12-month depression scores in the context of other psychosocial and clinical predictors of depression in a sample of older adults treated for depression. METHODS: Secondary analysis of a pro ... Full text Link to item Cite

Project LIFE--Learning to Improve Fitness and Function in Elders: methods, design, and baseline characteristics of randomized trial.

Journal Article J Rehabil Res Dev · 2008 Insufficient levels of physical activity have significant clinical consequences. Primary care settings typically do not emphasize physical activity counseling. We describe the design, methods, and baseline characteristics of "Learning to Improve Fitness an ... Full text Link to item Cite

Five-year trajectories of social networks and social support in older adults with major depression.

Journal Article Int Psychogeriatr · December 2007 Featured Publication BACKGROUND: Research with nondepressed adults suggests that social networks and social support are stable over the life course until very late age. This may not hold true for older adults with depression. We examined baseline status and trajectories of soc ... Full text Link to item Cite

Studying complexity is complex.

Journal Article J Gen Intern Med · December 2007 Full text Link to item Cite

RACIAL DIFFERENCES IN BLOOD PRESSURE CONTROL: POTENTIAL EXPLANATORY FACTORS

Journal Article ANNALS OF BEHAVIORAL MEDICINE · December 1, 2007 Link to item Cite

Introduction

Journal Article Journal of Cosmetic Dermatology · December 1, 2007 Full text Cite

Association of antihypertensive therapy and diastolic hypotension in chronic kidney disease.

Journal Article Hypertension · September 2007 The extent to which chronic kidney disease (CKD) affects achievement of blood pressure targets is not comprehensively understood. We evaluated the effects of CKD (estimated glomerular filtration rate: <60 mL/min per 1.73 m(2)) on achievement of blood press ... Full text Link to item Cite

Hypertension Intervention Nurse Telemedicine Study (HINTS): testing a multifactorial tailored behavioral/educational and a medication management intervention for blood pressure control.

Journal Article Am Heart J · June 2007 Featured Publication BACKGROUND: Only 31% of Americans with hypertension have their blood pressure (BP) under effective control. We describe a study that tests 3 different interventions in a randomized controlled trial using home BP telemedicine monitoring. METHODS: A sample o ... Full text Link to item Cite

Supporting self-management for patients with complex medical needs: recommendations of a working group.

Journal Article Chronic Illn · June 2007 Featured Publication Increasing numbers of persons live with complex chronic medical needs and are at risk for poor health outcomes. These patients require unique self-management support, as they must manage many, often interacting, tasks. As part of a conference on Managing C ... Full text Link to item Cite

Does participatory decision making improve hypertension self-care behaviors and outcomes?

Journal Article J Clin Hypertens (Greenwich) · May 2007 Featured Publication This study examined patients' perceptions of their providers' participatory decision making (PDM) style and hypertension self-care behaviors and outcomes. Five hundred fifty-four veterans with hypertension enrolled in the Veterans' Study to Improve the Con ... Full text Link to item Cite

Perceived and actual risk of stroke among veterans with hypertension

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · April 1, 2007 Link to item Cite

Interpersonal trauma, war zone exposure, and posttraumatic stress disorder among veterans with schizophrenia.

Journal Article Schizophr Res · March 2007 Featured Publication The present study examined the prevalence of war zone exposure, interpersonal trauma and post-traumatic stress disorder (PTSD) in veterans with primary schizophrenia hospitalized on a VA inpatient psychiatric unit. Data were collected on a sample of male v ... Full text Link to item Cite

Executive function deficits in acute stroke.

Journal Article Arch Phys Med Rehabil · February 2007 Featured Publication OBJECTIVES: To establish the frequency of executive dysfunction during acute hospitalization for stroke and to examine the relationship of that dysfunction to stroke severity and premorbid characteristics. DESIGN: Inception cohort study. SETTING: Inpatient ... Full text Link to item Cite

The Take Control of Your Blood pressure (TCYB) study: study design and methodology.

Journal Article Contemp Clin Trials · January 2007 Featured Publication BACKGROUND: Among the 65 million Americans with hypertension, only approximately 31% have their blood pressure under control (<140/90 mm/Hg). Despite the damaging impact of hypertension and the availability of evidence-based target values for blood pressur ... Full text Link to item Cite

Reply

Journal Article Gastroenterology · January 1, 2007 Full text Cite

Revisiting literacy and adherence: future clinical and research directions.

Journal Article J Gen Intern Med · December 2006 Featured Publication Full text Link to item Cite

Prospective comparison of patient experience with colon imaging tests.

Journal Article Am J Med · September 2006 Featured Publication PURPOSE: Patient experience varies with the currently available colon imaging tests, including air contrast barium enema, computed tomographic colonography, and colonoscopy. We examined differences in patient experience with colon imaging tests and whether ... Full text Link to item Cite

Project LIFE: a partnership to increase physical activity in elders with multiple chronic illnesses.

Journal Article J Aging Phys Act · July 2006 The authors describe a medical center-based randomized trial aimed at determining the feasibility and effectiveness of partnering patients and primary-care providers with an exercise health counselor. Study participants included 165 veterans age 70 years a ... Full text Link to item Cite

The impact of posttraumatic stress disorder on quality of life and health service utilization among veterans who have schizophrenia.

Journal Article J Trauma Stress · June 2006 Featured Publication The present study examined the impact of comorbid posttraumatic stress disorder (PTSD) on health-related quality of life and objective measures of health service utilization in 165 male veterans who have primary schizophrenia. Comorbid PTSD was assessed wi ... Full text Link to item Cite

The predictive value of self-report scales compared with physician diagnosis of depression in hemodialysis patients.

Journal Article Kidney Int · May 2006 Featured Publication The prevalence of depression in end-stage renal disease (ESRD) patients on hemodialysis has not been definitively determined. We examined the prevalence of depression and the sensitivity, specificity, positive, and negative likelihood ratios (+LR and -LR) ... Full text Link to item Cite

Knowledge and risks of human immunodeficiency virus transmission among veterans with severe mental illness.

Journal Article Mil Med · April 2006 Featured Publication This study is among the first to examine knowledge about human immunodeficiency virus (HIV) and behavioral risks for HIV transmission among veterans with severe mental illness (SMI), a group at high risk for HIV infection. This study examined associations ... Full text Link to item Cite

Medication barriers and anti-hypertensive medication adherence: the moderating role of locus of control.

Journal Article Psychol Health Med · February 2006 Featured Publication Locus of control as a moderator of the relationship between medication barriers (e.g., side-effects, forgetting to take medication, and keeping track of pills) and anti-hypertensive medication adherence was examined. Baseline data were obtained from 588 hy ... Full text Link to item Cite

"Are you at peace?": one item to probe spiritual concerns at the end of life.

Journal Article Arch Intern Med · January 9, 2006 Featured Publication BACKGROUND: Physicians may question their role in probing patients' spiritual distress and the practicality of addressing such issues in the time-limited clinical encounter. Yet, patients' spirituality often influences treatment choices during a course of ... Full text Link to item Cite

Racial differences in blood pressure control: potential explanatory factors.

Journal Article Am J Med · January 2006 Featured Publication PURPOSE: Poor blood pressure control remains a common problem that contributes to significant cardiovascular morbidity and mortality, particularly among African Americans. We explored antihypertensive medication adherence and other factors that may explain ... Full text Link to item Cite

Racial differences in health concern.

Journal Article J Natl Med Assoc · January 2006 Featured Publication An understanding of racial differences in risk-related affect may help explain racial differences in health behaviors and outcomes and provide additional opportunities for intervention. In phone interviews with a random community sample of 197 whites, 155 ... Link to item Cite

Identifying barriers to hypertension guideline adherence using clinician feedback at the point of care.

Journal Article AMIA Annu Symp Proc · 2006 Featured Publication Factors contributing to low adherence to clinical guidelines by clinicians are not well understood. The user interface of ATHENA-HTN, a guideline-based decision support system (DSS) for hypertension, presents a novel opportunity to collect clinician feedba ... Link to item Cite

Office measurements usually overestimate BP

Conference CLEVELAND CLINIC JOURNAL OF MEDICINE · December 1, 2005 Link to item Cite

Comparison of three comorbidity measures for predicting health service use in patients with osteoarthritis.

Journal Article Arthritis Rheum · October 15, 2005 Featured Publication OBJECTIVE: To compare the ability of 3 database-derived comorbidity scores, the Charlson Score, Elixhauser method, and RxRisk-V, in predicting health service use among individuals with osteoarthritis (OA). METHODS: The study population comprised 306 patien ... Full text Link to item Cite

Subjective and objective evaluations of health among middle-aged and older veterans with hypertension.

Journal Article J Aging Health · October 2005 Featured Publication OBJECTIVE: The congruence between self-rated health and objective health was examined for associations with health factors related to hypertension (health behaviors, medication barriers, and perceived blood-pressure control). METHODS: The Charlson Comorbid ... Full text Link to item Cite

Physician-diagnosed depression as a correlate of hospitalizations in patients receiving long-term hemodialysis.

Journal Article Am J Kidney Dis · October 2005 Featured Publication BACKGROUND: Hospital admissions consume a large proportion of costs for the end-stage renal disease (ESRD) program in the United States. We investigated whether a physician diagnosis of depression increases the risk for hospitalization or death in patients ... Full text Link to item Cite

Lifetime sexual and physical victimization among male veterans with combat-related post-traumatic stress disorder.

Journal Article Mil Med · September 2005 Featured Publication Because of the high prevalence of post-traumatic stress disorder (PTSD) among veteran men and the limited research on victimization in this group, we recruited 133 male veterans with combat-related PTSD from a psychiatric inpatient unit and assessed them f ... Full text Link to item Cite

Conclusion

Chapter · August 21, 2005 Full text Cite

Patient preference and validity of randomized controlled trials.

Journal Article JAMA · July 6, 2005 Featured Publication Full text Link to item Cite

Perceived discrimination and reported delay of pharmacy prescriptions and medical tests.

Journal Article J Gen Intern Med · July 2005 Featured Publication BACKGROUND: Access to health care varies according to a person's race and ethnicity. Delaying treatment is one measure of access with important health consequences. OBJECTIVE: Determine whether perceptions of unfair treatment because of race or ethnicity a ... Full text Link to item Cite

Hormone therapy does not affect depression severity in older women.

Journal Article Am J Geriatr Psychiatry · July 2005 Featured Publication OBJECTIVE: Although estrogens are thought to have a beneficial effect on menopausal symptoms, the role of estrogen in the etiology and treatment of depression in older women remains unclear. The authors examined the relationship between hormone therapy (HT ... Full text Link to item Cite

How well do clinic-based blood pressure measurements agree with the mercury standard?

Journal Article J Gen Intern Med · July 2005 Featured Publication BACKGROUND: Obtaining accurate blood pressure (BP) readings is a challenge faced by health professionals. Clinical trials implement strict protocols, whereas clinical practices and studies that assess quality of care utilize a less rigorous protocol for BP ... Full text Link to item Cite

Quantitative myasthenia gravis score: assessment of responsiveness and longitudinal validity.

Journal Article Neurology · June 14, 2005 We prospectively tested the quantitative myasthenia gravis score (QMG) for responsiveness and longitudinal construct validity in 53 patients with myasthenia gravis. Index of responsiveness was high. Longitudinal construct validity was confirmed by the corr ... Full text Link to item Cite

Nurse administered telephone intervention for blood pressure control: a patient-tailored multifactorial intervention.

Journal Article Patient Educ Couns · April 2005 Featured Publication OBJECTIVES: A randomized controlled trial involving a nurse administered patient-tailored intervention is being conducted to improve blood pressure (BP) control. METHODS: Veterans with hypertension from an outpatient primary care clinic completed a baselin ... Full text Link to item Cite

Religiosity/spirituality and pain in patients with sickle cell disease.

Journal Article J Nerv Ment Dis · April 2005 Featured Publication Religion/spirituality has been identified by individuals with sickle cell disease (SCD) as an important factor in coping with stress and in determining quality of life. Research has demonstrated positive associations between religiosity/spirituality and be ... Full text Link to item Cite

The veterans' study to improve the control of hypertension (V-STITCH): design and methodology.

Journal Article Contemp Clin Trials · April 2005 Featured Publication BACKGROUND: Among the 60 million Americans with hypertension, only approximately 31% have their blood pressure (BP) under control (<140/90 mm Hg). Despite the damaging impact of hypertension and the availability of evidence-based target values for BP, inte ... Full text Link to item Cite

Prostate cancer: a significant risk factor for late-life suicide.

Journal Article Am J Geriatr Psychiatry · March 2005 Featured Publication OBJECTIVE: The authors sought to determine the incidence of suicide and its relevant correlates among men with prostate cancer. METHODS: This was a population-based, retrospective cohort review of men age 65 and older, residing in South Florida between 198 ... Full text Link to item Cite

Biological and social predictors of long-term geriatric depression outcome.

Journal Article Int Psychogeriatr · March 2005 Featured Publication OBJECTIVE: In this study, we examined 204 older depressed individuals for up to 64 months to determine factors related to depression outcome. We hypothesized that both presence of vascular brain lesions seen on baseline magnetic resonance imaging (MRI) sca ... Full text Link to item Cite

Overcoming clinical inertia: A visit-specific scale for measuring quality in hypertension care

Journal Article Journal of Clinical Outcomes Management · March 1, 2005 • Objective: To develop a valid, reproducible scale that quantifies a provider's reaction to uncontrolled blood pressure. • Design: Retrospective chart review. • Setting and participants: 70 patients with hypertension who were treated with antihypertensive ... Cite

Social support and locus of control as predictors of adherence to antidepressant medication in an elderly population.

Journal Article Am J Geriatr Psychiatry · February 2005 Featured Publication OBJECTIVE: The authors examined whether social support and locus of control (LOC), either individually or jointly, would be associated with subsequent self-reported medication adherence and treatment barriers in a sample of depressed elderly patients. METH ... Full text Link to item Cite

Initiation and discontinuation of hormone therapy for menopausal symptoms: results from a community sample.

Journal Article J Behav Med · February 2005 Featured Publication Factors related to initiation and discontinuation of hormonal therapy (HT) for treatment of menopausal symptoms were examined in a community sample of 533 peri/postmenopausal women aged 45-54 by telephone three times. Over 40 variables including: sociodemo ... Full text Link to item Cite

Analysis of air contrast barium enema, computed tomographic colonography, and colonoscopy: prospective comparison.

Journal Article Lancet · January 22, 2005 Featured Publication BACKGROUND: The usefulness of currently available colon imaging tests, including air contrast barium enema (ACBE), computed tomographic colonography (CTC), and colonoscopy, to detect colon polyps and cancers is uncertain. We aimed to assess the sensitivity ... Full text Link to item Cite

Severity of posttraumatic stress disorder and involvement with the criminal justice system

Journal Article Journal of Trauma Practice · January 1, 2005 Two hundred and forty-one Vietnam combat veterans with chronic posttraumatic stress disorder (PTSD) completed measures of PTSD symptom severity, combat exposure, depression, hostility, interpersonal violence, substance abuse, and arrest history. The majori ... Full text Cite

Perceived racial/ethnic bias in healthcare in Durham County, North Carolina: a comparison of community and national samples.

Journal Article N C Med J · 2005 Featured Publication BACKGROUND: We sought to compare findings of a national survey of perceptions of racial/ethnic discrimination in healthcare to those of a community survey, with emphasis on the perceptions of Latinos. METHODS: Responses from a national survey were compared ... Link to item Cite

Intentional and unintentional nonadherence to antihypertensive medication.

Journal Article Ann Pharmacother · 2005 Featured Publication BACKGROUND: Hypertension is poorly controlled in the US due to medication nonadherence. Recent evidence suggests that nonadherence can be classified as intentional or unintentional and different patient characteristics, such as the experience of adverse ef ... Full text Link to item Cite

Who trusts healthcare institutions? Results from a community-based sample.

Journal Article Ethn Dis · 2005 Featured Publication OBJECTIVE: The goal of this research was to examine racial differences in trust in various healthcare institutions. METHOD: In telephone interviews, 195 Whites, 183 Blacks, and 171 Latinos from Durham, NC indicated how often they trust various institutions ... Link to item Cite

Effect of health-related stereotypes on physiological responses of hypertensive middle-aged and older men.

Journal Article J Gerontol B Psychol Sci Soc Sci · January 2005 Featured Publication This study examined the influence of health stereotypes on stress response among middle-aged and older men. It was hypothesized that anxiety and cardiovascular reactivity would increase when health stereotypes were activated among veterans seeking care in ... Full text Link to item Cite

Racial differences in analgesic/anti-inflammatory medication adherence among patients with osteoarthritis.

Journal Article Ethn Dis · 2005 Featured Publication OBJECTIVES: This study examined the prevalence of self-reported adherence to medications for osteoarthritis (OA) and racial differences in adherence. METHODS: This was a cross-sectional survey of 156 Black and White veterans who were taking medications for ... Link to item Cite

Clinician awareness of adherence to hypertension guidelines.

Journal Article Am J Med · November 15, 2004 Featured Publication PURPOSE: Little is known about how well clinicians are aware of their own adherence to clinical guidelines, an important indicator of quality. We compared clinicians' beliefs about their adherence to hypertension guidelines with data on their actual perfor ... Full text Link to item Cite

The relationship between perceived barriers to healthcare and self-rated health

Journal Article Psychology, Health and Medicine · November 1, 2004 The main purpose of the current investigation is to examine the extent to which health care barriers are uniquely associated with individual differences in self-rated health. Self-rated health can be easily assessed and is predictive of mortality, health c ... Full text Cite

Racial/ethnic variations in non-steroidal anti-inflammatory drug (NSAID) use among patients with osteoarthritis.

Journal Article Pharmacoepidemiol Drug Saf · October 2004 Featured Publication PURPOSE: Non-steroidal anti-inflammatory drugs (NSAIDs) are the most commonly prescribed drugs for the treatment of osteoarthritis (OA). While there are documented racial differences in the use of opioid analgesics, little is known about racial differences ... Full text Link to item Cite

Pilot study of home-based strength training for knee osteoarthritis.

Conference ARTHRITIS AND RHEUMATISM · September 1, 2004 Link to item Cite

Depression increases in women during early to late menopause but decreases after menopause.

Journal Article Evid Based Ment Health · August 2004 Featured Publication Full text Link to item Cite

Telemedicine and hypertension

Journal Article Journal of Clinical Outcomes Management · August 1, 2004 • Objective: To review telemedicine approaches for management of hypertension. • Methods: Review of studies that illustrate the use of telemedicine in hypertension and discussion of an ongoing clinical trial, the Take Control of Your Blood Pressure study, ... Cite

Patient risk perceptions for carotid endarterectomy: which patients are strongly averse to surgery?

Journal Article J Vasc Surg · July 2004 Featured Publication BACKGROUND AND PURPOSE: Patient risk perception for surgery may be central to their willingness to undergo surgery. This study examined potential factors associated with patient aversion of surgery. METHODS: This is a secondary data analysis of a prospecti ... Full text Link to item Cite

The effect of poststroke cognitive impairment on rehabilitation process and functional outcome.

Journal Article Arch Phys Med Rehabil · July 2004 Featured Publication OBJECTIVES: To determine whether cognitive impairment affects access to, or quality of, rehabilitation services, and to examine the effects of functional outcomes in stroke patients. DESIGN: Secondary analysis of prospective cohort of stroke patients follo ... Full text Link to item Cite

Racial differences in analgesic/anti-inflammatory medication use and perceptions of efficacy.

Journal Article J Natl Med Assoc · July 2004 Featured Publication BACKGROUND AND OBJECTIVE: Pharmacotherapy is a key component to osteoarthritis (OA) treatment. Research has shown important racial differences in pain thresholds and perceptions, but little is known about racial variations in responses to pain medications. ... Link to item Cite

Use of psychiatric and medical health care by veterans with severe mental illness.

Journal Article Psychiatr Serv · June 2004 Featured Publication Risk behaviors and health care use among 396 initially hospitalized veterans with severe mental illnesses were examined. Health care use was abstracted from Veterans Affairs databases (March 1998 to June 2000) for one year after hospital discharge. Lifetim ... Full text Link to item Cite

Physiological arousal among women veterans with and without posttraumatic stress disorder.

Journal Article Mil Med · April 2004 Featured Publication The purpose of this study was to assess baseline physiological arousal in women veterans with posttraumatic stress disorder (PTSD) in a nonresearch setting. Heart rate, blood pressure, sublingual temperature, and weight were obtained from a retrospective c ... Full text Link to item Cite

How well do clinic-based blood pressure measurements agree with rigorous standards?

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · April 1, 2004 Link to item Cite

Visit-specific Hypertension Quality of Care Scale.

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · April 1, 2004 Link to item Cite

Innovation in practice: Athena DSS hypertension management system.

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · April 1, 2004 Link to item Cite

Measuring quality of life at the end of life: validation of the QUAL-E.

Journal Article Palliat Support Care · March 2004 Featured Publication OBJECTIVES: To validate the QUAL-E, a new measure of quality of life at the end of life. METHODS: We conducted a cross-sectional study to assess the instrument's psychometric properties, including the QUAL-E's associations with existing measures, evaluatio ... Full text Link to item Cite

Evaluating provider adherence in a trial of a guideline-based decision support system for hypertension.

Journal Article Studies in health technology and informatics · January 2004 Measurement of provider adherence to a guideline-based decision support system (DSS) presents a number of important challenges. Establishing a causal relationship between the DSS and change in concordance requires consideration of both the primary intentio ... Cite

Racial differences in hepatitis B and hepatitis C and associated risk behaviors in veterans with severe mental illness.

Journal Article J Natl Med Assoc · January 2004 Featured Publication Racial differences in the seroprevalence of and risks for hepatitis B (HBV) and hepatitis C (HCV) were examined in military veterans with severe mental illnesses (SMI). Participants (376; 155 Caucasian, 221 African American) were inpatients at a Veterans A ... Link to item Cite

Congestive heart failure patients' perceptions of quality of life: the integration of physical and psychosocial factors.

Journal Article Aging Ment Health · January 2004 Featured Publication Congestive heart failure (CHF) lowers survival and worsens the quality of life (QOL) of over four million older Americans. Both clinicians and standardized instruments used to assess the QOL of patients with CHF focus primarily on physical symptoms rather ... Full text Link to item Cite

Evaluating provider adherence in a trial of a guideline-based decision support system for hypertension.

Journal Article Stud Health Technol Inform · 2004 Featured Publication Measurement of provider adherence to a guideline-based decision support system (DSS) presents a number of important challenges. Establishing a causal relationship between the DSS and change in concordance requires consideration of both the primary intentio ... Link to item Cite

Nonsteroidal antiinflammatory drug use among patients with GI bleeding.

Journal Article Ann Pharmacother · 2004 Featured Publication BACKGROUND: Previous studies have suggested that recommended gastroprotective strategies such as gastroprotective agents (GPAs) and cyclooxygenase (COX) 2 inhibitors may be underutilized among individuals at risk for nonsteroidal antiinflammatory drug (NSA ... Full text Link to item Cite

Patterns of opioid analgesic prescription among patients with osteoarthritis.

Journal Article J Pain Palliat Care Pharmacother · 2004 Featured Publication This study describes patterns of opioid analgesic prescription during a one-year period among a sample of patients with osteoarthritis (OA). The study sample included 3,061 patients with prior ICD-9 codes indicating a diagnosis of OA who were treated at a ... Link to item Cite

The association of psychosocial factors and depression with hypertension among older adults.

Journal Article Int J Geriatr Psychiatry · December 2003 Featured Publication OBJECTIVE: To examine the relationship between depression and hypertension in an elderly population and how psychosocial variables influence this relationship. METHODS: The study included 293 subjects, who met DSM-IV criteria for unipolar depression, and 1 ... Full text Link to item Cite

The impact of religious practice and religious coping on geriatric depression.

Journal Article Int J Geriatr Psychiatry · October 2003 Featured Publication OBJECTIVE: Both religiousness and social support have been shown to influence depression outcome, yet some researchers have theorized that religiousness largely reflects social support. We set out to determine the relationship of religiousness with depress ... Full text Link to item Cite

Racial differences in health care utilization among patients with osteoarthritis.

Journal Article J Rheumatol · October 2003 Featured Publication OBJECTIVE: Research has identified racial variations in certain aspects of osteoarthritis (OA) related medical care. We compared health services utilization between African American and white veteran outpatients with OA. METHODS: Subjects were 1612 white a ... Link to item Cite

The Veterans Affairs Learners' Perceptions Survey: the foundation for educational quality improvement.

Journal Article Acad Med · September 2003 Featured Publication PURPOSE: The U.S. Department of Veterans Affairs (VA) supports 8,700 resident positions nationally to enhance quality of care for veterans and to educate physicians. This study sought to establish a yearly quality indicator to identify and follow strengths ... Full text Link to item Cite

Performance of recently detoxified patients with alcoholism on a neuropsychological screening test.

Journal Article Addict Behav · July 2003 Featured Publication OBJECTIVE: Early in recovery from alcoholism, cognitive deficits may compromise patients' utilization of rehabilitative information. Cognitive impairment in a sample of newly detoxified inpatients with alcoholism was examined using the Neurobehavioral Cogn ... Full text Link to item Cite

Regular sources of medical care among persons with severe mental illness at risk of hepatitis C infection.

Journal Article Psychiatr Serv · June 2003 OBJECTIVE: An estimated 19.6 percent of persons with severe mental illness are infected with the hepatitis C virus. Given the pressing need to identify and treat persons with severe mental illness who are at risk of hepatitis C infection and transmission, ... Full text Link to item Cite

Gender differences in hepatitis C infection and risks among persons with severe mental illness.

Journal Article Psychiatr Serv · June 2003 Featured Publication OBJECTIVES: The authors assessed gender differences in hepatitis C infection and associated risk behaviors among persons with severe mental illness. METHOD: S: The sample consisted of 777 patients (251 women and 526 men) from four sites. RESULTS: Across si ... Full text Link to item Cite

Are clinicians aware of their adherence to hypertension guidelines?

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · April 1, 2003 Link to item Cite

Effects of race and poverty on the process and outcome of inpatient rehabilitation services among stroke patients.

Journal Article Stroke · April 2003 Featured Publication BACKGROUND AND PURPOSE: The greater mortality and residual physical impairments among black stroke patients may be attributable to differential utilization of rehabilitation services. This report examines, within an equal-access healthcare system, racial d ... Full text Link to item Cite

Treatment Adherence

Chapter · January 1, 2003 Cite

A three-factor analytic model of the MADRS in geriatric depression.

Journal Article Int J Geriatr Psychiatry · January 2003 Featured Publication OBJECTIVE: Major depression is a heterogeneous disorder, perhaps comprising several clinical subtypes or subgroups of symptoms. This study examined whether items on the Montgomery-Asberg Depression Rating Scale (MADRS) form distinct symptom subgroups among ... Full text Link to item Cite

Coping styles and personality domains related to menopausal stress.

Journal Article Womens Health Issues · 2003 Featured Publication PURPOSE: Examine the role of coping styles and personality domains in relationship to stress associated with menopause. DATA/INFORMATION: Data are from 170 women ages 45 to 54 who completed a mailed questionnaire and a telephone interview that assessed wom ... Full text Link to item Cite

Provider characteristics and mammography recommendation among women in their 40s and 50s.

Journal Article J Womens Health (Larchmt) · 2003 Featured Publication OBJECTIVES: Healthcare provider recommendation for mammography is one of the strongest predictors of women's mammography use, but few studies have examined the association of provider characteristics with mammography recommendations. We examined the relati ... Full text Link to item Cite

Medical service utilization by veterans seeking help for posttraumatic stress disorder.

Journal Article Am J Psychiatry · December 2002 Featured Publication OBJECTIVE: Posttraumatic stress disorder (PTSD) has been associated with higher rates of health complaints and medical conditions diagnosed by physicians, yet research examining the relationship between PTSD and health care utilization has been limited. Th ... Full text Link to item Cite

Initial assessment of a new instrument to measure quality of life at the end of life.

Journal Article J Palliat Med · December 2002 Featured Publication PURPOSE: We conducted this study to pilot a new multidimensional instrument to assess the quality of life at the end of life. METHODS: Items were derived from focus groups and a national survey identifying attributes of the quality of dying. Fifty-four ite ... Full text Link to item Cite

Relationship between obesity and health-related quality of life in men.

Journal Article Obes Res · October 2002 Featured Publication OBJECTIVE: Few studies examining the relationship between obesity and health-related quality of life (HRQOL) have used a medical outpatient population or demonstrated a relationship in men. Furthermore, most studies have not adequately considered comorbid ... Full text Link to item Cite

Quality of life in patients with Barrett's esophagus undergoing surveillance.

Journal Article Am J Gastroenterol · September 2002 OBJECTIVES: Practice guidelines recommend surveillance for Barrett's esophagus (BE) because of the risk of esophageal cancer. The quality of life of patients undergoing surveillance is unknown. The objectives of this study were to develop a new utility ins ... Full text Link to item Cite

A tailored intervention to aid decision-making about hormone replacement therapy.

Journal Article Am J Public Health · July 2002 Featured Publication Full text Link to item Cite

Caregiver burden and psychological distress in partners of veterans with chronic posttraumatic stress disorder.

Journal Article J Trauma Stress · June 2002 Featured Publication Caregiver burden and psychological distress were examined in a sample of 71 partners of Vietnam War combat veterans. Partners of patients (n = 51) diagnosed with posttraumatic stress disorder (PTSD) experienced more caregiver burden and had poorer psycholo ... Full text Link to item Cite

Behavioral medicine and aging.

Journal Article Journal of consulting and clinical psychology · June 2002 Featured Publication A brief history of behavioral medicine and aging is followed by a series of perspectives that help to understand how age is used as a variable in this research, the relative importance of age to declines in cognitive functioning, and the impact of behavior ... Full text Cite

Partners' ratings of combat veterans' anger.

Journal Article J Trauma Stress · April 2002 Spouse reports may serve as an important source of collateral information in the assessment of posttraumatic stress disorder (PTSD) and associated behavioral problems. This study examined the concordance of anger reports among 94 combat veterans and their ... Full text Link to item Cite

A model of psychosocial and cultural antecedents of blood pressure control.

Journal Article J Natl Med Assoc · April 2002 Featured Publication Hypertension is a major modifiable risk factor for stroke, congestive heart failure, and end-stage renal disease. Hypertension is particularly prevalent and deadly among African Americans. Effective treatment for hypertension has been available for decades ... Link to item Cite

No impact of literacy on glycemic control in type II diabetes mellitus.

Journal Article JOURNAL OF GENERAL INTERNAL MEDICINE · April 1, 2002 Link to item Cite

Psychosocial and clinical predictors of unipolar depression outcome in older adults.

Journal Article Int J Geriatr Psychiatry · March 2002 Featured Publication BACKGROUND: This study examined psychosocial and clinical predictors of depression non-remittance among a sample of initially clinically depressed elders. METHODS: Incident and prevalent unipolar depression cases (n = 166) were enrolled into the MHCRC for ... Full text Link to item Cite

Subcortical white matter lesions and functional impairment in geriatric depression.

Journal Article Depress Anxiety · 2002 Featured Publication Geriatric depression is associated with significant functional impairment. There is also growing evidence linking vascular brain changes to depression in late life. We sought to examine the relationship between cerebrovascular disease and impairment in bas ... Full text Link to item Cite

Outpatient care use among female veterans: differences between mental health and non-mental health users.

Journal Article Mil Med · January 2002 Featured Publication We examined the influence of mental health service use on outpatient health service use among female veterans. We conducted a retrospective and correlational study of treatment-seeking women and their pattern of health service use and the relationship betw ... Link to item Cite

Time-to-remission from geriatric depression: psychosocial and clinical factors.

Journal Article Am J Geriatr Psychiatry · 2002 Featured Publication OBJECTIVE: The authors examined psychosocial and clinical predictors of time-to-remission in a sample of initially clinically depressed elderly patients. METHODS: Using a standardized algorithm, a prospective cohort study enrolled 239 patients undergoing t ... Link to item Cite

Are women worrying about heart disease?

Journal Article Womens Health Issues · 2002 Featured Publication Women at risk for coronary artery disease (CAD) may not be worried about the disease. In this study, demographic, CAD-risk, and CAD-worry data collected from Durham Veterans' Affairs Medical Center women veterans were examined using bivariate and multivari ... Full text Link to item Cite

Terminal change in cognitive function: an updated review of longitudinal studies.

Journal Article Exp Aging Res · 2002 Featured Publication We provide an update to Siegler's (1975) review of the terminal change literature. Articles identified through MEDLINE, CANCERLIT, PUBMED, and PSYCINFO from 1975 to 2000 were examined. Lower levels of cognitive function are related to increased risk of mor ... Full text Link to item Cite

The relationship between hostility and behavioral risk factors for poor health in women veterans.

Journal Article Prev Med · December 2001 Featured Publication BACKGROUND: While previous research has generally supported a relationship between hostility and health risk behaviors, the majority of this research has been conducted in predominately male, highly educated, Caucasian samples. The current study was design ... Full text Link to item Cite

Racial differences in physician recommendation of hormone replacement therapy.

Journal Article Prev Med · December 2001 Featured Publication PURPOSE: Previous studies have suggested that black women may be less likely than white women to be offered and to take hormone replacement therapy (HRT). Thus, race and other factors associated with physician recommendation of HRT that may influence women ... Full text Link to item Cite

Does social support buffer functional decline in elderly patients with unipolar depression?

Journal Article Am J Psychiatry · November 2001 Featured Publication OBJECTIVE: This study tested whether social support protects against functional decline, either generally or selectively, in the most severely depressed elderly patients undergoing treatment for major depressive disorder. METHOD: In a prospective cohort st ... Full text Link to item Cite

Recent victimization in women and men with severe mental illness: prevalence and correlates.

Journal Article J Trauma Stress · October 2001 The problem of violence against individuals with severe mental illness (SMI) has received relatively, little notice, despite several studies suggesting an exceptionally high prevalence of victimization in this population. This paper describes the results o ... Full text Link to item Cite

Personality and coping with a common stressor: cardiac catheterization.

Journal Article J Behav Med · February 2001 Featured Publication The association between coping and personality was examined in a sample of 204 cardiac catheterization patients who were asked to evaluate the use of specific coping strategies used to deal with their cardiac catheterization. Personality, as measured by th ... Full text Link to item Cite

Depressive symptoms, menopausal status, and climacteric symptoms in women at midlife.

Journal Article Psychosom Med · 2001 Featured Publication OBJECTIVE: Previous studies have found increased rates of depression in women aged 45 to 54 years, but the factors that influence these rates are not understood. It was assessed whether higher rates of depressive symptoms were associated with menopausal st ... Full text Link to item Cite

Characteristics of socially isolated patients with coronary artery disease who are at elevated risk for mortality.

Journal Article Psychosom Med · 2001 Featured Publication OBJECTIVES: Social isolation has been linked to poor survival in patients with coronary artery disease (CAD). Few studies have closely examined the psychosocial characteristics of CAD patients who lack social contact. METHODS: Social isolation was examined ... Full text Link to item Cite

Reliability and validity of the SF-12 health survey among people with severe mental illness.

Journal Article Med Care · November 2000 Featured Publication OBJECTIVE: The objective of this work was to assess the reliability and validity of the Medical Outcomes Study Short-Form 12-Item Health Survey (SF-12) in a large sample of people with severe mental illness (SMI). METHODS: We examined the internal factor s ... Full text Link to item Cite

Depression and other determinants of values placed on current health state by stroke patients: evidence from the VA Acute Stroke (VASt) study.

Journal Article Stroke · November 2000 Featured Publication BACKGROUND AND PURPOSE: This prospective study examined the determinants of the utility (value) placed on health status among a sample of patients with acute ischemic and intracerebral hemorrhagic stroke. METHODS: Data were from the VA Acute Stroke (VASt) ... Full text Link to item Cite

Drug use and validity of substance use self-reports in veterans seeking help for posttraumatic stress disorder.

Journal Article J Consult Clin Psychol · October 2000 Featured Publication The present study assessed drug use and the validity of self-reports of substance use among help-seeking veterans referred to a specialty clinic for the assessment of posttraumatic stress disorder (PTSD). Patients (n = 341) were asked to provide a urine sa ... Link to item Cite

Relationships among breast cancer perceived absolute risk, comparative risk, and worries.

Journal Article Cancer Epidemiol Biomarkers Prev · September 2000 Featured Publication When trying to predict breast cancer screening, it may be important to understand the relationships between perceived breast cancer risks and worries about getting breast cancer. This study examines the extent to which women's worries about breast cancer c ... Link to item Cite

Racial variation in wanting and obtaining mental health services among women veterans in a primary care clinic.

Journal Article J Natl Med Assoc · May 2000 Featured Publication Epidemiologic studies suggest that African-American women may be less likely to obtain mental health services. Racial differences were explored in wanting and obtaining mental health services among women in an equal access primary care clinic setting after ... Link to item Cite

Hostility in marital dyads: associations with depressive symptoms.

Journal Article J Behav Med · February 2000 Featured Publication We examined the relations of hostility (of self and spouse) with self-ratings of depressive symptoms in 898 spouse pairs. Self-ratings of hostility were initially examined as predictors of depression. Next, spouse self-ratings of hostility were added to th ... Full text Link to item Cite

The relationship between self-rated health and health care service use among women veterans in a primary care clinic.

Journal Article Womens Health Issues · 2000 Featured Publication This study examined whether self-rated health predicted health service use among women in an equal access primary care clinic setting. Women veterans (n = 139), 23-76 years of age were administered the PRIME-MD questionnaire at their outpatient clinic (OPC ... Full text Link to item Cite

Social support and quality of life in patients with coronary artery disease.

Journal Article Qual Life Res · 2000 Featured Publication The relationship between perceived social support and domain-specific health-related quality of life (HRQOL) was examined in a sample of cardiac catheterization patients after considering age, gender, race, education, and coronary artery disease (CAD) seve ... Full text Link to item Cite

Relation between informant-rated personality and clinician-rated depression in patients with memory disorders.

Journal Article Neuropsychiatry Neuropsychol Behav Neurol · January 2000 Featured Publication OBJECTIVE: The goal of this study was to examine the convergent validity of informant-rated changes in depressive and related personality traits with clinician-assessed depression in memory-disordered patients. BACKGROUND: Depressive symptoms are frequent ... Link to item Cite

The relationship of social support, social networks and negative events with depression in patients with coronary artery disease

Journal Article Aging and Mental Health · January 1, 2000 This study examined the relationship of social relationships and negative life events with major depression among 335 inpatients with coronary artery disease (CAD) who were free of neurological illnesses. Depression was assessed using the Duke Depression E ... Full text Cite

The association between self-rated health and mortality in a well-characterized sample of coronary artery disease patients.

Journal Article Med Care · December 1999 Featured Publication BACKGROUND: The relationship between self-rated health and mortality after adjustment for sociodemographic variables, physician-rated comorbidities, disease severity, health-related quality of life (HRQOL), and psychosocial measures (depression, social sup ... Full text Link to item Cite

Age and distance to death in the Seattle Longitudinal Study

Journal Article Research on Aging · November 17, 1999 A series of hierarchical regression models was used to determine if time to death was a significant independent variable for level and seven-year change in intellectual performance for 1,214 community-dwelling adults. Distance to death explained a signific ... Full text Cite

The relationship between self-rated health and health status among coronary artery patients.

Journal Article J Aging Health · November 1999 Featured Publication OBJECTIVES: This study examined the descriptive relationship of self-rated health (SRH) with various psychosocial measures, sociodemographic variables, coronary artery disease (CAD) diagnostic/clinical measures, and medically abstracted comorbidities. METH ... Full text Link to item Cite

Cognitive and sociodemographic risk factors for mortality in the Seattle Longitudinal Study.

Journal Article J Gerontol B Psychol Sci Soc Sci · September 1999 Featured Publication The relationship between cognitive function and survivorship was examined in a community-dwelling sample. Survival analysis was used to examine how level and change in intellectual functioning, verbal memory, perceptual speed, and psychomotor speed were re ... Full text Link to item Cite

Survival effects in cognitive function, cognitive style, and sociodemographic variables in the Seattle Longitudinal Study.

Journal Article Exp Aging Res · 1999 Featured Publication Survival effects in cognitive performance were examined in the Seattle Longitudinal Study (SLS) for a sample of 605 individuals who subsequently died (decedents) (n = 343 males; n = 262 females; M = 73.73 years of age) and a control group of 613 survivors ... Full text Link to item Cite

The importance of the relationship between social networks and quality of life.

Journal Article AMERICAN JOURNAL OF EPIDEMIOLOGY · June 1, 1998 Link to item Cite

Social support and hostility as predictors of depressive symptoms in cardiac patients one month after hospitalization: a prospective study.

Journal Article Psychosom Med · 1998 Featured Publication OBJECTIVE: Hospitalization for cardiac disease is associated with an increased risk for depression, which itself confers a poorer prognosis. Few prospective studies have examined the determinants of depression after hospitalization in cardiac patients, and ... Full text Link to item Cite

The relationship of social environment, social networks, and health outcomes in the Seattle Longitudinal Study: two analytical approaches.

Journal Article J Gerontol B Psychol Sci Soc Sci · September 1997 Featured Publication This study examined the relation of social networks and perceived social environment to health outcomes and cost utilization over a 1-year period in a community sample of 387 (173 males, 214 females). Two analytical strategies, a variable-oriented approach ... Full text Link to item Cite

A measurement model of cortisol reactivity of healthy older adults.

Journal Article J Gerontol B Psychol Sci Soc Sci · March 1996 Featured Publication Research on the physiological adaptation process has found that stress is associated with the rate of cortisol secretion, the main hormone that reflects stress. However, considerable variation among subjects has been reported. Using a sample of older adult ... Full text Link to item Cite