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

Featured Works

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

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

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

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

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 Open Access 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 Open Access 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 Open Access 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 Open Access 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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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 J Consult Clin Psychol · 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 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

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

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 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

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

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