Scholars@Duke
Karen M. Goldstein

Karen M. Goldstein

Associate Professor of Medicine
Medicine, General Internal Medicine
karen.goldstein@duke.edu
508 Fulton Street, Durham, NC 27705

Selected Publications

Improving Cancer Care for Women Seeking Services in the Veterans Health Administration Through the Breast and Gynecological Oncology System of Excellence.

Journal Article Mil Med · September 23, 2024 Women are the fastest growing population among Veterans and have substantial risk factors that increase their likelihood for developing cancer. To ensure that the Department of Veterans Affairs Veterans Health Administration (VHA) offers the best possible ... Full text Link to item Cite

The Landscape of Care for Women Veterans with Cancer: An Evidence Map.

Journal Article J Gen Intern Med · September 2024 BACKGROUND: Women are the fastest growing veteran group in the US and the number of women veterans (WVs) with cancer is rising; however, little is known about this population. Cancer care for WVs is complex and it is essential to understand their unique ne ... Full text Link to item Cite

Experiences and Perceptions of Maternal Autonomy and Racism Among BIPOC Veterans Receiving Cesarean Sections.

Journal Article Women's health issues : official publication of the Jacobs Institute of Women's Health · July 2024 BackgroundPrevious studies of pregnant veterans enrolled in Department of Veterans Affairs (VA) care reveal high rates of cesarean sections among racial/ethnic minoritized groups, particularly in southern states. The purpose of this study was to b ... Full text Cite

Gender Differences in Adoption and Frequency of Virtual Primary Care Among Men and Women Veterans.

Journal Article J Womens Health (Larchmt) · June 2024 Background: Women Veterans have unique health care utilization patterns; however, video-based primary care utilization among and between women and men has not been well examined. Methods: In a retrospective cohort study, we calculated gender-stratified vid ... Full text Link to item Cite

Family Involvement in the Care of Hospitalized Older Adults: Protocol for a Qualitative Evidence Synthesis.

Journal Article JMIR Res Protoc · May 10, 2024 BACKGROUND: Older adults are frequently hospitalized. Family involvement during these hospitalizations is incompletely characterized in the literature. OBJECTIVE: This study aimed to better understand how families are involved in the care of hospitalized o ... Full text Link to item Cite

Maternal chronic hypertension in women veterans.

Journal Article Health Serv Res · April 2024 OBJECTIVE: To describe the prevalence of maternal chronic hypertension (MCH), assess how frequently blood pressure is controlled before pregnancy among those with MCH, and explore management practices for antihypertensive medications (AHM) during the pre-p ... Full text Open Access Link to item Cite

Interventions to Improve Long-Term Adherence to Physical Rehabilitation: A Systematic Review.

Journal Article J Geriatr Phys Ther · January 12, 2024 OBJECTIVE: To evaluate the impact of physical rehabilitation interventions, supplemented with one or more adherence-enhancing components, on outcomes among adults with hip or knee osteoarthritis or chronic lower back pain. DESIGN: Primary literature search ... Full text Link to item Cite

Genomic classifiers and prognosis of localized prostate cancer: a systematic review.

Journal Article Prostate Cancer Prostatic Dis · January 10, 2024 BACKGROUND: Refinement of the risk classification for localized prostate cancer is warranted to aid in clinical decision making. A systematic analysis was undertaken to evaluate the prognostic ability of three genomic classifiers, Decipher, GPS, and Prolar ... Full text Link to item Cite

Strategies for enhancing the representation of women in clinical trials: an evidence map.

Journal Article Syst Rev · January 2, 2024 BACKGROUND: Equitable sex- and gender-based representation in clinical trials is an essential step to ensuring evidence-based care for women. While multi-institutional actions have led to significant improvements in the inclusion of women in trials, inequi ... Full text Link to item Cite

Veteran Caretaker Perspectives of the Need for Childcare Assistance During Health Care Appointments.

Journal Article Womens Health Issues · 2024 PURPOSE: In 2020, Congress passed legislation to establish the national Veterans Child Care Assistance Program (VCAP) targeting eligible veterans receiving care through the Veterans Health Administration (VA). This needs assessment describes the childcare ... Full text Link to item Cite

Health Care Team Interventions to Reduce Distress Behaviors in Older Adults: A Systematic Review.

Journal Article Clin Gerontol · 2024 OBJECTIVES: This review examines health care team-focused interventions on managing persistent or recurrent distress behaviors among older adults in long-term residential or inpatient health care settings. METHODS: We searched interventions addressing heal ... Full text Link to item Cite

Optimizing remote access to urinary incontinence treatments for women veterans (PRACTICAL): Study protocol for a pragmatic clinical trial comparing two virtual care options.

Journal Article Contemp Clin Trials · October 2023 OBJECTIVES: In this pragmatic clinical trial, the primary objective is to increase access to behavioral treatment of urinary incontinence (UI) for women Veterans by comparing the effectiveness of two virtual care delivery modalities. METHODS: Veterans Affa ... Full text Link to item Cite

Videoconferencing of Movement-Based and Psychologically Informed Interventions for Chronic Pain: A Systematic Review and Horizon Scan.

Journal Article Telemed J E Health · September 2023 Introduction: With the coronavirus disease 2019 (COVID-19) pandemic, use of telehealth technology increased dramatically. Nonpharmacological approaches to pain management may be well suited for virtual care. Yet, it is not widely understood if this treatme ... Full text Link to item Cite

An Innovation to Expand the Reach of Peer Support: A Feasibility and Acceptability Study.

Journal Article Mil Med · July 22, 2023 INTRODUCTION: Peer support is a well-established part of veteran care and a cost-effective way to support individuals pursuing health behavior change. Common models of peer support, peer coaching, and mutual peer support have limitations that could be mini ... Full text Link to item Cite

Efficacy of Epidural Blood Patching or Surgery in Spontaneous Intracranial Hypotension: A Systematic Review and Evidence Map.

Journal Article AJNR Am J Neuroradiol · June 2023 BACKGROUND: Spontaneous intracranial hypotension is an important cause of treatable secondary headaches. Evidence on the efficacy of epidural blood patching and surgery for spontaneous intracranial hypotension has not been synthesized. PURPOSE: Our aim was ... Full text Link to item Cite

A Cluster Randomized Trial of a Family Health History Platform to Identify and Manage Patients at Increased Risk for Colorectal Cancer.

Journal Article J Gen Intern Med · May 2023 BACKGROUND: Obtaining comprehensive family health history (FHH) to inform colorectal cancer (CRC) risk management in primary care settings is challenging. OBJECTIVE: To examine the effectiveness of a patient-facing FHH platform to identify and manage patie ... Full text Link to item Cite

Veterans Health Administration National TeleOncology Service.

Journal Article JCO Oncol Pract · April 2023 PURPOSE: As the largest integrated health care system in the United States, the Veterans Health Administration (VA) is a leader in telehealth-delivered care. All 10 million Veterans cared for within the VA are eligible for telehealth. The VA cares for appr ... Full text Link to item Cite

Patient Choice After Referral to Physical Therapy for Lower Back Pain and Knee Osteoarthritis.

Journal Article Arch Rehabil Res Clin Transl · March 2023 OBJECTIVE: To assess factors influencing Veterans' decisions to initiate physical therapy (PT) after referral for low back pain (LBP) or knee osteoarthritis (OA). DESIGN: Qualitative study using individual semistructured telephone interviews. SETTING: Durh ... Full text Link to item Cite

Barriers and facilitators to the implementation and adoption of improvement coaching: A qualitative evidence synthesis.

Journal Article J Clin Nurs · January 2023 BACKGROUND: Healthcare organisations and teams perform improvement activities to facilitate high-quality healthcare. The use of an improvement coach who provides support and guidance to the healthcare team may facilitate improvement activities; however, no ... Full text Link to item 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

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

Journal Article Patient Educ Couns · December 2022 OBJECTIVE: Clinical 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 coordinated ... Full text Open Access Link to item Cite

Patient Electronic Messaging: 12 Tips to Save Time.

Journal Article Fam Pract Manag · November 2022 Link to item Cite

Sufficiency of Health Information During Pregnancy: What's Missing and for Whom? A Cross-Sectional Analysis Among Veterans.

Journal Article J Womens Health (Larchmt) · November 2022 Background: Women Veterans often experience trauma and physical and mental health conditions that increase risk of adverse pregnancy outcomes. Information provision during pregnancy may facilitate improved outcomes. However, little evidence exists about in ... Full text Link to item Cite

Women Veterans' Healthcare Needs, Utilization, and Preferences in Veterans Affairs Primary Care Settings.

Journal Article J Gen Intern Med · September 2022 BACKGROUND: The Veterans Health Administration (VA) is the largest integrated health system in the US and provides access to comprehensive primary care. Women Veterans are the fastest growing segment of new VA users, yet little is known about the character ... Full text Link to item Cite

Telehealth for the Longitudinal Management of Chronic Conditions: Systematic Review.

Journal Article J Med Internet Res · August 26, 2022 BACKGROUND: Extensive literature support telehealth as a supplement or adjunct to in-person care for the management of chronic conditions such as congestive heart failure (CHF) and type 2 diabetes mellitus (T2DM). Evidence is needed to support the use of t ... Full text Link to item 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 5, 2022 OBJECTIVE: The 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 critical ... Full text Open Access Link to item Cite

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

Journal Article Curr Hypertens Rep · August 2022 PURPOSE OF REVIEW: There 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 interv ... Full text Open Access Link to item Cite

Efficacy of epidural blood patching or surgery in spontaneous intracranial hypotension: an evidence map protocol.

Journal Article Syst Rev · June 7, 2022 BACKGROUND: Spontaneous intracranial hypotension (SIH) is a debilitating disorder caused by non-iatrogenic spinal cerebrospinal fluid leaks. SIH is increasingly recognized as an important treatable cause of secondary headaches. Treatment involves either ep ... Full text Link to item Cite

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

Journal Article JACC CardioOncol · 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 Link to item Cite

Racial Differences in Nontraditional Risk Factors Associated with Cardiovascular Conditions in Pregnancy Among U.S. Women Veterans.

Conference J Womens Health (Larchmt) · May 2022 Background: Pregnancy-related cardiovascular (CV) conditions are important predictors of future cardiovascular disease (CVD). Nontraditional factors, such as depression and chronic stress, have been associated with CVD, but their role in pregnancy-related ... Full text Link to item Cite

Primary Care Engagement Among Individuals with Experiences of Homelessness and Serious Mental Illness: an Evidence Map.

Journal Article J Gen Intern Med · May 2022 BACKGROUND: Experiences of homelessness and serious mental illness (SMI) negatively impact health and receipt of healthcare. Interventions that promote the use of primary care services for people with both SMI and homelessness may improve health outcomes, ... Full text Link to item Cite

Effectiveness of Quality Improvement Coaching on Process Outcomes in Health Care Settings: A Systematic Review.

Journal Article Journal of general internal medicine · March 2022 BackgroundA culture of improvement is an important feature of high-quality health care systems. However, health care teams often need support to translate quality improvement (QI) activities into practice. One method of support is consultation fro ... Full text Cite

Gulf War Era Veterans' perspectives on research: a qualitative study.

Journal Article Life Sci · December 15, 2021 AIMS: Many veterans of the 1990-1991 Gulf War Era (GWE) have experienced poorly understood health issues. In response to challenges recruiting this population for research, we conducted focus groups and semi-structured phone interviews with GWE veterans an ... Full text Link to item 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

Patient-centered behavioral services for women veterans with mental health conditions.

Journal Article Transl Behav Med · September 15, 2021 The Veterans Health Administration (VHA) is undergoing a transformational shift from disease-focused care to a Whole Health model that emphasizes physical, mental, emotional, and spiritual health and well-being. As this shift is occurring, women veterans u ... Full text Link to item Cite

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

Journal Article J Gen Intern Med · August 2021 BACKGROUND: Virtual 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 and Stre ... Full text Open Access Link to item Cite

Options for Meaningful Engagement in Clinical Research for Busy Frontline Clinicians.

Journal Article J Gen Intern Med · July 2021 In order for health care innovations to be effective and actionable, they must align with the needs and practice patterns of those delivering care at the bedside. While research has started to incorporate the patient voice, it has yet to fully invest in th ... Full text Link to item Cite

Risk of Transmitting Coronavirus Disease 2019 During Nebulizer Treatment: A Systematic Review.

Journal Article J Aerosol Med Pulm Drug Deliv · June 2021 Rationale: There is an urgent need to understand the risk of viral transmission during nebulizer treatment of patients with coronavirus disease 2019 (COVID-19). Objectives: To assess the risk of transmitting severe acute respiratory syndrome coronavirus 2 ... 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 Contemp Clin Trials Commun · March 2021 BACKGROUND: Uncontrolled 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 evidenc ... Full text Open Access Link to item Cite

Racial Differences in the Cesarean Section Rates Among Women Veterans Using Department of Veterans Affairs Community Care.

Journal Article Med Care · February 1, 2021 BACKGROUND: Racial disparities in maternal morbidity and mortality remain a pressing public health problem. Variations in cesarean section (C-section) rates among racial and ethnic groups have been well documented, though reasons for these variations remai ... Full text Link to item Cite

Implementing remote triage in large health systems: A qualitative evidence synthesis.

Journal Article Res Nurs Health · February 2021 Remote triage (RT) allows interprofessional teams (e.g., nurses and physicians) to assess patients and make clinical decisions remotely. RT use has developed widespread interest due to the COVID-19 pandemic, and has future potential to address the needs of ... Full text Link to item Cite

EFFECTIVENESS OF QUALITY IMPROVEMENT COACHING: A SYSTEMATIC REVIEW

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · 2021 Cite

FRAMING THE (VIDEO)CALL TO ACTION IN PRIMARY CARE WITHIN VISN 6

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · 2021 Cite

Risk for Nephrogenic Systemic Fibrosis After Exposure to Newer Gadolinium Agents: A Systematic Review.

Journal Article Ann Intern Med · July 21, 2020 BACKGROUND: The risk for nephrogenic systemic fibrosis (NSF) after exposure to newer versus older gadolinium-based contrast agents (GBCAs) remains unclear. PURPOSE: To synthesize evidence about NSF risk with newer versus older GBCAs across the spectrum of ... Full text Link to item Cite

Effectiveness of Acute Care Remote Triage Systems: a Systematic Review.

Journal Article J Gen Intern Med · July 2020 BACKGROUND: Technology-based systems can facilitate remote decision-making to triage patients to the appropriate level of care. Despite technologic advances, the effects of implementation of these systems on patient and utilization outcomes are unclear. We ... 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

Women Veterans' Experiences with Perceived Gender Bias in U.S. Department of Veterans Affairs Specialty Care.

Journal Article Womens Health Issues · 2020 BACKGROUND: In the past decade, the U.S. Department of Veterans Affairs (VA) has responded to a dramatic increase in women veterans seeking care by expanding Women's Health training to more than 5,000 women's health primary care providers and changing the ... Full text Link to item Cite

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

Journal Article Womens Health Rep (New Rochelle) · 2020 UNLABELLED: 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' parti ... Full text Open Access Link to item Cite

Transformational Coaching: Effect on Process of Care Outcomes and Determinants of Uptake

Report · 2020 High-quality health care is a priority for patients and clinicians alike. Quality improvement (QI) is a framework that guides health system actions to improve the delivery of high-quality health care. Quality improvement activities seek to promote high-qua ... Link to item Cite

An electronic family health history tool to identify and manage patients at increased risk for colorectal cancer: protocol for a randomized controlled trial.

Journal Article Trials · October 7, 2019 BACKGROUND: Colorectal cancer is the fourth most commonly diagnosed cancer in the United States. Approximately 3-10% of the population has an increased risk for colorectal cancer due to family history and warrants more frequent or intensive screening. Yet, ... Full text Link to item Cite

Sex Differences in Veterans' Cardiovascular Health.

Journal Article J Womens Health (Larchmt) · October 2019 Background: In the U.S. civilian population, sex differences have been identified in cardiovascular health; these differences have been used to inform care. Our objective is to determine if the same sex differences are present in Veterans who use the Depar ... Full text Link to item Cite

Qualitative Exploration of Engaging Patients as Advisors in a Program of Evidence Synthesis: Cobuilding the Science to Enhance Impact.

Journal Article Med Care · October 2019 BACKGROUND: There is an increasing expectation for research to involve patient stakeholders. Yet little guidance exists regarding patient-engaged research in evidence synthesis. Embedded in a learning health care system, the Veteran Affairs Evidence Synthe ... Full text 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

Emergency Department Interventions for Older Adults: A Systematic Review.

Journal Article J Am Geriatr Soc · July 2019 OBJECTIVES: To evaluate the effect of emergency department (ED) interventions on clinical, utilization, and care experience outcomes for older adults. DESIGN: A conceptual model informed, protocol-based systematic review. SETTING: Emergency Department (ED) ... Full text Link to item Cite

Gender-based Differences among 1990-1991 Gulf War Era Veterans: Demographics, Lifestyle Behaviors, and Health Conditions.

Journal Article Womens Health Issues · June 25, 2019 OBJECTIVE: The 1990-1991 Gulf War employed more women servicemembers than any prior conflict. Gender-based differences among veterans of this era have yet to be explored. This study is among the first and most recent to stratify Gulf War veteran demographi ... Full text Link to item Cite

Enrollment and Retention of Men and Women in Health Services Research and Development Trials.

Journal Article Womens Health Issues · June 25, 2019 INTRODUCTION: Sex- and gender-specific science is essential to inform patient-centered, evidence-based care. Developing such evidence requires adequate inclusion of both women and men in trials. We sought to describe study participation of women and men in ... Full text Link to item Cite

Racial/Ethnic Disparities in BRCA Counseling and Testing: a Narrative Review.

Journal Article J Racial Ethn Health Disparities · June 2019 BACKGROUND/OBJECTIVE: Despite increases in BRCA mutation testing, racial/ethnic disparities in counseling and testing have persisted for decades. The purpose of the review was to summarize recent literature as it relates to detecting, understanding, and re ... Full text Link to item Cite

Cancer Among Women Treated in the Veterans Affairs Healthcare System.

Journal Article J Womens Health (Larchmt) · February 2019 BACKGROUND: The Veterans Affairs (VA) healthcare system is a high-volume provider of cancer care. Women are the fastest growing patient population using VA healthcare services. Quantifying the types of cancers diagnosed among women in the VA is a critical ... Full text Link to item Cite

Factors Impacting Perceived Access to Early Prenatal Care among Pregnant Veterans Enrolled in the Department of Veterans Affairs.

Journal Article Womens Health Issues · 2019 BACKGROUND: Despite the relatively recent Department of Veterans Affairs (VA) policy advances in providing care for veterans and their infants during the perinatal period, little information exists regarding access to prenatal care for women veterans. Curr ... Full text Link to item Cite

Effectiveness of Remote Triage: A Systematic Review

Report · 2019 The US health care system currently faces several challenges including caring for an increasing elderly population, a large numbers of patients with multiple chronic conditions, and an uneven distribution of primary care providers across the country. The f ... 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

The Gulf War Era Cohort and Biorepository: A Longitudinal Research Resource of Veterans of the 1990-1991 Gulf War Era.

Journal Article Am J Epidemiol · November 1, 2018 The US Department of Veterans Affairs (VA) Gulf War Era Cohort and Biorepository (GWECB) is a nationally representative longitudinal cohort of US veterans who served during the 1990-1991 Gulf War era. The GWECB combines survey data, such as demographic, he ... Full text Link to item Cite

Intern Transitions of Care Curriculum Through Posthospital Home and Skilled Nursing Facility Visits.

Journal Article J Grad Med Educ · August 2018 BACKGROUND: Transitions of care pose significant risks for patients with complex medical histories. There are few experiential medical education curricula targeting this important aspect of care. OBJECTIVE: We designed and tested an internal medicine trans ... Full text Link to item Cite

Practice-based research networks add value to evidence-based quality improvement.

Journal Article Healthc (Amst) · June 2018 BACKGROUND: Evidence-Based Quality Improvement (EBQI) is a systematic, multilevel approach to implementing research evidence into clinical settings. Little is known about EBQI effectiveness in the context of Practice-Based Research Networks (PBRNs), which ... Full text Link to item Cite

Understanding women veterans' preferences for peer support interventions to promote heart healthy behaviors: A qualitative study.

Journal Article Prev Med Rep · June 2018 Peer support may be an effective strategy to improve heart healthy behaviors among populations who have a strong communal identity, such as women veterans. Women veterans are a particularly important group to target as they are the fastest growing sub-popu ... Full text 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

Management of Menopause Symptoms with Acupuncture: An Umbrella Systematic Review and Meta-Analysis.

Journal Article J Altern Complement Med · April 2018 OBJECTIVES: Vasomotor symptoms (VMSs) are the most common symptoms reported during menopause. Although hormone therapy is effective for reducing VMSs, its use is restricted in some women. Many women with VMSs thus seek nonhormonal, nonpharmacologic treatme ... Full text Link to item Cite

TELEHEALTH FOR WOMEN: AN EVIDENCE MAP

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · April 1, 2018 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 Serv Res · March 9, 2018 BACKGROUND: Colorectal 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 perceive the ... Full text Open Access Link to item 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

Paternal history of mental illness associated with posttraumatic stress disorder among veterans.

Journal Article Psychiatry Res · October 2017 This study examined the association between parent and family reported history of non-PTSD mental illness (MI), PTSD specifically, and substance use problems, and participant clinical diagnosis of PTSD. Participants were drawn from the US Department of Vet ... Full text Link to item Cite

Improving vasomotor symptoms; psychological symptoms; and health-related quality of life in peri- or post-menopausal women through yoga: An umbrella systematic review and meta-analysis.

Journal Article Complement Ther Med · October 2017 OBJECTIVES: Vasomotor symptoms (VMS), commonly reported during menopausal transition, negatively affect psychological health and health-related quality of life (HRQoL). While hormone therapy is an effective treatment, its use is limited by concerns about p ... Full text Link to item Cite

Self-Reported Pain in Male and Female Iraq/Afghanistan-Era Veterans: Associations with Psychiatric Symptoms and Functioning.

Journal Article Pain Med · September 1, 2017 OBJECTIVE: To examine pain symptoms and co-occurring psychiatric and functional indices in male and female Iraq/Afghanistan-era veterans. DESIGN: Self-reported data collection and interviews of Iraq/Afghanistan-era veterans who participated in a multisite ... Full text Link to item Cite

Effect of a Community-Based Service Learning Experience in Geriatrics on Internal Medicine Residents and Community Participants.

Journal Article J Am Geriatr Soc · September 2017 Community-based service learning (CBSL) provides an opportunity to teach internal medicine residents the social context of aging and clinical concepts. The objectives of the current study were to demonstrate the feasibility of a CBSL program targeting inte ... Full text Link to item Cite

A Health Profile of Senior-Aged Women Veterans: A Latent Class Analysis of Condition Clusters.

Journal Article Innov Aging · September 1, 2017 BACKGROUND AND OBJECTIVES: This study characterizes the multiple morbidities experienced by senior-aged women Veterans so that the Veterans Health Administration (VHA) and other healthcare systems may be better prepared to meet the healthcare needs of this ... Full text 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

Use of mindfulness, meditation and relaxation to treat vasomotor symptoms.

Journal Article Climacteric · April 2017 Postmenopausal women with bothersome vasomotor symptoms (VMS) often seek alternatives to hormone-based treatment due to medication risks or personal preference. We sought to identify the effects of meditation, mindfulness, hypnosis and relaxation on VMS an ... Full text Link to item Cite

NONPHARMACOLOGIC TREATMENTS FOR MENOPAUSE-ASSOCIATED VASOMOTOR SYMPTOMS

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · April 1, 2017 Link to item Cite

Characteristics and Health Care Preferences Associated with Cardiovascular Disease Risk among Women Veterans.

Journal Article Womens Health Issues · 2017 BACKGROUND: Women veterans are at increased risk for cardiovascular disease (CVD), but little is known about comorbidities and healthcare preferences associated with CVD risk in this population. METHODS: We describe the prevalence of CVD-relevant health be ... Full text Link to item Cite

Statin Adherence: Does Gender Matter?

Journal Article Curr Atheroscler Rep · November 2016 PURPOSE OF REVIEW: Cardiovascular 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 benefit o ... Full text Open Access Link to item Cite

Reporting of Sex Effects by Systematic Reviews on Interventions for Depression, Diabetes, and Chronic Pain.

Journal Article Ann Intern Med · August 2, 2016 Systematic reviews (SRs) have the potential to contribute uniquely to the evaluation of sex and gender differences (termed "sex effects"). This article describes the reporting of sex effects by SRs on interventions for depression, type 2 diabetes mellitus, ... Full text Link to item Cite

Nonpharmacologic, nonherbal management of menopause-associated vasomotor symptoms: an umbrella systematic review (protocol).

Journal Article Syst Rev · April 7, 2016 BACKGROUND: Vasomotor symptoms such as hot flashes and night sweats are a common concern of perimenopausal and postmenopausal women and are associated with a decreased quality of life. These symptoms can be effectively managed with hormone therapy, but saf ... Full text Open Access Link to item Cite

Military Generation and Its Relationship to Mortality in Women Veterans in the Women's Health Initiative.

Journal Article Gerontologist · February 2016 PURPOSE OF THE STUDY: Women's military roles, exposures, and associated health outcomes have changed over time. However, mortality risk-within military generations or compared with non-Veteran women-has not been assessed. Using data from the Women's Health ... Full text Link to item Cite

Vasomotor Symptoms and Quality of Life Among Veteran and Non-Veteran Postmenopausal Women.

Journal Article Gerontologist · February 2016 INTRODUCTION: Vasomotor symptoms (VMS), including hot flashes and night sweats, are common among postmenopausal women and are associated with reduced health related quality of life (HRQOL). PURPOSE OF THE STUDY: To determine whether Veterans are more likel ... Full text Link to item Cite

Binge Eating among Women Veterans in Primary Care: Comorbidities and Treatment Priorities.

Journal Article Womens Health Issues · 2016 BACKGROUND: Little is known about the clinical profile and treatment priorities of women with binge eating disorder (BED), a diagnosis new to the fifth edition of Diagnostic and Statistical Manual of Mental Disorders. We identified comorbidities and patien ... Full text Link to item Cite

Effectiveness of an Evidence-Based Quality Improvement Approach to Cultural Competence Training: The Veterans Affairs' "Caring for Women Veterans" Program.

Journal Article J Contin Educ Health Prof · 2016 INTRODUCTION: Although providing culturally sensitive health care is vitally important, there is little consensus regarding the most effective strategy for implementing cultural competence trainings in the health care setting. Evidence-based quality improv ... Full text 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

Patient-centered mental health care for female veterans.

Journal Article Psychiatr Serv · February 1, 2015 OBJECTIVE: Mental health services for women vary widely across the Veterans Health Administration (VHA) system, without consensus on the need for, or organization of, specialized services for women. Understanding women's needs and priorities is essential t ... Full text Link to item Cite

Lessons from Initiating the First Veterans Health Administration (VA) Women's Health Practice-based Research Network (WH-PBRN) Study.

Journal Article J Am Board Fam Med · 2015 BACKGROUND: The Veterans Health Administration (VA) Women's Health Practice-Based Research Network (WH-PBRN) was created to foster innovations for the health care of women veterans. The inaugural study by the WH-PBRN was designed to identify women veterans ... Full text Link to item Cite

Improving care of chronic conditions for women veterans: identifying opportunities for comparative effectiveness research.

Journal Article J Comp Eff Res · March 2014 This article aims to critically analyze research focused on the findings for five chronic conditions: chronic pain, diabetes, cardiovascular disease, HIV and cancer among women veterans to identify opportunities for comparative effectiveness research. We p ... Full text 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

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

Journal Article Curr Hypertens Rep · 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 Link to item Cite

An assessment of survey measures used across key epidemiologic studies of United States Gulf War I Era veterans.

Journal Article Environ Health · January 9, 2013 Over the past two decades, 12 large epidemiologic studies and 2 registries have focused on U.S. veterans of the 1990-1991 Gulf War Era. We conducted a review of these studies' research tools to identify existing gaps and overlaps of efforts to date, and to ... Full text Link to item Cite

INTERNAL MEDICINE RESIDENT SENIOR COMMUNITY SERVICE LEARNING EXPERIENCE

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · July 1, 2012 Link to item Cite

Adherence in the treatment of HIV and other infectious diseases

Journal Article · December 1, 2010 Over the last decade, survival in patients with human immunodeficiency virus (HIV) has lengthened dramatically due to improvements in the robust options for antiretroviral therapy (ART) [1]. Clinicians caring for HIV-positive patients now face many of the ... Full text Cite

Adapting a multifaceted U.S. HIV prevention education program for girls in Ghana.

Journal Article AIDS Educ Prev · February 2009 We adapted a U.S. HIV prevention program to address knowledge gaps and cultural pressures that increase the risk of infection in adolescent Ghanaian girls. The theory-based nine-module HIV prevention program combines didactics and games, an interactive com ... Full text Link to item Cite

Challenge of coadministering antiretroviral therapy and oral anticoagulants in HIV-positive patients.

Journal Article AIDS Read · September 2008 With an improved life expectancy, HIV-positive patients now face interactions between antiretroviral therapy and medications for chronic medical problems. One example is thromboembolism and its treatment with oral anticoagulants. To date, there have been 9 ... Link to item Cite

Hormone Therapy Does Not Affect Depression Severity in Older Women

Journal Article American Journal of Geriatric Psychiatry · July 1, 2005 Full text Cite

Hormone therapy does not affect depression severity in older women.

Journal Article Am J Geriatr Psychiatry · July 2005 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

Intimate partner physical assault before and during pregnancy: how does it relate to women's psychological vulnerability?

Journal Article Violence Vict · August 2004 Most studies of intimate partner violence tend to be behaviorally focused, with scant attention paid to women's perception of vulnerability in their relationships. Since past research has linked such feelings and cognitions to women's health problems, it i ... Full text Link to item Cite

Moving beyond disclosure: women's perspectives on barriers and motivators to seeking assistance for intimate partner violence.

Journal Article Women Health · 2004 To investigate women's perceptions of motivators and barriers to seeking help or accessing intimate partner violence (IPV), services six focus groups were conducted in rural and urban settings in North Carolina between June and August of 2002. Coding and t ... Full text Link to item Cite

Women's perspectives on intimate partner violence services: the hope in Pandora's box.

Journal Article Journal of the American Medical Women's Association (1972) · January 1, 2003 OBJECTIVE: To explore women's perspectives about how to enhance services for those who experience intimate partner violence (IPV) and how to improve the links between such services and the health care setting. METHODS: We conducted 6 focus groups involving ... Cite