A5000510006- Opioid Use Disorder Treatment
- Musculoskeletal pain and rehabilitation
- Pain Management and Opioid Use
- Family Caregiving in Mental Illness
- Family and Patient Care in Intensive Care Units
- Emergency and Acute Care Studies
- Family Support in Illness
- Health disparities and outcomes
- Attention Deficit Hyperactivity Disorder
- Health Systems, Economic Evaluations, Quality of Life
- Sleep and related disorders
- Maternal Mental Health During Pregnancy and Postpartum
- Sleep and Work-Related Fatigue
- Attachment and Relationship Dynamics
- Childhood Cancer Survivors' Quality of Life
- Pharmaceutical Practices and Patient Outcomes
- Health Policy Implementation Science
- Cardiac Arrest and Resuscitation
- Palliative Care and End-of-Life Issues
- Pain Mechanisms and Treatments
- Mental Health and Patient Involvement
- Trauma and Emergency Care Studies
- Pesticide Residue Analysis and Safety
- Psychedelics and Drug Studies
- Pediatric Pain Management Techniques
Consumer VOICE
2025
Minneapolis VA Health Care System
2012-2024
Health Services Research & Development
2014
University of Minnesota
2014
Poole Hospital
2011
Friedensau Adventist University
2011
Minneapolis VA Medical Center
2010-2011
<h3>Importance</h3> Limited evidence is available regarding long-term outcomes of opioids compared with nonopioid medications for chronic pain. <h3>Objective</h3> To compare opioid vs over 12 months on pain-related function, pain intensity, and adverse effects. <h3>Design, Setting, Participants</h3> Pragmatic, 12-month, randomized trial masked outcome assessment. Patients were recruited from Veterans Affairs primary care clinics June 2013 through December 2015; follow-up was completed 2016....
Objectives: To (1) identify informal caregivers to injured US service members following acute rehabilitation for polytraumatic injuries, principally traumatic brain injury (TBI), and (2) describe the prevalence variation of care recipient caregiver experiences. Design: Cross-sectional survey caregivers. Participants: Caregivers (N = 564) with TBI who received inpatient in a Veterans Affairs' Polytrauma Rehabilitation Center between 2001 2009. Main Outcome Measures: Questions about patient...
Abstract Objective Food insecurity, or lack of access to sufficient food for a healthful lifestyle, has been associated with many aspects poor health. While the economic struggles among veterans wars in Iraq and Afghanistan have documented, it is unknown how commonly this population afford food. Our purpose was document prevalence correlates insecurity US Afghanistan. Design A cross-sectional survey. Subjects military who had served since October 2001. Setting responded survey mailed them...
Importance Patients prescribed long-term opioid therapy for chronic pain often experience unrelieved pain, poor quality of life, and serious adverse events. Objective To compare the effects integrated team (IPT) vs pharmacist collaborative management (PCM) on dosage. Design, Setting, Participants This study was a pragmatic multisite 12-month randomized comparative effectiveness trial with masked outcome assessment. were recruited from October 2017 to March 2021; follow-up completed June...
U.S. military service members have sustained severe injuries since the start of wars in Iraq and Afghanistan. This paper aims to determine factors associated with financial strain their caregivers establish whether recent federal legislation targets experiencing strain. In our national survey, 62.3% depleted assets and/or accumulated debt, 41% working left labor force. If a severely injured veteran needed intensive help, primary caregiver faced odds 4.63 times higher leaving force, used...
Objective: We examined prevalence of, and potential risk factors for, nonfatal injuries among Veterans with traumatic brain injury (TBI) postdischarge from Affairs inpatient polytrauma rehabilitation programs. Methods: surveyed caregivers of patients who had military service anytime 2001 to 2009, sustained including TBI, received care were discharged at least 3 months before the study, alive when study was fielded about caregiver patient health, patients' medically treated “accidents/new...
Background: Long-term opioid therapy for chronic pain arose amid limited availability and awareness of other therapies. Although many complementary integrative health (CIH) nondrug therapies are effective pain, little is known about CIH/nondrug use patterns among people prescribed analgesics. Objective: The objective this study was to estimate predictors self-reported within a representative national sample US military veterans long-term opioids pain. Research Design: National two-stage...
Objective: We conducted a systematic review to evaluate whether caregiver-involved interventions improve patient outcomes among adults with dementia or Alzheimer's disease. Method: identified and summarized data from randomized controlled trials enrolling disease by searching MEDLINE, PsycINFO, other sources. Patient included global quality of life, physical cognitive functioning, depression/anxiety, symptom control management, health care utilization. Results: 31 trials; 20 compared...
We characterized socioeconomic disparities in short sleep duration, which is linked to multiple adverse health outcomes, a population-based sample of veterans the US wars Iraq and Afghanistan who had interacted with Minneapolis VA Health Care System. Lower reported household assets, lower food security, greater discrimination, subjective social status were significantly (P<.05) related less sleep, even after adjusting for demographics, behaviors, posttraumatic stress disorder diagnosis....
In the United States (US), long-term opioid therapy has been commonly prescribed for chronic pain. Since recognition of overdose epidemic, clinical practice guidelines have recommended tapering opioids to reduced doses or discontinuation. The Effects Prescription Opioid Changes veterans (EPOCH) study is a national population-based prospective observational US Veterans Health Administration primary care patients designed assess effects evolving prescribing on treated with A stratified random...
Informal family caregivers play an increasingly important role in healthcare. Despite their ongoing management and coordination of care, caregiver satisfaction with the healthcare services care recipients receive has been understudied. We sought to assess what influences inpatient provided recipient among veterans traumatic brain injury (TBI) polytrauma.
Abstract In 2017, ten veteran patients with the shared experience of living chronic pain united to form a Veteran Engagement Panel (VEP) support Patient-Centered Outcomes Research Institute® (PCORI®)funded Veterans Pain Care Organizational Improvement Comparative Effectiveness (VOICE) Study. The study, conducted at Affairs (VA) sites, compares two team-based approaches improve management and reduce potential harms opioid therapy. panel shares best practices for sustaining successful...
The Veterans' Pain Care Organizational Improvement Comparative Effectiveness (VOICE) study is a 12-month pragmatic randomized comparative effectiveness trial conducted at ten United States Veterans Affairs (VA) health care sites. overall goal was to test interventions improve pain while reducing opioid use among VA patients with moderate-severe chronic despite treatment long-term therapy (LTOT). Aims were 1) compare lower-intensity telecare collaborative management (TCM) versus...
Abstract Introduction Meaningful engagement of patients in the research process has increased over past 20 years. Few accounts are available infrastructure and processes used by large organizations. The Pain/Opioid Consortium Research (Consortium) is a U.S. Department Veterans Affairs (VA) network that provides to accelerate health implementation evidence‐based care. Consortium's key activities include facilitating Veteran‐engaged building community between VA researchers. This report sought...