- Telemedicine and Telehealth Implementation
- COVID-19 and Mental Health
- Digital Mental Health Interventions
- Traumatic Brain Injury Research
- Spinal Cord Injury Research
- Burn Injury Management and Outcomes
- Injury Epidemiology and Prevention
- COVID-19 and healthcare impacts
- Mobile Health and mHealth Applications
- Ethics in Clinical Research
- Assistive Technology in Communication and Mobility
- Electronic Health Records Systems
- Technology and Human Factors in Education and Health
- Personality Traits and Psychology
- Digital Imaging in Medicine
- Transcranial Magnetic Stimulation Studies
- Behavioral Health and Interventions
- Healthcare Systems and Public Health
- Health Policy Implementation Science
- Climate Change and Health Impacts
- Neurology and Historical Studies
- Stroke Rehabilitation and Recovery
- Mental Health Research Topics
- Family Support in Illness
- Primary Care and Health Outcomes
Virginia Commonwealth University
2016-2024
James A. Haley Veterans' Hospital
2023
VA Central California Health Care System
2021
Pain and Rehabilitation Medicine
2020
Multi Electrical System (Suriname)
2019
University of Arkansas for Medical Sciences
2000
The COVID-19 pandemic has altered mental health care delivery like no other event in modern history. purpose of this study was to document the magnitude that effect by examining (a) amount psychologists' telepsychology use before pandemic, during and anticipated after pandemic; as well (b) demographic, training, policy, clinical practice predictors these changes. This used a cross-sectional, national online design recruit 2,619 licensed psychologists practicing United States. Prior performed...
Abstract Objective This article positions the special issue on telepsychology amidst COVID‐19 pandemic, which has dramatically accelerated adoption and dissemination of telepsychology. Method The makes general observations about themes emerging in with considerations for application, training, theory‐driven research, policy. It then presents as a case example rapid deployment during pandemic doctoral training services at Virginia Commonwealth University (VCU) Primary Care Psychology...
As the COVID-19 pandemic grows internationally, healthcare systems are dramatically altering delivery, shifting as many services quickly possible to telemedicine. Telemedicine has been heralded1 a primary way forward triage and screen potentially early symptoms of COVID-19, protecting patients, providers, community from additional exposure. But now, health clinics across world additionally rapidly deploying telemedicine approach for care, mental health, OBGYN, other outpatient specialty...
Despite decades of low utilization, telemedicine adoption expanded at an unprecedented rate during the COVID-19 pandemic. This study examined quantitative and qualitative data provided by a national online sample 228 practicing physicians (64% were women, 75% White) to identify facilitators barriers in United States (U.S.) beginning Logistic regressions used predict most frequently endorsed (20% or more) based on participant demographics practice characteristics. The top five reported were:...
Abstract Objective To examine whether the Theory of Reasoned Action (TRA) and Technology Acceptance Model (TAM) apply to psychologists’ openness using telepsychology. Method Participants were 1,791 psychologists currently practicing psychotherapy. represented all 50 US states averaged 26.33 ( SD = 11.18) years in clinical practice. The study used a cross‐sectional, national online design. Results Path analyses derived from TRA TAM evidenced poor fit. A newly‐developed, third model achieved...
The COVID-19 pandemic transformed the delivery of psychological services as many psychologists adopted telepsychology for first time or dramatically increased their use it. current study examined qualitative and quantitative data provided by 2619 practicing to identify variables facilitating impeding adoption in U.S. at beginning pandemic. top five reported barriers were: inadequate access technology, diminished therapeutic alliance, technological issues, quality delivered care...
The aim of this study is to apply the theory reasoned action (TRA) and technology acceptance model (TAM) psychologists' telepsychology use during COVID-19 pandemic.
Telepsychology has the potential to help mental health service providers reach millions of people in rural areas or those limited by other factors. This study examined pre-COVID-19 deterrents reported psychologists who did not use telepsychology. Participants were 1,400 with an average 26.3 (SD = 11.18) years practice currently practicing within United States but All 50 states represented as well Washington, DC. The most commonly deterrents, from least frequent, insufficient training, client...
The aim of this study was to examine potential racial/ethnic disparities in community integration for the 2 yrs after burn injury.A sample 1773 adults with injury from Burn Model Systems database used data on collected at discharge (preinjury recall), 6, 12, and 24 mos discharge.Four sets hierarchal linear models determined most appropriate model understanding differences Community Integration Questionnaire trajectories over time.Data indicated a decrease between 6 mos, slight increase 1 yr,...
Telemedicine use increased during the COVID-19 pandemic, but uptake was uneven and future is uncertain. This study, then, examined ability of personal environmental variables to predict telemedicine adoption pandemic. A total 230 physicians practicing in U.S. completed questions concerning characteristics, as well at three time points: pre-pandemic, anticipated use. Associations between characteristics were determined identify factors important for Physicians reported that accounted 3.72%...
The COVID‐19 pandemic has altered life globally like no other event in modern history, and psychological service changes to meet the resultant impacts on families have not been assessed empirical literature. purpose of current study was examine whether family systems therapists increased their teletherapy use during relative prepandemic usage, projected postpandemic rates would remain at same level; further, environmental demographic predictors these were examined. In May 2020, a sample 626...
Purpose/Objective: Despite the increasingly high number of individuals who survive burns and documented impairments in functioning across psychological, work, sexual, interpersonal domains, there has been a dearth research investigating connections between pain these domains after burn injury. The purpose current study was to investigate relationships among pain, mental health, with It hypothesized that would yield direct effects on (work, interpersonal), as well indirect through depression...
The purpose of this study was to investigate among college students the relationship between personality traits and willingness care for a relative with chronic health condition. 329 undergraduate completed an online questionnaire. Hierarchical multiple regressions found that after controlling demographics explained 10% variance in provide emotional care, 7% instrumental nursing care. Within these models, greater empathy uniquely associated emotional, instrumental, family member future....
This study developed and validated the Telepsychology Facilitators Scale (TFS), a novel measure that uses theory of reasoned action technology acceptance model as frameworks to assess factors influence psychologists' openness using telepsychology. At beginning COVID-19 pandemic, an online sample 2,619 psychologists completed initial items considered for TFS, along with assessing their actual use The was split in half, preliminary exploratory factor analysis ultimately revealing 13-item...
BACKGROUND: To date, the Individual Placement and Support (IPS) model is only vocational intervention that has been rigorously studied shown to be effective with Veterans spinal cord injury (SCI). Customized Employment (CE) an innovative promising results among people disabilities which yet tested in persons SCI. OBJECTIVE: determine whether a adapted for SCI rehabilitation more than standard care helping obtain maintain employment. METHODS: A 4-year, 2-site randomized clinical trial (RCT)...
While spinal cord injury (SCI) caregiving can be a rewarding experience, caregivers often experience reduced mental and physical health.
Pre-post study.To evaluate the efficiency of a series recruitment strategies in longitudinal study individuals with SCI and their informal caregivers. Primary included (a) rapport building advance, (b) warm handoffs from another healthcare provider who already had relationship potential participant, (c) ensuring participant information about prior to initial contact by research coordinator (RC), (d) attempting informed consent only when both patient caregiver were present, (e) RC at least 30...
This study developed and validated the Telepsychology Facilitators Scale (TFS), a novel measure that uses theory of reasoned action technology acceptance model as frameworks to assess factors influence psychologists’ openness using telepsychology. At beginning COVID-19 pandemic, an online sample N=2,619 psychologists completed initial items considered for TFS, along with assessing their actual use The was split in half, preliminary exploratory factor analysis (EFA) ultimately revealing...