A5005043842- Complementary and Alternative Medicine Studies
- Musculoskeletal pain and rehabilitation
- Emergency and Acute Care Studies
- Electronic Health Records Systems
- Homelessness and Social Issues
- Food Security and Health in Diverse Populations
- Nursing Diagnosis and Documentation
- Cardiac Arrest and Resuscitation
- Pressure Ulcer Prevention and Management
- Spinal Cord Injury Research
- Medical Coding and Health Information
- Digital Mental Health Interventions
- Health, psychology, and well-being
- Disaster Response and Management
- Mobile Health and mHealth Applications
- Mental Health Treatment and Access
- Traumatic Brain Injury Research
- Diabetes Management and Education
- Acupuncture Treatment Research Studies
- Trauma and Emergency Care Studies
- Pain Management and Opioid Use
- Geriatric Care and Nursing Homes
- Treatment of Major Depression
- Nutrition, Genetics, and Disease
- Health Literacy and Information Accessibility
James A. Haley Veterans' Hospital
2012-2024
Rehabilitation Research and Development Service
2016-2018
Center for Innovation
2016-2018
Health Services Research & Development
2016
University of South Florida
2010-2015
Tennessee State University
2015
United States Department of Veterans Affairs
2015
Florida College
2010
Low health literacy is associated with higher care utilization and costs; however, no large-scale studies have demonstrated this in the Veterans Health Administration (VHA). This research evaluated association between veterans' their subsequent VHA costs across a three-year period.
Increased mortality has been documented in older homeless veterans. This retrospective study examined and cause of death a cohort young middle-aged veterans.We US Department Veterans Affairs records on homelessness health care for 2000-2003 identified 23 898 living veterans 65 198 non-homeless aged 30-54. We used National Death Index to determine survival status. compared rates causes the 2 groups during 10-year follow-up period.A greater percentage (3905/23 898, 16.3%) than (4143/65 198,...
National Death Index data were examined to describe mortality patterns among older veterans who are homeless.Homelessness and health care records from the U.S. Department of Veterans Affairs used identify old (ages 55-59) ≥60) (N=4,475) or not (N=20,071) homeless. Survival functions causes death two samples over an 11-year follow-up period compared.Substantially more homeless (34.9%) died compared with control sample (18.2%). approximately 2.5 years younger at time sample. Older had lowest...
Background The Veteran Administration (VA) Office of Patient-Centered Care and Cultural Transformation is invested in improving veteran health through a whole-person approach while taking advantage the electronic resources suite available VA. Currently, there no standardized process to collect integrate patient-reported outcomes (ePROs) complementary integrative (CIH) into clinical care using web-based survey platform. This quality improvement project enrolled veterans attending CIH...
Background Increasing access to nonpharmacological interventions manage pain and posttraumatic stress disorder (PTSD) is essential for veterans. Complementary integrative health (CIH) can help individuals symptom burden with enhanced accessibility via remotely delivered care. Mission Reconnect (MR) a partnered, self-directed intervention that teaches CIH skills. Objective The purpose of this paper describe the recruitment, onboarding phase, attrition fully remote randomized controlled trial...
We determined whether statistical text mining (STM) can identify fall-related injuries in electronic health record (EHR) documents and the impact on STM models of training from a single or multiple facilities.We obtained fiscal year 2007 records for Veterans Health Administration (VHA) ambulatory care clinics southeastern United States Puerto Rico, resulting total 26 010 1652 veterans treated injury 1341 matched controls. used results an model to predict at visit patient levels compared them...
In this analysis of a cohort older homeless veterans, we examined psychosocial, health, housing, and employment characteristics to identify predictors mortality.Our sample 3,620 veterans entered Veteran Affairs programs in years 2000-2003. Fifteen variables from structured interview described served as predictors. National Death Index data for 2000-2011 were used ascertain death. Survival table analyses conducted estimate plot cumulative survival functions. To determine hazard functions, Cox...
Background Nonpharmacological interventions for veterans are needed to help them manage chronic pain and posttraumatic stress disorder (PTSD) symptoms. Complementary integrative health (CIH) such as Mission Reconnect (MR) seek provide with the option of a partnered, self-directed intervention that teaches CIH skills remotely support symptom management. Objective The purpose this study was describe physical, psychological, social outcomes mobile- web-based comorbid PTSD their partners...
Abstract Background Chronic pain is a leading cause of disability and negatively impacts biological/physical, psychological, social aspects life resulting in significant interference or disability. This project was part longitudinal mixed-methods implementation evaluation the TelePain-Empower Veterans Program (EVP), non-pharmacological chronic intervention. The purpose this quality management to examine electronic patient-reported outcome measures (ePROs) including primary pain-related...
We sought to further define the epidemiology of complex, multiple injuries collectively known as polytrauma/blast-related injury (PT/BRI). Using a systems science approach, we performed Bayesian network modeling find most accurate representation complex system PT/BRI and identify key variables for understanding subsequent effects blast exposure in sample Florida National Guard members (1,443 deployed Operation Enduring Freedom/Operation Iraqi Freedom 1,655 not deployed) who completed an...
The COVID-19 pandemic has been a catalyst for rapid uptake of virtual care through the use health resources (VHR). In Department Veterans Affairs (VA) Healthcare System, critical to maintaining healthcare access patients during COVID-19. current study we describe primary patient aligned team (PACT) VHR patterns within one VA medical center (i.e., hospital facility and five community-based outpatient clinics) pre- post-COVID-19 onset.VHR provider data from 106 individual PACTs were extracted...
<sec> <title>BACKGROUND</title> Nonpharmacological interventions for veterans are needed to help them manage chronic pain and posttraumatic stress disorder (PTSD) symptoms. Complementary integrative health (CIH) such as Mission Reconnect (MR) seek provide with the option of a partnered, self-directed intervention that teaches CIH skills remotely support symptom management. </sec> <title>OBJECTIVE</title> The purpose this study was describe physical, psychological, social outcomes mobile-...
ABSTRACT Introduction Transforming Health and Resilience through Integration of Values-based Experiences (THRIVE) is a complimentary integrative health program. THRIVE delivered shared medical appointments where participants engage in provider-led education group discussion on wellness-related topics. has been associated with improved patient-reported outcomes female veteran cohort. This quality improvement study evaluated the association between participation Veterans Administration (VHA)...
Abstract Study Design: A 5-year longitudinal, retrospective, cohort study. Objectives: Develop a prediction model based on electronic health record (EHR) data to identify veterans with spinal cord injury/diseases (SCI/D) at highest risk for new pressure injuries (PIs). Setting : Structured (coded) and text EHR data, SCI/D treated in VHA Center between October 1, 2008, September 30, 2013. Methods: total of 4,709 were available analysis after randomly selecting 175 act as validation (gold...
<sec> <title>BACKGROUND</title> Increasing access to nonpharmacological interventions manage pain and posttraumatic stress disorder (PTSD) is essential for veterans. Complementary integrative health (CIH) can help individuals symptom burden with enhanced accessibility via remotely delivered care. Mission Reconnect (MR) a partnered, self-directed intervention that teaches CIH skills. </sec> <title>OBJECTIVE</title> The purpose of this paper describe the recruitment, onboarding phase,...
Sleep-wake patterns are commonly disrupted following acute traumatic brain injury (TBI). Recent studies have characterized sleep-wake cycle disturbances and their association with poor outcomes during recovery. To date, no study has explored the impact of rest-activity (RACD) on long-term outcome when sleep is initial inpatient rehabilitation. This measures psychological health at one-year post-injury its relation to RACD occurring earlier time a retrospective analysis consecutive VA TBI...
<sec> <title>BACKGROUND</title> The Veteran Administration (VA) Office of Patient-Centered Care and Cultural Transformation is invested in improving veteran health through a whole-person approach while taking advantage the electronic resources suite available VA. Currently, there no standardized process to collect integrate patient-reported outcomes (ePROs) complementary integrative (CIH) into clinical care using web-based survey platform. This quality improvement project enrolled veterans...