A5083619737- Musculoskeletal pain and rehabilitation
- Patient-Provider Communication in Healthcare
- Patient Satisfaction in Healthcare
- Mental Health and Patient Involvement
- Pain Management and Placebo Effect
- Diabetes Management and Education
- Pain Management and Opioid Use
- Healthcare professionals’ stress and burnout
- Opioid Use Disorder Treatment
- Healthcare Systems and Technology
- Mental Health Treatment and Access
- Health Policy Implementation Science
- Primary Care and Health Outcomes
- Obstructive Sleep Apnea Research
- Pharmaceutical Practices and Patient Outcomes
- Palliative Care and End-of-Life Issues
- Pediatric Pain Management Techniques
- Attachment and Relationship Dynamics
- Complementary and Alternative Medicine Studies
- Empathy and Medical Education
- Electronic Health Records Systems
- Mindfulness and Compassion Interventions
- Neuroscience of respiration and sleep
- Resilience and Mental Health
- Cancer survivorship and care
Richard L. Roudebush VA Medical Center
2016-2025
Indiana University – Purdue University Indianapolis
2016-2025
Regenstrief Institute
2016-2025
Indiana University School of Medicine
2016-2025
Veterans Health Administration
2014-2025
United States Department of Veterans Affairs
2017-2025
Indiana University
2012-2024
University of Minnesota System
2023
Center for Innovation
2023
Health Services Research & Development
2009-2022
Background. Pain is the most commonly reported symptom in primary care and a leading cause of disability. Primary providers (PCPs) face numerous challenges caring for patients with chronic pain including communication relational difficulties. Objective. The objective study was to elicit providers' perspectives on their experiences pain. Design. design used qualitative using open-ended, in-depth interviews. Participants. Twenty (10 men, 10 women) from five different clinics were interviewed...
Objective. To identify barriers and facilitators to self-management of chronic musculoskeletal pain among patients with comorbid depression. Design. A qualitative study using focus group methodology. Setting. Veteran Affairs (VA) University primary care clinics. Patients. Recruited after participation in a clinical trial. Intervention. The Stepped Care for Affective Disorders Musculoskeletal Pain (SCAMP) trial tested an intervention optimized antidepressant therapy combined program versus...
OBJECTIVE To understand the professional and psychosocial factors that influence physician antibiotic prescribing habits in inpatient setting. DESIGN We conducted semi-structured interviews with 30 physicians. Interviews consisted of open-ended questions flexible probes based on participant responses. were audio recorded, transcribed, de-identified, reviewed for accuracy completeness. Data analyzed using emergent thematic analysis. SETTING Two teaching hospitals Indianapolis, Indiana...
Patient-centered communication has been linked to patient satisfaction, treatment adherence and outcomes. Shared decision making (SDM) advocated as an important ethically essential aspect of patient-centered care, but SDM received relatively little attention in mental health despite studies indicating that consumers want be involved decisions. This is particularly a recovery-oriented system, where are active participants their rehabilitation. Because medication management key component...
Abstract Background Chronic pain poses numerous challenges for patients and providers, particularly when opioid treatment is discussed. Despite accounts of antagonistic patient–provider communication, little known about how communication opioids unfolds during clinic visits and, importantly, the relationship history a patient physician shapes this communication. This study's objective was to advance understanding by recording primary care conducting in‐depth interviews with gain insight into...
With greater scrutiny on primary care providers' (PCPs) approaches to chronic pain management, more research is needed clarify how concerns and uncertainties about opioid therapy affect the ways both patients with PCPs experience interactions. The goal of this qualitative study was develop a better understanding respective experiences, perceptions, challenges that face communicating each other management.Purposive snowball sampling techniques were used identify 14 PCPs. Patients who received...
Falls are common after stroke; however, circumstances and consequences relatively unknown. Our objectives were to identify the differences between fallers non-fallers among people with chronic stroke, of fall events, examine falls. This is a secondary data analysis; all participants included sustained stroke. Variables demographics, stroke characteristics, comorbidities. collected via self-report, derived from participant description event categorized as appropriate. Among 160 participants,...
Background: Although research has suggested that patients desire to participate in shared decision-making, recent studies show most take a passive role their treatment decisions. The discrepancy between patients’ expressed and actual behaviors underscores the need better understand how perceive decision-making what factors influence participation.Aims: To investigate preferences appraisals of involvement decisions.Methods: Fifty-four qualitative interviews were conducted with veterans...
Facilitation is a key component for successful implementation in several frameworks; however, there paucity of research specifying this component. As part stroke quality improvement intervention the Veterans Health Administration (VHA), facilitation plus data feedback was compared to alone 11 VA medical facilities. The objective study elucidate upon components improvement.We conducted secondary evaluation external using semi-structured interviews. Five facilitators and two program directors...
Shared decision making is a fundamental component of patient-centered care and has been linked to positive health outcomes. Increasingly, researchers are turning their attention shared in mental health; however, few studies have explored these settings from patients' perspectives. We examined accounts understanding making. analyzed interviews 54 veterans receiving outpatient at Department Veterans Affairs Medical Center the United States. Although was consistent with published literature,...
Challenges persist on how to effectively integrate the electronic health record (EHR) into patient visits and clinical workflow, while maintaining patient-centered care. Our goal was identify variations in, barriers to, facilitators of use US Department Veterans Affairs (VA) EHR in ambulatory care workflow order better understand work. We observed interviewed 20 providers across three geographically distinct VA medical centers. Analysis revealed several associated corresponding different...
The aim of this study was to pilot test a peer support intervention, involving delivery pain self-management strategies, for veterans with chronic musculoskeletal pain.
Background Obstructive sleep apnea ( OSA ) is common among patients with acute ischemic stroke and transient attack. We evaluated whether continuous positive airway pressure for recent or attack improved clinical outcomes. Methods Results This randomized controlled trial stroke/transient compared 2 strategies (standard enhanced) the diagnosis treatment of versus usual care over 1 year. Primary outcomes were National Institutes Health Stroke Scale modified Rankin scores. Among 252 (84,...
Transgender and gender-diverse (TGD) individuals frequently encounter discrimination in health care settings. The Veterans Health Administration (VA) is committed to addressing the disparities experienced by TGD veterans. purpose of this study was explore experiences veterans with LGBTQ+ veteran coordinators. authors conducted semi-structured interviews depression between January March 2022. Participants were recruited assistance from VA's network Interviews recorded, transcribed, analyzed....
ABSTRACT Objective To examine the use of CBT‐CP (Cognitive‐behavioral therapy for chronic pain) by CBT‐CP‐trained therapists to treat patients with pain over a five‐year period (October 2015–February 2020). Data Sources and Study Setting is core evidence‐based practice that central multidisciplinary care. However, research suggests underused. The current study used national Veterans Health Administration data period. Design Multilevel modeling was evaluate clinic, therapist, patient‐level...
This study identified ways that consumers of mental health services are active participants in psychiatric treatment.Four providers (three psychiatrists and one nurse practitioner) were recruited, ten with severe illness recruited per provider (40 total). Consumers completed questionnaires on patient activation, self-management, medication attitudes the day a visit. The visit was audiotaped, transcribed, thematically analyzed. Providers gave information diagnosis, substance use disorder,...