A5004427489- Musculoskeletal pain and rehabilitation
- Posttraumatic Stress Disorder Research
- Healthcare professionals’ stress and burnout
- Migraine and Headache Studies
- Traumatic Brain Injury Research
- Spine and Intervertebral Disc Pathology
- Pain Management and Placebo Effect
- Suicide and Self-Harm Studies
- Occupational Health and Performance
- Pediatric Pain Management Techniques
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Psychosomatic Disorders and Their Treatments
- Complementary and Alternative Medicine Studies
- Health Systems, Economic Evaluations, Quality of Life
- Mindfulness and Compassion Interventions
- Traumatic Brain Injury and Neurovascular Disturbances
- Migration, Health and Trauma
- COVID-19 and Mental Health
- Pain Management and Opioid Use
- Resilience and Mental Health
- Dialysis and Renal Disease Management
- Human-Animal Interaction Studies
- Occupational health in dentistry
- Pregnancy-related medical research
- Cardiac Arrest and Resuscitation
South Texas Veterans Health Care System
2020-2025
The University of Texas Health Science Center at San Antonio
2016-2025
The University of Texas at San Antonio
2009-2025
The University of Texas Health Science Center at Houston
2018-2024
Urology San Antonio
2020
Wilford Hall Ambulatory Surgical Center
2006-2011
Brooke Army Medical Center
2011
59th Medical Wing
2008
Productive Rehabilitation Institute of Dallas for Ergonomics
2003-2006
Pride Foundation
2003-2004
Abstract Background Recent international health events have led to an increased proliferation of remotely delivered interventions. Even with the pandemic seemingly coming under control, experiences past year fueled a growth in ideas and technology for increasing scope remote care delivery. Unfortunately, clinicians systems will difficulty adoption implementation these interventions if ongoing future clinical trials fail report necessary details about execution, platforms, infrastructure...
In response to the growing numbers of veterans with posttraumatic stress disorder (PTSD), Department Veterans Affairs (VA) has sought make evidence-based psychotherapies for PTSD available at every VA facility. We conducted a national survey providers within clinical teams (PCTs) describe utilization prolonged exposure (PE) and cognitive processing therapy (CPT) identify individual organizational factors associated treatment uptake adherence. Participants (N = 128) completed an electronic...
There is a clear relationship between suicide risk and chronic pain conditions. However, the exact nature of this link has been poorly understood, with attribution often limited to comorbid depression. Perceived burdensomeness already confirmed as factor for suicidal ideation (SI) attempt in general population. Self-perceived burden, studied among medically terminally ill medical populations, begun receive great deal attention factor. not considered an outpatient population, group likely...
<h3>Importance</h3> Posttraumatic headache is the most disabling complication of mild traumatic brain injury. stress disorder (PTSD) symptoms are often comorbid with posttraumatic headache, and there no established treatments for this comorbidity. <h3>Objective</h3> To compare cognitive behavioral therapies (CBTs) PTSD treatment per usual (TPU) attributable to <h3>Design, Setting, Participants</h3> This was a single-site, 3–parallel group, randomized clinical trial outcomes at posttreatment,...
Abstract Background Trauma-focused psychotherapies for combat-related posttraumatic stress disorder (PTSD) in military veterans are efficacious, but there many barriers to receiving treatment. The objective of this study was determine if cognitive processing therapy (CPT) PTSD among active duty personnel and would result increased acceptability, fewer dropouts, better outcomes when delivered In-Home or by Telehealth as compared In-Office Methods trial used an equipoise-stratified...
This study was an examination of the puzzling finding that people assessed for symptoms posttraumatic stress disorder (PTSD) consistently score higher on self-report PTSD Checklist
Background: Pain intensity is one of the most widely used measures in treatment patients with chronic disabling occupational musculoskeletal disorders. Few studies have comprehensively investigated relationship pain at time rehabilitation to objective socioeconomic outcomes year after treatment. This study evaluated ability ratings, measured a visual analog scale, predict and identify who are "at risk" for poor outcome. Methods: A cohort 3106 disorders multidisciplinary tertiary program was...
Objectives To describe the prevalence and persistence of headache associated conditions in an inception cohort U.S. veterans Iraq Afghanistan wars. Background war (IAV) suffer from persistent difficult‐to‐treat headaches that have been found to co‐occur with traumatic brain injury (TBI) other deployment related comorbidities. Methods This longitudinal retrospective study used data national Veterans Health Administration (VA) repository for IAV who first received VA care 2008 (baseline) also...
Over 100 million Americans have chronic pain and most obtain their treatment in primary care clinics. However, evidence-based behavioral treatments targeting pain-related disability are not typically provided these settings. Therefore, this study sought to: 1) evaluate implementation of a brief treatment, Focused Acceptance Commitment Therapy (FACT-CP), delivered by an integrated health consultant (BHC) care; 2) preliminarily explore (self-reported physical disability) secondary outcomes...
The purpose of this study was to conduct the first assessment burnout among Veterans Health Administration (VHA) mental health clinicians providing evidence-based posttraumatic stress disorder (PTSD) care. This consisted 138 participants and sample mostly female (67%), Caucasian (non-Hispanic; 81%), married (70%) with a mean age 44.3 years (SD = 11.2). Recruitment directed through VHA PTSD Clinical Teams (PCT) throughout United States based on nationwide mailing list PCT Clinic Directors....
Abstract Objective Research in psychiatric outpatient and inpatient populations supports the utility of Suicide Cognitions Scale (SCS) as an indicator current future risk for suicidal thoughts behaviors. Designed to assess suicide‐specific beliefs, SCS has yet be evaluated among chronic pain patients, a group with elevated suicide. The purpose present study was develop test shortened version (the SCS‐S). Study Design A total 228 patients completed battery self‐report surveys before or after...
This study explored the association between changes in pain and related health outcomes posttraumatic stress disorder (PTSD) symptoms following cognitive processing therapy (CPT) an active duty military sample. Based on mutual maintenance model, we hypothesized that PTSD symptom reductions would be associated with improvements CPT. secondary, intent-to-treat analysis included data from a parent trial of 127 U.S. Army soldiers diagnosed who were receiving variable-length We used mixed-effect...
The posttraumatic stress disorder (PTSD) Checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition ( DSM-5 ; PCL-5) was designed validated to track symptoms over the past month (PCL-5-M), yet an untested ad hoc weekly version (PCL-5-W) is commonly used changes during treatment. We archival data clinical trials treatment PTSD in veterans assess construct validity PCL-5-W. Both PCL-5-M PCL-5-W were found have configural measurement invariance across four consecutive...
Maintaining adherence to one's haemodialysis regimen is paramount overall health and well-being. The purpose of this study was evaluate the feasibility preliminary efficacy a clinic-based animal-assisted intervention for improving patients' treatment adherence. Using an interrupted time series analysis, examined probability unplanned missed not due hospitalization upon introducing therapy dog visits into clinic, following 3-month lead-in phase before exposure. An model used estimate odds...
Chronic lumbosacral radicular pain is a disabling condition commonly treated with epidural steroid injections (ESIs). Extant research suggests that psychosocial factors impact clinical outcomes among patients back pain. The purpose of this study to examine the relationship between variables and post-injection intensity. Interventional management clinic. A prospective longitudinal cohort repeated within-subject measures. Assessment timepoints included pre-injection baseline, immediately...
Chronic pain related to musculoskeletal conditions is the leading cause of medical discharge from active duty military service. The present study first randomized controlled trial an interdisciplinary treatment program (functional restoration, FR) decrease chronic and increase functioning in population. Sixty-six participants were randomly assigned either FR group or a standard anesthesia clinic comparison group. A repeated measures design was employed data analyzed for pre- post-treatment...
Research suggests that mental health workers are at high risk for burnout, and burnout can increase staff turnover reduce quality of care. The Veterans Administration (VA) employs over 3000 psychiatrists across the United States, but little is known about in this population. This study was conducted to examine predictors intent leave VA among a national sample psychiatrists. Participants (N = 125) responded an anonymous online survey. Regression analyses were used relationships between...
Fritz, Julie M.; Davis, Alison F.; Burgess, Diana J.; Coleman, Brian; Cook, Chad; Farrokhi, Shawn; Goertz, Christine; Heapy, Alicia; Lisi, Anthony McGeary, Donald D.; Rhon, Daniel I.; Taylor, Stephanie L.; Zeliadt, Steven; Kerns, Robert D.Author Information
The STRONG STAR Consortium (South Texas Research Organizational Network Guiding Studies on Trauma and Resilience) the to Alleviate PTSD are interdisciplinary multi-institutional research consortia focused detection, diagnosis, prevention, treatment of combat-related posttraumatic stress disorder (PTSD) comorbid conditions in military personnel veterans. This manuscript outlines consortia's state-of-the-science collaborative model how this can be used as a roadmap for future trauma-related...