A5061484195- Telemedicine and Telehealth Implementation
- Digital Mental Health Interventions
- Mobile Health and mHealth Applications
- Chronic Disease Management Strategies
- Child and Adolescent Psychosocial and Emotional Development
- Health Policy Implementation Science
- Patient Satisfaction in Healthcare
- Diabetes Management and Education
- Mental Health and Patient Involvement
- Mental Health Research Topics
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Primary Care and Health Outcomes
- Interprofessional Education and Collaboration
- Bipolar Disorder and Treatment
- Mental Health Treatment and Access
- COVID-19 and healthcare impacts
- Electronic Health Records Systems
- Schizophrenia research and treatment
- Psychological and Temporal Perspectives Research
- Healthcare Systems and Technology
- Suicide and Self-Harm Studies
- Family Caregiving in Mental Illness
- Health Literacy and Information Accessibility
- Maternal Mental Health During Pregnancy and Postpartum
- Identity, Memory, and Therapy
VA Boston Healthcare System
2018-2024
Harvard University
2016-2024
Lemuel Shattuck Hospital
2023-2024
University of Nevada, Reno
2023
United States Department of Veterans Affairs
2019-2023
Western Health and Social Care Trust
2021
Quality Enhancement Research Initiative
2021
Boston University
2021
Edith Nourse Rogers Memorial Veterans Hospital
2019
Hudson Institute
2018
Background: The use of telemental health via videoconferencing (TMH-V) became critical during the Coronavirus disease 2019 (COVID-19) pandemic due to restriction non-urgent in-person appointments. current brief report demonstrates rapid growth in TMH-V appointments weeks following declaration within Department Veterans Affairs (VA), largest healthcare system United States. Methods: COVID-19 changes were captured six World Health Organization's (March 11, 2020-April 22, 2020). Pre-COVID-19...
<h3>Importance</h3> Clinician attitudes toward telehealth may impact utilization rates, and findings differ based on specialty. <h3>Objective</h3> To determine whether clinician beliefs regarding quality ease of use were associated with the proportion care delivered via video, phone, in-person across specialties. <h3>Design, Setting, Participants</h3> This survey study used a voluntary, anonymous conducted from August to September 2021 in Department Veterans Affairs New England Healthcare...
Negative information processing biases have been hypothesised to serve as precursors for the development of depression. The current study examined negative self-referent and depressive symptoms in a community sample adolescents (N = 291, Mage at baseline 12.34 ± 0.61, 53% female, 47.4% African-American, 49.5% Caucasian 3.1% Biracial). Participants completed computerised encoding task (SRET) measure an additional nine months later. Several on SRET were associated with concurrent predicted...
Background Major depressive disorder often is characterized by a lack of cognitive and emotional flexibility, resulting in an impaired ability to adapt situational demands. Adolescence important period risk for the first onset depression, yet relatively little known about whether aspects inflexibility, such as rumination deficits attentional shifting, could confer development during this time. Method In present study, sample 285 never-depressed adolescents completed self-report behavioral...
The current study examined patient and provider differences in use of phone, video, in-person mental health (MH) services. Participants included patients who completed ≥ 1 MH appointment within the Department Veterans Affairs (VA) from 10/1/17-7/10/20 providers 100 VA appointments 10/1/17-7/10/20. Adjusted odds ratios (aORs) are reported providers: (a) completing ≥1 video pre-COVID (10/1/17-3/10/20) COVID (3/11/20-7/10/20) periods; (b) majority visits via or during COVID. sample 2,480,119...
The hopelessness theory of depression is a prominent account that posits individuals with negative inferential style are more likely to become hopeless when they experience life events (NLEs) and proximal cause depression. There strong evidence supporting the role in pathogenesis major depression; however, substantially less known about proposed played by hopelessness. cornerstone hypothesis theory, depression, largely untested. A small number studies have generated inconclusive mediates...
Mental health smartphone apps provide support, skills, and symptom tracking on demand come at minimal to no additional cost patients. Although the Department of Veterans Affairs has established itself as a national leader in creation mental apps, veterans' attitudes regarding use these innovations are largely unknown, particularly among rural aging populations who may benefit from increased access care.The objective our study was examine toward assess whether openness this technology varies...
IMPORTANCECollaborative chronic care models (CCMs) have extensive randomized clinical trial evidence for effectiveness in serious mental illnesses, but little exists regarding their feasibility or effect typical practice conditions.OBJECTIVE To determine the of implementation facilitation establishing CCM health teams and impact on outcomes team-treated individuals. DESIGN, SETTING, AND PARTICIPANTSThis quasi-experimental, stepped-wedge was conducted from February 2016 through 2018,...
The coronavirus disease 2019 (COVID-19) pandemic has led to a dramatic increase in virtual care (VC) across outpatient specialties, but little is known regarding provider acceptance of VC.
After years of slow and fragmented implementation telemental health (TMH), the coronavirus disease (COVID-19) pandemic necessitated widespread adoption. With initial state public emergency behind us, we are at a decision point on whether to continue with TMH or return largely in-person care model. In this qualitative study, investigated clinicians' perspectives advantages disadvantages in outpatient mental healthcare as well considerations for future implementation. We conducted 29...
Increasingly, women are serving in the military and seeking care at Veterans Health Administration (VHA). Women veterans face unique challenges barriers mental health (MH) within VHA. VA Video Connect (VVC), which facilitates video-based teleconferencing between patients providers, can reduce while maintaining clinical effectiveness.Primary aims were to examine gender differences VVC use, describe changes use over time (including pre-COVID 6 months following beginning of COVID), determine...
Among the thousands of eHealth tools available, vast majority do not get past pilot phases because they cannot prove value, and only a few have been systematically assessed. Although multiple assessment frameworks developed, these efforts face challenges. This study aimed to address some challenges by validating refining an initial list 55 criteria based on previous through two-round modified Delphi process with in-between rounds interviews. The expert panel (n = 57) included participants...
Background Patients play a critical role in managing their health, especially the context of chronic conditions like diabetes. Electronic patient portals have been identified as potential means to improve engagement; that is, patients’ involvement care. However, little is known about pathways through which may help patients engage Objective Our objective understand how an electronic portal facilitates engagement among individuals with Methods This qualitative study employed semistructured...