A5011999421- Digital Mental Health Interventions
- Posttraumatic Stress Disorder Research
- Telemedicine and Telehealth Implementation
- Mental Health Treatment and Access
- Mental Health Research Topics
- Resilience and Mental Health
- Child Abuse and Trauma
- Mobile Health and mHealth Applications
- Child and Adolescent Psychosocial and Emotional Development
- Impact of Technology on Adolescents
- COVID-19 and Mental Health
- Health Literacy and Information Accessibility
- Migration, Health and Trauma
- Sleep and related disorders
- Behavioral Health and Interventions
- Psychotherapy Techniques and Applications
- Attachment and Relationship Dynamics
- Cancer survivorship and care
- Health Education and Validation
- Cultural Competency in Health Care
- DNA Repair Mechanisms
- Data-Driven Disease Surveillance
- Epigenetics and DNA Methylation
- Technology Use by Older Adults
- Mental Health and Patient Involvement
United States Department of Veterans Affairs
2010-2025
Mann-Grandstaff VA Medical Center
2024-2025
University of Arkansas for Medical Sciences
2018-2024
Athabasca University
2024
Central Arkansas Veterans Healthcare System
2020-2022
Mental Illness Research, Education and Clinical Centers
2022
FrontLine Service
2014-2021
New York State Office of Mental Health
2018-2019
National Center for PTSD
2008-2016
VA Palo Alto Health Care System
2010-2016
Article AbstractObjective: To demonstrate the noninferiority of a telemedicine modality, videoteleconferencing, compared to traditional in-person service delivery group psychotherapy intervention for rural combat veterans with posttraumatic stress disorder (PTSD).Method: A randomized controlled trial 125 male PTSD (according DSM criteria on Clinician-Administered Scale) and anger difficulties was conducted at 3 Veterans Affairs outpatient clinics. Participants were randomly assigned receive...
Article AbstractObjective: To compare clinical and process outcomes of cognitive processing therapy-cognitive only version (CPT-C) delivered via videoteleconferencing (VTC) to in-person in a rural, ethnically diverse sample veterans with posttraumatic stress disorder (PTSD).Method: A randomized trial noninferiority design was used determine if providing CPT-C VTC is effective "as good as" delivery. The study took place between March 2009 June 2013. PTSD diagnosed per DSM-IV. Participants...
<h3>Importance</h3> Depression and anxiety are common disabling. Primary care is the de facto site for treating these mental health problems but typically underresourced to meet burden of demands. <h3>Objective</h3> To evaluate efficacy a mobile intervention platform, IntelliCare, addressing depression among primary patients. <h3>Design, Setting, Participants</h3> Two-arm randomized clinical trial at internal medicine clinics University Arkansas Medical Sciences. Adult patients (N = 146) who...
The terms noninferiority and equivalence are often used interchangeably to refer trials in which the primary objective is show that a novel intervention as effective standard intervention. use of these designs becoming increasingly relevant mental health research. Despite fundamental importance designs, they poorly understood, improperly applied, subsequently misinterpreted. In this article, authors explain key methodological statistical considerations. Decision points using discussed, such...
Video teleconferencing (VTC) is used for mental health treatment delivery to geographically remote, underserved populations. However, few studies have examined how VTC affects individual or group psychotherapy processes. This study compares process variables such as therapeutic alliance and attrition among participants receiving anger management therapy either through traditional face-to-face by VTC.The current represents secondary analyses of a randomized noninferiority trial (Morland et...
Few studies have investigated the impact of deployment stressors on mental health outcomes women deployed to Iraq in support Operation Iraqi Freedom. This pilot study examined exposure combat experiences and military sexual harassment a sample 54 active duty assessed these post-deployment posttraumatic stress disorder (PTSD) symptoms depressive symptoms. Within 3 months returning from Iraq, participants completed (a) Combat Experiences Scale Sexual Harassment Deployment Risk Resilience...
Although effective psychotherapies for posttraumatic stress disorder (PTSD) exist, high percentages of Veterans in need services are unable to access them. One particular challenge providing cost-effective psychological treatments with PTSD involves the difficulty and cost delivering in-person, specialized psychotherapy residing geographically remote locations. The delivery these via clinical videoteleconferencing (CVT) has been presented as a potential solution this care problem.This study...
Anger is a common symptom among military populations with posttraumatic stress disorder (PTSD); yet, anger treatment has received relatively little attention in the literature. This discrepancy surprising given that excessive key predictor of outcome PTSD. study seeks to (a) build case for importance more explicit approach understanding and treating our veteran populations, (b) summarize current literature base on factors outcomes related symptoms veterans, (c) offer clinical research...
Engagement is a multifaceted construct and likely mechanism by which digital interventions achieve clinical improvements. To date, research on mental health (DMHIs) has overwhelmingly defined engagement assessed its association with outcomes through the objective/behavioral metrics of use or interactions DMHI, such as number log-ins time spent using technology. However, also entails users' subjective experience. Research largely lacking that tests relationship between outcomes. The purpose...
Previously reported large autopsy series have indicated that elderly patients who die of cancer are less likely to metastatic disease than their younger counterparts. This observation could be explained if survival were shorter in the population and died with smaller tumor burdens. The authors analyzed Medical Center Hospital Vermont (MCHV) Tumor Registry data on primary lung respect age. As series, at time diagnosis disease. Further analysis was undertaken from this autopsied MCHV. Although...
Abstract The in vivo frequency of mutants resulting from mutation at the hprt locus human T‐lymphocytes can be determined by a cloning assay. This assay quantifies 6‐thioguanine‐resistant (TG r ) T‐cells through growth colonies 96‐well microtiter dishes. reproducibility TG mutant values has now been assessed longitudinal study six individuals (three male, three female, aged 22–33 years) employing 4–5 blood samples over 26–37 week time period. Cloning assays were performed with both fresh and...
Health care technologies have the ability to bridge or hinder equitable care. Advocates of digital mental health interventions (DMHIs) report that such are poised reduce documented gross inequities plagued generations people seeking in United States. This is due a multitude factors as their potential revolutionize access; mitigate logistical barriers in-person care; and leverage patient inputs formulate tailored, responsive, personalized experiences. Although we agree with DMHIs advance...
Abstract Background Adolescents with asthma are vulnerable to poor outcomes due inadequate self-management skills and nonadherence medications. Mobile health (mHealth) apps have shown promise in improving control, medication adherence, self-efficacy. However, existing mHealth lack personalization real-time feedback not tailored for at-risk adolescents. Objective This study aimed design, develop, test a smartphone-based Asthma Action Plan adolescents, called Pulmonary Education Knowledge...
Abstract Implementing a digital mental health service in primary care requires integration into clinic workflow. However, without adequate attention to design, including designing referral pathways identify and engage patients, implementation will fail. This article reports results from our efforts for randomized clinical trial evaluating depression anxiety delivered through clinics. We utilized three pathways: direct consumer (e.g., print media, registry emails), provider (i.e., electronic...
Therapist adherence to a manualized cognitive-behavioral anger management group treatment (AMT) was compared between therapy delivered via videoconference (VC) and the traditional in-person modality, using data from large, randomized controlled trial comparing effectiveness of AMT for veterans with combat-related posttraumatic stress disorder. rated presence or absence process content elements. Secondary analyses were conducted repeated measures ANOVA. Overall protocol excellent (M = 96%, SD...
Almost 40% of US adults provide informal caregiving, yet research gaps remain around what burdens affect caregivers. This study uses a novel social media site, Reddit, to mine and better understand online communities focus on as their caregiving burdens. These forums were accessed using an application programming interface, machine learning classifier was developed remove low information posts, topic modeling applied the corpus. An expert panel summarized forums’ themes into ten categories....
Objective: This study assessed whether adding telephone care management to usual outpatient mental health improved treatment attendance, medication compliance, and clinical outcomes of veterans with posttraumatic stress disorder (PTSD). Methods: In a multisite randomized controlled trial, 358 were assigned either (N=165) or plus twice-a-month (TCM) support in the first three months (N=193). Treatment utilization refills determined from U.S. Department Veterans Affairs administrative data....
eHealth tools have the potential to meet mental health needs of individuals who experience barriers accessing in-person treatment. However, most users less than optimal engagement with tools. Coaching from peer specialists may increase their eHealth.This pilot study aims test feasibility and acceptability a novel, completely automated web-based system recruit, screen, enroll, assess, randomize, then deliver an intervention national sample military veterans unmet needs; investigate whether...