A5069159123- Mental Health Treatment and Access
- Health Policy Implementation Science
- Mental Health and Patient Involvement
- BRCA gene mutations in cancer
- Global Cancer Incidence and Screening
- Digital Mental Health Interventions
- LGBTQ Health, Identity, and Policy
- Primary Care and Health Outcomes
- Family Caregiving in Mental Illness
- Telemedicine and Telehealth Implementation
- Breastfeeding Practices and Influences
- Family Support in Illness
- Treatment of Major Depression
- Smoking Behavior and Cessation
- Qualitative Comparative Analysis Research
- Eating Disorders and Behaviors
- Emergency and Acute Care Studies
- Migration, Aging, and Tourism Studies
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Ethics in Clinical Research
- Infant Development and Preterm Care
- Dietetics, Nutrition, and Education
- Suicide and Self-Harm Studies
- Veterinary Practice and Education Studies
- Media, Gender, and Advertising
University of Washington
2007-2024
New York State Department of State
2024
Health Services Research & Development
2021
Seattle University
2019
Washington State Department of Health
2012
Fred Hutch Cancer Center
1998-2010
In-Q-Tel
2007
Cancer Research Center
2002-2005
Cape Town HVTN Immunology Laboratory / Hutchinson Centre Research Institute of South Africa
2002-2005
We evaluated a quality improvement program with pay-for-performance (P4P) incentive in population-focused, integrated care for safety-net patients 29 community health clinics.We used quasi-experimental design 1673 depressed adults before and 6304 after the implementation of P4P program. Survival analyses examined time to depression program, adjustments patient characteristics clustering by organization.Program participants had high levels depression, other psychiatric substance abuse...
The present study applied the key elements of Self-Regulation model to predicting breast cancer screening intentions. participants in this were women aged 18 73 years recruited from family members with and through public announcements local papers, all a history cancer. (n = 357) completed baseline questionnaire. Participants' perceptions their own risk relative medical varied widely. In contrast lack relationship beliefs cognitions overestimation estimates, several emotional variables...
Randomized controlled trials have demonstrated that the collaborative care model for depression in primary is more effective than usual care, but little known about effectiveness of this approach real-world settings. We used patient-reported outcome data from 11,303 patients receiving 135 clinics to examine variations outcomes. The average treatment response across large sample was substantially lower rates reported randomized trials, and substantial variation observed. Patient factors such...
Area probability sampling was used to conduct a women's health survey in Boston, MA. Sexual minority women (SMW) and heterosexual adult were compared on variety of health-related measures.SMW-rich census tracts identified mapped onto zip code boundaries. Eligible respondents 18 older who lived within the defined area, able complete personal interview or self-administered questionnaire English. Differences significant outcomes by sexual orientation examined.SMW differed access care...
Abstract Objective To establish the feasibility of and to generate preliminary evidence for efficacy a care management program addressing both physical emotional pain associated with late‐life depression osteoarthritis. Methods Treatment development pilot study in three university affiliated primary clinics. Participants were patients 60 years or older osteoarthritis pain. The intervention entailed nurse administered supporting arthritis treatment by physicians. Outcomes include depression,...
Sexual minority women (lesbian and bisexual) represent a vulnerable group regarding their breast health. The participants in this study were 150 aged 18–74 recruited via public announcements mainstream sexual communities the greater Seattle metropolitan area. Potential to participate randomized trial of cancer risk counseling intervention for women. produced significant reductions perceived cancer, anxieties fears about at 6 24 months, increases screening rates months arm, compared with...
SUMMARY The health of sexual minority women (SMW) has recently received research attention. Previous into the SMW (e.g., lesbians, bisexuals, transgendered women) used a mixture sampling methods, many which were poorly documented and difficult to understand. results these previous studies do not present consistent pattern findings, possibly due differences in methods. study compared characteristics across four survey three same geographic area. Differences found among groups by method,...
This study evaluated a mail and telephone intervention to improve breast health behaviors while maintaining quality of life. Women recruited from the general public were randomized stepped-intensity consisting mailings, calls, counseling (if requested or appropriate given woman's genetic risk for cancer) delayed treatment control group. Outcomes (mammography screening life) measured at baseline in survey again 12-month follow-up period. group significantly increased mammography uptake by 12%...
Abstract Background The purpose of this study was to identify the effects Collaborative Care on rural Native American and Alaska (AI/AN) patients. Methods implemented in three AI/AN serving clinics. Clinic staff participated training coaching designed facilitate practice change. We followed clinics for 2 years observe improvements depression treatment examine outcomes enrolled elements included universal screening depression, evidence-based target, use behavioral health care managers deliver...
Introduction The gap between depression treatment needs and the available mental health workforce is particularly large in rural areas. Collaborative care (CoCM) an evidence-based approach that leverages limited specialists for maximum population effect. This study evaluates outcomes, clinical processes of care, primary provider experiences CoCM implementation 8 clinics treating low-income patients. Method We used registry data to analyze response remission then logistic regression model...
SUMMARY Lesbians may be at risk for poorer health outcomes than heterosexual women because of differential behaviors and factors disease. Difficulty recruiting representative lesbian populations a lack simple, accurate measures sexual orientation have hindered research about the risks faced by women. The purpose this article was to (1) examine relationship between self-chosen labels other (2) compare related diverse orientations based on simple measures. participants in study were aged 18 74...
Background:The Psychiatric Collaborative Care Model (CoCM) is a highly evidence-based model of behavioral health care delivery in primary settings.Rural (RPC) clinics may face unique barriers to implementation CoCM that are important for teams understand.As part multisite RPC clinics, we explored staff and practice facilitator (PF) perspectives on promising strategies implementation.Methods: This study followed sequential explanatory mixed methods design.Clinics (n=23) were each assigned...
ABSTRACT This article describes women who called a research line to quit smoking and identifies correlates of confidence in quitting among the callers. Approximately 4,000 study participate after single press release, indicating intensive interest quitting. Overall, randomized sample was aged 26 65 years, reported just over one pack per day, mostly White, predominantly employed, had an average two times past year before joining study. Standard background variables, such as age, income, body...
Abstract Background Depressive disorders are among the most prevalent mental health conditions; however, significant barriers to treatment access persist. This study examined differences in depression outcomes between younger and older adults a large‐scale implementation demonstration of collaborative care model (CoCM). Methods Secondary data analysis longitudinal, observational at eight primary clinics across low‐resourced rural or frontier areas Western United States. Seven these were...
The aim of this review is to highlight the need for treating late-life depression in primary care settings, obstacles doing so and introduce evidence-based models older patients. While interventions focusing on screening, provider education referral mental health specialists have had only limited success, several recent trials demonstrated that programs which providers professionals effectively collaborate treat using treatment algorithms are more effective than usual care. Future research...