A5020194880- Digital Mental Health Interventions
- Mental Health Research Topics
- Mobile Health and mHealth Applications
- Impact of Technology on Adolescents
- Bipolar Disorder and Treatment
- Child and Adolescent Psychosocial and Emotional Development
- Telemedicine and Telehealth Implementation
- Cervical Cancer and HPV Research
- Eating Disorders and Behaviors
- Mental Health Treatment and Access
- Obesity, Physical Activity, Diet
- Behavioral Health and Interventions
- Social Media in Health Education
- Ethics in Clinical Research
- Primary Care and Health Outcomes
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Vaccine Coverage and Hesitancy
- Electronic Health Records Systems
- Patient Satisfaction in Healthcare
- Suicide and Self-Harm Studies
- Health Literacy and Information Accessibility
- Schizophrenia research and treatment
- Geriatric Care and Nursing Homes
- Art Therapy and Mental Health
- Global Cancer Incidence and Screening
Brigham and Women's Hospital
2018-2024
Harvard University
2018-2024
VA New England Healthcare System
2024
RELX Group (Netherlands)
2023
University of Rhode Island
2012-2021
VA Boston Healthcare System
2016-2018
Emerging research suggests that mobile apps can be used to effectively treat common mental illnesses like depression and anxiety. Despite promising efficacy results ease of access these interventions, adoption health (mHealth; device-delivered) interventions for illness has been limited. More insight into patients' perspectives on mHealth is required create effective implementation strategies adapt existing facilitate higher rates adoption.The aim this study was examine, from the patient...
While many digital mental health interventions (DMHIs) have been found to be efficacious, patient engagement with DMHIs has increasingly emerged as a concern for implementation in real-world clinical settings. To address engagement, we must first understand what standard levels are the context of randomized controlled trials (RCTs) and how these compare other treatments.
<sec> <title>UNSTRUCTURED</title> Patient-generated health data (PGHD) encompass health-related information created, recorded, and gathered by patients in their daily lives, is distinct from collected clinical settings. PGHD can offer insight into patients’ everyday behaviors conditions, supporting management decision-making. The Veterans Health Administration (VHA) has implemented various initiatives to integrate care, including patient self-entered the My HealtheVet online portal Annie for...
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...
Abstract Background The suicide rate in bipolar disorder (BD) is among the highest across all psychiatric disorders. Identifying modifiable variables that relate to suicidal thoughts and behaviors (STBs) BD may inform prevention strategies. Social connectedness a variable found STBs general population, but differences exist subgroups of population findings specifically have been equivocal. We aimed clarify how perceived social relates BD. Method 146 adults (86 BD, 60 healthy controls)...
This study examined longitudinal differences in use of transtheoretical model (TTM) behavior change constructs maintainers (who reached and maintained exercise guidelines), relapsers guidelines, then regressed), nonchangers did not reach guidelines). Data from two population-based TTM-tailored randomized trial intervention groups targeting ( N = 1050) were pooled, analyses assessed TTM between the three at baseline, 12 months, 24 months. Findings indicated that tended to variables similarly...
Military veterans who could benefit from mental health services often do not access them. Research has revealed a range of barriers associated with initiating United States Department Veterans Affairs (VA) care, including those specific to accessing care (e.g., fear stigmatization). More work is needed streamline VA health-care for veterans. In the current study, we interviewed 80 9 clinics across about initiation identify access. Results suggested that five predominant factors influenced...
Acceptability of mobile phone text messaging as a means asynchronous communication between health care systems and patients is growing. The US Department Veterans Affairs (VA) has adopted an automated texting system (aTS) for national rollout. aTS allows providers to develop clinical protocols promote patient self-management teams monitor progress in-person visits. Texting-supported hepatitis C virus (HCV) treatment not been previously tested.Guided by the Practical, Robust Implementation...
Participant recruitment is an ongoing challenge in health research. Recruitment may be especially difficult for studies of access to care because, even among those who are care, people using services least often also hardest contact and recruit. Opt-out methods (in which potential participants given the opportunity decline further about study (opt out) following initial mailing, then contacted directly if they have not opted out within a specified period) can used such studies. However,...
To examine acceptability and feasibility of a Transtheoretical Model (TTM)-based computer-tailored intervention (CTI) for increasing human papillomavirus (HPV) vaccination in college-aged women.Two hundred forty-three women aged 18-26 were recruited between February May 2011.Participants completed the 14-item evaluation content delivery.Most participants had heard HPV (91%), but majority (57%) Precontemplation getting vaccinated. Eighty-nine percent rated CTI positively across all items, 91%...
Depression and social anxiety disorder (SAD) are highly comorbid, resulting in greater severity functional impairment compared with each alone. Although recently transdiagnostic treatments have been developed, no known addressed this comorbidity pattern specifically. Preliminary support exists for acceptance-based approaches depression SAD separately, they may be more efficacious comorbid traditional cognitive-behavioral approaches. The aim of the current study was to develop pilot test an...
Purpose. Women younger than 25 years are at greatest risk for human papillomavirus (HPV) infection, including high-risk strains associated with 70% of cervical cancers. Effective model-based measures that can lead to intervention development increase HPV vaccination rates necessary. This study validated Transtheoretical Model Decisional Balance and Self-Efficacy seeking the vaccine in a sample female college students. Design. Cross-sectional measurement development. Setting. Online survey...
Despite their prevalence and reported patient interest in use, uptake of health-related apps is limited. The Veterans Health Administration (VHA) has developed a variety to support veterans; however, remains low nationally.We examined the VHA app use how veterans learned about these order identify factors associated with use.As part quality improvement initiative, we recruited national cohort obtain feedback on technology for health collected data from them via cross-sectional survey. survey...
The collaborative care model is an evidence-based practice for treatment of depression in which designated managers provide clinical services, often by telephone. However, the infrequently adopted Department Veterans Affairs (VA). Almost all VA medical centers have a co-located or embedded approach to integrating mental health primary patients. Some also telephone-based where support patient education, activation, and monitoring adherence progress over time. This study evaluated two research...
This research examined dynamic transtheoretical model (TTM) constructs for dietary fat reduction. secondary data analysis pooled three large population-based TTM-tailored school, worksite, medical, and home-based intervention studies use of across groups organized by longitudinal progress (dynatypes): Maintainers, Relapsers, Stable Non-Changers. The criteria successful change, at the time, were that less than 30% calories came from fat. A total 2,718 adults met an unhealthy diet baseline....
Despite advances in the treatment of bipolar disorder (BD), most patients do not achieve complete inter-episode recovery and functional disability is common. During periods relative remission, many continue to experience neurocognitive dysfunction, reduced daytime activity levels, sleep disturbances. This 8-week, randomized, placebo-controlled pilot study evaluated feasibility, safety preliminary efficacy wake-promoting drug, modafinil (Provigil®), on functioning, sleepiness, quality...