A5068805656- Musculoskeletal pain and rehabilitation
- Mental Health Treatment and Access
- Schizophrenia research and treatment
- Mobile Health and mHealth Applications
- Complementary and Alternative Medicine Studies
- Pain Management and Placebo Effect
- Stroke Rehabilitation and Recovery
- Mental Health and Patient Involvement
- Psychosomatic Disorders and Their Treatments
- Pediatric Pain Management Techniques
- Telemedicine and Telehealth Implementation
- Electronic Health Records Systems
- Suicide and Self-Harm Studies
- Digital Mental Health Interventions
- Opioid Use Disorder Treatment
- Health Policy Implementation Science
- Pain Management and Opioid Use
- Treatment of Major Depression
- Acute Ischemic Stroke Management
- Psychology of Moral and Emotional Judgment
- Mental Health and Psychiatry
- Psychiatric care and mental health services
- Personality Disorders and Psychopathology
- Gun Ownership and Violence Research
- Acupuncture Treatment Research Studies
James A. Haley Veterans' Hospital
2018-2024
University of South Florida
2020-2024
University of Tampa
2022
Rehabilitation Research and Development Service
2018
Health Services Research & Development
2018
University of Missouri–Kansas City
2012-2016
Quality of life (QoL) in people with schizophrenia and other serious mental illnesses (SMI) is an important outcome goal, yet there no consistent definition the construct. We examined three aspects QoL persons SMI: overall satisfaction, physical health-related (HRQoL), HRQoL. This study had two primary aims: first, to examine whether are differences HRQoL SMI, and, second, investigate cognitive, clinical, functional correlates indicators. Participants were 48 SMI who completed assessments...
Virtual reality (VR) has demonstrated efficacy for distraction from pain-related thoughts and exposure to feared movements. Little empirical VR research focused on chronic pain management.The purpose of this study was examine the feasibility as an adjunctive intervention Veterans with pain. We designed a hierarchy ranging low-intensity high-intensity movement-based purpose. apps were mapped onto hierarchy.Sixteen receiving inpatient rehabilitation participated in daily sessions over 3-week...
Chronic pain is a highly prevalent health condition among veterans. Traditional pharmacological interventions present unique challenges for chronic management including prescription opioid addiction and overdose. In alignment with the 2016 Comprehensive Addiction Recovery Act VA's Stepped Care Model to meet veterans' needs, Offices of Rural Health Pain Management, Opioid Safety, Prescription Drug Monitoring Program (PMOP) funded an enterprise-wide initiative implement Step 3 integrated...
A key concern for people with chronic pain is experiencing increased and/or re-injury. Consequently, individuals can develop a maladaptive fear of movement that leads to adverse functional consequences. primary goal rehabilitation re-engagement in feared movements through exposure. This often challenging since safe be uncomfortable. Virtual environments provide promising opportunity safely and gradually expose Veterans are avoided the real world. The current study will utilize multiple...
Background Increasing access to nonpharmacological interventions manage pain and posttraumatic stress disorder (PTSD) is essential for veterans. Complementary integrative health (CIH) can help individuals symptom burden with enhanced accessibility via remotely delivered care. Mission Reconnect (MR) a partnered, self-directed intervention that teaches CIH skills. Objective The purpose of this paper describe the recruitment, onboarding phase, attrition fully remote randomized controlled trial...
Background Nonpharmacological interventions for veterans are needed to help them manage chronic pain and posttraumatic stress disorder (PTSD) symptoms. Complementary integrative health (CIH) such as Mission Reconnect (MR) seek provide with the option of a partnered, self-directed intervention that teaches CIH skills remotely support symptom management. Objective The purpose this study was describe physical, psychological, social outcomes mobile- web-based comorbid PTSD their partners...
Abstract Background Chronic pain is a leading cause of disability and negatively impacts biological/physical, psychological, social aspects life resulting in significant interference or disability. This project was part longitudinal mixed-methods implementation evaluation the TelePain-Empower Veterans Program (EVP), non-pharmacological chronic intervention. The purpose this quality management to examine electronic patient-reported outcome measures (ePROs) including primary pain-related...
The COVID-19 pandemic has been a catalyst for rapid uptake of virtual care through the use health resources (VHR). In Department Veterans Affairs (VA) Healthcare System, critical to maintaining healthcare access patients during COVID-19. current study we describe primary patient aligned team (PACT) VHR patterns within one VA medical center (i.e., hospital facility and five community-based outpatient clinics) pre- post-COVID-19 onset.VHR provider data from 106 individual PACTs were extracted...
Background Over the last decade, virtual reality (VR) has emerged as a cutting-edge technology in stroke rehabilitation. VR is defined type of computer-user interface that implements real-time simulation an activity or environment allowing user interaction via multiple sensory modalities. In population, interventions have been shown to enhance motor, cognitive, and psychological recovery when utilized rehabilitation adjunct. also demonstrated noninferiority usual care therapies for Objective...
<sec> <title>BACKGROUND</title> Nonpharmacological interventions for veterans are needed to help them manage chronic pain and posttraumatic stress disorder (PTSD) symptoms. Complementary integrative health (CIH) such as Mission Reconnect (MR) seek provide with the option of a partnered, self-directed intervention that teaches CIH skills remotely support symptom management. </sec> <title>OBJECTIVE</title> The purpose this study was describe physical, psychological, social outcomes mobile-...
Abstract Background A proactive approach to delivering care using virtual resources, while reducing in-person contact, is needed during the COVID-19 pandemic. Objective In current study we describe pre- post- pandemic onset related changes in electronic delivery of primary care. Methods longitudinal, pre-post within-subjects design was used. Patient-aligned team providers from one VA medical center, a annex, and four affiliated community-based outpatient clinics completed both baseline...
To identify the clozapine utilization rate at Veterans Health Administration, as well patient characteristics, and correlates of use to garner a better understanding Administration-treated population. A longitudinal retrospective cohort analysis was conducted on all Operation Enduring Freedom/Operation Iraqi Freedom treated with prescriptions through Administration from 2006 2016. Descriptive inferential analyses were conducted. The sample 1.3 million veterans had 15 416...
ABSTRACT Introduction Transforming Health and Resilience through Integration of Values-based Experiences (THRIVE) is a complimentary integrative health program. THRIVE delivered shared medical appointments where participants engage in provider-led education group discussion on wellness-related topics. has been associated with improved patient-reported outcomes female veteran cohort. This quality improvement study evaluated the association between participation Veterans Administration (VHA)...
Informal caregivers, or care partners, provide critical support to recipients when managing health care. Veterans Health Administration (VHA) priorities identify partners as vital in supporting veterans' management. The Veteran Delegation Tool (VDT) is VHA's Insurance Portability and Accountability Act-compliant solution for comanage through electronic portal. Human-centered design approaches VDT development are needed inform enhancements aimed at promoting uptake sustained use.The objective...
<sec> <title>BACKGROUND</title> Increasing access to nonpharmacological interventions manage pain and posttraumatic stress disorder (PTSD) is essential for veterans. Complementary integrative health (CIH) can help individuals symptom burden with enhanced accessibility via remotely delivered care. Mission Reconnect (MR) a partnered, self-directed intervention that teaches CIH skills. </sec> <title>OBJECTIVE</title> The purpose of this paper describe the recruitment, onboarding phase,...
<sec> <title>BACKGROUND</title> Virtual reality (VR) has demonstrated efficacy for distraction from pain-related thoughts and exposure to feared movements. Little empirical VR research focused on chronic pain management. </sec> <title>OBJECTIVE</title> The purpose of this study was examine the feasibility as an adjunctive intervention Veterans with pain. We designed a hierarchy ranging low-intensity high-intensity movement-based purpose. apps were mapped onto hierarchy....