A5028964025- Schizophrenia research and treatment
- Bipolar Disorder and Treatment
- Mental Health Treatment and Access
- Primary Care and Health Outcomes
- Pharmaceutical Practices and Patient Outcomes
- Medication Adherence and Compliance
- Infection Control in Healthcare
- Health Systems, Economic Evaluations, Quality of Life
- Chronic Disease Management Strategies
- Child and Adolescent Psychosocial and Emotional Development
- Pharmacological Effects and Toxicity Studies
- Epilepsy research and treatment
- Posttraumatic Stress Disorder Research
- Healthcare Policy and Management
- Suicide and Self-Harm Studies
- Medical Device Sterilization and Disinfection
- Infection Control and Ventilation
- Emergency and Acute Care Studies
- Treatment of Major Depression
- Diabetes Management and Education
- Migration, Health and Trauma
- Cardiac, Anesthesia and Surgical Outcomes
- Adolescent and Pediatric Healthcare
- Healthcare professionals’ stress and burnout
- Hip and Femur Fractures
University of Massachusetts Amherst
2019-2024
Kaiser Permanente Washington Health Research Institute
2016-2023
National Bureau of Economic Research
2023
Boston University
2023
Lindsay Unified School District
2022
New York Proton Center
2022
Communities In Schools of Orange County
2022
Ann Arbor Center for Independent Living
2022
University of Richmond
2022
Oregon Medical Research Center
2022
<b>PURPOSE</b> Participatory decision making (PDM) is associated with improved diabetes control. We examine a causal model linking PDM to clinical outcomes that included patient activation and medication adherence. <b>METHODS</b> This observational study was conducted in 5 family physician offices. Diabetic patients were recruited by mail completing interest card at the conclusion of their office visit. Two survey questionnaires, administered 12 months apart, elicited patients’ ratings...
Background. Health care organizations may be able to use pharmacy data identify patients with schizophrenia and poor antipsychotic adherence. Objective. To determine whether a pharmacy-based measure of outpatient adherence, the medication possession ratio (MPR), is associated adverse outcomes among schizophrenia, as evidenced by increased psychiatric admission. Research Design. Cohort study linking utilization for veterans schizophrenia. MPRs were calculated dividing number days' supply...
Many patients with schizophrenia are poorly adherent antipsychotic medications. The newer, atypical antipsychotics may be more acceptable to and result in increased adherence. We used national Department of Veterans Affairs (VA) pharmacy data examine whether receiving agents their medication explored patient factors associated Patients who received a diagnosis or schizoaffective disorder between October 1, 1998, September 30, 1999, were identified the VA National Psychosis Registry....
Background: Depressive disorders are common in primary care and cause substantial disability, but they often remain undiagnosed. Screening is a frequently proposed strategy for increasing detection of depression. Objective: To examine the cost–utility screening depression compared with no screening. Design: Nonstationary Markov model. Data Sources: The published literature. Target Population: Hypothetical cohort 40-year-old patients. Time Horizon: Lifetime. Perspective: Health payer...
Comprehensive NeuroScience, Inc., 21 Bloomingdale
Cognitive adaptation training (CAT) is a psychosocial treatment that uses environmental supports such as signs, checklists, alarms, and the organization of belongings to cue sequence adaptive behaviors in home. Ninety-five outpatients with schizophrenia (structured clinical interview for diagnosis, Diagnostic Statistical Manual Mental Disorders, Fourth Edition) were randomly assigned (1) Full-CAT (CAT focused on many aspects community including grooming, care living quarters, leisure skills,...
The objective of this study was to characterize racial-ethnic variation in diagnoses and treatment mental disorders large not-for-profit health care systems.Participating systems were 11 private, organizations constituting the Mental Health Research Network, with a combined 7,523,956 patients age 18 or older who received during 2011. Rates diagnoses, prescription psychotropic medications, total formal psychotherapy sessions obtained from insurance claims electronic medical record databases...
Our purpose in this article is to describe and illustrate the application of cluster analysis identify clinically relevant multimorbidity groups. Multimorbidity co-occurrence 2 or more illnesses within a single person, which raises question whether consistent, useful groups exist among sets chronic illnesses. Application involves sequence critical methodological analytic decisions that influence quality meaning clusters produced. We set 45 primary care patients (N = 1,327,328), with...
Although multiple co-occurring chronic illnesses within the same individual are increasingly common, few studies have examined challenges of multimorbidity from patient perspective.The aim this study is to examine self-management learning needs and willingness see non-physician providers patients with compared single illnesses.This research designed as a cross-sectional survey.Based upon ICD-9 codes, VHA healthcare system were stratified into clusters or groups illness corresponding cluster....
Healthcare-acquired infections with methicillin-resistant Staphylococcus aureus (MRSA) are a significant cause of increased mortality, morbidity and additional health care costs in United States. Surface decontamination technologies that utilize pulsed xenon ultraviolet light (PPX-UV) may be effective at reducing microbial burden. The purpose this study was to compare standard manual room-cleaning PPX-UV disinfection technology for MRSA bacterial heterotrophic plate counts (HPC) on...
Background Early adherence is key to successful depression treatment, but nearly 60% of patients discontinue antidepressants within 3 months. Our study aimed determine factors associated with poor early in a large diverse sample patients. Methods Six Mental Health Research Network healthcare systems contributed data for adults and new antidepressant start, defined by washout period at least 270 days, between January 1, 2010 December 31, 2012. Pharmacy fill self-reported race/ethnicity were...
Summary: Purpose: The incidence of epilepsy is highest among the elderly, yet our understanding impact based predominantly on inferences from studies younger adults. This study examines patients' subjective health status in a population that includes both and older Methods: We used national administrative survey databases Veterans Health Administration to examine as measured by modification SF‐36 (RV‐36) patients three age cohorts: young adults (18–40 years), middle‐aged (41–64 (65 years...
Studies have found that 20% to 25% of older patients receive drugs identified as inappropriate by the 1997 Beers criteria. After addition 22 new 2003 criteria, National Committee on Quality Assurance convened an expert consensus panel identify which from criteria should always be avoided in elderly. The resulting list avoid was added 2006 Health Plan Employer Data and Information Set (HEDIS) measure quality prescribing for elderly.To use HEDIS determine rate potentially elderly (PIPE) if...
Patients with schizophrenia have difficulty managing their medical healthcare needs, possibly resulting in delayed treatment and poor outcomes. We analyzed whether patients reduced primary care use over time, differentially by diagnosis schizophrenia, diabetes, or both diabetes. also assessed such patterns of were a significant predictor mortality 4-year period. The Veterans Healthcare Administration (VA) is the largest integrated system United States. Administrative extracts VA's...
The U.S. Food and Drug Administration (FDA) recently linked antiepileptic drug (AED) exposure to suicide-related behaviors based on meta-analysis of randomized clinical trials. We examined the relationship between different AEDs in older veterans receiving new AED monotherapy from Veterans Health (VA), controlling for potential confounders. VA Medicare databases were used identify 66 years older, who received a) care 1999 2004, b) an incident (monotherapy) prescription. Previously validated...
Background: Medication adherence among patients with epilepsy remains a significant challenge, even for prescribed newer antiepileptic drugs (AEDs), leading to increased risks of seizures, hospitalizations, and higher treatment costs. Despite substantial research identifying numerous risk factors, the role specific medications has been neglected. Objective: To analyze 9 different AEDs in national clinical sample elderly new-onset epilepsy. Methods: Patients over age 66 receiving care...
Abstract Background Individuals with major depressive disorder (MDD) and bipolar (BD) have particularly high rates of chronic non-cancer pain (CNCP) are also more likely to receive prescription opioids for their pain. However, there been no known studies published date that examined opioid treatment patterns among individuals schizophrenia. Methods Using electronic medical record data across 13 Mental Health Research Network sites, diagnoses MDD ( N = 65,750), BD 38,117) or schizophrenia...