Combat veterans returning to society with impairing mental health conditions such as PTSD and major depression (MD) report significant barriers care related aspects of traditional psychotherapy service delivery (e.g., stigma, travel time, cost). Hence, alternate treatment methods are needed. Home-based telehealth (HBT) is one option; however, this mode has not been compared in person, clinic-based for adequately powered trials. The present study was designed compare relative noninferiority...

Background: Evidence suggests that empowerment is an important factor to address everyday aspects of dealing with a chronic disease. This study evaluated the effect diabetes on medication adherence and self-care behaviors in adults type 2 diabetes. Subjects Methods: Data 378 subjects recruited from two primary care clinics southeastern United States were examined. Previously validated scales used measure empowerment, adherence, knowledge, (including diet, physical activity, blood sugar...

To conduct an 8-year follow-up of the National Elder Mistreatment Study (NEMS) and specify risk ratios for negative outcomes elder abuse, including DSM-5 defined depression, generalized anxiety disorder (GAD), post-traumatic stress (PTSD), poor self-reported health.Attempts were made to re-contact, via Computer Assisted Telephone Interview, all 752 NEMS participants who reported mistreatment since age 60 at Wave I, as well a randomly selected sample non-mistreated Results: 183 I abuse...

Objective: Whereas prevalence of elder financial mistreatment has received increased attention over the past decade, health and mental correlates are rarely studied. Thus, potential relevance abuse to perceived is relatively unknown, objective this article illustrate relationship. Method: The second wave National Elder Mistreatment Study used random digit dialing telephone survey methodology assess both recent its (i.e., diagnoses depression, posttraumatic stress disorder [PTSD], generalized...

The prevalence of elder mistreatment with respect to race and ethnicity was examined in an unweighted sample 5,777 participants (5,776 weighted sample). Random Digit Dialing methodology used select a representative community-dwelling older adults, the survey available English Spanish. Mistreatment types included emotional, physical, sexual abuse. Race- ethnicity-based differences were largely absent, only observed increase for physical among non-White adults; however, this association not...

Objective: To determine differences in reported barriers to treatment completion associated with telemedicine vs. in-person delivery of evidence-based for PTSD combat veterans. Method: The present study was derived from two ongoing randomized controlled trials (RCTs) comparing exposure therapy PTSD. A onetime telephone assessment participants who dropped out the phase these studies conducted, measures focusing on reasons dropout, and perceived comfort efficacy modality. Dichotomous data were...

Elder abuse, including emotional, physical, sexual, financial, and neglectful mistreatment is widespread in the United States, with as much 11% of community-residing older adults experiencing some form abuse past year. Little data exist regarding prevalence polyvictimization, or experience multiple forms which may exacerbate negative outcomes over that any one victimization isolation. This study evaluates elder polyvictimization among a nationally representative sample U.S. adults. Data from...

The vast majority of elder abuse (EA) victims remain hidden from formal institutional response systems. Guided by the Behavioral Model Health Services Use, this study examined factors that facilitate or impede help-seeking among emotional abuse, physical and sexual abuse.Data came a national, population-based EA in United States with representative sample (n = 304) past-year victims. Gold-standard strategies were used to assess subtypes. Multivariate logistic regression was conducted...

Context Little systematic research has been conducted to understand pain among persons with end-stage liver disease, especially transplant candidates. Appropriate assessment and management are important areas of consideration as treatment options limited. Objective To describe the nature chronic in patients extent which affects daily level functioning, variety effectiveness current treatments. Design Retrospective chart review. Setting Academic medical center Southeastern United States....

Purpose The purpose of the study was to examine association between spirituality and depression among patients with type 2 diabetes. Methods This included 201 adult participants diabetes from an indigent clinic academic medical center. Participants completed validated surveys on depression. Daily Spiritual Experience (DSE) Scale measured a person’s perception transcendent (God, divine) in daily life. Center for Epidemiologic Studies–Depression scale assessed Linear regression analyses...

Purpose The objective of this study is to examine the differences in receipt diabetes education according risk factors that are associated with disease, including race/ ethnicity, region, and rural/urban location. Methods National data from 2007 Medical Expenditure Panel Survey (MEPS) were analyzed likelihood terms race, urban/rural location, region. Results Of 1747 adults type 2 diabetes, 65.6% white, 15% black, 19.4% other. In addition, 49.3% male, 50.6% female; 46.9% under age 64; 39.8%...

Objective: The National Elder Mistreatment Study (NEMS) found that 5.2% of community older adults experienced financial abuse, and 4.6% emotional mistreatment in the past year. Unfortunately, majority abuse was not reported to authorities. This study investigated reasons for non-reporting. Method: In all, 774 NEMS participants were surveyed 8 years later via telephone assess past-year mistreatment, perpetrator status, whether any these episodes Results: total, 87.5% by family, friends, or...

To examine the relationship between perceived control of diabetes and physical mental health components quality life in indigent adults with diabetes.The primary variables, life, were evaluated among188 patients from a low-income clinic located at an academic medical center. Over 12-month period, consenting subjects completed surveys to assess health-related life. Sociodemographic factors (age, gender, race/ethnicity, income, education, employment, marital status, insurance status) collected...

Objective: To examine the association between serious psychological distress (SPD) and Physical Mental Health components of Quality Life (QOL) while controlling for depression in a national sample adults with diabetes. Methods: SPD was assessed 1,659 diabetes who participated 2007 Medical Care Expenditure Survey (MEPS). measured by 6-item Kessler scale. Depression PHQ-2 screen. life physical (PCS) mental (MCS) SF-12. We used multiple linear regression to assess relationship quality relevant...

Objective Prolonged exposure is characterized by reported dropout rates ranging from 25% to 40%. This premature attrition also observed in other evidence-based treatments for posttraumatic stress disorder. While home-based telehealth delivery of prolonged resolves logistical barriers care such as travel time and cost, appears unaffected. A previous study on dropouts delivered via found that Veterans, particularly those receiving telehealth, problems with vivo having a peer offer support...

Posttraumatic stress disorder (PTSD) is a significant problem for combat veterans. Fortunately, effective treatments, such as Prolonged Exposure (PE), are available and widely disseminated in the Veterans Affairs (VA) health-care system. Nonetheless, despite well-documented effectiveness, attrition remains high at approximately 30% across evidence-based interventions. Early studies indicated that dropout was largely related to stigma logistical barriers (e.g., travel time cost). However,...

Abstract Background Effective treatments for posttraumatic stress disorder (PTSD) (e.g., prolonged exposure (PE); cognitive processing therapy (CPT)) exist and are widely adopted by the Departments of Veterans Affairs (VA) Defense (DoD). Unfortunately, dropout from these regularly exceeds 30%. However, in a recent survey patients who dropped out PE, approximately half indicated greater likelihood completion if peer had completed treatment were available to help with vivo homework. Methods We...

Abstract Objectives Limited research exists that outlines the predictive relevance of treatment components prolonged exposure (PE) for post‐traumatic stress disorder (PTSD) on PTSD and depression symptom outcomes. The goal present study was to investigate relations between participant completion breathing retraining, in vivo exposure, imaginal exercises Methods A total 58 participants completed a trial PE as part larger peer involvement adherence. Diagnostic self‐report measures were...

Exposure-based treatments such as prolonged exposure therapy (PE) are effective for veterans with PTSD. However, dropout rates high 50% common. The Department of Veterans Affairs employs peers to increase mental health treatment engagement, however not routinely used help patients complete PE homework assignments. present study included 109 who decided drop out from exposure-based after completing seven or fewer sessions and a randomized controlled design compare completion in response 2...