- Substance Abuse Treatment and Outcomes
- Alcohol Consumption and Health Effects
- Homelessness and Social Issues
- Opioid Use Disorder Treatment
- Health Policy Implementation Science
- Alcoholism and Thiamine Deficiency
- Prenatal Substance Exposure Effects
- Primary Care and Health Outcomes
- Cannabis and Cannabinoid Research
- Mental Health Treatment and Access
- Pharmaceutical Practices and Patient Outcomes
- HIV, Drug Use, Sexual Risk
- Organic Food and Agriculture
- HIV/AIDS Research and Interventions
- Mobile Health and mHealth Applications
- Smoking Behavior and Cessation
- Urban Agriculture and Sustainability
- Diabetes Management and Education
- Healthcare Policy and Management
- Posttraumatic Stress Disorder Research
- Food Security and Health in Diverse Populations
- Digital Mental Health Interventions
- Schizophrenia research and treatment
- Bariatric Surgery and Outcomes
- Suicide and Self-Harm Studies
University of Washington
2016-2025
Kaiser Permanente Washington Health Research Institute
2016-2025
Washington State Department of Health
2024
Kaiser Permanente
2017-2024
SUNY Upstate Medical University
2024
Upstate University Hospital
2024
University of North Dakota
2023
University of California, Davis
1998-2022
MultiCare Health System
2022
Henry Ford Health System
2022
Background: Burnout is a syndrome of depersonalization, emotional exhaustion, and sense low personal accomplishment. Little known about burnout in residents or its relationship to patient care. Objective: To determine the prevalence medical explore self-reported care practices. Design: Cross-sectional study using an anonymous, mailed survey. Setting: University-based residency program Seattle, Washington. Participants: 115 internal medicine residents. Measurements: was measured by Maslach...
Background: The Alcohol Use Disorders Identification Test Consumption (AUDIT‐C) questions have been previously validated as a 3‐item screen for alcohol misuse and implemented nationwide in Veterans Affairs (VA) outpatient clinics. However, the AUDIT‐C's validity optimal screening threshold(s) other clinical populations are unknown. Methods: This cross‐sectional validation study compared questionnaires with standardized interviews 392 male 927 female adult outpatients at an academic family...
<h3>Background</h3> Primary care physicians need a brief alcohol questionnaire that identifies hazardous drinking and use disorders. The Alcohol Use Disorders Identification Test (AUDIT) questions 1 through 3 (AUDIT-C), AUDIT question alone are effective alcohol-screening tests in male Veterans Affairs (VA) patients, but have not been validated women. <h3>Methods</h3> Female VA patients (n = 393) completed self-administered questionnaires, including the 10-item previously proposed...
<h3>Background</h3> The purpose of this report is to identify self-reported health problems and functional impairment associated with screening positive for posttraumatic stress disorder (PTSD) in women seen care at a Department Veterans Affairs (VA) medical center. <h3>Methods</h3> A survey was mailed all (N = 1935) who received the VA Puget Sound Health Care System between October 1996 January 1998. inquired about history habits. It included PTSD Checklist–Civilian Version (PCL-C)...
Objectives : To determine the reliability, validity, and responsiveness to change of AUDIT (Alcohol Use Disorders Identification Test) questions 1 3 about alcohol consumption in a primary care setting. Patients Randomly selected, male general medical patients ( n = 441) from three VA Medical Centers, who had 5 or more drinks containing past year were willing be interviewed their health habits. Measures Three self‐administered compared with telephone‐administered version trilevel World Health...
Background Brief alcohol screening questionnaires are increasingly used to identify misuse in routine care, but clinicians also need assess the level of consumption and severity so that appropriate intervention can be offered. Information provided by a patient's score might provide practical tool for assessing misuse. Methods This post hoc analysis data from 2001 2002 N ational E pidemiologic S urvey on A lcohol R elated C onditions ( NESARC ) included 26,546 U.S. adults who reported...
Alcohol screening and brief interventions (BIs) are ranked the third highest US prevention priority, but effective methods of implementing BI into routine care have not been described.This study evaluated prevalence documented among Veterans Affairs (VA) outpatients with alcohol misuse before, during, after implementation a national performance measure (PM) linked to incentives dissemination an electronic clinical reminder (CR) for BI.VA were included in this if they randomly sampled medical...
Abstract Over the past 15 years social movements for community food security, sovereignty, and justice have organized to address failures of multinational, industrial system fairly equitably distribute healthy, affordable, culturally appropriate real food. At same time, these movements, research about them, re‐inscribe white, patriarchal systems power privilege. We argue that in order correct this pattern we must relocate our movement goals practices within a decolonizing feminist leadership...
Unhealthy alcohol use is common and affects morbidity mortality but often neglected in medical settings, despite guidelines for both prevention treatment.
Medical and nonmedical cannabis use disorders (CUD) have increased with increasing legalization. However, the prevalence of CUD among primary care patients who for medical or reasons is unknown in states legal recreational use.To estimate severity report only, both a state use.This cross-sectional survey study took place at an integrated health system Washington State. Among 108 950 adult completed routine screening from March 2019 to September 2019, 5000 were selected confidential using...