A5058960896- Health Policy Implementation Science
- Primary Care and Health Outcomes
- Bipolar Disorder and Treatment
- Schizophrenia research and treatment
- Family Caregiving in Mental Illness
- Sexuality, Behavior, and Technology
- Mental Health Treatment and Access
- Adolescent and Pediatric Healthcare
- Hydrology and Watershed Management Studies
- Sexual function and dysfunction studies
- Physical Activity and Health
- Obesity, Physical Activity, Diet
- Eating Disorders and Behaviors
- Obesity and Health Practices
- Mental Health and Patient Involvement
- Chronic Disease Management Strategies
- Mobile Health and mHealth Applications
- Nutrition and Health in Aging
- Soil erosion and sediment transport
- Health Sciences Research and Education
- Cardiac Health and Mental Health
- Posttraumatic Stress Disorder Research
- Meteorological Phenomena and Simulations
- Soil and Water Nutrient Dynamics
- Chronic Obstructive Pulmonary Disease (COPD) Research
VA Pittsburgh Healthcare System
2022-2024
Mental Illness Research, Education and Clinical Centers
2024
VA Center for Clinical Management Research
2011-2020
VA Ann Arbor Healthcare System
2010-2020
United States Department of Veterans Affairs
2020
Indiana University Bloomington
2002-2020
Quality Enhancement Research Initiative
2020
Southwest Watershed Research Center
2013-2018
University School
2017
Indiana University School of Medicine
2016-2017
Low back pain is a significant public health problem and one of the most commonly reported reasons for use Complementary Alternative Medicine. A randomized control trial was conducted in subjects with non-specific chronic low comparing Iyengar yoga therapy to an educational group. Both programs were 16 weeks long. Subjects primarily self-referred screened by primary care physicians study inclusion/exclusion criteria. The outcome functional disability. Secondary outcomes including present...
Approximately half of American adults do not meet recommended physical activity guidelines. Face-to-face lifestyle interventions improve health outcomes but are unlikely to yield population-level improvements because they can be difficult disseminate, expensive maintain, and inconvenient for the recipient. In contrast, Internet-based behavior change disseminated widely at a lower cost. However, impact some Internet-mediated programs is limited by high attrition rates. Online communities that...
In this research we explored three aspects of personality relevant to sexual activity and risk taking in heterosexual men. Men with low inhibition arousal the face (low SIS2) reported more partners whom they use no condoms lifetime "one night stands." who experience increased interest states depression (MSQ) past year one stands. The disinhibition subscale Sensation Seeking Scale was predictive whether intercourse had occurred 6 months, also number year. A measure an intention practice safer...
Despite the availability of psychosocial evidence-based practices (EBPs), treatment and outcomes for persons with mental disorders remain suboptimal. Replicating Effective Programs (REP), an effective implementation strategy, still resulted in less than half sites using EBP. The primary aim this cluster randomized trial is to determine, among not initially responding REP, effect adaptive strategies that begin External Facilitator (EF) or plus Internal (IF) on improved EBP use patient 12...
Background: Regular physical activity (PA) is recommended for persons with chronic obstructive pulmonary disease (COPD). Interventions that promote PA and sustain long-term adherence to are needed. Objective: We examined the effects of an Internet-mediated, pedometer-based walking intervention, called Taking Healthy Steps, at 12 months. Methods: Veterans COPD (N=239) were randomized in a 2:1 ratio intervention or wait-list control. During first 4 months, participants group instructed wear...
Background: Learning Health Systems strive to continuously integrate innovations and evidence-based practices (EBPs) into routine care settings. Few models provide a specified pathway accelerate adoption spread of EBPs across diverse Objective: The US Department Veterans Affairs Quality Enhancement Research Initiative (QUERI) Implementation Roadmap facilitates uptake in practice by aligning research health system priorities. Methods: is based on earlier iterations the QUERI translational...
Persons with serious mental illness (SMI) are disproportionately burdened by premature mortality. This disparity is exacerbated poor continuity of care the health system. The Veterans Health Administration (VA) developed Re-Engage, an effective population-based outreach program to identify veterans SMI lost and reconnect them VA services. However, such programs often encounter barriers getting implemented into routine care. Adaptive designs needed when implementation intervention requires...
Article AbstractObjectives: Persons with bipolar disorder experience a disproportionate burden of medical conditions, notably cardiovascular disease (CVD), leading to impaired functioning and premature mortality. We hypothesized that the Life Goals Collaborative Care (LGCC) intervention, compared enhanced usual care, would reduce CVD risk factors improve physical mental health outcomes in US Department Veterans Affairs patients disorder. Method: Patients an ICD-9 diagnosis ≥ 1 factor (N =...
In January 2006, Veterans Affairs (VA) disseminated the MOVE!® Weight Management Program to VA medical centers address high prevalence of overweight/obesity. its second year, MOVE! implementation varied widely across facilities. The objective this study was understand contextual factors that facilitated or impeded in year after dissemination. We used an embedded mixed methods cross-sectional design. Qualitative and quantitative data were collected simultaneously with primary purpose explore...
To assess for the frequency of binge eating behavior and its association with weight loss in an overweight/obese sample veterans.This study is a secondary analysis data from ASPIRE study, randomized effectiveness trial among veterans. Of 481 enrolled veterans overweight/obesity, was obtained by survey 392 (82%).The majority (77.6%) reported eating, 6.1% high-frequency eating. Those reporting any lost 1.4% body weight, decreased waist circumference 2.0 cm, had significantly worse outcomes...
This study compared the clinical characteristics, use of guideline-concordant pharmacotherapy, and outcomes patients diagnosed as having bipolar disorder who were exclusively seen in Department Veteran Affairs (VA) primary care settings with those received any VA mental health services.Data from 1999 Large Health Survey Veterans linked to data National Psychosis Registry identify (N=14,643). Multivariable analyses adjusting for sociodemographic characteristics severity factors determined...
Objective This pilot study compared Life Goals Collaborative Care (LGCC) with enhanced treatment as usual in reducing cardiometabolic risk factors and improving outcomes for persons bipolar disorder. Methods Participants were randomly assigned to LGCC (N=34) or (N=34). included four weekly self-management sessions monthly telephone contacts six months thereafter. Enhanced wellness mailings. Outcomes blood pressure, body mass index (BMI), quality of life, functioning, symptoms. Results...
Objective The authors compared fidelity to bipolar disorder treatment at community practices that received a standard or enhanced version of novel implementation intervention called Replicating Effective Programs (REP). Methods Five in Michigan and Colorado were assigned random receive (N=3) (N=2) REP help implement Life Goals Collaborative Care (LGCC), psychosocial consisting four self-management support group sessions, ongoing care management contacts by phone, dissemination guidelines...
Abstract Background Engaging in regular physical activity can be challenging, particularly during the winter months. To promote at University of Michigan months, an eight-week Internet-mediated program (Active U) was developed providing participants with online log, goal setting, motivational emails, and optional team participation competition. Methods This study is a evaluation Active U. Approximately 47,000 faculty, staff, graduate students were invited to participate U intervention 2007....
Few implementation strategies have been empirically tested for their effectiveness in improving uptake of evidence-based treatments or programs. This study compared the an immediate versus delayed enhanced strategy (Enhanced Replicating Effective Programs (REP)) providers at Veterans Health Administration (VA) outpatient facilities (sites) on improved outreach program (Re-Engage) among sites not initially responding to a standard strategy. One mental health provider from each U.S. VA site (N...