A5083373465- Primary Care and Health Outcomes
- Health Policy Implementation Science
- Diabetes Management and Education
- Mental Health Treatment and Access
- Bipolar Disorder and Treatment
- Schizophrenia research and treatment
- Chronic Disease Management Strategies
- Mental Health and Patient Involvement
- Smoking Behavior and Cessation
- Adolescent and Pediatric Healthcare
- Family Caregiving in Mental Illness
- Health Systems, Economic Evaluations, Quality of Life
- Interprofessional Education and Collaboration
- Child and Adolescent Psychosocial and Emotional Development
- Digital Mental Health Interventions
- Clinical practice guidelines implementation
- Healthcare Policy and Management
- Behavioral Health and Interventions
- Patient Satisfaction in Healthcare
- Substance Abuse Treatment and Outcomes
- Sleep and related disorders
- Evaluation and Performance Assessment
- Personality Disorders and Psychopathology
- School Health and Nursing Education
- Psychosomatic Disorders and Their Treatments
University of Colorado Denver
2005-2024
University of Colorado Anschutz Medical Campus
2014-2024
Mayo Clinic in Florida
2023
Center For Policy Research
2023
Mayo Clinic
2023
The Ohio State University Wexner Medical Center
2023
Hinge Health
2023
American Academy of Family Physicians
2023
Outcomes Research Consortium
2019-2022
Health and Hospital Corporation
2020
Background: The RE-AIM framework has been widely used in health research but it is unclear the extent to which this also for planning and evaluating health-related programs clinical community settings. Our objective was evaluate how "real-world" identify opportunities improving use outside of contexts. Methods: We purposive snowball sampling that and/or evaluation. Recruitment methods included surveys with email follow-up funders, implementers, working group members. identified 17 conducted...
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...
In 2012, the Centers for Medicare and Medicaid Services implemented a policy that penalizes hospitals "excessive" all-cause hospital readmissions within 30 days after discharge from an index hospitalization heart failure (HF), acute myocardial infarction (AMI), pneumonia. The aim of this study was to investigate influence psychiatric comorbidities on 30-day following hospitalizations HF, AMI,
Several state Medicaid reforms are under way, but the relative performance of different approaches is unclear.To compare Oregon's and Colorado's Accountable Care Organization (ACO) models.Oregon initiated its transformation in 2012, supported by a $1.9 billion investment from federal government, moving most enrollees into 16 Coordinated Organizations, which managed care within global budget. Colorado Collaborative 2011, creating 7 Regional Organizations that received funding to coordinate...
The objective of this study was to examine psychological processes in systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA) patients relation measures life stress, coping styles, social support cognitive ability. Fifty-two SLE without overt neuropsychiatric symptoms, 29 RA 27 healthy controls completed depression, mood, disease activity, perceived health, stressful events, coping, support. Variables entered into the multiple regression analysis following principal component were:...
Abstract Background Interventions are often adapted; some adaptations may provoke more favorable outcomes, whereas not. A better understanding of the and their intended goals elucidate which produce outcomes. Improved methods needed to capture characterize impact intervention adaptations. Methods We used multiple data collection analytic made by practices participating in a hybrid effectiveness-implementation study complex, multicomponent diabetes intervention. Data identify included...
OBJECTIVE: Little is known about how psychiatric disorders affect health care costs in Medicaid programs. The prevalence of and for members a maintenance organization (HMO) who had were examined. METHODS: A cross-sectional, observational analysis adult beneficiaries over 12-month period was conducted by using data from plan that has both an HMO behavioral carve-out. Claims analyzed 6,500 adults eligible services plans received medical or during calendar year 2000. RESULTS: Thirty-nine...
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 purpose of this study was to determine rates smoking and receipt provider recommendations quit among patients with mental disorders treated in U.S. Department Veterans Affairs (VA) treatment settings. Methods: authors conducted a secondary analysis the yearly, cross-sectional 2007 Health Administration Outpatient Survey Healthcare Experiences Patients (N=224,193). Logistic regression used independent association health diagnosis dependent variables smoking. Results: had...
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...
Forty-one percent (41%) of persons in the U.S. who reported having recent mental illnesses also smoke cigarettes. Tobacco use among this population is associated with up to 25 less years life and excess medical comorbidity compared general population. While research demonstrates that tobacco interventions can be effective for illnesses, they are not commonly utilized clinical practice. The current study explored how adapt evidence-based cessation meet unique physiological, psychological,...
This column describes a process for adapting an evidence-based practice in community clinics which researchers and providers participated the resulting framework implementation of practice—Replicating Effective Programs-Facilitation. A two-day meeting Recovery-Oriented Collaborative Care study was conducted to elicit input from more than 50 stakeholders, including providers, health care administrators, researchers. The illustrates effective researcher-community partnership stakeholders...
Smokers with bipolar disorder (BD) are less successful at quitting than the general population. In this study, we evaluated in a pilot randomized controlled trial novel, targeted, web-based intervention for smokers BD based on acceptance and commitment therapy (ACT) designed reach disseminability.Daily (n = 51) I or II were recruited from four US sites randomly assigned to one of two smoking cessation interventions-ACT-based WebQuit Plus 25) Smokefree.gov 26) over 10-week treatment period....
Abstract Background Self-management is essential for good outcomes in type 2 diabetes and patients often benefit from self-management education. Shared medical appointments (SMAs) can increase self-efficacy self management but are difficult some primary care practices to implement. Understanding how adapt processes delivery of SMAs with may provide helpful strategies other interested implementing SMAs. Methods The Invested Diabetes study was a pragmatic cluster-randomized, comparative...
Abstract Levels of familial expressed emotion during an acute episode are consistently associated with rates recurrence among bipolar patients. This article briefly reviews the evidence for (EE) as a prognostic indicator and then illustrates family‐focused treatment (FFT) adults adolescents suffering from disorder. FFT is time‐limited, modularized consisting psychoeducation, communication enhancement training, problem‐solving skills. Controlled trials indicate that efficacious adjunct to...
The prevalence of tobacco use among persons with mental illnesses is 2 to 3 times that the general population, and these individuals suffer significant related health disparities. Many people contact quitlines for cessation assistance. With free telephone counseling in some cases nicotine replacement therapy, offer a potentially effective resource this population. However, are still trying determine how best meet callers' unique needs. authors discuss emerging practices regarding quitline...
Electronic health records (EHRs) provide an alternative to traditional public surveillance surveys and administrative data for measuring the prevalence impact of chronic conditions in populations. As infrastructure secondary use EHR improves, many stakeholders are poised benefit from partnerships regional access information. can be transformed into a common model that facilitates sharing across multiple organizations allows used surveillance. The Colorado Health Observation Regional Data...
Shared medical appointments (SMAs) have been shown to be an efficient and effective strategy for providing diabetes self-management education support. SMA features vary it is not known which are most different patients practice settings. The Invested in Diabetes study tests the comparative effectiveness of SMAs with without multidisciplinary care teams patient topic choice improving patient-centered clinical outcomes related diabetes.This compares two approaches using Targeted Training...
<h3>Introduction:</h3> Integrating behavioral health services into primary care has a strong evidence base, but how training programs incorporate integrated (IBH) delivery and not been well described. The goal of this study was to evaluate factors related successful IBH implementation in family medicine (FM) residency assess perspectives attitudes on among program leaders. <h3>Methods:</h3> FM programs, all which are required provide training, were recruited from the American Academy Family...