A5057855427- Health Policy Implementation Science
- Mental Health Treatment and Access
- Child and Adolescent Psychosocial and Emotional Development
- Digital Mental Health Interventions
- Pharmaceutical Practices and Patient Outcomes
- Telemedicine and Telehealth Implementation
- Schizophrenia research and treatment
- Mental Health and Patient Involvement
- Posttraumatic Stress Disorder Research
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Appendicitis Diagnosis and Management
- Education and Military Integration
- Mental Health Research Topics
- Genetic factors in colorectal cancer
- Medication Adherence and Compliance
- Colorectal Cancer Screening and Detection
- Stroke Rehabilitation and Recovery
- Spinal Cord Injury Research
- Substance Abuse Treatment and Outcomes
- Diabetes Management and Education
- Heart Failure Treatment and Management
- Health Systems, Economic Evaluations, Quality of Life
- Global Health Workforce Issues
- Global Cancer Incidence and Screening
- Diabetes Treatment and Management
Center for Innovation
2025
Michael E. DeBakey VA Medical Center
2025
Central Arkansas Veterans Healthcare System
2004-2023
Mental Illness Research, Education and Clinical Centers
2018-2022
United States Department of Veterans Affairs
2018
Durham VA Medical Center
2012
Denver VA Medical Center
2012
VA Puget Sound Health Care System
2012
University of Arkansas for Medical Sciences
2004
Background Long-term dependence on prescribed benzodiazepines is a public health problem. Eliminating Medications Through Patient Ownership of End Results (EMPOWER) promising self-management intervention, delivered directly to patients as printed booklet, that effective in promoting benzodiazepine reduction and cessation older adults. EMPOWER has high potential benefit large care systems such the US Veterans Health Administration (VHA), which cares for many veterans who use extended periods....
Background— Adherence to cardioprotective medications in the year after acute coronary syndrome hospitalization is generally poor and associated with increased risk of rehospitalization mortality. Few interventions have specifically targeted this high-risk patient population improve medication adherence. We hypothesize that a multifaceted patient-centered intervention could adherence medications. Methods Results— To evaluate intervention, we propose enrolling 280 patients recent event into...
Treatment of psychotic disorders consists primarily second generation antipsychotics, which are associated with metabolic side effects such as overweight/obesity, diabetes, and dyslipidemia. Evidence-based clinical practice guidelines recommend timely assessment management these conditions; however, research studies show deficits delays in monitoring for patients. This protocol article describes the project 'Monitoring Management Metabolic Side Effects Antipsychotics,' is testing an approach...
Broadly disseminating and implementing evidence-based psychotherapies with high fidelity, particularly cognitive behavioral therapy (CBT), has proved challenging for many health-care systems, including the Department of Veterans Affairs, especially in primary care settings such as small or remote clinics. A computer-based tool (based on coordinated anxiety learning management (CALM) program) was designed to support care-based mental health providers delivering CBT. The objectives this study...
A national priority at the US Department of Veterans Affairs (VA) is to increase availability and accessibility evidence-based psychotherapies (EBPs) across all VA medical facilities. Yet many veterans, particularly those who use remote outpatient clinics, still do not receive much needed treatment. Strategies are for supporting mental health providers rural community-based clinics (CBOCs) as they translate their clinical training routine practice. The Coordinated Anxiety Learning Management...
Purpose Many US military veterans experience anxiety, depression, and trauma-related disorders. A major goal of the Veterans Health Administration (VHA) has been to increase access evidence-based psychotherapies (EBPs) such as cognitive-behavioral therapy address veterans’ substantial health burden. However, despite widespread implementation EBPs throughout VHA, smaller clinics that often serve rural face barriers delivering these interventions. The Affairs Coordinated Anxiety Learning...
Background: The rapid spread of the SARS-CoV-2 pandemic obstructed human subjects research, including our own randomized hybrid type 2 effectiveness–implementation trial comparing multidisciplinary HIV care delivered by video telehealth to home (VTH) versus in-person delivery.
Abstract Purpose To explore the feasibility and utility of using a workshop, supervision‐consultation plus external facilitation to disseminate implement cognitive‐behavioral therapy in Veterans Affairs (VA) community‐based outpatient clinics (CBOCs). Methods This study occurred context randomized controlled trial aimed at comparing 2 methods for implementing Coordinated Anxiety Learning Management (CALM) VA CBOCs. A 3‐phase (workshop, supervision‐consultation, facilitation) model was used...
Abstract Background In studies of the general population and military veterans, many primary care patients with hazardous drinking PTSD and/or depression (abbreviated here as HD +) do not initiate or engage alcohol-related care. To address this gap in care, we identified will pilot test a promising evidence-based intervention, Connect Care (C2C). C2C is strengths-based approach, delivered by Coach telephone video, four components: (1) identifying leveraging patient strengths to facilitate...
This study compared a computer and manual version of tailored Coordinated Anxiety Learning Management (VA CALM) protocol on provider fidelity to CBT patient outcomes.This was cluster randomized controlled trial. Providers (N = 32) were deliver VA CALM by or manual. Veteran patients 135), treated providers, recruited. The primary outcome fidelity, measured rating audiotaped sessions. Secondary outcomes Veterans' general (BSI-18 GSI, SF-12) disorder-specific (GAD-7, PCL-5, PHQ-9) assessed at...
Long-term benzodiazepine dependence carries significant health risks which might be reduced with low-cost patient self-management interventions. A booklet version of one such intervention (Eliminating Medications Through Patient Ownership End Results; EMPOWER) proved effective in a Canadian clinical trial older adults. Digitizing an for electronic delivery and tailoring it to different populations could expand its reach. Accordingly, this article describes the protocol randomized controlled...
<sec> <title>BACKGROUND</title> A national priority at the US Department of Veterans Affairs (VA) is to increase availability and accessibility evidence-based psychotherapies (EBPs) across all VA medical facilities. Yet many veterans, particularly those who use remote outpatient clinics, still do not receive much needed treatment. Strategies are for supporting mental health providers rural community-based clinics (CBOCs) as they translate their clinical training routine practice. The...