2023
Lung Cancer Screening Decision Aid Designed for a Primary Care Setting
Schapira M, Hubbard R, Whittle J, Vachani A, Kaminstein D, Chhatre S, Rodriguez K, Bastian L, Kravetz J, Asan O, Prigge J, Meline J, Schrand S, Ibarra J, Dye D, Rieder J, Frempong J, Fraenkel L. Lung Cancer Screening Decision Aid Designed for a Primary Care Setting. JAMA Network Open 2023, 6: e2330452. PMID: 37647070, PMCID: PMC10469267, DOI: 10.1001/jamanetworkopen.2023.30452.Peer-Reviewed Original ResearchConceptsLung cancer screeningPrimary care settingDecisional conflictClinical trialsCare settingsVeterans Affairs Medical CenterDecisional conflict scoresWeb-based patientAttention control interventionFuture implementation strategiesCurrent smokersSecondary outcomesSmoking historyPrimary outcomeCancer screeningRecruitment lettersMedical CenterMAIN OUTCOMEDecisional regretClinical practiceWest HavenControl groupKnowledge scoreControl interventionsLatino ethnicity
2022
A Veteran-Centric Web-Based Decision Aid for Lung Cancer Screening: Usability Analysis
Schapira MM, Chhatre S, Prigge JM, Meline J, Kaminstein D, Rodriguez KL, Fraenkel L, Kravetz JD, Whittle J, Bastian LA, Vachani A, Akers S, Schrand S, Ibarra JV, Asan O. A Veteran-Centric Web-Based Decision Aid for Lung Cancer Screening: Usability Analysis. JMIR Formative Research 2022, 6: e29039. PMID: 35394433, PMCID: PMC9034418, DOI: 10.2196/29039.Peer-Reviewed Original ResearchSystem Usability ScaleLung cancer screeningUsability testingMean SUS scoreSUS scoreHigh-fidelity versionCancer screeningHybrid type 1 effectiveness-implementation trialPrimary care clinical settingsWeb-based toolVeterans Affairs Medical CenterUser sessionsWeb-based decision aidUsability analysisEffectiveness-implementation trialEnd usersDecision making processNavigation challengesPhase 1Care clinical settingsSpecific risk factorsUser statementsLow baseline levelsEvidence-based interventionsUsability Scale
2021
When Is a Harm a Harm? Discordance between Patient and Medical Experts’ Evaluation of Lung Cancer Screening Attributes
Schapira MM, Rodriguez KL, Chhatre S, Fraenkel L, Bastian LA, Kravetz JD, Asan O, Akers S, Vachani A, Prigge JM, Meline J, Ibarra JV, Corn B, Kaminstein D. When Is a Harm a Harm? Discordance between Patient and Medical Experts’ Evaluation of Lung Cancer Screening Attributes. Medical Decision Making 2021, 41: 317-328. PMID: 33554740, DOI: 10.1177/0272989x20987221.Peer-Reviewed Original ResearchConceptsLung cancer screeningIncidental findingHarms of LCSVeterans Affairs Medical CenterRadiation exposureLung cancer deathsSignificant incidental findingsRoutine annual screeningProportion of participantsCross-sectional studyNon-Hispanic whitesPotential harmSDM discussionsAnnual screeningCancer deathCancer screeningPrimary careMortality reductionMedical CenterInvasive proceduresPatientsIndirect costsMost participantsScreening attributesOvertreatment
2020
National Variation in Palliative Care and Associated Outcomes Among Decedents with Heart Failure in Veterans Affairs Medical Centers (RP503)
Feder S, Ersek M, Kutney-Lee A, Redeker N, Bastian L, Akgun K. National Variation in Palliative Care and Associated Outcomes Among Decedents with Heart Failure in Veterans Affairs Medical Centers (RP503). Journal Of Pain And Symptom Management 2020, 60: 230. DOI: 10.1016/j.jpainsymman.2020.04.095.Peer-Reviewed Original ResearchVeterans Affairs Medical CenterHeart failurePalliative careMedical CenterAssociated outcomesDecedentsNational variationsCare
2013
The Cardiovascular Intervention Improvement Telemedicine Study (CITIES): Rationale for a Tailored Behavioral and Educational Pharmacist-Administered Intervention for Achieving Cardiovascular Disease Risk Reduction
Zullig LL, Melnyk SD, Stechuchak KM, McCant F, Danus S, Oddone E, Bastian L, Olsen M, Edelman D, Rakley S, Morey M, Bosworth HB. The Cardiovascular Intervention Improvement Telemedicine Study (CITIES): Rationale for a Tailored Behavioral and Educational Pharmacist-Administered Intervention for Achieving Cardiovascular Disease Risk Reduction. Telemedicine Journal And E-Health 2013, 20: 135-143. PMID: 24303930, PMCID: PMC3911768, DOI: 10.1089/tmj.2013.0145.Peer-Reviewed Original ResearchConceptsTelephone-based interventionCVD risk factorsRisk factorsDurham Veterans Affairs Medical CenterCardiovascular disease risk reductionOutpatient primary care clinicsVeterans Affairs Medical CenterCVD risk reductionCardiovascular disease riskPrimary care clinicsDisease risk reductionTarget sample sizeRisk reductionMultiple comorbiditiesUsual careCare clinicsMedication adherencePrimary careHome-based monitoringMedical CenterStudy interventionTelemedicine studiesHealth behaviorsDisease riskHypertension
2007
Gender Differences in Health Care Utilization Among Veterans with Chronic Pain
Kaur S, Stechuchak KM, Coffman CJ, Allen KD, Bastian LA. Gender Differences in Health Care Utilization Among Veterans with Chronic Pain. Journal Of General Internal Medicine 2007, 22: 228. PMID: 17356991, PMCID: PMC1824743, DOI: 10.1007/s11606-006-0048-5.Peer-Reviewed Original ResearchConceptsChronic painWomen veteransOutpatient visitsDurham Veterans Affairs Medical CenterVeterans Affairs Medical CenterMultiple pain sitesHigh rateChronic pain conditionsOutpatient service useHealth care utilizationICD-9 codingPain sitesClinic visitsPain locationPain conditionsCare utilizationOutpatient utilizationPrimary carePhysical therapyMedical CenterPainMale veteransService usePsychiatric diagnosisVeteran population
2000
Racial variation in wanting and obtaining mental health services among women veterans in a primary care clinic.
Bosworth H, Parsey K, Butterfield M, McIntyre L, Oddone E, Stechuchak K, Bastian L. Racial variation in wanting and obtaining mental health services among women veterans in a primary care clinic. Journal Of The National Medical Association 2000, 92: 231-6. PMID: 10881472, PMCID: PMC2640571.Peer-Reviewed Original ResearchConceptsMental health servicesPrimary care clinicsAfrican American womenHealth servicesCare clinicsWomen veteransDurham Veterans Affairs Medical CenterPrimary care clinic settingMental health service utilizationVeterans Affairs Medical CenterMore mental health servicesConsecutive women patientsMental Disorders questionnairePrimary Care EvaluationMental health useHealth service utilizationEqual access systemRacial differencesMental disorder symptomsMental health resourcesMedian ageWomen patientsClinic settingService utilizationCare Evaluation
1999
Validation of a Trauma Questionnaire in Veteran Women
McIntyre L, Butterfield M, Nanda K, Parsey K, Stechuchak K, McChesney A, Koons C, Bastian L. Validation of a Trauma Questionnaire in Veteran Women. Journal Of General Internal Medicine 1999, 14: 186-189. PMID: 10203625, PMCID: PMC1496546, DOI: 10.1046/j.1525-1497.1999.00311.x.Peer-Reviewed Original Research