2025
What Makes for a Positive Patient Experience in Chronic Pain Care? A Qualitative Evaluation of Factors Affecting Veteran Patient Satisfaction Across Two Individualized Pain Care Interventions in VA Primary Care
Purcell N, DeRonne B, Salameh H, Krebs E, Seal K, Becker W, Hagedorn H. What Makes for a Positive Patient Experience in Chronic Pain Care? A Qualitative Evaluation of Factors Affecting Veteran Patient Satisfaction Across Two Individualized Pain Care Interventions in VA Primary Care. Journal Of General Internal Medicine 2025, 1-10. PMID: 40425935, DOI: 10.1007/s11606-025-09630-3.Peer-Reviewed Original ResearchPositive patient experiencePain careCare interventionsPatient experienceCare coordinationVeterans Affairs (VA) healthcare systemPatient satisfactionMultimodal pain careChronic pain careVA primary carePain-related disabilitySelf-manage painPatient-clinician relationshipAffected patient satisfactionSemi-structured interviewsPatient involvementPrimary careCare teamCare accessOpioid-related deathsQualitative interview dataSelf-ManagementVeteran patientsHealthcare systemInfluence patientsDissemination, adaptation, and uptake of patient-facing materials to improve care coordination in primary care
O'Hanlon C, Barnard J, Rose D, Stockdale S, Chang E, Yano E, Ganz D. Dissemination, adaptation, and uptake of patient-facing materials to improve care coordination in primary care. PEC Innovation 2025, 6: 100386. PMID: 40161273, PMCID: PMC11954116, DOI: 10.1016/j.pecinn.2025.100386.Peer-Reviewed Original ResearchReal-world uptakeCare coordinationFrontline providersVeterans AffairsPatient experiences of care coordinationExperiences of care coordinationImprove care coordinationNon-VA providersPrimary care clinicsPatient-facing materialsNavigating careHuman-centered design approachPrimary careCare processesCoordinated careCare clinicsNon-VACommunity providersPatient experienceVeteran patientsWebsite analyticsCareSustained uptakeResponse to feedbackProvidersEngaging Patients with Headache in the Veterans Health Administration (VHA): ACTIvated Veterans Engagement Group (ACTIVE) to Improve Delivery of Patient-Centered Headache Services
Datre O, Baird S, Lindsey H, Goldman R, Sico J, Damush T. Engaging Patients with Headache in the Veterans Health Administration (VHA): ACTIvated Veterans Engagement Group (ACTIVE) to Improve Delivery of Patient-Centered Headache Services. Journal Of Patient Experience 2025, 12: 23743735251314621. PMID: 39867685, PMCID: PMC11758523, DOI: 10.1177/23743735251314621.Peer-Reviewed Original ResearchVeterans Health AdministrationEngagement groupHeadache careHealth AdministrationSocial determinants of healthParticipants expressed strong interestDeterminants of healthPeer support groupsCare coordinationEngaging patientsSocial determinantsHeadache programHeadache servicesSupport groupsBaseline surveySocial supportVeteran patientsHealth approachAudio-recordedCenters of excellenceDe-identifiedIntegrative therapiesHeadache historyVeteransCare
2024
The Road to Reintegration: Evaluating the Effectiveness of VA Healthcare in Vocational Rehabilitation and Employment Retention for Veterans with Mental Health and Substance Use Disorders
Sprong M, Hollender H, Blankenberger B, Rumrill S, Lee Y, Bland T, Bailey J, Weber K, Gilbert J, Kriz K, Buono F. The Road to Reintegration: Evaluating the Effectiveness of VA Healthcare in Vocational Rehabilitation and Employment Retention for Veterans with Mental Health and Substance Use Disorders. Substance Abuse And Rehabilitation 2024, 15: 107-123. PMID: 39081876, PMCID: PMC11287469, DOI: 10.2147/sar.s462882.Peer-Reviewed Original ResearchMental health treatmentSubstance use disorder treatmentVeterans Integrated Service NetworkVocational rehabilitation servicesVocational rehabilitation programVocational rehabilitationSubstance use disordersMental healthHealth treatmentProgram enrollmentRehabilitation servicesRehabilitation programVA healthcareVA healthcare systemSubstance use disorder treatment servicesProgram evaluation dataFace significant barriersProgram evaluation designMultivariate logistic regression analysisHealth outcomesLogistic regression analysisIntegrated services networksVeteran patientsHealthcare systemPost-discharge
2023
Disparities in program enrollment and employment outcomes for veterans with psychiatric and co-occurring substance use disorders referred or enrolled for VHA vocational rehabilitation
Sprong M, Hollender H, Lee Y, Williams L, Sneed Z, Garakani A, Buono F. Disparities in program enrollment and employment outcomes for veterans with psychiatric and co-occurring substance use disorders referred or enrolled for VHA vocational rehabilitation. Frontiers In Psychiatry 2023, 14: 1200450. PMID: 37520235, PMCID: PMC10382058, DOI: 10.3389/fpsyt.2023.1200450.Peer-Reviewed Original ResearchActive alcohol use disorderSubstance use disordersUse disordersVeterans Health Administration medical centersCo-occurring substance use disordersVocational rehabilitationProgram enrollmentCo-occurring alcoholCo-occurring depressionDiagnosis of anxietyCo-occurring diagnosesAlcohol use disorderPost-traumatic stress disorderInstitutional review boardVeteran patientsMedical CenterPsychiatric diagnosisCurrent studyBipolar disorderRehabilitation servicesReview boardStress disorderEffective interventionsAnxiety diagnosesDiagnosisOutcomes for treatment of depression in the Veterans Health Administration: Rates of response and remission calculated from clinical and survey data
Liebmann E, Resnick S, Hoff R, Katz I. Outcomes for treatment of depression in the Veterans Health Administration: Rates of response and remission calculated from clinical and survey data. Psychiatry Research 2023, 324: 115196. PMID: 37058792, DOI: 10.1016/j.psychres.2023.115196.Peer-Reviewed Original ResearchConceptsElectronic health recordsVeteran patient populationPatient populationRate of responseEHR dataInformation Set (HEDIS) quality measuresHealthcare Effectiveness DataPatient-reported outcomesPatient Health QuestionnaireTreatment of depressionVeterans Health AdministrationRoutine clinical assessmentPHQ-9 dataGroup of veteransClinical characteristicsVeteran patientsPatient outcomesClinical assessmentDepression responseHealth QuestionnaireHealth AdministrationEffectiveness dataOverall populationRemissionHealth recordsComplex Patient Navigation by Veteran Patients in the Veterans Health Administration (VHA) for Chronic Headache Disease: A Qualitative Study
Lindsey H, Goldman R, Riley S, Baird S, Burrone L, Grinberg A, Fenton B, Sico J, Damush T. Complex Patient Navigation by Veteran Patients in the Veterans Health Administration (VHA) for Chronic Headache Disease: A Qualitative Study. Journal Of Patient Experience 2023, 10: 23743735231151547. PMID: 36710997, PMCID: PMC9880564, DOI: 10.1177/23743735231151547.Peer-Reviewed Original ResearchVeterans Health AdministrationHeadache careHeadache diseaseHealth AdministrationMost patientsHealthcare providersEvidence-based careMultiple healthcare providersPatient navigationVeteran patientsHeadache centerChronic headachePatient satisfactionSpecialty careHeadache specialistsHeadache treatmentMultiple healthcare systemsPatientsCareTimely accessDiseaseThematic qualitative analysisAdministrationHealthcare systemHigh satisfaction
2022
Implementation of supervised exercise therapy in a veteran population with symptomatic claudication
Altin S, Schneider MD, Parise H, Banerjee S, Wu WC, Meadows JL, Pfau S, Keefe H, Armstrong EJ. Implementation of supervised exercise therapy in a veteran population with symptomatic claudication. Vascular Medicine 2022, 27: 136-141. PMID: 35225695, DOI: 10.1177/1358863x211073622.Peer-Reviewed Original ResearchConceptsExercise treadmill testingExercise therapyMetabolic equivalentsIntermittent claudicationExercise capacityTreadmill testingAnkle-brachial indexIntermittent claudication symptomsMale veteran patientsSupervised exercise therapySymptomatic intermittent claudicationVascular specialty clinicsLow patient adherenceClaudication symptomsSymptomatic claudicationExercise groupVeteran patientsPatient adherenceRisk stratificationTherapy referralSpecialty clinicProvider awarenessVeteran populationClaudicationTherapyComplementary and integrative medicine perspectives among veteran patients and VHA healthcare providers for the treatment of headache disorders: a qualitative study
Kuruvilla DE, Lindsey H, Grinberg AS, Goldman RE, Riley S, Baird S, Fenton BT, Sico JJ, Damush TM. Complementary and integrative medicine perspectives among veteran patients and VHA healthcare providers for the treatment of headache disorders: a qualitative study. BMC Complementary Medicine And Therapies 2022, 22: 22. PMID: 35078450, PMCID: PMC8790919, DOI: 10.1186/s12906-022-03511-6.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationVeteran patientsHeadache managementClinical providersBackgroundThe Veterans Health AdministrationFavorable adverse effect profileVHA healthcare providersAdverse effect profileManagement of veteransChronic headache managementCIM modalitiesWhole health systemEffect profileHeadache centerChronic headacheHeadache disordersPatients' perceptionsHeadache treatmentSafe additionPatientsTreatment efficacyIntegrative medicineHealth AdministrationProviders' perceptionsHealthcare providers
2021
From implementation to sustainment: A large-scale adverse event disclosure support program generated through embedded research in the Veterans Health Administration
Elwy AR, Maguire EM, McCullough M, George J, Bokhour BG, Durfee JM, Martinello RA, Wagner TH, Asch SM, Gifford AL, Gallagher TH, Walker Y, Sharpe VA, Geppert C, Holodniy M, West G. From implementation to sustainment: A large-scale adverse event disclosure support program generated through embedded research in the Veterans Health Administration. Healthcare 2021, 8: 100496. PMID: 34175102, PMCID: PMC11365187, DOI: 10.1016/j.hjdsi.2020.100496.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationHealth AdministrationVA healthcare systemResearch-operations partnershipsLarge-scale adverse eventsAdverse eventsVeteran patientsVA healthcareConsolidated FrameworkSupport programsImplementation researchHealthcare systemToolkit usePatientsAdministrationOperational leadersVA operationsClinical operationsToolkit implementationMore harmHarmActivityHow Patients and Providers Weigh the Risks and Benefits of Long-Term Opioid Therapy for Cancer Pain
Giannitrapani KF, Fereydooni S, Silveira MJ, Azarfar A, Glassman PA, Midboe A, Zenoni M, Becker WC, Lorenz KA. How Patients and Providers Weigh the Risks and Benefits of Long-Term Opioid Therapy for Cancer Pain. JCO Oncology Practice 2021, 17: e1038-e1047. PMID: 33534632, DOI: 10.1200/op.20.00679.Peer-Reviewed Original ResearchConceptsLong-term opioid therapyOpioid therapyCancer painPain managementPatient decision‐making factorsAdequate pain managementOpioid usePatient characteristicsOpioid analgesicsVeteran patientsPatient goalsPrimary carePatient concernsInterdisciplinary providersPatientsPainThematic qualitative methodsProvider experienceTranscribed interview dataPractice settingsSubstance abuseCancer treatmentProvider decisionsOpioidsTherapy
2020
Patient-Reported Outcome Measures in Older Veterans Initiating a New Episode of Mental Health Care
Jedele J, Austin K, Resnick S. Patient-Reported Outcome Measures in Older Veterans Initiating a New Episode of Mental Health Care. Innovation In Aging 2020, 4: 307-307. PMCID: PMC7740487, DOI: 10.1093/geroni/igaa057.984.Peer-Reviewed Original ResearchIndex encounterTreatment initiationMH diagnosisOutcome measuresPatient-reported outcome measuresVHA administrative dataUse of PROMsMental health careMental health initiativesPROM groupVeteran patientsPsychotropic medicationsTreatment episodesMajor depressionOlder veteransSmall percentageNew episodesHealth initiativesMultiple diagnosesHealth careDiagnosisAge categoriesTreatment planningVeteransCareEvaluating Bystander Intervention Training to Address Patient Harassment at the Veterans Health Administration
Relyea MR, Portnoy GA, Klap R, Yano EM, Fodor A, Keith JA, Driver JA, Brandt CA, Haskell SG, Adams L. Evaluating Bystander Intervention Training to Address Patient Harassment at the Veterans Health Administration. Women's Health Issues 2020, 30: 320-329. PMID: 32830008, DOI: 10.1016/j.whi.2020.06.006.Peer-Reviewed Original ResearchConceptsBystander intervention trainingWomen veteran patientsBystander approachGender harassmentBystander interventionCommunity membersHarassmentIntervention trainingCare staffGroup discussionsHealth care staffVeterans Health AdministrationStaff experiencesEffective facilitationMajority of staffAdministrative staffMost staffStaffStates health care systemVeteran patientsAttitudinal outcomesVA staffHealth Administration
2018
Qualitative study of perspectives concerning recent rehospitalisations among a high-risk cohort of veteran patients in Connecticut, USA
Antony SM, Grau LE, Brienza RS. Qualitative study of perspectives concerning recent rehospitalisations among a high-risk cohort of veteran patients in Connecticut, USA. BMJ Open 2018, 8: e018200. PMID: 29960998, PMCID: PMC6042565, DOI: 10.1136/bmjopen-2017-018200.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overConnecticutDelivery of Health Care, IntegratedFemaleHospitals, VeteransHumansInterviews as TopicMaleMiddle AgedPatient DischargePatient ReadmissionPatient SatisfactionPrimary Health CareQualitative ResearchRisk FactorsUnited StatesUnited States Department of Veterans AffairsVeteransConceptsPrimary care providersMental health disordersPCP involvementPostdischarge planHealth disordersHealth statusVA Connecticut Healthcare SystemVeterans Affairs patientsHigh-risk patientsHigh-risk cohortMedical inpatient unitsPoor social supportSerious medical conditionLow socioeconomic statusRehospitalisation riskMultiple comorbiditiesVeteran patientsClinic hoursPostdischarge servicesMean ageSpecialty careMedication managementRehospitalisationVA inpatientMedical conditions
2017
Expanding the VA Women’s Health Practice-Based Research Network: Increasing Capacity for Equitable Representation of Women in VA Research
Carney D, Frayne S, Klap R, Bastian L, Bean-Mayberry B, Sadler A, Pomernacki A, Phibbs C, Saechao F, Balasubramanian V, Romodan Y, Yano E. Expanding the VA Women’s Health Practice-Based Research Network: Increasing Capacity for Equitable Representation of Women in VA Research. Journal Of Patient-Centered Research And Reviews 2017, 4: 193. DOI: 10.17294/2330-0698.1560.Peer-Reviewed Original ResearchMental health careVeterans Health AdministrationWomen's health practicesWomen veteransHealth practicesHealth careVA sitesNational VA administrative dataVHA primary care settingsWomen's mental health careVeterans Integrated Service NetworkWomen veteran patientsPrimary care settingPrimary care servicesVA administrative dataMental health servicesWomen's health researchHealth researchHealth services researchVA researchResearch NetworkVeteran patientsPrimary careCare settingsFiscal year 2014“Where’s My Choice?” An Examination of Veteran and Provider Experiences With Hepatitis C Treatment Through the Veteran Affairs Choice Program
Tsai J, Yakovchenko V, Jones N, Skolnik A, Noska A, Gifford AL, McInnes DK. “Where’s My Choice?” An Examination of Veteran and Provider Experiences With Hepatitis C Treatment Through the Veteran Affairs Choice Program. Medical Care 2017, 55: s13-s19. PMID: 28263281, DOI: 10.1097/mlr.0000000000000706.Peer-Reviewed Original ResearchConceptsVA providersHCV treatmentCommunity providersVeterans AffairsVeteran patientsChronic hepatitis C virus (HCV) infectionHepatitis C virus infectionC virus infectionHepatitis C treatmentVA Medical CenterLocation of treatmentHCV providersFragmented careCare coordinationVirus infectionMedical CenterSpecialist servicesEligible veteransVeterans' accessProvider experienceRapid assessment procedureVeteransTreatmentPatientsThird-party administratorsIncidence of and Predictors for Early Discontinuation of Biological Therapies in Veteran Patients with Inflammatory Bowel Disease
Feagins LA, Waljee A, Hou JK, Gu P, Kanjo S, Rudrapatna V, Cipher DJ, Govani S, Gaidos J. Incidence of and Predictors for Early Discontinuation of Biological Therapies in Veteran Patients with Inflammatory Bowel Disease. Inflammatory Bowel Diseases 2017, 23: 1434-1439. PMID: 28570429, DOI: 10.1097/mib.0000000000001145.Peer-Reviewed Original ResearchConceptsInflammatory bowel diseaseBiological therapyAdverse drug reactionsConcomitant thiopurinesPrimary nonresponseEarly discontinuationBowel diseaseDrug reactionsDiagnosis of IBDBiological agentsFirst biological agentRetrospective cohort studyInitiation of therapyCourse of therapyVA hospital systemIleocolonic diseaseVA cohortCohort studyVeteran patientsMedical recordsRisk factorsCommon reasonPatientsDiscontinuationTherapy
2016
Characteristics of U.S. Veteran Patients with Major Depressive Disorder who require “next-step” treatments: A VAST-D report
Zisook S, Tal I, Weingart K, Hicks P, Davis LL, Chen P, Yoon J, Johnson GR, Vertrees JE, Rao S, Pilkinton PD, Wilcox JA, Sapra M, Iranmanesh A, Huang GD, Mohamed S. Characteristics of U.S. Veteran Patients with Major Depressive Disorder who require “next-step” treatments: A VAST-D report. Journal Of Affective Disorders 2016, 206: 232-240. PMID: 27479536, DOI: 10.1016/j.jad.2016.07.023.Peer-Reviewed Original ResearchConceptsMajor depressive disorderClinical featuresDepressive disorderNonpsychotic major depressive disorderInitial standard treatmentNon-veteran samplesU.S. veteran patientsCharacteristics of patientsSample of veteransRecent suicidal ideationPublic health imperativeLasting treatmentMDD treatmentVeteran patientsClinical onsetPsychiatric comorbidityAntidepressant trialsStandard treatmentClinical trialsDepression subtypesRecurrent depressionIndividual patientsSpecific treatmentPatientsSuicidal ideationRecalibrating the Child–Turcotte–Pugh Score to Improve Prediction of Transplant-Free Survival in Patients with Cirrhosis
Kaplan DE, Dai F, Skanderson M, Aytaman A, Baytarian M, D’Addeo K, Fox R, Hunt K, Knott A, Mehta R, Pedrosa M, Pocha C, Valderrama A, Taddei T, for the VOCAL Study Group. Recalibrating the Child–Turcotte–Pugh Score to Improve Prediction of Transplant-Free Survival in Patients with Cirrhosis. Digestive Diseases And Sciences 2016, 61: 3309-3320. PMID: 27405990, PMCID: PMC5067291, DOI: 10.1007/s10620-016-4239-6.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedBilirubinCreatinineDisease ProgressionEnd Stage Liver DiseaseEvidence-Based MedicineFemaleHumansInternational Normalized RatioLiver CirrhosisLiver TransplantationMaleMiddle AgedOdds RatioPrognosisProportional Hazards ModelsRetrospective StudiesSerum AlbuminSeverity of Illness IndexUnited StatesVeteransConceptsTransplant-free survivalHarrell's C-statisticC-statisticPugh scoreChild-TurcotteCTP scoreHighest Harrell's C-statisticsCox proportional hazards modelEvidence-based cutpointProportional hazards modelLong-term survivalEtiology subgroupsSerum creatinineVeteran patientsLaboratory variablesRisk ratioTotal bilirubinHazards modelCirrhosisPatientsLower cutpointsDisease etiologySurvivalCutpointsScoresSa1885 Incidence of and Predictors for Early Discontinuation of Biologic Therapies in Veteran Patients with Inflammatory Bowel Disease
Feagins L, Waljee A, Hou J, Gu P, Kanjo S, Rudrapatna V, Ellis A, Govani S, Gaidos J. Sa1885 Incidence of and Predictors for Early Discontinuation of Biologic Therapies in Veteran Patients with Inflammatory Bowel Disease. Gastroenterology 2016, 150: s392. DOI: 10.1016/s0016-5085(16)31374-9.Peer-Reviewed Original Research
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