2025
Understanding the characteristics and comorbidities of primary care patients with risky opioid use: Baseline data from the multi-site “Subthreshold Opioid Use Disorder Prevention” (STOP) Trial
Rostam-Abadi Y, Liebschutz J, Subramaniam G, Stone R, Appleton N, Mazel S, Alexander K, Brill S, Case A, Gelberg L, Gordon A, Hong H, Incze M, Kawasaki S, Kim T, Kline M, Lovejoy T, McCormack J, Zhang S, McNeely J. Understanding the characteristics and comorbidities of primary care patients with risky opioid use: Baseline data from the multi-site “Subthreshold Opioid Use Disorder Prevention” (STOP) Trial. Journal Of General Internal Medicine 2025, 1-10. PMID: 40457116, DOI: 10.1007/s11606-025-09613-4.Peer-Reviewed Original ResearchOpioid use disorderMental health symptomsHigh-risk useOpioid useHealth symptomsConsequences of opioid useSymptoms of opioid use disorderBaseline characteristics of participantsCollaborative care interventionRates of polysubstance usePrimary care patientsPrimary care sitesOpioid use disorder preventionPrimary care settingSelf-reported demographic characteristicsModerate-severe painSevere opioid use disorderCharacteristics of participantsModerate-severe anxietyPrimary careCare interventionsCare sitesCare settingsOpioid medicationsNon-Hispanic
2024
Measuring Access to Mental Health Services Among Primary Care Patients
Hargraves J, Cosenza C, Cleary P. Measuring Access to Mental Health Services Among Primary Care Patients. Medical Care 2024, 62: 559-566. PMID: 38842445, PMCID: PMC11226347, DOI: 10.1097/mlr.0000000000002029.Peer-Reviewed Original ResearchConceptsConsumer Assessment of Healthcare Providers and SystemsMental health servicesPrivately insured respondentsMental health medicinesHealth servicesHealth medicineHealth careAssessment of Healthcare Providers and SystemsHealthcare Providers and SystemsRisk of mental health disordersMental health prescriptionsPatient experience surveysPrimary care servicesPrimary care patientsMental health carePrimary care settingBehavioral health careMental health medicationsMental health disordersInternal consistency reliabilityStratified probability sampleMeasure accessAdequate internal consistency reliabilityCare settingsCare servicesCharacteristics of Recently Incarcerated Primary Care Patients With and Without a Positive Posttraumatic Stress Disorder Screening Upon Clinic Intake
Zielinski M, Alkov D, McCauley E, Aminawung J, Shavit S, Wang E. Characteristics of Recently Incarcerated Primary Care Patients With and Without a Positive Posttraumatic Stress Disorder Screening Upon Clinic Intake. Psychological Trauma Theory Research Practice And Policy 2024, 16: 692-700. PMID: 36729519, PMCID: PMC10497219, DOI: 10.1037/tra0001427.Peer-Reviewed Original ResearchPrimary care patientsPosttraumatic stress disorderAcute healthcare utilizationCare patientsHealthcare utilizationPositive posttraumatic stress disorderPrimary Care PTSD ScreenChronic physical health conditionsStress disorderTreatment of PTSDPrimary care clinicsEmergency department utilizationLifetime depression diagnosisSignificant PTSD symptomsCurrent depressive symptomsPhysical health conditionsCross-sectional surveyCare clinicsSevere food insecurityPTSD screenDepression diagnosisClinic intakeDepressive symptomsFair healthPatientsEmergency department risk model: timely identification of patients for outpatient care coordination.
Zolnoori M, Williams M, Angstman K, Wi C, Leasure W, Patel S, Ngufor C. Emergency department risk model: timely identification of patients for outpatient care coordination. The American Journal Of Managed Care 2024, 30: e147-e156. PMID: 38748915, DOI: 10.37765/ajmc.2024.89542.Peer-Reviewed Original ResearchConceptsPrimary care systemED visitsFrequent ED visitsMajor depressive disorderED utilizationCare systemIncreased risk of emergency departmentArea under the curveEmergency departmentRisk of emergency departmentPatient Health Questionnaire-9Higher Patient Health Questionnaire-9Frequent ED utilizationED visit riskPrimary care patientsOutpatient care coordinationCollaborative care managementElectronic health recordsLow educational levelCare coordinationPrimary careHealth recordsED usageCare patientsRetrospective cohort studyReducing Care Overuse in Older Patients Using Professional Norms and Accountability : A Cluster Randomized Controlled Trial.
Persell S, Petito L, Lee J, Meeker D, Doctor J, Goldstein N, Fox C, Rowe T, Linder J, Chmiel R, Peprah Y, Brown T. Reducing Care Overuse in Older Patients Using Professional Norms and Accountability : A Cluster Randomized Controlled Trial. Annals Of Internal Medicine 2024, 177: 324-334. PMID: 38315997, PMCID: PMC12080469, DOI: 10.7326/m23-2183.Peer-Reviewed Original ResearchCase-based educationHealth systemOlder primary care patientsCluster Randomized Controlled TrialPrimary care internal medicineClinical decision support toolRates of uncontrolled diabetesClinician decision supportPrimary care patientsPrimary care cliniciansProstate-specific antigenOvertreatment of diabetesNational Institute on AgingMonths of interventionDecision supportRates of PSA testingHemoglobin A<sub>1c</sub>Older adult patientsInstitute on AgingSingle health systemUrine testsPSA testingRandomized Controlled TrialsCare cliniciansEmergency careChanges in Outpatient Health Care Use After COVID-19 Infection Among Veterans
Hebert P, Kumbier K, Smith V, Hynes D, Govier D, Wong E, Kaufman B, Shepherd-Banigan M, Rowneki M, Bohnert A, Ioannou G, Boyko E, Iwashyna T, O’Hare A, Bowling C, Viglianti E, Maciejewski M, Admon A, Akgun K, Anderson L, Anderson S, Aslan M, Au D, Backus L, Bajema K, Baraff A, Batten L, Berkowitz T, Bernstein T, Berry Wyatt K, Bogdan J, Borgerding J, Bosworth H, Boucher N, Burwick N, Byrd K, Cabrales A, Cano J, Chai W, Chen J, Cheung K, Crothers K, Cummin G, Curtis J, Davis M, Del Monico E, Dennis P, Dobalian A, Doll J, Dominitz J, Eastment M, Fan V, Ferguson J, Floyd B, Fox A, Goetz M, Green P, Hastings S, Hauschildt K, Hawkins E, Helfand M, Hickok A, Horowitz D, Hough C, Hu E, Ikuta K, Jones B, Jones M, Kamphius L, Knight S, Korpak A, Korpela P, Langa K, Laundry R, Lavin S, Li Y, Lindquist J, McCready H, Meyer C, Michel M, Miles A, Milne J, Monahan M, Morelli D, Mutalik P, Naylor J, Niederhausen M, Newell S, Nugent S, Ong M, Osborne T, Peterson M, Peterson A, Prescott H, Pura J, Rajeevan N, Reddy A, Rouse M, Saha S, Saini S, Seelye S, Shah J, Shahoumian T, Shaukat A, Showalter W, Slatore C, Smith B, Smith N, Streja E, Suri P, Sussman J, Takata Y, Teo A, Thomas E, Thomas L, Tuepker A, Turner A, Veigulis Z, Vig E, Vranas K, Wang X, Wicks K, Winchell K, Womer J, Woods C, Wysham K, Yan L, Zulman D. Changes in Outpatient Health Care Use After COVID-19 Infection Among Veterans. JAMA Network Open 2024, 7: e2355387. PMID: 38334995, PMCID: PMC10858406, DOI: 10.1001/jamanetworkopen.2023.55387.Peer-Reviewed Original ResearchConceptsOutpatient health care useHealth care useCare useOutpatient useOutpatient visitsPrimary care visitsCounts of outpatient visitsPrimary care patientsOutpatient care utilizationCategories of careVeterans Affairs Corporate Data WarehouseCorporate Data WarehouseIncreased outpatient visitsNegative binomial regression modelsBinomial regression modelsCare visitsCare utilizationPopulation surveillance studyRetrospective cohort studyCare patientsUninfected veteransCOVID-19 infectionMain OutcomesPeri-infection periodCohort study
2023
Prescribing of Z-Drugs With and Without Opioid Coprescribing to Primary Care Patients in a Large Health Care System From 2019-2020.
Anand A, Weleff J, Thompson N, Barnett B. Prescribing of Z-Drugs With and Without Opioid Coprescribing to Primary Care Patients in a Large Health Care System From 2019-2020. The Journal Of Clinical Psychiatry 2023, 84 PMID: 37707315, DOI: 10.4088/jcp.22m14753.Peer-Reviewed Original ResearchConceptsZ-drug prescribingDiagnosis of opioid use disorderZ-drug prescriptionsOpioid use disorderZ-drugsHealth care systemPrimary care clinicsWhite raceUse disorderCare systemAssociated with increasing ageCare clinicsOlder ageStudy periodDiagnosis of bipolar disorderCross-sectional studyPrimary care patientsLarger health care systemAdult patientsPatient populationOpioidGeneralized anxiety disorderPatientsBipolar disorderPost-lockdownAntimicrobial resistance in Escherichia coli and Klebsiella pneumoniae urine isolates from a national sample of home-based primary care patients with dementia
Datta R, Pirruccio G, Fried T, O’Leary J, Zullo A, Cohen A. Antimicrobial resistance in Escherichia coli and Klebsiella pneumoniae urine isolates from a national sample of home-based primary care patients with dementia. Infection Control And Hospital Epidemiology 2023, 44: 1873-1876. PMID: 37211919, PMCID: PMC10663380, DOI: 10.1017/ice.2023.98.Peer-Reviewed Original ResearchPain And Opioid Dose Reduction Outcomes Based On Substance Use Disorder Status: Results From A Multi-Site Pragmatic Effectiveness Trial
Becker W, Hammett P, Krebs E, DeRonne B, Seal K, Morasco B. Pain And Opioid Dose Reduction Outcomes Based On Substance Use Disorder Status: Results From A Multi-Site Pragmatic Effectiveness Trial. Journal Of Pain 2023, 24: 61. DOI: 10.1016/j.jpain.2023.02.182.Peer-Reviewed Original ResearchBrief Pain InventoryPragmatic effectiveness trialSubstance use disordersOpioid-related outcomesPrescription opioid dosePain careNon-SUD groupEffectiveness trialVA primary care patientsSubstance use disorders groupPharmacist care managementBPI interferenceInterdisciplinary pain teamPrimary care patientsOpioid doseMental health comorbiditiesNo significant differenceSubstance use disorder statusImpact of substance use disordersMeasures logistic regressionMulti-site clinical trialOpioid dose reductionPain interferencePain teamHealth comorbiditiesAn Analysis of Benzodiazepine Prescribing to Primary Care Patients in a Large Healthcare System from 2019-2020
Weleff J, Anand A, Squeri M, Sieke R, Thompson N, Barnett B. An Analysis of Benzodiazepine Prescribing to Primary Care Patients in a Large Healthcare System from 2019-2020. Journal Of Psychoactive Drugs 2023, 56: 245-256. PMID: 36940298, DOI: 10.1080/02791072.2023.2191610.Peer-Reviewed Original ResearchConceptsBenzodiazepine prescribingBenzodiazepine prescriptionsPrimary care visitsPrimary care patientsPrimary care providersEffect sizePrimary care settingPost-lockdownBenzodiazepine prescribing ratesMultivariate logistic regressionCare visitsCare providersCare settingsPrescription receiptRetrospective cohort studyCare patientsRacial disparitiesPrescribing ratesNational ratesHealthcare systemAdult patientsDiagnosis codesCocaine use disorderCohort studyPrescribing
2022
Effect of Computer-Tailored Print Feedback, Motivational Interviewing, and Motivational Enhancement Therapy on Engagement in Advance Care Planning
Fried T, Yang M, Martino S, Iannone L, Zenoni M, Blakley L, O’Leary J, Redding C, Paiva A. Effect of Computer-Tailored Print Feedback, Motivational Interviewing, and Motivational Enhancement Therapy on Engagement in Advance Care Planning. JAMA Internal Medicine 2022, 182: 1298-1305. PMID: 36342678, PMCID: PMC9641591, DOI: 10.1001/jamainternmed.2022.5074.Peer-Reviewed Original ResearchConceptsAdvance care planningMotivational enhancement therapyMotivational interviewingUsual careClinical trialsCare planningEnhancement therapySingle VA facilityPrimary care visitsPrimary care patientsList of patientsSelf-administered toolClinician-led approachQuantity of lifeACP activityHealth care agentSelf-reported completionOversampling of womenElectronic health recordsCare visitsCare patientsTelephone contactOlder veteransMAIN OUTCOMETelephone assessmentCare Gaps in Sodium-Glucose Cotransporter-2 Inhibitor and Renin Angiotensin System Inhibitor Prescriptions for Patients with Diabetic Kidney Disease
Rikin S, Deccy S, Zhang C, Crandall J, Deng Y, Golestaneh L. Care Gaps in Sodium-Glucose Cotransporter-2 Inhibitor and Renin Angiotensin System Inhibitor Prescriptions for Patients with Diabetic Kidney Disease. Journal Of General Internal Medicine 2022, 38: 1599-1605. PMID: 36352203, PMCID: PMC10212863, DOI: 10.1007/s11606-022-07863-0.Peer-Reviewed Original ResearchConceptsCare gapsHealth systemSodium-glucose cotransporter-2 inhibitorsDiabetic kidney diseaseCotransporter-2 inhibitorsPrimary care sitesPrimary care patientsIntegrated health systemImprove patient careNon-Hispanic race/ethnicityMultivariate logistic regression modelKidney diseaseClinical factorsLogistic regression modelsSGLT2i prescriptionCare sitesRacial/ethnic disparitiesAssociated with patientsCare patientsBlood pressureHispanic race/ethnicityPatient careProgression to end-stage kidney diseaseRenin-angiotensin system inhibitors prescriptionUnder-prescribedDevelopment and pilot testing of EHR-nudges to reduce overuse in older primary care patients
Rowe T, Brown T, Lee J, Linder J, Meeker D, Doctor J, Goldstein N, Fox C, Persell S. Development and pilot testing of EHR-nudges to reduce overuse in older primary care patients. Archives Of Gerontology And Geriatrics 2022, 104: 104794. PMID: 36115068, PMCID: PMC9682472, DOI: 10.1016/j.archger.2022.104794.Peer-Reviewed Original ResearchConceptsProstate-specific antigenUA/UCCDS alertsOlder adultsCommon conditionUnnecessary testingOlder primary care patientsClinical decision support alertsNon-specific reasonsOral hypoglycemic medicationsOvertreatment of diabetesPrimary care patientsPrimary care physiciansLarge health systemDecision support alertsHypoglycemic medicationsOveruse measuresCare patientsCare physiciansSignificant morbidityUrine cultureProstate cancerAmbulatory careClinical actionsAdult menIntimate Partner Violence Screening for Women in the Veterans Health Administration: Temporal Trends from the Early Years of Implementation 2014-2020
Miller C, Stolzmann K, Dichter M, Adjognon O, Brady J, Portnoy G, Gerber M, Iqbal S, Iverson K. Intimate Partner Violence Screening for Women in the Veterans Health Administration: Temporal Trends from the Early Years of Implementation 2014-2020. Journal Of Aggression Maltreatment & Trauma 2022, 32: 960-978. PMID: 36713478, PMCID: PMC9881187, DOI: 10.1080/10926771.2021.2019160.Peer-Reviewed Original ResearchVeterans Affairs Medical CenterVeterans Health AdministrationScreen-positive rateIntimate partner violenceHealth AdministrationIntimate partner violence screeningPrimary care patientsVHA administrative dataPartner violence screeningImplementation outcomesCare patientsRetrospective analysisMedical CenterFiscal year 2014IPV screeningWomen veteransViolence screeningLinear regression analysisWomenRegression analysisAdministrative dataOngoing evaluationAdministrationAgeOutcomes
2020
A Colocalized Hepatitis C Virus Clinic in a Primary Care Practice Improves Linkage to Care in a High Prevalence Population
Adamson PC, Miceli J, Shiferaw B, Villanueva MS, Canterino JE. A Colocalized Hepatitis C Virus Clinic in a Primary Care Practice Improves Linkage to Care in a High Prevalence Population. The American Journal Of Medicine 2020, 133: 705-712. PMID: 31987799, DOI: 10.1016/j.amjmed.2019.12.028.Peer-Reviewed Original ResearchConceptsChronic HCVPrimary care practicesClinic practiceHCV clinicChronic hepatitis C virus (HCV) infectionCare practicesHepatitis C virus infectionCascade of careHCV antibody testHCV testing dataC virus infectionChronic HCV infectionPrevalence of HCVPrimary care patientsHigh-prevalence populationsHCV cascadeHCV infectionCare patientsMultivariable analysisRetrospective studyClinic populationPrevalence populationsVirus infectionHigher oddsHCV
2019
Illicit substance use after release from prison among formerly incarcerated primary care patients: a cross-sectional study
Chamberlain A, Nyamu S, Aminawung J, Wang EA, Shavit S, Fox AD. Illicit substance use after release from prison among formerly incarcerated primary care patients: a cross-sectional study. Addiction Science & Clinical Practice 2019, 14: 7. PMID: 30782211, PMCID: PMC6381679, DOI: 10.1186/s13722-019-0136-6.Peer-Reviewed Original ResearchConceptsIllicit substance useDrug use disordersCross-sectional studySubstance useMale genderRisk factorsUse disordersMedical careProspective longitudinal cohort studyMethodsThis cross-sectional studyIllicit substancesHealth conditionsTransitions Clinic NetworkPrimary care patientsMultivariable logistic regressionNovel risk factorsLongitudinal cohort studySelf-reported illicit substance useProportion of participantsChronic health conditionsMental health conditionsSelf-reported substance useConclusionsAmong individualsInitiated careCohort studyLongitudinal Drinking Patterns and Their Clinical Correlates in Million Veteran Program Participants
Smith R, Kranzler HR, Justice AC, Tate JP, Program T. Longitudinal Drinking Patterns and Their Clinical Correlates in Million Veteran Program Participants. Alcohol Clinical And Experimental Research 2019, 43: 465-472. PMID: 30592535, PMCID: PMC6691890, DOI: 10.1111/acer.13951.Peer-Reviewed Original ResearchConceptsMean AUDIT-C scoreAUDIT-C scoresAlcohol Use Disorders Identification Test-ConsumptionTrajectory groupsU.S. Preventive Services Task ForceDrinking trajectoriesAge-adjusted mean scoresVeterans Affairs Health SystemPrimary care patientsLarger patient populationMillion Veteran Program cohortAlcohol use disorder diagnosisHigh trajectory groupPosttraumatic stress disorderElectronic health recordsHepatitis CCare patientsLiver cirrhosisClinical correlatesPatient populationLongitudinal drinking patternsHigher oddsClinical relevanceHarmful drinkingAnnual administration
2018
Patient–Family Agenda Setting for Primary Care Patients with Cognitive Impairment: the SAME Page Trial
Wolff J, Roter D, Boyd C, Roth D, Echavarria D, Aufill J, Vick J, Gitlin L. Patient–Family Agenda Setting for Primary Care Patients with Cognitive Impairment: the SAME Page Trial. Journal Of General Internal Medicine 2018, 33: 1478-1486. PMID: 30022409, PMCID: PMC6108993, DOI: 10.1007/s11606-018-4563-y.Peer-Reviewed Original ResearchConceptsPrimary care visitsVisit communicationCare visitsFamily companionsCognitive impairmentAttend primary care visitsGeneral clinicsPrimary care patientsVisit durationCare of patientsIntervention dyadsIntervention participantsBiomedical talkPatient-centeredGeriatric clinicPsychosocial talkCare patientsIntervention effectsPersonality/behavioral changesPatient's familyClinicians' questionsAudio-recordedHealth issuesInterventionGeriatric
2017
INVOLVING FAMILY TO IMPROVE COMMUNICATION IN PRIMARY CARE FOR OLDER ADULTS WITH COGNITIVE IMPAIRMENT
Wolff J, Amjad H, Boyd C, Echavarria D, Gitlin L, Roter D, Smith K, Vick J. INVOLVING FAMILY TO IMPROVE COMMUNICATION IN PRIMARY CARE FOR OLDER ADULTS WITH COGNITIVE IMPAIRMENT. Innovation In Aging 2017, 1: 1368-1368. PMCID: PMC6184352, DOI: 10.1093/geroni/igx004.5033.Peer-Reviewed Original ResearchOlder adultsCare providersCommunication interventionsOlder primary care patientsToday's health care environmentCognitive impairmentPrimary care patientsPrimary care providersHealth care providersHealth care environmentPatient health issuesVisit communicationPatient-centerednessPrimary careCare environmentFamily companionsCare patientsInvolving familiesMedical visitsEvidence-basedCompanion rolesHealth issuesQualitative findingsInterventionProviders“Let him speak:” a descriptive qualitative study of the roles and behaviors of family companions in primary care visits among older adults with cognitive impairment
Vick J, Amjad H, Smith K, Boyd C, Gitlin L, Roth D, Roter D, Wolff J. “Let him speak:” a descriptive qualitative study of the roles and behaviors of family companions in primary care visits among older adults with cognitive impairment. International Journal Of Geriatric Psychiatry 2017, 33: e103-e112. PMID: 28585721, PMCID: PMC5862540, DOI: 10.1002/gps.4732.Peer-Reviewed Original ResearchConceptsPrimary care visitsOlder adultsFamily companionsCare visitsCognitive impairmentFocus groupsAttend primary care visitsEnglish-speaking adults agePrimary care patientsPrimary care cliniciansInterviews of older adultsCommunication challengesSevere cognitive impairmentAccurate source of informationVisit communicationCompanion involvementPrimary careCare cliniciansVisit agendaCare patientsClinician confusionInhibit effective communicationQualitative studyImprove communicationQualitative interviews
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