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 ethnicityLonger Breastfeeding Duration Is Associated With Decreased Risk of Hepatic Fibrosis Among Young Women With Nonalcoholic Fatty Liver Disease
Karachaliou G, Suzuki A, Patel V, Bastian L, Diehl A, Abdelmalek M, Group T, Moylan C, Guy C, Wang Y. Longer Breastfeeding Duration Is Associated With Decreased Risk of Hepatic Fibrosis Among Young Women With Nonalcoholic Fatty Liver Disease. Clinical Gastroenterology And Hepatology 2023, 22: 413-415.e3. PMID: 37302447, DOI: 10.1016/j.cgh.2023.05.027.Peer-Reviewed Original Research
2022
Post-9/11 deployment history and the incidence of breast cancer among women veterans
Gaffey A, Han L, Ramsey C, Skanderson M, Dziura J, Driscoll M, Burg M, Brandt C, Bastian L, Haskell S. Post-9/11 deployment history and the incidence of breast cancer among women veterans. Annals Of Epidemiology 2022, 77: 98-102. PMID: 36470323, DOI: 10.1016/j.annepidem.2022.11.010.Peer-Reviewed Original ResearchConceptsOEF/OIF deploymentBreast cancerWomen veteransHealthcare utilizationHormone replacement therapy useRetrospective cohort studyVeterans Affairs (VA) careHealthy soldier effectOEF/OIFCohort studyTherapy useBC incidenceHormonal contraceptivesLifestyle factorsPrimary careBC diagnosisLower incidenceOperations Enduring Freedom/Iraqi FreedomWomenIncidenceGreater likelihoodIraqi FreedomVeteransCancerCareGender differences in social support for diabetes self-management: A qualitative study among veterans
Gray K, Silvestrini M, Ma E, Nelson K, Bastian L, Voils C. Gender differences in social support for diabetes self-management: A qualitative study among veterans. Patient Education And Counseling 2022, 107: 107578. PMID: 36463824, DOI: 10.1016/j.pec.2022.107578.Peer-Reviewed Original ResearchConceptsSocial supportGender differencesSelf-management programSemi-structured interviewsSelf-management effortsSupport personsInterpersonal barriersNotable gender differencesSalient themesFamily needsThematic analysisQualitative studyVeterans Health Administration health care systemInformational social supportFamily/friendsEmotional supportResponsibilityHealth care systemThemesDiabetesSupportPreferred programCare systemWomenInterviewsExamining Pregnant Veterans’ Acceptance and Beliefs Regarding the COVID-19 Vaccine
Mattocks KM, Kroll-Desrosiers A, Moore Simas TA, Bastian LA, Marteeny V, Walker L, Sheahan K, Elwy AR. Examining Pregnant Veterans’ Acceptance and Beliefs Regarding the COVID-19 Vaccine. Journal Of General Internal Medicine 2022, 37: 671-678. PMID: 36042080, PMCID: PMC9427157, DOI: 10.1007/s11606-022-07588-0.Peer-Reviewed Original ResearchConceptsCOVID-19 vaccineVaccine conspiracy beliefsPregnant veteransVaccine safetyVaccine knowledgeCOVID-19 vaccine safetyPast COVID-19 infectionOngoing cohort studyCOVID-19 infectionVA Medical CenterCross-sectional surveyCohort studyVA careKey ResultsOverallMedical CenterSide effectsHealthcare providersPregnancyVaccineConclusionsOur studyLogistic regressionVeterans' decisionsPredictors of acceptanceVaccine conspiracy theoriesVeteransPerceived Pain and Smoking Interrelations Among Veterans with Chronic Pain Enrolled in a Smoking Cessation Trial
Lee M, Bastian LA, LaRowe L, DeRycke EC, Relyea M, Becker WC, Ditre JW. Perceived Pain and Smoking Interrelations Among Veterans with Chronic Pain Enrolled in a Smoking Cessation Trial. Pain Medicine 2022, 23: 1820-1827. PMID: 35639969, DOI: 10.1093/pm/pnac082.Peer-Reviewed Original ResearchConceptsPain interferenceSmoking cessation trialCessation outcomesChronic painCessation trialRandomized smoking cessation trialHigher pain interferenceMedian ageMeasures patientsMultivariate regression modelPerceived PainClinical utilityPainSmoking behaviorSecondary analysisPSI scoreBaseline surveyPSI subscalesBaseline dataSmokingOutcomesVeteransTrialsRegression modelsScoresVeterans' Perinatal Care and Mental Health Experiences During the COVID-19 Pandemic: An Examination of the Role of Prior Trauma and Pandemic-Related Stressors
Mattocks KM, Kroll-Desrosiers A, Marteeny V, Walker L, Vogt D, Iversen KM, Bastian L. Veterans' Perinatal Care and Mental Health Experiences During the COVID-19 Pandemic: An Examination of the Role of Prior Trauma and Pandemic-Related Stressors. Journal Of Women's Health 2022, 31: 1507-1517. PMID: 35230179, DOI: 10.1089/jwh.2021.0209.Peer-Reviewed Original ResearchConceptsPostpartum veteransPerinatal careMental health experiencesMental healthCOVID-19 pandemicTrauma exposureCOVID-19Additional trauma exposureTrauma historyHealth experiencesWeeks of pregnancyVA Medical CenterCoronavirus disease 2019Mental health carePost-traumatic stress disorderMental health problemsVeterans' mental healthPrior trauma exposureSupport companionsMilitary sexual traumaPregnant veteransPostpartum surveyMonths postpartumDisease 2019Medical Center
2021
Post-9/11 Veterans’ Heart Disease Knowledge, Self-Perceived Risk, and Prevention Beliefs and Behaviors
Gaffey AE, Haskell SG, Brandt CA, Bastian LA, Meadows JL, Burg MM. Post-9/11 Veterans’ Heart Disease Knowledge, Self-Perceived Risk, and Prevention Beliefs and Behaviors. Health Psychology 2021, 40: 737-746. PMID: 34780203, PMCID: PMC10691753, DOI: 10.1037/hea0001110.Peer-Reviewed Original ResearchConceptsSelf-perceived riskHeart diseasePrevention beliefsExact testHeart disease risk factorsPrevention behaviorsNontraditional factorsHeart disease awarenessDisease risk factorsHeart disease riskDisease-related knowledgeHeart disease knowledgeFisher's exact testMental health treatmentPost-9/11 veteransRisk factorsDisease awarenessDisease knowledgeWomen veteransPrevention strategiesHealth treatmentDisease riskGreater riskPersonalized approachDiseaseI smoke to cope with pain: patients’ perspectives on the link between cigarette smoking and pain
Lee M, Snow J, Quon C, Selander K, DeRycke E, Lawless M, Driscoll M, Ditre JW, Mattocks KM, Becker WC, Bastian LA. I smoke to cope with pain: patients’ perspectives on the link between cigarette smoking and pain. Wiener Klinische Wochenschrift 2021, 133: 1012-1019. PMID: 34460005, DOI: 10.1007/s00508-021-01931-x.Peer-Reviewed Original ResearchConceptsChronic painCigarette smokingMean pain intensity scorePain intensity scoresGreater pain intensitySmoking cessation trialPain-related distressYears of ageSelf-management strategiesBackgroundFor peopleConclusionMany patientsPain reliefPain intensityRetrospective thematic analysisCessation trialMedian numberPatient's perspectivePainKey ResultsParticipantsSmokingSmoking behaviorIntensity scoresSmoking studiesGreater painPatientsSex Differences in Use of a Clinical Complexity Measure to Predict Primary Care Utilization
Haskell SG, Han L, Abel EA, Bastian L, Driscoll M, Dziura J, Burg MM, Skanderson M, Brandt CA. Sex Differences in Use of a Clinical Complexity Measure to Predict Primary Care Utilization. Journal Of Women's Health 2021, 31: 71-78. PMID: 34388023, DOI: 10.1089/jwh.2021.0103.Peer-Reviewed Original ResearchConceptsPrimary care utilizationCare utilizationWomen veteransCare Assessment Need (CAN) scoreComplex high-risk patientsHigh-risk patientsRisk stratification toolPotential confounding factorsCorporate Data WarehouseSex differencesVA careVisit utilizationCare coordinationHigher oddsReproductive healthConfounding factorsVeterans AffairsPsychosocial variablesStrong associationQuintileWomenNeed scoresMenVeteransGood predictive accuracyCoordinating women's preventive health care for rural veterans
Kinney RL, Haskell S, Relyea MR, DeRycke EC, Walker L, Bastian LA, Mattocks KM. Coordinating women's preventive health care for rural veterans. The Journal Of Rural Health 2021, 38: 630-638. PMID: 34310743, DOI: 10.1111/jrh.12609.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationPreventive health careCare coordinationWomen veteransPreventive careCare coordinatorsPreventive health care servicesRural women veteransHealth careRural facilitiesHealth care servicesSemi-structured telephone interviewsNumber of veteransRural veteransPreventive screeningCare settingsVHA providersVA facilitiesCommunity providersHealth AdministrationCare servicesPatient careTelephone interviewsCareVeteransPrenatal Stress Exposure and Post-traumatic Stress Disorder Associated With Risk of Postpartum Alcohol Misuse Among Women Veterans
Holzhauer CG, Kroll-Desrosiers A, Kinney RL, Copeland LA, Bastian LA, Mattocks KM. Prenatal Stress Exposure and Post-traumatic Stress Disorder Associated With Risk of Postpartum Alcohol Misuse Among Women Veterans. Women's Health Issues 2021, 31: 596-602. PMID: 34148828, PMCID: PMC10500562, DOI: 10.1016/j.whi.2021.05.002.Peer-Reviewed Original ResearchConceptsPost-traumatic stress disorderMaternal post-traumatic stress disorderMaternal alcohol misuseAlcohol misuseWomen veteransStress exposurePostpartum periodMultisite prospective cohort studyPTSD diagnosisStress disorderMore stress exposureHigher AUDIT-C scoresProspective cohort studyAlcohol Use Disorders Identification TestAUDIT-C scoresSuch risk factorsPrenatal stress exposureDisorders Identification TestGreater stress exposureVeterans Affairs (VA) medical recordsPostpartum scoresCohort studyInfant outcomesMedical recordsRisk factorsFactors Associated With Quitting Smoking During Pregnancy Among Women Veterans
Kroll-Desrosiers A, Holzhauer CG, Russo L, DeRycke EC, Kinney RL, Bastian LA, Mattocks KM. Factors Associated With Quitting Smoking During Pregnancy Among Women Veterans. Women's Health Issues 2021, 31: 408-413. PMID: 34049763, PMCID: PMC11409577, DOI: 10.1016/j.whi.2021.04.006.Peer-Reviewed Original ResearchConceptsRates of smokingHousehold smokersPregnant veteransFirst pregnancyRelative riskWomen veteransVeterans Health Administration facilitiesStart of pregnancyPrenatal care initiationHistory of deploymentGroup of womenPoisson regression modelsHispanics/LatinosCohort studyCare initiationPersistent smokingPrenatal careQuitting smokingMultivariable modelSmokingPregnancyAverage ageSuch counselingAdministration facilitiesSmokersDocumentation of Screening for Firearm Access by Healthcare Providers in the Veterans Healthcare System: A Retrospective Study
Brandt CA, Workman TE, Farmer MM, Akgün KM, Abel EA, Skanderson M, Bean-Mayberry B, Zeng-Treitler Q, Mason M, Bastian LA, Goulet JL, Post LA. Documentation of Screening for Firearm Access by Healthcare Providers in the Veterans Healthcare System: A Retrospective Study. Western Journal Of Emergency Medicine 2021, 22: 525-532. PMID: 34125022, PMCID: PMC8203018, DOI: 10.5811/westjem.2021.4.51203.Peer-Reviewed Original ResearchConceptsClinical notesPatient characteristicsHealthcare providersFirearm accessElectronic health record clinical notesProportion of patientsOutpatient care visitsVeterans Healthcare SystemCohort of veteransUnited States military veteransMilitary service characteristicsDocumentation of screeningDocumentation of accessFirst yearRace/ethnicityCare visitsOutpatient visitsClinical comorbiditiesRetrospective studyVHA careEmergency clinicHandling of firearmsDemographic dataSystemwide processRisk of violenceWhen 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 attributesOvertreatmentBaseline Characteristics from the Women Veterans Cohort Study: Gender Differences and Similarities in Health and Healthcare Utilization
Gaffey AE, Burg MM, Rosman L, Portnoy GA, Brandt CA, Cavanagh CE, Skanderson M, Dziura J, Mattocks KM, Bastian LA, Haskell SG. Baseline Characteristics from the Women Veterans Cohort Study: Gender Differences and Similarities in Health and Healthcare Utilization. Journal Of Women's Health 2021, 30: 944-955. PMID: 33439756, PMCID: PMC8290312, DOI: 10.1089/jwh.2020.8732.Peer-Reviewed Original ResearchConceptsWomen Veterans Cohort StudyCardiovascular risk factorsVeterans Health AdministrationRisk factorsHealthcare utilizationWomen veteransCohort studyHealth outcomesNontraditional cardiovascular risk factorsTraditional cardiovascular risk factorsUnique healthcareMental healthSingle-site painVHA healthcare systemVHA medical centersVeterans Affairs (VA) careHealth risk factorsOutside health servicesPosttraumatic stress disorder (PTSD) symptomsMultisite painBaseline characteristicsPsychosocial comorbiditiesChronic painCardiovascular diseaseMedical Center
2020
Racial Differences in the Cesarean Section Rates Among Women Veterans Using Department of Veterans Affairs Community Care
Mattocks KM, Kroll-Desrosiers A, Kinney R, Bastian LA, Bean-Mayberry B, Goldstein KM, Shivakumar G, Copeland L. Racial Differences in the Cesarean Section Rates Among Women Veterans Using Department of Veterans Affairs Community Care. Medical Care 2020, 59: 131-138. PMID: 33201084, DOI: 10.1097/mlr.0000000000001461.Peer-Reviewed Original ResearchConceptsC-section rateCesarean section rateObstetrical careVeterans AffairsWomen veteransPregnant veteransC-sectionSection rateEdinburgh Postnatal Depression Scale scoreHigher body mass indexObservational cohort studyBody mass indexC-section deliveryCommunity care providersDepression Scale scoresPublic health problemQuality of careVA medical facilitiesCross-sectional analysisPostpartum veteransMaternal morbidityCohort studyMass indexObstetrical providersVA careIncident Musculoskeletal Conditions Among Men and Women Veterans Returning From Deployment
Haskell SG, Brandt C, Bastian L, Driscoll M, Bathulapalli H, Dziura J. Incident Musculoskeletal Conditions Among Men and Women Veterans Returning From Deployment. Medical Care 2020, 58: 1082-1090. PMID: 32925458, DOI: 10.1097/mlr.0000000000001403.Peer-Reviewed Original ResearchConceptsMSK conditionsAnkle/footVeterans AffairsUpper extremityMen veteransClinical Modification diagnostic codesPercent of womenOperation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn VeteransMSK diagnosesCohort studyNinth RevisionUnadjusted ratesMusculoskeletal conditionsDiagnostic codesIncidence rateOperation New Dawn veteransFirst visitMusculoskeletal injuriesNew Dawn veteransInternational ClassificationWomen veteransLast deploymentWomenVeteransMenPatient and provider barriers, facilitators, and implementation preferences of intimate partner violence perpetration screening
Portnoy GA, Colon R, Gross GM, Adams LJ, Bastian LA, Iverson KM. Patient and provider barriers, facilitators, and implementation preferences of intimate partner violence perpetration screening. BMC Health Services Research 2020, 20: 746. PMID: 32791967, PMCID: PMC7424651, DOI: 10.1186/s12913-020-05595-7.Peer-Reviewed Original ResearchConceptsIntimate partner violenceImplementation preferencesIntimate Partner Violence PerpetrationPartner violence perpetrationIPV experiencesProvider barriersPartner violenceQualitative interviewsViolence perpetrationVHA healthcareVeterans Health Administration patientsWay of screeningIPV useUnderstudied aspectSelf-report screening toolContent analysisHealthcare responseStrong rapportProfessional disciplinesComprehensive processSubstantial prevalenceVHA providersFacilitatorsClinical practiceProviders' beliefsEffect of Adding Telephone-Based Brief Coaching to an mHealth App (Stay Strong) for Promoting Physical Activity Among Veterans: Randomized Controlled Trial
Damschroder LJ, Buis LR, McCant FA, Kim HM, Evans R, Oddone EZ, Bastian LA, Hooks G, Kadri R, White-Clark C, Richardson CR, Gierisch JM. Effect of Adding Telephone-Based Brief Coaching to an mHealth App (Stay Strong) for Promoting Physical Activity Among Veterans: Randomized Controlled Trial. Journal Of Medical Internet Research 2020, 22: e19216. PMID: 32687474, PMCID: PMC7435619, DOI: 10.2196/19216.Peer-Reviewed Original ResearchConceptsINTERNATIONAL REGISTERED REPORT IDENTIFIERPhysical activityUS veteransActive minutesPatient activationHealth coachingMonths postbaselineWrist-worn physical activity trackerLong-term adherenceFitbit Charge 2 deviceTelephone-based coachingBetween-group differencesMobile health interventionsPersonalized health coachingPhysical activity trackersAverage baseline weightActive military dutyStrong AppBaseline weightSecondary outcomesControlled TrialsPrimary outcomeHealthy weightActive duty serviceCoaching calls