2024
Twelve-Month Sustainment of IPV Screening and Response Programs in Primary Care: Contextual Factors Impacting Implementation Success
Iverson K, Brady J, Adjognon O, Stolzmann K, Dichter M, Bruce L, Portnoy G, Iqbal S, Gerber M, Haskell S, Miller C. Twelve-Month Sustainment of IPV Screening and Response Programs in Primary Care: Contextual Factors Impacting Implementation Success. Women's Health Issues 2024 PMID: 39174417, DOI: 10.1016/j.whi.2024.07.001.Peer-Reviewed Original ResearchIntimate partner violence screeningImplementation facilitatorsVeterans Health AdministrationPrimary careIPV screeningIntimate partner violenceIntimate partner violence screening ratesFactors affecting screeningMixed-methods evaluationHealth care systemImpact implementation successScreening ratesReferral optionsStaffing shortagesHost of barriersCare systemHealth AdministrationPositive screenScreening programBoost uptakeQualitative findingsImplementation strategiesInconsistent messagesInformant interviewsImplementation successReal‐world impacts from a decade of Quality Enhancement Research Initiative‐partnered projects to translate the Diabetes Prevention Program in the Veterans Health Administration
Damschroder L, Hamilton A, Farmer M, Bean‐Mayberry B, Richardson C, Chanfreau C, Oberman R, Lesser R, Lewis J, Raffa S, Goldstein M, Haskell S, Finley E, Moin T. Real‐world impacts from a decade of Quality Enhancement Research Initiative‐partnered projects to translate the Diabetes Prevention Program in the Veterans Health Administration. Health Services Research 2024, 59: e14349. PMID: 38967218, PMCID: PMC11540559, DOI: 10.1111/1475-6773.14349.Peer-Reviewed Original ResearchDiabetes Prevention ProgramVeterans Health AdministrationDiabetes prevention servicesVA sitesPreventive servicesPrevention programsWomen veteransHealth AdministrationEvidence-based lifestyle interventionType 2 diabetesOnline diabetes prevention programObesity prevention effortsNational care guidelinesLifestyle change programPreventive care servicesHealth of WomenNational evidence baseGender-tailoredCare servicesCare guidelinesVA MOVELifestyle interventionPhysical healthIn-personPrevention efforts
2023
Using the Matrixed Multiple Case Study approach to identify factors affecting the uptake of IPV screening programs following the use of implementation facilitation
Adjognon O, Brady J, Iverson K, Stolzmann K, Dichter M, Lew R, Gerber M, Portnoy G, Iqbal S, Haskell S, Bruce L, Miller C. Using the Matrixed Multiple Case Study approach to identify factors affecting the uptake of IPV screening programs following the use of implementation facilitation. Implementation Science Communications 2023, 4: 145. PMID: 37990345, PMCID: PMC10664531, DOI: 10.1186/s43058-023-00528-x.Peer-Reviewed Original ResearchVeterans Health AdministrationImplementation facilitationUS Preventive Services Task ForceBackgroundIntimate partner violenceMethodsThis mixed-methods studyRoutine IPV screeningIntegrated Promoting ActionPrimary care clinicsHealth Services frameworkInternal facilitatorsVHA OfficeCare clinicsLarge trialsPrimary careMedical recordsPositive screenClinic staffPromoting ActionIPV screeningExternal facilitatorsWomen's healthHealth AdministrationSocial determinantsLarger studyHigh/mediumOpioid prescription and risk of atrial fibrillation in younger veterans
Chui P, Khokhar A, Gordon K, Dziura J, Burg M, Brandt C, Haskell S, Malm B, Bastian L, Gandhi P. Opioid prescription and risk of atrial fibrillation in younger veterans. American Heart Journal 2023, 268: 61-67. PMID: 37949420, DOI: 10.1016/j.ahj.2023.11.001.Peer-Reviewed Original ResearchTime-updated Cox regressionIncident atrial fibrillationAtrial fibrillationOpioid exposureVeterans Health AdministrationOpioid typeCox regressionOpioid prescriptionsICD-9-CM diagnostic codesIncidence of AFDevelopment of AFPrescription opioid exposureModifiable risk factorsPrimary care visitsPrescribed opioidsCare visitsOpioid useRisk factorsDiagnostic codesTime-dependent variablesOpioidsHealth AdministrationYounger veteransBaseline periodStudy sample
2022
Gonorrhea and Chlamydia Testing and Case Rates Among Women Veterans in the Veterans Health Administration
Keddem S, Maier M, Gardella C, Borgerding J, Lowy E, Chartier M, Haskell S, Hauser RG, Beste LA. Gonorrhea and Chlamydia Testing and Case Rates Among Women Veterans in the Veterans Health Administration. Journal Of General Internal Medicine 2022, 37: 706-713. PMID: 36042092, PMCID: PMC9481769, DOI: 10.1007/s11606-022-07578-2.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationChlamydia testingVHA careWomen veteransAge 25Case ratesMilitary sexual traumaHealth AdministrationInfection rateCorrelates of testingIncidence of chlamydiaRetrospective cohort studyCervical cancer screeningEvidence-based guidelinesHealth system factorsIncidence of gonorrhoeaMental health diagnosesLow testing ratesSexual traumaSystem-level interventionsHigher infection rateEffective diagnostic testCohort studyPatient characteristicsResultsAmong womenMini-Residencies to Improve Care for Women Veterans: A Decade of Re-Educating Veterans Health Administration Primary Care Providers
Manwell L, McNeil M, Gerber MR, Iqbal S, Schrager S, Staropoli C, Brown R, Veet L, Haskell S, Hayes P, Carnes M. Mini-Residencies to Improve Care for Women Veterans: A Decade of Re-Educating Veterans Health Administration Primary Care Providers. Journal Of Women's Health 2022, 31: 991-1002. PMID: 35049359, DOI: 10.1089/jwh.2021.0033.Peer-Reviewed Original ResearchConceptsPrimary care providersProvision of careWomen veteransCare providersMini-ResidencyHealth careVeterans Health AdministrationWomen's health careSix-month dataPre-post responsesPelvic examinationMore breastPost-training surveysWomen's healthHealth AdministrationTraining programVeteran carePractice changeCareVeteransClinical trainingWomenProgram contentParticipant comfortDidactic presentations
2021
Differences in Burnout and Intent to Leave Between Women’s Health and General Primary Care Providers in the Veterans Health Administration
Apaydin EA, Mohr DC, Hamilton AB, Rose DE, Haskell S, Yano EM. Differences in Burnout and Intent to Leave Between Women’s Health and General Primary Care Providers in the Veterans Health Administration. Journal Of General Internal Medicine 2021, 37: 2382-2389. PMID: 34618305, PMCID: PMC9360298, DOI: 10.1007/s11606-021-07133-5.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationPrimary care providersCare providersWomen veteransPractice characteristicsHealth AdministrationUnique clinical needsMinority of patientsLogistic regression analysisSatisfied patientsCross-sectional wavesPreventative careWomen's healthClinical needPatientsPractice dataOutcomes of burnoutRegression analysisAdministrationCareClinical demandStaff ratiosVeteransPCPMore researchCoordinating 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 interviewsCareVeterans
2020
A Multisite Quality Improvement Initiative to Enhance the Adoption of Screening Practices for Intimate Partner Violence Into Routine Primary Care for Women Veterans
Portnoy GA, Iverson KM, Haskell SG, Czarnogorski M, Gerber MR. A Multisite Quality Improvement Initiative to Enhance the Adoption of Screening Practices for Intimate Partner Violence Into Routine Primary Care for Women Veterans. Public Health Reports 2020, 136: 52-60. PMID: 33207128, PMCID: PMC7856383, DOI: 10.1177/0033354920966022.Peer-Reviewed Original ResearchConceptsMultisite Quality Improvement InitiativeQuality improvement initiativesVeterans Health AdministrationPrimary careIntimate partner violenceHealth clinicsScreening practicesWomen veteransImprovement initiativesHealth AdministrationEvidence-based implementation strategiesHigh-quality primary careRoutine primary careWomen's health clinicImplementation supportImplementation support strategiesModifiable barriersPartner violenceBaseline surveyUnique facilitatorsCareWomenClinicRespondersAdministrationEvaluating 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 AdministrationNeuropsychological assessments and psychotherapeutic services in Veterans with multiple sclerosis: Rates of utilization and their associations with socio-demographics and clinical characteristics using Veterans Health Administration-based data
Gromisch ES, Kulas JF, Altalib H, Kerns RD, Mattocks KM, Brandt CA, Haskell S. Neuropsychological assessments and psychotherapeutic services in Veterans with multiple sclerosis: Rates of utilization and their associations with socio-demographics and clinical characteristics using Veterans Health Administration-based data. Multiple Sclerosis And Related Disorders 2020, 43: 102220. PMID: 32480347, DOI: 10.1016/j.msard.2020.102220.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationCo-occurring conditionsMultiple sclerosisWomen Veterans Cohort StudyService utilizationClinical characteristicsMood disordersService useHealth AdministrationVHA Corporate Data WarehouseNeuropsychological assessmentAlcohol-related disordersTraumatic brain injuryMental health servicesPsychotherapeutic servicesCorporate Data WarehouseRace/ethnicityCohort studyDiagnosis dateBrain injuryComprehensive careSleep disordersInitial appointmentSubsequent logistic regressionCognitive disordersBarriers to cardiovascular disease preventive behaviors among OEF/OIF/OND women and men veterans.
Cavanagh CE, Rosman L, Chui PW, Bastian L, Brandt C, Haskell S, Burg MM. Barriers to cardiovascular disease preventive behaviors among OEF/OIF/OND women and men veterans. Health Psychology 2020, 39: 298-306. PMID: 31999178, PMCID: PMC7078021, DOI: 10.1037/hea0000844.Peer-Reviewed Original ResearchConceptsOEF/OIF/OND veteransLow response ratePreventive behaviorsCardiovascular diseaseResponse rateCVD risk preventionEndorsement of barriersSex differencesMultivariate logistic regressionVeterans Health AdministrationDisease preventive behaviorsPrevalence of barriersImplementation science methodsInadequate social supportCVD incidenceCVD riskLifestyle changesElevated riskMen veteransRisk individualsHealth AdministrationMultivariate analysisLogistic regressionMore menMore women