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
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 systemWomenInterviewsPerceived 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 modelsScores
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 accuracyDocumentation 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 violenceBaseline 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
The Association Between Hospital End-of-Life Care Quality and the Care Received Among Patients With Heart Failure
Feder SL, Tate J, Ersek M, Krishnan S, Chaudhry SI, Bastian LA, Rolnick J, Kutney-Lee A, Akgün KM. The Association Between Hospital End-of-Life Care Quality and the Care Received Among Patients With Heart Failure. Journal Of Pain And Symptom Management 2020, 61: 713-722.e1. PMID: 32931904, PMCID: PMC7952458, DOI: 10.1016/j.jpainsymman.2020.09.006.Peer-Reviewed Original ResearchConceptsHeart failure patientsPalliative care consultationVeterans Health AdministrationLife care qualityFailure patientsHeart failureCare consultationsHighest quintileVA hospitalsIntensive care unit deathCare qualityIntensive care unitHealth care systemCare unitInpatient hospiceMean ageLowest quintileHospital endRetrospective analysisHOSPITAL scorePatientsHealth AdministrationCare processesHospitalLogistic regressionIncident 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 callsCorrelates of sleep quality and excessive daytime sleepiness in people with opioid use disorder receiving methadone treatment
Baldassarri SR, Beitel M, Zinchuk A, Redeker NS, Oberleitner DE, Oberleitner LMS, Carrasco D, Madden LM, Lipkind N, Fiellin DA, Bastian LA, Chen K, Yaggi HK, Barry DT. Correlates of sleep quality and excessive daytime sleepiness in people with opioid use disorder receiving methadone treatment. Sleep And Breathing 2020, 24: 1729-1737. PMID: 32556918, PMCID: PMC7680294, DOI: 10.1007/s11325-020-02123-z.Peer-Reviewed Original ResearchConceptsOpioid use disorderExcessive daytime sleepinessDaytime sleepinessSleep qualityChronic painExcessive daytimeUse disordersConclusionsPoor sleep qualityCurrent chronic painModifiable risk factorsImpaired sleep qualityMultivariable linear regression modelsBody mass indexPoor sleep qualityNon-significant associationMass indexMultivariable analysisPain interferenceRelated comorbiditiesMethadone treatmentClinical correlatesMean PSQIRisk factorsSleep disordersResultsNinety percentFactors Associated With Posttraumatic Stress Disorder Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care
Coleman BC, Corcoran KL, DeRycke EC, Bastian LA, Brandt CA, Haskell SG, Heapy AA, Lisi AJ. Factors Associated With Posttraumatic Stress Disorder Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care. Journal Of Manipulative And Physiological Therapeutics 2020, 43: 753-759. PMID: 32534740, DOI: 10.1016/j.jmpt.2019.10.016.Peer-Reviewed Original ResearchMeSH KeywordsAdultAfghan Campaign 2001-Armed ConflictsChiropracticCohort StudiesComorbidityCross-Sectional StudiesFemaleHumansIraq War, 2003-2011Logistic ModelsMaleManipulation, ChiropracticMiddle AgedMusculoskeletal PainPain ManagementPrevalenceStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransConceptsPost-traumatic stress disorderOEF/OIF/OND veteransBody mass indexSubstance use disordersChiropractic carePTSD diagnosisPain intensityMass indexStress disorderUse disordersOperations Enduring Freedom/Iraqi Freedom/New DawnPrior PTSD diagnosisSevere pain intensityVA chiropractic clinicDiagnosis of PTSDPain management outcomesPrimary outcome measureNational cohort studyElectronic health record dataHealth record dataManagement of veteransCross-sectional analysisPosttraumatic stress disorderClinical characteristicsCohort studyAssociations between obstructive sleep apnea and prescribed opioids among veterans.
Chen K, Yaggi HK, Fiellin DA, DeRycke EC, Athar W, Haskell S, Bastian LA. Associations between obstructive sleep apnea and prescribed opioids among veterans. Pain 2020, 161: 2035-2040. PMID: 32358418, PMCID: PMC7606219, DOI: 10.1097/j.pain.0000000000001906.Peer-Reviewed Original ResearchConceptsDiagnosis of OSAObstructive sleep apneaOpioid prescriptionsRelative risk ratiosSleep apneaMultimodal pain management strategiesPoor pain controlTwo-fold likelihoodPain management strategiesHigher pain intensityPain controlPrescribed opioidsFormer smokersPain intensityPain managementPrimary outcomeChronic prescriptionPrescription opioidsPsychiatric comorbidityOSA treatmentPrimary exposureNational cohortRisk ratioChronic durationOpioid categoryBarriers 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 womenAssociation of prescription opioids and incident cardiovascular risk factors among post-9/11 Veterans
Chui PW, Gordon KS, Dziura J, Burg MM, Brandt CA, Sico JJ, Leapman MS, Cavanagh CE, Rosman L, Haskell S, Becker WC, Bastian LA. Association of prescription opioids and incident cardiovascular risk factors among post-9/11 Veterans. Preventive Medicine 2020, 134: 106036. PMID: 32097753, DOI: 10.1016/j.ypmed.2020.106036.Peer-Reviewed Original ResearchConceptsCVD risk factorsLong-term opioid therapyCurrent smoking statusRisk factorsOpioid useOpioid therapySmoking statusCardiovascular diseaseHigh riskLong-term exposureIncident cardiovascular risk factorsModifiable CVD risk factorsPrevalent CVD risk factorsFirst primary care visitCardiovascular risk factorsPrimary care visitsBaseline periodElectronic health record dataMain outcome measuresHealth record dataOpioid prescriptionsCare visitsPrescription opioidsMain exposureOutcome measuresSex Differences in Associations Between Depression and Posttraumatic Stress Disorder Symptoms and Tobacco Use Among Veterans of Recent Conflicts
Gross GM, Bastian LA, Smith NB, Harpaz-Rotem I, Hoff R. Sex Differences in Associations Between Depression and Posttraumatic Stress Disorder Symptoms and Tobacco Use Among Veterans of Recent Conflicts. Journal Of Women's Health 2020, 29: 677-685. PMID: 31934813, DOI: 10.1089/jwh.2019.8082.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderTobacco usePTSD symptomsFemale veteransSex differencesAssociation of depressionTobacco use cessationBaseline interview dataCross-sectional associationsMental health conditionsLogistic regression modelsPosttraumatic stress disorder (PTSD) symptomsBinary logistic regression modelSex-specific barriersTobacco usersSymptomsStress disorderAlcohol useHealth conditionsDepressionDisorder symptomsVeteran sampleMH conditionsIntervention strategiesEffects of demographicsUnderutilization of Pulmonary Function Testing in Veterans Hospitalized for Chronic Obstructive Pulmonary Disease Exacerbation: Who are We Missing?
Bade BC, DeRycke EC, Skanderson M, Crothers K, Haskell S, Bean-Mayberry B, Cain HC, Brandt C, Bastian LA, Akgün KM. Underutilization of Pulmonary Function Testing in Veterans Hospitalized for Chronic Obstructive Pulmonary Disease Exacerbation: Who are We Missing? COPD Journal Of Chronic Obstructive Pulmonary Disease 2020, 17: 15-21. PMID: 31948267, DOI: 10.1080/15412555.2019.1711036.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAged, 80 and overAlcoholismDelayed DiagnosisDisease ProgressionEthnicityFemaleHealth Services MisuseHospitalizationHumansLogistic ModelsMaleMiddle AgedOdds RatioPulmonary Disease, Chronic ObstructiveRespiratory Function TestsRetrospective StudiesRisk FactorsSex FactorsSmokersSmokingSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsChronic obstructive pulmonary diseasePulmonary function testingDrug use disordersCurrent Procedural TerminologyUse disordersFunction testingChronic obstructive pulmonary disease exacerbationsVeterans Affairs Health Care SystemObstructive pulmonary disease exacerbationsLogistic regressionPulmonary disease exacerbationsObstructive pulmonary diseaseHistory of alcoholHealth care systemDisease exacerbationIndex hospitalizationCurrent smokersCOPD hospitalizationsPatient factorsPrimary outcomePulmonary diseaseRetrospective analysisInternational ClassificationMost veteransQuality care