Featured Publications
Patient 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' beliefsUnderstanding Gender Differences in Resilience Among Veterans: Trauma History and Social Ecology
Portnoy GA, Relyea MR, Decker S, ShamaskinâGarroway A, Driscoll M, Brandt CA, Haskell SG. Understanding Gender Differences in Resilience Among Veterans: Trauma History and Social Ecology. Journal Of Traumatic Stress 2018, 31: 845-855. PMID: 30431668, DOI: 10.1002/jts.22341.Peer-Reviewed Original ResearchConceptsMilitary sexual traumaTrauma exposureTraumatic eventsTrauma typesCombat exposureResilience scoresSexual abuseSocial supportTraumatic Life Events QuestionnaireStranger violencePoor psychological outcomesLife Events QuestionnaireUnexpected traumaInterpersonal violenceGender differencesHierarchical linear regressionGreater social supportNoninterpersonal traumaPsychological resilienceInterpersonal traumaDeployment preparednessPsychological outcomesSexual traumaSocial-ecological frameworkTrauma historyAccuracy and Acceptability of a Screening Tool for Identifying Intimate Partner Violence Perpetration among Women Veterans: A Pre-Implementation Evaluation
Portnoy GA, Haskell SG, King MW, Maskin R, Gerber MR, Iverson KM. Accuracy and Acceptability of a Screening Tool for Identifying Intimate Partner Violence Perpetration among Women Veterans: A Pre-Implementation Evaluation. Women's Health Issues 2018, 28: 439-445. PMID: 29885901, DOI: 10.1016/j.whi.2018.04.003.Peer-Reviewed Original ResearchConceptsWomen veteransLow-burden toolVeterans Health AdministrationIntimate partner violenceHealth care providersMajority of womenAppropriate referralIPV perpetrationCare providersPre-implementation evaluationHealth AdministrationWeb-based surveyHealthcare settingsScreening toolLimited evidenceVeteransWomen's perceptionsPrimary measureReference standardIntimate Partner Violence PerpetrationWomenNational samplePresent studyPartner violencePartner violence perpetration
2024
Implementation and Impact of Intimate Partner Violence Screening Expansion in the Veterans Health Administration: Protocol for a Mixed Methods Evaluation
Portnoy G, Relyea M, Dichter M, Iverson K, Presseau C, Brandt C, Skanderson M, Bruce L, Martino S. Implementation and Impact of Intimate Partner Violence Screening Expansion in the Veterans Health Administration: Protocol for a Mixed Methods Evaluation. JMIR Research Protocols 2024, 13: e59918. PMID: 39194059, PMCID: PMC11391160, DOI: 10.2196/59918.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationImpact of screeningINTERNATIONAL REGISTERED REPORT IDENTIFIERHealth care systemIntimate partner violenceIPV screeningQualitative interviewsCare systemHealth AdministrationConsolidated Framework for Implementation ResearchVeterans Health Administration facilitiesElectronic health record dataIntimate partner violence screeningMixed methods evaluationHealth record dataNational health care systemLongitudinal observational designPotential implementation barriersSignificant public health problemMen's health careClinical practice implicationsPatient populationMethod evaluationRE-AIMPublic health problemMilitary sexual trauma-related posttraumatic stress disorder service-connection: Characteristics of claimants and award denial across gender, race, and compared to combat trauma
Webermann A, Gianoli M, Rosen M, Portnoy G, Runels T, Black A. Military sexual trauma-related posttraumatic stress disorder service-connection: Characteristics of claimants and award denial across gender, race, and compared to combat trauma. PLOS ONE 2024, 19: e0280708. PMID: 38206995, PMCID: PMC10783784, DOI: 10.1371/journal.pone.0280708.Peer-Reviewed Original ResearchConceptsMilitary sexual traumaSexual traumaBlack veteransVeterans Benefits AdministrationVeterans' claimsPosttraumatic stress disorderBenefits administrationWomen veteransWhite veteransSystemic barriersService-connectedStress disorderMen veteransCharacteristics of claimantsStressor typeGenderCombat traumaClaimsRaceArmy veteransDenialEffect sizeUnderserved backgroundsVeteransHigher odds
2023
Screening for Intimate Partner Violence Experience and Use in the Veterans Health Administration
Portnoy G, Relyea M, Presseau C, Orazietti S, Bruce L, Brandt C, Martino S. Screening for Intimate Partner Violence Experience and Use in the Veterans Health Administration. JAMA Network Open 2023, 6: e2337685. PMID: 37831451, PMCID: PMC10576210, DOI: 10.1001/jamanetworkopen.2023.37685.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationCross-sectional studyStress disorder diagnosisPosttraumatic stress disorder (PTSD) diagnosisMental health servicesIPV useIntimate partner violenceHealth AdministrationVeterans Health Administration medical centersHealth servicesMental health care visitsClinical diagnosisMajor public health problemDisorder diagnosisElectronic medical record dataHealth care visitsIPV experiencesMedical record dataPublic health problemMental health cliniciansMental health careQuality improvement initiativesHealth care settingsOutcomes of interestPast-year prevalenceMilitary Sexual Trauma and its Association with Mental Health Among Sexual Minority and Heterosexual Veterans in the United States
Webermann A, Merians A, Gross G, Portnoy G, Rosen M, Pietrzak R. Military Sexual Trauma and its Association with Mental Health Among Sexual Minority and Heterosexual Veterans in the United States. LGBT Health 2023, 10: s61-s69. PMID: 37754922, DOI: 10.1089/lgbt.2023.0074.Peer-Reviewed Original ResearchConceptsMental health symptomsMilitary sexual traumaHealth symptomsHeterosexual veteransCurrent drug use disordersCurrent mental health symptomsCurrent posttraumatic stress disorderMultivariable logistic regressionDrug use disordersPrevalence of MSTMilitary characteristicsSexual traumaPosttraumatic stress disorderRepresentative web-based surveyHigh prevalenceUse disordersU.S. veteransWeb-based surveySociodemographic characteristicsSymptomsBivariate analysisLogistic regressionStress disorderMental healthPrevalenceUnderstanding Veterans' intimate partner violence use and patterns of healthcare utilization
Relyea M, Presseau C, Runels T, Humbert M, Martino S, Brandt C, Haskell S, Portnoy G. Understanding Veterans' intimate partner violence use and patterns of healthcare utilization. Health Services Research 2023, 58: 1198-1208. PMID: 37452496, PMCID: PMC10622301, DOI: 10.1111/1475-6773.14201.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationHealthcare utilizationIPV useChronic painMedical treatmentSevere chronic painNon-VA providersChronic sleep problemsNon-VA servicesPost-traumatic stress disorderChi-square testRisk factorsOperation New Dawn veteransProvider trainingSleep problemsVA healthcareNew Dawn veteransOperation Enduring FreedomDATA SOURCESWomen veteransOutpatient healthcareHealth AdministrationOperation Iraqi FreedomClinical settingStudy settingIntegrating Intimate Partner Violence Screening Programs in Primary Care: Results from a Hybrid-II Implementation-Effectiveness RCT
Iverson K, Stolzmann K, Brady J, Adjognon O, Dichter M, Lew R, Gerber M, Portnoy G, Iqbal S, Haskell S, Bruce L, Miller C. Integrating Intimate Partner Violence Screening Programs in Primary Care: Results from a Hybrid-II Implementation-Effectiveness RCT. American Journal Of Preventive Medicine 2023, 65: 251-260. PMID: 37031032, PMCID: PMC10568536, DOI: 10.1016/j.amepre.2023.02.013.Peer-Reviewed Original ResearchConceptsIntimate partner violence screening programsVeterans Health AdministrationImplementation facilitationPrimary careEligible womenSecondary outcomesPrimary outcomeScreening programHealth AdministrationVeterans Health Administration facilitiesClinic 3 monthsClinical effectiveness outcomesPsychosocial service useImplementation-effectiveness trialDisclosure ratesIPV detectionPatient populationEffectiveness outcomesService usePsychosocial servicesAdministration facilitiesWomenCareMonthsOutcomesThe Role of Unit and Interpersonal Support in Military Sexual Trauma and Posttraumatic Stress Disorder Symptoms
Webermann A, Relyea M, Portnoy G, Martino S, Brandt C, Haskell S. The Role of Unit and Interpersonal Support in Military Sexual Trauma and Posttraumatic Stress Disorder Symptoms. Journal Of Interpersonal Violence 2023, 38: 9514-9535. PMID: 37005795, DOI: 10.1177/08862605231165764.Peer-Reviewed Original ResearchConceptsPosttraumatic stress disorderMilitary sexual traumaUnit supportPTSD symptomsInterpersonal supportSexual traumaPosttraumatic stress disorder (PTSD) symptomsOperation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn VeteransOperation New Dawn veteransNew Dawn veteransWomen veteransStress disorderSymptomsDisorder symptomsWomenService membersGreater PTSD symptomsVeteransTraumaPotential factorsGender differencesMediatorsLess unitsCompensation and Pension Exams for Military Sexual TraumaâRelated Posttraumatic Stress Disorder: Examiner Perspectives, Clinical Impacts on Veterans, and Strategies
Webermann A, Nester M, Gianoli M, Black A, Rosen M, Mattocks K, Portnoy G. Compensation and Pension Exams for Military Sexual TraumaâRelated Posttraumatic Stress Disorder: Examiner Perspectives, Clinical Impacts on Veterans, and Strategies. Women's Health Issues 2023, 33: 428-434. PMID: 37003918, DOI: 10.1016/j.whi.2023.02.002.Peer-Reviewed Original ResearchConceptsVHA mental health careMental health carePosttraumatic stress disorderMilitary sexual traumaVeterans Benefits AdministrationClinical impactHealth careWomen veteransStress disorderSexual traumaPotential clinical impactCurrent psychosocial functioningThousands of veteransPsychotherapy referralsDiagnostic evaluationPsychosocial functioningDisability claimsPTSD symptomsVeteransCareTraumaExaminersExamDisordersExaminersâ responses
2021
Baseline 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
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 Administration
2019
Screening for Military Sexual Trauma Is Associated With Improved HIV Screening in Women Veterans
Reddy SM, Portnoy GA, Bathulapalli H, Womack J, Haskell SG, Mattocks K, Brandt CA, Goulet JL. Screening for Military Sexual Trauma Is Associated With Improved HIV Screening in Women Veterans. Medical Care 2019, 57: 536-543. PMID: 31194701, DOI: 10.1097/mlr.0000000000001130.Peer-Reviewed Original ResearchConceptsMilitary sexual traumaWomen veteransCohort studyComprehensive preventive health careVeterans AffairsSexual traumaOdds of HIVPositive MST screenHIV risk factorsWomen Veterans Cohort StudyHealth careCross-sectional studyMental health diagnosesPreventive health careFacility-level clusteringHistory of MSTMST screenHIV screeningMultivariable analysisHIV screenRisk factorsHIVHealth diagnosisBivariate statisticsDemographic characteristicsTrauma and Sexual Risk: Do Men and Women Veterans Differ?
Combellick JL, Dziura J, Portnoy GA, Mattocks KM, Brandt CA, Haskell SG. Trauma and Sexual Risk: Do Men and Women Veterans Differ? Women's Health Issues 2019, 29: s74-s82. PMID: 31253246, DOI: 10.1016/j.whi.2019.04.014.Peer-Reviewed Original ResearchMeSH KeywordsAdultAdult Survivors of Child AbuseAgedBullyingChildCohort StudiesCrime VictimsFemaleHumansIntimate Partner ViolenceMaleMiddle AgedMilitary PersonnelRisk FactorsRisk-TakingSexual BehaviorSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthConceptsRisky sexual behaviorWomen veteransSexual behaviorSingle significant risk factorSignificant risk factorsWomen Veterans Cohort StudyVeterans Health AdministrationHistory of traumaRelated health outcomesCohort studyPredictive factorsRisk factorsMilitary-related traumaBinge drinkingMen veteransMilitary exposureHealth AdministrationHealth outcomesTrauma-related experiencesHealth servicesMultivariate analysisProtective factorsSexual riskTraumaAdditional risk
2014
Computer-Assisted Delivery of Cognitive-Behavioral Therapy: Efficacy and Durability of CBT4CBT Among Cocaine-Dependent Individuals Maintained on Methadone
Carroll KM, Kiluk BD, Nich C, Gordon MA, Portnoy GA, Marino DR, Ball SA. Computer-Assisted Delivery of Cognitive-Behavioral Therapy: Efficacy and Durability of CBT4CBT Among Cocaine-Dependent Individuals Maintained on Methadone. American Journal Of Psychiatry 2014, 171: 436-444. PMID: 24577287, PMCID: PMC4042674, DOI: 10.1176/appi.ajp.2013.13070987.Peer-Reviewed Original ResearchConceptsCocaine-dependent individualsCognitive behavioral therapyMethadone maintenanceCommunity-based outpatient clinicsPrevious pilot trialMethadone maintenance programStandard methadone maintenanceDisseminable strategyDefinitive trialOutpatient clinicClinical trialsEffective adjunctPilot trialTreatment terminationTreatment retentionBetter outcomesConsecutive weeksCBT4CBTWeekly accessAddiction treatmentDurable effectsTrialsSubstance usersStatistical significanceMethadone
2012
The Hope in Her Eyes: The Role of Children in Afghan Womenâs Resilience
Brodsky AE, Talwar G, Welsh EA, Scheibler JE, Backer P, Portnoy GA, Carrillo A, Kline E. The Hope in Her Eyes: The Role of Children in Afghan Womenâs Resilience. American Journal Of Orthopsychiatry 2012, 82: 358-366. PMID: 22880974, DOI: 10.1111/j.1939-0025.2012.01162.x.Peer-Reviewed Original ResearchConceptsRole of childrenWomen's resilienceWomen of AfghanistanProtection of childrenStrengths-based approachProcess of resilienceRevolutionary AssociationPolitical activityAfghan womenResistance organizationsChildren's roleProtective factorsQualitative dataResilienceAfghanistanArticleUseful mechanismContextRawasUnique settingWomenConflictInterviewsRisk womenResponsibility
2008
Computer-Assisted Delivery of Cognitive-Behavioral Therapy for Addiction: A Randomized Trial of CBT4CBT
Carroll KM, Ball SA, Martino S, Nich C, Babuscio TA, Nuro KF, Gordon MA, Portnoy GA, Rounsaville BJ. Computer-Assisted Delivery of Cognitive-Behavioral Therapy for Addiction: A Randomized Trial of CBT4CBT. American Journal Of Psychiatry 2008, 165: 881-888. PMID: 18450927, PMCID: PMC2562873, DOI: 10.1176/appi.ajp.2008.07111835.Peer-Reviewed Original Research