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
Optimizing the Impact of Pragmatic Clinical Trials for Veteran and Military Populations: Lessons From the Pain Management Collaboratory
Ali J, Antonelli M, Bastian L, Becker W, Brandt CA, Burgess DJ, Burns A, Cohen SP, Davis AF, Dearth CL, Dziura J, Edwards R, Erdos J, Farrokhi S, Fritz J, Geda M, George SZ, Goertz C, Goodie J, Hastings SN, Heapy A, Ilfeld BM, Katsovich L, Kerns RD, Kyriakides TC, Lee A, Long CR, Luther SL, Martino S, Matheny ME, McGeary D, Midboe A, Pasquina P, Peduzzi P, Raffanello M, Rhon D, Rosen M, Esposito ER, Scarton D, Hastings SN, Seal K, Silliker N, Taylor S, Taylor SL, Tsui M, Wright FS, Zeliadt S. Optimizing the Impact of Pragmatic Clinical Trials for Veteran and Military Populations: Lessons From the Pain Management Collaboratory. Military Medicine 2021, 187: 179-185. PMID: 34791412, PMCID: PMC9389906, DOI: 10.1093/milmed/usab458.Peer-Reviewed Original ResearchConceptsPragmatic clinical trialsPain Management CollaboratoryClinical trialsMultisite pragmatic clinical trialManagement of painDual public health crisesCommon co-occurring conditionsPragmatic trial designUnmet healthcare needsMilitary Health SystemCo-occurring conditionsPublic health crisisPain managementChronic painNonpharmacological approachesOpioid misuseMultifactorial etiologyTrial designVeterans AffairsMilitary populationHealthcare needsHealth systemNational InstitutePainCOVID-19 pandemicPost-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 ResearchMeSH KeywordsCross-Sectional StudiesFemaleHeart DiseasesHumansMaleMilitary PersonnelPsychotherapyVeteransConceptsSelf-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 approachDiseaseSex 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 interviewsCareVeteransPain intensity and pain medication prescription patterns in Veterans with heart failure and back pain
Cavanagh CE, Rosman L, Chui PW, DeRycke E, Bathulapalli H, Gandhi P, Bastian LA, Burg MM, Brandt C, Goulet JL. Pain intensity and pain medication prescription patterns in Veterans with heart failure and back pain. Heart & Lung 2021, 50: 770-774. PMID: 34225088, DOI: 10.1016/j.hrtlng.2021.04.016.Peer-Reviewed Original ResearchConceptsComorbid heart failureHeart failureBack painPain intensityMedication prescription patternsPain medication prescriptionsHigher likelihoodGabapentin prescriptionsNSAID prescriptionsPrescription patternsSevere painPain conditionsMedication prescriptionsClinical managementPainMusculoskeletal disordersDisorder cohortLower likelihoodVeteransFurther studiesPrescriptionFailureOpioidsCardiovascularCohortPrenatal 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 ResearchMeSH KeywordsAdultCohort StudiesFemaleHumansInfantPregnancyPrenatal CareSmokingSmoking CessationVeteransConceptsRates 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 facilitiesSmokersICD-10 Coding of Musculoskeletal Conditions in the Veterans Health Administration
Coleman BC, Goulet JL, Higgins DM, Bathulapalli H, Kawecki T, Ruser CB, Bastian LA, Martino S, Piette JD, Edmond SN, Heapy AA. ICD-10 Coding of Musculoskeletal Conditions in the Veterans Health Administration. Pain Medicine 2021, 22: 2597-2603. PMID: 33944953, PMCID: PMC8783617, DOI: 10.1093/pm/pnab161.Peer-Reviewed Original ResearchConceptsSpecialty care settingsVeterans Health AdministrationCare settingsDiagnosis codesMusculoskeletal diagnosesMusculoskeletal conditionsHealth AdministrationVeterans Health Administration (VHA) careLow back painLongitudinal cohort studyICD-10 codingVisit diagnosesCohort studyDiagnosis cohortBack painCommon diagnosisUnique patientsNumber of visitsInternational ClassificationMusculoskeletal carePotential diagnosisSecondary analysisPatientsDiagnosisMusculoskeletal systemDocumentation 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 violenceA stepped randomized trial to promote colorectal cancer screening in a nationwide sample of U.S. Veterans
Vernon SW, Del Junco DJ, Coan SP, Murphy CC, Walters ST, Friedman RH, Bastian LA, Fisher DA, Lairson DR, Myers RE. A stepped randomized trial to promote colorectal cancer screening in a nationwide sample of U.S. Veterans. Contemporary Clinical Trials 2021, 105: 106392. PMID: 33823295, PMCID: PMC8172445, DOI: 10.1016/j.cct.2021.106392.Peer-Reviewed Original ResearchThe Association Between Smoking Abstinence and Pain Trajectory Among Veterans Engaged in U.S. Department of Veterans Affairs Mental Health Care
Hammett PJ, Businelle MS, Taylor BC, Erbes CR, Bastian L, Doran N, Sherman SE, Rogers ES, Burgess DJ, Fu SS. The Association Between Smoking Abstinence and Pain Trajectory Among Veterans Engaged in U.S. Department of Veterans Affairs Mental Health Care. Pain Medicine 2021, 22: 1793-1803. PMID: 33502511, DOI: 10.1093/pm/pnab009.Peer-Reviewed Original ResearchConceptsLower pain scoresPain scoresPain groupMental health careSmoking abstinenceVeteran smokersProactive outreachPoint prevalence smoking abstinenceVA mental health careOverall sampleBaseline pain scoresModerate pain groupSevere pain groupVA mental healthSelf-reported abstinenceHealth careNicotine abstinenceMental health servicesMental healthPain trajectoriesSevere painComposite scoreAbstinenceProspective analysisInteraction testBaseline 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
Stakeholder Engagement in Pragmatic Clinical Trials: Emphasizing Relationships to Improve Pain Management Delivery and Outcomes
Bastian LA, Cohen SP, Katsovich L, Becker WC, Brummett BR, Burgess DJ, Crunkhorn AE, Denneson LM, Frank JW, Goertz C, Ilfeld B, Kanzler KE, Krishnaswamy A, LaChappelle K, Martino S, Mattocks K, McGeary CA, Reznik TE, Rhon DI, Salsbury SA, Seal KH, Semiatin AM, Shin MH, Simon CB, Teyhen DS, Zamora K, Kerns RD, Collaboratory T. Stakeholder Engagement in Pragmatic Clinical Trials: Emphasizing Relationships to Improve Pain Management Delivery and Outcomes. Pain Medicine 2020, 21: s13-s20. PMID: 33313726, PMCID: PMC7824996, DOI: 10.1093/pm/pnaa333.Peer-Reviewed Original ResearchConceptsPragmatic clinical trialsPain Management CollaboratoryTarget treatment populationClinical trialsManagement of painPrimary care cliniciansHealth care teamCo-occurring conditionsMilitary service membersCare cliniciansNonpharmacological approachesPragmatic trialCare teamPain researchHealth system leadersTreatment populationTrial researchersCoordinating CenterHealth OrganizationTrialsService membersPainPrincipal investigatorManagement deliveryGroupRacial 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 deploymentWomenVeteransMen