2020
Associations between adverse childhood experiences and weight, weight control behaviors and quality of life in Veterans seeking weight management services
Masheb RM, Sala M, Marsh AG, Snow JL, Kutz AM, Ruser CB. Associations between adverse childhood experiences and weight, weight control behaviors and quality of life in Veterans seeking weight management services. Eating Behaviors 2020, 40: 101461. PMID: 33352386, DOI: 10.1016/j.eatbeh.2020.101461.Peer-Reviewed Original ResearchConceptsBehavioral weight management programAdverse childhood experiencesQuality of lifeVA Connecticut Healthcare SystemPrevalence of ACEsWeight lossTypes of ACEsLow physical activityMore adverse childhood experiencesWeight management servicesWeight management programWeight-related qualityWeight control strategiesWeight control behaviorsMeasures of weightChildhood experiencesWeight outcomesPhysical activityFemale veteransAlcohol useLife outcomesHealthcare systemVeteransMeasures of ACEsHigh rateCase-mix for assessing primary care value (CPCV)
Gao J, Moran E, Schwartz A, Ruser C. Case-mix for assessing primary care value (CPCV). Health Services Management Research 2020, 33: 200-206. PMID: 32552065, DOI: 10.1177/0951484820931063.Peer-Reviewed Original ResearchConceptsPrimary careU.S. Veterans Affairs healthcare systemVeterans Affairs Healthcare SystemPrescription drug classesPrimary care performanceHigh-cost patientsPatient classification systemPC visitsPatient comorbiditiesDrug classesRisk scoreProvider workloadRisk algorithmHealth systemCare performanceHealthcare systemCare valuePatientsStaffing levelsPayment ratesCareHigh needClassification systemComorbidities
2019
“Making weight” during military service is related to binge eating and eating pathology for veterans later in life
Masheb RM, Kutz AM, Marsh AG, Min KM, Ruser CB, Dorflinger LM. “Making weight” during military service is related to binge eating and eating pathology for veterans later in life. Eating And Weight Disorders - Studies On Anorexia, Bulimia And Obesity 2019, 24: 1063-1070. PMID: 31471885, DOI: 10.1007/s40519-019-00766-w.Peer-Reviewed Original ResearchConceptsUnhealthy weight control strategiesOverweight/obeseWeight control strategiesWeight management treatmentWeight management effortsConclusionsOne-thirdNight eatingGood internal consistencyExcessive exerciseClinical effortsFood addictionRubber suitsMilitary servicePathologyVomitingObeseVeteransWeight behaviorEmotional eatingYounger cohortsOne-thirdTwo-thirdsInternal consistencyOne-quarterParticipantsSelf-report versus objective measurement of weight history: implications for pre-treatment weight gain
Phimphasone-Brady P, Dorflinger LM, Ruser C, Bullock A, Godfrey KM, Hernandez D, Min KM, Masheb RM. Self-report versus objective measurement of weight history: implications for pre-treatment weight gain. Journal Of Behavioral Medicine 2019, 42: 1142-1147. PMID: 31016640, DOI: 10.1007/s10865-019-00045-0.Peer-Reviewed Original ResearchConceptsWeight historySelf-reported weight changeWeight gainRecent weightClinical careHigh concurrent validityCurrent weightPatientsWeight lossWeight changeTreatment lossWeight assessmentConcurrent validityInaccurate reportersTreatmentHigh individual variabilityObjective measurementsIndividual variability
2018
Opioid Use Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care
Lisi AJ, Corcoran KL, DeRycke EC, Bastian LA, Becker WC, Edmond SN, Goertz CM, Goulet JL, Haskell SG, Higgins DM, Kawecki T, Kerns RD, Mattocks K, Ramsey C, Ruser CB, Brandt CA. Opioid Use Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care. Pain Medicine 2018, 19: s54-s60. PMID: 30203014, DOI: 10.1093/pm/pny114.Peer-Reviewed Original ResearchConceptsOEF/OIF/OND veteransOpioid prescriptionsChiropractic visitsOpioid useChiropractic careOperations Enduring Freedom/Iraqi Freedom/New DawnMore opioid prescriptionsVA chiropractic servicesPercentage of veteransCross-sectional analysisOpioid receiptClinic visitsClinical characteristicsCurrent smokingSevere painChiropractic clinicChiropractic servicesVisitsHigher likelihoodVeteransPrescriptionCareFurther studiesAdministrative dataOne-thirdProject STEP: Implementing the Veterans Health Administration’s Stepped Care Model of Pain Management
Edmond SN, Moore BA, Dorflinger LM, Goulet JL, Becker WC, Heapy AA, Sellinger JJ, Lee AW, Levin FL, Ruser CB, Kerns RD. Project STEP: Implementing the Veterans Health Administration’s Stepped Care Model of Pain Management. Pain Medicine 2018, 19: s30-s37. PMID: 30203015, DOI: 10.1093/pm/pny094.Peer-Reviewed Original ResearchConceptsVA Connecticut Healthcare SystemPrimary care providersVeterans Health AdministrationPain careStepped care modelCare providersPain managementCare modelHealth care utilization dataMultimodal pain careNonopioid analgesic prescribingLong-term opioidsElectronic health record dataPain intensity ratingsHealth record dataClinical health psychologyNonpharmacological servicesAnalgesic prescribingOpioid prescribingPharmacological managementNonpharmacological approachesNonpharmacological treatmentsReferral practicesPhysical therapyCare practicesPain and modifiable risk factors among weight loss seeking Veterans with overweight
Godfrey KM, Bullock AJ, Dorflinger LM, Min KM, Ruser CB, Masheb RM. Pain and modifiable risk factors among weight loss seeking Veterans with overweight. Appetite 2018, 128: 100-105. PMID: 29885382, DOI: 10.1016/j.appet.2018.06.010.Peer-Reviewed Original ResearchConceptsBody mass indexWeight loss treatmentMental health symptomsModifiable risk factorsHigher pain intensityPain intensityLoss treatmentHealth symptomsRisk factorsAverage body mass indexBehavioral weight loss treatmentSelf-reported pain ratingsOverweight/obesitySample of veteransElectronic medical recordsVA ConnecticutClinical characteristicsSevere painChronic painMass indexOutpatient clinicPain ratingsMedical recordsNight eatingSelf-report questionnaires
2017
Night eating among veterans with obesity
Dorflinger LM, Ruser CB, Masheb RM. Night eating among veterans with obesity. Appetite 2017, 117: 330-334. PMID: 28711610, DOI: 10.1016/j.appet.2017.07.011.Peer-Reviewed Original ResearchMeSH KeywordsAgedBinge-Eating DisorderBody Mass IndexComorbidityConnecticutDepressionElectronic Health RecordsFemaleHumansHyperphagiaMaleMass ScreeningMiddle AgedNight Eating SyndromeObesityPatient Acceptance of Health CarePrevalenceSeverity of Illness IndexSleep Initiation and Maintenance DisordersStress Disorders, Post-TraumaticVeterans HealthWeight Reduction ProgramsConceptsPsychological variablesProblematic eating behaviorsMeasures of bingeNight eatingEmotional eatingWeight management treatmentDisorder symptomatologyEmotional overeatingEating behaviorsBehavioral weight management interventionsEatingWeight management interventionsHigher scoresPTSDBingeVA Connecticut Healthcare SystemInsomniaVeteransWeight management programWeight management servicesWeight outcomesManagement interventionsMost individualsEmotionsRelated comorbiditiesA brief screening measure for binge eating in primary care
Dorflinger LM, Ruser CB, Masheb RM. A brief screening measure for binge eating in primary care. Eating Behaviors 2017, 26: 163-166. PMID: 28402901, DOI: 10.1016/j.eatbeh.2017.03.009.Peer-Reviewed Original ResearchConceptsPrimary carePredictive valueSingle-item screening measureMental health comorbiditiesScreening measureWeight management programWeight Patterns-RevisedPrevalence of BEDQuestionnaire of EatingFrequency of bingeNegative predictive valuePositive predictive valueHealth comorbiditiesAverage BMIMean ageBrief screening measureDepressive symptomsPsychiatric issuesSignificant associationBingeCareSingle-item measureQEWPAssessment toolDisorders
2016
Weight Gain and Incident Diabetes Among HIV-Infected Veterans Initiating Antiretroviral Therapy Compared With Uninfected Individuals
Herrin M, Tate JP, Akgün KM, Butt AA, Crothers K, Freiberg MS, Gibert CL, Leaf DA, Rimland D, Rodriguez-Barradas MC, Ruser CB, Herold KC, Justice AC. Weight Gain and Incident Diabetes Among HIV-Infected Veterans Initiating Antiretroviral Therapy Compared With Uninfected Individuals. JAIDS Journal Of Acquired Immune Deficiency Syndromes 2016, 73: 228-236. PMID: 27171741, PMCID: PMC5023454, DOI: 10.1097/qai.0000000000001071.Peer-Reviewed Original ResearchConceptsRisk of DMVeterans Aging Cohort StudyAntiretroviral therapyAging Cohort StudyDiabetes mellitusBody mass indexUninfected individualsWeight gainART initiationIncident diabetesCohort studyHazard ratioMass indexIncident type 2 diabetes mellitusAvailable body mass indexBaseline body mass indexType 2 diabetes mellitusNational observational studyConfidence intervalsSubstantial weight gainHIV infectionCox regressionPounds of weightObservational studyLow prevalencePrevalence and correlates of painful conditions and multimorbidity in national sample of overweight/obese Veterans
Higgins DM, Buta E, Dorflinger L, Masheb RM, Ruser CB, Goulet JL, Heapy AA. Prevalence and correlates of painful conditions and multimorbidity in national sample of overweight/obese Veterans. The Journal Of Rehabilitation Research And Development 2016, 53: 71-82. PMID: 26933823, DOI: 10.1682/jrrd.2014.10.0251.Peer-Reviewed Original ResearchConceptsArthritis/joint painOverweight/obese veteransJoint painPainful conditionsObese veteransHigher oddsVeterans Health Administration (VHA) careHigher body mass indexPrevalent public health concernCommon painful conditionNumber of comorbiditiesOverweight/obesityBody mass indexWeight management programPublic health concernMultiple comorbiditiesMultivariable adjustmentChronic painMass indexClinical managementMultinomial logistic regressionPainFemale veteransReference categoryComorbiditiesStepped care model of pain management and quality of pain care in long-term opioid therapy
Moore BA, Anderson D, Dorflinger L, Zlateva I, Lee A, Gilliam W, Tian T, Khatri K, Ruser CB, Kerns RD. Stepped care model of pain management and quality of pain care in long-term opioid therapy. The Journal Of Rehabilitation Research And Development 2016, 53: 137-146. PMID: 27006068, DOI: 10.1682/jrrd.2014.10.0254.Peer-Reviewed Original Research
2015
Weight Change After Antiretroviral Therapy and Mortality
Yuh B, Tate J, Butt AA, Crothers K, Freiberg M, Leaf D, Logeais M, Rimland D, Rodriguez-Barradas MC, Ruser C, Justice AC. Weight Change After Antiretroviral Therapy and Mortality. Clinical Infectious Diseases 2015, 60: 1852-1859. PMID: 25761868, PMCID: PMC4542664, DOI: 10.1093/cid/civ192.Peer-Reviewed Original ResearchConceptsBaseline body mass indexVeterans Aging Cohort StudyNormal weight patientsART initiationWeight gainWeight changeHuman immunodeficiency virus-infected patientsLower mortalityDisease severityAntiretroviral therapy initiationMultivariable Cox modelVirus-infected patientsAging Cohort StudyMedian weight changeBody mass indexYears of ARTGreater disease severityVACS IndexAntiretroviral therapyTherapy initiationBaseline weightCohort studyObese patientsSurvival benefitHemoglobin levels
2014
Psychometric properties of a MOVE!23 subscale: Perceived Contributors to Weight Change in a national sample of veterans
Higgins DM, Buta E, Dorflinger L, Heapy AA, Ruser CB, Goulet JL, Masheb RM. Psychometric properties of a MOVE!23 subscale: Perceived Contributors to Weight Change in a national sample of veterans. Journal Of Health Psychology 2014, 21: 1394-1403. PMID: 25293969, DOI: 10.1177/1359105314554530.Peer-Reviewed Original Research
2013
Binge eating behavior among a national sample of overweight and obese veterans
Higgins DM, Dorflinger L, MacGregor KL, Heapy AA, Goulet JL, Ruser C. Binge eating behavior among a national sample of overweight and obese veterans. Obesity 2013, 21: 900-903. PMID: 23784891, DOI: 10.1002/oby.20160.Peer-Reviewed Original ResearchConceptsType 2 diabetesObese veteransVeterans Health Administration facilitiesMedical clinic visitsMental health comorbiditiesWeight management programLogistic regression analysisUS military veteransSelf-reported bingeSecondary data analysis approachClinic visitsHealth comorbiditiesHigher BMIPsychiatric comorbidityHigh prevalenceWeight historyMale veteransFemale veteransAdministration facilitiesBingeMilitary veteransVeteransComorbiditiesOverweightDiabetes
2005
BRIEF REPORT: Identification and Management of Overweight and Obesity by Internal Medicine Residents
Ruser CB, Sanders L, Brescia GR, Talbot M, Hartman K, Vivieros K, Bravata DM. BRIEF REPORT: Identification and Management of Overweight and Obesity by Internal Medicine Residents. Journal Of General Internal Medicine 2005, 20: 1139-1141. PMID: 16423105, PMCID: PMC1490269, DOI: 10.1111/j.1525-1497.2005.0263.x.Peer-Reviewed Original ResearchConceptsManagement of overweightBody mass indexInternal medicine residentsOverweight patientsObese patientsExcess weightMedicine residentsCross-sectional medical record reviewObese primary care patientsHigher body mass indexInternal medicine resident clinicCo-morbid illnessMedical record reviewPrimary care patientsIdentification of overweightPatient characteristicsPatient demographicsCare patientsMass indexRecord reviewResident clinicOverweightObesityPatientsResident physiciansWhittling away at obesity and overweight
Ruser CB, Federman DG, Kashaf SS. Whittling away at obesity and overweight. Postgraduate Medicine 2005, 117: 31-40. PMID: 15672889, DOI: 10.3810/pgm.2005.01.1568.BooksConceptsAssociation of obesitySignificant medical comorbiditiesPrimary care physiciansEpidemic of obesityHigh-calorie dietMedical comorbiditiesWilling patientsCare physiciansExcess weightSedentary lifestyleHealth promotionTreatment planObesityEnergy intakeWeight lossMost adultsMultiple factorsAlarming rateComorbiditiesObeseOverweightPatientsMortalityPhysiciansIntake