2022
Rurality impacts pain care for female veterans similarly to male veterans
Hadlandsmyth K, Driscoll MA, Mares JG, Au V, Miell KR, Lund BC. Rurality impacts pain care for female veterans similarly to male veterans. The Journal Of Rural Health 2022, 39: 313-319. PMID: 35170073, DOI: 10.1111/jrh.12646.Peer-Reviewed Original ResearchMeSH KeywordsAnalgesics, OpioidChronic PainFemaleHumansMalePractice Patterns, Physicians'United StatesUnited States Department of Veterans AffairsVeteransConceptsSpecialty care visitsPain careCare visitsChronic painImpact of ruralityClinic visitsPsychiatric medicationsMost psychiatric medicationsLong-term opioidsPrimary care visitsHealth care utilizationCohort of veteransChronic pain careVA administrative dataRural-dwelling veteransMultiple comorbiditiesOpioid prescribingCare utilizationRural veteransMore painMuscle relaxantsUrban veteransMale veteransPainFemale veterans
2021
Sex 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 ResearchMeSH KeywordsCohort StudiesFemaleHumansMalePrimary Health CareSex CharacteristicsSex FactorsUnited StatesUnited States Department of Veterans AffairsVeteransConceptsPrimary 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 accuracyMilitary sexual trauma and suicidal ideation in VHA-care-seeking OEF/OIF/OND veterans without mental health diagnosis or treatment
Decker SE, Ramsey CM, Ronzitti S, Kerns RD, Driscoll MA, Dziura J, Skanderson M, Bathulapalli H, Brandt CA, Haskell SG, Goulet JL. Military sexual trauma and suicidal ideation in VHA-care-seeking OEF/OIF/OND veterans without mental health diagnosis or treatment. Psychiatry Research 2021, 303: 114089. PMID: 34247061, DOI: 10.1016/j.psychres.2021.114089.Peer-Reviewed Original ResearchMeSH KeywordsFemaleHumansIraq War, 2003-2011MaleMental HealthMilitary PersonnelSex OffensesSexual TraumaStress Disorders, Post-TraumaticSuicidal IdeationUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthConceptsMental health diagnosesMilitary sexual traumaVeterans Healthcare AdministrationSuicidal ideationHealth diagnosisSexual traumaRelative risk estimatesOEF/OIF/OND veteransSample of veteransPost-9/11 veteransSuicide risk factorsMental health concernsClinical remindersRisk factorsRelative riskHigh riskMen veteransMental healthcareHealth concernRisk estimatesMST survivorsWomenDiagnosisTraumaVeterans
2019
When user-centered design meets implementation science: integrating provider perspectives in the development of an intimate partner violence intervention for women treated in the United States’ largest integrated healthcare system
Danitz SB, Stirman SW, Grillo AR, Dichter ME, Driscoll M, Gerber MR, Gregor K, Hamilton AB, Iverson KM. When user-centered design meets implementation science: integrating provider perspectives in the development of an intimate partner violence intervention for women treated in the United States’ largest integrated healthcare system. BMC Women's Health 2019, 19: 145. PMID: 31771557, PMCID: PMC6880505, DOI: 10.1186/s12905-019-0837-8.Peer-Reviewed Original ResearchMeSH KeywordsAdultAttitude of Health PersonnelDelivery of Health Care, IntegratedDirective CounselingFemaleHumansImplementation ScienceIntimate Partner ViolenceProgram EvaluationQualitative ResearchUnited StatesUnited States Department of Veterans AffairsVeteransWomen's HealthConceptsVeterans Health AdministrationVHA providersWomen veteransUnited StatesIntimate partner violence interventionsBackgroundIntimate partner violencePartner violence interventionsBrief counseling interventionHealthcare systemKey informant interviewsHybrid inductive-deductive approachDate of enrollmentDate of registrationGlobal health problemCounseling interventionLarge medical centerHealth care settingsImplementation scienceRapid content analysisInductive-deductive approachViolence interventionPartner violenceIPV interventionsProvider comfortMean ageWomen Veterans’ Experiences with Perceived Gender Bias in U.S. Department of Veterans Affairs Specialty Care
Mattocks K, Casares J, Brown A, Bean-Mayberry B, Goldstein KM, Driscoll M, Haskell S, Bastian L, Brandt C. Women Veterans’ Experiences with Perceived Gender Bias in U.S. Department of Veterans Affairs Specialty Care. Women's Health Issues 2019, 30: 113-119. PMID: 31735581, DOI: 10.1016/j.whi.2019.10.003.Peer-Reviewed Original ResearchMeSH KeywordsAdultFemaleHealth PersonnelHospitals, VeteransHumansInterviews as TopicMaleMiddle AgedPatient SatisfactionPrimary Health CareQualitative ResearchSexismUnited StatesUnited States Department of Veterans AffairsVeteransWomen's HealthConceptsSpecialty care providersPrimary care settingSpecialty careCare providersWomen veteransCare settingsVeterans AffairsWomen veterans' experiencesHealth clinicsHealth trainingWomen's Health TrainingMental health care settingsPrimary care providersWomen's health clinicQuality of careHealth care settingsPatient satisfactionSpecialty providersHormonal fluctuationsVA facilitiesVeterans' experiencesHealth conditionsCareSymptomsWomen
2018
Predictors of Participation in a Nonpharmacological Intervention for Chronic Back Pain
Higgins DM, LaChappelle KM, Serowik KL, Driscoll MA, Lee A, Heapy AA. Predictors of Participation in a Nonpharmacological Intervention for Chronic Back Pain. Pain Medicine 2018, 19: s76-s83. PMID: 30753730, DOI: 10.1093/pm/pny077.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedChronic PainFemaleHospitals, VeteransHumansMaleMiddle AgedPain ManagementPatient ParticipationPredictive Value of TestsUnited StatesUnited States Department of Veterans AffairsConceptsChronic back painPredictors of enrollmentCBT-CPBack painCognitive behavioral therapyEligible patientsMost patientsChronic painPain careEligible participantsPredictors of participationNonpharmacological interventionsNoninferiority trialMedical CenterDuration of participationTreatment doseTrial screeningPatientsPainBehavioral therapyOpioidsRegression analysisEnrollmentPredictorsDosePatient Experiences Navigating Chronic Pain Management in an Integrated Health Care System: A Qualitative Investigation of Women and Men
Driscoll MA, Knobf MT, Higgins DM, Heapy A, Lee A, Haskell S. Patient Experiences Navigating Chronic Pain Management in an Integrated Health Care System: A Qualitative Investigation of Women and Men. Pain Medicine 2018, 19: s19-s29. PMID: 30203009, DOI: 10.1093/pm/pny139.Peer-Reviewed Original ResearchMeSH KeywordsAgedChronic PainDelivery of Health Care, IntegratedFemaleHumansMaleMiddle AgedPain ManagementQualitative ResearchUnited StatesUnited States Department of Veterans AffairsConceptsIntegrated health care systemHealth care systemPain careCare systemNational integrated health care systemRate of painChronic pain managementChronic pain patientsVeterans Affairs (VA) careMedication usePain managementPain patientsIntegrated health careProvider communicationPatient educationMedical CenterPatient expectationsPainProvider behaviorConstant comparative approachCareHealth careLogistical barriersWomenWomen's perceptions
2017
Gender Differences in Demographic and Clinical Correlates among Veterans with Musculoskeletal Disorders
Higgins DM, Fenton BT, Driscoll MA, Heapy AA, Kerns RD, Bair MJ, Carroll C, Brennan PL, Burgess DJ, Piette JD, Haskell SG, Brandt CA, Goulet JL. Gender Differences in Demographic and Clinical Correlates among Veterans with Musculoskeletal Disorders. Women's Health Issues 2017, 27: 463-470. PMID: 28325585, DOI: 10.1016/j.whi.2017.01.008.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAnxietyChronic PainCohort StudiesFemaleHumansMaleMiddle AgedMigraine DisordersMusculoskeletal DiseasesMusculoskeletal PainPain ManagementSeverity of Illness IndexSex FactorsSocioeconomic FactorsSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsVeteransConceptsMusculoskeletal disordersClinical correlatesPain intensity numeric rating scalePain-related disabilityNumeric rating scaleGreater pain intensityDiagnosis of fibromyalgiaBack pain conditionsMental health conditionsSubstance use disordersGender differencesNeck painPain serviceSevere painPain conditionsPain intensityChronic painTemporomandibular disordersPainful conditionsCardiovascular diseaseMigraine headacheHigh riskLower oddsMSD diagnosisUse disorders
2016
Cigarette Smoking Status and Receipt of an Opioid Prescription Among Veterans of Recent Wars
Bastian LA, Driscoll MA, Heapy AA, Becker WC, Goulet JL, Kerns RD, DeRycke EC, Perez E, Lynch SM, Mattocks K, Kroll-Desrosiers AR, Brandt CA, Skanderson M, Bathulapalli H, Haskell SG. Cigarette Smoking Status and Receipt of an Opioid Prescription Among Veterans of Recent Wars. Pain Medicine 2016, 18: 1089-1097. PMID: 27659441, DOI: 10.1093/pm/pnw223.Peer-Reviewed Original ResearchConceptsCurrent pain intensityOpioid prescriptionsPain intensitySmoking statusOEF/OIF/OND veteransCurrent smokersFormer smokersOpioid useVeterans Health Administration primary care clinicsOperations Enduring Freedom/Iraqi Freedom/New DawnMild pain intensityMore opioid prescriptionsSevere pain intensityNumeric rating scalePrimary care clinicsCigarette smoking statusCross-sectional analysisOpioid receiptFormer smokingCohort studyCurrent smokingCare clinicsChronic painCigarette smokersSmoking cessationThe musculoskeletal diagnosis cohort
Goulet JL, Kerns RD, Bair M, Becker W, Brennan P, Burgess DJ, Carroll CM, Dobscha S, Driscoll M, Fenton BT, Fraenkel L, Haskell S, Heapy A, Higgins D, Hoff RA, Hwang U, Justice AC, Piette JD, Sinnott P, Wandner L, Womack J, Brandt CA. The musculoskeletal diagnosis cohort. Pain 2016, 157: 1696-1703. PMID: 27023420, PMCID: PMC4949131, DOI: 10.1097/j.pain.0000000000000567.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overDatabases, FactualFemaleHumansMaleMiddle AgedMusculoskeletal DiseasesMusculoskeletal PainPain ManagementSeverity of Illness IndexUnited StatesUnited States Department of Veterans AffairsVeteransConceptsMSD diagnosisMusculoskeletal disordersMSD cohortIndex dateVeterans Health Administration (VHA) careNumeric rating scale scoreICD-9-CM codesCohort inclusion criteriaNontraumatic joint disordersPain-related treatmentsMore outpatient visitsVeterans Health AdministrationMental health diagnosesRating Scale scoresHigher NRS scoresHealth services researchElectronic health recordsDiagnosis cohortSevere painInpatient visitsNRS scoresOutpatient visitsNeck disordersFirst diagnosisMean age