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 ResearchMeSH KeywordsDecision Support TechniquesEarly Detection of CancerFemaleHumansLung NeoplasmsMaleMiddle AgedPhiladelphiaPrimary Health CareConceptsLung 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
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 accuracy
2019
Women 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 ResearchConceptsSpecialty 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
2016
Binge Eating among Women Veterans in Primary Care: Comorbidities and Treatment Priorities
Rosenbaum DL, Kimerling R, Pomernacki A, Goldstein KM, Yano EM, Sadler AG, Carney D, Bastian LA, Bean-Mayberry BA, Frayne SM. Binge Eating among Women Veterans in Primary Care: Comorbidities and Treatment Priorities. Women's Health Issues 2016, 26: 420-428. PMID: 26972486, DOI: 10.1016/j.whi.2016.02.004.Peer-Reviewed Original ResearchConceptsPrimary care patientsTreatment prioritiesCare patientsProblematic eating patternsVeteran primary care patientsPatient treatment prioritiesPrimary care settingPsychological complexityPsychological disordersMood concernsClinical profilePrimary careWeight managementScreening practicesCare settingsEating patternsWomen veteransTreatment resourcesMental disordersClinical servicesPatientsStatistical ManualFifth editionWeight lossBinge
2015
Lessons from Initiating the First Veterans Health Administration (VA) Women's Health Practice-based Research Network (WH-PBRN) Study
Pomernacki A, Carney DV, Kimerling R, Nazarian D, Blakeney J, Martin BD, Strehlow H, Yosef J, Goldstein KM, Sadler AG, Bean-Mayberry BA, Bastian LA, Bucossi MM, McLean C, Sonnicksen S, Klap R, Yano EM, Frayne SM. Lessons from Initiating the First Veterans Health Administration (VA) Women's Health Practice-based Research Network (WH-PBRN) Study. The Journal Of The American Board Of Family Medicine 2015, 28: 649-657. PMID: 26355137, DOI: 10.3122/jabfm.2015.05.150029.Peer-Reviewed Original ResearchConceptsWomen's health practicesHealth practicesWomen veteransIntegrated health care systemResearch Network StudyClinic-based recruitmentMental health servicesCentral institutional review boardInstitutional review boardHealth care systemClinic teamStudy coordinatorsLocal cliniciansHealth servicesReview boardSpecial populationsCare systemKey study elementsHealth careSite coordinatorsResearch NetworkVeteransLogistical issuesInaugural studyProgram managersInforming Policy to Deliver Comprehensive Care for Women Veterans
Bastian LA, Mattocks KM, Rosen AK, Hamilton AB, Bean-Mayberry B, Sadler AG, Klap RS, Yano EM. Informing Policy to Deliver Comprehensive Care for Women Veterans. Medical Care 2015, 53: s1-s4. PMID: 25767961, DOI: 10.1097/mlr.0000000000000344.Peer-Reviewed Original ResearchBreast NeoplasmsComprehensive Health CareFemaleHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHealth Services Needs and DemandHospitals, VeteransHumansMental Health ServicesOrganizational PolicyPrimary Health CarePrimary PreventionReproductive HealthRural PopulationTravelUnited StatesVeterans HealthWomen's HealthAssociations Between Provider Designation and Female-specific Cancer Screening in Women Veterans
Bean-Mayberry B, Bastian L, Trentalange M, Murphy TE, Skanderson M, Allore H, Reyes-Harvey E, Maisel NC, Gaetano V, Wright S, Haskell S, Brandt C. Associations Between Provider Designation and Female-specific Cancer Screening in Women Veterans. Medical Care 2015, 53: s47-s54. PMID: 25767975, PMCID: PMC5477654, DOI: 10.1097/mlr.0000000000000323.Peer-Reviewed Original ResearchConceptsVeterans Affairs Healthcare SystemCancer screening ratesWomen's health providersCancer screeningWomen veteransHealth providersScreening ratesBreast cancer screening ratesFemale-specific cancersCervical cancer screeningPrimary care providersBreast cancer screeningLevel of careComprehensive primary careCross-sectional analysisClinical factorsProvider factorsPrimary careMultivariable modelHigher oddsProvider characteristicsNational guidelinesVA sitesPatientsDWHPs
2014
Patient-Centered Mental Health Care for Female Veterans
Kimerling R, Bastian LA, Bean-Mayberry BA, Bucossi MM, Carney DV, Goldstein KM, Phibbs CS, Pomernacki A, Sadler AG, Yano EM, Frayne SM. Patient-Centered Mental Health Care for Female Veterans. Psychiatric Services 2014, 66: 155-162. PMID: 25642611, PMCID: PMC4776740, DOI: 10.1176/appi.ps.201300551.Peer-Reviewed Original ResearchConceptsMental health servicesMental health careWomen's mental health servicesHealth servicesPosttraumatic stress disorderFemale veteransHealth careChronic general medical conditionsWomen's mental health careVeterans Health Administration systemGeneral medical conditionsBehavioral health servicesHealth Administration systemVHA mental health servicesClinical factorsPain managementPsychiatric comorbidityPrimary careWeight managementClinical aspectsMedical conditionsSleep problemsStress disorderPTSD symptomsCareAssociation between Women Veterans' Experiences with VA Outpatient Health Care and Designation as a Women's Health Provider in Primary Care Clinics
Bastian LA, Trentalange M, Murphy TE, Brandt C, Bean-Mayberry B, Maisel NC, Wright SM, Gaetano VS, Allore H, Skanderson M, Reyes-Harvey E, Yano EM, Rose D, Haskell S. Association between Women Veterans' Experiences with VA Outpatient Health Care and Designation as a Women's Health Provider in Primary Care Clinics. Women's Health Issues 2014, 24: 605-612. PMID: 25442706, PMCID: PMC4740730, DOI: 10.1016/j.whi.2014.07.005.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge FactorsAgedAmbulatory CareCross-Sectional StudiesDelivery of Health CareFemaleHealth Care SurveysHospitals, VeteransHumansMaleMiddle AgedMultivariate AnalysisOutpatientsPatient SatisfactionPrimary Health CareQuality of Health CareUnited StatesUnited States Department of Veterans AffairsVeteransWomen's HealthYoung AdultConceptsWomen veterans' experiencesWomen's health providersPrimary care clinicsOutpatient health careHealth providersCare clinicsHealth careWomen veteransVeterans Affairs (VA) health care usersComprehensive women's health careVA primary care clinicsPrimary care providersWomen's health careIndividual provider characteristicsHealth care usersVeterans' experiencesOverall experienceVA SurveyPrimary careMultivariable modelProvider characteristicsCare providersPatient experienceHealthcare providersCare users
2013
The Cardiovascular Intervention Improvement Telemedicine Study (CITIES): Rationale for a Tailored Behavioral and Educational Pharmacist-Administered Intervention for Achieving Cardiovascular Disease Risk Reduction
Zullig LL, Melnyk SD, Stechuchak KM, McCant F, Danus S, Oddone E, Bastian L, Olsen M, Edelman D, Rakley S, Morey M, Bosworth HB. The Cardiovascular Intervention Improvement Telemedicine Study (CITIES): Rationale for a Tailored Behavioral and Educational Pharmacist-Administered Intervention for Achieving Cardiovascular Disease Risk Reduction. Telemedicine Journal And E-Health 2013, 20: 135-143. PMID: 24303930, PMCID: PMC3911768, DOI: 10.1089/tmj.2013.0145.Peer-Reviewed Original ResearchConceptsTelephone-based interventionCVD risk factorsRisk factorsDurham Veterans Affairs Medical CenterCardiovascular disease risk reductionOutpatient primary care clinicsVeterans Affairs Medical CenterCVD risk reductionCardiovascular disease riskPrimary care clinicsDisease risk reductionTarget sample sizeRisk reductionMultiple comorbiditiesUsual careCare clinicsMedication adherencePrimary careHome-based monitoringMedical CenterStudy interventionTelemedicine studiesHealth behaviorsDisease riskHypertension
2005
Impact of the Cancer Risk Intake System on Patient‐Clinician Discussions of Tamoxifen, Genetic Counseling, and Colonoscopy
Skinner CS, Rawl SM, Moser BK, Buchanan AH, Scott LL, Champion VL, Schildkraut JM, Parmigiani G, Clark S, Lobach DF, Bastian LA. Impact of the Cancer Risk Intake System on Patient‐Clinician Discussions of Tamoxifen, Genetic Counseling, and Colonoscopy. Journal Of General Internal Medicine 2005, 20: 360-365. PMID: 15857495, PMCID: PMC1490091, DOI: 10.1111/j.1525-1497.2005.40115.x.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAlgorithmsAntineoplastic Agents, HormonalBreast NeoplasmsColonic NeoplasmsColonoscopyCommunicationCounselingFemaleGenetic CounselingHumansMaleMiddle AgedOdds RatioOvarian NeoplasmsPatient Acceptance of Health CarePatient Education as TopicPhysician-Patient RelationsPrimary Health CareRisk AssessmentTamoxifenConceptsPatient-clinician discussionsPrimary care settingCare settingsGenetic counselingBaseline telephone surveyObjective cancer riskMonths postvisitClinic visitsCancer riskTelephone surveyColonoscopySurvey 1TamoxifenPretest-posttest designGreater proportionComputerized programCounselingManagement recommendationsRisk management recommendationsParticipantsPostvisitFollowProportionSettingBaseline
2000
Racial variation in wanting and obtaining mental health services among women veterans in a primary care clinic.
Bosworth H, Parsey K, Butterfield M, McIntyre L, Oddone E, Stechuchak K, Bastian L. Racial variation in wanting and obtaining mental health services among women veterans in a primary care clinic. Journal Of The National Medical Association 2000, 92: 231-6. PMID: 10881472, PMCID: PMC2640571.Peer-Reviewed Original ResearchConceptsMental health servicesPrimary care clinicsAfrican American womenHealth servicesCare clinicsWomen veteransDurham Veterans Affairs Medical CenterPrimary care clinic settingMental health service utilizationVeterans Affairs Medical CenterMore mental health servicesConsecutive women patientsMental Disorders questionnairePrimary Care EvaluationMental health useHealth service utilizationEqual access systemRacial differencesMental disorder symptomsMental health resourcesMedian ageWomen patientsClinic settingService utilizationCare Evaluation
1998
The development of a primary care curriculum for obstetrics/gynecology residents.
Parsey K, Bastian L, Couchman G, Slack K, Simel D. The development of a primary care curriculum for obstetrics/gynecology residents. Journal Of The American Medical Women's Association 1998, 53: 137-9. PMID: 17598295.Peer-Reviewed Original ResearchConceptsPrimary care curriculumComfort scoresCare curriculumPrimary care areaHealth careObstetrics/gynecology residentsSkin cancer screeningWomen's health careLower comfort scoresMental health assessmentPrimary care educationBreast clinicDiabetes mellitusCancer screeningMusculoskeletal complaintsBreast careCare areasHigher comfort scoresInternal medicineGynaecology trainingGynecology residentsCare educationHealth assessmentAmbulatory experienceScores