2024
Twelve-Month Sustainment of IPV Screening and Response Programs in Primary Care: Contextual Factors Impacting Implementation Success
Iverson K, Brady J, Adjognon O, Stolzmann K, Dichter M, Bruce L, Portnoy G, Iqbal S, Gerber M, Haskell S, Miller C. Twelve-Month Sustainment of IPV Screening and Response Programs in Primary Care: Contextual Factors Impacting Implementation Success. Women's Health Issues 2024 PMID: 39174417, DOI: 10.1016/j.whi.2024.07.001.Peer-Reviewed Original ResearchIntimate partner violence screeningImplementation facilitatorsVeterans Health AdministrationPrimary careIPV screeningIntimate partner violenceIntimate partner violence screening ratesFactors affecting screeningMixed-methods evaluationHealth care systemImpact implementation successScreening ratesReferral optionsStaffing shortagesHost of barriersCare systemHealth AdministrationPositive screenScreening programBoost uptakeQualitative findingsImplementation strategiesInconsistent messagesInformant interviewsImplementation successReal‐world impacts from a decade of Quality Enhancement Research Initiative‐partnered projects to translate the Diabetes Prevention Program in the Veterans Health Administration
Damschroder L, Hamilton A, Farmer M, Bean‐Mayberry B, Richardson C, Chanfreau C, Oberman R, Lesser R, Lewis J, Raffa S, Goldstein M, Haskell S, Finley E, Moin T. Real‐world impacts from a decade of Quality Enhancement Research Initiative‐partnered projects to translate the Diabetes Prevention Program in the Veterans Health Administration. Health Services Research 2024, 59: e14349. PMID: 38967218, PMCID: PMC11540559, DOI: 10.1111/1475-6773.14349.Peer-Reviewed Original ResearchDiabetes Prevention ProgramVeterans Health AdministrationDiabetes prevention servicesVA sitesPreventive servicesPrevention programsWomen veteransHealth AdministrationEvidence-based lifestyle interventionType 2 diabetesOnline diabetes prevention programObesity prevention effortsNational care guidelinesLifestyle change programPreventive care servicesHealth of WomenNational evidence baseGender-tailoredCare servicesCare guidelinesVA MOVELifestyle interventionPhysical healthIn-personPrevention effortsElectronic Health Record Concordance with Survey-Reported Military Sexual Trauma Among Younger Veterans: Associations with Health Care Utilization and Mental Health Diagnoses
Gaffey A, Burg M, Skanderson M, Deviva J, Brandt C, Bastian L, Haskell S. Electronic Health Record Concordance with Survey-Reported Military Sexual Trauma Among Younger Veterans: Associations with Health Care Utilization and Mental Health Diagnoses. Journal Of Women's Health 2024 PMID: 38946553, DOI: 10.1089/jwh.2023.0993.Peer-Reviewed Original ResearchElectronic health recordsHealth care utilizationAssociated with health care utilizationMilitary sexual traumaVeterans Health AdministrationCare utilizationPosttraumatic stress disorderVeteran health care utilizationMental health visitsPrimary care utilizationMental health diagnosesCross-sectional associationsService-related characteristicsPost-9/11 veteransSexual traumaLikelihood of posttraumatic stress disorderEHR screensPrimary careVHA careHealth visitsOlder veteransHealth recordsYounger veteransDepression diagnosisExperience MST
2023
Improving the Maternity Care Safety Net: Establishing Maternal Mortality Surveillance for Non-Obstetric Providers and Institutions
Combellick J, Ibrahim B, Esmaeili A, Phibbs C, Johnson A, Patton E, Manzo L, Haskell S. Improving the Maternity Care Safety Net: Establishing Maternal Mortality Surveillance for Non-Obstetric Providers and Institutions. International Journal Of Environmental Research And Public Health 2023, 21: 37. PMID: 38248502, PMCID: PMC10815856, DOI: 10.3390/ijerph21010037.Peer-Reviewed Original ResearchVeterans Health AdministrationPregnancy-associated deathsQuality improvement projectMaternal outcomesMaternity careCare providersIndividual chart reviewMaternal mortality surveillancePregnancy-associated mortalityLate postpartum periodPercent of deathsSpecialty care providersAdverse social determinantsMortality review processMulti-specialty careMaternity care providersNational VA databasesMental health conditionsIntegration of careImprovement projectSystem-level factorsTime of deathPostpartum deathChart reviewPerinatal complicationsUsing the Matrixed Multiple Case Study approach to identify factors affecting the uptake of IPV screening programs following the use of implementation facilitation
Adjognon O, Brady J, Iverson K, Stolzmann K, Dichter M, Lew R, Gerber M, Portnoy G, Iqbal S, Haskell S, Bruce L, Miller C. Using the Matrixed Multiple Case Study approach to identify factors affecting the uptake of IPV screening programs following the use of implementation facilitation. Implementation Science Communications 2023, 4: 145. PMID: 37990345, PMCID: PMC10664531, DOI: 10.1186/s43058-023-00528-x.Peer-Reviewed Original ResearchVeterans Health AdministrationImplementation facilitationUS Preventive Services Task ForceBackgroundIntimate partner violenceMethodsThis mixed-methods studyRoutine IPV screeningIntegrated Promoting ActionPrimary care clinicsHealth Services frameworkInternal facilitatorsVHA OfficeCare clinicsLarge trialsPrimary careMedical recordsPositive screenClinic staffPromoting ActionIPV screeningExternal facilitatorsWomen's healthHealth AdministrationSocial determinantsLarger studyHigh/mediumOpioid prescription and risk of atrial fibrillation in younger veterans
Chui P, Khokhar A, Gordon K, Dziura J, Burg M, Brandt C, Haskell S, Malm B, Bastian L, Gandhi P. Opioid prescription and risk of atrial fibrillation in younger veterans. American Heart Journal 2023, 268: 61-67. PMID: 37949420, DOI: 10.1016/j.ahj.2023.11.001.Peer-Reviewed Original ResearchTime-updated Cox regressionIncident atrial fibrillationAtrial fibrillationOpioid exposureVeterans Health AdministrationOpioid typeCox regressionOpioid prescriptionsICD-9-CM diagnostic codesIncidence of AFDevelopment of AFPrescription opioid exposureModifiable risk factorsPrimary care visitsPrescribed opioidsCare visitsOpioid useRisk factorsDiagnostic codesTime-dependent variablesOpioidsHealth AdministrationYounger veteransBaseline periodStudy sample
2022
Women Veterans’ Healthcare Needs, Utilization, and Preferences in Veterans Affairs Primary Care Settings
Sheahan KL, Goldstein KM, Than CT, Bean-Mayberry B, Chanfreau CC, Gerber MR, Rose DE, Brunner J, Canelo IA, Darling MSHS JE, Haskell S, Hamilton AB, Yano EM. Women Veterans’ Healthcare Needs, Utilization, and Preferences in Veterans Affairs Primary Care Settings. Journal Of General Internal Medicine 2022, 37: 791-798. PMID: 36042076, PMCID: PMC9481772, DOI: 10.1007/s11606-022-07585-3.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationVA primary carePrimary careWomen veteransVeterans Affairs primary care settingBackgroundThe Veterans Health AdministrationMental healthcareAge groupsHealthcare needsLarge integrated health systemProvider preferencesAge-specific carePrimary care visitsPrimary care settingMental health burdenVA Medical CenterIntegrated health systemComprehensive primary careMental health conditionsMethodsCross-sectional surveyMilitary sexual traumaCare visitsElevated cholesterolPhysical health issuesSpecialty careGonorrhea and Chlamydia Testing and Case Rates Among Women Veterans in the Veterans Health Administration
Keddem S, Maier M, Gardella C, Borgerding J, Lowy E, Chartier M, Haskell S, Hauser RG, Beste LA. Gonorrhea and Chlamydia Testing and Case Rates Among Women Veterans in the Veterans Health Administration. Journal Of General Internal Medicine 2022, 37: 706-713. PMID: 36042092, PMCID: PMC9481769, DOI: 10.1007/s11606-022-07578-2.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationChlamydia testingVHA careWomen veteransAge 25Case ratesMilitary sexual traumaHealth AdministrationInfection rateCorrelates of testingIncidence of chlamydiaRetrospective cohort studyCervical cancer screeningEvidence-based guidelinesHealth system factorsIncidence of gonorrhoeaMental health diagnosesLow testing ratesSexual traumaSystem-level interventionsHigher infection rateEffective diagnostic testCohort studyPatient characteristicsResultsAmong womenMini-Residencies to Improve Care for Women Veterans: A Decade of Re-Educating Veterans Health Administration Primary Care Providers
Manwell L, McNeil M, Gerber MR, Iqbal S, Schrager S, Staropoli C, Brown R, Veet L, Haskell S, Hayes P, Carnes M. Mini-Residencies to Improve Care for Women Veterans: A Decade of Re-Educating Veterans Health Administration Primary Care Providers. Journal Of Women's Health 2022, 31: 991-1002. PMID: 35049359, DOI: 10.1089/jwh.2021.0033.Peer-Reviewed Original ResearchConceptsPrimary care providersProvision of careWomen veteransCare providersMini-ResidencyHealth careVeterans Health AdministrationWomen's health careSix-month dataPre-post responsesPelvic examinationMore breastPost-training surveysWomen's healthHealth AdministrationTraining programVeteran carePractice changeCareVeteransClinical trainingWomenProgram contentParticipant comfortDidactic presentations
2021
Differences in Burnout and Intent to Leave Between Women’s Health and General Primary Care Providers in the Veterans Health Administration
Apaydin EA, Mohr DC, Hamilton AB, Rose DE, Haskell S, Yano EM. Differences in Burnout and Intent to Leave Between Women’s Health and General Primary Care Providers in the Veterans Health Administration. Journal Of General Internal Medicine 2021, 37: 2382-2389. PMID: 34618305, PMCID: PMC9360298, DOI: 10.1007/s11606-021-07133-5.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationPrimary care providersCare providersWomen veteransPractice characteristicsHealth AdministrationUnique clinical needsMinority of patientsLogistic regression analysisSatisfied patientsCross-sectional wavesPreventative careWomen's healthClinical needPatientsPractice dataOutcomes of burnoutRegression analysisAdministrationCareClinical demandStaff ratiosVeteransPCPMore researchCoordinating 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 interviewsCareVeteransBaseline 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 AdministrationNeuropsychological assessments and psychotherapeutic services in Veterans with multiple sclerosis: Rates of utilization and their associations with socio-demographics and clinical characteristics using Veterans Health Administration-based data
Gromisch ES, Kulas JF, Altalib H, Kerns RD, Mattocks KM, Brandt CA, Haskell S. Neuropsychological assessments and psychotherapeutic services in Veterans with multiple sclerosis: Rates of utilization and their associations with socio-demographics and clinical characteristics using Veterans Health Administration-based data. Multiple Sclerosis And Related Disorders 2020, 43: 102220. PMID: 32480347, DOI: 10.1016/j.msard.2020.102220.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationCo-occurring conditionsMultiple sclerosisWomen Veterans Cohort StudyService utilizationClinical characteristicsMood disordersService useHealth AdministrationVHA Corporate Data WarehouseNeuropsychological assessmentAlcohol-related disordersTraumatic brain injuryMental health servicesPsychotherapeutic servicesCorporate Data WarehouseRace/ethnicityCohort studyDiagnosis dateBrain injuryComprehensive careSleep disordersInitial appointmentSubsequent logistic regressionCognitive disordersBarriers to cardiovascular disease preventive behaviors among OEF/OIF/OND women and men veterans.
Cavanagh CE, Rosman L, Chui PW, Bastian L, Brandt C, Haskell S, Burg MM. Barriers to cardiovascular disease preventive behaviors among OEF/OIF/OND women and men veterans. Health Psychology 2020, 39: 298-306. PMID: 31999178, PMCID: PMC7078021, DOI: 10.1037/hea0000844.Peer-Reviewed Original ResearchConceptsOEF/OIF/OND veteransLow response ratePreventive behaviorsCardiovascular diseaseResponse rateCVD risk preventionEndorsement of barriersSex differencesMultivariate logistic regressionVeterans Health AdministrationDisease preventive behaviorsPrevalence of barriersImplementation science methodsInadequate social supportCVD incidenceCVD riskLifestyle changesElevated riskMen veteransRisk individualsHealth AdministrationMultivariate analysisLogistic regressionMore menMore women
2019
Posttraumatic Stress Disorder and Risk for Stroke in Young and Middle-Aged Adults
Rosman L, Sico JJ, Lampert R, Gaffey AE, Ramsey CM, Dziura J, Chui PW, Cavanagh CE, Brandt C, Haskell S, Burg MM. Posttraumatic Stress Disorder and Risk for Stroke in Young and Middle-Aged Adults. Stroke 2019, 50: 2996-3003. PMID: 31619151, DOI: 10.1161/strokeaha.119.026854.Peer-Reviewed Original ResearchConceptsTransient ischemic attackIncident transient ischemic attackPosttraumatic stress disorderEffects of PTSDIschemic strokeIncident strokeHealthcare utilizationIncidence of TIAStress disorderYoung adultsMiddle-aged veteransStroke risk factorsMultivariate Cox modelIschemic stroke riskAge-specific prevention strategiesVeterans Health AdministrationMiddle-aged adultsIschemic attackStroke riskPsychological factorsUnadjusted analysesRisk factorsEffect modificationCox modelPsychiatric disordersPosttraumatic Stress Disorder and Risk for Early Incident Atrial Fibrillation: A Prospective Cohort Study of 1.1 Million Young Adults
Rosman L, Lampert R, Ramsey CM, Dziura J, Chui PW, Brandt C, Haskell S, Burg MM. Posttraumatic Stress Disorder and Risk for Early Incident Atrial Fibrillation: A Prospective Cohort Study of 1.1 Million Young Adults. Journal Of The American Heart Association 2019, 8: e013741. PMID: 31564191, PMCID: PMC6806049, DOI: 10.1161/jaha.119.013741.Peer-Reviewed Original ResearchConceptsIncident atrial fibrillationPosttraumatic stress disorderMiddle-aged veteransAtrial fibrillationRisk factorsMultivariate Cox proportional hazards modelIncidence of AFCox proportional hazards modelStress disorderAF risk factorsCardiovascular risk factorsNew atrial fibrillationProspective cohort studyHigher overall incidenceVeterans Health AdministrationProportional hazards modelAcute psychological stressChronic stress syndromeCohort studyOverall incidenceAtrial tachycardiaLifestyle factorsAtrial flutterHealthcare useEffect modification