2024
Real‐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 effortsUnderstanding Women’s Transitions from Military to Department of Veterans Affairs Care
Mattocks K, Shenette L, Walker L, Maher N, Haskell S. Understanding Women’s Transitions from Military to Department of Veterans Affairs Care. Journal Of Women's Health 2024, 33: 1185-1197. PMID: 38836756, DOI: 10.1089/jwh.2024.0022.Peer-Reviewed Original ResearchVA careWomen veteransDepartment of Veterans Affairs (VA) carePeer support programPeer support servicesMilitary serviceVeterans Affairs careActive-duty personnelNational Guard and ReserveMSK injuryWomens' transitionSelf-careMilitary injuriesInitial careMaintain healthSupport programsCareVeteransBackground:</i></b>Family responsibilitiesWomenAdequate informationHealthConclusions:</i></b>ThemesEvaluating an Enterprise-Wide Initiative to enhance healthcare coordination for rural women Veterans using the RE-AIM framework
Relyea M, Kinney R, DeRycke E, Haskell S, Mattocks K, Bastian L. Evaluating an Enterprise-Wide Initiative to enhance healthcare coordination for rural women Veterans using the RE-AIM framework. Frontiers In Health Services 2024, 3: 1237701. PMID: 38282637, PMCID: PMC10811198, DOI: 10.3389/frhs.2023.1237701.Peer-Reviewed Original ResearchOffice of Rural HealthRural women veteransHealth care coordinationCare coordinationWomen veteransVA facilitiesRE-AIMCancer screeningProgram implementationCare coordination modelRE-AIM frameworkBreast cancer screeningWomen's Health ServicesMixed-methods evaluationCervical cancer screeningSemi-structured interviewsRural healthHealthcare coordinationScreening ratesPreventive careHealth servicesPhone encountersMaternity careQualitative findingsCare
2022
Gonorrhea 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 womenWomen 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 careGender Differences in Guideline-Directed Medical Therapy for Cardiovascular Disease Among Young Veterans
Dhruva SS, Dziura J, Bathulapalli H, Rosman L, Gaffey AE, Davis MB, Brandt CA, Haskell SG. Gender Differences in Guideline-Directed Medical Therapy for Cardiovascular Disease Among Young Veterans. Journal Of General Internal Medicine 2022, 37: 806-815. PMID: 36042086, PMCID: PMC9481764, DOI: 10.1007/s11606-022-07595-1.Peer-Reviewed Original ResearchConceptsGuideline-directed medical therapyIncident coronary artery diseaseCoronary artery diseaseHeart failureMedical therapyCardiovascular diseaseWomen veteransDiagnosis of HFAldosterone system inhibitorsIncident heart failureAdverse cardiovascular outcomesClinical practice guidelinesRisk of mortalityLevel of evidenceYounger women veteransHF medicationsMultiple pharmacotherapiesAntiplatelet therapyCardiovascular outcomesYounger average ageArtery diseaseCVD careGuideline recommendationsSystem inhibitorsAdverse outcomesMini-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
Post-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 ResearchConceptsSelf-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 approachDiseaseDifferences 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 researchSex 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 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 facilitatorsCareWomenClinicRespondersAdministrationIncident 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 deploymentWomenVeteransMenPredictors of prenatal smoking among US women veterans
Coleman JN, DeRycke EC, Bastian LA, Calhoun PS, Beckham JC, Kroll-Desrosiers AR, Haskell SG, Mattocks K, Brandt CA, Wilson SM. Predictors of prenatal smoking among US women veterans. Journal Of Health Psychology 2020, 26: 2648-2655. PMID: 32255376, DOI: 10.1177/1359105320913100.Peer-Reviewed Original ResearchConceptsUS women veteransPrenatal smokingWomen veteransVeterans Health Administration primary careMultivariable logistic regressionSubstance use disordersLikelihood of smokingPosttraumatic stress disorderPerinatal smokingCohort studyCurrent smokersFormer smokersPrimary careWhite raceUse disordersSmokingLogistic regressionStress disorderMental healthSubstance useCross-sectional dataSmokersVeteransDisordersOfficer rankSex Differences in Military Sexual Trauma and Severe Self-Directed Violence
Gross GM, Ronzitti S, Combellick JL, Decker SE, Mattocks KM, Hoff RA, Haskell SG, Brandt CA, Goulet JL. Sex Differences in Military Sexual Trauma and Severe Self-Directed Violence. American Journal Of Preventive Medicine 2020, 58: 675-682. PMID: 32037020, DOI: 10.1016/j.amepre.2019.12.006.Peer-Reviewed Original ResearchConceptsMilitary sexual traumaSelf-directed violenceSexual traumaWomen veteransCox proportional hazards regression modelVeterans Health Administration (VHA) careProportional hazards regression modelsHazards regression modelsOperations Enduring Freedom/Iraqi Freedom/New Dawn veteransPsychiatric morbidityNew Dawn veteransSuicide attemptsBivariate analysisPreventative effortsTraumaWomenMenSex differencesVeteransRiskRegression modelsDemographic variablesSevere selfHospitalizationMorbidityTailoring an evidence-based lifestyle intervention to meet the needs of women Veterans with prediabetes
Dyer KE, Moreau JL, Finley E, Bean-Mayberry B, Farmer MM, Bernet D, Kress A, Lewis JL, Batuman FK, Haskell SG, Hamilton AB, Moin T. Tailoring an evidence-based lifestyle intervention to meet the needs of women Veterans with prediabetes. Women & Health 2020, 60: 748-762. PMID: 31959089, PMCID: PMC8435559, DOI: 10.1080/03630242.2019.1710892.Peer-Reviewed Original ResearchMeSH KeywordsAdultBehavior TherapyDiabetes Mellitus, Type 2Electronic Health RecordsEvidence-Based MedicineFemaleGlycated HemoglobinHealth PromotionHumansInterviews as TopicLife StyleMiddle AgedPatient ParticipationPrediabetic StateQualitative ResearchSocial SupportTreatment OutcomeUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthWeight Reduction ProgramsConceptsDiabetes Prevention ProgramWomen veteransEvidence-based lifestyle interventionModality choiceType 2 diabetes riskLifestyle change interventionsLifestyle interventionPopulation-specific needsPatient preferencesDiabetes riskLifestyle changesPatient engagementPrevention programsPrediabetesU.S. adultsProgram reachAccess barriersMore womenWomenMixed-methods studyImplementation outcomesChange interventionsHigh rateOne-thirdVeteransSevere Maternal Morbidity Among a Cohort of Post-9/11 Women Veterans
Combellick JL, Bastian LA, Altemus M, Womack JA, Brandt CA, Smith A, Haskell SG. Severe Maternal Morbidity Among a Cohort of Post-9/11 Women Veterans. Journal Of Women's Health 2020, 29: 577-584. PMID: 31905319, DOI: 10.1089/jwh.2019.7948.Peer-Reviewed Original ResearchConceptsSevere maternal morbidity eventSevere maternal morbidityMaternal morbidityMorbidity eventsVeteran womenVeterans AffairsChart reviewWomen veteransHealth statusPerinatal mental healthSurveillance methodologyWomen's health statusQuality of carePositive predictive valueMental health problemsOperation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn VeteransPregnancy outcomesOperation New Dawn veteransDiseases codesMorbidityInternational ClassificationNew Dawn veteransOutpatient dataPredictive valueHealth problems
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
2008
The Association of Sexual Trauma with Persistent Pain in a Sample of Women Veterans Receiving Primary Care
Haskell SG, Papas RK, Heapy A, Reid MC, Kerns RD. The Association of Sexual Trauma with Persistent Pain in a Sample of Women Veterans Receiving Primary Care. Pain Medicine 2008, 9: 710-717. PMID: 18565005, DOI: 10.1111/j.1526-4637.2008.00460.x.Peer-Reviewed Original ResearchConceptsPain-related interferencePresence of painPersistent painPain intensityWomen veteransClinic populationChronic conditionsHealth centersSexual traumaDepressive symptom severity scoresMultivariate logistic regression analysisOngoing pain problemsMultivariate linear regression analysisMore chronic conditionsGreater pain intensityDepressive symptom scoresSymptom severity scoresWomen's health centersLogistic regression analysisRegression analysisDepression symptom severityHigh rateMilitary sexual harassmentPain interferenceRoutine appointments