Featured Publications
Patient and provider barriers, facilitators, and implementation preferences of intimate partner violence perpetration screening
Portnoy GA, Colon R, Gross GM, Adams LJ, Bastian LA, Iverson KM. Patient and provider barriers, facilitators, and implementation preferences of intimate partner violence perpetration screening. BMC Health Services Research 2020, 20: 746. PMID: 32791967, PMCID: PMC7424651, DOI: 10.1186/s12913-020-05595-7.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedFemaleFocus GroupsHealth Services AccessibilityHealth Services ResearchHumansIntimate Partner ViolenceMaleMass ScreeningMiddle AgedPatient PreferenceQualitative ResearchUnited StatesUnited States Department of Veterans AffairsConceptsIntimate partner violenceImplementation preferencesIntimate Partner Violence PerpetrationPartner violence perpetrationIPV experiencesProvider barriersPartner violenceQualitative interviewsViolence perpetrationVHA healthcareVeterans Health Administration patientsWay of screeningIPV useUnderstudied aspectSelf-report screening toolContent analysisHealthcare responseStrong rapportProfessional disciplinesComprehensive processSubstantial prevalenceVHA providersFacilitatorsClinical practiceProviders' beliefsAccuracy and Acceptability of a Screening Tool for Identifying Intimate Partner Violence Perpetration among Women Veterans: A Pre-Implementation Evaluation
Portnoy GA, Haskell SG, King MW, Maskin R, Gerber MR, Iverson KM. Accuracy and Acceptability of a Screening Tool for Identifying Intimate Partner Violence Perpetration among Women Veterans: A Pre-Implementation Evaluation. Women's Health Issues 2018, 28: 439-445. PMID: 29885901, DOI: 10.1016/j.whi.2018.04.003.Peer-Reviewed Original ResearchMeSH KeywordsAdultFemaleHumansIntimate Partner ViolenceMass ScreeningMiddle AgedReproducibility of ResultsSensitivity and SpecificitySpouse AbuseSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthYoung AdultConceptsWomen veteransLow-burden toolVeterans Health AdministrationIntimate partner violenceHealth care providersMajority of womenAppropriate referralIPV perpetrationCare providersPre-implementation evaluationHealth AdministrationWeb-based surveyHealthcare settingsScreening toolLimited evidenceVeteransWomen's perceptionsPrimary measureReference standardIntimate Partner Violence PerpetrationWomenNational samplePresent studyPartner violencePartner violence perpetration
2024
Implementation and Impact of Intimate Partner Violence Screening Expansion in the Veterans Health Administration: Protocol for a Mixed Methods Evaluation
Portnoy G, Relyea M, Dichter M, Iverson K, Presseau C, Brandt C, Skanderson M, Bruce L, Martino S. Implementation and Impact of Intimate Partner Violence Screening Expansion in the Veterans Health Administration: Protocol for a Mixed Methods Evaluation. JMIR Research Protocols 2024, 13: e59918. PMID: 39194059, PMCID: PMC11391160, DOI: 10.2196/59918.Peer-Reviewed Original ResearchMeSH KeywordsAdultFemaleHumansIntimate Partner ViolenceMaleMass ScreeningUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthConceptsVeterans Health AdministrationImpact of screeningINTERNATIONAL REGISTERED REPORT IDENTIFIERHealth care systemIntimate partner violenceIPV screeningQualitative interviewsCare systemHealth AdministrationConsolidated Framework for Implementation ResearchVeterans Health Administration facilitiesElectronic health record dataIntimate partner violence screeningMixed methods evaluationHealth record dataNational health care systemLongitudinal observational designPotential implementation barriersSignificant public health problemMen's health careClinical practice implicationsPatient populationMethod evaluationRE-AIMPublic health problemMilitary sexual trauma-related posttraumatic stress disorder service-connection: Characteristics of claimants and award denial across gender, race, and compared to combat trauma
Webermann A, Gianoli M, Rosen M, Portnoy G, Runels T, Black A. Military sexual trauma-related posttraumatic stress disorder service-connection: Characteristics of claimants and award denial across gender, race, and compared to combat trauma. PLOS ONE 2024, 19: e0280708. PMID: 38206995, PMCID: PMC10783784, DOI: 10.1371/journal.pone.0280708.Peer-Reviewed Original ResearchMeSH KeywordsFemaleHumansMaleMilitary PersonnelMilitary Sexual TraumaRetrospective StudiesSex OffensesStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransConceptsMilitary sexual traumaSexual traumaBlack veteransVeterans Benefits AdministrationVeterans' claimsPosttraumatic stress disorderBenefits administrationWomen veteransWhite veteransSystemic barriersService-connectedStress disorderMen veteransCharacteristics of claimantsStressor typeGenderCombat traumaClaimsRaceArmy veteransDenialEffect sizeUnderserved backgroundsVeteransHigher odds
2023
Understanding Veterans' intimate partner violence use and patterns of healthcare utilization
Relyea M, Presseau C, Runels T, Humbert M, Martino S, Brandt C, Haskell S, Portnoy G. Understanding Veterans' intimate partner violence use and patterns of healthcare utilization. Health Services Research 2023, 58: 1198-1208. PMID: 37452496, PMCID: PMC10622301, DOI: 10.1111/1475-6773.14201.Peer-Reviewed Original ResearchMeSH KeywordsChronic PainFemaleHumansIntimate Partner ViolenceMalePatient Acceptance of Health CareStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransConceptsVeterans Health AdministrationHealthcare utilizationIPV useChronic painMedical treatmentSevere chronic painNon-VA providersChronic sleep problemsNon-VA servicesPost-traumatic stress disorderChi-square testRisk factorsOperation New Dawn veteransProvider trainingSleep problemsVA healthcareNew Dawn veteransOperation Enduring FreedomDATA SOURCESWomen veteransOutpatient healthcareHealth AdministrationOperation Iraqi FreedomClinical settingStudy settingCompensation and Pension Exams for Military Sexual Trauma–Related Posttraumatic Stress Disorder: Examiner Perspectives, Clinical Impacts on Veterans, and Strategies
Webermann A, Nester M, Gianoli M, Black A, Rosen M, Mattocks K, Portnoy G. Compensation and Pension Exams for Military Sexual Trauma–Related Posttraumatic Stress Disorder: Examiner Perspectives, Clinical Impacts on Veterans, and Strategies. Women's Health Issues 2023, 33: 428-434. PMID: 37003918, DOI: 10.1016/j.whi.2023.02.002.Peer-Reviewed Original ResearchMeSH KeywordsFemaleHumansMaleMilitary PersonnelMilitary Sexual TraumaSex OffensesStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransConceptsVHA mental health careMental health carePosttraumatic stress disorderMilitary sexual traumaVeterans Benefits AdministrationClinical impactHealth careWomen veteransStress disorderSexual traumaPotential clinical impactCurrent psychosocial functioningThousands of veteransPsychotherapy referralsDiagnostic evaluationPsychosocial functioningDisability claimsPTSD symptomsVeteransCareTraumaExaminersExamDisordersExaminers’ responses
2021
Baseline 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 ResearchMeSH KeywordsChronic PainCohort StudiesFemaleHumansIraq War, 2003-2011MalePatient Acceptance of Health CareSex FactorsStress Disorders, Post-TraumaticUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthConceptsWomen 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 ResearchMeSH KeywordsDiagnostic Screening ProgramsFemaleHumansIntimate Partner ViolencePrimary Health CareProgram EvaluationQuality ImprovementUnited StatesUnited States Department of Veterans AffairsVeterans Health ServicesWomen's HealthConceptsMultisite 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 facilitatorsCareWomenClinicRespondersAdministrationAssessing the Veterans Health Administration’s response to intimate partner violence among women: protocol for a randomized hybrid type 2 implementation-effectiveness trial
Iverson K, Dichter M, Stolzmann K, Adjognon O, Lew R, Bruce L, Gerber M, Portnoy G, Miller C. Assessing the Veterans Health Administration’s response to intimate partner violence among women: protocol for a randomized hybrid type 2 implementation-effectiveness trial. Implementation Science 2020, 15: 29. PMID: 32381013, PMCID: PMC7206678, DOI: 10.1186/s13012-020-0969-0.Peer-Reviewed Original ResearchMeSH KeywordsHealth EducationHealth PersonnelHumansIntimate Partner ViolenceMass ScreeningPrimary Health CareResearch DesignUnited StatesUnited States Department of Veterans AffairsWomen's HealthConceptsPrimary care clinicsImplementation facilitationCare clinicsPrimary careVeterans AffairsVA primary care clinicsReach Effectiveness Adoption Implementation Maintenance (RE-AIM) frameworkBackgroundIntimate partner violenceClinical effectiveness outcomesImplementation Maintenance frameworkImplementation-effectiveness trialHealth Services frameworkNationwide implementationVA Medical CenterDiscrete implementation strategiesHealth of womenComplex public health crisisTypes of facilitatorsVHA's effortsPublic health crisisClinical effectivenessBalanced randomizationVulnerable patientsProvider surveyMedical Center
2019
Screening for Military Sexual Trauma Is Associated With Improved HIV Screening in Women Veterans
Reddy SM, Portnoy GA, Bathulapalli H, Womack J, Haskell SG, Mattocks K, Brandt CA, Goulet JL. Screening for Military Sexual Trauma Is Associated With Improved HIV Screening in Women Veterans. Medical Care 2019, 57: 536-543. PMID: 31194701, DOI: 10.1097/mlr.0000000000001130.Peer-Reviewed Original ResearchMeSH KeywordsAdultCross-Sectional StudiesFemaleHIV InfectionsHumansLongitudinal StudiesMass ScreeningMilitary PersonnelSex OffensesUnited StatesUnited States Department of Veterans AffairsVeteransConceptsMilitary sexual traumaWomen veteransCohort studyComprehensive preventive health careVeterans AffairsSexual traumaOdds of HIVPositive MST screenHIV risk factorsWomen Veterans Cohort StudyHealth careCross-sectional studyMental health diagnosesPreventive health careFacility-level clusteringHistory of MSTMST screenHIV screeningMultivariable analysisHIV screenRisk factorsHIVHealth diagnosisBivariate statisticsDemographic characteristicsTrauma and Sexual Risk: Do Men and Women Veterans Differ?
Combellick JL, Dziura J, Portnoy GA, Mattocks KM, Brandt CA, Haskell SG. Trauma and Sexual Risk: Do Men and Women Veterans Differ? Women's Health Issues 2019, 29: s74-s82. PMID: 31253246, DOI: 10.1016/j.whi.2019.04.014.Peer-Reviewed Original ResearchMeSH KeywordsAdultAdult Survivors of Child AbuseAgedBullyingChildCohort StudiesCrime VictimsFemaleHumansIntimate Partner ViolenceMaleMiddle AgedMilitary PersonnelRisk FactorsRisk-TakingSexual BehaviorSurveys and QuestionnairesUnited StatesUnited States Department of Veterans AffairsVeteransVeterans HealthConceptsRisky sexual behaviorWomen veteransSexual behaviorSingle significant risk factorSignificant risk factorsWomen Veterans Cohort StudyVeterans Health AdministrationHistory of traumaRelated health outcomesCohort studyPredictive factorsRisk factorsMilitary-related traumaBinge drinkingMen veteransMilitary exposureHealth AdministrationHealth outcomesTrauma-related experiencesHealth servicesMultivariate analysisProtective factorsSexual riskTraumaAdditional risk