Literature Collection

861

Text messaging to increase readiness to change alcohol use in college students

Type: Journal Article

Authors: Michael Mason, Eric G. Benotsch, Thomas Way, Hannah Kim, Daniel Snipes

Year: 2014

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862

Text messaging to support a perinatal collaborative care model for depression: A multi-methods inquiry

Type: Journal Article

Authors: A. Bhat, J. Mao, J. Unutzer, S. Reed, J. Unger

Year: 2018

Publication Place: United States

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863

The adoption and sustainability of digital therapeutics in justice systems: A pilot feasibility study

Type: Journal Article

Authors: J. A. Wilde, K. Zawislak, G. Sawyer-Morris, J. Hulsey, T. Molfenter, F. S. Taxman

Year: 2023

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864

The Alabama Coalition for a Healthier Black belt: a proof of concept project

Type: Journal Article

Authors: R. M. Savage, J. M. Dillon, J. C. Hammel, T. C. Lewis, N. C. Johnson, L. M. Barlow, M. M. Brooms, P. M. Moore, H. E. Parker, K. Z. Rodney

Year: 2013

Publication Place: United States

Abstract: The Alabama Coalition for a Healthier Black was a demonstration of concept project. This paper is a descriptive and qualitative overview of this 2.5 year project. Limited key project results are reported here. Located in the rural Black Belt region of Alabama this coalition had several key aims: to develop a collaboration between primary care and mental health care through co-location of services; use of video-conferencing capability to provide mental health services more efficiently; enhanced training in rural healthcare; and development of stigma reduction campaigns along with other coalition partner specific initiatives. Co-location and telepsychiatry implementation produced the major challenges and resulting adaptations to original aims. Despite many challenges these new service patterns were put into place and appear to be sustainable.

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865

The challenge of embracing a smoke-free lifestyle: a neglected area in smoking cessation programs

Type: Journal Article

Authors: C. J. Segan, R. Borland, A. Hannan, S. Stillman

Year: 2008

Publication Place: England

Abstract: Relapse prevention theory and practice has focussed on teaching coping skills to deal with withdrawal and temptations to relapse with the result that treatments appear to be effective in reducing relapse over the short term, but not over the longer term. Once cravings subside ex-smokers face a further task of adjusting to a smoke-free lifestyle that involves learning to think and act like a non-smoker. To highlight this task, we operationalized a new conceptual framework that describes three tasks of quitting (the 3Ts): (i) making a quit attempt; (ii) learning to effectively deal with cravings and withdrawal; and (iii) adapting to a smoke-free lifestyle. This was introduced to the Quitline service in Victoria, Australia, in preparation for a randomized controlled trial aimed at testing whether a program of four to six extra callbacks could help ex-smokers with the third task and as a result reduce rates of relapse compared with Quitline's standard callback program. This paper describes the conceptual framework (focussing on the third task) and initial reactions to it from both Quitline advisors and callers. The conceptual framework is now integrated in the service and appears to have changed the way Quitline operates and the apparent expectations of its clients.

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866

The community health educator referral liaison (CHERL): a primary care practice role for promoting healthy behaviors

Type: Journal Article

Authors: J. S. Holtrop, S. A. Dosh, T. Torres, Y. M. Thum

Year: 2008

Publication Place: Netherlands

Abstract: BACKGROUND: Tobacco use, unhealthy diet, physical inactivity, and risky alcohol use are leading causes of preventable death. As there are many barriers that prevent primary care clinicians from effectively assisting patients with these behaviors, connecting patients with health behavior resources may reduce these unhealthy behaviors. METHODS: A new adjunct role in primary care practice, the community health educator referral liaison (CHERL), was tested in 15 practices in three Michigan communities. All practices were advised how to access this liaison, and nine practices were randomly selected to receive support to develop a systematic referral process. Adult patients needing improvement in at least one of the four unhealthy behaviors were eligible for referral. The CHERL contacted referred patients by telephone; assessed health risks; provided health behavior-change counseling, referral to other resources, or both; and sent patient progress reports to referring clinicians. Data were collected from February 2006 through July 2007. RESULTS: The CHERLs received 797 referrals over 8 months, a referral rate of 0%-2% per practice. Among referred patients, 55% enrolled, and 61% of those participated in multiple-session telephone counseling; 85% were referred to additional resources. Among patients enrolling, improvements (p<0.001) were reported at 6 months for BMI, dietary patterns, alcohol use, tobacco use, health status, and days of limited activity in the past month. CONCLUSIONS: The results of this study suggest that through relationships with practices, patients, and community resources, these liaisons successfully facilitated patients' behavior change. The CHERL role may fill a gap in promoting healthy behaviors in primary care practices and merits further exploration.

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867

The Concordance of Electronic Health Record Diagnoses and Substance use Self-Reports Among Reproductive Aged Women Enrolled in a Community-Based Addiction Reduction Program

Type: Journal Article

Authors: A. G. Campbell, S. Naz, S. Gharbi, J. Chambers, S. Denne, D. K. Litzelman, S. E. Wiehe

Year: 2024

Abstract:

Substance use disorders among reproductive aged women are a major public health issue. There is little work investigating the validity and reliability of electronic health record (EHR) data for measuring substance use in this population. This study examined the concordance of self-reported substance use with clinical diagnoses of substance use, substance abuse and substance use disorder in EHR data. Reproductive age women enrolled in the Community-Based Addiction Reduction (CARE) program were interviewed by peer recovery coaches (PRC) at enrollment. That survey data was linked with EHR data (n = 102). Concordance between self-reported substance use and clinical diagnoses in the EHR was examined for opioids, cannabis/THC, and cocaine. Cohen's kappa, sensitivity, and specificity were calculated. The survey captured a higher number of women who use substances compared to the EHR. The concordance of self-report with EHR diagnosis varied by substance and was higher for opioids (17.6%) relative to cannabis/THC (8.8%), and cocaine (3.0%). Additionally, opioids had higher sensitivity (46.2%) and lower specificity (76.2%) relative to cannabis/THC and cocaine. Survey data collected by PRCs captured more substance use than EHRs, suggesting that EHRs underestimate substance use prevalence. The higher sensitivity and lower specificity of opioids was due to a larger number of women who had a diagnosis of opioid use in the EHR who did not self-report opioid use in the self-report survey relative to cannabis/THC and cocaine. Opioid self-report and diagnosis may be influenced by research setting, question wording, or receipt of medication for opioid use disorder.

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868

The contextualized technology adaptation process (CTAP): Optimizing health information technology to improve mental health systems

Type: Journal Article

Authors: Aaron R. Lyon, Jessica Knaster Wasse, Kristy Ludwig, Mark Zachry, Eric J. Bruns, Jurgen Unutzer, Elizabeth McCauley

Year: 2016

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869

The course of newly presented unexplained complaints in general practice patients: a prospective cohort study

Type: Journal Article

Authors: H. Koch, M. A. van Bokhoven, P. J. Bindels, T. van der Weijden, G. J. Dinant, ter Riet

Year: 2009

Publication Place: England

Abstract: OBJECTIVE: Newly presented unexplained complaints (UCs) are common in general practice. Factors influencing the transition of newly presented into persistent UCs have been scarcely investigated. We studied the number and the nature of diagnoses made over time, as well as factors associated with UCs becoming persistent. Finally, we longitudinally studied factors associated with quality of life (QoL). METHODS: Prospective cohort study in general practice of patients presenting with a new UC. Data sources were case record forms, patient questionnaires and electronic medical registries at inclusion, 1, 6 and 12 months. Presence of complaints and diagnoses made over time were documented. Potential risk factors were assessed in mixed-effect logistic and linear regression models. RESULTS: Sixty-three GPs included 444 patients (73% women; median age 42) with unexplained fatigue (70%), abdominal complaints (14%) and musculoskeletal complaints (16%). At 12 months, 43% of the patients suffered from their initial complaints. Fifty-seven percent of the UCs remained unexplained. UCs had (non-life-threatening) somatic origins in 18% of the patients. QoL was often poor at presentation and tended to remain poor. Being a male [odds ratio (OR) 0.6; 95% confidence interval (CI) 0.4-0.8] and GPs' being more certain about the absence of serious disease (OR 0.9; 95% CI 0.8-0.9) were the strongest predictors of a diminished probability that the complaints would still be present and unexplained after 12 months. The strongest determinants of complaint persistence [regardless of (un)explicability] were duration of complaints >4 weeks before presentation (OR 2.6; 95% CI 1.6-4.3), musculoskeletal complaint at baseline (OR 2.3; 1.2-4.5), while the passage of time acted positively (OR 0.8 per month; 95% CI 0.78-0.84). Musculoskeletal complaints, compared to fatigue, decreased QoL on the physical domain (4.6 points; 2.6-6.7), while presence of psychosocial factors decreased mental QoL (5.0; 3.1-6.9). CONCLUSION: One year after initial presentation, a large proportion of newly presented UCs remained unexplained and unresolved. We identified determinants that GPs might want to consider in the early detection of patients at risk of UC persistence and/or low QoL.

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870

The COVID-19 pandemic and opioid use disorder: Expanding treatment with buprenorphine, and combining safety precautions with telehealth

Type: Journal Article

Authors: R. H. Cales, S. C. Cales, J. Shreffler, M. R. Huecker

Year: 2021

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871

The COVID-19 pandemic and opioid use disorder: Expanding treatment with buprenorphine, and combining safety precautions with telehealth

Type: Journal Article

Authors: R. H. Cales, S. C. Cales, J. Shreffler, M. R. Huecker

Year: 2022

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872

The Critical Role of Health Information Technology in the Safe Integration of Behavioral Health and Primary Care to Improve Patient Care

Type: Journal Article

Authors: Mark Segal, Patricia Giuffrida, Lorraine Possanza, David Bucciferro

Year: 2022

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873

The Critical Role of Health Information Technology in the Safe Integration of Behavioral Health and Primary Care to Improve Patient Care

Type: Journal Article

Authors: M. Segal, P. Giuffrida, L. Possanza, D. Bucciferro

Year: 2021

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874

The current state of intervention research for posttraumatic stress disorder within the primary care setting

Type: Journal Article

Authors: K. Possemato

Year: 2011

Publication Place: United States

Abstract: Posttraumatic Stress Disorder (PTSD) is common among primary care patients and is associated with significant functional impairment, physical health concerns, and mental health comorbidities. Significant barriers to receiving adequate treatment often exist for primary care patients with PTSD. Mental health professionals operating as part of the primary care team have the potential to provide effective brief intervention services. While good PTSD screening and assessment measures are available for the primary care setting, there are currently no empirically supported primary care-based brief interventions for PTSD. This article reviews early research on the development and testing of primary care-based PTSD treatments and also reviews other brief PTSD interventions (i.e., telehealth and early intervention) that could be adapted to the primary care setting. Cognitive and behavioral therapies currently have the strongest evidence base for establishing an empirically supported brief intervention for PTSD in primary care. Recommendations are made for future research and clinical practice.

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875

The Development, Implementation, and Evaluation of a Novel Telepsychiatry Curriculum for Integrated Care Psychiatry Fellows

Type: Journal Article

Authors: R. A. McCann, J. M. Erickson, K. J. Palm-Cruz

Year: 2020

Publication Place: United States

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876

The e-Mental Health Consultation Service: providing enhanced primary-care mental health services through telemedicine

Type: Journal Article

Authors: J. D. Neufeld, P. M. Yellowlees, D. M. Hilty, H. Cobb, J. A. Bourgeois

Year: 2007

Publication Place: United States

Abstract: This article describes the University of California, Davis Medical Center eMental Health Consultation Service, a program designed to integrate tele-mental health clinical services, provider-to-provider consultation, and provider distance education. During the first year of operation, consultations were provided for 289 cases. The most common diagnoses among children were for attention-deficit hyperactivity disorder-spectrum problems. Among the adult patients, mood disorders were most common. A convenience sample of 33 adult patients who completed the SF-12 health status measure showed significant improvements in mental health status at 3-6 months of follow-up. This model of comprehensive rural outpatient primary mental health care delivered at a distance shows promise for wider application and deserves further study.

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877

The effect of behavioral health consultation on the care of depression by primary care clinicians

Type: Journal Article

Authors: N. Serrano, K. Monden

Year: 2011

Publication Place: United States

Abstract: PURPOSE: The aim of this study is to assess the impact of an integrated care model, called the Behavioral Health Consultation model, in the delivery of care for depression in an urban Federally Qualified Health Center, and to gauge the receptiveness of primary care clinicians to increasing their responsibility for the mental health care of their patients. METHODS: We reviewed electronic medical records to measure referral rates to mental health specialty care, patient engagement in care, management of psychotropic medications, and initiation of antidepressant medication, comparing data from the year prior to program implementation to that from the third year post-implementation. Clinician attitudes were assessed using an online anonymous questionnaire. RESULTS: Statistically significant findings included post-implementation increases in the use of standardized measures of depression, documentation of behavioral goals and patient visits to the primary care clinician (increased engagement), decreases in initiation rates of antidepressant medications, and decreases in referrals to mental health specialty care. No significant difference was found in rates of dosage changes or change to new medications among patients who were already on psychiatric medications. Clinicians reported near universal acceptance of the behavioral health consultation program and willingness to increase their role in managing patient mental health issues. CONCLUSIONS: This study demonstrates that a behavioral health consultation program in an urban community health center can improve adherence to evidence-based indicators in the care of depression, making it possible to manage the majority of patients presenting with depression in the primary care setting.

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878

The effectiveness and cost-effectiveness of e-health interventions for depression and anxiety in primary care: A systematic review and meta-analysis

Type: Journal Article

Authors: Btissame Massoudi, Floor Holvast, Claudi L. H. Bockting, Huibert Burger, Marco H. Blanker

Year: 2019

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879

The effectiveness of telemedicine-delivered opioid agonist therapy in a supervised clinical setting

Type: Journal Article

Authors: J. K. Eibl, G. Gauthier, D. Pellegrini, J. Daiter, M. Varenbut, J. C. Hogenbirk, D. C. Marsh

Year: 2017

Publication Place: Ireland

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880

The effectiveness of telemental health applications: A review

Type: Journal Article

Authors: D. Hailey, R. Roine, A. Ohinmaa

Year: 2008

Publication Place: Canada

Abstract: OBJECTIVE: To review the evidence of benefit from use of telemental health (TMH) in studies that reported clinical or administrative outcomes. METHOD: Relevant publications were identified through computerized literature searches using several electronic databases. Included for review were scientifically valid articles that described controlled studies, comparing TMH with a non-TMH alternative, and uncontrolled studies that had no fewer than 20 participants. Quality of the evidence was assessed with an approach that considers both study performance and study design. Judgments were made on whether further data were needed to establish each TMH application as suitable for routine clinical use. RESULTS: Included in the review were 72 papers that described 65 clinical studies; 32 (49%) studies were of high or good quality. Quality of evidence was higher for Internet- and telephone-based interventions than for video conferencing approaches. There was evidence of success with TMH in the areas of child psychiatry, depression, dementia, schizophrenia, suicide prevention, posttraumatic stress, panic disorders, substance abuse, eating disorders, and smoking prevention. Evidence of success for general TMH programs and in the management of obsessive-compulsive disorder were less convincing. Further study was judged to be necessary or desirable in 53 (82%) of the studies. CONCLUSION: Evidence of benefit from TMH applications is encouraging, though still limited. There is a need for more good-quality studies on the use of TMH in routine care. The emerging use of Internet-based applications is an important development that deserves further evaluation.

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