Understanding Adoption and Preliminary Effectiveness of a Mobile App for Chronic Pain Management Among US Military Veterans: Pre-Post Mixed Methods Evaluation (Preprint) DOI
Timothy P. Hogan, Bella Etingen, Nicholas McMahon

и другие.

Опубликована: Сен. 20, 2021

BACKGROUND The Veterans Health Administration Pain Coach mobile health app was developed to support veterans with chronic pain. OBJECTIVE Our objective evaluate early user experiences the and preliminary impacts of use on pain-related outcomes. METHODS Following a sequential, explanatory, mixed methods design, we mailed surveys at 2 time points an outreach program in between conducted semistructured interviews subsample survey respondents. We analyzed data using descriptive statistics among who completed both examined differences key outcomes paired samples <i>t</i> tests. interview thematic analysis. RESULTS Of 1507 invited eligible complete baseline survey, received responses from 393 (26.1%). These our program; 236 (236/393, 60.1%) follow-up surveys. 10 users nonusers. Among respondents, 10.2% (24/236) used Coach, 58% (14/24) reported it easy use, though identified various usability issues. greater pain self-efficacy (mean 23.1 vs mean 16.6; <i>P</i>=.01) lower interference 34.6 31.8; <i>P</i>=.03) after (vs before) use. most frequent reason for not that their care team had discussed them (96/212, 45.3%). CONCLUSIONS findings suggest future efforts increase adoption other apps should include endorsement. regarding impact warrant further study.

Язык: Английский

The association between sleep quality and quality of life: a population-based study DOI

Su-Jin Lee,

Ji Hyun Kim, Jae Ho Chung

и другие.

Sleep Medicine, Год журнала: 2021, Номер 84, С. 121 - 126

Опубликована: Май 27, 2021

Язык: Английский

Процитировано

111
The influence of sleep disturbances and sleep disorders on pain outcomes among veterans: A systematic scoping review DOI
Bruno Saconi,

Rosemary C. Polomano,

Peggy C. Compton

и другие.

Sleep Medicine Reviews, Год журнала: 2020, Номер 56, С. 101411 - 101411

Опубликована: Ноя. 30, 2020

Язык: Английский

Процитировано

31
Pain interference and quality of life in combat veterans: Examining the roles of posttraumatic stress disorder, traumatic brain injury, and sleep quality. DOI
Anna S. Ord, Sagar S. Lad, Robert D. Shura

и другие.

Rehabilitation Psychology, Год журнала: 2020, Номер 66(1), С. 31 - 38

Опубликована: Май 7, 2020

The goal of this study was to examine the associations among posttraumatic stress disorder (PTSD), traumatic brain injury (TBI), sleep quality, pain interference, and quality life in combat veterans.Veterans (N = 289, 86.51% male) completed Mid-Atlantic MIRECC Assessment Traumatic Brain Injury, Clinician-Administered PTSD Scale for DSM-5, measures life.Hierarchical linear regressions evaluated between severity, deployment TBI outcomes interference after adjusting demographic variables number nondeployment TBIs. B 0.15, SE 0.04, 3.98, 1.01, 0.74, 0.13, were significantly associated with p < .001. -0.57, 0.07, -0.45, 0.11, significantly, independently life,p However, -0.24, no longer when -1.56, 0.25, included model. There significant association severity life. Interactions studied not either outcome variables.PTSD symptom history, may be important consider treatment planning veterans experiencing pain-related functional interference. For numerous conditions comorbid pain, plans include interventions targeting maximize improvements. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Язык: Английский

Процитировано

14
Factors associated with well-being among treatment-seeking UK Veterans: A cross-sectional study DOI Open Access
Natasha Biscoe, Dominic Murphy

Journal of Military Veteran and Family Health, Год журнала: 2024, Номер 10(3), С. 88 - 97

Опубликована: Июнь 1, 2024

LAY SUMMARY Veterans seeking treatment for mental health problems are likely to face more than one problem. Well-being is a concept that does not rely on any diagnosis or difficulty and may offer broader way capture health. In this study, 428 UK Armed Forces difficulties at UK-based charity completed survey asking about well-being. Overall, treatment-seeking Veteran well-being was associated with symptoms of anxiety depression, physical health, anger, moral injury, posttraumatic stress disorder (PTSD), complex PTSD. Sleep problems, alcohol misuse, loneliness were also linked scores. These associations suggest in separate from single diagnosis, meaning outcomes needs who require range support can be compared. results highlight the relevance positive as opposed ill

Язык: Английский

Процитировано

1
Pain and emotional eating: further investigation of the Yale Emotional Overeating Questionnaire in weight loss seeking patients DOI
Robin M. Masheb, Megan E. Douglas, Amanda M. Kutz

и другие.

Journal of Behavioral Medicine, Год журнала: 2020, Номер 43(3), С. 479 - 486

Опубликована: Фев. 27, 2020

Язык: Английский

Процитировано

11
Relationships between chronic pain and mood symptoms among veterans with bipolar disorder DOI
Letitia E. Travaglini,

Lorrianne Kuykendall,

Melanie E. Bennett

и другие.

Journal of Affective Disorders, Год журнала: 2020, Номер 277, С. 765 - 771

Опубликована: Сен. 1, 2020

Язык: Английский

Процитировано

10
Barriers to accessing pain management services among veterans with bipolar disorder DOI
Letitia E. Travaglini, Melanie E. Bennett, Corinne N. Kacmarek

и другие.

Health Services Research, Год журнала: 2023, Номер 58(6), С. 1224 - 1232

Опубликована: Сен. 4, 2023

To identify barriers veterans with bipolar disorder face to accessing chronic pain management services within a Veterans Affairs (VA) health care system.Veterans (n = 15) and providers working mid-Atlantic VA system. Data were collected from August 2017-June 2018.Veteran interviews focused on their experiences treatment, including that arose when trying access services. Provider whether they address veteran patients and, if so, what considerations arise addressing in other serious mental illnesses.Veterans at least 18 years old, had confirmed diagnosis, engaged outpatient the Clinicians provided direct same VA. Interviews lasted approximately 60 min transcribed analyzed using rapid analysis protocol.Four major themes emerged provider interviews: siloed (unintegrated uncoordinated physical care), primacy (prioritization of symptoms expense symptoms), lagging expectations (unfamiliarity comprehensive evidence-based options), provider-patient communication concerns (inefficient about treatment options).Veterans co-occurring unique compromise equitable treatment. Our findings suggest educating illnesses benefit effective non-pharmacological interventions for this group may improve coordination quality reduce disparities.

Язык: Английский

Процитировано

3
Pain Catastrophizing Mediates the Relationship Between Pain Intensity and Sleep Disturbances in U.S. Veterans With Chronic Pain DOI Open Access
Marian Wilson, Lillian Skeiky, Rachael Muck

и другие.

Military Medicine, Год журнала: 2022, Номер 188(7-8), С. e2639 - e2645

Опубликована: Март 20, 2022

ABSTRACT Introduction Veterans with chronic pain frequently report comorbid disruptions in sleep and psychological dysfunction. The purpose of this study was to investigate whether function variables mediate the sleep–pain relationship. Knowledge regarding such contributing factors can inform development optimization treatments for disturbances pain. Materials Methods In an IRB-approved, registered clinical trial, we collected objective data from U.S. military (N = 184, ages 23-81) using wrist actigraphy 7 days self-reported survey assessing quality, intensity, (depression, anxiety, post-traumatic stress disorder, catastrophizing). We investigated associations between objectively measured quality intensity. addition, parallel mediation analyses, examined mediated these associations. Results Actigraphy showed suboptimal duration (less than hours) fragmentation most participants. Self-reported poor intensity were significantly correlated. Pain catastrophizing found association Conclusions Sleep sample included insufficient sleep, fragmented perceived quality. Analyses suggest that are via catastrophizing. finding highlights potential importance Future longitudinal research is needed determine extent which reduce might also improve both outcomes.

Язык: Английский

Процитировано

5
Predictors and moderators of quality of life in patients with major depressive disorder: An AGTs-MDD study report DOI
Lu Yang, Zhiguo Wu, Lan Cao

и другие.

Journal of Psychiatric Research, Год журнала: 2021, Номер 138, С. 96 - 102

Опубликована: Апрель 1, 2021

Язык: Английский

Процитировано

6
Views on and experiences with medicinal cannabis among Canadian veterans who live with pain: A qualitative study DOI Creative Commons
David P. Storey, Natalie R. Keeler-Villa,

Nick Harris

и другие.

Canadian Journal of Pain, Год журнала: 2023, Номер 7(1)

Опубликована: Июль 6, 2023

During fiscal year 2021-2022, Veterans Affairs Canada (VAC) reimbursed 18,388 veterans for medicinal cannabis at a cost of $153 million. Yet, it is not known whether the reimbursement program producing net benefit veterans.This study investigated views and experiences Canadian that who live with pain have about use, including its use management chronic pain, poor sleep, emotional distress.Twelve pain-eight men, four women; split across focus groups-were recruited to participate in semistructured discussion around their use.Using inductive thematic analysis, seven broad categories were identified: (1) behaviors, (2) reasons (3) outcomes from (4) facilitators (5) barriers (6) stigma (7) questions concerns use.Most initiated manage symptoms preexisting medical and/or mental health conditions. Despite some negative side effects, most reported improvements overall quality life, relationships, mood, pain. Concern remains discrepancy between veterans' qualitative reports beneficial equivocal findings benefit-to-harm ratio wider literature. Currently, VAC challenged by unclear indication which veterans, what condition(s), dose, form beneficial.Contexte: Au cours de l’exercice 2021–2022, Anciens Combattants (ACC) remboursé 18 388 anciens combattants pour le médicinal, un coût 153 millions dollars. Pourtant, on ne sait pas si programme remboursement donne lieu à bénéfice les combattants.Objectifs: Cette étude porte sur points vue et expériences des canadiens qui vivent avec la douleur consommation y compris son utilisation gestion chronique, problèmes sommeil détresse émotionnelle.Méthodes: Douze - huit hommes quatre femmes répartis en groupes ont été recrutés participer une semi-structurée autour leurs médicinal.Résultats: Une analyse thématique permis d’établir sept grandes catégories : comportements cannabis, raisons résultats facteurs facilitent obstacles stigmatisation préoccupations concernant cannabis.Conclusions: La plupart commencé consommer du gérer symptômes maladies préexistantes et/ou santé mentale. Malgré certains effets secondaires négatifs, signalé amélioration leur qualité vie globale, sommeil, relations, humeur douleur. préoccupation demeure l’écart entre rapports qualitatifs décrivant bénéfiques médicinal équivoques rapport bénéfice/effet néfaste dans littérature plus large. Actuellement, d’ACC reste contesté raison d’indications peu claires quels vétérans, atteints quelles affections, quelle dose sous forme médical est bénéfique.

Процитировано

2