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Article ; Online: Perceived social support moderates the relations between mental health symptoms and current suicidal ideation.

Hoffmire, Claire A / Donovan, Meghan L / Ryan, Arthur T / Brenner, Lisa A / Vogt, Dawne / Maguen, Shira / Schneiderman, Aaron / Miller, Christin N / Forster, Jeri E

Psychological services

2024

Abstract: Despite efforts to identify risk factors associated with suicidal ideation (SI), less work has been conducted to highlight protective factors to promote prevention. Perceived social support has been shown to positively impact a wide range of ... ...

Abstract	Despite efforts to identify risk factors associated with suicidal ideation (SI), less work has been conducted to highlight protective factors to promote prevention. Perceived social support has been shown to positively impact a wide range of psychological outcomes; however, prior efforts exploring whether perceived social support moderates the relationship between mental health (MH) symptoms and current SI among men and women have been hampered by limitations. To address knowledge gaps, data from the Comparative Health Assessment Interview Research Study was used to evaluate whether (a) perceived social support moderates the relationship between mental health symptoms (posttraumatic stress, anxiety, alcohol use, depressive) and current SI among veterans and nonveterans; (b) the strength of this moderating effect varies by gender and veteran status; and (c) the strength of this moderating effect varies by social support source (significant other, friend, family). Results suggest that perceived social support is more protective against SI for those with lower levels of mental health symptoms (≤ 25th percentile) than for those with higher symptom levels (≥ 75th percentile). Findings were largely consistent across study groups, support sources, and mental health symptoms examined; however, a significant moderating effect on the alcohol use-SI relationship was only observed for veteran men. Those with a lower mental health symptom severity may receive more benefit from strategies aimed at increasing perceived social support compared to those with higher symptom severity. Research is needed to match protective factors to individual phenotypes, with the goal of engaging those living with SI in more effective interventions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
Language	English
Publishing date	2024-02-15
Publishing country	United States
Document type	Journal Article
ZDB-ID	2156662-8
ISSN	1939-148X ; 1541-1559
ISSN (online)	1939-148X
ISSN	1541-1559
DOI	10.1037/ser0000849
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Social media conservation messaging mirrors age‐old taxonomic biases in public domain

Forster, Caitlyn Y. / Hochuli, Dieter F. / Keith, Ryan J. / Latty, Tanya / White, Thomas E. / Middleton, Eliza J. T.

Austral Ecology. 2023 June, v. 48, no. 4 p.687-698

2023

Abstract: ... it reinforces awareness of the same groups that traditional messaging techniques encouraged (i.e., charismatic ...

Abstract	In this global extinction crisis, we must act urgently to prevent the loss of species. The public plays a key role in ensuring the future of our biodiversity, by impacting funding decisions, creating behaviour change, and pushing change in corporations to prevent species loss. The Threatened Species Bake Off competition is a social media initiative created by the Australian Government in 2017 to raise awareness of nationally listed threatened species. In this study, we assessed the trends of the competition by collating entries via Instagram and Twitter in its first 5 years. Representations of 356 unique species were baked, 261 of which were listed as nationally threatened species. Birds and mammals were the most popular groups represented. Frogs, reptiles, fishes, and invertebrates were reasonably well represented; however, plants were drastically underrepresented in the competition. This is evidence of taxonomic bias towards the charismatic animals, and a problematic lack of representation of other threatened species that play essential roles in our ecosystems. Although the Bake Off is an innovative conservation messaging approach, it reinforces awareness of the same groups that traditional messaging techniques encouraged (i.e., charismatic megafauna). Public engagement in this competition reflects current conservation messaging, including media and education focus on charismatic animals, demonstrating engrained biases. Future competitions should address this by highlighting less popular but equally important threatened species, especially plants.
Keywords	behavior change ; biodiversity ; citizen participation ; education ; extinction ; fauna ; threatened species
Language	English
Dates of publication	2023-06
Size	p. 687-698.
Publishing place	John Wiley & Sons, Ltd
Document type	Article ; Online
Note	JOURNAL ARTICLE
ZDB-ID	2756933-0
ISSN	2052-1758 ; 1442-9985
ISSN (online)	2052-1758
ISSN	1442-9985
DOI	10.1111/aec.13288
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Trends in Physician Payments for Hand Surgery Consultations and Clinic Visits.

Moran, Thomas E / Taleghani, Eric / Wagner, Ryan / Akinleye, Sheriff D / Forster, Grace L / DeGeorge, Brent R

The Journal of hand surgery

2023

Abstract: Purpose: The primary objective of this study was to identify the trends in reimbursement for hand surgeons for new patient visits, outpatient consultations, and inpatient consultations from the years 2010-2018. In addition, we sought to investigate the ... ...

Abstract	Purpose: The primary objective of this study was to identify the trends in reimbursement for hand surgeons for new patient visits, outpatient consultations, and inpatient consultations from the years 2010-2018. In addition, we sought to investigate the influence of payer mix and coding level of service on physician reimbursement in these settings. Methods: The PearlDiver Patients Records Database was used to identify clinical encounters and their respective physician reimbursements for analysis within this study. This database was queried using Current Procedural Terminology codes to identify relevant clinical encounters for inclusion, filtered for the presence of valid demographic information and by physician specialty for the presence of a hand surgeon, and tracked by primary diagnoses. Cost data were then calculated and analyzed regarding the payer type and level of care. Results: In total, 156,863 patients were included in this study. The mean reimbursement for inpatient consultations, outpatient consultations, and new patient encounters increased by 92.75% ($134.85 to $259.93), 17.80% ($161.33 to $190.04), and 26.78% ($102.58 to $130.05), respectively. When normalized to 2018 dollars to adjust for inflation, the percent increases were 67.38%, 2.24%, and 10.09%, respectively. Commercial insurance reimbursed hand surgeons to a greater degree than any other payer type. Mean physician reimbursement differed depending on the level of service billed, with the level of service V reimbursing 4.41 times more than the level of service I visits for new outpatient visits, 3.66 times more for new outpatient consultations, and 3.04 times more for new inpatient consultations. Conclusions: This study helps to provide physicians, hospitals, and policymakers with objective information regarding the trends in reimbursement to hand surgeons. Although this study indicates increasing reimbursements for consultations and new patient visits to hand surgeons, the margins shrink when adjusted for inflation. Level of evidence: Economic Analysis IV.
Language	English
Publishing date	2023-03-27
Publishing country	United States
Document type	Journal Article
ZDB-ID	605716-0
ISSN	1531-6564 ; 0363-5023
ISSN (online)	1531-6564
ISSN	0363-5023
DOI	10.1016/j.jhsa.2023.02.005
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Article ; Online: Military sexual trauma among Veterans using and not using VA justice-related programing: A national examination.

Holliday, Ryan / Holder, Nicholas / Smith, Alexandra A / Desai, Alisha / Hoffmire, Claire A / Forster, Jeri E / Monteith, Lindsey L

Journal of psychiatric research

2023 Volume 164, Page(s) 46–50

Abstract: ... that may confer risk for mental health sequelae among these Veterans have been identified (e.g., childhood abuse ...

Abstract	Veterans accessing Department of Veterans Affairs (VA) Veterans Justice Program (VJP) services have high rates of depression, substance misuse, and posttraumatic stress disorder. Although factors that may confer risk for mental health sequelae among these Veterans have been identified (e.g., childhood abuse, combat exposure), limited research has examined report of military sexual trauma (MST) among Veterans accessing VJP services. As survivors of MST experience myriad chronic health conditions which necessitate identification and referral to evidence-based care, identifying MST survivors among those accessing VJP services may facilitate referral to appropriate services. We examined whether MST prevalence differed between Veterans with and without a history of VJP service use. Sex-stratified analyses were conducted with 1,300,252 male (13.34% accessing VJP) and 106,680 female (10.14% accessing VJP) Veterans. In crude models, male and female Veterans accessing VJP services were significantly more likely to screen positive for MST (PR = 3.35 and 1.82 respectively). Significance was maintained in models that adjusted for age, race/ethnicity, VA service use, and VA mental health use. VJP service settings may serve as a critical intercept for identifying male and female survivors of MST. Using a trauma-informed approach to screen for MST in VJP settings is likely warranted. Moreover, integration of MST programing into VJP settings may be beneficial.
MeSH term(s)	Male ; Humans ; Female ; Child ; United States/epidemiology ; Veterans/psychology ; Military Sexual Trauma ; Sex Offenses ; Stress Disorders, Post-Traumatic/diagnosis ; Stress Disorders, Post-Traumatic/epidemiology ; Stress Disorders, Post-Traumatic/psychology ; Mental Health ; Military Personnel/psychology ; United States Department of Veterans Affairs
Language	English
Publishing date	2023-06-05
Publishing country	England
Document type	Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	3148-3
ISSN	1879-1379 ; 0022-3956
ISSN (online)	1879-1379
ISSN	0022-3956
DOI	10.1016/j.jpsychires.2023.05.067
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Article ; Online: Computerized Cognitive Behavioral Therapy Intervention for Depression Among Veterans: Acceptability and Feasibility Study.

Stearns-Yoder, Kelly A / Ryan, Arthur T / Smith, Alexandra A / Forster, Jeri E / Barnes, Sean M / Brenner, Lisa A

JMIR formative research

2022 Volume 6, Issue 4, Page(s) e31835

Abstract: Background: Computerized cognitive behavioral therapies (cCBTs) have been developed to deliver efficient, evidence-based treatment for depression and other mental health conditions. Beating the Blues (BtB) is one of the most empirically supported cCBTs ... ...

Abstract	Background: Computerized cognitive behavioral therapies (cCBTs) have been developed to deliver efficient, evidence-based treatment for depression and other mental health conditions. Beating the Blues (BtB) is one of the most empirically supported cCBTs for depression. The previous trial of BtB with veterans included regular guidance by health care personnel, which increased the complexity and cost of the intervention. Objective: This study, conducted by researchers at a Veterans Affairs Medical Center, aims to test the acceptability and feasibility of unguided cCBT for depression among US military veterans. Methods: To examine the acceptability of BtB delivered without additional peer or other mental health care provider support, a before-and-after trial was conducted among United States (US) military veterans experiencing mild to moderate depressive symptoms. The feasibility of the study design for a future efficacy trial was also evaluated. Results: In total, 49 veterans completed preintervention assessments and received access to BtB, and 29 participants completed all postintervention assessments. The predetermined acceptability criterion for the intervention was met. Although the predetermined feasibility criteria regarding screening eligibility rate, number of BtB modules completed, and completion of a posttreatment assessment were not met, the results were comparable with those of other cCBT studies. Conclusions: This is the first study among US military veterans to demonstrate support for the implementation of cCBT for depression without the assistance of a mental health professional or a peer support specialist, suggesting that stand-alone computer-aided interventions may be viable. Ideas for improving feasibility in future trials based on this study are discussed.
Language	English
Publishing date	2022-04-25
Publishing country	Canada
Document type	Journal Article
ISSN	2561-326X
ISSN (online)	2561-326X
DOI	10.2196/31835
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Article ; Online: Research Letter: Traumatic Brain Injury Among Veterans Accessing VA Justice-Related Services.

Holliday, Ryan / Smith, Alexandra A / Kinney, Adam R / Forster, Jeri E / Bahraini, Nazanin / Monteith, Lindsey L / Brenner, Lisa A

The Journal of head trauma rehabilitation

2023 Volume 38, Issue 2, Page(s) 184–190

Abstract: Objective: Risk for traumatic brain injury (TBI) within both the Veteran population and among individuals with a history of criminal justice involvement is notably high. Despite this, research examining TBI among Veterans with a history of criminal ... ...

Abstract	Objective: Risk for traumatic brain injury (TBI) within both the Veteran population and among individuals with a history of criminal justice involvement is notably high. Despite this, research examining TBI among Veterans with a history of criminal justice involvement (ie, justice-involved Veterans) remains limited. The sequelae of TBI can impact justice-involved Veterans' engagement in Department of Veterans Affairs (VA) justice-related services (ie, Veterans Justice Outreach and Health Care for Re-entry Veterans), thus potentially increasing risk for recidivism and impacting psychosocial functioning. As such, further understanding of TBI risk among justice-involved Veterans has the potential to inform the need for tailored screening and interventional efforts within VA justice-related service settings. We sought to better understand relative risk for TBI diagnosis among male and female Veteran recipients and nonrecipients of VA justice-related services. Setting: Electronic medical record data for Veterans accessing VA services from 2005 to 2018. Participants: 1517 447 (12.48% justice-involved) male and 126 237 (8.89% justice-involved) female Veterans. Design: A cross-sectional examination of national VA electronic medical record data. Sex-stratified analyses were conducted to examine relative risk of TBI diagnosis based on use of VA justice-related services. Main measures: Documented TBI diagnosis was the main outcome. Covariates included VA service use, age, race, and ethnicity. Results: Both male and female Veterans using VA justice-related services were more likely to have a documented TBI diagnosis in their electronic VA medical record. Associations were attenuated, yet maintained significance, in all adjusted and sensitivity models. Conclusions: Given potential risk for TBI, enhancing and tailoring care for justice-involved Veterans may be critical to facilitating rehabilitation and reducing recidivism. Examination of existing services within justice-related settings and methods of augmenting care is an important next step.
MeSH term(s)	Humans ; Male ; Female ; United States ; Veterans ; Cross-Sectional Studies ; Brain Injuries, Traumatic/diagnosis ; Brain Injuries, Traumatic/epidemiology ; Brain Injuries, Traumatic/therapy ; Risk ; United States Department of Veterans Affairs
Language	English
Publishing date	2023-01-24
Publishing country	United States
Document type	Letter ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	639221-0
ISSN	1550-509X ; 0885-9701
ISSN (online)	1550-509X
ISSN	0885-9701
DOI	10.1097/HTR.0000000000000822
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Article ; Online: Advancing Rehabilitation Paradigms for Older Adults in Skilled Nursing Facilities: An Effectiveness-Implementation Hybrid Type 1 Clinical Trial Protocol.

Beisheim-Ryan, Emma H / Butera, Katie A / Hinrichs, Lauren A / Derlein, Danielle L / Malone, Daniel J / Holtrop, Jodi S / Forster, Jeri E / Diedrich, Donna / Gustavson, Allison M / Stevens-Lapsley, Jennifer E

Physical therapy

2023 Volume 103, Issue 9

Abstract: Objective: Skilled nursing facility rehabilitation is commonly required to address hospital-associated deconditioning among older adults with medical complexity. In skilled nursing facilities, standard-of-care rehabilitation focuses on low-intensity ... ...

Abstract	Objective: Skilled nursing facility rehabilitation is commonly required to address hospital-associated deconditioning among older adults with medical complexity. In skilled nursing facilities, standard-of-care rehabilitation focuses on low-intensity interventions, which are not designed to sufficiently challenge skeletal muscle and impart functional improvements. In contrast, a high-intensity resistance training approach (IntenSive Therapeutic Rehabilitation for Older NursinG homE Residents; i-STRONGER) in a single-site pilot study resulted in better physical function among patients in skilled nursing facilities. To extend this work, an effectiveness-implementation hybrid type 1 design, cluster-randomized trial will be conducted to compare patient outcomes between 16 skilled nursing facilities utilizing i-STRONGER principles and 16 Usual Care sites. Methods: Clinicians at i-STRONGER sites will be trained to deliver i-STRONGER as a standard of care using an implementation package that includes a clinician training program. Clinicians at Usual Care sites will continue to provide usual care. Posttraining, changes in physical performance (eg, gait speed, Short Physical Performance Battery scores) from patients' admission to discharge will be collected over a period of 12 months. The Reach, Effectiveness, Adoption, Implementation, and Maintenance framework will be used to evaluate i-STRONGER effectiveness and factors underlying successful i-STRONGER implementation. Effectiveness will be evaluated by comparing changes in physical function between study arms. Reach (proportion of patients treated with i-STRONGER), adoption (proportion of clinicians utilizing i-STRONGER), implementation (i-STRONGER fidelity), and maintenance (i-STRONGER sustainment) will be concurrently quantified and informed by clinician surveys and focus groups. Impact: This effectiveness-implementation hybrid type 1 cluster-randomized trial has the potential to shift rehabilitation care paradigms in a nationwide network of skilled nursing facilities, resulting in improved patient outcomes and functional independence. Furthermore, evaluation of the facilitators of, and barriers to, implementation of i-STRONGER in real-world clinical settings will critically inform future work evaluating and implementing best rehabilitation practices in skilled nursing facilities.
MeSH term(s)	Aged ; Humans ; Patient Discharge ; Pilot Projects ; Resistance Training ; Skilled Nursing Facilities ; Randomized Controlled Trials as Topic
Language	English
Publishing date	2023-06-12
Publishing country	United States
Document type	Clinical Trial Protocol ; Journal Article ; Research Support, U.S. Gov't, Non-P.H.S. ; Research Support, U.S. Gov't, P.H.S. ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
ZDB-ID	415886-6
ISSN	1538-6724 ; 0031-9023
ISSN (online)	1538-6724
ISSN	0031-9023
DOI	10.1093/ptj/pzad053
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Article ; Online: Association of homelessness and diet on the gut microbiome: a United States-Veteran Microbiome Project (US-VMP) study.

Hoisington, Andrew J / Stearns-Yoder, Kelly A / Stamper, Christopher E / Holliday, Ryan / Brostow, Diana P / Penzenik, Molly E / Forster, Jeri E / Postolache, Teodor T / Lowry, Christopher A / Brenner, Lisa A

mSystems

2023 Volume 9, Issue 1, Page(s) e0102123

Abstract: Military veterans account for 8% of homeless individuals living in the United States. To highlight associations between history of homelessness and the gut microbiome, we compared the gut microbiome of veterans who reported having a previous experience ... ...

Abstract	Military veterans account for 8% of homeless individuals living in the United States. To highlight associations between history of homelessness and the gut microbiome, we compared the gut microbiome of veterans who reported having a previous experience of homelessness to those from individuals who reported never having experienced a period of homelessness. Moreover, we examined the impact of the cumulative exposure of prior and current homelessness to understand possible associations between these experiences and the gut microbiome. Microbiome samples underwent genomic sequencing and were analyzed based on alpha diversity, beta diversity, and taxonomic differences. Additionally, demographic information, dietary data, and mental health history were collected. A lifetime history of homelessness was found to be associated with alcohol use disorder, substance use disorder, and healthy eating index compared to those without such a history. In terms of differences in gut microbiota, beta diversity was significantly different between veterans who had experienced homelessness and veterans who had never been homeless (
MeSH term(s)	Humans ; United States/epidemiology ; Veterans/psychology ; Gastrointestinal Microbiome ; Ill-Housed Persons ; Microbiota ; Diet
Language	English
Publishing date	2023-12-22
Publishing country	United States
Document type	Journal Article
ISSN	2379-5077
ISSN (online)	2379-5077
DOI	10.1128/msystems.01021-23
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Article ; Online: Factor Structure of the Suicide Cognitions Scale in a National Sample of Female Veterans.

Holliday, Ryan / Schneider, Alexandra L / Miller, Christin / Forster, Jeri E / Monteith, Lindsey L

Archives of suicide research : official journal of the International Academy for Suicide Research

2021 Volume 26, Issue 3, Page(s) 1349–1361

Abstract: Objective: The Suicide Cognitions Scale (SCS) may be beneficial for suicide risk assessment. However, research has identified diverging factor structures and focused primarily on samples composed of males. Given limited prior research with female ... ...

Abstract	Objective: The Suicide Cognitions Scale (SCS) may be beneficial for suicide risk assessment. However, research has identified diverging factor structures and focused primarily on samples composed of males. Given limited prior research with female veterans, who have experienced increased rates of suicide, we examined the factor structure of the SCS among a national sample of female veterans. Method: Four-hundred thirty-one female veterans using and not using Veterans Health Administration care participated in an anonymous survey. Results: Exploratory factor analysis identified a three-factor solution, consistent with some prior research. This factor structure was not replicated in a confirmatory factor analysis. Conclusions: Findings did not identify a consistent factor structure for the SCS among a sample of female veterans. Research is warranted to determine if suicide-specific cognitions differ among female veterans and to identify SCS items that should be added or removed to produce a more consistent factor structure among female veterans.HighlightsA consistent factor structure of the SCS among female Veterans was not identifiedSuicide-specific cognitions may differ among female VeteransAddition or removal of SCS items may be warranted in this population.
MeSH term(s)	Cognition ; Factor Analysis, Statistical ; Female ; Humans ; Male ; Risk Factors ; Suicide/prevention & control ; United States/epidemiology ; Veterans
Language	English
Publishing date	2021-03-09
Publishing country	England
Document type	Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
ZDB-ID	1283671-0
ISSN	1543-6136 ; 1381-1118
ISSN (online)	1543-6136
ISSN	1381-1118
DOI	10.1080/13811118.2021.1892003
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Article ; Online: Arthroscopic Versus Open Treatment of Septic Wrist Arthritis: National Trends in Usage and Impact on Length of Stay, Reoperation, Postoperative Readmissions, and Complications.

Moran, Thomas E / Wagner, Ryan / Bustos, Francis P / Lee, Glenn E / Forster, Grace L / Hakami, Lee / DeGeorge, Brent R

Journal of hand surgery global online

2022 Volume 5, Issue 2, Page(s) 145–150

Abstract: Purpose: The purpose of this study was to use a national claims database to analyze trends in the usage of arthroscopic versus open irrigation and debridement of septic wrist arthritis and compare complication rates, readmission rates, and reoperation ... ...

Abstract	Purpose: The purpose of this study was to use a national claims database to analyze trends in the usage of arthroscopic versus open irrigation and debridement of septic wrist arthritis and compare complication rates, readmission rates, and reoperation rates between the 2 treatment modalities. Methods: The PearlDiver database was used to identify patients in the United States who underwent open or arthroscopic debridement for suspected septic wrist arthritis from 2010 to 2017. Data on patient demographics and comorbidities were obtained. Pearson's chi-square tests were performed to compare the treatment modality to demographic data and the year of diagnosis. Univariate logistic regressions were used to measure differences in 90-day hospital readmission rates, 90-day complication rates, and 1-year reoperation rates. Results: The database captured 1,145 patients who received treatment for septic arthritis of the wrist during this period. Among these, 212 (18.5%) patients underwent arthroscopic debridement and 933 (81.5%) patients underwent open debridement. Open management was more common in all ages; however, arthroscopic debridement was used more frequently in younger age groups. The proportion of open cases per year seemed to increase over the study period. In limited comparisons, no significant differences were observed in 90-day hospital readmission rates, 90-day complication rates, and 1-year reoperation rates. Conclusions: Open irrigation and debridement was the preferred method for treatment of septic wrist arthritis in all age groups and time points in this study. No univariate differences were found between rates of readmission, complications, and reoperations between arthroscopic and open treatment modalities; however, more robust data and analyses are needed to better understand the differences between these approaches, especially across different patient groups. Level of evidence: Prognostic IV.
Language	English
Publishing date	2022-12-31
Publishing country	United States
Document type	Journal Article
ISSN	2589-5141
ISSN (online)	2589-5141
DOI	10.1016/j.jhsg.2022.11.010
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