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  1. Article ; Online: Psychometric properties of the Telepsych User Experience Scale (TUES).

    Blanchard, Brittany E / Johnson, Morgan / Hawrilenko, Matt / Bechtel, Jared M / Shushan, Stephanie / Fortney, John C

    The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association

    2021  Volume 38, Issue 3, Page(s) 583–593

    Abstract: Purpose: To develop and psychometrically evaluate a brief measure of the telemental health experience among people receiving psychiatric and psychological care-the Telepsych User Experience Scale (TUES).: Methods: The TUES was administered at 6 ... ...

    Abstract Purpose: To develop and psychometrically evaluate a brief measure of the telemental health experience among people receiving psychiatric and psychological care-the Telepsych User Experience Scale (TUES).
    Methods: The TUES was administered at 6 months to 364 study participants who screened positive for posttraumatic stress disorder and/or bipolar disorder and used telepsych services. The factor structure of the TUES was examined using exploratory and confirmatory factor analyses. Psychometric testing of the final scale examined (1) internal reliability, (2) criterion validity, (3) convergent validity, and (4) test-retest reliability using omega coefficients, negative binomial regression, and correlations, respectively. A week after the 12-month follow-up survey was completed, a retest was administered to 29 patients to assess reliability.
    Findings: Factor analytic methods indicated a single latent factor (user experience) and correlated error variance (method effect of item wording) for 2 items. To enhance clinical utility, we removed the 2 negatively worded items, resulting in a 5-item scale. Confirmatory analyses indicated excellent fit of the final model, which retained the best performing items from each hypothesized construct. The TUES demonstrated evidence of internal consistency (omega = 0.88-0.90), convergent validity, (r = 0.58), and criterion validity through telepsych engagement (incidence rate ratio = 1.19, P < .001), though test-retest reliability was unacceptable (r = 0.41).
    Conclusion: The TUES is a pragmatic instrument with evidence of validity and internal reliability. Replication is necessary, but this initial psychometric evaluation suggests the TUES is a promising, brief yet comprehensive measure of telemental health user experience with clinical populations in rural settings.
    MeSH term(s) Factor Analysis, Statistical ; Humans ; Psychometrics/methods ; Reproducibility of Results ; Rural Population ; Surveys and Questionnaires
    Language English
    Publishing date 2021-12-27
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 639160-6
    ISSN 1748-0361 ; 0890-765X
    ISSN (online) 1748-0361
    ISSN 0890-765X
    DOI 10.1111/jrh.12640
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Psychometric properties of the Telepsych User Experience Scale (TUES)

    Blanchard, Brittany E. / Johnson, Morgan / Hawrilenko, Matt / Bechtel, Jared M. / Shushan, Stephanie / Fortney, John C.

    Journal of rural health. 2022 June, v. 38, no. 3

    2022  

    Abstract: PURPOSE: To develop and psychometrically evaluate a brief measure of the telemental health experience among people receiving psychiatric and psychological care—the Telepsych User Experience Scale (TUES). METHODS: The TUES was administered at 6 months to ... ...

    Abstract PURPOSE: To develop and psychometrically evaluate a brief measure of the telemental health experience among people receiving psychiatric and psychological care—the Telepsych User Experience Scale (TUES). METHODS: The TUES was administered at 6 months to 364 study participants who screened positive for posttraumatic stress disorder and/or bipolar disorder and used telepsych services. The factor structure of the TUES was examined using exploratory and confirmatory factor analyses. Psychometric testing of the final scale examined (1) internal reliability, (2) criterion validity, (3) convergent validity, and (4) test‐retest reliability using omega coefficients, negative binomial regression, and correlations, respectively. A week after the 12‐month follow‐up survey was completed, a retest was administered to 29 patients to assess reliability. FINDINGS: Factor analytic methods indicated a single latent factor (user experience) and correlated error variance (method effect of item wording) for 2 items. To enhance clinical utility, we removed the 2 negatively worded items, resulting in a 5‐item scale. Confirmatory analyses indicated excellent fit of the final model, which retained the best performing items from each hypothesized construct. The TUES demonstrated evidence of internal consistency (omega = 0.88‐0.90), convergent validity, (r = 0.58), and criterion validity through telepsych engagement (incidence rate ratio = 1.19, P < .001), though test‐retest reliability was unacceptable (r = 0.41). CONCLUSION: The TUES is a pragmatic instrument with evidence of validity and internal reliability. Replication is necessary, but this initial psychometric evaluation suggests the TUES is a promising, brief yet comprehensive measure of telemental health user experience with clinical populations in rural settings.
    Keywords bipolar disorder ; models ; rural health ; surveys ; variance
    Language English
    Dates of publication 2022-06
    Size p. 583-593.
    Publishing place John Wiley & Sons, Ltd
    Document type Article
    Note JOURNAL ARTICLE
    ZDB-ID 639160-6
    ISSN 0890-765X
    ISSN 0890-765X
    DOI 10.1111/jrh.12640
    Database NAL-Catalogue (AGRICOLA)

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  3. Article ; Online: Outcomes of a health informatics technology-supported behavioral activation training for care managers in a collaborative care program.

    Bauer, Amy M / Jakupcak, Matthew / Hawrilenko, Matt / Bechtel, Jared / Arao, Rob / Fortney, John C

    Families, systems & health : the journal of collaborative family healthcare

    2020  Volume 39, Issue 1, Page(s) 89–100

    Abstract: Introduction: Health informatics-supported strategies for training and ongoing support may aid the delivery of evidence-based psychotherapies. The objective of this study was to describe the development, implementation, and practice outcomes of a ... ...

    Abstract Introduction: Health informatics-supported strategies for training and ongoing support may aid the delivery of evidence-based psychotherapies. The objective of this study was to describe the development, implementation, and practice outcomes of a scalable health informatics-supported training program for behavioral activation for patients who screened positive for posttraumatic stress disorder and/or bipolar disorder.
    Method: We trained 34 care managers in 12 rural health centers. They used a registry checklist to document the delivery of 10 behavioral activation skills for 4,632 sessions with 455 patients. Care managers received performance feedback based on registry data. Using encounter-level data reported by care managers, we described the implementation outcomes of patient reach and care manager skill adoption. We used cross-classified multilevel modeling to explore variation in skill delivery accounting for patient characteristics, provider characteristics, and change over time.
    Results: Care managers engaged 88% of patients in behavioral activation and completed a minimum course for 57%. The average patient received 5.9 skills during treatment, with substantial variation driven more by providers (63%) than patients (29%). Care managers significantly increased the range of skills offered to patients over time.
    Discussion: The registry-based checklist was a feasible training and support tool for community-based providers to deliver behavioral activation. Providers received data-driven performance feedback and demonstrated skill improvement over time, promoting sustainment. Future research will examine patient-level outcomes. Results underscore the potential public health impact of a simple registry-based skills checklist coupled with a scalable remote training program for evidence-based psychotherapy. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
    MeSH term(s) Humans ; Medical Informatics/methods ; Medical Informatics/standards ; Medical Informatics/statistics & numerical data ; Psychotherapy/instrumentation ; Psychotherapy/methods ; Psychotherapy/statistics & numerical data ; Registries/statistics & numerical data ; Rural Population/statistics & numerical data ; Teaching/statistics & numerical data ; Telemedicine/methods ; Telemedicine/standards ; Telemedicine/statistics & numerical data
    Language English
    Publishing date 2020-08-27
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1326859-4
    ISSN 1939-0602 ; 1091-7527 ; 0736-1718
    ISSN (online) 1939-0602
    ISSN 1091-7527 ; 0736-1718
    DOI 10.1037/fsh0000523
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Psychometric Properties of the Assessment of Perceived Access to Care (APAC) Instrument.

    Fortney, John C / Pyne, Jeff M / Hawrilenko, Matt / Bechtel, Jared M / Moore, Dana / Nolan, John P / Pfeiffer, Paul / Shushan, Stephanie / Shore, Jay H / Bowen, Deb

    The Journal of ambulatory care management

    2020  Volume 44, Issue 1, Page(s) 31–45

    Abstract: Valid measures of perceived access are needed to measure whether health care systems are providing adequate access. This research reports on the psychometric properties of the Assessment of Perceived Access to Care (APAC), which was administered to 1004 ... ...

    Abstract Valid measures of perceived access are needed to measure whether health care systems are providing adequate access. This research reports on the psychometric properties of the Assessment of Perceived Access to Care (APAC), which was administered to 1004 Community Health Center patients screening positive for psychiatric disorders. Known-group validity was good, with 6 of the 8 hypothesized associations between social determinants of access and perceived access being significant (P < .01). Better access was significantly (P < .01) correlated with more outpatient mental health visits, indicating good convergent validity. The test-retest Pearson correlation coefficient (0.64) was statistically significant (P < .01). The APAC has acceptable psychometric properties.
    MeSH term(s) Health Services Accessibility ; Humans ; Mental Disorders/diagnosis ; Mental Disorders/therapy ; Mental Health ; Psychometrics ; Reproducibility of Results ; Surveys and Questionnaires
    Language English
    Publishing date 2020-10-24
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 198845-1
    ISSN 1550-3267 ; 0148-9917
    ISSN (online) 1550-3267
    ISSN 0148-9917
    DOI 10.1097/JAC.0000000000000358
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Case reports: new onset flushing due to unauthorized substitution of niacin for nicotinamide.

    Kademian, Monique / Bechtel, Mark / Zirwas, Matt

    Journal of drugs in dermatology : JDD

    2007  Volume 6, Issue 12, Page(s) 1220–1221

    Abstract: Nicotinamide is the amide form of niacin and has anti-inflammatory properties that have led to its use in the treatment of several inflammatory dermatologic conditions, such as rosacea. Niacin has established its role in the prevention of coronary artery ...

    Abstract Nicotinamide is the amide form of niacin and has anti-inflammatory properties that have led to its use in the treatment of several inflammatory dermatologic conditions, such as rosacea. Niacin has established its role in the prevention of coronary artery disease. Cutaneous flushing is a well-known and often dose-limiting side effect of niacin therapy, which does not occur with nicotinamide. We report a patient with rosacea who developed new onset flushing due to unauthorized substitution of niacin for nicotinamide. The anti-inflammatory mechanisms of nicotinamide and flushing mechanisms of niacin are discussed.
    MeSH term(s) Anti-Inflammatory Agents/therapeutic use ; Drug Prescriptions ; Female ; Flushing/chemically induced ; Flushing/physiopathology ; Humans ; Middle Aged ; Niacin/adverse effects ; Niacin/therapeutic use ; Niacinamide/therapeutic use
    Chemical Substances Anti-Inflammatory Agents ; Niacinamide (25X51I8RD4) ; Niacin (2679MF687A)
    Language English
    Publishing date 2007-12
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2145090-0
    ISSN 1545-9616
    ISSN 1545-9616
    Database MEDical Literature Analysis and Retrieval System OnLINE

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