CTS doctoral candidate Lilliane Sevard is featured in this article about a big new award from PCORI for $350K. Congrats!
Tuesday, September 27, 2022
Sevard and Autism Coolaborative get funding from PCORI
Thursday, September 15, 2022
FW: Attention, Researchers: 2021 BRFSS Public Data Set Now Available!
Attention, Researchers: 2020 BRFSS Public Data Set Now Available!
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Tuesday, September 13, 2022
Bonnell, et al. on health effects of walking during the COVID-19 pandemic.
Congratulations to Levi Bonnell, CTS Doctoral Candidate, and his collaborators for their latest publication based on data from the Integrating Behavioral Health in Primary Care study.
The Relationship Between Mental and Physical Health and Walking During the COVID-19 Pandemic
Introduction: COVID-19 policies such as quarantining, social isolation, and lockdowns are an essential public health measure to reduce the spread of disease but may lead to reduced physical activity. Little is known if these changes are associated with changes in physical or mental health.
Methods: Between September 2017 and December 2018 (baseline) and March 2020 and February 2021 (follow-up), we obtained self-reported demographic, health, and walking (only at follow-up) data on 2042 adults in primary care with multiple chronic health conditions. We examined whether the perceived amount of time engaged in walking was different compared with prepandemic levels and if this was associated with changes in Patient-Reported Outcomes Measurement Information System-29 mental and physical health summary scores. Multivariable linear regression controlling for demographic, health, and neighborhood information were used to assess this association.
Results: Of the 2042 participants, 9% reported more walking, 28% reported less, and 52% reported the same amount compared with prepandemic levels. Nearly 1/3 of participants reported less walking during the pandemic. Multivariable models revealed that walking less or not at all was associated with negative changes in mental (ß = −1.0; 95% CI [−1.6, −0.5]; ß = −2.2; 95% CI [−2.9, −1.4]) and physical (ß = −0.9; 95% CI [−1.5, −0.3]; ß = −3.1; 95% CI [−4.0, −2.3]) health, respectively. Increasing walking was significantly associated with a positive change in physical health (ß = 1.3; 95% CI [0.3, 2.2]).
Conclusions: These findings demonstrate the importance of walking during the COVID-19 pandemic. Promotion of physical activity should be taken into consideration when mandating restrictions to slow the spread of disease. Primary care providers can assess patient’s walking patterns and implement brief interventions to help patients improve their physical and mental health through walking.
Saturday, September 3, 2022
Rose publishes new article on the Practice Integration Profile
Congratulations to Assistant Professor of Psychiatry Gail L. Rose, for leading the team writing up the latest version of the Practice Integration Profile: PIP 2.0.
Rose GL, Weldon TL, McEntee ML, Hitt JR, Kessler R, Littenberg B, Macchi CR, Martin MP, Mullin DJ, van Eeghen C. Practice integration profile revised: Improving item readability and completion. Families, systems & health: the journal of collaborative family healthcare. 2022. https://do.org/10.1037/fsh0000723
Introduction: The Practice Integration Profile (PIP) is a reliable, valid, and broadly used measure of the integration of behavioral health (BH) into primary care. The PIP assesses operational and procedural elements that are grounded in the AHRQ Lexicon for Behavioral Health and Primary Care Integration. Prior analyses of PIP data and feedback from users suggested the measure was in need of revisions. This article describes the process used to improve readability, clarity, and pragmatic utility of the instrument. Method: Two rounds of structured cognitive interviews were conducted with clinicians in primary care settings. After each round, interview transcripts were coded by an analytic team using an iterative and consensus-driven process. Themes were identified based on codes. Themes and recommendations for revisions were reviewed and modified by committee. Results: Based on feedback and a prior factor analysis of the PIP, revisions were undertaken to: (a) eliminate redundant or overlapping items; (b) clarify the meaning of items; (c) standardize the response categories, and (d) place items in the most appropriate domains. The resulting measure has 28 items in five domains. Discussion: PIP 2.0 will need further examination to confirm its continuing use as a foundational tool for evaluating integrated care.
You can try out the PIP 2.0 at: www.practiceintegrationprofile.com
Friday, September 2, 2022
Roz King received major SAMHSA grant
Title: Start Treatment and Recovery (STAR)
Amount: $3,749,030 over five years
Working with Dan Wolfson, MD, Miles Lamberson, EMT, Sanchit Maruti, MD, Rick Rawson, PhD, Elly Riser, MD, John Brooklyn MD, Kyle DeWitt, PharmD, Blake Porter, PharmD, and Nick Aunchman, MD, this project will expand and improve our successful program of Emergency Department (ED)-initiated medications for opioid use disorder (MOUD) to include an innovative methadone treatment pathway. We will improve screening to better identify OUD, remove barriers to ED MOUD enrollment and follow-up, improve critical supports for participant success in follow-up recovery, and widen the distribution of harm reduction kits in the prehospital and ED settings. The population of focus includes patients in a large rural and urban catchment area who present to EMS or the EDs of the University of Vermont Medical Center (UVMMC) or Champlain Valley Physicians Hospital (CVPH) with an acute opioid overdose or other signs of opioid use disorder (OUD) who are candidates for starting Medication for Opioid Use Disorder (MOUD).With the continued rise in opioid-related overdose fatalities in these areas, our goal is to address the need to increase the number of individuals with OUD that are screened for risk, offered MOUD and harm-reduction kits, and are successfully enrolled and maintained in certified MOUD community addiction recovery programs, thereby decreasing illicit opioid use, prescription opioid misuse, and risk of opioid overdose.
These collaborative efforts would not have been possible without the support and assistance of a team of collaborators across the University of Vermont Health Network, the Larner College of Medicine, the University of Vermont, and our greater medical community. Deep appreciation is given particularly to Molly Stevens, Ramsey Herrington, Meaghan McKenna, Deb Cannon, Cam Lauf and the Peer Recovery team, the Addiction Treatment Program, and Peter Callas for helping to make this possible.
Congratulations to everyone involved.
Ramsey Herrington, MD, FACEP
Healthcare Service Leader, Emergency Medicine
Chair of The Department of Emergency Medicine
Chair, UVMHN Emergency Medicine Specialty Council
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