The Experts below are selected from a list of 376311 Experts worldwide ranked by ideXlab platform
Heather M Brandt - One of the best experts on this subject based on the ideXlab platform.
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social support reduces the impact of partner violence on Health Application of structural equation models
Preventive Medicine, 2003Co-Authors: Ann L Coker, Ken W Watkins, Paige Hall Smith, Heather M BrandtAbstract:Background Intimate partner violence (IPV) is associated with poorer Health, yet pathways through which IPV affects either mental or physical Health are not well characterized. Methods Structural equation modeling was used to test a model in which physical-IPV and battering were considered as separate independent variables. The sample included 191 women currently experiencing either physical IPV or battering. Emotional support provided to women experiencing IPV was hypothesized to mediate the impact of IPV on current mental and physical Health (dependent variables). Results Higher scores on emotional support were associated with better physical (s = -0.23, P < 0.01) and mental Health (s = -0.27, P < 0.001). Physical IPV was directly associated with poorer mental Health (s = .023, P < 0.01) and indirectly associated with poorer physical Health (s = 0.18, P < 0.001) and mental Health (s = -0.04, P < 0.05), primarily through battering. Higher battering scores were directly associated with less emotional support (s = -0.33, P < 0.001) and indirectly associated with poorer physical (s = 0.12, P < 0.01) and mental Health (s = 0.09, P < 0.01), primarily through emotional support. Model diagnostics indicated a good fit (?2 = 20.44, P = 0.37, GFI = 0.98, CFI = 0.99, RMSEA = 0.02). Conclusions Higher levels of emotional support may modify the effect of IPV on Health. Interventions to increase social and emotional support to abused women may reduce mental and physical Health consequences.
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social support reduces the impact of partner violence on Health Application of structural equation models
Preventive Medicine, 2003Co-Authors: Ann L Coker, Ken W Watkins, Paige Hall Smith, Heather M BrandtAbstract:Background Intimate partner violence (IPV) is associated with poorer Health, yet pathways through which IPV affects either mental or physical Health are not well characterized. Methods Structural equation modeling was used to test a model in which physical-IPV and battering were considered as separate independent variables. The sample included 191 women currently experiencing either physical IPV or battering. Emotional support provided to women experiencing IPV was hypothesized to mediate the impact of IPV on current mental and physical Health (dependent variables). Results Higher scores on emotional support were associated with better physical (s = -0.23, P < 0.01) and mental Health (s = -0.27, P < 0.001). Physical IPV was directly associated with poorer mental Health (s = .023, P < 0.01) and indirectly associated with poorer physical Health (s = 0.18, P < 0.001) and mental Health (s = -0.04, P < 0.05), primarily through battering. Higher battering scores were directly associated with less emotional support (s = -0.33, P < 0.001) and indirectly associated with poorer physical (s = 0.12, P < 0.01) and mental Health (s = 0.09, P < 0.01), primarily through emotional support. Model diagnostics indicated a good fit (?2 = 20.44, P = 0.37, GFI = 0.98, CFI = 0.99, RMSEA = 0.02). Conclusions Higher levels of emotional support may modify the effect of IPV on Health. Interventions to increase social and emotional support to abused women may reduce mental and physical Health consequences.
Ann L Coker - One of the best experts on this subject based on the ideXlab platform.
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social support reduces the impact of partner violence on Health Application of structural equation models
Preventive Medicine, 2003Co-Authors: Ann L Coker, Ken W Watkins, Paige Hall Smith, Heather M BrandtAbstract:Background Intimate partner violence (IPV) is associated with poorer Health, yet pathways through which IPV affects either mental or physical Health are not well characterized. Methods Structural equation modeling was used to test a model in which physical-IPV and battering were considered as separate independent variables. The sample included 191 women currently experiencing either physical IPV or battering. Emotional support provided to women experiencing IPV was hypothesized to mediate the impact of IPV on current mental and physical Health (dependent variables). Results Higher scores on emotional support were associated with better physical (s = -0.23, P < 0.01) and mental Health (s = -0.27, P < 0.001). Physical IPV was directly associated with poorer mental Health (s = .023, P < 0.01) and indirectly associated with poorer physical Health (s = 0.18, P < 0.001) and mental Health (s = -0.04, P < 0.05), primarily through battering. Higher battering scores were directly associated with less emotional support (s = -0.33, P < 0.001) and indirectly associated with poorer physical (s = 0.12, P < 0.01) and mental Health (s = 0.09, P < 0.01), primarily through emotional support. Model diagnostics indicated a good fit (?2 = 20.44, P = 0.37, GFI = 0.98, CFI = 0.99, RMSEA = 0.02). Conclusions Higher levels of emotional support may modify the effect of IPV on Health. Interventions to increase social and emotional support to abused women may reduce mental and physical Health consequences.
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social support reduces the impact of partner violence on Health Application of structural equation models
Preventive Medicine, 2003Co-Authors: Ann L Coker, Ken W Watkins, Paige Hall Smith, Heather M BrandtAbstract:Background Intimate partner violence (IPV) is associated with poorer Health, yet pathways through which IPV affects either mental or physical Health are not well characterized. Methods Structural equation modeling was used to test a model in which physical-IPV and battering were considered as separate independent variables. The sample included 191 women currently experiencing either physical IPV or battering. Emotional support provided to women experiencing IPV was hypothesized to mediate the impact of IPV on current mental and physical Health (dependent variables). Results Higher scores on emotional support were associated with better physical (s = -0.23, P < 0.01) and mental Health (s = -0.27, P < 0.001). Physical IPV was directly associated with poorer mental Health (s = .023, P < 0.01) and indirectly associated with poorer physical Health (s = 0.18, P < 0.001) and mental Health (s = -0.04, P < 0.05), primarily through battering. Higher battering scores were directly associated with less emotional support (s = -0.33, P < 0.001) and indirectly associated with poorer physical (s = 0.12, P < 0.01) and mental Health (s = 0.09, P < 0.01), primarily through emotional support. Model diagnostics indicated a good fit (?2 = 20.44, P = 0.37, GFI = 0.98, CFI = 0.99, RMSEA = 0.02). Conclusions Higher levels of emotional support may modify the effect of IPV on Health. Interventions to increase social and emotional support to abused women may reduce mental and physical Health consequences.
Judith I Tsui - One of the best experts on this subject based on the ideXlab platform.
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video directly observed therapy intervention using a mobile Health Application among opioid use disorder patients receiving office based buprenorphine treatment protocol for a pilot randomized controlled trial
Addiction Science & Clinical Practice, 2020Co-Authors: Zachery A Schramm, Jared W Klein, Andrew J Saxon, Jeffrey H Samet, Brian G Leroux, Andrea C Radick, Alicia S Ventura, Theresa W Kim, Judith I TsuiAbstract:Office-based buprenorphine treatment of opioid use disorder (OUD) does not typically include in-person directly observed therapy (DOT), potentially leading to non-adherence. Video DOT technologies may safeguard against this issue and thus enhance likelihood of treatment success. We describe the rationale and protocol for the Trial of Adherence Application for Buprenorphine treatment (TAAB) study, a pilot randomized controlled trial (RCT) to evaluate the effects of video DOT delivered via a smartphone app on office-based buprenorphine treatment outcomes, namely illicit opioid use and retention. Participants will be recruited from office-based opioid addiction treatment programs in outpatient clinics at two urban medical centers and randomized to either video DOT (intervention) delivered via a HIPAA-compliant, asynchronous, mobile Health (mHealth) technology platform, or treatment-as-usual (control). Eligibility criteria are: 18 years or older, prescribed sublingual buprenorphine for a cumulative total of 28 days or less from the office-based opioid treatment program, and able to read and understand English. Patients will be considered ineligible if they are unable or unwilling to use the intervention, provide consent, or complete weekly study visits. All participants will complete 13 in-person weekly visits and be followed via electronic Health record data capture at 12- and 24-weeks post-randomization. Data gathered include the following: demographics; current and previous treatment for OUD; self-reported diversion of prescribed buprenorphine; status of their mental and physical Health; and self-reported lifetime and past 30-day illicit substance use. Participants provide urine samples at each weekly visit to test for illicit drugs and buprenorphine. The primary outcome is percentage of weekly urines that are negative for opioids over the 12-weeks. The secondary outcome is engagement in treatment at week 12. Video DOT delivered through mHealth technology platform offers possibility of improving patients’ buprenorphine adherence by providing additional structure and accountability. The TAAB study will provide important preliminary estimates of the impact of this mHealth technology for patients initiating buprenorphine, as well as the feasibility of study procedures, thus paving the way for further research to assess feasibility and generate preliminary data for design of a future Phase III trial. Trial Registration ClinicalTrails.gov, NCT03779997, Registered on December 19, 2018.
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acceptability and feasibility of a mobile Health Application for video directly observed therapy of buprenorphine for opioid use disorders in an office based setting
Journal of Addiction Medicine, 2020Co-Authors: Margo E Godersky, Jared W Klein, Joseph O Merrill, Kendra L Blalock, Andrew J Saxon, Jeffrey H Samet, Judith I TsuiAbstract:INTRODUCTION/BACKGROUND Video directly observed therapy (video-DOT) through a mobile Health platform may improve buprenorphine adherence and decrease diversion. This pilot study tested the acceptability and feasibility of using this technology among patients receiving buprenorphine in an office-based setting. METHODS Participants were instructed to record videos of themselves taking buprenorphine. Data were collected from weekly in-person visits over a 4-week period; assessments included self-report of medication adherence, substance use, satisfaction with treatment and use of the Application, and also urine drug testing. Open-ended questions at the final visit solicited feedback on patients' experiences using the mobile Health Application. RESULTS The sample consisted of 14 patients; a majority were male (86%) and White (79%). All participants except 1 (93%) were able to use the Application successfully to upload videos. Among those who successfully used the Application, the percentage of daily videos uploaded per participant ranged from 18% to 96%; on average, daily videos were submitted by participants 72% of the time. Most participants (10/14; 71%) reported being "very satisfied" with the Application; of the remaining 4 participants, 2 were "satisfied" and 2 were "neutral." Participants reported liking the accountability and structure of the Application provided and its ease of use. Negative feedback included minor discomfort at viewing one's self during recording and the time required. CONCLUSIONS Based on these results, use of a mobile Health Application for video-DOT of buprenorphine appears feasible and acceptable for patients who are treated in an office-based setting. Further research is needed to test whether use of such an Application can improve treatment delivery and Health outcomes.
Ken W Watkins - One of the best experts on this subject based on the ideXlab platform.
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social support reduces the impact of partner violence on Health Application of structural equation models
Preventive Medicine, 2003Co-Authors: Ann L Coker, Ken W Watkins, Paige Hall Smith, Heather M BrandtAbstract:Background Intimate partner violence (IPV) is associated with poorer Health, yet pathways through which IPV affects either mental or physical Health are not well characterized. Methods Structural equation modeling was used to test a model in which physical-IPV and battering were considered as separate independent variables. The sample included 191 women currently experiencing either physical IPV or battering. Emotional support provided to women experiencing IPV was hypothesized to mediate the impact of IPV on current mental and physical Health (dependent variables). Results Higher scores on emotional support were associated with better physical (s = -0.23, P < 0.01) and mental Health (s = -0.27, P < 0.001). Physical IPV was directly associated with poorer mental Health (s = .023, P < 0.01) and indirectly associated with poorer physical Health (s = 0.18, P < 0.001) and mental Health (s = -0.04, P < 0.05), primarily through battering. Higher battering scores were directly associated with less emotional support (s = -0.33, P < 0.001) and indirectly associated with poorer physical (s = 0.12, P < 0.01) and mental Health (s = 0.09, P < 0.01), primarily through emotional support. Model diagnostics indicated a good fit (?2 = 20.44, P = 0.37, GFI = 0.98, CFI = 0.99, RMSEA = 0.02). Conclusions Higher levels of emotional support may modify the effect of IPV on Health. Interventions to increase social and emotional support to abused women may reduce mental and physical Health consequences.
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social support reduces the impact of partner violence on Health Application of structural equation models
Preventive Medicine, 2003Co-Authors: Ann L Coker, Ken W Watkins, Paige Hall Smith, Heather M BrandtAbstract:Background Intimate partner violence (IPV) is associated with poorer Health, yet pathways through which IPV affects either mental or physical Health are not well characterized. Methods Structural equation modeling was used to test a model in which physical-IPV and battering were considered as separate independent variables. The sample included 191 women currently experiencing either physical IPV or battering. Emotional support provided to women experiencing IPV was hypothesized to mediate the impact of IPV on current mental and physical Health (dependent variables). Results Higher scores on emotional support were associated with better physical (s = -0.23, P < 0.01) and mental Health (s = -0.27, P < 0.001). Physical IPV was directly associated with poorer mental Health (s = .023, P < 0.01) and indirectly associated with poorer physical Health (s = 0.18, P < 0.001) and mental Health (s = -0.04, P < 0.05), primarily through battering. Higher battering scores were directly associated with less emotional support (s = -0.33, P < 0.001) and indirectly associated with poorer physical (s = 0.12, P < 0.01) and mental Health (s = 0.09, P < 0.01), primarily through emotional support. Model diagnostics indicated a good fit (?2 = 20.44, P = 0.37, GFI = 0.98, CFI = 0.99, RMSEA = 0.02). Conclusions Higher levels of emotional support may modify the effect of IPV on Health. Interventions to increase social and emotional support to abused women may reduce mental and physical Health consequences.
Paige Hall Smith - One of the best experts on this subject based on the ideXlab platform.
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social support reduces the impact of partner violence on Health Application of structural equation models
Preventive Medicine, 2003Co-Authors: Ann L Coker, Ken W Watkins, Paige Hall Smith, Heather M BrandtAbstract:Background Intimate partner violence (IPV) is associated with poorer Health, yet pathways through which IPV affects either mental or physical Health are not well characterized. Methods Structural equation modeling was used to test a model in which physical-IPV and battering were considered as separate independent variables. The sample included 191 women currently experiencing either physical IPV or battering. Emotional support provided to women experiencing IPV was hypothesized to mediate the impact of IPV on current mental and physical Health (dependent variables). Results Higher scores on emotional support were associated with better physical (s = -0.23, P < 0.01) and mental Health (s = -0.27, P < 0.001). Physical IPV was directly associated with poorer mental Health (s = .023, P < 0.01) and indirectly associated with poorer physical Health (s = 0.18, P < 0.001) and mental Health (s = -0.04, P < 0.05), primarily through battering. Higher battering scores were directly associated with less emotional support (s = -0.33, P < 0.001) and indirectly associated with poorer physical (s = 0.12, P < 0.01) and mental Health (s = 0.09, P < 0.01), primarily through emotional support. Model diagnostics indicated a good fit (?2 = 20.44, P = 0.37, GFI = 0.98, CFI = 0.99, RMSEA = 0.02). Conclusions Higher levels of emotional support may modify the effect of IPV on Health. Interventions to increase social and emotional support to abused women may reduce mental and physical Health consequences.
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social support reduces the impact of partner violence on Health Application of structural equation models
Preventive Medicine, 2003Co-Authors: Ann L Coker, Ken W Watkins, Paige Hall Smith, Heather M BrandtAbstract:Background Intimate partner violence (IPV) is associated with poorer Health, yet pathways through which IPV affects either mental or physical Health are not well characterized. Methods Structural equation modeling was used to test a model in which physical-IPV and battering were considered as separate independent variables. The sample included 191 women currently experiencing either physical IPV or battering. Emotional support provided to women experiencing IPV was hypothesized to mediate the impact of IPV on current mental and physical Health (dependent variables). Results Higher scores on emotional support were associated with better physical (s = -0.23, P < 0.01) and mental Health (s = -0.27, P < 0.001). Physical IPV was directly associated with poorer mental Health (s = .023, P < 0.01) and indirectly associated with poorer physical Health (s = 0.18, P < 0.001) and mental Health (s = -0.04, P < 0.05), primarily through battering. Higher battering scores were directly associated with less emotional support (s = -0.33, P < 0.001) and indirectly associated with poorer physical (s = 0.12, P < 0.01) and mental Health (s = 0.09, P < 0.01), primarily through emotional support. Model diagnostics indicated a good fit (?2 = 20.44, P = 0.37, GFI = 0.98, CFI = 0.99, RMSEA = 0.02). Conclusions Higher levels of emotional support may modify the effect of IPV on Health. Interventions to increase social and emotional support to abused women may reduce mental and physical Health consequences.
