• Author: Christi S. Ulmer
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Guideline-concordant cognitive behavioral therapy for insomnia in the Veterans Health Administration Polytrauma/Traumatic Brain Injury System of Care

Abstract: OBJECTIVES: Cognitive behavioral therapy for insomnia (CBT-I) is the recommended first-line treatment over medication. However, its use among Veterans in the …

Sleep research, quality and implementation priorities in the Veterans Health Administration: A white paper

Abstract: The Veterans Affairs (VA) seeks to improve the quality of life and long-term health outcomes for veterans facing unique sleep challenges related to their military …

Implementing brief behavioral treatment for insomnia in Department of Veterans Affairs primary care mental health integration clinics: Reach outcomes from a hybrid type 3 effectiveness-implementation trial

Abstract: Chronic insomnia is one of the most common health problems among veterans and can significantly impact health, function, and quality of life. Brief behavioral treatment …

Insomnia and chronic pain mediate the relationship between traumatic brain injury and reduced positive airway pressure adherence among Veterans

Abstract: OBJECTIVE: To examine whether co-morbid insomnia, post-traumatic stress disorder (PTSD), depression, and chronic pain mediate the relationship between traumatic brain …

Decisional needs of Veterans with mild traumatic brain injury initiating treatment for insomnia disorder and obstructive sleep apnea

Abstract: Objective: We sought to elicit key informant (KI) perspectives regarding decisional needs of Veterans with mild traumatic brain injury (mTBI) who are initiating insomnia …

Factors influencing adherence to insomnia and obstructive sleep apnea treatments among Veterans with mild traumatic brain injury

Abstract: OBJECTIVE: To understand factors influencing adherence to recommended treatment for insomnia and obstructive sleep apnea (OSA) among Veterans with mild traumatic brain …

Factors influencing shared decision-making for insomnia and obstructive sleep apnea treatment among Veterans with mild traumatic brain injury

Abstract: STUDY OBJECTIVES: We elicited perspectives of clinical stakeholders and Veterans regarding barriers and facilitators to implementing shared decision-making (SDM) for …

Guideline-concordant use of cognitive behavioral therapy for insomnia in the Veterans Health Administration

Abstract: Objective: To characterize guideline-concordant use of cognitive behavioral therapy for insomnia vs. sleep medications among Veterans Health Administration patients. …

Pilot RCT Testing A Mailing About Sleeping Pills and Cognitive Behavioral Therapy for Insomnia: Impact on Benzodiazepines and Z-Drugs

Abstract: Objectives: The aim is to pilot a low-touch program for reducing benzodiazepine receptor agonist (BZRA; benzodiazepines, z-drugs) prescriptions among older veterans. …

Posttraumatic stress disorder diagnosis is associated with reduced parasympathetic activity during sleep in US veterans and military service members of the Iraq and Afghanistan wars

Abstract: Study Objectives: To determine whether high-frequency heart rate variability (HF-HRV) during sleep differs between those with and without posttraumatic stress disorder …

Insomnia in United States Military Veterans : An Integrated Theoretical Model

Abstract: Marked by difficulty falling or staying asleep and/or poor sleep leading to daytime dysfunction, insomnia contributes to functional impairment, poor health, and …

Sleep Disturbance, Diabetes, and Cardiovascular Disease in Postmenopausal Veteran Women

Abstract: Purpose of the Study: To compare the prevalence and cardiometabolic health impact of sleep disturbance among postmenopausal Veteran and non-Veteran participants in the …