Research and Policy Repository

  • Author: Lucinda B. Leung
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Leveraging COVID-19 to modernise depression care for VA primary care populations: Protocol for a sequential explanatory mixed method evaluation

Abstract: Background: The Veterans Health Administration (VA) integrated mental and physical health services to better detect and treat depression. Primary care nurses conduct …

Mental Health Physical Health Peer reviewed

Association between telehealth delivery and same-day access to integrated mental health in a national VA sample

Abstract: BACKGROUND: Same-day access to mental health services is associated with better patient outcomes (e.g., diagnosis, treatment). Telehealth appointments via video or phone …

Mental Health Peer reviewed

Secure messages, video visits, and burnout among primary care providers in the Veterans Health Administration: National survey study

Abstract: BACKGROUND: Telehealth use, including video visits and secure messages, expanded significantly in Veterans Health Administration (VHA) primary care during the COVID-19 …

Physical Health Well-Being Peer reviewed

Adapting depression collaborative care models to increase uptake of computerized cognitive behavioral therapy at the VA: A pilot randomized controlled trial

Abstract: Objective: To examine the feasibility, acceptability, and potential health effects of computerized cognitive behavioral therapy-enhanced collaborative care (cCBT-CC) …

Mental Health Peer reviewed

What do primary care clinicians and patients think about internet-based computerized cognitive behavioral therapy for depression? A qualitative study from the Veterans Health Administration

Abstract: Depression can be effectively treated with internet-based computerized cognitive behavioral therapy (cCBT). The Veterans Health Administration (VHA) provided cCBT free to …

Mental Health Peer reviewed

Primary care mental health integration to improve early treatment engagement for Veterans who screen positive for depression

Abstract: Objective: To examine the relationship between the penetration (or reach) of a national program aiming to integrate mental health clinicians into all primary care clinics …

Mental Health Peer reviewed

The association between population health management tools and clinician burnout in the United States VA primary care patient-centered medical home

Abstract: Background: Technological burden and medical complexity are significant drivers of clinician burnout. Electronic health record(EHR)-based population health management …

Mental Health Peer reviewed

Implementation of Video-Based Care in Interdisciplinary Primary Care Settings at the Veterans Health Administration: Qualitative Study

Abstract: Background: With the rapid shift to telehealth, there remains a knowledge gap in how video-based care is implemented in interdisciplinary primary care (PC) settings. …

Physical Health Peer reviewed

Characteristics of Veterans experiencing homelessness using telehealth for primary care before and after COVID-19 pandemic onset

Abstract: BACKGROUND: The COVID-19 pandemic expanded telehealth use across healthcare systems, including the Veterans Health Administration (VA). Little is known about how …

Physical Health Peer reviewed

Disparities in video-based primary care use among Veterans with cardiovascular disease

Abstract: BACKGROUND: Cardiovascular disease (CVD) is prevalent among Veterans, and video care enhances access to CVD care. However, it is unknown which patients with CVD …

Physical Health Peer reviewed

Development of a model to predict combined antidepressant medication and psychotherapy treatment response for depression among veterans

Abstract: Although research shows that more depressed patients respond to combined antidepressants (ADM) and psychotherapy than either alone, many patients do not respond even to …

Mental Health Peer reviewed

Development of a model to predict antidepressant treatment response for depression among Veterans

Abstract: Background: Only a limited number of patients with major depressive disorder (MDD) respond to a first course of antidepressant medication (ADM). We investigated the …

Mental Health Physical Health Peer reviewed