M. Bryant Howren
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View article: Developing a Community of Practice to Provide Care Coordination and Address Health-Related Social Needs for Veterans Receiving Care in Community-Based Settings: Program Development and Survey Study
Developing a Community of Practice to Provide Care Coordination and Address Health-Related Social Needs for Veterans Receiving Care in Community-Based Settings: Program Development and Survey Study Open
Background Approximately half of US veterans receive care outside of US Department of Veterans Affairs (VA) Veterans Health Administration facilities—a proportion expected to rise due to the Promise to Address Comprehensive Toxics Act and …
View article: Prevalence of alcohol use over time in survivors of head and neck cancer
Prevalence of alcohol use over time in survivors of head and neck cancer Open
Continued alcohol use remains an issue over time in HNC survivors. Screening protocols should be incorporated into clinical workflow and more research is needed to understand correlates and degree of use in long-term HNC survivors to facil…
View article: Developing a Community of Practice to Provide Care Coordination and Address Health-Related Social Needs for Veterans Receiving Care in Community-Based Settings: Program Development and Survey Study (Preprint)
Developing a Community of Practice to Provide Care Coordination and Address Health-Related Social Needs for Veterans Receiving Care in Community-Based Settings: Program Development and Survey Study (Preprint) Open
BACKGROUND Approximately half of US veterans receive care outside of US Department of Veterans Affairs (VA) Veterans Health Administration facilities—a proportion expected to rise due to the Promise to Address Comprehensive Toxics Act and…
View article: Supporting Physical and Mental Health in Rural Veterans Living With Heart Failure: Protocol for a Nurse-Led Telephone Intervention Study
Supporting Physical and Mental Health in Rural Veterans Living With Heart Failure: Protocol for a Nurse-Led Telephone Intervention Study Open
Background Heart failure (HF) remains a disease of notable disparity for rural veterans, despite recent advancements in clinical treatment. Managing HF in the home is stressful and complex for rural veterans who experience unique barriers …
View article: Prevalence of Pain and Associated Clinical Characteristics in 10‐Year Survivors of Head and Neck Cancer
Prevalence of Pain and Associated Clinical Characteristics in 10‐Year Survivors of Head and Neck Cancer Open
Objective Pain prevalence in long‐term head and neck cancer (HNC) survivors is important but understudied to date. The present investigation examined pain prevalence, associated clinical characteristics, and disease‐specific health‐related…
View article: Prevalence and persistence of depressive symptoms during the first year postdiagnosis in a large sample of patients with head and neck cancer
Prevalence and persistence of depressive symptoms during the first year postdiagnosis in a large sample of patients with head and neck cancer Open
View article: A smoking cessation intervention for rural veterans tailored to individual risk factors: A multicenter randomized clinical trial
A smoking cessation intervention for rural veterans tailored to individual risk factors: A multicenter randomized clinical trial Open
View article: Examination of Predictors of Pain at 12 Months Postdiagnosis in Head and Neck Cancer Survivors
Examination of Predictors of Pain at 12 Months Postdiagnosis in Head and Neck Cancer Survivors Open
Objective Pain following the completion of treatment is important but has received less attention in the head and neck cancer (HNC) literature. The present study sought to examine the prevalence and predictors of pain measured 12 months po…
View article: Quantifying the Digital Divide: Associations of Broadband Internet with Tele-mental Health Access Before and During the COVID-19 Pandemic
Quantifying the Digital Divide: Associations of Broadband Internet with Tele-mental Health Access Before and During the COVID-19 Pandemic Open
View article: Problem alcohol and tobacco use in head and neck cancer patients at diagnosis: associations with health-related quality of life
Problem alcohol and tobacco use in head and neck cancer patients at diagnosis: associations with health-related quality of life Open
View article: Examination of risk factors for discontinuation of follow‐up care in patients with head and neck cancer
Examination of risk factors for discontinuation of follow‐up care in patients with head and neck cancer Open
Background Little research has examined discontinuation of follow‐up care in patients with head and neck cancer. This exploratory study sought to examine key demographic, disease, and behavioral factors as possible correlates of discontinu…
View article: Veterans utilizing a federally qualified health center: a clinical snapshot
Veterans utilizing a federally qualified health center: a clinical snapshot Open
View article: Association of depressive symptomatology with problem alcohol use in rural head and neck cancer patients at diagnosis
Association of depressive symptomatology with problem alcohol use in rural head and neck cancer patients at diagnosis Open
HNC patients should be screened for alcohol use and depression at diagnosis. Access to behavioral health treatment and/or referral options may be lacking in rural areas thus additional ways of connecting rural patients to specialty care sh…
View article: Openness to Use of Telehealth During and After the COVID-19 Pandemic in a Sample of Rural Older Adults in a Federally Qualified Health Center
Openness to Use of Telehealth During and After the COVID-19 Pandemic in a Sample of Rural Older Adults in a Federally Qualified Health Center Open
View article: Rural health in behavioral medicine: introduction to the special series
Rural health in behavioral medicine: introduction to the special series Open
View article: Behavioral Health Screening and Care Coordination for Rural Veterans in a Federally Qualified Health Center
Behavioral Health Screening and Care Coordination for Rural Veterans in a Federally Qualified Health Center Open
View article: Patient and Provider Experience of Electronic Patient Portals and Secure Messaging in Mental Health Treatment
Patient and Provider Experience of Electronic Patient Portals and Secure Messaging in Mental Health Treatment Open
Objective: Electronic health record patient portals were promoted to enhance patient engagement. However, organizations often deny patient access to records of treatment for mental health disorders. This study explores patien…
View article: Health‐related quality of life in head and neck cancer survivors: Evaluating the rural disadvantage
Health‐related quality of life in head and neck cancer survivors: Evaluating the rural disadvantage Open
Purpose Head and neck cancer (HNC) survivors often experience distress and health‐related quality of life (HRQOL) impairment. Research suggests that rural cancer patients may have poorer outcomes than urban patients. This study examined wh…
View article: Problem alcohol use among rural head and neck cancer patients at diagnosis: Associations with health‐related quality of life
Problem alcohol use among rural head and neck cancer patients at diagnosis: Associations with health‐related quality of life Open
Objective Problem alcohol use in persons with head and neck cancer (HNC) is associated with poor outcomes, including survival. Some evidence suggests that individuals living in rural areas may be at greater risk of problem alcohol use. The…
View article: Predictors of HIV Preexposure Prophylaxis Initiation Among Public Health Clients in Rural and Small Urban Areas in Iowa
Predictors of HIV Preexposure Prophylaxis Initiation Among Public Health Clients in Rural and Small Urban Areas in Iowa Open
Objective Preexposure prophylaxis (PrEP) is a safe and effective method for HIV prevention, but little is known about PrEP uptake in rural and small urban areas. We described rates and predictors of HIV PrEP initiation among public health …
View article: ENGAGING RURAL VETERANS’ PERCEPTIONS OF SURVIVORSHIP CARE FOR HEAD AND NECK CANCER
ENGAGING RURAL VETERANS’ PERCEPTIONS OF SURVIVORSHIP CARE FOR HEAD AND NECK CANCER Open
The purpose of this study was to investigate 1) rural patients’ perceptions of their own rurality and its effects on experience of head and neck cancer survivorship, and 2) potential barriers and facilitators to survivorship care within an…
View article: Incidence trends for upper aerodigestive tract cancers in rural United States counties
Incidence trends for upper aerodigestive tract cancers in rural United States counties Open
Background Recent declines in cancer incidence and mortality have not been distributed equally across the United States. Factors such as tobacco cessation and human papillomavirus presence might differentially affect urban and rural portio…
View article: Efficacy of Patient Activation Interventions With or Without Financial Incentives to Promote Prescribing of Thiazides and Hypertension Control
Efficacy of Patient Activation Interventions With or Without Financial Incentives to Promote Prescribing of Thiazides and Hypertension Control Open
ClinicalTrials.gov Identifier: NCT00265538.
View article: Treatment adherence and illness self-management: introduction to the special issue
Treatment adherence and illness self-management: introduction to the special issue Open
View article: An individually-tailored smoking cessation intervention for rural Veterans: a pilot randomized trial
An individually-tailored smoking cessation intervention for rural Veterans: a pilot randomized trial Open
View article: Effect of a Behavioral Self-Regulation Intervention on Patient Adherence to Fluid-Intake Restrictions in Hemodialysis: a Randomized Controlled Trial
Effect of a Behavioral Self-Regulation Intervention on Patient Adherence to Fluid-Intake Restrictions in Hemodialysis: a Randomized Controlled Trial Open
The present study found that participation in a behavioral self-regulation intervention resulted in no unique intervention effect on a key indicator of adherence for those with severe chronic kidney disease. There was, however, modest with…
View article: Effects of cognitive speed of processing training on a composite neuropsychological outcome: results at one-year from the IHAMS randomized controlled trial
Effects of cognitive speed of processing training on a composite neuropsychological outcome: results at one-year from the IHAMS randomized controlled trial Open
Compared to the attention-control group who played a computerized crossword puzzle game, assignment to 10-14 hours of SOPT did not significantly improve a composite measure of cognitive abilities.