8 results on '"Vanderwood K"'
Search Results
2. Collaborative Approach to Implementing an Adapted Diabetes Prevention Program Lifestyle Intervention
- Author
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Guyse, L. A., primary, McHugh, B. R., additional, Meszaros, J. F., additional, Vanderwood, K. K., additional, Hall, T. O., additional, Arave, D., additional, Butcher, M. K., additional, Helgerson, S. D., additional, and Harwell, T. S., additional
- Published
- 2011
- Full Text
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3. Clinical Variables Associated with Successful Treatment of Depression or Anxiety in Collaborative Care.
- Author
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Hardy C, Green B, Little V, and Vanderwood K
- Subjects
- Humans, Female, Male, Adult, Middle Aged, Aged, Cooperative Behavior, Treatment Outcome, Adolescent, Anxiety Disorders therapy, Young Adult, Mental Health Services, Depression therapy, Depression psychology, Anxiety therapy, Anxiety psychology
- Abstract
Collaborative Care, an evidence-based model, has proven effective in treating depression and anxiety in healthcare settings. However, limited attention has been paid to exploring treatment outcome differences by clinical variables and diagnosis within this model. While previous research suggests that early and frequent contacts and swift treatment access lead to positive outcomes for depression and anxiety, these aspects have not been comprehensively examined in Collaborative Care. This study investigates the impact of clinical variables on treatment completion in patients primarily diagnosed with anxiety or depression who received collaborative care treatment as a treatment program. Analysis was completed as an observational study of patients (n =2018) with behavioral health diagnoses spanning from 2016 to 2023. Classification analysis offers insights into optimal practices for implementing Collaborative Care across diverse healthcare populations from pediatric to geriatric. Identifying clinical characteristics associated with successful treatment in Collaborative Care has far-reaching implications for model adoption and enhancing patient outcomes. Across all results, patients who received more clinical support and had shorter enrollment durations showed a strong association with successful treatment completion., (© 2024. National Council for Mental Wellbeing.)
- Published
- 2024
- Full Text
- View/download PDF
4. The effectiveness of collaborative care delivered via telehealth in a pediatric primary care population.
- Author
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Vanderwood K, Joyner J, and Little V
- Abstract
Introduction: The prevalence of mental health conditions among children and adolescents in the United States has become a pressing concern, exacerbated by the COVID-19 pandemic. Collaborative care is an evidence-based model for identifying and treating depression and anxiety in healthcare settings, with additional promise for remote healthcare delivery. This study aims to evaluate the impact of a telehealth collaborative care model for adolescents with depression and anxiety in pediatric and primary care settings., Methods: Secondary analysis was conducted using de-identified national data from Concert Health, a behavioral health medical group offering remote collaborative care across 17 states. Baseline, 90-day, and 120-day assessments of the PHQ-9 and GAD-7 were collected, along with baseline covariates. Stepwise regression analysis was performed to determine the contribution of select covariates to improvement rates., Results: Among the analyzed data, 263 participants had complete PHQ-9 data, and 230 had complete GAD-7 data. In both the PHQ-9 and GAD-7 groups, over 50% of patients experienced treatment success based on success at discharge, as well as 90- and 120-day improvement rates. Predictors of success at discharge for the GAD-7 group included age at enrollment (OR 1.2258, 95% CI 1.01-1.496), clinical touchpoints (OR 1.1469, 95% CI 1.086-1.218), and lower baseline GAD-7 score (OR 0.9319, 95% CI 0.874-0.992). For the PHQ-9 group, Medicaid was significantly associated with not achieving a 50% reduction in PHQ-9 score at 120 days (OR 0.5874, 95% CI 0.349-0.979)., Discussion: Collaborative care has demonstrated its effectiveness in treating adolescent populations, providing an opportunity to expand access to evidence-based behavioral health treatment for young individuals. Notably, collaborative care is already integrated into the Medicaid fee schedule for 22 states and accepted by all commercial payers. Given that individuals often turn to their trusted primary care providers for behavioral health care, offering collaborative care to adolescents can play a crucial role in addressing the ongoing mental health crisis., Competing Interests: VL was employed by Concert Health, while JJ served as a social work intern at Concert Health. KV was employed by JG Research and Evaluation and conducted all data analysis. JG Research and Evaluation has a contractual agreement with Concert Health to conduct comprehensive assessments of clinical records for the purpose of quality improvement and evaluation., (Copyright © 2023 Vanderwood, Joyner and Little.)
- Published
- 2023
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5. The UnProcessed Pantry Project (UP3): A Community-Based Intervention Aimed to Reduce Ultra-Processed Food Intake Among Food Pantry Clients.
- Author
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Byker Shanks C, Vanderwood K, Grocke M, Johnson N, Larison L, Wytcherley B, and Yaroch AL
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- Diet, Eating, Food Supply, Humans, Pilot Projects, Food Assistance
- Abstract
Low-income populations are more likely to experience food and nutrition insecurity and suffer a greater burden of noncommunicable disease than the general population. The UnProcessed Pantry Project (UP3) is an intervention aimed to reduce ultra-processed food availability and consumption of food pantry clients accessing the emergency food system. The pilot study included nutrition education, food boxes, and social support for 16 weeks at 2 food pantries. Data collection included the ASA24 dietary recall to calculate Healthy Eating Index-2015 (HEI-2015) scores, biomarkers (hemoglobin A1c, total cholesterol, blood pressure, waist circumference, body mass index [BMI]), and a demographic and psychosocial survey. Dietary quality among 43 participants significantly (P < .05) improved as measured by the HEI-2015 for total HEI-2015, whole grains, total protein foods, and added sugars scores. BMI, total cholesterol, and waist circumference also significantly improved across study participants. Findings indicate that the emergency food system may be an effective access point to apply frameworks including UP3 to address ultra-processed food consumption, dietary quality, and noncommunicable chronic disease risk among food-insecure populations. Programs and policies that limit the amount of ultra-processed food in the emergency food system should be further tested and could be efficacious in addressing inequities among vulnerable populations., Competing Interests: The authors have no conflicts of interest to disclose., (Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.)
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- 2022
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6. Exploring a rural Latino community's perception of the COVID-19 pandemic.
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Moyce S, Velazquez M, Claudio D, Thompson S, Metcalf M, Aghbashian E, Vanderwood K, and Sisson N
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- Adult, Female, Humans, Interviews as Topic, Male, Physical Distancing, COVID-19 epidemiology, COVID-19 ethnology, Hispanic or Latino psychology, Perception, Rural Population
- Abstract
Objectives: The purpose of our study was to understand the perception of the Latino community in a rural state regarding COVID-19. Over one third of national COVID-19 cases are among Latinos, likely due to an increased prevalence of comorbid risk factors and social determinants of health that make following precautions difficult., Design: Respondents were recruited using snowball sampling as part of a previous effort to establish an academic-community partnership with Latinos in the area. In April 2020, we conducted 14 semi-structured interviews in Spanish with participants over the phone. Interviews were audio-recorded, transcribed into Spanish, and translated to English. We employed the framework approach in a thematic analysis using NVivo 12., Results: Common themes were a wariness of news appearing on social media, generalized worry, and the use of natural medicines to maintain health. Respondents followed recommended guidelines to protect their own health, though expressed concern that members of their community were not., Conclusions: We offer insights into the perception of Latinos of the COVID-19 pandemic in a rural state. Our findings may influence communication techniques of local health departments and offer a way to understand how this often-overlooked community deals with the pandemic.
- Published
- 2021
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7. Engaging Latinos in an Academic-Community Partnership in Montana through a Health Screening Event.
- Author
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Moyce SC, Sisson N, Thompson S, Velazqueaz M, Claudio D, Aghbashian E, Demorest H, and Vanderwood K
- Abstract
Background: Engaging minorities in research especially in Montana where Latinos make up a small percentage of the population can be a challenge. We describe an effort to recruit Latinos into a research study by hosting a health screening event., Purpose: This event served as the first step in the creation of an academic-community partnership., Methods: We formed an interdisciplinary research team and involved key community stakeholders in planning a health screening event. We provided lunch, flu vaccinations, and screening measures including blood pressure, body mass index, and diabetes status. We also asked for volunteers to sign up to participate in future focus groups., Results: Thirty five people participated in the health screening event, and 29 people volunteered to engage in future research. The majority of participants reported not having health insurance or a regular medical provider, were overweight or obese, and did not have diabetes., Discussion: Engaging the Latino community in research is important, and this paper describes the first step in the creation of an academic-community partnership., Translation to Health Education Practice: Attention to community needs through active partnership and adherence to the responsibilities and competencies for health education specialists provides an example of a successful study that can be adapted to other populations.A AJHE Self-Study quiz is online for this article via the SHAPE America Online Institute (SAOI) http://portal.shapeamerica.org/trn-Webinars., Competing Interests: Disclosure statement The authors declare that there is no conflict of interest.
- Published
- 2021
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8. The UnProcessed Pantry Project Framework to Address Nutrition in the Emergency Food System.
- Author
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Byker Shanks C, Weinmann E, Holder J, McCormick M, Parks CA, Vanderwood K, Coburn C, Johnson N, and Yaroch AL
- Subjects
- Humans, Nutritional Status, Poverty, United States, Diet, Healthy, Food Assistance standards, Food Supply standards
- Published
- 2019
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