2018
Duration of opioid prescriptions predicts incident nonmedical use of prescription opioids among U.S. veterans receiving medical care
Barry DT, Marshall BDL, Becker WC, Gordon AJ, Crystal S, Kerns RD, Gaither JR, Gordon KS, Justice AC, Fiellin DA, Edelman EJ. Duration of opioid prescriptions predicts incident nonmedical use of prescription opioids among U.S. veterans receiving medical care. Drug And Alcohol Dependence 2018, 191: 348-354. PMID: 30176548, PMCID: PMC6596307, DOI: 10.1016/j.drugalcdep.2018.07.008.Peer-Reviewed Original ResearchConceptsPrescription opioid receiptPrescription opioidsMedical careOpioid receiptVeterans Health Administration primary careNonmedical useMultivariable Cox modelInfectious disease clinicProspective cohort studyProportional hazards regressionPrescription opioid medicationsPublic health problemSubstance use disordersMedication-related characteristicsOpioid therapyOpioid medicationsOpioid prescriptionsCohort studyDisease clinicMedian ageHazards regressionEligible participantsPrimary careRisk factorsIncidence rate
2016
Protocol for three parallel multi-site stepped care effectiveness studies for unhealthy alcohol use in HIV-positive patients
Edelman EJ, Maisto SA, Hansen NB, Cutter CJ, Dziura J, Fiellin LE, O'Connor PG, Bedimo R, Gibert C, Marconi VC, Rimland D, Rodriguez-Barradas MC, Simberkoff MS, Justice AC, Bryant KJ, Fiellin DA. Protocol for three parallel multi-site stepped care effectiveness studies for unhealthy alcohol use in HIV-positive patients. Contemporary Clinical Trials 2016, 52: 80-90. PMID: 27876616, PMCID: PMC5253227, DOI: 10.1016/j.cct.2016.11.008.Peer-Reviewed Original ResearchConceptsUnhealthy alcohol useAlcohol use disorderHIV-positive patientsMotivational enhancement therapyAlcohol useWeek 12Risk drinkingWeek 4Effective evidence-based treatmentsInfectious disease clinicHIV-positive individualsModerate alcohol useEvidence-based treatmentsParticipants meeting criteriaImplementation of interventionsVACS IndexHIV careSecondary outcomesCare trialsDisease clinicHIV morbidityPrimary outcomeAlcohol pharmacotherapyInitial treatmentLiver disease
2015
Drinking trajectories among HIV-infected men who have sex with men: A cohort study of United States veterans
Marshall BD, Operario D, Bryant KJ, Cook RL, Edelman EJ, Gaither JR, Gordon AJ, Kahler CW, Maisto SA, McGinnis KA, van den Berg JJ, Zaller ND, Justice AC, Fiellin DA. Drinking trajectories among HIV-infected men who have sex with men: A cohort study of United States veterans. Drug And Alcohol Dependence 2015, 148: 69-76. PMID: 25596785, PMCID: PMC4330114, DOI: 10.1016/j.drugalcdep.2014.12.023.Peer-Reviewed Original ResearchConceptsHazardous alcohol useGeneralized estimates equationsAlcohol useCohort studyVeterans Aging Cohort StudyMean AUDIT-C scoreInfectious disease clinicAging Cohort StudyAlcohol-related diagnosesAUDIT-C scoresAlcohol use trajectoriesConcurrent substance useGroup-based trajectory modelsDisease clinicMean ageEight-year study periodUS veteransMultivariable modelModifiable targetsSelf-report assessmentsHIVAlcohol consumptionUse trajectoriesStudy periodSubstance use
2013
Measuring alcohol consumption using Timeline Followback in non-treatment-seeking medical clinic patients with and without HIV infection: 7-, 14-, or 30-day recall.
Fiellin DA, Mcginnis KA, Maisto SA, Justice AC, Bryant K. Measuring alcohol consumption using Timeline Followback in non-treatment-seeking medical clinic patients with and without HIV infection: 7-, 14-, or 30-day recall. Journal Of Studies On Alcohol And Drugs 2013, 74: 500-4. PMID: 23490581, PMCID: PMC3602364, DOI: 10.15288/jsad.2013.74.500.Peer-Reviewed Original ResearchConceptsTimeline FollowbackAlcohol consumptionHeavy episodic drinkingHIV infectionHIV statusEpisodic drinkingPercent agreementInfectious disease clinicMedical clinic patientsKappa statisticsUninfected menDisease clinicSpearman correlation coefficientClinic patientsClinic subjectsOptimal time windowHIVMedical careMedical clinicsPatientsGold standardClinicInfectionDrinkingDays
2005
Differences between Infectious Diseases—Certified Physicians and General Medicine—Certified Physicians in the Level of Comfort with Providing Primary Care to Patients
Fultz SL, Goulet JL, Weissman S, Rimland D, Leaf D, Gibert C, Rodriguez-Barradas MC, Justice AC. Differences between Infectious Diseases—Certified Physicians and General Medicine—Certified Physicians in the Level of Comfort with Providing Primary Care to Patients. Clinical Infectious Diseases 2005, 41: 738-743. PMID: 16080098, DOI: 10.1086/432621.Peer-Reviewed Original ResearchConceptsID clinicComorbid conditionsActive antiretroviral therapyInfectious disease clinicCommon comorbid conditionsHuman immunodeficiency virusGeneral medical clinicLevel of comfortAntiretroviral therapyComorbid diseasesDisease clinicSuch patientsSelf-reported comfortImmunodeficiency virusPrimary careHIV medicinePrescribing medicationsSubstantial prevalencePatientsPhysician levelClinicMedical clinicsGeneralist physiciansHypertensionHyperlipidemia
2002
Clinical Importance of HIV and Depressive Symptoms Among Veterans with HIV Infection
Kilbourne AM, Justice AC, Rollman BL, McGinnis KA, Rabeneck L, Weissman S, Smola S, Schultz R, Whittle J, Rodriguez‐Barradas M. Clinical Importance of HIV and Depressive Symptoms Among Veterans with HIV Infection. Journal Of General Internal Medicine 2002, 17: 512-520. PMID: 12133141, PMCID: PMC1495073, DOI: 10.1046/j.1525-1497.2002.10803.x.Peer-Reviewed Original ResearchConceptsSevere depressive symptomsIllness severityHIV symptomsDepressive symptomsHIV infectionClinical importanceHIV Symptom IndexEpidemiologic Studies Depression ScaleInfectious disease clinicPatient illness severitySeverity of illnessSignificant depressive symptomsCross-sectional studyVA Medical CenterHealth care providersDepression symptom severityAntiretroviral useDisease clinicViral loadCommon symptomsSymptom IndexDepression statusSymptom frequencyDepression ScaleMedical Center
2001
Veterans aging cohort three-site study (VACS 3) overview and description
Smola S, Justice AC, Wagner J, Rabeneck L, Weissman S, Rodriguez-Barradas M, Team F. Veterans aging cohort three-site study (VACS 3) overview and description. Journal Of Clinical Epidemiology 2001, 54: s61-s76. PMID: 11750212, DOI: 10.1016/s0895-4356(01)00448-6.Peer-Reviewed Original ResearchConceptsHIV infectionProvider surveyVeterans Affairs Medical CenterMedian CD4 countVeterans Aging CohortMedian viral loadUse of cigarettesFuture clinical interventionsInfluence of ageCD4 countAntiretroviral medicationsComorbid diseasesDisease clinicViral loadPoor outcomeMean ageThree-site studyAlternative therapiesAge-related differencesCopies/Medical CenterHIVAging CohortTwelve-monthClinical interventions