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Articles 1 - 30 of 38
Full-Text Articles in Medicine and Health Sciences
Health Impacts Of Remote Work, Tin Nhan Nguyen
Health Impacts Of Remote Work, Tin Nhan Nguyen
Family Medicine Clerkship Student Projects
Remote work has increased in frequency in the past few years with a notable rise in Connecticut. While working from home has certain benefits, it can also increase the risk of certain physical and mental health issues. An educational pamphlet on the health impacts of remote work with suggestions to reduce negative effects was developed and distributed to community members.
Associations Between Daily Wellness Behaviors And Outcomes Among Medical Students, Ankrish Milne, Alexandra Novelli, Carly Watson, Hakeem Yousef, William Copeland, Leigh Ann Holterman, Lee Rosen, Yang Bai, Azilee Curl, Samuel Pasqualoni, Stephen Kirby, Xixi Halvorson-Phelan, James Hudziak
Associations Between Daily Wellness Behaviors And Outcomes Among Medical Students, Ankrish Milne, Alexandra Novelli, Carly Watson, Hakeem Yousef, William Copeland, Leigh Ann Holterman, Lee Rosen, Yang Bai, Azilee Curl, Samuel Pasqualoni, Stephen Kirby, Xixi Halvorson-Phelan, James Hudziak
Larner College of Medicine Fourth Year Advanced Integration Teaching/Scholarly Projects
Objective: Explore which wellness behaviors have the greatest impact on wellbeing outcomes in medical students.
Methods: A total of 213 medical students were enrolled in this study between June and September 2021. Participants completed a battery of online surveys, including demographic information, and 60-second nightly surveys on the WE-MD smartphone app, which assessed wellness-related indicators (exercise duration, sleep quality, nutrition quality, etc.) and wellbeing outcomes (mood, focus, stress, etc.).
Results: 116 participants completed >50% of nightly surveys between September 2021 and November 2021 and were included in the analysis. All wellness indicators were significantly associated with at least one wellness …
Improving Depression Screening Protocol And Subsequent Sbirt Referrals, Mclaine S. Rich
Improving Depression Screening Protocol And Subsequent Sbirt Referrals, Mclaine S. Rich
Family Medicine Clerkship Student Projects
As a federally qualified health center, Lamoille Health Family Medicine receives annual data evaluating their performance in a number of categories. They exceeded expectations in screening eligible patients for depression, yet did not see the same success in referrals following a positive screening. After discussing with nursing and physician staff it became clear that there were discrepancies regarding office workflow/specific responsibilities. Moreover, some physicians expressed that they were unsure exactly how to handle positive screening results. This flowsheet developed will alleviate confusion in who is responsible for each step of screening, and uses evidence based guidelines for when to refer …
New Americans Accessing Mental Health Services, Alexander M. Kubacki
New Americans Accessing Mental Health Services, Alexander M. Kubacki
Family Medicine Clerkship Student Projects
No abstract provided.
Suicide Screening At Tchc, William J. Yakubik Iii
Suicide Screening At Tchc, William J. Yakubik Iii
Family Medicine Clerkship Student Projects
Vermont is currently battling with a mental health epidemic and one of the consequences of mental illness is suicide and self-harm. According to the Vermont Department of Health Vermont’s suicide rate is higher than the national average and suicide is the 8th leading cause of death in the state. Every part of medicine especially primary care is struggling with providing adequate resources for the demand needed to provide quality mental health care. Thomas Chittenden Health Center (TCHC) is no stranger to these demands and is working on ways to ensure each patient has access to the care they need. The …
Improving Mental Health Access In A Rural Setting Via Telehealth, Timothy W. Greenfield
Improving Mental Health Access In A Rural Setting Via Telehealth, Timothy W. Greenfield
Family Medicine Clerkship Student Projects
There are several barriers patients face when accessing mental healthcare in rural areas including: lack of internet, lack of resources, and stigma.
Local options are limited, and patients face barriers such as access to transportation.
These factors position telehealth as a unique, tangible solution for patients in the community.
Community Services For Patient Referral Document, Jett Choquette
Community Services For Patient Referral Document, Jett Choquette
Family Medicine Clerkship Student Projects
Patients have a need for referral to a variety of services that directly relate to their health and wellbeing that are not generally included in the traditional referral system of healthcare networks. These services include (but are not limited to) social work support, pandemic support, elderly services, LQBTQ+ services, intimate partner violence services, functional medicine, and substance use disorder and mental health support and treatment. Because these services are not part of the traditional healthcare referral system, healthcare providers may not have an up-to-date list of organizations and programs in the community that could provide these needed services. This is …
Creating A Screening Tool To Prevent Intimate Partner Violence (Ipv), Ankrish B. Milne
Creating A Screening Tool To Prevent Intimate Partner Violence (Ipv), Ankrish B. Milne
Family Medicine Clerkship Student Projects
No abstract provided.
Effects Of Gender, Physical Activity, Weight Status, And Mental Health Symptomatology On Primary Care Utilization, John W. Carew, Jaime Cotton, Hannah Shoshan, Alex Gevirtz, Thomas Delaney, Donna O'Malley
Effects Of Gender, Physical Activity, Weight Status, And Mental Health Symptomatology On Primary Care Utilization, John W. Carew, Jaime Cotton, Hannah Shoshan, Alex Gevirtz, Thomas Delaney, Donna O'Malley
Master of Public Health Culminating Projects
Objectives. To determine the association between weight status, gender, physical activity, and mental health symptomatology on utilizing primary care in the last year.
Methods. We used data from the 2019 Vermont Behavioral Risk Factor Surveillance System. We used multivariate logistic regression and X2 tests of association to assess factors associated with primary care utilization.
Results. Gender and obese or overweight status are significantly associated with one’s likelihood of utilizing healthcare in the past year. For those with 1-13 bad mental health days, the odds of having utilized healthcare in the past year are 1.65 times greater among women than …
Increasing Mental Health Resource Access During The Covid-19 Pandemic, Valerie Braddick
Increasing Mental Health Resource Access During The Covid-19 Pandemic, Valerie Braddick
Family Medicine Clerkship Student Projects
No abstract provided.
Cbt In Primary Care, Brianna J. Spano
Cbt In Primary Care, Brianna J. Spano
Family Medicine Clerkship Student Projects
This is a community improvement project designed to address the growing need for and shortage of mental health care in Vermont. The project focuses on creating a brief training tool and guide for primary care physicians to be able to incorporate cognitive behavioral therapy in their practice.
Promoting Community Health During The Covid-19 Pandemic, Erik J. Zhang
Promoting Community Health During The Covid-19 Pandemic, Erik J. Zhang
Family Medicine Clerkship Student Projects
The COVID-19 pandemic has affected aspects of health and community beyond the acute phase of COVID-19 infection, including chronic health conditions, mental health, substance use, food insecurity, access to healthcare, and housing insecurity. Further, existing disparities in these factors and other social determinants of health such as socioeconomic status, education, neighborhood, and physical environment have been exacerbated by the response to the COVID- 19 pandemic. Community members face negative health impacts as a result of the COVID-19 pandemic and response. They should be made aware of community resources for immediate and long-term solutions to the difficulties they experience.
Suicide And Non-Suicidal Self-Injury Among Vermont High School Students: An Analysis Of Associated Health-Behavior Variables, Douglas Michael Lebo, Catherine Markesich, Ida Sargent, Mika Smith, Mariana Wingood, Heidi Hales
Suicide And Non-Suicidal Self-Injury Among Vermont High School Students: An Analysis Of Associated Health-Behavior Variables, Douglas Michael Lebo, Catherine Markesich, Ida Sargent, Mika Smith, Mariana Wingood, Heidi Hales
Master of Public Health Culminating Projects
Objectives: To determine the prevalence of suicidal ideation (SI) and non-suicidal self-injury (NSSI) among Vermont high schoolers and examine their relationship with health-behavior and demographic variables.
Methods: We used responses to the 2019 Centers for Disease Control and Prevention Youth Risk Behavior Surveillance survey from Vermont high schoolers (n = 18 613) to perform bivariate logistic regression analyses of variables thought to predict SI and NSSI.
Results: In 2019, 14.8% of Vermont high schoolers reported SI in the past year, and 18.9% reported NSSI. Lower grade level, LGBT identity, self-perception as over- or underweight, being bullied, alcohol use, smoking, and …
Associations Between Demographic Factors And Suicide Deaths In Vermont: 2015-2019, Isabelle Tomanelli, Lucy Lincoln, Stephanie Stead, Mary Ryan-Eldred, Nick Martin, Sarah Vose
Associations Between Demographic Factors And Suicide Deaths In Vermont: 2015-2019, Isabelle Tomanelli, Lucy Lincoln, Stephanie Stead, Mary Ryan-Eldred, Nick Martin, Sarah Vose
Master of Public Health Culminating Projects
Objectives. To quantify the complex relationships shared between numerous risk factors associated with suicide among Vermont decedents.
Methods. Vermont Electronic Death Registration System (EDRS) data from 2015-2019 were examined through binary logistic regression analyses to examine demographic variables’ ability to predict death by suicide.
Results. In the analysis of 26,738 deaths, significant predictors of suicide among the 535 suicide decedents included rurality (odds ratio [OR] = 1.043; 95% CI = 1.016, 1.071; P = 0.002), divorce (OR = 1.785; 95% CI = 1,396, 2.281; P < 0.001), and higher educational attainment including associate degree (OR = 1.472; 95% CI = 1.033, 2.098; P = 0.032), bachelor’s degree (OR = 1.686; 95% CI = 1.266, 2.247; P < 0.001), master’s degree (OR = 1.812; 95% CI = 1.162, 2.826; P …
Improving The Therapeutic Environment In The Crisis Stabilization Unit At Glens Falls Hospital, Emma Hall
Improving The Therapeutic Environment In The Crisis Stabilization Unit At Glens Falls Hospital, Emma Hall
Family Medicine Clerkship Student Projects
The Crisis Stabilization Unit (CSU) at Glens Falls Hospital provides a separate, safe space within the Emergency Department for adults and children struggling with mental health crises to stabilize before discharge or admission to an inpatient psychiatric unit. An increase in mental health crises over the past 10+ years plus a shortage of nearby inpatient beds, especially for adolescents and children, has led to longer stays in the CSU. Longer stays in a place not built for therapeutic intervention but rather for crisis stabilization may lead to increased agitation, prolonged stays or prolonged time to stabilize a patient, and potentially …
Opportunities For Patient Self-Reflection During Acute Phase Of Depression Treatment, Millen Abselab
Opportunities For Patient Self-Reflection During Acute Phase Of Depression Treatment, Millen Abselab
Family Medicine Clerkship Student Projects
This project for UVMMC Family Medicine at Hinesburg investigates the acute phase of depression treatment for adult patients and introduces opportunities for patient empowerment during this 4-to-6-week window through de-identified automated text surveys for self-reflection about treatment and pattern tracking contributory to mood. Sample text survey built on Beck Depression Inventory (BDI-II) and deployment of text surveys is based on Mosio. Future interventions can utilize mobile phone apps based on patient response to surveys.
Community Resources Addressing Peripartum Depression, Tiffany L. Lao
Community Resources Addressing Peripartum Depression, Tiffany L. Lao
Family Medicine Clerkship Student Projects
Peripartum mood disorders affect a large proportion of new mothers as well as their families, partners, and support systems. This project aims to provide patients with information about peripartum mood disorders as part of their initial prenatal packet. Also included are a list of local community resources specifically addressing peripartum mood disorders for patients seeking additional support outside of their primary care office.
Setting Expectations For Mental Healthcare Referral, Emily Bennett
Setting Expectations For Mental Healthcare Referral, Emily Bennett
Family Medicine Clerkship Student Projects
Patients are referred to mental health care by their primary care providers, but there is often a misunderstanding of what that process looks like. This project aimed to understand the referral process and create improvements that will help patients stay engaged to improve their mental wellbeing.
Mental Health Technology During The Era Of Covid-19, Michael Tabet
Mental Health Technology During The Era Of Covid-19, Michael Tabet
Family Medicine Clerkship Student Projects
Mental health symptoms - especially those of depression and anxiety - have become more prevalent during the COVID pandemic. As seen in previous years, direct and indirect costs of depression can be staggering. Apps exist on smart devices that are based in evidence-based practices that can be therapeutic for mental health issues such as depression, anxiety, and insomnia. A simple handout with some suggested popular mental health apps and accompanying descriptions was created to be used in the CVPH Family Medicine clinic to increase awareness of these apps among patients suffering from depression, anxiety, and insomnia.
Increasing Patient Access To Lgbtq+ Healthcare Through Expanding The Vermont Diversity Health Project, Rachel Harrison
Increasing Patient Access To Lgbtq+ Healthcare Through Expanding The Vermont Diversity Health Project, Rachel Harrison
Family Medicine Clerkship Student Projects
Numerous studies have documented various disparities in health outcomes and barriers to healthcare access for LGBTQ+ individuals. One major way to combat this is to increase access to healthcare for LGBTQ+ patients and increase provider knowledge of how to best care for them. Through expanding the Vermont Diversity Health Project database of providers and having providers participate in LGBTQ+ Best Practices trainings (both hosted by Pride Center of Vermont), we may reduce LGBTQ+ health disparities in our local community.
Improving Access To Meditation And Mindfulness For The Management Of Anxiety, Stress, And Other Chronic Diseases Of Chronic, Jesse Naumann, Alex Cohen
Improving Access To Meditation And Mindfulness For The Management Of Anxiety, Stress, And Other Chronic Diseases Of Chronic, Jesse Naumann, Alex Cohen
Family Medicine Clerkship Student Projects
Chronic diseases can have an enormous burden on not only an individual’s quality of life, but their economic output as well. The challenge is that many patients with a chronic disease are not fully treated despite many different medications and doctor’s appointments. Mindfulness is an extremely beneficial tool that can be used as an adjunctive treatment for different chronic health diseases including anxiety, depression, insomnia, chronic pain, and many others. An enormous barrier is that many patients are unsure about what mindfulness truly is, and where one can go about accessing mindfulness resources. Our goal was to create a quick …
Assessment And Awareness Of Mental Health Conditions Among Refugees In Vermont, Sandi Caus
Assessment And Awareness Of Mental Health Conditions Among Refugees In Vermont, Sandi Caus
Family Medicine Clerkship Student Projects
Refugees experience profound hardship in their home-country, displaced country and throughout the period of re-settlement. Experiences like direct or indirect exposure to traumatic events, torture, sexual abuse and stigmatized refugee identity post-resttlement are major risk factors for the development of mental health coniditions inlcuding PTSD, depression and psychosis. Despite major risk factors for the development of mental health conditions, culturally-specific mental health stigma persists as a major barrier to addressing mental health among refugees. This project emphasizes techniques and self-education that can be utilized to improve mentah health screening and identification among refugee patients in Vermont.
Assessing Barriers To Mental Health Resources, Young Bo Sim
Assessing Barriers To Mental Health Resources, Young Bo Sim
Family Medicine Clerkship Student Projects
This project was done to assess patients' barriers to mental health services in Newtown Primary Care. The project focused on identifying and developing questionnaires to assess if there were any perceived barriers and what those barriers were.
Quantifying Language Changes Surrounding Mental Health On Twitter, Anne Marie Stupinski
Quantifying Language Changes Surrounding Mental Health On Twitter, Anne Marie Stupinski
Graduate College Dissertations and Theses
Mental health challenges are thought to afflict around 10% of the global population each year, with many going untreated due to stigma and limited access to services. Here, we explore trends in words and phrases related to mental health through a collection of 1- , 2-, and 3-grams parsed from a data stream of roughly 10% of all English tweets since 2012. We examine temporal dynamics of mental health language, finding that the popularity of the phrase ‘mental health’ increased by nearly two orders of magnitude between 2012 and 2018. We observe that mentions of ‘mental health’ spike annually and …
Physical Activity Levels And Depressive Disorder: A Cross-Sectional Sample Of Vermont Adults, Paige Stefanak, Obichukwu Ezennia, Marley Jurgensmeyer, Jessica Dubetsky, Elise Carlson
Physical Activity Levels And Depressive Disorder: A Cross-Sectional Sample Of Vermont Adults, Paige Stefanak, Obichukwu Ezennia, Marley Jurgensmeyer, Jessica Dubetsky, Elise Carlson
Master of Public Health Culminating Projects
Objective: To investigate the association between meeting physical activity (PA) recommendations and having ever been told of having a depressive disorder in a cross-sectional sample of Vermont adults.
Methods: Study participants (n = 11,429) were Vermont residents that had answered all required questions from 2015 and 2017 Behavioral Risk Factor Surveillance System (BRFSS) telephone surveys. Descriptive and binary logistic analyses were run with PA as the exposure variable and depression as the outcome variable.
Results: Study participants were 44.5% males; 93.2% white/non-Hispanic; 67.6% with some college or more; 46% age 60 or over; 45.8% employed for wages and retired. A …
Phq-9, But In Spanish, Jose Calderon
Phq-9, But In Spanish, Jose Calderon
Family Medicine Clerkship Student Projects
Spanish speaking patients are often missed for depression. A common issue is lack of awareness of the Spanish version of the PHQ-9
Addressing Adolescent And Young Adult Mental Health During The Covid-19 Pandemic, Megan Boyer
Addressing Adolescent And Young Adult Mental Health During The Covid-19 Pandemic, Megan Boyer
Family Medicine Clerkship Student Projects
This quality improvement project at South Burlington Family Medicine aimed to investigate the mental health of individuals ages 13-25 in our practice during the COVID-19 pandemic. Eligible patients received a PHQ-9 questionnaire with two additional questions related to COVID-19. Recommendations for future interventions to serve this population were made based on these preliminary findings, with the goal of doing a full PDSA cycle in the near future.
Applications Of Wearable Sensors In Delivering Biologically Relevant Signals, Jordyn Scism
Applications Of Wearable Sensors In Delivering Biologically Relevant Signals, Jordyn Scism
Graduate College Dissertations and Theses
With continued advancements in wearable technologies, the applications for their use are growing. Wearable sensors can be found in smart watches, fitness trackers, and even our cellphones. The common applications in everyday life are usually step counting, activity tracking, and heart rate monitoring. However, researchers have developed ways to use these similar sensors for clinically relevant diagnostic measures, as well as, improved athletic training and performance. Two areas of interest for the use of wearable sensors are mental health diagnostics in children and heart rate monitoring during intense physical activity from new locations, which are discussed further in this thesis. …
Patient Education On The Association Of Hormonal Contraception With Depression, Julia E. Hannigan
Patient Education On The Association Of Hormonal Contraception With Depression, Julia E. Hannigan
Family Medicine Clerkship Student Projects
Hormonal contraceptive agents are widely used by women during their reproductive years. In recent years, research has been released linking hormonal contraception with the initiation of antidepressant medication and a first diagnosis of depression. More research is still warranted in order to further elucidate the relationship between hormonal contraception and depression, but current evidence prompts the necessity for shared decision making between clinicians and women considering treatment with hormonal contraceptive agents. The goal of this project is to give providers easily accessible patient educational materials in the form of epic smart phrases to aid in informed decision making.
Referral Patterns And Service Provision In Child Protective Services: Child, Caregiver, And Case Predictors, Hannah Mead Holbrook
Referral Patterns And Service Provision In Child Protective Services: Child, Caregiver, And Case Predictors, Hannah Mead Holbrook
Graduate College Dissertations and Theses
Child maltreatment, and recurrent maltreatment in particular, occurs at an alarmingly high rate. Frequency of reports to Child Protective Services (CPS) is associated with negative psychological outcomes, and children whose reports are unsubstantiated experience similar risk of behavioral, emotional, and substance use disorders as those whose reports are substantiated. Prior research has demonstrated that children with no CPS reports and children with one CPS report showed no significant differences in rates of maltreatment perpetration or substance use in adulthood, suggesting that prevention efforts after one report may have strong merit in reducing negative outcomes in adulthood. However, patterns and risk …