Research Topics
| Katharine A BradleySummaryCountry: USA Publications
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Publications
Quality concerns with routine alcohol screening in VA clinical settingsKatharine A Bradley
Health Services Research and Development HSR and D, Veterans Affairs VA Puget Sound Health Care System, 1100 Olive Way, Suite 1400, Seattle, WA 98101, USA
J Gen Intern Med 26:299-306. 2011..Alcohol screening questionnaires have typically been validated when self- or researcher-administered. Little is known about the performance of alcohol screening questionnaires administered in clinical settings...
Are smoking and alcohol misuse associated with subsequent hospitalizations for ambulatory care sensitive conditions?Ryan B Chew
VA Health Services Research and Development, VA Puget Sound Health Care System, Seattle, WA 98101, USA
J Behav Health Serv Res 38:3-15. 2011..When ACSCs are used to evaluate the quality of care, health systems caring for populations with higher rates of smoking or nondrinking could falsely appear to have poorer quality care if alcohol and tobacco use are not considered...
Prevalence of alcohol misuse among men and women undergoing major noncardiac surgery in the Veterans Affairs health care systemKatharine A Bradley
Health Services Research and Development, Department of Veterans Affairs Puget Sound Health Care System, Seattle, WA, USA
Surgery 152:69-81. 2012..Severe alcohol misuse (AUDIT-C ≥9 points) is associated with increased postoperative health care use; however, little is known about the prevalence of alcohol misuse in demographic and clinical subgroups of surgical patients...
Association between alcohol screening results and hospitalizations for trauma in Veterans Affairs outpatientsEmily C Williams
Health Services Research and Development Northwest Center of Excellence, Veterans Affairs Puget Sound Health Care System, Seattle, WA 98101, USA
Am J Drug Alcohol Abuse 38:73-80. 2012..Alcohol consumption is a risk factor for traumatic injury, but it is unknown whether responses to alcohol screening questionnaires administered routinely in primary care are associated with subsequent hospitalization for traumatic injury...
AUDIT-C alcohol screening results and postoperative inpatient health care useAnna D Rubinsky
Health Services Research and Development, Department of Veterans Affairs Puget Sound Health Care System, Seattle, WA 98108, USA
J Am Coll Surg 214:296-305.e1. 2012..This study evaluated whether AUDIT-C scores in the year before surgery were associated with postoperative hospital length of stay, total ICU days, return to the operating room, and hospital readmission...
Alcohol screening scores and all-cause mortality in male Veterans Affairs patientsLeslie S Kinder
Northwest Center of Excellence for Health Services Research and Development, Department of Veterans Affairs, 1100 Olive Way, Suite 1400, Seattle, Washington 98101, USA
J Stud Alcohol Drugs 70:253-60. 2009..This study examined the association between scores (ranging from 0 to 12) on the three-item Alcohol Use Disorder Identification Test-Consumption Questionnaire (AUDIT-C) and mortality...
Two brief alcohol-screening tests From the Alcohol Use Disorders Identification Test (AUDIT): validation in a female Veterans Affairs patient populationKatharine A Bradley
Veteran Women s Alcohol Problems Study, Department of Veterans Affairs, Veterans Health Administration, Veterans Affairs Puget Sound Health Care System, Health Services Research and Development Service, Seattle, WA 98109, USA
Arch Intern Med 163:821-9. 2003..The Alcohol Use Disorders Identification Test (AUDIT) questions 1 through 3 (AUDIT-C), and AUDIT question 3 alone are effective alcohol-screening tests in male Veterans Affairs (VA) patients, but have not been validated in women...
Evaluation of an electronic clinical reminder to facilitate brief alcohol-counseling interventions in primary careEmily C Williams
Health Services Research and Development and Center of Excellence in Substance Abuse Treatment and Education, Veterans Affairs Puget Sound Health Care System, 1100 Olive Way, Suite 1400, Seattle, Washington 98101, USA
J Stud Alcohol Drugs 71:720-5. 2010..This study evaluated an electronic alcohol-counseling clinical reminder at a single Veterans Affairs general medicine clinic...
Using alcohol screening results and treatment history to assess the severity of at-risk drinking in Veterans Affairs primary care patientsKatharine A Bradley
Northwest Health Services Research and Development Center of Excellence, Primary and Specialty Medical Care Service, VA Puget Sound Health Care System, Seattle, WA 98108, USA
Alcohol Clin Exp Res 28:448-55. 2004..We evaluated whether scores on brief alcohol screening questionnaires and patient reports of prior alcohol treatment reflect the severity of recent problems due to drinking...
Readiness to change in primary care patients who screened positive for alcohol misuseEmily C Williams
Health Services Research and Development, VA Puget Sound Health Care System, Seattle, Wash 98101, USA
Ann Fam Med 4:213-20. 2006..This study was designed to assess readiness to change and its relationship to alcohol misuse severity among primary care patients whose screening questionnaire was positive for alcohol misuse...
Physical health and drinking among medical inpatients with unhealthy alcohol use: a prospective studyEmily C Williams
VA Health Services Research and Development, Seattle, WA, USA
Alcohol Clin Exp Res 34:1257-65. 2010..We tested associations between poor physical health and drinking after hospitalization and whether associations varied by alcohol dependence status and readiness to change...
Alcohol screening results in elderly male veterans: association with health status and mortalityIsabelle Peytremann Bridevaux
Northwest Health Services Research and Development Center of Excellence, Veterans Affairs Puget Sound Health Care System, Seattle, Washington 98108, USA
J Am Geriatr Soc 52:1510-7. 2004..To evaluate the association between alcohol screening results and health status or mortality in elderly patients...
Alcohol screening and risk of postoperative complications in male VA patients undergoing major non-cardiac surgeryKatharine A Bradley
Health Services Research and Development, Department of Veterans Affairs Puget Sound Health Care System, Seattle, WA 98101, USA
J Gen Intern Med 26:162-9. 2011..Four weeks of preoperative abstinence decreases the risk of complications, but practical approaches for early preoperative identification of alcohol misuse are needed...
Posttraumatic stress disorder in female veterans: association with self-reported health problems and functional impairmentDorcas J Dobie
Departments of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, USA
Arch Intern Med 164:394-400. 2004....
Association between alcohol screening scores and alcohol-related risks among female veterans affairs patientsLaura J Chavez
Health Services Research and Development, Veterans Affairs Puget Sound Health Care System, Seattle, WA 98101, USA
J Stud Alcohol Drugs 73:391-400. 2012..This study evaluated associations between scores on the three-item Alcohol Use Disorders Identification Test-consumption (AUDIT-C) questionnaire and self-reported alcohol-related risks and consequences among veteran women...
Increased documented brief alcohol interventions with a performance measure and electronic decision supportGwen T Lapham
Health Services Research and Development, VA Puget Sound Health Care System, Seattle, WA 98101, USA
Med Care 50:179-87. 2012..Alcohol screening and brief interventions (BIs) are ranked the third highest US prevention priority, but effective methods of implementing BI into routine care have not been described...
Effectiveness of the AUDIT-C as a screening test for alcohol misuse in three race/ethnic groupsDanielle Frank
VA Puget Sound Health Services Research and Development, Seattle, WA 98101, USA
J Gen Intern Med 23:781-7. 2008..However, the AUDIT-C was validated in predominantly White populations, and its performance in different racial/ethnic groups is unclear...
AUDIT-C as a brief screen for alcohol misuse in primary careKatharine A Bradley
Health Services Research and Development, VA Puget Sound Health Care System, Seattle, WA 98101, USA
Alcohol Clin Exp Res 31:1208-17. 2007..However, the AUDIT-C's validity and optimal screening threshold(s) in other clinical populations are unknown...
Alcohol screening scores and medication nonadherenceChris L Bryson
Health Services Research and Development Northwest Center of Excellence, Veterans Affairs Puget Sound Health Care System, and University of Washington, Seattle, Washington 98101, USA
Ann Intern Med 149:795-804. 2008..Medication nonadherence is common and is associated with adverse outcomes. Alcohol misuse may be a risk factor for nonadherence; however, evidence is limited...
The TWEAK is weak for alcohol screening among female Veterans Affairs outpatientsKristen R Bush
Department of Veterans Affairs, Veterans Health Administration, Veterans Affairs Puget Sound Health Care System, Center of Excellence in Substance Abuse Treatment and Education, Seattle, WA 98108, USA
Alcohol Clin Exp Res 27:1971-8. 2003....
Use of an electronic clinical reminder for brief alcohol counseling is associated with resolution of unhealthy alcohol use at follow-up screeningEmily C Williams
Northwest Center of Excellence for Health Services Research and Development, Veterans Affairs Puget Sound Health Care System, Seattle, WA, USA
J Gen Intern Med 25:11-7. 2010..The specific aims were to (1) determine the prevalence of use of the reminder and (2) evaluate whether use of the reminder was associated with resolution of unhealthy alcohol use at follow-up screening...
Recognition and management of alcohol misuse in OEF/OIF and other veterans in the VA: a cross-sectional studyEric J Hawkins
Health Services Research and Development, VA Puget Sound Health Care System, Seattle, WA 98108, USA
Drug Alcohol Depend 109:147-53. 2010....
Measuring performance of brief alcohol counseling in medical settings:a review of the options and lessons from the Veterans Affairs (VA) health care systemKatharine A Bradley
Health Services Research and Development, VA Puget Sound Health Care System, 1100 Olive Way, Seattle, WA 98101, USA
Subst Abus 28:133-49. 2007..Further research is needed in this important area of quality improvement...
The association between alcohol consumption and risk of COPD exacerbation in a veteran populationCourtney C Greene
Department of Medicine, University of Washington, Campus Box 356522, 1959 NE Pacific St, Seattle, WA 98195, USA
Chest 134:761-7. 2008..Our objective was to evaluate the association between alcohol consumption and the subsequent risk of COPD exacerbation...
Alcohol-related advice for Veterans Affairs primary care patients: Who gets it? Who gives it?Marcia L Burman
Northwest Health Services Research and Development Center of Excellence, Veterans Affairs Puget Sound Health Care System, Seattle, Washington 98108 1597, USA
J Stud Alcohol 65:621-30. 2004..This study evaluated primary care patient and provider characteristics associated with receipt of alcohol-related advice and whether patients were advised to drink less or to abstain...
Implementation of evidence-based alcohol screening in the Veterans Health AdministrationKatharine A Bradley
Health Services Research and Development 152, VA Puget Sound Health Care System, 1100 Olive Way, Ste 1400, Seattle, WA 98101, USA
Am J Manag Care 12:597-606. 2006..Despite evidence-based guidelines, brief alcohol screening and counseling have not been routinely integrated into most primary care practices in the United States...
Smoking cessation and the risk of hospitalization for pneumoniaLaura M Cecere
Health Services Research and Development HSR and D Northwest Center of Excellence, Department of Veterans Affairs Puget Sound Health Care System, Seattle, WA 98101, USA
Respir Med 106:1055-62. 2012..We sought to determine if smoking cessation and the duration of abstinence from tobacco reduce the risk of pneumonia hospitalization...
Estimating risk of alcohol dependence using alcohol screening scoresAnna D Rubinsky
Northwest Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, Seattle, WA 98101, USA
Drug Alcohol Depend 108:29-36. 2010..AUDIT or AUDIT-C scores could be used to estimate the probability of past-year alcohol dependence among patients who screen positive for alcohol misuse and inform clinical decision-making...
Depression, posttraumatic stress disorder, and mortalityLeslie S Kinder
Health Services Research and Development, Veterans Affairs Puget Sound Health Care System, Seattle, Washington, USA
Psychosom Med 70:20-6. 2008..To determine whether a history of depression and/or posttraumatic stress disorder (PTSD) is associated with all-cause mortality in primary care patients over an average of 2 years...
Alcohol screening scores and risk of hospitalizations for GI conditions in menDavid H Au
Health Services Research and Development, Seattle, Washington, USA
Alcohol Clin Exp Res 31:443-51. 2007....
Feedback from recently returned veterans on an anonymous web-based brief alcohol interventionGwen T Lapham
Health Services Research and Development HSR and D, Northwest Center of Excellence, Veterans Affairs VA Puget Sound Health Care System, 1100 Olive Way, Suite 1400, Seattle, WA 98101, USA
Addict Sci Clin Pract 7:17. 2012..This study adapted an electronic SBI (e-SBI) website shown to be efficacious in college students for OEF/OIF veterans and reported findings from interviews with OEF/OIF veterans about their impressions of the e-SBI...
Strategies to implement alcohol screening and brief intervention in primary care settings: a structured literature reviewEmily C Williams
Health Services Research and Development, Department of Veterans Affairs, VA Puget Sound Health Care System, 1100 Olive Way, Suite1400, Seattle, WA 98101, USA
Psychol Addict Behav 25:206-14. 2011....
How primary care providers talk to patients about alcohol: a qualitative studyKinsey A McCormick
Northwest Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, Seattle, WA, USA
J Gen Intern Med 21:966-72. 2006..Alcohol misuse is a common and well-documented source of morbidity and mortality. Brief primary care alcohol counseling has been shown to benefit patients with alcohol misuse...
Frequency of mastalgia among women veterans. Association with psychiatric conditions and unexplained pain syndromesKay M Johnson
Veterans Affairs Puget Sound Health Care System, Seattle, WA 98108, USA
J Gen Intern Med 21:S70-5. 2006..To determine the prevalence and frequency of mastalgia and its association with psychiatric conditions and unexplained pain syndromes...
Variation in documented care for unhealthy alcohol consumption across race/ethnicity in the Department of Veterans Affairs Healthcare SystemEmily C Williams
Health Services Research and Development, Seattle, Washington 98101, USA
Alcohol Clin Exp Res 36:1614-22. 2012..We describe alcohol-related care for 3 racial/ethnic groups among VA outpatients with unhealthy alcohol use...
Association between alcohol screening scores and diabetic self-care behaviorsRachel M Thomas
Health Services Research and Development Northwest Center of Excellence, Veterans Affairs VA Puget Sound Health Care System, Seattle, WA 98101, USA
Fam Med 44:555-63. 2012..This study investigated whether scores on a validated brief alcohol misuse screen are associated with diabetes self-care...
Screening for post-traumatic stress disorder in female Veteran's Affairs patients: validation of the PTSD checklistDorcas J Dobie
Mental Illness Research Education and Clinical Center, VA Puget Sound Health Care System and Department of Medicine, University of Washington, Seattle, WA 98195, USA
Gen Hosp Psychiatry 24:367-74. 2002..86 (95% CI 0.82-0.90). A PCL score of 38 optimized the performance of the PCL as a screening test (sensitivity 0.79, specificity 0.79). The PCL performed well as a screening measure for the detection of PTSD in female VA patients...
Screening for substance abuse and psychiatric disorders among women patients in a VA Health Care SystemTania M Davis
Veterans Affairs Puget Sound Health Care System, Seattle, WA 98108, USA
Psychiatr Serv 54:214-8. 2003..This study of women Veterans Affairs (VA) health care patients screened for the prevalence of past-year smoking, hazardous and problem drinking, other drug abuse, and psychiatric disorders...
Effects of sustained audit/feedback on self-reported health status of primary care patientsStephan D Fihn
Northwest VA Health Services Research and Development Center of Excellence, Seattle, Washington 98108, USA
Am J Med 116:241-8. 2004..Because limited audit/feedback of health status information has yielded mixed results, we evaluated the effects of a sustained program of audit/feedback on patient health and satisfaction...
Prevalence of hysterectomy and associated factors in women Veterans Affairs patientsCarolyn Gardella
Peri operative and Surgical Care, Department of Veterans Affairs, Veterans Health Administration, VA Puget Sound Health Care System, Seattle, WA, USA
J Reprod Med 50:166-72. 2005..To estimate the prevalence of hysterectomy and associated factors in women veterans who access care at a Veterans Affairs medical center...
Television viewing practices and obesity among women veteransKay M Johnson
Primary and Specialty Medical Care Service, VA Puget Sound Health Care System, Seattle, WA 98108, USA
J Gen Intern Med 21:S76-81. 2006..Obesity is epidemic in the U.S. and has been associated with television viewing...
Examining quality issues in alcohol misuse screeningEric J Hawkins
Health Services Research and Development, Center of Excellence in Substasnce Abuse Treatment and Education, 1160 S Colombian Way, Seattle, WA 98108, USA
Subst Abus 28:53-65. 2007..Lower rates of alcohol use and misuse documented in medical records compared to mailed surveys suggest further investigation and standardization of clinical screening are necessary...
The impact of low health literacy on surgical practiceLisa D Chew
VA Puget Sound Health Care System, Health Services Research and Development S 152, 1660 S Columbian Way, Seattle, WA 98108, USA
Am J Surg 188:250-3. 2004..We sought to determine the prevalence of low health literacy (LHL) among patients in a preoperative clinic, the characteristics associated with LHL, and the association between LHL and adherence to preoperative instructions...
Association between alcohol consumption and diabetes preventive practicesLisa D Chew
VA Puget Sound Health Care System, Seattle, WA, USA
Fam Med 37:589-94. 2005..Little is known about the effect of alcohol consumption on the quality of care among patients with diabetes. We evaluated the association between alcohol consumption and diabetes preventive practices...
Validation of screening questions for limited health literacy in a large VA outpatient populationLisa D Chew
Department of Medicine, Division of General Internal Medicine, University of Washington, Harborview Medical Center, Seattle, WA, USA
J Gen Intern Med 23:561-6. 2008..We evaluated and compared the performance of 3 health literacy screening questions for detecting patients with inadequate or marginal health literacy in a large VA population...
Alcohol screening scores predict risk of subsequent fracturesAlex H S Harris
Center for Health Care Evaluation MC152, VA Palo Alto Health Care System, 795 Willow Road, Menlo Park, CA 94025, USA
Subst Use Misuse 44:1055-69. 2009..These results can be used to provide feedback to patients linking their alcohol screening scores to medical outcomes-a critical component of evidence-based brief counseling for alcohol misuse. The study's limitations are noted...
Associations between AUDIT-C and mortality vary by age and sexAlex H S Harris
Center for Health Care Evaluation, VA Palo Alto Health Care System and Stanford University School of Medicine Menlo Park, CA 94025, USA
Popul Health Manag 13:263-8. 2010..This study adds to the growing literature establishing the AUDIT-C as a scaled marker of alcohol-related risk or "vital sign" that might facilitate the detection and management of alcohol-related risks and problems...
Preoperative alcohol screening scores: association with complications in men undergoing total joint arthroplastyAlex H S Harris
VA Palo Alto Health Care System, Palo Alto, California, USA
J Bone Joint Surg Am 93:321-7. 2011..The purpose of this study was to evaluate the association between a patient's preoperative standardized alcohol-misuse screening score and his or her risk of complications after total joint arthroplasty...
The effects of smoking cessation on the risk of chronic obstructive pulmonary disease exacerbationsDavid H Au
Health Services Research and Development, VA Puget Sound Health Care System, 1660 S Columbian Way 152, Seattle, WA 98108, USA
J Gen Intern Med 24:457-63. 2009..There is a paucity of evidence about the effects of smoking cessation on the risk of COPD exacerbations...
A population-based study of HIV testing practices and perceptions in 4 U.S. statesTraci A Takahashi
Northwest Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, Seattle, WA 98108, USA
J Gen Intern Med 20:618-22. 2005..To evaluate testing practices and perceptions of HIV risk among a geographically diverse, population-based sample of sexually active adults who reported behaviors that could transmit HIV...
Burnout and self-reported patient care in an internal medicine residency programTait D Shanafelt
University of Washington, Veterans Affairs Northwest Health Services Research and Development Center of Excellence, and Veterans Affairs Puget Sound Health Care System, Seattle, Washington 98108, USA
Ann Intern Med 136:358-67. 2002..CONCLUSION: Burnout was common among resident physicians and was associated with self-reported suboptimal patient care practices...
Association between alcohol screening scores and mortality in black, Hispanic, and white male veteransEmily C Williams
Northwest Center of Excellence for Health Services Research and Development HSR and D, Veterans Affairs VA Puget Sound Health Care System, Seattle, Washington 98101, USA
Alcohol Clin Exp Res 36:2132-40. 2012..Scores on the Alcohol Use Disorders Identification Test Consumption (AUDIT-C) questionnaire are associated with mortality, but whether or how associations vary across race/ethnicity is unknown...
Brief questions to identify patients with inadequate health literacyLisa D Chew
Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, Seattle, WA 98101, USA
Fam Med 36:588-94. 2004..No practical method for identifying patients with low heath literacy exists. We sought to develop screening questions for identifying patients with inadequate or marginal health literacy...
Type and location of injection drug use-related soft tissue infections predict hospitalizationTraci A Takahashi
Northwest Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, 1660 South Columbian Way, Seattle, WA 98108, USA
J Urban Health 80:127-36. 2003....
Alcohol-related discussions during general medicine appointments of male VA patients who screen positive for at-risk drinkingKatharine A Bradley
Northwest Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, Seattle, WA 98108, USA
J Gen Intern Med 17:315-26. 2002..This study describes primary care discussions with patients who screened positive for at-risk drinking. In addition, discussions about alcohol use from 2 clinic firms, one with a provider-prompting intervention, are compared...
