Paul A Pirraglia
- Benefits of a primary care clinic co-located and integrated in a mental health setting for veterans with serious mental illnessPaul A Pirraglia
Systems Outcomes and Quality in Chronic disease and Rehabilitation, Providence VA Medical Center, 830 Chalkstone Ave, Bldg 32, Providence, RI 02908, USA
Prev Chronic Dis 9:E51. 2012..We tested whether implementation of such a program affected health service use and cardiovascular risk factor control among veterans with serious mental illness who had previously demonstrated limited primary care engagement...
- Maintenance of cardiovascular risk goals in veterans with diabetes after discharge from a cardiovascular risk reduction clinicPaul A Pirraglia
Systems, Outcomes, and Quality in Chronic Disease and Rehabilitation SOQCR Program, Providence VA Medical Center, 830 Chalkstone Avenue, Building T32, Providence, RI 02908 4799, USA
Prev Cardiol 12:3-8. 2009..Worse control at entry predicted failure after successful attainment of a cardiovascular goal. More sustained attention or booster interventions for patients with worse control at entry may be necessary...
- A prospective study of the impact of comorbid medical disease on bipolar disorder outcomesPaul A Pirraglia
Providence VA Medical Center and the Warren Alpert Medical School of Brown University, United States
J Affect Disord 115:355-9. 2009..It is unclear which aspect of medical comorbidity is responsible: simple disease count, risk for future morbidity, or current physical burden...
- Effectiveness of a multifactorial cardiovascular risk reduction clinic for diabetes patients with depressionPaul A Pirraglia
Program to Integrate Psychosocial and Health Services in Chronic Diseases and Disability, Providence Veterans Affairs Medical Center, 830 Chalkstone Ave, Bldg T32, Providence, RI 02908 4799, USA
Prev Chronic Dis 5:A127. 2008..We examined the relationship between depression diagnosis and responsiveness to the Cardiovascular Risk Reduction Clinic...
- The interaction of depression and diabetes: a reviewPaul A Pirraglia
Providence VA Medical Center, 830 Chalkstone Avenue, Providence, RI 02908 4799, USA
Curr Diabetes Rev 3:249-51. 2007..We focus specifically on interventions to treat depression in patients with diabetes and suggest areas of future research and practice with respect to improving care and outcomes those suffering in the intersection of these diseases...
- Colocated general medical care and preventable hospital admissions for veterans with serious mental illnessPaul A Pirraglia
Providence Department of VeteransAffairs VA Medical Center, Providence, RI02908 4799, USA
Psychiatr Serv 62:554-7. 2011..This study examined whether veterans with serious mental illness in mental health settings with colocated general medical care had fewer hospitalizations for ambulatory care-sensitive conditions than veterans in other settings...
- Association of change in depression and anxiety symptoms with functional outcomes in pulmonary rehabilitation patientsPaul A Pirraglia
Primary Care Service and the Systems Outcomes and Quality in Chronic disease and Rehabilitation Research Enhancement Award Program, Providence Veterans Affairs Medical Center, Providence, RI, USA
J Psychosom Res 71:45-9. 2011..We sought to examine how depression and anxiety symptom changes relate to disease-specific quality of life outcomes following PR...
- Psychological distress and trends in healthcare expenditures and outpatient healthcarePaul A Pirraglia
Center on Systems, Outcomes, and Quality in Chronic Disease and Rehabilitation, Providence VA Medical Center and Alpert Medical School of Brown University, Providence, RI 02908, USA
Am J Manag Care 17:319-28. 2011..To determine whether trends in psychological distress exist in the United States and whether trends in healthcare expenditures and outpatient visits were associated with psychological distress...
- Pharmacist-led shared medical appointments for multiple cardiovascular risk reduction in patients with type 2 diabetesLisa B Cohen
Systems Outcomes and Quality in Chronic Disease andRehabilitation, Research Enhancement Award Program, Providence VA Medical Center, Providence, Rhode Island, USA
Diabetes Educ 37:801-12. 2011....
- Influence of body mass index on changes in disease-specific quality of life of veterans completing pulmonary rehabilitationRobert Velasco
Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA
J Cardiopulm Rehabil Prev 30:334-9. 2010..Pulmonary rehabilitation improves quality of life. This study investigated whether BMI predicts change in disease-specific quality of life following pulmonary rehabilitation...
- Efficacy of a pharmacist-led cardiovascular risk reduction clinic for diabetic patients with and without mental health conditionsTracey H Taveira
Providence Veterans Affairs Medical Center, RI, USA
Prev Cardiol 11:195-200. 2008..10+/-0.13 vs 0.10+/-0.14; P=.82), but patients with MHCs had a longer CRRC enrollment (245+/-152 vs 205+/-161 days; P<.03). The efficacy of the CRRC model to reduce cardiovascular risk is not attenuated by a concomitant MHC...
- Pharmacist-led group medical appointment model in type 2 diabetesTracey H Taveira
Systems Outcomes and Quality in Chronic disease and Rehabilitation, Research Enhancement Award ProgramProvidence VA Medical Center, Providence, Rhode Island, USA
Diabetes Educ 36:109-17. 2010....
- Barriers and facilitators of treatment for depression in a latino community: a focus group studyLisa A Uebelacker
Alpert Medical School of Brown University and Butler Hospital, Providence, RI 02906, USA
Community Ment Health J 48:114-26. 2012....
- Cost-utility analysis studies of depression management: a systematic reviewPaul A Pirraglia
Rhode Island Hospital, 593 Eddy St, MPB 1, Providence, RI 02903, USA
Am J Psychiatry 161:2155-62. 2004....
- Depressive symptom burden as a barrier to screening for breast and cervical cancersPaul A Pirraglia
Division of General Internal Medicine, Rhode Island Hospital, Providence, RI, USA
J Womens Health (Larchmt) 13:731-8. 2004..CONCLUSIONS: The presence of a high depressive symptom burden is a modest independent risk factor for lack of subsequent mammography. Ensuring that depressed patients receive regular cancer screening services is important...
- Caregiver burden and depression among informal caregivers of HIV-infected individualsPaul A Pirraglia
Division of General Internal Medicine, Rhode Island Hospital, Providence, RI 02903, USA
J Gen Intern Med 20:510-4. 2005..Few studies have examined the factors associated with depression in informal caregivers of HIV-infected persons...
- Trends in complexity of diabetes care in the United States from 1991 to 2000Richard W Grant
General Medicine Division, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, 50 Staniford Street, Ninth Floor, Boston, MA 02114, USA
Arch Intern Med 164:1134-9. 2004..During the decade from 1991 to 2000, the standard of care for diabetes mellitus evolved to require more intensive management of glycemia, blood pressure, and cholesterol levels...
- New postoperative depressive symptoms and long-term cardiac outcomes after coronary artery bypass surgeryJaney C Peterson
Department of Medicine, Cardiothoracic Surgery, Weill Medical College, Cornell University, New York, NY 10021, USA
Am J Geriatr Psychiatry 10:192-8. 2002..In this small sample of patients, increased depressive symptoms at 6 months after surgery appear to be associated with the occurrence of subsequent major cardiac morbidity/ mortality...