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Misleading Results in Posttraumatic Stress Disorder Predictive Models Using Electronic Health Record Data: Algorithm Validation Study

Misleading Results in Posttraumatic Stress Disorder Predictive Models Using Electronic Health Record Data: Algorithm Validation Study

In the context of the Veterans Health Administration (VHA) system, where data on PTSD are available and prevalent, using machine learning or similar statistical techniques to identify PTSD among veterans holds the promise of automating screening efforts, decreasing administrative burden, and identifying veterans whose mental health struggles might otherwise be missed in routine care. Despite this promise, biases in EHR data may limit the conclusions that they facilitate [9,10].

Thomas M Crow, Eric Lin, Kelly L Harper, Michael L Crowe, Terence M Keane, Brian P Marx

J Med Internet Res 2025;27:e63352


A Recovery-Oriented Suicide Prevention Program Led by Peer Specialists for Veterans With Serious Mental Illness: Protocol for a Pilot Randomized Controlled Trial

A Recovery-Oriented Suicide Prevention Program Led by Peer Specialists for Veterans With Serious Mental Illness: Protocol for a Pilot Randomized Controlled Trial

To address these unmet needs, we provide the rationale, design, and clinical pilot randomized controlled trial protocol for a novel augmentative peer-delivered, recovery-oriented suicide prevention intervention for veterans with SMI. Several psychosocial rehabilitation initiatives in the Veterans Health Administration (VHA) have included individuals with lived experience (“peers,” now known as “peer specialists”) to support veterans with a wide range of mental health experiences [7].

Samantha Chalker, Jillian Carter, Yuki Imai, Colin Depp, Matthew Chinman

JMIR Res Protoc 2025;14:e66182


Enrollment and Retention Outcomes from the Veterans Health Administration for a Remote Digital Health Study: Multisite Observational Study

Enrollment and Retention Outcomes from the Veterans Health Administration for a Remote Digital Health Study: Multisite Observational Study

Veterans as a group are older than the civilian population, though women, who make up about 11% of VA users, tend to be younger. The largest age group of female VA patients is 35-44 years (22%), while the largest age group of male VA patients is 65-74 years (30%). Overall, 77% of VA patients are White, 18% of them are Black, and 8% of them are Hispanic.

Jaclyn A Pagliaro, Lauren K Wash, Ka Ly, Jenny Mathew, Alison Leibowitz, Ryan Cabrera, Jolie B Wormwood, Varsha G Vimalananda

JMIR Form Res 2025;9:e68676


What Matters Most to Veterans When Deciding to Use Technology for Health: Cross-Sectional Analysis of a National Survey

What Matters Most to Veterans When Deciding to Use Technology for Health: Cross-Sectional Analysis of a National Survey

Veterans were not compensated for their participation. We invited 1373 veterans to complete a third-round survey. We removed 15 veterans from the denominator because their surveys were undeliverable or they had passed away. A total of 858 (63.2%) veterans returned a survey. We removed 1 veteran with unavailable health condition data from our analytic cohort.

Bella Etingen, Bridget M Smith, Stephanie L Shimada, Stephanie A Robinson, Robin T Higashi, Ndindam Ndiwane, Kathleen L Frisbee, Jessica M Lipschitz, Eric Richardson, Dawn Irvin, Timothy P Hogan

JMIR Form Res 2025;9:e77113


A Supplemental Women’s Health Questionnaire for Women Veterans With Military Environmental Exposures: Project Development and Implementation

A Supplemental Women’s Health Questionnaire for Women Veterans With Military Environmental Exposures: Project Development and Implementation

As women transition from service members to veterans, their risk for health concerns that are female-specific or disproportionately impact women may increase, yet few studies have been conducted with women veterans, and even fewer have focused on their reproductive health [22].

Leah N Eizadi, Mehret T Assefa, Jordan M Nechvatal, G Marina Veltkamp, Abou Ibrahim-Biangoro, Maheen M Adamson, Jennifer S Jennings

JMIR Form Res 2025;9:e73223


Intervention for Justice-Involved Homeless Veterans With Co-Occurring Substance Use and Mental Health Disorders: Protocol for a Randomized Controlled Hybrid Effectiveness-Implementation Trial

Intervention for Justice-Involved Homeless Veterans With Co-Occurring Substance Use and Mental Health Disorders: Protocol for a Randomized Controlled Hybrid Effectiveness-Implementation Trial

Veterans who are incarcerated are ineligible for Veterans Affairs (VA) services [10], rendering recidivism a critical issue to address, as it disrupts access to VA services that address substance use, mental illness, and other medical comorbidities, all of which are highly prevalent among veterans with criminal legal involvement, thus resulting in long-term health disparities [9,11-13].

Kathryn Bruzios, Paige M Shaffer, Daniel M Blonigen, Michael A Cucciare, Michael Andre, Thomas Byrne, Jennifer Smith, David Smelson

JMIR Res Protoc 2025;14:e70750


Characterization and Evaluation of Department of Veterans Affairs Commission on Accreditation of Rehabilitation Facilities–Accredited Interdisciplinary Pain Rehabilitation Programs: Protocol for a Mixed Methods Program Evaluation

Characterization and Evaluation of Department of Veterans Affairs Commission on Accreditation of Rehabilitation Facilities–Accredited Interdisciplinary Pain Rehabilitation Programs: Protocol for a Mixed Methods Program Evaluation

In an effort to manage chronic pain, some veterans become reliant on prescription opioids [8,9], which have numerous unintended health consequences such as increased risk of sleep-disordered breathing, cardiovascular complication, and bowel dysfunction, as well as opioid misuse and overdose [10-13]. In recent years, there has been increased attention on low-risk interdisciplinary treatment options for chronic pain management in the Department of Veterans Affairs (VA) system [14].

Jolie N Haun, Christopher A Fowler, Dustin D French, Megan C McHugh, Jacquelyn N Heuer, Lisa M Ballistrea, Rachel C Benzinger, S Angel Klanchar, Friedhelm Sandbrink, Jennifer L Murphy

JMIR Res Protoc 2025;14:e72091


Neuromuscular Electrical Stimulation to Maximize Hip Abductor Strength and Reduce Fall Risk in Older Veterans: Protocol for a Randomized Controlled Trial

Neuromuscular Electrical Stimulation to Maximize Hip Abductor Strength and Reduce Fall Risk in Older Veterans: Protocol for a Randomized Controlled Trial

This randomized control trial (trial registration: Clinical Trials.gov NCT04969094) will examine the impact of 12 weeks (3 times per week) of NMES + an MMBI versus an MMBI alone on fall risk, balance, mobility, and hip abductor composition and strength in 80 (40/group) older veterans at risk for falls.

Ben Friedman, Brock A Beamer, Jeffrey Beans, Vicki Gray, Gad Alon, Alice Ryan, Leslie I Katzel, John D Sorkin, Odessa Addison

JMIR Res Protoc 2025;14:e68082


Supporting Physical and Mental Health in Rural Veterans Living With Heart Failure: Protocol for a Nurse-Led Telephone Intervention Study

Supporting Physical and Mental Health in Rural Veterans Living With Heart Failure: Protocol for a Nurse-Led Telephone Intervention Study

However, rural veterans often lack access to support and problem-solving interventions in their communities. Furthermore, when such services are available, they typically are not tailored to the rural sociocultural and educational context, nor are they able to address the specific emotional needs of veterans [19]. Culturally sensitive, tailored interventions that provide support and focus on enhancing problem-solving skills [16] hold considerable promise for increasing uptake in rural veterans with HF.

Lucinda J Graven, Laurie Abbott, Josef V Hodgkins, Thomas Ledermann, M Bryant Howren

JMIR Res Protoc 2025;14:e63498


Brief Video-Delivered Intervention to Reduce Anxiety and Improve Functioning in Older Veterans: Pilot Randomized Controlled Trial

Brief Video-Delivered Intervention to Reduce Anxiety and Improve Functioning in Older Veterans: Pilot Randomized Controlled Trial

Anxiety disorders are pervasive among older adults and especially common in older military veterans. These disorders include generalized anxiety disorder (GAD), social anxiety disorder, panic disorder, agoraphobia, and unspecified anxiety disorders [1]. A meta-analytic review estimated that nearly 1 in 10 (9.1%) older military veterans met the criteria for one of these anxiety disorders [2].

Christine E Gould, Chalise Carlson, Julie L Wetherell, Mary K Goldstein, Lauren Anker, Sherry A Beaudreau

JMIR Aging 2024;7:e56959