M Bryant Howren
Biographic Data
| ID | 1560187 |
|---|---|
| NAME | M Bryant Howren |
| GIVEN NAMES | M Bryant |
| FAMILY NAME | Howren |
| SIGNATURE | HOWREN M B |
| AFFILIATIONS | University of Iowa |
| ORCID | 0000-0002-5863-3420 |
| VERIFIED | Yes |
| TOTAL WORKS | 15 |
| TOTAL CITATIONS | 4 |
| AUTHOR COUNT | 15 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2009 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Beyond Geography
Defining Veteran Rurality
Cultivating the Field of Rural Health Research
PURPOSE: Rural Veterans face unique healthcare barriers and challenges despite an increased need for care. The U.S. Department of Veterans Affairs (VA) has long invested in research to improve Veteran health and healthcare delivery; however, rural Veterans remain underrepresented in research, limiting the equitable translation of evidence into rural settings. Rural-specific research is, therefore, essential in improving rural Veterans' health. Th…
“This Is What I Acquired in the Military, I Want to Keep It at the VA”
PURPOSE: American Indian and Alaska Native (AI/AN) women use VA healthcare and reside in rural areas at higher proportions than other women Veterans. To support an investigation of ways to improve healthcare access and outcomes among rural AI/AN women Veterans, we conducted listening sessions on healthcare experiences, needs, and preferences. METHODS: We conducted in-person, group interview-style listening sessions using a qualitative descriptive…
Rural health care workforce retention measures
PURPOSE: Rural Veterans face persistent barriers to care, often exacerbated by health care workforce shortages. Although recruitment initiatives are important, retaining providers in rural areas is equally critical to sustaining access and continuity of care. This rapid scoping review examined how "rural workforce retention" is defined and measured in the peer-reviewed literature and synthesized recommended reporting elements to improve clarity a…
Changing rural‐urban and racial patterns in VA tele‐mental health use among women Veterans, 2019–2022
PURPOSE: To assess whether women veterans accessed synchronous video telehealth for mental health (SVT-MH) similarly by (1) rurality, (2) race, and (3) race within rural and urban settings. METHODS: This retrospective cohort study used VA administrative data to examine temporal trends in outpatient VA mental health use from January 1, 2019, through December 31, 2022-a period spanning the pre- and post-COVID-19 pandemic. The cohort included VA-enr…
Health‐related quality of life in head and neck cancer survivors
PURPOSE: Head and neck cancer (HNC) survivors often experience distress and health-related quality of life (HRQOL) impairment. Research suggests that rural cancer patients may have poorer outcomes than urban patients. This study examined whether HNC patient emotional and HRQOL outcomes differ in those living in a rural versus urban location at 6 and 12 months postdiagnosis. METHODS: A total of 261 HNC patients were included from a longitudinal st…
Association of patient preferences on medication discussion in hypertension
Mixed‐Methods Study of Uptake of the Extension for Community Health Outcomes (Echo) Telemedicine Model for Rural Veterans With HIV
PURPOSE: Extension for Community Health Outcomes (ECHO) is a provider-level telemedicine model successfully applied to hepatitis C care, but little is known about its application to Human Immunodeficiency Virus (HIV) care. We performed a mixed-methods evaluation of 3 HIV ECHO programs in the Veterans Health Administration, focusing on uptake by primary care clinics and veterans. METHODS: Administrative data were used to assess program uptake, inc…
The interactive effects of patient control beliefs on adherence to fluid-intake restrictions in hemodialysis
This study examined the interactive role of perceived control and preference for control on adherence in a sample of patients with chronic kidney disease. As part of a randomized controlled trial assessing adherence to fluid-intake restrictions, 119 hemodialysis patients completed measures of these constructs; results indicated that patients with high perceived control and high preference for control demonstrated the most favorable adherence. Thi…
An individually-tailored smoking cessation intervention for rural Veterans
ClinicalTrials.gov identifier number NCT01592695 registered 11 April 2012
The Effect of Cognitive Speed of Processing Training on the Development of Additional Iadl Difficulties and the Reduction of Depressive Symptoms
These findings provide evidence that SOPT transfers beyond the cognitive skills trained to meaningful downstream improvements in the lives of middle-aged and older adults
The symptom perception hypothesis revised
According to the classic symptom perception hypothesis (Costa & McCrae, 1987; Watson & Pennebaker, 1989), the global predisposition to frequently experience a variety of negative emotions-that is, neuroticism (N) or trait negative affectivity (NA)-is associated with inflated physical symptom reporting. We tested a revision of this hypothesis, which posits distinctive roles for depression and anxiety in the physical symptom experience. Three studi…
Depressive Symptomatology, Rather than Neuroticism, Predicts Inflated Physical Symptom Reports in Community-Residing Women
OBJECTIVE: To examine the roles of depressive symptomatology and neuroticism/negative affect (N/NA) on common physical symptom reporting in a sample of community residents. METHODS: Community-residing women (n = 108) participated in a combined concurrent-retrospective design. Physical symptoms were assessed concurrently over 21 consecutive days followed by a retrospective assessment of the collective symptom experience for the same time period. R…
Associations of Depression With C-Reactive Protein, IL-1, and IL-6
The symptom perception hypothesis revised
According to the classic symptom perception hypothesis (Costa & McCrae, 1987; Watson & Pennebaker, 1989), the global predisposition to frequently experience a variety of negative emotions-that is, neuroticism (N) or trait negative affectivity (NA)-is associated with inflated physical symptom reporting. We tested a revision of this hypothesis, which posits distinctive roles for depression and anxiety in the physical symptom experience. Three studi…
Depressive Symptomatology, Rather than Neuroticism, Predicts Inflated Physical Symptom Reports in Community-Residing Women
OBJECTIVE: To examine the roles of depressive symptomatology and neuroticism/negative affect (N/NA) on common physical symptom reporting in a sample of community residents. METHODS: Community-residing women (n = 108) participated in a combined concurrent-retrospective design. Physical symptoms were assessed concurrently over 21 consecutive days followed by a retrospective assessment of the collective symptom experience for the same time period. R…
Associations of Depression With C-Reactive Protein, IL-1, and IL-6
The symptom perception hypothesis revised
According to the classic symptom perception hypothesis (Costa & McCrae, 1987; Watson & Pennebaker, 1989), the global predisposition to frequently experience a variety of negative emotions-that is, neuroticism (N) or trait negative affectivity (NA)-is associated with inflated physical symptom reporting. We tested a revision of this hypothesis, which posits distinctive roles for depression and anxiety in the physical symptom experience. Three studi…
The Effect of Cognitive Speed of Processing Training on the Development of Additional Iadl Difficulties and the Reduction of Depressive Symptoms
These findings provide evidence that SOPT transfers beyond the cognitive skills trained to meaningful downstream improvements in the lives of middle-aged and older adults
An individually-tailored smoking cessation intervention for rural Veterans
ClinicalTrials.gov identifier number NCT01592695 registered 11 April 2012
Mixed‐Methods Study of Uptake of the Extension for Community Health Outcomes (Echo) Telemedicine Model for Rural Veterans With HIV
PURPOSE: Extension for Community Health Outcomes (ECHO) is a provider-level telemedicine model successfully applied to hepatitis C care, but little is known about its application to Human Immunodeficiency Virus (HIV) care. We performed a mixed-methods evaluation of 3 HIV ECHO programs in the Veterans Health Administration, focusing on uptake by primary care clinics and veterans. METHODS: Administrative data were used to assess program uptake, inc…
The interactive effects of patient control beliefs on adherence to fluid-intake restrictions in hemodialysis
This study examined the interactive role of perceived control and preference for control on adherence in a sample of patients with chronic kidney disease. As part of a randomized controlled trial assessing adherence to fluid-intake restrictions, 119 hemodialysis patients completed measures of these constructs; results indicated that patients with high perceived control and high preference for control demonstrated the most favorable adherence. Thi…
Association of patient preferences on medication discussion in hypertension
Health‐related quality of life in head and neck cancer survivors
PURPOSE: Head and neck cancer (HNC) survivors often experience distress and health-related quality of life (HRQOL) impairment. Research suggests that rural cancer patients may have poorer outcomes than urban patients. This study examined whether HNC patient emotional and HRQOL outcomes differ in those living in a rural versus urban location at 6 and 12 months postdiagnosis. METHODS: A total of 261 HNC patients were included from a longitudinal st…
Changing rural‐urban and racial patterns in VA tele‐mental health use among women Veterans, 2019–2022
PURPOSE: To assess whether women veterans accessed synchronous video telehealth for mental health (SVT-MH) similarly by (1) rurality, (2) race, and (3) race within rural and urban settings. METHODS: This retrospective cohort study used VA administrative data to examine temporal trends in outpatient VA mental health use from January 1, 2019, through December 31, 2022-a period spanning the pre- and post-COVID-19 pandemic. The cohort included VA-enr…
Beyond Geography
Defining Veteran Rurality
Cultivating the Field of Rural Health Research
PURPOSE: Rural Veterans face unique healthcare barriers and challenges despite an increased need for care. The U.S. Department of Veterans Affairs (VA) has long invested in research to improve Veteran health and healthcare delivery; however, rural Veterans remain underrepresented in research, limiting the equitable translation of evidence into rural settings. Rural-specific research is, therefore, essential in improving rural Veterans' health. Th…
“This Is What I Acquired in the Military, I Want to Keep It at the VA”
PURPOSE: American Indian and Alaska Native (AI/AN) women use VA healthcare and reside in rural areas at higher proportions than other women Veterans. To support an investigation of ways to improve healthcare access and outcomes among rural AI/AN women Veterans, we conducted listening sessions on healthcare experiences, needs, and preferences. METHODS: We conducted in-person, group interview-style listening sessions using a qualitative descriptive…
Rural health care workforce retention measures
PURPOSE: Rural Veterans face persistent barriers to care, often exacerbated by health care workforce shortages. Although recruitment initiatives are important, retaining providers in rural areas is equally critical to sustaining access and continuity of care. This rapid scoping review examined how "rural workforce retention" is defined and measured in the peer-reviewed literature and synthesized recommended reporting elements to improve clarity a…
Health care (8 works) · Internal Medicine (6 works) · Medicine (6 works) · Rural area (6 works) · Primary Care and Health Outcomes (5 works) · Psychiatry (5 works) · Psychology (5 works) · Global Health Workforce Issues (4 works) · Rural health (4 works) · Clinical Psychology (3 works)