Publications by authors named "A J Jeffreys"

Importance: Cognitive behavioral therapy for insomnia (CBTi) is the standard of care for treating insomnia disorder, but access is limited. Alternative approaches are needed to expand access to the standard of care.

Objective: To examine the effectiveness of a nurse-supported, self-directed behavioral insomnia intervention for decreasing insomnia severity and improving sleep outcomes among veterans, a population with considerable mental health comorbidity.

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Article Synopsis
  • Seriously ill patients often rely on their spiritual beliefs to help them cope and make important healthcare decisions, highlighting the need for a reliable tool to assess these beliefs.
  • The I-SPIRIT inventory was developed after interviewing diverse participants, identifying over 50 attributes related to spirituality, and validated through quantitative measures with 249 seriously ill veterans.
  • The final I-SPIRIT tool consists of 30 items categorized into Spiritual Beliefs, Spiritual Needs, and Spiritual Resources, showing that higher spiritual needs can correlate with increased anxiety and depression.
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Diabetes distress (DD) is a negative psychosocial response to living with type 2 diabetes mellitus (T2DM). We sought insight into Veterans' experiences with DD in the context of T2DM self-management. The four domains in the Diabetes Distress Scale (i.

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Genomic surveillance of Plasmodium falciparum malaria can provide policy-relevant information about antimalarial drug resistance, diagnostic test failure, and the evolution of vaccine targets. Yet the large and low complexity genome of P. falciparum complicates the development of genomic methods, while resource constraints in malaria endemic regions can limit their deployment.

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