Current Research Studies




Aging/Elderly/Medicarearrow Back to top

Health ABC (Health, Aging and Body Composition Study)
(PI - Suzanne Satterfield, M.D., Dr.P.H.)
The Health ABC Study is an observational, clinical research study funded originally by National Institute on Aging in 1997. The study was designed to investigate the decline in function in healthier older persons and to relate changes in body composition in old age, particularly the increase in body fat and the decline in lean mass and bone mineral density, to the development of disability. Two clinical centers, UTHSC (Memphis) and the University of Pittsburgh enrolled 3075 participants, aged 70-79, in Health ABC in 1997-1998; participants were recruited primarily from a random sample of Medicare-eligible, community dwelling persons living in the two communities. Eligibility criteria included self-reported ability to walk one-quarter of a mile and climb 10 steps without difficulty, self-reported ability to perform activities of daily living (ADLs) without difficulty, and no life-threatening cancer diagnosis. Follow-up has included annual clinic or home visits (Years 1-6, 8, 10, and 11) and semi-annual telephone visits. Beginning in Year 15, participants are being contacted with quarterly telephone visits including questions of end-of-life decision making. Measurements of body composition, bone mineral density, strength, weight, cognitive function, pulmonary function as well as electro-cardiography, various laboratory assessments, serum, plasma, DNA, and urine are obtained in clinic visits. Data collection also includes questions on diet, depression, medications, ADLs, physical activity, social support, general health, and health events. Contact Dr Satterfield for more information on Health ABC or to inquire about potential collaborations and data analysis proposals. For online information, see www.grc.nia.nih.gov/branches/ledb/healthabc.

REACH VA Dementia (Resources for Enhancing All Caregivers Health in the VA)
(PI - Jennifer Martindale-Adams, EdD and Linda O. Nichols, PhD)
REACH VA is an award-winning, evidence-based program to assist stressed and burdened caregivers of Veterans with dementia or spinal cord injury/disease. Based on 16 years of research, REACH VA helps caregivers manage the patient's condition and their own stress from caregiving. REACH VA is a VA system-wide program, training staff at VA Medical Centers around the country, based at the Memphis VA Medical Center. For more information, email vhamemsbm@va.gov, or call (901) 577-7485 or (800) 636-8262, ext. 7485.

ASPREE (ASPirin in Reducing Events in the Elderly)
(PI - Suzanne Satterfield, M.D., Dr. P.H.)
The purpose of ASPREE is to determine whether low dose aspirin will extend the duration of disability-free life in an aging population (greater than 65 years of age). The study examines whether the potential benefits of this drug (prevention of heart disease, stroke and vascular dementia) outweigh the risks of severe bleeding in this age group.

Hospital Responses to Medicare's Nonpayment for Preventable Complications
(PI - Teresa Waters, PhD)
On October 1, 2008, Medicare implemented a new policy that denies incremental payment for eight preventable complications of medical care. Even though this CMS policy is limited in terms of involved conditions, hospital reaction may be substantial because this policy change is viewed by many as the first in a series of CMS payment reforms intended to increase its emphasis on value-based purchasing, using both positive incentives and negative penalties. Our study examines the impact of Medicare's new nonpayment rule on hospital behavior for four of the eight conditions identified by CMS as preventable. We are also assessing how hospital responses may vary depending on particular circumstances, such as hospital financial health and market conditions.

WHI (Women's Health Initiative)
(PI - Karen Johnson, MD, MPH)
The Women's Health Initiative (WHI) is a multi-center, long-term national health study that has focused on strategies for preventing heart disease, breast and colorectal cancer, and osteoporotic fractures in postmenopausal women. This 15-year project involves 161,808 women aged 50-79, and is one of the most definitive, far-reaching clinical trials and observational studies of post-menopausal women's health ever undertaken in the U.S. The Department of Preventive Medicine at the UTHSC is one of 40 WHI sites across the U.S. The WHI is funded by the National Heart Lung and Blood Institute (NHLBI). For additional information on the WHI study, please visit the study website at www.whiscience.org.

Community Oncology Medical Home (COME HOME)
(PI - Teresa Waters, PhD)
The purpose of this project is to develop a model Community Oncology Medical Home to improve health outcomes, enhance patient care experiences and significantly reduce costs of care. We believe that this is possible by improving timeliness and coordination of care and by keeping patients out of the emergency department (ED) and hospital as much as possible. The target population for this project is newly diagnosed or relapsed Medicare, Medicaid and commercially insured patients seeking oncology care at one of 7 participating clinics. These patients require the wide range of coordinated care that COME HOME can deliver. The services to be delivered include all outpatient cancer care, including: triage pathways that ensure patients receive the right care in the right place at the right time for all aspects of cancer care, diagnostic pathways that address appropriate imaging, pathologic testing and molecular diagnostics, and therapeutic pathways delineating chemotherapy, radiation oncology, supportive care, and surgery (when applicable). The enhanced services offered under the COME HOME program include: patient education and medication management counseling, team care, 24/7 practice access (telephone triage, night/weekend clinic hours, and on-call oncologists), on-site or near-site imaging and laboratory testing, and admitting physicians who shepherd patients through inpatient encounters, avoiding handoffs and readmissions, to ensure seamless, safe and efficient care. Our outcomes analysis will focus on quality of care, outcomes and costs compared to other oncology practices.

Cancerarrow Back to top

WHI (Women's Health Initiative)
(PI - Karen Johnson, MD, MPH)
The Women's Health Initiative (WHI) is a multi-center, long-term national health study that has focused on strategies for preventing heart disease, breast and colorectal cancer, and osteoporotic fractures in postmenopausal women. This 15-year project involves 161,808 women aged 50-79, and is one of the most definitive, far-reaching clinical trials and observational studies of post-menopausal women's health ever undertaken in the U.S. The Department of Preventive Medicine at the UTHSC is one of 40 WHI sites across the U.S. The WHI is funded by the National Heart Lung and Blood Institute (NHLBI). For additional information on the WHI study, please visit the study website at www.whiscience.org.

Look AHEAD (Action for Health in Diabetes)
(PI - Karen Johnson, MD, MPH)
Look AHEAD is a multicenter, randomized clinical trial to examine the effects of a lifestyle intervention designed to achieve and maintain weight loss over the long term through decreased caloric intake and exercise. Look AHEAD is focusing on the disease most affected by overweight and obesity, type 2 diabetes, and on the outcome that causes the greatest morbidity and mortality, cardiovascular disease. Look AHEAD has over 5,000 persons with type 2 diabetes participating at 16 centers and is funded by the National Institute of Diabetes, Digestive Disorders and Kidney Disease (NIDDK). For more information about the trial go to https://www.lookaheadtrial.org/public/home.cfm.

Health ABC (Health, Aging and Body Composition Study)
(PI - Suzanne Satterfield, M.D., Dr.P.H.)
The Health ABC Study is an observational, clinical research study funded originally by National Institute on Aging in 1997. The study was designed to investigate the decline in function in healthier older persons and to relate changes in body composition in old age, particularly the increase in body fat and the decline in lean mass and bone mineral density, to the development of disability. Two clinical centers, UTHSC (Memphis) and the University of Pittsburgh enrolled 3075 participants, aged 70-79, in Health ABC in 1997-1998; participants were recruited primarily from a random sample of Medicare-eligible, community dwelling persons living in the two communities. Eligibility criteria included self-reported ability to walk one-quarter of a mile and climb 10 steps without difficulty, self-reported ability to perform activities of daily living (ADLs) without difficulty, and no life-threatening cancer diagnosis. Follow-up has included annual clinic or home visits (Years 1-6, 8, 10, and 11) and semi-annual telephone visits. Beginning in Year 15, participants are being contacted with quarterly telephone visits including questions of end-of-life decision making. Measurements of body composition, bone mineral density, strength, weight, cognitive function, pulmonary function as well as electro-cardiography, various laboratory assessments, serum, plasma, DNA, and urine are obtained in clinic visits. Data collection also includes questions on diet, depression, medications, ADLs, physical activity, social support, general health, and health events. Contact Dr Satterfield for more information on Health ABC or to inquire about potential collaborations and data analysis proposals. For online information, see www.grc.nia.nih.gov/branches/ledb/healthabc.

Air Force III: An Evaluation of a Tobacco Quit Line Targeted to Military Personnel
(PI - Bob Klesges, PhD)
Cigarette smoking is the number one preventable cause of morbidity and mortality in this nation. Despite strong efforts by the Department of Defense (DoD) to reduce tobacco use, rates of smoking in the military remain high. Many intervention programs that show strong efficacy in civilian populations often show limited or no efficacy in military populations. A promising and widely disseminated approach to the treatment of tobacco dependence on a population-wide basis is the use of Tobacco Quit Lines (QL). Given that QL interventions can address the issues of mobility and remote access present in the military (particularly during periods of what the armed services call "high operations tempo" [i.e. war-like conditions]), validating the efficacy of QLs in military populations is a high priority. Thus, the Specific and Exploratory Aims of the current proposal are to determine the long-term (one-year) efficacy of the intervention conditions in participants (n=1200) randomly assigned to a Proactive (where counselors call the participants) versus Reactive QL (where the participants call the QL). Our exploratory aims include determining the representativeness of our sample relative to the population of Air Force personnel and to determine if measures of social cognitive theory relate to program adherence and outcome. This project is a collaborative effort between the University of Tennessee, Mayo Clinic, and the United States Air Force.

Air Force IV: Determinants of Smokeless Tobacco and Dual Tobacco Use in the Military
(PI - Bob Klesges, PhD)
Smokeless tobacco (ST) is tobacco consumed orally and not burned. One of the highest risk groups for adoption and use of ST is the U.S. military. Recent data indicate that 14.5% of all military personnel regularly use ST, 21.6% of white males aged 18-24 are users, and the Air Force is going against secular trends in the military in that ST use is on the rise. Moreover, research from our collaboration is showing that the overwhelming percentage of ST users are "dual users," regular users of ST and other tobacco products. This study will enroll approximately 30,000 Air Force recruits from Basic Military Training (BMT) at Lackland Air Force Base in San Antonio, TX, conduct a baseline assessment at the end of BMT, a time when all recruits have been tobacco free for eight weeks, and evaluate ST and dual tobacco use (ST + cigarette smoking) initiation and cessation at a one- and two-year follow-up. Since dual users have a higher estimated nicotine exposure and are less likely to quit smoking relative to those who use cigarettes or ST exclusively, obtaining onset and cessation data on these individuals in the military is a very high priority. This study is being conducting in collaboration with the United States Air Force and Mayo Clinic College of Medicine.

Air Force V: Prevention of Relapse in Participants Involuntary Abstinent From Tobacco
(PI - Bob Klesges, PhD)
Of smokers who receive a formal cessation program, at least 70% relapse; among self-quitters, the relapse rate is approximately 90%. Unfortunately, the vast majority of smokers who try to stop smoking do so with no or with minimal assistance. Brandon and colleagues have demonstrated that a series of 8 printed self-help booklets consistently produced higher point-prevalence abstinence rates in smokers that had quit on their own. Given the enormous public health implications of this approach, more research on promoting long-term self-quitting is clearly needed. However, nothing is known about methods of preventing relapse following involuntary abstinence (e.g., military training, during hospital stays, in jails, prisons, & psychiatric facilities). Previous research has determined that protracted involuntary cessation in the military with no other intervention is associated with significant long-term cessation rates (15-20% at a one-year follow-up). The aims of this study are to recruit approximately 5200 United States Air Force (USAF) recruits at the end of Basic Military Training (BMT) who were regular smokers prior to an 8-week involuntary cessation during BMT, to randomize participants either to (a) standard forced cessation, (b) forced cessation + printed materials (proven to be efficacious in previous studies among those who voluntarily quit on their own), and (c) forced cessation + 1 face to face meeting with Airmen before they have the opportunity to relapse. We will then determine long-term (12 month) efficacy of the cessation maintenance intervention. Our primary outcome is smoking cessation maintenance at 12 month follow-up. The secondary outcome is smoking cessation maintenance at 6 month follow-up.

TARGIT (Treating Adults at Risk for Weight Gain with Interactive Technology)
(PI - Karen Johnson, MD, MPH)
The TARGIT is a clinical trial evaluates innovative ways to help young adults age 18-35 quit smoking, improve eating habits, and increase physical activity to prevent post cessation weight gain using interactive technology. TARGIT is funded by the National Heart Lung and Blood Institute. Interested persons can call 901-448-8400 for more information or access our website at http://www.targitstudy.org

Community Oncology Medical Home (COME HOME)
(PI - Teresa Waters, PhD)
The purpose of this project is to develop a model Community Oncology Medical Home to improve health outcomes, enhance patient care experiences and significantly reduce costs of care. We believe that this is possible by improving timeliness and coordination of care and by keeping patients out of the emergency department (ED) and hospital as much as possible. The target population for this project is newly diagnosed or relapsed Medicare, Medicaid and commercially insured patients seeking oncology care at one of 7 participating clinics. These patients require the wide range of coordinated care that COME HOME can deliver. The services to be delivered include all outpatient cancer care, including: triage pathways that ensure patients receive the right care in the right place at the right time for all aspects of cancer care, diagnostic pathways that address appropriate imaging, pathologic testing and molecular diagnostics, and therapeutic pathways delineating chemotherapy, radiation oncology, supportive care, and surgery (when applicable). The enhanced services offered under the COME HOME program include: patient education and medication management counseling, team care, 24/7 practice access (telephone triage, night/weekend clinic hours, and on-call oncologists), on-site or near-site imaging and laboratory testing, and admitting physicians who shepherd patients through inpatient encounters, avoiding handoffs and readmissions, to ensure seamless, safe and efficient care. Our outcomes analysis will focus on quality of care, outcomes and costs compared to other oncology practices.

Cardiovascular Disease/Hypertension/Hyperlipidemiaarrow Back to top

SPRINT Systolic Blood Pressure Intervention Trial
(PI, Memphis SPRINT site - Karen Johnson, MD, MPH; VA Clinical Center Network (CCN) PI - 25 VA sites nationwide, William Cushman, MD; VA CCN MIND PI, Linda O. Nichols, PhD)
SPRINT is a 2-arm, multicenter, randomized clinical trial designed to test whether a treatment program aimed at reducing systolic blood pressure (SBP) to a lower goal than currently recommended will reduce cardiovascular disease (CVD) risk in a population aged 50 and older who have high blood pressure but do not have either diabetes or have had a stroke. SPRINT MIND is examining the role of blood pressure in cognitive impairment. SPRINT is funded by the National Heart Lung and Blood Institute. If you are interested in this trial, call 901-448-8400 for more information or access our website at https://sprinttrial.org/public/dspHome.cfm. Veterans should call 901-523-8990, ext 6823 or check the website.

Look AHEAD (Action for Health in Diabetes)
(PI - Karen Johnson, MD, MPH)
Look AHEAD is a multicenter, randomized clinical trial to examine the effects of a lifestyle intervention designed to achieve and maintain weight loss over the long term through decreased caloric intake and exercise. Look AHEAD is focusing on the disease most affected by overweight and obesity, type 2 diabetes, and on the outcome that causes the greatest morbidity and mortality, cardiovascular disease. Look AHEAD has over 5,000 persons with type 2 diabetes participating at 16 centers and is funded by the National Institute of Diabetes, Digestive Disorders and Kidney Disease (NIDDK). For more information about the trial go to https://www.lookaheadtrial.org/public/home.cfm.

Look AHEAD in the Military (Action for Health in Diabetes)
The purpose of this project is (1) to translate and tailor the Look Ahead Intervention to the active duty U.S. Military population's lifestyle and environment that is unique to the military member; (2) to randomized participants to either the Look Ahead Intensive Lifestyle Intervention versus a Diet and Physical Activity Education condition (comparison group similar to the Diabetes Support and Education group in Look AHEAD). The Diet and Physical Activity Educaiton condition of this Look Ahead translation is not a placebo control group but an active information group that stresses nutrition, exercise and support (as in the original Look AHEAD trial).

WHI (Women's Health Initiative)
(PI - Karen Johnson, MD, MPH)
The Women's Health Initiative (WHI) is a multi-center, long-term national health study that has focused on strategies for preventing heart disease, breast and colorectal cancer, and osteoporotic fractures in postmenopausal women. This 15-year project involves 161,808 women aged 50-79, and is one of the most definitive, far-reaching clinical trials and observational studies of post-menopausal women's health ever undertaken in the U.S. The Department of Preventive Medicine at the UTHSC is one of 40 WHI sites across the U.S. The WHI is funded by the National Heart Lung and Blood Institute (NHLBI). For additional information on the WHI study, please visit the study website at www.whiscience.org.

Health ABC (Health, Aging and Body Composition Study)
(PI - Suzanne Satterfield, M.D., Dr.P.H.)
The Health ABC Study is an observational, clinical research study funded originally by National Institute on Aging in 1997. The study was designed to investigate the decline in function in healthier older persons and to relate changes in body composition in old age, particularly the increase in body fat and the decline in lean mass and bone mineral density, to the development of disability. Two clinical centers, UTHSC (Memphis) and the University of Pittsburgh enrolled 3075 participants, aged 70-79, in Health ABC in 1997-1998; participants were recruited primarily from a random sample of Medicare-eligible, community dwelling persons living in the two communities. Eligibility criteria included self-reported ability to walk one-quarter of a mile and climb 10 steps without difficulty, self-reported ability to perform activities of daily living (ADLs) without difficulty, and no life-threatening cancer diagnosis. Follow-up has included annual clinic or home visits (Years 1-6, 8, 10, and 11) and semi-annual telephone visits. Beginning in Year 15, participants are being contacted with quarterly telephone visits including questions of end-of-life decision making. Measurements of body composition, bone mineral density, strength, weight, cognitive function, pulmonary function as well as electro-cardiography, various laboratory assessments, serum, plasma, DNA, and urine are obtained in clinic visits. Data collection also includes questions on diet, depression, medications, ADLs, physical activity, social support, general health, and health events. Contact Dr Satterfield for more information on Health ABC or to inquire about potential collaborations and data analysis proposals. For online information, see www.grc.nia.nih.gov/branches/ledb/healthabc.

Caregivingarrow Back to top

Telephone Support During Overseas Deployment for Military Spouses
Deployment impacts both service member and family, and the cost can be high. Spouses' reactions to deployment may include emotional distress, loneliness, anticipatory fear or grief, somatic complaints, and depression. This study, funded by the Department of Defense (DoD), Defense Health Program (DHP), managed by the US Army Medical Research and Materiel Command, Military Operational Medicine Research Program (MOMRP), will help spouses learn ways to manage stress and solve problems related to communication, managing long distance relationships, and other common deployment problems. The study will compare telephone support groups to online education sessions. Find information or volunteer at: vhamemsbm@va.gov, (901) 577-7485 or (800) 636-8262, ext. 7485, or www.memphis.va.gov/spousesupport.

Spouse READI (Resilience Education and Deployment Information)
Deployment and combat can affect marriage and families negatively. This study, funded by the Department of Defense (DoD), Defense Health Program (DHP), managed by the US Army Medical Research and Materiel Command, Military Operational Medicine Research Program (MOMRP), is testing telephone-based strategies to assist spouses of returning service members. The goal is to build spouses’ resilience to cope with reintegration challenges, help them serve as a support system for service members, and ease the transition for families post-deployment. The study is comparing telephone support/discussion groups to telephone/computer education groups and to usual care. Find information or volunteer at: vhamemsbm@va.gov, (901) 577-7485 or (800) 636-8262, ext. 7485, or www.memphis.va.gov/spousesupport

REACH VA Dementia (Resources for Enhancing All Caregivers Health in the VA)
(PI - Jennifer Martindale-Adams, EdD and Linda O. Nichols, PhD)
REACH VA is an award-winning, evidence-based program to assist stressed and burdened caregivers of Veterans with dementia or spinal cord injury/disease. Based on 16 years of research, REACH VA helps caregivers manage the patient's condition and their own stress from caregiving. REACH VA is a VA system-wide program, training staff at VA Medical Centers around the country, based at the Memphis VA Medical Center. For more information, email vhamemsbm@va.gov, or call (901) 577-7485 or (800) 636-8262, ext. 7485.

Spouse Telephone Support for Post 9/11 Veterans
(PI - Jennifer Martindale-Adams, EdD and Linda O. Nichols, PhD)
Based on national telephone support intervention research, Spouse Telephone Support is designed to improve spouse resilience, prepare spouses to cope with their own reintegration difficulties and to serve as a support system, and ease the post-deployment transition for post 9/11Veterans. Spouse Telephone Support is a VA system-wide program, training staff at VA Medical Centers around the country, based at the Memphis VA Medical Center. For more information, email vhamemsbm@va.gov, or call (901) 577-7485 or (800) 636-8262, ext. 7485.

Children/Familiesarrow Back to top

TEAM PLAY
(PI - Marion Hare, M.D., M.S.)
Team PLAY is a randomized controlled trial designed to test the efficacy of a 6-month, moderately intense, primary care feasible, family-based behavioral intervention, targeting both young children and their parent, in promoting healthy weight change. Participants are 270 overweight and obese children (ages 4 to 7 years) and their parents.  Parents and children were instructed in proven cognitive behavioral techniques (e.g. goal setting, self-talk, stimulus control and reinforcement) designed to encourage healthier food choices, reduce portion sizes, decrease sweetened beverages and increase moderate to vigorous physical activity engagement. The main outcome of this study is change in BMI at two year post enrollment.

CANDLE (Conditions Affecting Neurocognitive Development and Learning in Early Childhood)
(PI = Fran Tylavsky, Dr.P.H.)
The long term objective of this study is to provide information that will ultimately lead to improvements in the health, development, and well-being of children in Shelby County, TN through interventions and policy enforcement and/or development. The primary goal of CANDLE is to investigate the separate and combined effects of the mother's prenatal actions, the home environment and childhood experiences, the exposure to potentially harmful toxins, and the genetic make-up of the child on his/her brain development from birth to three years of age. 1503 pregnant Shelby County mothers were recruited for this study, with the last baby being born in December of 2011.

Researchers seeking additional information please visit http://candlestudy.com/

CANDLE Study: Preschool Evaluation
(PI - Fran Tylavsky, Dr.P.H.)
The purpose of this study is to provide further information that will ultimately lead to improvements in the health, development and well-being of children in Shelby County. The primary goal of CANDLE Extended Follow-Up is to investigate the separate and combined effects of family interactions, the home environment, childhood experiences, exposure to potentially harmful toxins, the genetic make-up of the child on his/her development, and school readiness at age 4-5.

Researchers seeking additional information please visit http://candlestudy.com/

Evidence-Based Home Visitation (EBHV) Program to Prevent Child Maltreatment
(Project Evaluator - Pam Connor, PhD)
The purpose of this project is to support collaborative planning efforts to leverage Federal, State & local funding streams for evidence-based home visitation programs. The EBHV program is also designed to implement a range of activities to build infrastructure that will adopt, implement, and sustain high quality home visitation programs and positive family/child outcomes.

Genetic Investigationsarrow Back to top

CANDLE (Conditions Affecting Neurocognitive Development and Learning in Early Childhood)
(PI = Fran Tylavsky, Dr.P.H.)
The long term objective of this study is to provide information that will ultimately lead to improvements in the health, development, and well-being of children in Shelby County, TN through interventions and policy enforcement and/or development. The primary goal of CANDLE is to investigate the separate and combined effects of the mother's prenatal actions, the home environment and childhood experiences, the exposure to potentially harmful toxins, and the genetic make-up of the child on his/her brain development from birth to three years of age. 1503 pregnant Shelby County mothers were recruited for this study, with the last baby being born in December of 2011.

Researchers seeking additional information please visit http://candlestudy.com/

WHI (Women's Health Initiative)
(PI - Karen Johnson, MD, MPH)
The Women's Health Initiative (WHI) is a multi-center, long-term national health study that has focused on strategies for preventing heart disease, breast and colorectal cancer, and osteoporotic fractures in postmenopausal women. This 15-year project involves 161,808 women aged 50-79, and is one of the most definitive, far-reaching clinical trials and observational studies of post-menopausal women's health ever undertaken in the U.S. The Department of Preventive Medicine at the UTHSC is one of 40 WHI sites across the U.S. The WHI is funded by the National Heart Lung and Blood Institute (NHLBI). For additional information on the WHI study, please visit the study website at www.whiscience.org.

Health ABC (Health, Aging and Body Composition Study)
(PI - Suzanne Satterfield, M.D., Dr.P.H.)
The Health ABC Study is an observational, clinical research study funded originally by National Institute on Aging in 1997. The study was designed to investigate the decline in function in healthier older persons and to relate changes in body composition in old age, particularly the increase in body fat and the decline in lean mass and bone mineral density, to the development of disability. Two clinical centers, UTHSC (Memphis) and the University of Pittsburgh enrolled 3075 participants, aged 70-79, in Health ABC in 1997-1998; participants were recruited primarily from a random sample of Medicare-eligible, community dwelling persons living in the two communities. Eligibility criteria included self-reported ability to walk one-quarter of a mile and climb 10 steps without difficulty, self-reported ability to perform activities of daily living (ADLs) without difficulty, and no life-threatening cancer diagnosis. Follow-up has included annual clinic or home visits (Years 1-6, 8, 10, and 11) and semi-annual telephone visits. Beginning in Year 15, participants are being contacted with quarterly telephone visits including questions of end-of-life decision making. Measurements of body composition, bone mineral density, strength, weight, cognitive function, pulmonary function as well as electro-cardiography, various laboratory assessments, serum, plasma, DNA, and urine are obtained in clinic visits. Data collection also includes questions on diet, depression, medications, ADLs, physical activity, social support, general health, and health events. Contact Dr Satterfield for more information on Health ABC or to inquire about potential collaborations and data analysis proposals. For online information, see www.grc.nia.nih.gov/branches/ledb/healthabc.

Look AHEAD (Action for Health in Diabetes)
(PI - Karen Johnson, MD, MPH)
Look AHEAD is a multicenter, randomized clinical trial to examine the effects of a lifestyle intervention designed to achieve and maintain weight loss over the long term through decreased caloric intake and exercise. Look AHEAD is focusing on the disease most affected by overweight and obesity, type 2 diabetes, and on the outcome that causes the greatest morbidity and mortality, cardiovascular disease. Look AHEAD has over 5,000 persons with type 2 diabetes participating at 16 centers and is funded by the National Institute of Diabetes, Digestive Disorders and Kidney Disease (NIDDK). For more information about the trial go to https://www.lookaheadtrial.org/public/home.cfm.

SPRINT Systolic Blood Pressure Intervention Trial
(PI, Memphis SPRINT site - Karen Johnson, MD, MPH; VA Clinical Center Network (CCN) PI - 25 VA sites nationwide, William Cushman, MD; VA CCN MIND PI, Linda O. Nichols, PhD)
SPRINT is a 2-arm, multicenter, randomized clinical trial designed to test whether a treatment program aimed at reducing systolic blood pressure (SBP) to a lower goal than currently recommended will reduce cardiovascular disease (CVD) risk in a population aged 50 and older who have high blood pressure but do not have either diabetes or have had a stroke. SPRINT MIND is examining the role of blood pressure in cognitive impairment. SPRINT is funded by the National Heart Lung and Blood Institute. If you are interested in this trial, call 901-448-8400 for more information or access our website at https://sprinttrial.org/public/dspHome.cfm. Veterans should call 901-523-8990, ext 6823 or check the website.

Healthcare Financing/Policyarrow Back to top

Hospital Responses to Medicare's Nonpayment for Preventable Complications
(PI - Teresa Waters, PhD)
On October 1, 2008, Medicare implemented a new policy that denies incremental payment for eight preventable complications of medical care. Even though this CMS policy is limited in terms of involved conditions, hospital reaction may be substantial because this policy change is viewed by many as the first in a series of CMS payment reforms intended to increase its emphasis on value-based purchasing, using both positive incentives and negative penalties. Our study examines the impact of Medicare's new nonpayment rule on hospital behavior for four of the eight conditions identified by CMS as preventable. We are also assessing how hospital responses may vary depending on particular circumstances, such as hospital financial health and market conditions.

Community Oncology Medical Home (COME HOME)
(PI - Teresa Waters, PhD)
The purpose of this project is to develop a model Community Oncology Medical Home to improve health outcomes, enhance patient care experiences and significantly reduce costs of care. We believe that this is possible by improving timeliness and coordination of care and by keeping patients out of the emergency department (ED) and hospital as much as possible. The target population for this project is newly diagnosed or relapsed Medicare, Medicaid and commercially insured patients seeking oncology care at one of 7 participating clinics. These patients require the wide range of coordinated care that COME HOME can deliver. The services to be delivered include all outpatient cancer care, including: triage pathways that ensure patients receive the right care in the right place at the right time for all aspects of cancer care, diagnostic pathways that address appropriate imaging, pathologic testing and molecular diagnostics, and therapeutic pathways delineating chemotherapy, radiation oncology, supportive care, and surgery (when applicable). The enhanced services offered under the COME HOME program include: patient education and medication management counseling, team care, 24/7 practice access (telephone triage, night/weekend clinic hours, and on-call oncologists), on-site or near-site imaging and laboratory testing, and admitting physicians who shepherd patients through inpatient encounters, avoiding handoffs and readmissions, to ensure seamless, safe and efficient care. Our outcomes analysis will focus on quality of care, outcomes and costs compared to other oncology practices.

Military/VAarrow Back to top

Air Force III: An Evaluation of a Tobacco Quit Line Targeted to Military Personnel
(PI - Bob Klesges, PhD)
Cigarette smoking is the number one preventable cause of morbidity and mortality in this nation. Despite strong efforts by the Department of Defense (DoD) to reduce tobacco use, rates of smoking in the military remain high. Many intervention programs that show strong efficacy in civilian populations often show limited or no efficacy in military populations. A promising and widely disseminated approach to the treatment of tobacco dependence on a population-wide basis is the use of Tobacco Quit Lines (QL). Given that QL interventions can address the issues of mobility and remote access present in the military (particularly during periods of what the armed services call "high operations tempo" [i.e. war-like conditions]), validating the efficacy of QLs in military populations is a high priority. Thus, the Specific and Exploratory Aims of the current proposal are to determine the long-term (one-year) efficacy of the intervention conditions in participants (n=1200) randomly assigned to a Proactive (where counselors call the participants) versus Reactive QL (where the participants call the QL). Our exploratory aims include determining the representativeness of our sample relative to the population of Air Force personnel and to determine if measures of social cognitive theory relate to program adherence and outcome. This project is a collaborative effort between the University of Tennessee, Mayo Clinic, and the United States Air Force.

Air Force IV: Determinants of Smokeless Tobacco and Dual Tobacco Use in the Military
(PI - Bob Klesges, PhD)
Smokeless tobacco (ST) is tobacco consumed orally and not burned. One of the highest risk groups for adoption and use of ST is the U.S. military. Recent data indicate that 14.5% of all military personnel regularly use ST, 21.6% of white males aged 18-24 are users, and the Air Force is going against secular trends in the military in that ST use is on the rise. Moreover, research from our collaboration is showing that the overwhelming percentage of ST users are "dual users," regular users of ST and other tobacco products. This study will enroll approximately 30,000 Air Force recruits from Basic Military Training (BMT) at Lackland Air Force Base in San Antonio, TX, conduct a baseline assessment at the end of BMT, a time when all recruits have been tobacco free for eight weeks, and evaluate ST and dual tobacco use (ST + cigarette smoking) initiation and cessation at a one- and two-year follow-up. Since dual users have a higher estimated nicotine exposure and are less likely to quit smoking relative to those who use cigarettes or ST exclusively, obtaining onset and cessation data on these individuals in the military is a very high priority. This study is being conducting in collaboration with the United States Air Force and Mayo Clinic College of Medicine.

Air Force V: Prevention of Relapse in Participants Involuntary Abstinent From Tobacco
(PI - Bob Klesges, PhD)
Of smokers who receive a formal cessation program, at least 70% relapse; among self-quitters, the relapse rate is approximately 90%. Unfortunately, the vast majority of smokers who try to stop smoking do so with no or with minimal assistance. Brandon and colleagues have demonstrated that a series of 8 printed self-help booklets consistently produced higher point-prevalence abstinence rates in smokers that had quit on their own. Given the enormous public health implications of this approach, more research on promoting long-term self-quitting is clearly needed. However, nothing is known about methods of preventing relapse following involuntary abstinence (e.g., military training, during hospital stays, in jails, prisons, & psychiatric facilities). Previous research has determined that protracted involuntary cessation in the military with no other intervention is associated with significant long-term cessation rates (15-20% at a one-year follow-up). The aims of this study are to recruit approximately 5200 United States Air Force (USAF) recruits at the end of Basic Military Training (BMT) who were regular smokers prior to an 8-week involuntary cessation during BMT, to randomize participants either to (a) standard forced cessation, (b) forced cessation + printed materials (proven to be efficacious in previous studies among those who voluntarily quit on their own), and (c) forced cessation + 1 face to face meeting with Airmen before they have the opportunity to relapse. We will then determine long-term (12 month) efficacy of the cessation maintenance intervention. Our primary outcome is smoking cessation maintenance at 12 month follow-up. The secondary outcome is smoking cessation maintenance at 6 month follow-up.

Spouse Telephone Support for Post 9/11 Veterans
(PI - Jennifer Martindale-Adams, EdD and Linda O. Nichols, PhD)
Based on national telephone support intervention research, Spouse Telephone Support is designed to improve spouse resilience, prepare spouses to cope with their own reintegration difficulties and to serve as a support system, and ease the post-deployment transition for post 9/11Veterans. Spouse Telephone Support is a VA system-wide program, training staff at VA Medical Centers around the country, based at the Memphis VA Medical Center. For more information, email vhamemsbm@va.gov, or call (901) 577-7485 or (800) 636-8262, ext. 7485.

Spouse READI (Resilience Education and Deployment Information)
Deployment and combat can affect marriage and families negatively. This study, funded by the Department of Defense (DoD), Defense Health Program (DHP), managed by the US Army Medical Research and Materiel Command, Military Operational Medicine Research Program (MOMRP), is testing telephone-based strategies to assist spouses of returning service members. The goal is to build spouses’ resilience to cope with reintegration challenges, help them serve as a support system for service members, and ease the transition for families post-deployment. The study is comparing telephone support/discussion groups to telephone/computer education groups and to usual care. Find information or volunteer at: vhamemsbm@va.gov, (901) 577-7485 or (800) 636-8262, ext. 7485, or www.memphis.va.gov/spousesupport

SPRINT Systolic Blood Pressure Intervention Trial
(PI, Memphis SPRINT site - Karen Johnson, MD, MPH; VA Clinical Center Network (CCN) PI - 25 VA sites nationwide, William Cushman, MD; VA CCN MIND PI, Linda O. Nichols, PhD)
SPRINT is a 2-arm, multicenter, randomized clinical trial designed to test whether a treatment program aimed at reducing systolic blood pressure (SBP) to a lower goal than currently recommended will reduce cardiovascular disease (CVD) risk in a population aged 50 and older who have high blood pressure but do not have either diabetes or have had a stroke. SPRINT MIND is examining the role of blood pressure in cognitive impairment. SPRINT is funded by the National Heart Lung and Blood Institute. If you are interested in this trial, call 901-448-8400 for more information or access our website at https://sprinttrial.org/public/dspHome.cfm. Veterans should call 901-523-8990, ext 6823 or check the website.

REACH VA Dementia (Resources for Enhancing All Caregivers Health in the VA)
(PI - Jennifer Martindale-Adams, EdD and Linda O. Nichols, PhD)
REACH VA is an award-winning, evidence-based program to assist stressed and burdened caregivers of Veterans with dementia or spinal cord injury/disease. Based on 16 years of research, REACH VA helps caregivers manage the patient's condition and their own stress from caregiving. REACH VA is a VA system-wide program, training staff at VA Medical Centers around the country, based at the Memphis VA Medical Center. For more information, email vhamemsbm@va.gov, or call (901) 577-7485 or (800) 636-8262, ext. 7485.

Telephone Support During Overseas Deployment for Military Spouses
Deployment impacts both service member and family, and the cost can be high. Spouses' reactions to deployment may include emotional distress, loneliness, anticipatory fear or grief, somatic complaints, and depression. This study, funded by the Department of Defense (DoD), Defense Health Program (DHP), managed by the US Army Medical Research and Materiel Command, Military Operational Medicine Research Program (MOMRP), will help spouses learn ways to manage stress and solve problems related to communication, managing long distance relationships, and other common deployment problems. The study will compare telephone support groups to online education sessions. Find information or volunteer at: vhamemsbm@va.gov, (901) 577-7485 or (800) 636-8262, ext. 7485, or www.memphis.va.gov/spousesupport.

Look AHEAD in the Military (Action for Health in Diabetes)
The purpose of this project is (1) to translate and tailor the Look Ahead Intervention to the active duty U.S. Military population's lifestyle and environment that is unique to the military member; (2) to randomized participants to either the Look Ahead Intensive Lifestyle Intervention versus a Diet and Physical Activity Education condition (comparison group similar to the Diabetes Support and Education group in Look AHEAD). The Diet and Physical Activity Educaiton condition of this Look Ahead translation is not a placebo control group but an active information group that stresses nutrition, exercise and support (as in the original Look AHEAD trial).

Neurocognitive Developmentarrow Back to top

CANDLE (Conditions Affecting Neurocognitive Development and Learning in Early Childhood)
(PI = Fran Tylavsky, Dr.P.H.)
The long term objective of this study is to provide information that will ultimately lead to improvements in the health, development, and well-being of children in Shelby County, TN through interventions and policy enforcement and/or development. The primary goal of CANDLE is to investigate the separate and combined effects of the mother's prenatal actions, the home environment and childhood experiences, the exposure to potentially harmful toxins, and the genetic make-up of the child on his/her brain development from birth to three years of age. 1503 pregnant Shelby County mothers were recruited for this study, with the last baby being born in December of 2011.

Researchers seeking additional information please visit http://candlestudy.com/

Obesity/Weight Loss/Dietarrow Back to top

TEAM PLAY
(PI - Marion Hare, M.D., M.S.)
Team PLAY is a randomized controlled trial designed to test the efficacy of a 6-month, moderately intense, primary care feasible, family-based behavioral intervention, targeting both young children and their parent, in promoting healthy weight change. Participants are 270 overweight and obese children (ages 4 to 7 years) and their parents.  Parents and children were instructed in proven cognitive behavioral techniques (e.g. goal setting, self-talk, stimulus control and reinforcement) designed to encourage healthier food choices, reduce portion sizes, decrease sweetened beverages and increase moderate to vigorous physical activity engagement. The main outcome of this study is change in BMI at two year post enrollment.

TARGIT (Treating Adults at Risk for Weight Gain with Interactive Technology)
(PI - Karen Johnson, MD, MPH)
The TARGIT is a clinical trial evaluates innovative ways to help young adults age 18-35 quit smoking, improve eating habits, and increase physical activity to prevent post cessation weight gain using interactive technology. TARGIT is funded by the National Heart Lung and Blood Institute. Interested persons can call 901-448-8400 for more information or access our website at http://www.targitstudy.org

CANDLE (Conditions Affecting Neurocognitive Development and Learning in Early Childhood)
(PI = Fran Tylavsky, Dr.P.H.)
The long term objective of this study is to provide information that will ultimately lead to improvements in the health, development, and well-being of children in Shelby County, TN through interventions and policy enforcement and/or development. The primary goal of CANDLE is to investigate the separate and combined effects of the mother's prenatal actions, the home environment and childhood experiences, the exposure to potentially harmful toxins, and the genetic make-up of the child on his/her brain development from birth to three years of age. 1503 pregnant Shelby County mothers were recruited for this study, with the last baby being born in December of 2011.

Researchers seeking additional information please visit http://candlestudy.com/

Look AHEAD (Action for Health in Diabetes)
(PI - Karen Johnson, MD, MPH)
Look AHEAD is a multicenter, randomized clinical trial to examine the effects of a lifestyle intervention designed to achieve and maintain weight loss over the long term through decreased caloric intake and exercise. Look AHEAD is focusing on the disease most affected by overweight and obesity, type 2 diabetes, and on the outcome that causes the greatest morbidity and mortality, cardiovascular disease. Look AHEAD has over 5,000 persons with type 2 diabetes participating at 16 centers and is funded by the National Institute of Diabetes, Digestive Disorders and Kidney Disease (NIDDK). For more information about the trial go to https://www.lookaheadtrial.org/public/home.cfm.

Look AHEAD in the Military (Action for Health in Diabetes)
The purpose of this project is (1) to translate and tailor the Look Ahead Intervention to the active duty U.S. Military population's lifestyle and environment that is unique to the military member; (2) to randomized participants to either the Look Ahead Intensive Lifestyle Intervention versus a Diet and Physical Activity Education condition (comparison group similar to the Diabetes Support and Education group in Look AHEAD). The Diet and Physical Activity Educaiton condition of this Look Ahead translation is not a placebo control group but an active information group that stresses nutrition, exercise and support (as in the original Look AHEAD trial).

WHI (Women's Health Initiative)
(PI - Karen Johnson, MD, MPH)
The Women's Health Initiative (WHI) is a multi-center, long-term national health study that has focused on strategies for preventing heart disease, breast and colorectal cancer, and osteoporotic fractures in postmenopausal women. This 15-year project involves 161,808 women aged 50-79, and is one of the most definitive, far-reaching clinical trials and observational studies of post-menopausal women's health ever undertaken in the U.S. The Department of Preventive Medicine at the UTHSC is one of 40 WHI sites across the U.S. The WHI is funded by the National Heart Lung and Blood Institute (NHLBI). For additional information on the WHI study, please visit the study website at www.whiscience.org.

Smoking Cessationarrow Back to top

Air Force III: An Evaluation of a Tobacco Quit Line Targeted to Military Personnel
(PI - Bob Klesges, PhD)
Cigarette smoking is the number one preventable cause of morbidity and mortality in this nation. Despite strong efforts by the Department of Defense (DoD) to reduce tobacco use, rates of smoking in the military remain high. Many intervention programs that show strong efficacy in civilian populations often show limited or no efficacy in military populations. A promising and widely disseminated approach to the treatment of tobacco dependence on a population-wide basis is the use of Tobacco Quit Lines (QL). Given that QL interventions can address the issues of mobility and remote access present in the military (particularly during periods of what the armed services call "high operations tempo" [i.e. war-like conditions]), validating the efficacy of QLs in military populations is a high priority. Thus, the Specific and Exploratory Aims of the current proposal are to determine the long-term (one-year) efficacy of the intervention conditions in participants (n=1200) randomly assigned to a Proactive (where counselors call the participants) versus Reactive QL (where the participants call the QL). Our exploratory aims include determining the representativeness of our sample relative to the population of Air Force personnel and to determine if measures of social cognitive theory relate to program adherence and outcome. This project is a collaborative effort between the University of Tennessee, Mayo Clinic, and the United States Air Force.

Air Force IV: Determinants of Smokeless Tobacco and Dual Tobacco Use in the Military
(PI - Bob Klesges, PhD)
Smokeless tobacco (ST) is tobacco consumed orally and not burned. One of the highest risk groups for adoption and use of ST is the U.S. military. Recent data indicate that 14.5% of all military personnel regularly use ST, 21.6% of white males aged 18-24 are users, and the Air Force is going against secular trends in the military in that ST use is on the rise. Moreover, research from our collaboration is showing that the overwhelming percentage of ST users are "dual users," regular users of ST and other tobacco products. This study will enroll approximately 30,000 Air Force recruits from Basic Military Training (BMT) at Lackland Air Force Base in San Antonio, TX, conduct a baseline assessment at the end of BMT, a time when all recruits have been tobacco free for eight weeks, and evaluate ST and dual tobacco use (ST + cigarette smoking) initiation and cessation at a one- and two-year follow-up. Since dual users have a higher estimated nicotine exposure and are less likely to quit smoking relative to those who use cigarettes or ST exclusively, obtaining onset and cessation data on these individuals in the military is a very high priority. This study is being conducting in collaboration with the United States Air Force and Mayo Clinic College of Medicine.

Air Force V: Prevention of Relapse in Participants Involuntary Abstinent From Tobacco
(PI - Bob Klesges, PhD)
Of smokers who receive a formal cessation program, at least 70% relapse; among self-quitters, the relapse rate is approximately 90%. Unfortunately, the vast majority of smokers who try to stop smoking do so with no or with minimal assistance. Brandon and colleagues have demonstrated that a series of 8 printed self-help booklets consistently produced higher point-prevalence abstinence rates in smokers that had quit on their own. Given the enormous public health implications of this approach, more research on promoting long-term self-quitting is clearly needed. However, nothing is known about methods of preventing relapse following involuntary abstinence (e.g., military training, during hospital stays, in jails, prisons, & psychiatric facilities). Previous research has determined that protracted involuntary cessation in the military with no other intervention is associated with significant long-term cessation rates (15-20% at a one-year follow-up). The aims of this study are to recruit approximately 5200 United States Air Force (USAF) recruits at the end of Basic Military Training (BMT) who were regular smokers prior to an 8-week involuntary cessation during BMT, to randomize participants either to (a) standard forced cessation, (b) forced cessation + printed materials (proven to be efficacious in previous studies among those who voluntarily quit on their own), and (c) forced cessation + 1 face to face meeting with Airmen before they have the opportunity to relapse. We will then determine long-term (12 month) efficacy of the cessation maintenance intervention. Our primary outcome is smoking cessation maintenance at 12 month follow-up. The secondary outcome is smoking cessation maintenance at 6 month follow-up.

TARGIT (Treating Adults at Risk for Weight Gain with Interactive Technology)
(PI - Karen Johnson, MD, MPH)
The TARGIT is a clinical trial evaluates innovative ways to help young adults age 18-35 quit smoking, improve eating habits, and increase physical activity to prevent post cessation weight gain using interactive technology. TARGIT is funded by the National Heart Lung and Blood Institute. Interested persons can call 901-448-8400 for more information or access our website at http://www.targitstudy.org

Violence/Domestic Violencearrow Back to top

Post Coital DNA Recovery Project
(Project Evaluator - Pam Connor, PhD)
This project is designed to provide evidence to support or limit the expansion of the 72-hour time frame for evidence collection from the vagina and cervix after a rape event in adult females. In most jurisdictions, post-coital samples are collected up to, but not after, 72 hours following rape.

Reducing Domestic Violence, Dating Violence, Sexual Assault, and Stalking on Campus Program
(PI - Pam Connor, PhD)
This project is sponsored by the U.S. Department of Justice Office of Violence Against Women initiative and is designed to educate the UTHSC campus community, as well as build strong partnerships and lasting collaborations with both campus and community organizations, in order to respond to and help prevent and reduce campus violence.

Evidence-Based Home Visitation (EBHV) Program to Prevent Child Maltreatment
(Project Evaluator - Pam Connor, PhD)
The purpose of this project is to support collaborative planning efforts to leverage Federal, State & local funding streams for evidence-based home visitation programs. The EBHV program is also designed to implement a range of activities to build infrastructure that will adopt, implement, and sustain high quality home visitation programs and positive family/child outcomes.

Women/Women's Healtharrow Back to top

Post Coital DNA Recovery Project
(Project Evaluator - Pam Connor, PhD)
This project is designed to provide evidence to support or limit the expansion of the 72-hour time frame for evidence collection from the vagina and cervix after a rape event in adult females. In most jurisdictions, post-coital samples are collected up to, but not after, 72 hours following rape.

Reducing Domestic Violence, Dating Violence, Sexual Assault, and Stalking on Campus Program
(PI - Pam Connor, PhD)
This project is sponsored by the U.S. Department of Justice Office of Violence Against Women initiative and is designed to educate the UTHSC campus community, as well as build strong partnerships and lasting collaborations with both campus and community organizations, in order to respond to and help prevent and reduce campus violence.

Telephone Support During Overseas Deployment for Military Spouses
Deployment impacts both service member and family, and the cost can be high. Spouses' reactions to deployment may include emotional distress, loneliness, anticipatory fear or grief, somatic complaints, and depression. This study, funded by the Department of Defense (DoD), Defense Health Program (DHP), managed by the US Army Medical Research and Materiel Command, Military Operational Medicine Research Program (MOMRP), will help spouses learn ways to manage stress and solve problems related to communication, managing long distance relationships, and other common deployment problems. The study will compare telephone support groups to online education sessions. Find information or volunteer at: vhamemsbm@va.gov, (901) 577-7485 or (800) 636-8262, ext. 7485, or www.memphis.va.gov/spousesupport.

WHI (Women's Health Initiative)
(PI - Karen Johnson, MD, MPH)
The Women's Health Initiative (WHI) is a multi-center, long-term national health study that has focused on strategies for preventing heart disease, breast and colorectal cancer, and osteoporotic fractures in postmenopausal women. This 15-year project involves 161,808 women aged 50-79, and is one of the most definitive, far-reaching clinical trials and observational studies of post-menopausal women's health ever undertaken in the U.S. The Department of Preventive Medicine at the UTHSC is one of 40 WHI sites across the U.S. The WHI is funded by the National Heart Lung and Blood Institute (NHLBI). For additional information on the WHI study, please visit the study website at www.whiscience.org.

Spouse READI (Resilience Education and Deployment Information)
Deployment and combat can affect marriage and families negatively. This study, funded by the Department of Defense (DoD), Defense Health Program (DHP), managed by the US Army Medical Research and Materiel Command, Military Operational Medicine Research Program (MOMRP), is testing telephone-based strategies to assist spouses of returning service members. The goal is to build spouses’ resilience to cope with reintegration challenges, help them serve as a support system for service members, and ease the transition for families post-deployment. The study is comparing telephone support/discussion groups to telephone/computer education groups and to usual care. Find information or volunteer at: vhamemsbm@va.gov, (901) 577-7485 or (800) 636-8262, ext. 7485, or www.memphis.va.gov/spousesupport

Spouse Telephone Support for Post 9/11 Veterans
(PI - Jennifer Martindale-Adams, EdD and Linda O. Nichols, PhD)
Based on national telephone support intervention research, Spouse Telephone Support is designed to improve spouse resilience, prepare spouses to cope with their own reintegration difficulties and to serve as a support system, and ease the post-deployment transition for post 9/11Veterans. Spouse Telephone Support is a VA system-wide program, training staff at VA Medical Centers around the country, based at the Memphis VA Medical Center. For more information, email vhamemsbm@va.gov, or call (901) 577-7485 or (800) 636-8262, ext. 7485.