Noosha Niv - Academia.edu (original) (raw)

Papers by Noosha Niv

Journal of Behavioral Medicine, Nov 18, 2019

Compliance with Ethical Standards and Disclosures: The authors have no conflicts of interest to d... more Compliance with Ethical Standards and Disclosures: The authors have no conflicts of interest to disclose. All study procedures were approved by the appropriate institutional review boards. All participants completed written informed consent. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or other affiliated institutions.

Journal of Behavioral Health Services & Research, Mar 20, 2012

Schizophrenia Bulletin, Sep 28, 2005

Psychiatric Rehabilitation Journal, Sep 1, 2019

OBJECTIVE This study examines barriers to participation and retention in 2 modalities (web-based ... more OBJECTIVE This study examines barriers to participation and retention in 2 modalities (web-based and in-person) of a weight-management intervention tailored for individuals with serious mental illness (SMI). METHOD Using a mixed-methods approach, we explored the barriers veterans with SMI face when participating in a web-based (WebMOVE) or in-person (MOVE-SMI) version of the same SMI-adapted MOVE weight-management program. Participants in the randomized controlled trial (n = 277) were recruited from specialty mental health clinics at a Veterans Affairs medical center. Barriers were analyzed across treatment condition and program attendance (engagement) at baseline and follow-up using a generalized lineal model. Post hoc analyses assessed whether changes in the trajectory of barriers over time were associated with engagement. A subsample of participants (n = 48) from the WebMOVE and MOVE-SMI treatment conditions completed a qualitative interview, and 2 coders used open coding to analyze the data. RESULTS Although barriers specific to treatment modality existed, most barriers cut across intervention modality, including financial hardship, lack of reliable housing and transportation, comorbid physical and mental health issues, and competing demands on personal time. Results of post hoc analyses found the association between engagement and emotional and motivational factors to be statistically significant. CONCLUSIONS This study is the 1st to identify barriers in a web-based intervention for SMI. Similar barriers persisted across treatment modalities. Known barriers, particularly socioeconomic barriers, should be addressed to improve engagement and retention of individuals in weight-management interventions adapted for SMI, irrespective of modality. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Psychiatric Services, Oct 1, 2018

Psychiatric Services, Mar 1, 2020

Journal of Behavioral Health Services & Research, May 12, 2006

Health Services Research, Mar 23, 2006

Psychiatric Services, 2019

Journal of Behavioral Medicine, 2019

Psychiatric Rehabilitation Journal, 2019

Psychiatric services (Washington, D.C.), Jan 25, 2018

Many adults with serious mental illness are sedentary and experience significant medical illness ... more Many adults with serious mental illness are sedentary and experience significant medical illness burden. This study examined the effectiveness of online weight management with peer coaching (WebMOVE) for increasing general physical activity among adults with serious mental illness. Using quantitative and qualitative data from a randomized controlled trial (N=276), this study compared WebMOVE, in-person weight management for adults with serious mental illness (MOVE SMI), and usual care. Participants completed assessments of general physical activity (baseline, three months, and six months) and a qualitative assessment (six months). Mixed-effects models examined group × time interactions on general physical activity. There were significant differences between MOVE SMI and usual care for total physical activity at three (t=3.06, p=.002) and six (t=3.12, p=.002) months, walking at six months (t=1.99, p=.048), and moderate (t=2.12, p=.035) and vigorous (t=2.34, p=.020) physical activity ...

Journal of general internal medicine, 2017

People with serious mental illness have high rates of obesity and related medical problems, and d... more People with serious mental illness have high rates of obesity and related medical problems, and die years prematurely, most commonly from cardiovascular disease. Specialized, in-person weight management interventions result in weight loss in efficacy trials with highly motivated patients. In usual care, patient enrollment and retention are low with these interventions, and effectiveness has been inconsistent. To determine whether computerized provision of weight management with peer coaching is feasible to deliver, is acceptable to patients, and is more effective than in-person delivery or usual care. Mixed-methods randomized controlled trial. Two hundred seventy-six overweight patients with serious mental illness receiving care at a Veterans Administration medical center. Patients were randomized to 1) computerized weight management with peer coaching (WebMOVE), 2) in-person clinician-led weight services, or 3) usual care. Both active interventions offered the same educational cont...

Psychiatric Services, 2017

Journal of Nervous & Mental Disease, 2007

This study compared relatives' attributions and affective reactions toward patients with severe m... more This study compared relatives' attributions and affective reactions toward patients with severe mental illness (SMI) only (N ϭ 32) and patients with dual SMI and a substance use disorder (N ϭ 36). Family members of patients with dual disorders perceived their ill relatives to have greater control over the causes of their psychiatric symptoms and to be more responsible for their symptoms than did family members of patients with SMI only. Key relatives of dual-diagnosed patients also reported more negative affect toward the patient than did key relatives of patients with SMI only, but the two groups did not differ in their level of positive affect. Consistent with attribution theory, severity of patients' substance abuse was positively associated with relatives' attributions of controllability, which, in turn, were positively associated with judgments of responsibility. Furthermore, judgments of responsibility were positively related to negative affect and inversely related to positive affect.

Journal of Drug Issues, 2009

Over the past 20 years, much exciting addiction research has been conducted. Extensive knowledge ... more Over the past 20 years, much exciting addiction research has been conducted. Extensive knowledge has been gathered about comorbid issues, particularly mental health disorders, HIV, and criminal justice involvement. Health services addiction research has become increasingly sophisticated, shifting its focus from patients to consider also services, organizations, and financing structures. Furthermore, through several long-term follow-up studies, empirical evidence convincingly demonstrates that drug dependence is not an acute disorder, and is best understood through a life course perspective with an emphasis on chronicity. This article highlights three major directions for future addiction research: developing strategies for chronic care (including longitudinal intervention studies), furthering cross-system linkage and coordination, and utilizing innovative methods (e.g., growth curve modeling, longitudinal mixed methods research) to strengthen the evidence base for the life course pe...

The Journal of Behavioral Health Services & Research, 2008

The Journal of Behavioral Health Services & Research, 2006

Schizophrenia bulletin, 2006

Many types of family interventions have been found to be effective in reducing exacerbations in s... more Many types of family interventions have been found to be effective in reducing exacerbations in schizophrenia; some also improve consumer social functioning and reduce family burden. Regardless of their origins, these interventions share a number of common features, such as showing empathy for all participants, providing knowledge about the illness, assuming a nonpathologizing stance, and teaching communication and problem-solving skills. Importantly, these family interventions have many characteristics that are consistent with the growing recovery movement in mental health in that they are community-based, emphasize achieving personally relevant goals, work on instilling hope, and focus on improving natural supports. Nevertheless, these interventions are generally reflective of older models of serious and persisting psychiatric illnesses that are grounded in a "patient being treated for a chronic illness" rather than a "consumer assuming as much responsibility as pos...

Psychiatric services (Washington, D.C.), 2007

This study examined the reliability and convergent, discriminant, and predictive validity of the ... more This study examined the reliability and convergent, discriminant, and predictive validity of the Mental Illness Research, Education, and Clinical Center (MIRECC) version of the Global Assessment of Functioning (GAF) scale. The MIRECC GAF measures occupational functioning, social functioning, and symptom severity on three subscales.