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Item Care ally-assisted massage for Veterans with chronic neck pain: TOMCATT results(Elsevier, 2024-07) Munk, N.; Daggy, J. K.; Slaven, J. E.; Evans, E.; Foote, T.; Laws, B.; Matthias, M. S.; Bair, M. J.; Health Sciences, School of Health and Human SciencesPurpose Chronic neck pain (CNP) is prevalent and challenging to treat. Despite evidence of massage's effectiveness for CNP, multiple accessibility barriers exist. The Trial Outcomes for Massage: Care Ally-Assisted vs. Therapist Treated (TOMCATT) study examined a care ally-assisted massage (CA-M) approach compared to a waitlist control prior to a study design modification (WL-C0). Methods CA-M consisted of in-person training for veteran/care-ally dyads to learn a standardized 30-minue massage routine, instructional DVD, and printed treatment manual. Participants were to complete three care ally-assisted massage sessions weekly for 12-weeks. Outcomes collected at baseline, 1-, 3-, and 6-months included validated measures of neck pain severity and associated disability. Linear mixed-model approaches were used for analysis with 3-months as the primary outcome timepoint. Results Participants (N = 203) were 56.7 ± 14 years old, 75% White, 15% female, and 75% married/partnered. Among 102 CA-M participants, 45% did not attend the in-person training and subsequently withdrew from the study and were more likely to be younger (p = .016) and employed (p = .004). Compared to WL-C0, CA-M participants had statistically significant reductions in pain-related disability at 3-months (−3.4, 95%CI = [−5.8, −1.0]; p = .006) and 6-months (−4.6, 95%CI = [−7.0, −2.1]; p < .001) and pain severity at 3-months (−1.3, 95%CI = [−1.9, −0.8]; p < .001) and 6-months (−1.0, 95%CI = [−1.6, −0.4]; p = .007), respectively. Conclusion In this analysis, CA-M led to greater reductions in CNP with disability and pain severity compared to WL-C0, despite treatment engagement and retention challenges. Future work is needed to determine how to better engage Veterans and their care-allies to attend CA-M training.Item Literature Matrix of Publications on Art Therapy with Veterans(2018-04-16) Davis, Heather E.This literature matrix originates from Art Therapy with Veterans: A Comprehensive Review with Recommendations, a Master's Thesis written by Heather E. Davis which can be found at the following link: [LINK]http://hdl.handle.net/1805/16333[/LINK]. The matrix contains details from the 26 articles and chapters related to conducting art therapy with veterans deemed by the researcher to meet the following criteria: (a) the primary focus was limited to conducting art therapy with veterans; (b) the content correlated with diagnoses covered in the scope of this study; (c) the content was original or provided information about published data that could not be otherwise accessed by the researcher; and (d) the art therapy being conducted was led by a trained or in-training art therapist.