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VISN 2 Center for Integrated Healthcare (CIH)

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Robyn L. Shepardson, PhD

Clinical Research Psychologist

Biography

Publications

Presentations

Grants

Biography

Robyn ShepardsonPhoto

Biography: Dr. Shepardson is a junior investigator with the Center for Integrated Healthcare (CIH). She is a licensed clinical psychologist based at the Syracuse VA Medical Center, where she maintains a part-time clinic in Primary Care-Mental Health Integration (PC-MHI). Prior to joining CIH in 2013, she completed an American Psychological Association accredited pre-doctoral psychology internship in health psychology/behavioral medicine at the Brown Clinical Psychology Training Consortium
in Providence, RI. Dr. Shepardson earned both her M.S. and Ph.D. in clinical
psychology from Syracuse University. She then completed clinical research training at CIH under the mentorship of Dr. Jennifer Funderburk.

Research Interests: Dr. Shepardson’s program of research aims to increase access
to, and engagement in, mental and behavioral healthcare that incorporates Veterans’ treatment preferences. Her primary focus is developing, testing, and implementing brief, evidence-based interventions for anxiety and depression for Veterans seen in primary care through PC-MHI. She is currently completing a 5-year HSR&D-funded Career Development Award (CDA-2) in which she will develop, refine, and evaluate a brief evidence-based anxiety intervention designed to be acceptable to Veterans and feasible for providers to implement in the PC-MHI setting.

Dr. Shepardson’s other major line of research examines how PC-MHI can support Veterans in self-management of mental health concerns as the first step within a stepped care model. She is currently conducting a pilot study with Dr. Funderburk on self-help for pandemic stress for Veterans with depression or PTSD who are not engaged in treatment. Dr. Shepardson is also interested in peer support and identifying ways to incorporate behavioral medicine (sleep, pain, weight loss, health behavior change, adjustment to illness, etc.) and sexual health (erectile dysfunction, sexual risk reduction, etc.) into primary care behavioral health services. She has conducted research on sexual health, sexual risk behavior, and health behaviors including alcohol and hookah tobacco use.

Publications

Recent Publications:

*Maiden name was Fielder.

Shepardson, R. L., Minnick, M. R., & Funderburk, J. S. (2020). Anxiety interventions delivered in Primary Care Behavioral Health routine clinical practice. Families, Systems, & Health, 38, 193-199. doi:10.1037/fsh0000493

Funderburk, J. S., Pigeon, W. R., Shepardson, R. L., & Maisto, S. A. (in press). Brief behavioral activation intervention for depressive symptoms: Patient satisfaction, acceptability, engagement, and treatment response. Psychological Services. doi:10.1037/ser0000328

Shepardson, R. L., Kosiba, J. D., Bernstein, L. I., & Funderburk, J. S. (2019). Suicide risk among veteran primary care patients with current anxiety symptoms. Family Practice, 36, 91-95. doi:10.1093/fampra/cmy088

Shepardson, R. L., Johnson, E. M., Possemato, K., Arigo, D., & Funderburk, J. S. (2019). Perceived barriers and facilitators to implementation of peer support in Veterans Health Administration primary care-mental health integration settings. Psychological Services, 16, 433-444. doi:10.1037/ser0000242

Possemato, K., Shepardson, R. L., & Funderburk, J. S. (2018). The role of integrated primary care in increasing access to effective psychotherapies in Veterans Health Administration. Focus, 16, 384-392. doi:10.1176/appi.focus.20180024

Possemato, K., Johnson, E. M., Beehler, G. P., Shepardson, R. L., King, P., Vair, C., Funderburk, J. S., Maisto, S. A., & Wray, L. O. (2018). Patient outcomes associated with Primary Care Behavioral Health services: A systematic review. General Hospital Psychiatry, 53, 1-11. doi:10.1016/j.genhosppsych.2018.04.002

Shepardson, R. L., Buchholz, L. J., Weisberg, R. B., & Funderburk, J. S. (2018). Psychological interventions for anxiety in adult primary care patients: A review and recommendations for future research. Journal of Anxiety Disorders, 54, 71-86. doi:10.1016/j.janxdis.2017.12.004

Funderburk, J. S., Shepardson, R. L., Wray, J. M., Acker, J., Beehler, G. P., Possemato, K., Wray, L. O., & Maisto, S. A. (2018). Behavioral medicine interventions for adult primary care settings: A review. Families, Systems, & Health, 36, 368-399. doi:10.1037/fsh0000333

Beehler, G. P., Lilienthal, K. R., Possemato, K., Johnson, E. M., King, P. R., Shepardson, R. L., … Wray, L. O. (2017). Narrative review of provider behavior in Primary Care Behavioral Health: How process data can inform quality improvement. Families, Systems, & Health. doi:10.1037/fsh0000263

Shepardson, R. L., Tapio, J., & Funderburk, J. S. (2017). Self-management strategies for stress and anxiety used by non-treatment seeking Veteran primary care patients. Military Medicine, 182, e1747-1754. doi:10.7205/MILMED-D-16-00378

Funderburk, J. S., & Shepardson, R. L. (2017). Real-world program evaluation of integrated behavioral health care: Improving scientific rigor. Families, Systems, & Health, 35, 114-124. doi:10.1037/fsh0000253

Haibach, J. P., Haibach, M. A., Hall, K. S., Masheb, R. M., Little, M. A., Shepardson, R. L., … Goldstein, M. (2017). Military and Veteran health behavior research and practice: Challenges and opportunities. Journal of Behavioral Medicine, 40, 175-193. doi:10.1007/s10865-016-9794-y

Shepardson, R. L., & Funderburk, J. S. (2016). Likelihood of attending treatment for anxiety among veteran primary care patients: Patient preferences for treatment attributes. Journal of Clinical Psychology in Medical Settings, 23, 225-239. doi:10.1007/s10880-016-9462-y

Shepardson, R. L.
, Funderburk, J. S., & Weisberg, R. B. (2016). Adapting evidence-based, cognitive-behavioral interventions for anxiety for use with adults in integrated primary care settings. Families, Systems, & Health, 34, 114-127. doi:10.1037/fsh0000175

Funderburk, J. S., Shepardson, R. L., & Krenek, M. (2015). Brief behavioral interventions for symptoms of depression and insomnia in university primary care. Journal of American College Health, 63, 398-402. doi:10.1080/07448481.2015.101503

Funderburk, J. S., & Shepardson, R. L. (2015). Recent advances in primary care behavioral health. Current Opinion in Psychology, 5, 37-41.

Shepardson, R. L., Funderburk, J. S., Pigeon, W. R., & Maisto, S. A. (2014). Insomnia treatment experience and preferences among Veterans Affairs primary care patients. Military Medicine, 179, 1072-1076.

Shepardson, R. L., & Funderburk, J. S. (2014). Implementation of universal behavioral health screening in a university health setting. Journal of Clinical Psychology in Medical Settings, 21, 253-266.

Fielder, R. L., Walsh, J. L., Carey, K. B., & Carey, M. P. (2014). Sexual hookups and adverse health outcomes: A longitudinal study of first-year college women. Journal of Sex Research, 51(2), 131-144.

Fielder, R. L., Walsh, J. L., Carey, K. B., & Carey, M. P. (2013). Predictors of sexual hookups: A theory-based, prospective study of first-year college women. Archives of Sexual Behavior, 42, 1425-1441.

Funderburk, J. S., & Fielder, R. L. (2013). Primary mental health care model in a university health clinic: An advanced practicum experience. Training and Education in Professional Psychology, 7, 112-122.

Fielder, R. L., Carey, K. B., & Carey, M. P. (2012). Predictors of initiation of hookah tobacco smoking: A one-year prospective study of first-year college women. Psychology of Addictive Behaviors, 26, 963-968.

Fielder, R. L., Carey, K. B., & Carey, M. P. (2012). Prevalence, frequency, and initiation of hookah tobacco smoking among first-year female college students: A one-year longitudinal study. Addictive Behaviors, 37, 221-224.

Funderburk, J. S., Fielder, R. L., DeMartini, K. S., & Flynn, C. A. (2012). Integrating behavioral health services into a university health center: Patient and provider satisfaction. Families, Systems, and Health, 30, 130-140.

Scott-Sheldon, L. A. J., Fielder, R. L., & Carey, M. P. (2010). Sexual risk reduction interventions for patients attending sexually transmitted disease clinics in the United States: A meta-analytic review, 1986 to early 2009. Annals of Behavioral Medicine, 40, 191-204.

 

Recent Presentations:
*Maiden name was Fielder

Funderburk, J. S., Pigeon, W., & Shepardson, R. L. (2019, October). Methodological and practical considerations for assessing suicidal ideation: Guidance for health services researchers. Poster presented at the 2019 VA HSR&D/QUERI National Conference, Washington, DC.

Funderburk, J. S., Shepardson, R. L., & Pigeon, W. (2019, October). Practical strategies for effective recruitment, enrollment, and retention of veterans in mental health research. Paper presented at the 2019 VA HSR&D/QUERI National Conference, Washington, DC.

Shepardson, R. L., Funderburk, J. S., Sunderji, N., Studts, C., & Polaha, J. (2019, October). Program evaluation intensive: Practical training in selecting measures and data collection methods to obtain useful outcome data. Preconference workshop presented at the 21st Annual Conference of the Collaborative Family Healthcare Association, Denver, CO.

Shepardson, R. L., Funderburk, J. S., Weisberg, R. B., & Maisto, S. A. (2019, October). Using provider and patient feedback to refine the treatment manual for a brief primary care anxiety intervention. Poster presented at the 21st Annual Conference of the Collaborative Family Healthcare Association, Denver, CO.

Shepardson, R. L., & Funderburk, J. S. (2019, March). Self-management interventions for anxiety and depression in primary care: Perceptions and Preferences among VA primary care patients. Poster presented at the 39th Annual Conference of the Anxiety and Depression Association of America, Chicago, IL.

Funderburk, J. S., Pigeon, W., Shepardson, R. L., & Maisto, S. A. (2019, March). Brief behavioral activation intervention for depressive symptoms: Patient satisfaction, acceptability, engagement, and treatment response. Poster presented at the 39th Annual Conference of the Anxiety and Depression Association of America, Chicago, IL.

Shepardson, R. L., Bailey, S., Meadows, T., Aamar, R., & Funderburk, J. S. (2018, October). How to use electronic medical record data to formulate and answer real-world questions in integrated behavioral health care. Paper presented at the 20th Annual Conference of the Collaborative Family Healthcare Association, Rochester, NY.

Shepardson, R. L., Johnson, E. M., Possemato, K., Arigo, D., & Funderburk, J. S. (2018, October). Patient and provider attitudes and receptiveness toward peer support in integrated primary care. Poster presented at the 20th Annual Conference of the Collaborative Family Healthcare Association, Rochester, NY.

Shepardson, R. L., Weisberg, R. B., Maisto, S. A., & Funderburk, J. S. (2018, July). Recommendations from frontline clinicians for developing feasible brief anxiety interventions for primary care. Poster presented at the 2018 HSR&D Career Development Conference, Salt Lake City, UT.

Shepardson, R. L., Johnson, E. M., Possemato, K., Arigo, D., & Funderburk, J. S. (2018, April). Barriers and facilitators of implementing peer support in VHA primary care-mental health integration settings. Poster presented at the 39th Annual Meeting and Scientific Sessions of the Society of Behavioral Medicine, New Orleans, LA.

Shepardson, R. L., Buchholz, L. J., Weisberg, R. B., & Funderburk, J. S. (2018, April). Brief psychological interventions for anxiety in adult primary care patients: A review and recommendations for future research. Poster presented at the 39th Annual Meeting and Scientific Sessions of the Society of Behavioral Medicine, New Orleans, LA.

Shepardson, R. L., Johnson, E. M., Possemato, K., Arigo, D., & Funderburk, J. S. (2017, October). Peer support in integrated primary care: Provider and patient feedback on potential peer roles. Paper presented at the 19th Annual Conference of the Collaborative Family Healthcare Association, Houston, TX.

Shepardson, R. L., Tapio, J., & Funderburk, J. S. (2017, March). Self-management strategies for stress and anxiety used by non-treatment seeking primary care patients. Poster presented at the 38th Annual Meeting and Scientific Sessions of the Society of Behavioral Medicine, San Diego, CA.

Funderburk, J. S., & Shepardson, R. L. (2017, March). Primary care and behavioral health integration within the VA and DoD: Where we stand? Paper presented at the 38th Annual Meeting and Scientific Sessions of the Society of Behavioral Medicine, San Diego, CA.

Funderburk, J. S., Shepardson, R. L., Wray, J. M., Acker, J., Possemato, K., Beehler, G., & Wray, L. O. (2017, March). Brief behavioral interventions for behavioral medicine concerns for use in adult primary care settings: A systematic review. Paper presented at the 38th Annual Meeting and Scientific Sessions of the Society of Behavioral Medicine, San Diego, CA.

Shepardson, R. L.
,
& Funderburk, J. S. (2016, October). Incorporating peer support services into integrated primary care. Paper presented at the 18th Annual Conference of the Collaborative Family Healthcare Association, Charlotte, NC.

Shepardson, R. L.
(2016, May). Brief interventions for anxiety in Primary Care Behavioral Health. Invited webinar presentation, Collaborative Family Healthcare Association Primary Care Behavioral Health Special Interest Group.

Shepardson, R. L., Bernstein, L. I., & Funderburk, J. S. (2016, March). Suicide risk among primary care patients reporting current anxiety symptoms. Poster presented at the 36th Annual Anxiety and Depression Conference of the Anxiety and Depression Association of America, Philadelphia, PA.

Shepardson, R. L., & Funderburk, J. S. (2016, March). Exploring treatment preferences among Veteran primary care patients reporting anxiety symptoms. Paper presented at the 36th Annual Anxiety and Depression Conference of the Anxiety and Depression Association of America, Philadelphia, PA.

Shepardson, R. L., & Funderburk, J. S. (2015, October). How do integrated behavioral health providers treat anxiety in routine clinical practice? Paper presented at the 17th Annual Conference of the Collaborative Family Healthcare Association, Portland, OR.

Shepardson, R. L., & Funderburk, J. S. (2015, April). What do non-treatment seeking Veteran primary care patients do to self-manage anxiety? Poster presented at the 35th Annual Conference of the Anxiety and Depression Association of America, Miami, FL.

Shepardson, R. L., & Funderburk, J. S. (2014, October). Adapting evidence-based interventions for anxiety for use in integrated primary care settings. Paper presented at the annual meeting of the Collaborative Family Healthcare Association, Washington, DC.

Shepardson, R. L., Funderburk, J. S., & Hunter, C. L. (2014, October). Patients with anxiety symptoms seen by VA and USAF integrated behavioral health providers: Comorbid symptoms and brief interventions. Paper presented at the annual meeting of the Collaborative Family Healthcare Association, Washington, DC.

Funderburk, J., Pigeon, W., Maisto, S., & Fielder, R. L. (2014, April). Brief behavioral activation for depressed veterans in primary care: A pilot study of effectiveness and acceptability. Paper presented at the 35th Annual Meeting and Scientific Sessions of the Society of Behavioral Medicine, Philadelphia, PA.

 

Recent Grants:

Co-Investigator
(2020-2022). Adjunctive team enhanced intervention to improve suicide prevention evidence-based practices in primary care (PI: Funderburk). American Foundation for Suicide Prevention Standard Research Grant, $99,970.

Multi-Principal Investigator (2020-2021). Piloting a self-help intervention to improve Veteran mental health during the COVID-19 pandemic (MPI: Funderburk). VA Health Services Research & Development COVID-19 Rapid Response Project, $101,844.

Co-Investigator (2019-2020). Intimate partner violence among primary care Veterans and their partners: A pilot investigation (MPIs: Trabold & Crane). Center for Integrated Healthcare Pilot Grant, $18,360.

Principal Investigator. (2018). Development of a primary care self-management intervention for anxiety and depression. Center for Integrated Healthcare Pilot Grant, $1,080.

Principal investigator. (2017-2022). Improving primary care anxiety treatment engagement and effectiveness. VA Health Services Research & Development Career Development Award-2 (CDA-2), $606,340.

Principal investigator.
(2016). Exploring Stakeholder Ideas for Incorporating Peer Support into PC-MHI. Center for Integrated Healthcare Pilot Grant, $10,781.

Principal Investigator. (2015). How do integrated behavioral health providers treat anxiety in routine clinical practice? Center for Integrated Healthcare Pilot Grant, $3,825.

Principal Investigator. (2014-2015). Anxiety Treatment Preferences among Veteran Primary Care Patients. Center for Integrated Healthcare Pilot Grant, $6,513.

Principal Investigator. (2014-2015). How do integrated behavioral health providers treat anxiety in routine clinical practice? Collaborative Family Healthcare Association Research Fellowship, $1,000.

 

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