{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T12:47:57Z","timestamp":1785415677731,"version":"3.56.0"},"reference-count":63,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T00:00:00Z","timestamp":1783036800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Health Services Research &amp; Development","award":["I21RX003611"],"award-info":[{"award-number":["I21RX003611"]}]},{"award":["I21RX003611"],"award-info":[{"award-number":["I21RX003611"]}],"id":[{"id":"https:\/\/ror.org\/0083hz885","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Chronic pain is the leading cause of disability worldwide and frequently co-occurs with mild traumatic brain injury among Veterans (mTBI + CP), creating complex treatment challenges and a need for novel, non-pharmacological interventions. This study evaluated a pilot intervention combining intermittent theta burst stimulation (iTBS), a neuromodulatory approach, with the evidence-based LoveYourBrain Yoga program to enhance rehabilitation outcomes. In a six-week open-label trial, ten Veterans with mTBI + CP received weekly iTBS followed by yoga sessions. Pilot quantitative outcomes included quality of life (Traumatic Brain Injury Quality of Life [TBI-QoL]) and functional ability (Mayo Portland Adaptability Inventory-4 [MPAI-4]), assessed pre- and post-intervention, alongside qualitative semi-structured interviews and interdisciplinary clinical notes. Significant improvements were observed in TBI-QoL Fatigue (p = 0.021) and MPAI-4 Grief and Loss (p = 0.016), with clinically meaningful but non-significant gains in Ability and Adjustment. Qualitative findings revealed improved pain management and enhanced self-management, with participants describing better emotional regulation, more effective coping strategies, and stronger social connections. Some benefits were more evident in qualitative data than in standardized measures. These pilot findings suggest that combining iTBS with mind\u2013body therapy may provide complementary tools for pain management and functional recovery in Veterans with mTBI + CP, supporting further investigation of integrated neuromodulation and behavioral interventions.<\/jats:p>","DOI":"10.3390\/ijerph23070872","type":"journal-article","created":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T14:33:06Z","timestamp":1783089186000},"page":"872","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perspectives Among Veterans with Chronic Pain and Co-Occurring Mild Traumatic Brain Injury: Mixed-Method Findings from a Neuromodulation and Yoga Intervention"],"prefix":"10.3390","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5099-6879","authenticated-orcid":false,"given":"Amy M.","family":"Kemp","sequence":"first","affiliation":[{"name":"Elson S. Floyd College of Medicine, Washington State University, Spokane, WA 99202, USA"},{"name":"Edward Hines Jr. VA Hospital, Hines, IL 60141, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1325-710X","authenticated-orcid":false,"given":"Kelly","family":"Krese","sequence":"additional","affiliation":[{"name":"Shirley Ryan AbilityLab, Chicago, IL 60611, USA"},{"name":"Midwestern University, Downers Grove, IL 60515, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1325-9073","authenticated-orcid":false,"given":"Bella","family":"Etingen","sequence":"additional","affiliation":[{"name":"Research and Development Service, Dallas VA Medical Center, Dallas, TX 75216-7167, USA"},{"name":"Department of Health Economics, Systems, and Policy, Peter O\u2019Donnell Jr. School of Public Health, UT Southwestern Medical Center, Dallas, TX 75390, 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DOD TBI Worldwide Numbers. Available online: https:\/\/health.mil\/Military-Health-Topics\/Centers-of-Excellence\/Traumatic-Brain-Injury-Center-of-Excellence\/DOD-TBI-Worldwide-Numbers."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1097\/MLR.0b013e318245a558","article-title":"Prevalence and costs of co-occurring traumatic brain injury with and without psychiatric disturbance and pain among Afghanistan and Iraq War Veteran V.A. users","volume":"50","author":"Taylor","year":"2012","journal-title":"Med. Care"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1169","DOI":"10.1080\/02699052.2018.1482427","article-title":"Pain and chronic mild traumatic brain injury in the US military population: A Chronic Effects of Neurotrauma Consortium study","volume":"32","author":"Hoot","year":"2018","journal-title":"Brain Inj."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"457","DOI":"10.2147\/JPR.S105892","article-title":"A review of chronic pain impact on patients, their social environment and the health care system","volume":"9","author":"Ojeda","year":"2016","journal-title":"J. Pain Res."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Lucas, J.W., and Sohi, I. (2024). Chronic Pain and High-impact Chronic Pain in U.S. Adults, 2023. NCHS Data Briefs, 518.","DOI":"10.15620\/cdc\/169630"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1097\/j.pain.0000000000001384","article-title":"Chronic pain as a symptom or a disease: The IASP Classification of Chronic Pain for the International Classification of Diseases (ICD-11)","volume":"160","author":"Treede","year":"2019","journal-title":"Pain"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1016\/j.psychres.2014.01.046","article-title":"Lower health related quality of life in U.S. military personnel is associated with service-related disorders and inflammation","volume":"216","author":"Gill","year":"2014","journal-title":"Psychiatry Res."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"101980","DOI":"10.1016\/j.copsyc.2024.101980","article-title":"The multi-dimensional stigma of chronic pain: A narrative review","volume":"62","author":"Scott","year":"2025","journal-title":"Curr. Opin. Psychol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"2132","DOI":"10.1007\/s00415-020-10385-6","article-title":"Long-term psychosocial outcome following mild traumatic brain injury and minor stroke: A direct longitudinal comparison","volume":"268","author":"Verberne","year":"2021","journal-title":"J. Neurol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1080\/21635781.2015.1055866","article-title":"Help-Seeking Stigma and Mental Health Treatment Seeking Among Young Adult Veterans","volume":"3","author":"Kulesza","year":"2015","journal-title":"Mil. Behav. Health"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1080\/08995605.2021.1962181","article-title":"Military and Veteran help-seeking behaviors: Role of mental health stigma and leadership","volume":"33","author":"McGuffin","year":"2021","journal-title":"Mil. Psychol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"4422","DOI":"10.1007\/s12144-021-01768-7","article-title":"Masculinity and stigma among emerging adult military members and veterans: Implications for encouraging help-seeking","volume":"42","author":"Clary","year":"2023","journal-title":"Curr. Psychol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1097\/MS9.0000000000004569","article-title":"The impact of stigma on health care-seeking behavior in military personnel with mental health challenges","volume":"88","author":"Rasheed","year":"2026","journal-title":"Ann. Med. Surg."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1007\/s10591-025-09744-0","article-title":"Barriers To Health-Seeking Behaviors for Females: From Soldier To Veteran","volume":"48","author":"Switzer","year":"2026","journal-title":"Contemp. Fam. Ther."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1199","DOI":"10.1093\/milmed\/usac134","article-title":"The lived experience of military women with chronic pain: A phenomenological study","volume":"188","author":"Peppard","year":"2023","journal-title":"Mil. Med."},{"key":"ref_16","first-page":"62","article-title":"Impact of military lifestyle on the health of military personnel and Veterans with chronic pain: A meta-synthesis","volume":"11","author":"Majid","year":"2025","journal-title":"J. Mil. Veteran Fam. Health"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"3937","DOI":"10.1007\/s11606-021-07370-8","article-title":"Non-pharmacological Treatment for Chronic Pain in US Veterans Treated Within the Veterans Health Administration: Implications for Expansion in US Healthcare Systems","volume":"37","author":"Mannes","year":"2022","journal-title":"J. Gen. Intern Med."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"2082","DOI":"10.1016\/S0140-6736(21)00393-7","article-title":"Chronic pain: An update on burden, best practices, and new advances","volume":"397","author":"Cohen","year":"2021","journal-title":"Lancet"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"101934","DOI":"10.1016\/j.berh.2024.101934","article-title":"Practical approaches for clinicians in chronic pain management: Strategies and solutions","volume":"38","author":"Sturgeon","year":"2024","journal-title":"Best Pract. Res. Clin. Rheumatol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1007\/s11606-019-05450-4","article-title":"Nonpharmacological Treatment of Army Service Members with Chronic Pain Is Associated with Fewer Adverse Outcomes After Transition to the Veterans Health Administration","volume":"35","author":"Meerwijk","year":"2020","journal-title":"J. Gen. Intern. Med."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"514","DOI":"10.7326\/M16-2367","article-title":"Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians","volume":"166","author":"Qaseem","year":"2017","journal-title":"Ann. Intern. Med."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.jocn.2017.05.012","article-title":"Evidence based effects of yoga in neurological disorders","volume":"43","author":"Mooventhan","year":"2017","journal-title":"J. Clin. Neurosci."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1080\/02699052.2023.2168062","article-title":"LoveYourBrain mindset: Feasibility, acceptability, usability, and effectiveness of an online yoga, mindfulness, and psychoeducation intervention for people with traumatic brain injury","volume":"37","author":"Callahan","year":"2023","journal-title":"Brain Inj."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"2482","DOI":"10.1080\/09638288.2018.1563638","article-title":"A qualitative study of LoveYourBrain Yoga: A group-based yoga with psychoeducation intervention to facilitate community integration for people with traumatic brain injury and their caregivers","volume":"42","author":"Donnelly","year":"2020","journal-title":"Disabil. Rehabil."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"152","DOI":"10.4103\/ijoy.IJOY_136_20","article-title":"A Mechanistic Model for Yoga as a Preventive and Therapeutic Modality","volume":"14","year":"2021","journal-title":"Int. J. Yoga"},{"key":"ref_26","first-page":"CD010671","article-title":"Yoga for chronic non-specific low back pain","volume":"11","author":"Wieland","year":"2022","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"155","DOI":"10.31083\/j.jin2308155","article-title":"Exploring Optimal Neuroplasticity: Neuromodulation for Enhanced Human Well-Being","volume":"23","author":"Noda","year":"2024","journal-title":"J. Integr. Neurosci."},{"key":"ref_28","first-page":"e6019","article-title":"Noninvasive transcranial magnetic stimulation (TMS) in chronic refractory pain: A systematic review","volume":"11","author":"Hamid","year":"2019","journal-title":"Cureus"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1111\/ner.12364","article-title":"Repetitive Transcranial Magnetic Stimulation in Managing Mild Traumatic Brain Injury-Related Headaches","volume":"19","author":"Leung","year":"2016","journal-title":"Neuromodul. Technol. Neural Interface"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1038\/s44220-024-00235-z","article-title":"Neurocircuitry basis of motor cortex-related analgesia as an emerging approach for chronic pain management","volume":"2","author":"Bai","year":"2024","journal-title":"Nat. Ment. Health"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"3871","DOI":"10.1113\/jphysiol.2008.152736","article-title":"The physiological basis of the effects of intermittent theta burst stimulation of the human motor cortex","volume":"586","author":"Pilato","year":"2008","journal-title":"J. Physiol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"139","DOI":"10.4103\/psychiatry.IndianJPsychiatry_472_18","article-title":"Effect of adjunctive intermittent theta-burst repetitive transcranial magnetic stimulation as a prophylactic treatment in migraine patients: A double-blind sham-controlled study","volume":"61","author":"Sahu","year":"2019","journal-title":"Indian J. Psychiatry"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1403","DOI":"10.1002\/j.1532-2149.2012.00150.x","article-title":"Analgesic effects of repetitive transcranial magnetic stimulation of the motor cortex in neuropathic pain: Influence of theta burst stimulation priming","volume":"16","author":"Lefaucheur","year":"2012","journal-title":"Eur. J. Pain"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1159\/000357941","article-title":"Can intermittent theta burst stimulation as add-on to psychotherapy improve nicotine abstinence? Results from a pilot study","volume":"20","author":"Dieler","year":"2014","journal-title":"Eur. Addict. Res."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"van Aalst, J., Ceccarini, J., Demyttenaere, K., Sunaert, S., and Van Laere, K. (2020). What Has Neuroimaging Taught Us on the Neurobiology of Yoga? A Review. Front Integr. Neurosci., 14.","DOI":"10.3389\/fnint.2020.00034"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"e37836","DOI":"10.2196\/37836","article-title":"Feasibility of a Combined Neuromodulation and Yoga Intervention for Mild Traumatic Brain Injury and Chronic Pain: Protocol for an Open-label Pilot Trial","volume":"11","author":"Krese","year":"2022","journal-title":"JMIR Res. Protoc."},{"key":"ref_37","unstructured":"Sabetfakhri, N., Aaronson, A.L., Krese, K.A., Walker, S., and Herrold, A.A. (Focus, 2026). Rationale for a combined treatment ofiTBS followed by yoga for veterans with co-occurring mild traumatic brain injury and chronic musculoskeletal pain is presented highlighting recent pilot findings that the intervention was feasible, safe, and associated with significant pain improvement, Focus, accepted."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1097\/HTR.0000000000001111","article-title":"Research Letter: Safety, Feasibility, Acceptability and Preliminary Findings From Veterans\u2019 Intervention Blending NeuRomodulation and YogA for Chronic PaiN Treatment: VIBRANT-MTBI and Chronic Pain Pilot","volume":"41","author":"Kelly","year":"2025","journal-title":"J. Head Trauma Rehabil."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"pzad084","DOI":"10.1093\/ptj\/pzad084","article-title":"Systematic Development of Standards for Mixed Methods Reporting in Rehabilitation Health Sciences Research","volume":"103","author":"Tovin","year":"2023","journal-title":"Phys. Ther."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1016\/j.apmr.2019.10.179","article-title":"Management of Concussion and Mild Traumatic Brain Injury: A Synthesis of Practice Guidelines","volume":"101","author":"Silverberg","year":"2020","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_41","unstructured":"(2026, June 23). VA\/DoD Clinical Practice Guideline for the Management and Rehabilitation of Post-Acute Mild Traumatic Brain Injury, Available online: https:\/\/www.healthquality.va.gov\/guidelines\/Rehab\/mtbi\/VADODmTBICPGFinal508.pdf."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"E10","DOI":"10.1097\/HTR.0000000000000220","article-title":"Algorithm for Symptom Attribution and Classification Following Possible Mild Traumatic Brain Injury","volume":"31","author":"Pape","year":"2016","journal-title":"J. Head Trauma Rehabil."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1089\/neu.2010.1573","article-title":"Rasch measurement analysis of the Mayo-Portland Adaptability Inventory (MPAI-4) in a community-based rehabilitation sample","volume":"28","author":"Kean","year":"2011","journal-title":"J. Neurotrauma"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/j.apmr.2018.05.036","article-title":"Development of Composite Scores for the TBI-QOL","volume":"101","author":"Tyner","year":"2020","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1080\/17439760.2016.1262613","article-title":"Thematic analysis","volume":"12","author":"Clarke","year":"2017","journal-title":"J. Posit. Psychol."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"74","DOI":"10.18438\/B8WW3X","article-title":"Research Methods: Triangulation","volume":"9","author":"Wilson","year":"2014","journal-title":"Evid. Based Libr. Inf. Pract."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1177\/1558689818780596","article-title":"Commentary\u2014After triangulation, what next?","volume":"13","author":"Morgan","year":"2019","journal-title":"J. Mix. Methods Res."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1417","DOI":"10.1089\/neu.2006.0245","article-title":"The mayo classification system for traumatic brain injury severity","volume":"24","author":"Malec","year":"2007","journal-title":"J. Neurotrauma"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"e2442339","DOI":"10.1001\/jamanetworkopen.2024.42339","article-title":"Effectiveness of Virtual Yoga for Chronic Low Back Pain: A Randomized Clinical Trial","volume":"7","author":"Tankha","year":"2024","journal-title":"JAMA Netw. Open"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"e048536","DOI":"10.1136\/bmjopen-2020-048536","article-title":"Effectiveness and safety of yoga to treat chronic and acute pain: A rapid review of systematic reviews","volume":"11","author":"Ribeiro","year":"2021","journal-title":"BMJ Open"},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"Xu, X., Xu, M., Su, Y., Cao, T.V., Nikolin, S., Moffa, A., Loo, C., and Martin, D. (2023). Efficacy of Repetitive Transcranial Magnetic Stimulation (rTMS) Combined with Psychological Interventions: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Brain Sci., 13.","DOI":"10.3390\/brainsci13121665"},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Lefaucheur, J.-P., Nguyen, J.-P., Knotkova, H., Rossi, S., and Nizard, J. (2024). Editorial: Combining a non-invasive transcranial stimulation technique with another therapeutic approach: Mechanisms of action, therapeutic interest and tolerance. Front Neurol., 15.","DOI":"10.3389\/fneur.2024.1440696"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.ctim.2015.11.007","article-title":"\u2018We\u2019re all in this together\u2019: A qualitative study of predominantly low income minority participants in a yoga trial for chronic low back pain","volume":"24","author":"Keosaian","year":"2016","journal-title":"Complement. Ther. Med."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"981","DOI":"10.1016\/j.jpain.2021.12.008","article-title":"The Longitudinal Relationship Between Emotion Regulation and Pain-Related Outcomes: Results From a Large, Online Prospective Study","volume":"23","author":"Aaron","year":"2022","journal-title":"J. Pain"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/j.neubiorev.2021.08.013","article-title":"The anatomy of pain and suffering in the brain and its clinical implications","volume":"130","author":"Adhia","year":"2021","journal-title":"Neurosci. Biobehav. Rev."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1097\/j.pain.0000000000001054","article-title":"Tired of pain? Toward a better understanding of fatigue in chronic pain","volume":"159","author":"Becker","year":"2018","journal-title":"Pain"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1046\/j.1526-4637.2003.03008.x","article-title":"Is pain fatiguing? A structured evidence-based review","volume":"4","author":"Fishbain","year":"2003","journal-title":"Pain Med."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1016\/S1474-4422(25)00068-7","article-title":"Pharmacotherapy and non-invasive neuromodulation for neuropathic pain: A systematic review and meta-analysis","volume":"24","author":"Soliman","year":"2025","journal-title":"Lancet Neurol."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"T21","DOI":"10.1016\/j.jpain.2016.02.006","article-title":"Assessment of Psychosocial and Functional Impact of Chronic Pain","volume":"17","author":"Turk","year":"2016","journal-title":"J. Pain"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1037\/0003-066X.37.2.122","article-title":"Self-efficacy mechanism in human agency","volume":"37","author":"Bandura","year":"1982","journal-title":"Am. Psychol."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1007\/s10879-020-09481-5","article-title":"The effect of mindfulness, psychological flexibility, and emotional intelligence on self-efficacy and functional outcomes among chronic pain clients","volume":"51","author":"Rizzo","year":"2021","journal-title":"J. Contemp. Psychother."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"2156330","DOI":"10.1080\/24740527.2022.2156330","article-title":"Examining the roles of depression, pain catastrophizing, and self-efficacy in quality of life changes following chronic pain treatment","volume":"7","author":"Montag","year":"2023","journal-title":"Can. J. Pain"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1016\/j.jpain.2014.05.002","article-title":"Self-efficacy and chronic pain outcomes: A meta-analytic review","volume":"15","author":"Jackson","year":"2014","journal-title":"J. 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