Natalie Purcell, PhD, MPA

Associate Adjunct Professor
Social Behavioral Sciences

I am a sociologist who specializes in the study of violence, trauma, and pain across healthcare contexts. My work uses mixed methods drawn from the social sciences and the humanities, as well as program-evaluation and implementation-science techniques.

I am jointly appointed at UCSF and at the San Francisco VA Health Care System, where I serve as the Whole Health Program Director and Qualitative Core Director at the Center for Data to Discovery and Delivery Innovation.

Since joining the VA in 2011, my research has centered on understanding the impact of violence and combat trauma in the lives of US military veterans, identifying and evaluating care interventions to address violence-related trauma and pain among veterans, and identifying ways to reduce violence against healthcare workers. My work at VA involves not only violence and trauma-related research, but also transformation of the institutional culture to promote organizational health and patient centered care.

Publications: 

Care Models to Improve Pain and Reduce Opioids Among Patients Prescribed Long-Term Opioid Therapy: The VOICE Randomized Clinical Trial.

JAMA internal medicine

Krebs EE, Becker WC, Nelson DB, DeRonne BM, Jensen AC, Kats AM, Morasco BJ, Frank JW, Makris UE, Allen KD, Naylor JC, Mixon AS, Bohnert A, Reznik TE, Painter JT, Hudson TJ, Hagedorn HJ, Manuel JK, Borsari B, Purcell N, Hammett P, Amundson EC, Kerns RD, Barbosa MR, Garvey C, Jones EJ, Noh MY, Okere JB, Bhushan S, Pinsonnault J, Williams BE, Herbst E, Lagisetty P, Librodo S, Mapara PS, Son E, Tat C, Marraffa RA, Seys RL, Baxley C, Seal KH, VOICE Study Group

When clinicians and patients disagree on vaccination: what primary care clinicians can learn from COVID-19-vaccine-hesitant patients about communication, trust, and relationships in healthcare.

BMC primary care

Purcell N, Usman H, Woodruff N, Mehlman H, Tobey-Moore L, Petrakis BA, Oliver KA, Kaplan A, Pyne JM, Manuel JK, DeRonne BM, Bertenthal D, Seal KH

Impact of the COVID-19 pandemic on participants in pragmatic clinical trials for chronic pain: implications for trial outcomes and beyond.

Pain medicine (Malden, Mass.)

Sellinger JJ, Gilstad-Hayden K, Lazar C, Seal K, Purcell N, Burgess DJ, Martino S, Heapy A, Higgins D, Rosen MI

Implementation of Virtual, Livestream Yoga Classes for Veterans at Home During the COVID-19 Pandemic: A Mixed-Methods Pilot Program Evaluation.

Global advances in integrative medicine and health

Pham C, Hildebrand C, Tarasovsky G, Purcell N, Seal K, Nicosia F

Transitioning into trauma-focused evidence-based psychotherapy for posttraumatic stress disorder from other treatments: a qualitative investigation.

Cognitive behaviour therapy

Holder N, Ranney RM, Delgado AK, Purcell N, Iwamasa GY, Batten A, Neylan TC, Shiner B, Maguen S

Evaluation of a New Integrative Health and Wellness Clinic for Veterans at the San Francisco VA Health Care System: A Mixed-Methods Pilot Study.

Global advances in integrative medicine and health

Nicosia FM, Purcell N, Bertenthal D, Usman H, Seidel I, McGrath S, Hildebrand C, McCarthy B, Seal KH

Natural Product Use Among Veterans with Chronic Pain: A Qualitative Study of Attitudes and Communication with Healthcare Providers.

Journal of general internal medicine

Moore LC, Woodruff NA, Seal KH, Feinberg T, Purcell N

Moral Injury Awareness and Prevention in Healthcare Organizations: A Blueprint Informed by the COVID-19 Pandemic

Moral Injury Awareness and Prevention in Healthcare Organizations: A Blueprint Informed by the COVID-19 Pandemic.

Purcell, N., Bertenthal, D., Usman, H., Maguen, S., Griffin, B., Mehlman, H., McGrath, S., Spetz, J., Hysong, S., & Seal, Karen

Tobacco Cessation Prescription Utilization Rates Among Veterans with Cancer Who Smoke.

Journal of general internal medicine

Herbst E, Hoggatt KJ, Leonard S, Purcell N, Rossi N, Bialous S

Developing and testing a COVID-19 vaccination acceptance intervention: A pragmatic trial comparing vaccine acceptance intervention vs usual care - Rationale, methods, and implementation.

Contemporary clinical trials

Pyne JM, Seal KH, Manuel JK, DeRonne B, Oliver KA, Bertenthal D, Esserman D, Purcell N, Petrakis BA, Elwy AR

Advancing health equity by understanding race disparities and other factors associated with PTSD symptom improvement following evidence-based psychotherapy.

Journal of anxiety disorders

Maguen S, Batten A, Hubbard A, Holder N, Burkman K, Cottonham D, Purcell N, Mehlman H, Shiner B

Integration of Health Coaches in a Whole Health Team Model of Chronic Pain Care: a Qualitative Study.

Journal of general internal medicine

Denneson LM, Purcell N, McGrath SL, Abadjian LR, Becker WC, Seal KH

Barriers to positive airway pressure adherence among veterans with sleep apnea: a mixed methods study.

Translational behavioral medicine

Goldstein LA, Purcell N, Sarmiento KF, Neylan TC, Maguen S

Assessing the impact of the COVID-19 pandemic on pragmatic clinical trial participants.

Contemporary clinical trials

Coleman BC, Purcell N, Geda M, Luther SL, Peduzzi P, Kerns RD, Seal KH, Burgess DJ, Rosen MI, Sellinger J, Salsbury SA, Gelman H, Brandt CA, Edwards RR

"Then COVID happened…": Veterans' Health, Wellbeing, and Engagement in Whole Health Care During the COVID-19 Pandemic.

Global advances in health and medicine

Purcell N, Sells J, McGrath S, Mehlman H, Bertenthal D, Seal KH

Women Veterans' Experiences with Integrated, Biopsychosocial Pain Care: A Qualitative Study.

Pain medicine (Malden, Mass.)

Nicosia FM, Gibson CJ, Purcell N, Zamora K, Tighe J, Seal KH

How VA Whole Health Coaching Can Impact Veterans' Health and Quality of Life: A Mixed-Methods Pilot Program Evaluation.

Global advances in health and medicine

Purcell N, Zamora K, Bertenthal D, Abadjian L, Tighe J, Seal KH

Reducing Barriers to Behavioral Treatments for Insomnia: A Qualitative Examination of Veterans' Perspectives of BBTI.

Behavioral sleep medicine

Holder N, Kanady JC, Straus LD, Khan AJ, Purcell N, Huggins J, Gloria R, Neylan TC, Lujan C, Maguen S

Whole Health Options and Pain Education (wHOPE): A Pragmatic Trial Comparing Whole Health Team vs Primary Care Group Education to Promote Nonpharmacological Strategies to Improve Pain, Functioning, and Quality of Life in Veterans-Rationale, Methods, and I

Pain medicine (Malden, Mass.)

Seal KH, Becker WC, Murphy JL, Purcell N, Denneson LM, Morasco BJ, Martin AM, Reddy K, Iseghem TV, Krebs EE, Painter JM, Hagedorn H, Pyne JM, Hixon J, Maguen S, Neylan TC, Borsari B, DeRonne B, Gibson C, Matthias MS, Frank JW, Krishnaswamy A, Li Y, Bertenthal D, Chan A, Nunez A, McCamish N

An Integrated Pain Team Model: Impact on Pain-Related Outcomes and Opioid Misuse in Patients with Chronic Pain.

Pain medicine (Malden, Mass.)

Gibson CJ, Grasso J, Li Y, Purcell N, Tighe J, Zamora K, Nicosia F, Seal KH

Tailored to Fit: How an Implementation Framework Can Support Pragmatic Pain Care Trial Adaptation for Diverse Veterans Affairs Clinical Settings.

Medical care

Purcell N, Becker WC, Zamora KA, McGrath SL, Hagedorn HJ, Fabian ER, McCamish N, Seal KH

Profiles of moral distress and associated outcomes among student veterans.

Psychological trauma : theory, research, practice and policy

Griffin BJ, Williams CL, Shaler L, Dees RF, Cowden RG, Bryan CJ, Litz B, Purcell N, Burkman K, Maguen S

Patient Experiences With Integrated Pain Care: A Qualitative Evaluation of One VA's Biopsychosocial Approach to Chronic Pain Treatment and Opioid Safety.

Global advances in health and medicine

Purcell N, Zamora K, Gibson C, Tighe J, Chang J, Grasso J, Seal KH

Moral Injury: An Integrative Review.

Journal of traumatic stress

Griffin BJ, Purcell N, Burkman K, Litz BT, Bryan CJ, Schmitz M, Villierme C, Walsh J, Maguen S

"Opening a Door to a New Life": The Role of Forgiveness in Healing From Moral Injury.

Frontiers in psychiatry

Purcell N, Griffin BJ, Burkman K, Maguen S

Healing from Moral Injury: A Qualitative Evaluation of the Impact of Killing Treatment for Combat Veterans.

Journal of Aggression Maltreatment & Trauma

Natalie Purcell, Kristine Burkman, Jessica Keyser, Phillip Fucella, Shira Maguen

Behavioral threat assessment and management: Lessons learned in one VA health care system.

Journal of Threat Assessment and Management

Natalie Purcell, Michael L. Drexler

Violence in a U.S. Veterans Affairs healthcare system: worker perspectives on prevalence, causes, and contributors.

Policy and Practice in Health and Safety

Natalie Purcell, Eric Shovein, Claire Hebenstreit, Michael Drexler

Veterans’ Perspectives on the Psychosocial Impact of Killing in War.

The Counseling Psychologist

Natalie Purcell, Christopher J. Koenig, Jeane Bosch, Shira Maguen

Violence and the Pornographic Imaginary: The Politics of Sex, Gender, and Aggression in Hardcore Pornography

Violence and the Pornographic Imaginary: The Politics of Sex, Gender, and Aggression in Hardcore Pornography.

Purcell, N.