Preventive Medicine
Medicine-Internal Medicine

MEMPHIS TN 381040000
Tel: (901) 523-8990


  • Ph.D., Washington University, St. Louis, MO, Anthropology
  • M.A., Louisiana State University, Baton Rouge, LA, Anthropology
  • B.A., Memphis State University, Memphis, TN, Anthropology

Research Interest/Specialty

I am a medical anthropologist and a health services researcher at the Memphis Veterans Affairs Medical Center. 

I am Co-Director of the Department of Veterans Affairs national Caregiver Center and the UTHSC Caregiver Center. Each Center has two missions: to develop and test caregiving interventions and to implement as clinical programs evidence-based interventions. The VA Center provides training to VA staff across the country to implement two evidence based caregiving interventions – an individual intervention, Resources for Enhancing All Caregivers Health (REACH) and Telephone Support groups. Center staff also work directly with caregivers. The UTHSC Center provides training to health care and social service professionals to implement the REACH intervention to dementia caregivers.

My current research includes examining the REACH intervention for parents of combat wounded military personnel and Veterans, determining the impact of successful dementia caregiving interventions on healthcare costs, and implementation of the REACH dementia caregiving intervention into American Indian/Alaska Native communities, into an MS clinic, and into Vietnam through the National Geriatric Hospital in Hanoi.

Research Description





VA National Caregiver Center – training, certifying, coaching VA staff nationwide to deliver evidence based interventions. Role: Center Co-Director

VA Caregiver Support Program


$400,000 per year

VA National Caregiver Center – training VA Caregivers in Self-Care nationwide. Role: Center Co-Director

VA Caregiver Support Program

10/16 – ongoing

$690,000 per year

VA National Caregiver Center – providing REACH to VA Caregivers. Role: Center Co-Director

VA Office of Rural Health


$261,000 per year

VA National Caregiver Center, as part of VA Dementia Caregiving Telehealth Alliance, funded by VA Office of Rural Health. Role: Center Co-Director

VA Office of Rural Health







Career Development Award, Dementia Caregiver Intervention for Non-Responders.  From New York Harbor VA Medical Center.  Role: Mentor Awardee, Cory Chen

VHA Health Service Research & Development



Effect of Dementia Caregiver Interventions on Healthcare Cost.  Role PI




Implementation of REACH into Indian Country: Resources for Enhancing Alzheimer’s Caregivers Health in Tribal Communities. Role: Co-I

Rx Foundation



Integrating Caregiver Support into MS Care, September 2015. Role: PI

VA Rehabilitation Research & Development Service



Interventions for Parent Caregivers of Injured Military/Veteran Personnel. Role: Co-PI

U.S. Army Medical Research and Materiel Command



Adapting and testing an Alzheimer’s family caregiver intervention in Vietnam.  (1R21AG054262-01).  Role:  Consultant. WL Hinton and Huong Nguyen


National Institute on Aging, 9/1/16-8/31/18


Cancer Caregiver-driven Text Messaging. Role: Co-I. M Martin and J Martindale-Adams

National Cancer Institute

7/1/18-6/30/23, submitted 10/5/17


Research Keywords

Caregiving, dementia, military families


  1. Martindale-Adams, J, Tah, T, Finke, B, LaCounte, C, Higgins, BJ, Nichols, LO. Implementation of the REACH model of dementia caregiver support in American Indian and Alaska Native communities. Transl Behav Med, 7 (3), 427-434, 2017.
  2. Nichols, LO, Martindale-Adams, J, Zhu, CW, Kaplan, EK, Zuber, JK, Lum, J, Waters, TM. Reply to: Over-REACHing Conclusions. J Am Geriatr Soc, 65 (9), 2109-2110, 2017.
  3. Nichols, LO, Martindale-Adams, J, Zhu, CW, Kaplan, EK, Zuber, JK, Waters, TM. Impact of the REACH II and REACH VA Dementia Caregiver Interventions on Healthcare Costs. J Am Geriatr Soc, 65 (5), 931-936, 2017.
  4. Nichols, LO, Martindale-Adams, J, Burns, R, Zuber, J, Graney, MJ. REACH VA: Moving from Translation to System Implementation. Gerontologist, 56 (1), 135-44, 2016.
  5. Martindale-Adams, J, Nichols, LO, Zuber, J, Burns, R, Graney, MJ. Dementia Caregivers' Use of Services for Themselves. Gerontologist, 2015.
  6. Edes, T, Kinosian, B, Vuckovic, NH, Nichols, LO, Becker, MM, Hossain, M. Better access, quality, and cost for clinically complex veterans with home-based primary care. J Am Geriatr Soc, 62 (10), 1954-61, 2014.
  7. Kales, HC, Gitlin, LN, Lyketsos, CG, ,. Management of neuropsychiatric symptoms of dementia in clinical settings: recommendations from a multidisciplinary expert panel. J Am Geriatr Soc, 62 (4), 762-9, 2014.
  8. Martindale-Adams, J, Nichols, LO, Burns, R, Graney, MJ, Zuber, J. A trial of dementia caregiver telephone support. Can J Nurs Res, 45 (4), 30-48, 2013.
  9. Salgado-García, FI, Zuber, JK, Graney, MJ, Nichols, LO, Martindale-Adams, JL, Andrasik, F. Smoking and Smoking Increase in Caregivers of Alzheimer's Patients. Gerontologist, 2013.
  10. Nichols, LO, Martindale-Adams, J, Graney, MJ, Zuber, J, Burns, R. Easing reintegration: telephone support groups for spouses of returning Iraq and Afghanistan service members. Health Commun, 28 (8), 767-77, 2013.
  11. Fields, JA, Nichols, LO, Martindale-Adams, J, Zuber, J, Graney, M. Anxiety, social support, and physical health in a sample of spouses of OEF/OIF service members. Mil Med, 177 (12), 1492-7, 2012.
  12. Nichols, LO, Martindale-Adams, JL, Burns, R, Graney, MJ, Zuber, JK, Kennedy, SE. Potential explanations for control group benefit. Clin Trials, 9 (5), 588-95, 2012.
  13. Nichols, LO, Martindale-Adams, J, Burns, R, Graney, MJ, Zuber, J. Typical and atypical dementia family caregivers: systematic and objective comparisons. Int J Aging Hum Dev, 72 (1), 27-43, 2011.
  14. Nichols, LO, Martindale-Adams, J, Burns, R, Graney, MJ, Zuber, J. Translation of a dementia caregiver support program in a health care system--REACH VA. Arch Intern Med, 171 (4), 353-9, 2011.
  15. Nichols, LO, Chang, C, Lummus, A, Burns, R, Martindale-Adams, J, Graney, MJ, Coon, DW, Czaja, S, ,. The cost-effectiveness of a behavior intervention with caregivers of patients with Alzheimer's disease. J Am Geriatr Soc, 56 (3), 413-20, 2008.
  16. Burns, R, Graney, MJ, Lummus, AC, Nichols, LO, Martindale-Adams, J. Differences of self-reported osteoarthritis disability and race. J Natl Med Assoc, 99 (9), 1046-51, 2007.
  17. Burns, R, Nichols, LO, Graney, MJ, Martindale-Adams, J, Lummus, A. Cognitive abilities of Alzheimer's patients: perceptions of Black and White caregivers. Int J Aging Hum Dev, 62 (3), 209-19, 2006.
  18. Nichols, L, Martindale-Adams, J, Burns, R, Coon, D, Ory, M, Mahoney, D, Tarlow, B, Burgio, L, Gallagher-Thompson, D, Guy, D, Arguelles, T, Winter, L. Social marketing as a framework for recruitment: illustrations from the REACH study. J Aging Health, 16 (5 Suppl), 157S-76S, 2004.
  19. Roff, LL, Burgio, LD, Gitlin, L, Nichols, L, Chaplin, W, Hardin, JM. Positive aspects of Alzheimer's caregiving: the role of race. J Gerontol B Psychol Sci Soc Sci, 59 (4), P185-90, 2004.
  20. Burns, R, Nichols, LO, Martindale-Adams, J, Graney, MJ, Lummus, A. Primary care interventions for dementia caregivers: 2-year outcomes from the REACH study. Gerontologist, 43 (4), 547-55, 2003.
  21. Burns, R, Nichols, LO, Martindale-Adams, J, Graney, MJ. Interdisciplinary geriatric primary care evaluation and management: two-year outcomes. J Am Geriatr Soc, 48 (1), 8-13, 2000.