A5010821490- Electronic Health Records Systems
- Music Therapy and Health
- Intensive Care Unit Cognitive Disorders
- Substance Abuse Treatment and Outcomes
- Data Quality and Management
- Primary Care and Health Outcomes
- Suicide and Self-Harm Studies
- LGBTQ Health, Identity, and Policy
- Gun Ownership and Violence Research
- Health Systems, Economic Evaluations, Quality of Life
- Biomedical Text Mining and Ontologies
- Mental Health Treatment and Access
- Mobile Health and mHealth Applications
- Global Health Workforce Issues
- School Health and Nursing Education
- Maternal and Perinatal Health Interventions
- Mental Health and Patient Involvement
- Maternal Mental Health During Pregnancy and Postpartum
- Ethics in Clinical Research
- Pain Management and Placebo Effect
- Abdominal Surgery and Complications
- Healthcare Decision-Making and Restraints
- Hernia repair and management
- Psychopathy, Forensic Psychiatry, Sexual Offending
- Emergency and Acute Care Studies
Translational Sciences (United States)
2025
Mountain Area Health Education Center
2022-2024
Duke University
2010-2021
Duke Institute for Health Innovation
2018-2020
Durham VA Medical Center
2020
Connecticut Department of Mental Health and Addiction Services
2019
Indiana University – Purdue University Indianapolis
2019
University of North Carolina at Chapel Hill
2011-2018
Public Health Department
2013
Cecil College
2011
Climate has a long history in organizational studies, but few theoretical models integrate the complex effects of climate during innovation implementation. In 1996, model was proposed that organizations could develop positive for implementation by making use various policies and practices promote members' means, motives, opportunities use. The proposes climate--or extent to which members perceive is expected, supported, rewarded--is positively associated with effectiveness. construct holds...
This article examines the application and effectiveness of a 2006 Indiana law designed to prevent gun violence by authorizing police officers separate firearms from persons who present imminent or future risk injury self others, display propensity for violent emotionally unstable conduct. A court hearing is held determine ongoing in these cases; judge decides whether return seized retain them up five years. The study frequency criminal arrest as well suicide outcomes 395 gun-removal actions...
The mental health treatment gap-the difference between those with need and who receive treatment-is high in low- middle-income countries. Task-shifting has been used to address the shortage of professionals, a growing body research demonstrating effectiveness interventions delivered through task-shifting. However, very little focused on how embed, support, sustain task-shifting government-funded systems potential for scale up. goal Building Sustaining Interventions Children (BASIC) study is...
Detecting depression in primary care patients is suboptimal, especially among historically excluded populations. To improve screening rates, a clinic integrated the Patient Health Questionnaire (PHQ) Electronic Record (EHR) and clinical workflow. Patients completed PHQ on tablet waiting room, responses were available real time for staff to review with patients. This study examined implementation science outcomes using Reach, Effectiveness, Adoption, Implementation, Maintenance framework 3.0....
Background: Transgender women from low- and middle-income countries (LMICs) are understudied, their coping strategies struggles underrecognised. Aims: This study aimed to explore the lived experiences of transgender two major cities located in Brazil India, LMICs with high rates transphobia gender-based violence. Methods: We conducted a mixed-methods, exploratory study, including focus group discussions (FGDs) brief survey interviews 23 Hyderabad, India 12 Rio de Janeiro, Brazil. Herein we...
Worldwide, Brazil has the highest prevalence of violence and hate crimes against sexual gender minorities (SGMs) among countries with available data. To explore impact this scenario, we conducted a qualitative study 50 SGMs from Rio de Janeiro, Brazil. Among participants, 66% screened positive for generalised anxiety disorder, 46% major depressive disorder 39% PTSD. A third reported low self-esteem (32%) one quarter social support (26%). Experiences interpersonal discrimination were highly...
The effect of perioperative music listening has been proven to relieve preoperative anxiety and depression, while improving patient satisfaction. However, not extensively studied in Singapore. Therefore, the primary aim our study is investigate satisfaction towards local setting. secondary reducing surgery-related depression.After obtaining ethics board approval, we conducted a quasiexperimental on cohort female patients who were undergoing elective minor gynaecological surgeries. Apple iPod...
BACKGROUND: Complementary integrative health therapies have a perioperative role in the reduction of pain, analgesic use, and anxiety, increasing patient satisfaction. However, long implementation lags been quantified. The Consolidated Framework for Implementation Research (CFIR) can help mitigate this translational problem. METHODS: We reviewed evidence several nonpharmacological treatments (CFIR domain: characteristics interventions) studied external context organizational readiness change...
In Brief Context order for patients to benefit from a multidisciplinary treatment approach, diverse providers must communicate on patient care. Objective We sought examine the effect of information exchange across human immunodeficiency virus (HIV) care health outcomes. Design Randomized controlled trial, randomized at level. Setting Six infectious disease clinics paired with 9 ancillary settings (eg, HIV case management). Participants Two hundred fifty-four receiving clinics. Intervention...
Abstract Perioperative music decreases pain, anxiety, and analgesia requirements while increasing patient satisfaction. We investigated the acceptability of perioperative at a women’s children’s hospital in Singapore, seeking to uncover barriers facilitators implementation routine practice over 12-week period. used an undergraduate-led Rapid Qualitative Inquiry approach that includes data collection from multiple sources, iterative analysis, additional when necessary. Participants consisted...
Psychiatric advance directives (PADs) are used to document a person's treatment preferences for future mental health crisis. Peer support specialists have been proposed facilitate PADs, but little is known about the quality of peer versus clinician facilitated PADs.This study examined whether PAD documents by and non-peer clinicians differed in mix requests refusals expert ratings feasibility consistency.Analyses were conducted content 72 from randomized trial facilitation peers on Assertive...
Many believe that electronic medical record systems hold promise for improving the quality of health care services. The body research on this topic is still in early stages, however, part because challenge measuring capabilities systems. purpose study was to identify classes Electronic Medical Record (EMR) system sophistication hospitals as well hospital characteristics associated with categories. data used were from American Hospital Association (AHA) and Health Information Management...
Objectives We examined services to facilitate access entering substance use disorder (SUD) treatment among a national sample of SUD facilities. Methods analyzed data from the National Survey Substance Abuse Treatment Services (N-SSATS) 2020. Facilities were included in based on criteria such as provision and being U.S. Cluster analysis was conducted using variables including ownership, levels care, whether facilities provide or accept payment options aimed at reducing barriers. state-level...
The electronic exchange of health records has been a notable topic in recent years the effort to improve quality healthcare delivery and reduce administrative burden. Interviews documents from stakeholders human immunodeficiency virus (HIV) care, HIV information technology were collected between November 2004 through March 2005 conduct qualitative policy analysis on adoption an record (EHR) system among care providers North Carolina South Carolina.Interview data current state EHR use...
The increased mortality among persons co-infected with HIV/AIDS and hepatitis C (HCV) is a concern that provider training on HCV-HIV co-infection may address. Medical behavioral health providers were given co-infection. This study addresses two research questions: What changes, if any, did seek to effect in their practice after training? Of those desiring change practice, which, they implement? Surveys indicated 82% planned practice. those, 51% reached 3 months later, of 86% reported having...