A5036816915- HIV, Drug Use, Sexual Risk
- HIV/AIDS Research and Interventions
- Sex work and related issues
- Opioid Use Disorder Treatment
- Health Policy Implementation Science
- Vaccine Coverage and Hesitancy
- Cervical Cancer and HPV Research
- Innovations in Medical Education
- Hepatitis B Virus Studies
- Primary Care and Health Outcomes
- Patient-Provider Communication in Healthcare
- HIV Research and Treatment
- Adolescent Sexual and Reproductive Health
- Reflective Practices in Education
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Operations and Scheduling Optimization
- Patient Satisfaction in Healthcare
- Homelessness and Social Issues
- Innovative Teaching and Learning Methods
- Interprofessional Education and Collaboration
- Public Health Policies and Education
- Empathy and Medical Education
- Problem and Project Based Learning
- Health Sciences Research and Education
- Healthcare Systems and Technology
Accenture (United States)
2021
Boston University
2017-2020
Antiretroviral pre-exposure prophylaxis (PrEP) is clinically efficacious and recommended for HIV prevention among people who inject drugs (PWID), but uptake remains low intervention needs are understudied. To inform the development of PrEP interventions PWID, we conducted a qualitative study in Northeastern USA, region where recent clusters new infections have been attributed to injection drug use. We interviews with 33 HIV-uninfected PWID (hereafter, "participants") 12 clinical social...
People who inject drugs (PWID) experience sexual and injection-related HIV risks, but uptake of pre-exposure prophylaxis (PrEP) for prevention among PWID has been low. Improving PrEP in this population will require understanding knowledge interest. In 2017, we conducted in-depth, semistructured interviews with HIV-uninfected key informants (PrEP harm reduction providers) the US Northeast. Thematic analysis coded data explored factors that influence Among (n = 33), median age was 36 years,...
To evaluate the effectiveness of a stepped-wedge randomized trial Development Systems and Education for Human Papillomavirus Vaccination (DOSE HPV), multilevel intervention.DOSE HPV is 7-session program that includes interprofessional provider education, communication training, data feedback, tailored systems change. Five primary care pediatric and/or family medicine practices completed interventions between 2016 2018; all chose to initiate vaccination at ages 9 10. We compared rates in...
Introduction: E-learning is widely used in medical education. To maximize the potential of tools, every effort should be made to encourage adoption by optimizing usability. We created Learning Moment (LM), a web-based application that integrates principles asynchronous learning and portfolios into platform on which students can document share experiences occur during clinical work. sought evaluate usability LM identify features optimize users. Methods: implemented August 2016 at busy, urban,...
Antiretroviral pre-exposure prophylaxis (PrEP) is a promising HIV prevention strategy for serodiscordant couples (HIV-infected male, uninfected female) seeking safer conception. However, most research on PrEP conception has focused in sub-Saharan Africa; little known about the perspectives or experiences of heterosexual United States. We conducted qualitative interviews with six (six women and five their male partners) receiving services at an urban safety net hospital US Northeast. In-depth...
The fields of implementation and improvement sciences have experienced rapid growth in recent years. However, research that seeks to inform health care change may difficulty translating core components within the traditional paradigms used evaluate efficacy effectiveness research. A review grant proposals an academic medical center using a National Institutes Health framework highlighted need for tools could assist investigators reviewers describing evaluating proposed We operationalized...
The efficacy of pre-exposure prophylaxis (PrEP) for HIV prevention has been established among people who inject drugs (PWID). uninfected, at risk PWID, could likely benefit from long-acting injectable formulations PrEP ("LAI-PrEP"); however, its acceptability in this population not previously documented. Thirty-three HIV-uninfected PWID the U.S. Northeast completed an in-depth interview regarding perceived LAI-PrEP. Coded data were synthesized using deductive thematic analysis. majority...
Abstract Background Safety net hospitals, which serve vulnerable and underserved populations often operate on smaller budgets than non-safety may experience unique implementation challenges. We sought to describe common barriers facilitators that affect the of improvement initiatives in a safety hospital, identify potentially transferable lessons enhance efforts similar settings. Methods interviewed leaders within five inpatient departments asked them priority initiative from last year. then...
Hepatitis C virus (HCV) infection is increasingly prevalent among people who inject drugs (PWID) in the context of current US opioid crisis. Although curative therapy available and recommended as a public health strategy, few PWID have been treated. We explore narratives that explain why they not sought HCV treatment or decided against starting it. then compare these to evidence-based guideline-concordant information better enable health, social service, harm reduction providers, PWID, other...
Abstract Background In the context of current US opioid crisis, people who inject drugs (PWID) are increasingly researched, but their ability to tell own stories may be limited. Photovoice is a participatory action research method that allows participants use photography directly depict experiences. Methods We conducted interviews with PWID ( n = 33) as part qualitative study on health needs in USA explore interest and acceptability photovoice potential way share voices. Results Participants...
Objective: To evaluate the effect of a multi-component intervention including communication training on provider beliefs and recommendation practices around human papillomavirus (HPV) vaccine using both self-reports audio-recordings clinical interactions.Methods: We conducted mixed method study at five family medicine pediatric practices. Providers self-reported about HPV vaccination via surveys qualitative interviews pre- post-intervention. also assessed style interactions Content analysis...
Background: People who inject drugs (PWID) are at increased risk for HIV infection through sharing contaminated needles and injection equipment, engaging in condomless sex. Objectives: To qualitatively examine the overlapping nature of these behaviors among PWID US Northeast. Methods: We recruited HIV-uninfected key informants community-based organizations. Qualitative interviews explored sexual partnerships as they related to sex, associated indications PrEP PWID. Results: Among 33 PWID,...
Experiential learning plays a critical role in learner development. Kolb's 4-part experiential model consists of concrete experience, reflective observation, abstract conceptualization, and active experimentation recurring cycle. Most clinical environments provide opportunities for experiences but rarely offer structured means reflection conceptualization that are crucial learners to learn through experience. We created Learning Moment, novel Web-based educational tool integrates principles...
Practice guidelines on pre-exposure prophylaxis (PrEP) for HIV serodiscordant couples recommend PrEP when the viral load of partner living with is either detectable or unknown. However, adherence to combination antiretroviral therapy inconsistent, and research has found that individuals vulnerable place value additional protective barriers. We conducted a prospective cohort study assess feasibility, perceptions, associated periconceptional use among females without their male partners across...
Introduction: Few studies have rigorously evaluated the drivers of successful implementation interventions to improve human papillomavirus (HPV) vaccination rates. The aim this study was evaluate Development Systems and Education for HPV Vaccination (DOSE HPV), a performance improvement intervention. Methods: Primary care providers (PCPs), nurses, individuals with leadership roles from pediatric family medicine practices who attended DOSE intervention sessions participated in qualitative...