A5016496334- Health Policy Implementation Science
- Vaccine Coverage and Hesitancy
- Geriatric Care and Nursing Homes
- Frailty in Older Adults
- Primary Care and Health Outcomes
- Mobile Health and mHealth Applications
- Viral Infections and Outbreaks Research
- Healthcare Policy and Management
- Palliative Care and End-of-Life Issues
- Health Literacy and Information Accessibility
- COVID-19 epidemiological studies
- Health Sciences Research and Education
- Adolescent and Pediatric Healthcare
- Persona Design and Applications
- Gut microbiota and health
- Global Maternal and Child Health
- Focus Groups and Qualitative Methods
- Patient Satisfaction in Healthcare
- Technology Use by Older Adults
- Youth, Drugs, and Violence
- Patient-Provider Communication in Healthcare
- ICT in Developing Communities
- Pregnancy and preeclampsia studies
- UAV Applications and Optimization
- Pregnancy and Medication Impact
VillageReach
2020-2025
University of the Western Cape
2023
University of Cape Town
2023
University of Michigan
2023
Children's Nutrition Research Center at Baylor College of Medicine
2023
VA Eastern Colorado Health Care System
2017-2019
Denver VA Medical Center
2017-2018
Society of General Internal Medicine
2018
University of Colorado Denver
2018
Denver Health Medical Center
2018
Objective To understand how hospital‐based clinicians evaluate older adults in the hospital and decide who will be transferred to a skilled nursing facility ( SNF ) for postacute care. Design Semistructured interviews paired with qualitative analytical approach informed by Social Constructivist theory. Setting Inpatient care units three hospitals. Purposive sampling was used maximize variability hospitals, within staff on those units. Participants Clinicians (hospitalists, nurses,...
Objective Immunisations are highly impactful, cost-effective public health interventions. However, substantial gaps in complete vaccination coverage persist. We aimed to describe caregivers’ immunisation experiences and identify determinants of vaccine dropout. Design used a community-based participatory research approach employing Photovoice, SMS (short messaging service) exchanges in-depth interviews. A team-based was for thematic analysis. The Increasing Vaccination Model guided the...
Abstract Background Ensuring full coverage of childhood vaccination programmes is a persistent challenge in low- and middle-income countries. Urgent action required to ensure catch up missed immunisations children, while simultaneously building trust demand within communities sustainably address existing immunization gaps. This paper summarizes the findings process evaluation ‘Let’s talk about vaccines’ approach by VillageReach Mozambique Malawi. The used community-based participatory...
This paper studies the impact of a default option on life-cycle consumption. Using two period model with uncertain income, demonstrates that causes kink in both budget set and indifference curve at point where individual switches from saving to borrowing. nonconvexity can have dramatic optimal The also explores circumstances under which liquidity constraints are likely emerge characteristics those borrowers who face constraints. Copyright 1995 by Ohio State University Press.
Background: Many health care interventions encounter implementation challenges because of inadequate stakeholder engagement and identification barriers. The brainwriting premortem technique is the silent sharing written ideas about why an intervention failed. method can engage stakeholders identify barriers more efficiently than traditional brainstorming focus groups. Purpose: We evaluated during a transition in Veterans Health Administration (VA). Clinicians from 10 VA facilities...
Congenital heart defects involving left-sided lesions (LSLs) are relatively common birth with substantial morbidity and mortality. Previous studies have suggested a high heritability complex genetic architecture, such that only few LSL loci been identified. We performed genome-wide case–control association study to address the role of variants using discovery cohort 778 cases 2756 controls. identified significant mapping 200 kb region on chromosome 20q11 [P= 1.72 × 10−8 for rs3746446;...
Adapting promising health care interventions to local settings is a critical component in the dissemination and implementation process. The Veterans Health Administration (VHA) rural transitions nurse program (TNP) nurse-led, Veteran-centered intervention designed improve transitional for funded by VA national offices other sites serving predominantly Veteran population. Here, we describe our novel approach evaluation = TNP. This controlled before after study that assesses both outcomes....
Objective: The Veterans Health Administration (VHA) is adapting to meet the changing needs of our Veterans. VHA leaders are promoting quality improvement strategies including Lean Six Sigma (LSS). This study used LSS tools evaluate Choice Program (VCP), a program that aims improve access health care services for eligible by expanding options non-VHA providers. Research Design: was utilized assess current process and efficiency patterns VCP at 3 Medical Centers. techniques were data obtained...
In recent years, full childhood routine immunisation coverage has fallen by 5% to levels not seen since 2008; between 2019 and 2021, 67 million children were undervaccinated. We aimed identify describe the determinants of vaccination drop-out from perspectives caregivers health workers in Malawi. used a community-based participatory research approach collect data through photo elicitation, short message service exchanges, in-depth interviews observations. team-based for thematic analysis,...
Older adults frequently receive post-acute care (PAC) after hospital discharge, but little is known about how perceived costs influence PAC choices. This research study sought to understand clinicians, patients, and their caregivers evaluate the cost of skilled nursing facility (SNF) in decisions whether utilize SNFs discharge.
The process of transitioning Veterans to primary care following a non-Veterans Affairs (VA) hospitalization can be challenging. Poor transitions result in medical complications and increased hospital readmissions. goal this transition quality improvement (QI) project is identify gaps the current implement an intervention that bridges gap improves within Eastern Colorado Health Care System (ECHCS).We will employ qualitative methods understand back VA for who received non-VA ECHCS. We conduct...
Drones are increasingly used to transport health products, but life-saving interventions can be stalled if local community concerns and preferences not assessed addressed. In order inform the introduction of drones in new contexts, this paper analyzed similarities differences perceptions medical delivery Malawi, Mozambique, Democratic Republic Congo (DRC) Dominican (DR). Community were using focus group discussions (FGDs) key informant interviews (KIIs) conducted with stakeholders at...
<ns4:p>In the field of adolescent sexual and reproductive health (ASRH), candid youth perspectives are necessary for understanding nuances surrounding contraceptive access use. Methods data collection leveraging technological solutions may provide avenues increased privacy adolescents. With use WhatsApp other smartphone-based messaging applications as platforms qualitative methodologies, public researchers find to adolescents through utilizing mediums that already engage with in their daily...
Veterans with healthcare needs utilize both Health Administration (VA) and non-VA hospitals. These dual-use veterans are at high risk of adverse outcomes due to the lack coordination for safe transitions.The aim this study was understand barriers facilitators providing high-quality continuum care transitioning from hospitals VA primary setting.Guided by practical robust implementation sustainability model (PRISM) ideal transitions care, we conducted a qualitative assessment using...
Hospitalized older adults are increasingly admitted to skilled nursing facilities (SNFs) for posthospital care. However, little is known about how SNFs screen and evaluate potential new admissions. In an era of increasing emphasis on postacute care outcomes, these processes may represent important target interventions improve the value SNF care.The aim this study was understand (a) clinicians hospitalized make decisions admit patients (b) limitations benefits current practices in context...
<ns3:p>To understand dynamics surrounding adolescents’ access to and use of contraception, perspectives youth themselves must be considered. Methods data collection leveraging technological solutions may provide avenues for increased anonymity adolescents share their experiences with contraception. With the WhatsApp other smartphone-based messaging applications as platforms qualitative methodologies, public health researchers find through utilizing mediums that already engage in daily lives....
Post-acute care for older adults often involves transfer to a skilled nursing facility (SNF) following hospital discharge. This transition is poorly coordinated and leaves at risk poor health outcomes, but new payment models offer opportunities align improved practices with payments. There dearth of evidence regarding the role its potential improve SNF transitions. Ninety-nine semi-structured interviews were conducted clinicians, patients, caregivers from three hospitals SNFs. Results...
Surprisingly women-held pregnancy health records (paper based) are still predominantly used in most hospitals Australia. These not standardized as each hospital or state has a slightly different version. Early efforts have been made to standardize and make them available electronically. Electronic record systems do allow dynamic interaction between users they accessible when mobile. This paper describes an Assistive Maternity Care (AMC) system that addresses number of important issues: 1)...
Omaha System problem concepts describe a comprehensive, holistic view of health in simple terms that have been represented set prototype icons intended for universal use by consumers and clinicians. The purpose this study was to evaluate internationally across ten languages through an on-line survey in-person focus groups. were generally rated above 3 on scale 1 5 1568 respondents, with notable exceptions some the more abstract concepts. Overall, 3.49 = strongly disagree agree, range 3.09...
In the digital age, it is critical for both healthcare professionals and consumers to electronically express, receive, processimportant health information. This especially true populations with language barriers low literacy. Visual literacy andhealth enable optimal communication wellbeing. A standardized interface terminology a linguistic tool thatcan be used convey information at human-computer interface. The Omaha System has been evaluated foundto promising standard use as simple, that...
<title>Abstract</title> <bold>Introduction</bold> Full coverage of childhood vaccines is a persistent challenge in low- and middle-income countries there an urgent need to catch up on children who have missed out vaccines. This paper summarizes the findings process evaluation ‘Let’s talk about vaccines’ approach implemented by VillageReach using community-based participatory research (CBPR) understand barriers that caregivers healthcare workers face fully vaccinate children, human-centered...