A5051623194- Opioid Use Disorder Treatment
- Substance Abuse Treatment and Outcomes
- HIV, Drug Use, Sexual Risk
- Food Security and Health in Diverse Populations
- COVID-19 and healthcare impacts
- Health Literacy and Information Accessibility
- Vaccine Coverage and Hesitancy
- Mobile Health and mHealth Applications
- Health disparities and outcomes
- COVID-19 Digital Contact Tracing
- Viral Infections and Outbreaks Research
- Homelessness and Social Issues
- Cannabis and Cannabinoid Research
- Library Science and Administration
- Respiratory and Cough-Related Research
- Nutrition and Health Studies
- Forensic Toxicology and Drug Analysis
- Food Allergy and Anaphylaxis Research
- Obesity, Physical Activity, Diet
- Misinformation and Its Impacts
- Pain Management and Opioid Use
- Clostridium difficile and Clostridium perfringens research
- Chronic Disease Management Strategies
- Climate Change and Health Impacts
- SARS-CoV-2 and COVID-19 Research
University of Pennsylvania
2019-2025
Community Initiatives
2019-2022
University of Pennsylvania Health System
2022
Columbia University
2019
Harvard University
2019
<h3>Importance</h3> Digital technology is part of everyday life. interactions generate large amounts data that can reveal information about the health individual consumers (the digital footprint). <h3>Objective</h3> Τo describe privacy challenges associated with technology. <h3>Design, Setting, and Participants</h3> For this qualitative study, In-depth, semistructured, interviews were conducted 26 key experts from diverse fields in US between January 1 July 31, 2018. Open-ended questions...
The overdose crisis is affecting public libraries. In a 2017 survey of librarians, half reported providing patrons support regarding substance use and mental health in the previous month, 12% on-site drug at their library year. Given magnitude fact that libraries host 1.4 billion visits annually, our aim was to understand how currently assist with they can further address these issues. Methods: We conducted semi-structured interviews 44 staff from across U.S. attending national meeting March...
In the context of opioid overdose crisis, local health departments are on front lines, coordinating programs and services translating state federal policies into community action. While media reports describe growth Overdose Education Naloxone Distribution (OEND) among departments, little is known about program features, scope, target populations. Methods: We surveyed in 180 United States counties with high mortality rates. Results: Among officials from 54 (30% response), many reported...
To illustrate the effects that minor social or environmental disruptions could have on food access of low-income households in Philadelphia, Pennsylvania, and provide suggestions for how cities can better incorporate into emergency planning.Using publicly available data stakeholder interviews (n = 8) 2017, we projected number meals would be missed during a major US city with high poverty rate.As our projections Philadelphia indicate, even just 3 days school closures result as many 405 600...
To evaluate an overdose response training program in public libraries.Mixed methods evaluation including pre- and post-intervention questionnaires debriefing interviews.Ten Philadelphia libraries.Overdose participants (library staff community members).Public, hour-long trainings run by the Department of Public Health, Free Library Philadelphia, University Pennsylvania between March December 2018.Questionnaires assessed motivation for attending trainings, readiness, intention to acquire carry...
Communities of color had higher rates Coronavirus (COVID-19) infection and lower COVID-19 vaccination during the pandemic. Parental concern about safety necessity pediatric vaccines contribute to low childhood vaccination. Enlisting parents caregivers as trusted messengers is an evidence-based approach mitigate this challenge. VaxUpPhillyFamilies was formed engage vaccine ambassadors increase in children color. This study aimed understand key benefits, challenges, lessons learned from...
This study aimed to increase the consumption of home-cooked meals among employees at a large urban worksite through fully subsidized Community Supported Agriculture (CSA) program.Randomized trial.Worksite in northeast city.Employees were recruited flyers, e-mail listservs, and outreach from departmental administrators (n = 60).Intervention participants received 8 biweekly fresh food deliveries CSA program. They also cooking education support. Control usual employee benefits.Consumption...
Background: Improving linkage to opioid use disorder (OUD) treatment and services is a public health priority. Public libraries, community resource for information, may be well positioned support guide people who drugs, as their families friends. In this study, we sought evaluate the availability types of resources offered patrons inquiring about OUD treatment, naloxone access. Methods: We conducted an audit (secret shopper) study from April 2019 June in which auditor anonymously called...
OBJECTIVE We sought to evaluate the use of behavioral economics approaches promote carrying epinephrine auto-injectors (EAIs) among adolescents with food allergies. hypothesized that who receive frequent text message nudges (Intervention 1) or plus modest financial incentives 2) would be more likely carry their than members usual care control group. METHODS recruited 131 ages 15 19 a allergy and current prescription for participate in cohort multiple randomized controlled trial. Participants...
Importance Opioid overdose rates continue to increase, and extant literature suggests that many individuals who use heroin were first introduced opioids through a medical prescription. Objective To explore patient experiences related decisions regarding analgesia after an emergency department visit within the context of randomized clinical trial aimed test efficacy risk communication interventions on treatment preference, recall, opioids. Design, Setting, Participants This qualitative study...
Vaccination remains key to reducing the risk of COVID-19-related severe illness and death. Because historic medical exclusion barriers access, Black communities have had lower rates COVID-19 vaccination than White communities. We describe efforts an academic institution implement community-based vaccine clinics in medically underserved neighborhoods Philadelphia, Pennsylvania. Over a 13-month period (April 2021-April 2022), initiative delivered 9038 doses community members, majority whom...
Abstract This study examines the implementation of naloxone distribution initiatives in Pennsylvania public libraries following a nationwide program offering free Narcan. We conducted cross-sectional telephone survey with random sample (n=352). Overall, nearly one-quarter respondents reported stocking (23.9%), and over one ten previous on-site overdose (11.9%). Nearly 30% had received training. Significant predictors overdoses included library’s county urbanization status higher county-level...
Background: The opioid overdose crisis claimed over 80,000 American lives in 2019, with opioids implicated the majority of these deaths. COVID-19 pandemic has exacerbated crisis, challenges arising from increased use fentanyl, synthetic opioids, and combined opioid-stimulant substances. Urgent strategies are required to mitigate drug-related harms context an unsafe drug supply. Objective: This paper presents findings two consecutive randomized controlled trials conducted Philadelphia, aiming...
Abstract Introduction Public libraries are increasingly impacted by the overdose crisis. A 2017 survey of public librarians in state Pennsylvania revealed that 12% had reported an on-site previous year. There increasing and private efforts to equip with opioid antidote, naloxone. Methods We conducted a cross-sectional web-based all library branches Colorado, Connecticut, Florida, Michigan, Virginia. Survey questions. used descriptive statistics report frequencies responses crude odds ratios...
The COVID-19 pandemic has claimed nearly 6 million lives globally as of February 2022. While control efforts, including contact tracing, have traditionally been the purview state and local health departments, outpaced department capacity, necessitating actions by private systems to investigate outbreaks, mitigate transmission, support patients communities.To process designing implementing a volunteer-staffed tracing program at large academic system from April 2020 May 2021, structure,...
Abstract Introduction The study objective was to elucidate the relationship between social vulnerability and COVID-19 impacts in Philadelphia over a 2.5-year period, June 2020 December 2022. Methods Using publicly available case, test, hospitalization, mortality data for (June 7, 2020-December 31, 2022) area-level data, we compared incidence, test positivity, rates high low neighborhoods of Philadelphia, characterized as scoring above or below national median score on index. We used linear...