A5067278273- Health Policy Implementation Science
- Substance Abuse Treatment and Outcomes
- Mental Health Treatment and Access
- Health and Lifestyle Studies
- Health Systems, Economic Evaluations, Quality of Life
- Alcohol Consumption and Health Effects
- Aging, Health, and Disability
- Advanced Causal Inference Techniques
- Gallbladder and Bile Duct Disorders
- Biliary and Gastrointestinal Fistulas
- Pediatric Hepatobiliary Diseases and Treatments
- Health disparities and outcomes
- Smoking Behavior and Cessation
- Behavioral Health and Interventions
- Community Health and Development
- Cardiac Health and Mental Health
- Opioid Use Disorder Treatment
- Chronic Disease Management Strategies
Pontificia Universidad Católica de Chile
2015-2022
ORCID
2020
Aim To study the effectiveness of a brief intervention (BI) associated with ASSIST (Alcohol Smoking and Substance Involvement Screening Test) for alcohol illicit drug use as part systematic screening program implemented in primary care. Design A multi-center randomized open-label trial stratified using ASSIST-specific substance involvement score (for alcohol, scores ranged from 11 to 15 16 20; other substances 4 12 13 20). Setting total 19 care centers (n = 520), eight emergency rooms 195)...
Validate an instrument to measure the Perceived Social Support in outpatients who are treatment hypertension and/or diabetes mellitus ii.Observational and exploratory design with mixed methods, qualitative quantitative.Two community health centers from municipality of Puente Alto (Santiago, Chile).Hypertensive diabetic patients between 18 65 years old. A purposive sample was undertaken for study, a random final survey.Focus groups semi-structured interviews were conducted explore constructs...
A high level of social support (SS) is associated with better health outcomes in many conditions, such as chronic diseases.To describe the SS patients Hypertension and type II Diabetes at Primary Health Care Chile its association self-rated health, adherence to treatment glycemic blood pressure control.SS was measured using a inventory previously validated Chile. Self-Rated assessed single non-comparative general question; medication four-item Morisky scale. Blood glucose control were also...
Because of the shortage health professionals in Chilean primary care, Health Technicians (HT) are providing Brief Interventions (BI) for risky alcohol consumption. We compared efficacy two AUDIT-linked interventions provided by HTs: an informative leaflet and a BI plus leaflet.This is parallel-group randomized controlled trial with 1:1 randomization. Participants were identified through screening Alcohol Use Disorders Identification Test (AUDIT) at five care centers between March 2016 July...
Access to cholecystectomy among patients attended at primary family health centers
Objective: We studied the factorial structure and diagnostic performance in primary care of a digital version Alcohol Use Disorders Identification Test (d-AUDIT) for screening excessive drinking. Method: In two centers Santiago, Chile, we conducted cross-sectional study involving 330 people 18 years age or older who had drunk alcohol six more times last year. The d-AUDIT was developed from paper validated Chile self-administered on 7-inch tablets. Trained psychologists evaluated participants...
Background: Adequate management of high blood pressure (HBP) and Type 2 Diabetes (DM2) is a challenge to the healthcare system in Chile.
Harmful alcohol use is a leading cause of global disability and death. However, increased detection brief intervention capacity more severe disorders has not been accompanied by availability treatment services. Incorporating for such into primary care paramount importance improving access health outcomes. This study aims to estimate the effectiveness Brief Motivational Treatment (BMT) applied in these disorders.A parallel-group, single-blinded, severity-stratified, randomized clinical trial...
Abstract Background : Harmful alcohol use is a leading cause of global disability and death. However increased detection brief intervention capacity more severe disorders has not been accompanied by availability treatment services. Incorporating for such into primary care paramount importance improving access health outcomes. This study aims to estimate the effectiveness Brief Motivational Treatment (BMT) applied in these disorders. Methods A parallel-group, single-blinded,...
Abstract Background : Harmful alcohol use is a leading cause of global disability and death. However increased detection brief intervention capacity more severe disorders has not been accompanied by availability treatment services. Incorporating for such into primary care paramount importance improving access health outcomes. This study aims to estimate the effectiveness Brief Motivational Treatment (BMT) applied in these disorders. Methods A parallel-group, single-blinded,...
Abstract Objective : To reanalyze a clinical trial on the effectiveness of Brief Intervention (BI) delivered by non-professionals to reduce risky alcohol drinking. Our previous null-hypothesis test effects BI yielded ‘non-significant’ p-value, yet remained uninformative. Here we use Bayesian paradigm which allows for expressing probability different effect sizes better inform public policy decisions. Results The posterior odds drinking at follow-up favored marked BI, with 96% mass being less...
Abstract Objective To reanalyze a clinical trial on the effectiveness of Brief Intervention (BI) delivered by non-professionals to reduce risky alcohol drinking. Our previous null-hypothesis test effects BI yielded ‘non-significant’ p-value, yet remained uninformative. Here we use Bayesian paradigm which allows for expressing probability different effect sizes better inform public policy decisions. Results The posterior odds drinking at follow-up favored marked BI, with 96% mass being less...