A5076386765- Health Policy Implementation Science
- Community Health and Development
- Smoking Behavior and Cessation
- Public Health Policies and Education
- Health Sciences Research and Education
- Mental Health and Patient Involvement
- Primary Care and Health Outcomes
- Health Literacy and Information Accessibility
- Global Public Health Policies and Epidemiology
- Evaluation and Performance Assessment
- Social Media in Health Education
- Vaccine Coverage and Hesitancy
- Healthcare Systems and Technology
- Behavioral Health and Interventions
- Food Security and Health in Diverse Populations
- Media Studies and Communication
- Global Cancer Incidence and Screening
- HIV/AIDS Research and Interventions
- Cervical Cancer and HPV Research
- Climate Change Communication and Perception
- Healthcare Systems and Reforms
- Ethics in Clinical Research
- Health Systems, Economic Evaluations, Quality of Life
- Interprofessional Education and Collaboration
- Healthcare Policy and Management
Harvard University
2015-2025
University of California, Los Angeles
2024
Dana-Farber/Harvard Cancer Center
2007-2021
Dana-Farber Cancer Institute
2010-2018
University of North Carolina at Chapel Hill
2016-2018
Flinders University
2016-2018
Dartmouth Institute for Health Policy and Clinical Practice
2018
Dartmouth–Hitchcock Medical Center
2018
Duke University Hospital
2018
Duke Medical Center
2018
Despite decades of efforts to improve quality health care, poor performance persists in many aspects care. Less than 1% the enormous national investment medical research is focused on improving care delivery. Furthermore, when effective innovations clinical are discovered, uptake these often delayed and incomplete. In this paper, we build established principle 'positive deviance' propose an approach identifying practices that quality.We synthesize existing literature positive deviance,...
Abstract Qualitative methods are critical for implementation science as they generate opportunities to examine complexity and include a diversity of perspectives. However, it can be challenge identify the approach that will provide best fit achieving given set practice-driven research needs. After all, scientists must find balance between speed rigor, reliance on existing frameworks new discoveries, inclusion insider outsider This paper offers guidance taking pragmatic analysis, which...
Despite increased information-seeking by the public, a significant percentage of those diagnosed with serious disease such as cancer report that they do not seek or receive health information beyond given care providers. This study attempts to profile these nonseekers and possible determinants nonseeking behaviors. Data come from 2003 Health Information National Trends Survey, national survey American adults conducted Cancer Institute ( N = 6,133; Nelson et al., 2004). Individuals were...
Community-based organizations (CBOs) are critical channels for the delivery of health promotion programs. Much their influence comes from relationships they have with community members and other key stakeholders may be able to harness power social media tools develop maintain these relationships. There limited data describing if how CBOs using media. This study assesses extent which engaged in use popular channels, types content typically shared, interactive aspects utilized. We assessed...
In several recent articles, authors have called for aligning the fields of implementation and improvement science. this paper, we call science to also align with practice. Multiple scholars highlighted importance designing strategies fit existing culture, infrastructure, practice a healthcare system. Worldwide, systems are adopting models as their primary approach improving delivery outcomes. The prevalence raises question how scientists might best efforts systems' infrastructure practice.We...
The past decade of research has seen theoretical and methodological advances in both implementation science health equity research, opening a window opportunity for facilitating accelerating cross-disciplinary exchanges across these fields that have largely operated siloes. In 2019 2020, the National Cancer Institute's Consortium Implementation Science convened an action group focused on 'health context' to identify opportunities advance science. this paper, we present narrative review...
Dissemination of prevention-focused evidence-based programs (EBPs) from research to community settings may improve population health and reduce disparities, but such flow has been limited. Academic-community partnerships using community-based participatory (CBPR) principles support increased dissemination EBPs organizations (CBOs). This qualitative study examined the EBP-related perceptions needs CBOs targeting underserved populations. As part PLANET MassCONECT, a CBPR study, we conducted...
Given persistent communication inequalities, it is important to develop interventions improve Internet and health literacy among underserved populations. These goals drove the Click Connect (C2C) project, a community-based eHealth intervention that provided novice computer users of low socioeconomic position (SEP) with broadband access, training classes, Web portal, technical support. In this paper, we describe strategies used recruit retain population, budgetary implications such...
Human papillomavirus (HPV) vaccination is routinely recommended for adolescents aged 11 or 12 years but can begin at age 9. On-time HPV by the thirteenth birthday has proven to be effective in preventing cancer and pre-cancer. However, coverage rates continue lag behind other vaccinations adolescents. A promising approach improving start This been endorsed American Academy of Pediatrics Cancer Society. Benefits this include increased time complete series birthday, additional spacing...
IntroductionThis study evaluated effects of exposure to culturally tailored anti-smoking ads versus control on quitting intentions, cigarette purchase and tobacco industry perceptions among young adult, cisgender transgender, sexual minority women (SMW).Study DesignAn online randomized controlled experiment with 1-month longitudinal follow-up was conducted.Setting ParticipantsAbout 2,214 U.S. SMW ages 18–30 were recruited via survey panels (The PRIDE Study Prolific), social media posts, HER...
Proactive, action-oriented dissemination planning is still too rare for community-engaged research teams. To fill this gap, a national program teams addressing health inequities developed training to support planning. Our objectives in paper are 1) describe the curricular components that teams’ processes; 2) share template can be used and adapted by other community-engaged, proactive planning; 3) high-level themes (i.e., goals, audiences) initial strategies of 15 went through process. A...
ABSTRACT Objective To assess the equitable implementation of a case management program integrating medical and social services for Medicaid members. Study Setting Design This qualitative study assessed in Contra Costa County, CA. participants were identified using purposive sampling. Semi‐structured interviews conducted person or by phone. Data Sources Analytic Sample Primary data collected between Fall 2019 Spring 2021 included 92 semi‐structured with patients ( n = 31), managers 47),...
Management training is fundamental to developing human resources for health. Particularly as Liberia revives its health delivery system, facility and county team managers are central progress. Nevertheless, such management skills rarely prioritized in training, sustained capacity building this area limited. We describe a program which north south institution collaborated integrate classroom field-based transfer the development Liberia.We developed implemented 6-month (i.e. strategic problem...
Despite recent focus on health systems strengthening, few studies report large-scale efforts to improve hospital management capacity in low-income countries, a central component of improving care delivery. We sought assess the contributions systems-based approach, Ethiopian Hospital Management Initiative (EHMI), which established chief executive officers (CEOs) trained through Masters Healthcare and Administration (MHA) degree programme Ethiopia. conducted pre-post study 24 hospitals that...