A5045026144- HIV/AIDS Research and Interventions
- HIV, Drug Use, Sexual Risk
- Mobile Health and mHealth Applications
- Adolescent Sexual and Reproductive Health
- Obesity, Physical Activity, Diet
- Diabetes Management and Education
- Dietary Effects on Health
- Optimism, Hope, and Well-being
- Food Security and Health in Diverse Populations
- Health Literacy and Information Accessibility
- Chronic Disease Management Strategies
- Diabetes Management and Research
- Consumer Attitudes and Food Labeling
- Organic Food and Agriculture
- Decision-Making and Behavioral Economics
- Health and Lifestyle Studies
- HIV Research and Treatment
- Mental Health and Patient Involvement
- Health Policy Implementation Science
- Jewish and Middle Eastern Studies
- Social Media in Health Education
- Experimental Behavioral Economics Studies
- Global Healthcare and Medical Tourism
- Psychology of Social Influence
- Child Development and Digital Technology
Microclinic International
2013-2025
New England Complex Systems Institute
2022-2025
Harvard University
2024
University of California, Berkeley
2020-2024
Middle East Institute
2020
Antiretroviral hair levels objectively quantify drug exposure over time and predict virologic responses. We assessed the acceptability feasibility of collecting small samples in a rural Kenyan cohort. Ninety-five percentage participants (354/373) donated hair. Although median self-reported adherence was 100% (interquartile range, 96%-100%), wide range concentrations likely indicates overestimation advantages pharmacologic measure. Higher nevirapine observed women older adults require further...
While obesity and diabetes are rising pandemics, few low-cost effective prevention management strategies exist, especially in the Middle East. Nearly 20% of adults Jordan suffer from diabetes, over 75% overweight or obese. Social network-based programs have shown promise as a viable public health intervention strategy to address these growing crises. We evaluated effectiveness Microclinic Program (MCP) via 6-month multi-community randomized trial Jordan, with follow-up at 2 years. The MCP...
Both behavioral and experimental economics have a lengthy research history concerning the presence of ability to support cooperation in infinitely repeated games. A workhorse model which has emerged for inferring players’ strategies from their actions finitely games, is applied data randomized controlled trials conducted Jordan Kentucky; an attractive economic application portending substantive public health other policy consequences. We find that treatment significantly increases...
Despite progress in the global scale-up of antiretroviral therapy, sustained engagement HIV care remains challenging. Social capital is an important factor for engagement, but interventions designed to harness this powerful social force are uncommon.We conducted a quasiexperimental study evaluating impact Microclinic Network intervention on and medication adherence Mfangano Island, Kenya. The was introduced into 1 4 similar communities served by clinic; comparisons were made between using...
ObjectiveTo conduct a randomized controlled trial examining the effects of social network intervention on health.Participants and MethodsThe Microclinic Social Network Program (implemented from June 1, 2011, through December 31, 2014) delivered weekly social-health classroom interventions for 9 to 10 months vs standard care. Longitudinal multilevel analyses examined end-of-trial 6-month post-intervention outcomes. were estimated via novel induction ratio.ResultsWe 494 participants,...
Rates of obesity and type 2 diabetes in Kentucky's Cumberland Valley region are among the highest United States limited access to healthy food contributes these epidemics. The aim Healthy2Go (H2G), a country store transformation project launched by Spread Health Appalachia (STHA), was improve awareness availability options small, rural stores. Ten stores participated H2G received training technical assistance increase foods. Stores made inventory changes; installed point-of-purchase...
Abstract US President’s Emergency Plan for HIV/AIDS has been credited with saving 25 million lives in sub-Sahara Africa and, as such, constitutes a preeminent foreign policy achievement of the twenty-first century. However, implementation effective pharmacological interventions remains challenge rural Kenyan communities. Of particular importance are patient retention and care engagement their interaction age disparities that sensitive to different socioeconomic contexts, well...
Background Few cost-effective strategies to shift dietary habits of populations in a healthier direction have been identified. We examined if participating chatbot health education program transmitted by Short Messages Service (“SMS-program”) could improve adolescent behaviors and body weight trajectories. also explored possible added effects maternal or peer involvement. Methods findings conducted randomized controlled trial (RCT) among adolescents from the Danish National Birth Cohort...
Increased urbanization in the Eastern Mediterranean Region has led to a significant rise prevalence of diabetes. Caring for diabetes under conditions endemic uncertainty, violence and poverty is great challenge. The micro-clinic model establishes public domain social community interaction whereby friends, families neighbours can collectively engage education, treatment group support, obtain shared access appropriate technology spread positive behaviours. Participants who are active...
BackgroundEvidence shows that social network phenomena are major drivers of lifestyle risk factors contribute to risks obesity and diabetes. Since 2005, Microclinic International has pioneered the research development a novel "microclinic" model—a programme designed propagate change leverage pre-existing networks improve health. We sought assess effectiveness such for sustaining long-term health.MethodsWith Social Network Behavioral Health Program in Jordan, patients with diabetes or...
Background: UNRWA provides primary healthcare for around 5.9 million Palestine refugees (PRs) in Jordan, Lebanon, Syria, West Bank and Gaza. In 2015, started, cooperation with Microclinic International (MCI), to implement an innovative diabetes program, aiming at improving awareness about care among PRs Diabetes Mellitus (DM). This program takes advantage of a unique model "microclinic" MCI social network novel based on education intervention. Methods: A quasi-experimental study was...
The burden of chronic diseases like diabetes and obesity is rapidly increasing in low lower-middle income countries. This work assesses the long-term efficacy a social-network based community health program for management prevention type 2 diabetes. 4-month Microclinic Social Network Behavioral Health Program Jordan (J-MCP) was an intervention conducted Kingdom Jordan. Weight HbA1c were collected at baseline, end program, then 12 24 months after baseline. Multi-level longitudinal repeated...
Background Existing social relationships are a potential source of “social capital” that can enhance support for sustained retention in HIV care. A previous pilot study network-based ‘microclinic’ intervention, including group health education and facilitated status disclosure, reduced disengagement from We conducted pragmatic randomized trial to evaluate microclinic effectiveness. Methods In nine rural facilities western Kenya, we HIV-positive adults with recent missed clinic visit either...
Obesity is a significant driver of the global burden non-communicable diseases. Fasting one approach that has been shown to improve health outcomes. However, effects Ramadan fasting differ in type, frequency, quantity, and time food consumption vary. This phenomenon requires in-depth evaluation considering 90% Muslims (~2 billion people) fast during Ramadan. To address this issue, we evaluated pattern weight change following for total 52 weeks. The study was conducted Amman, Jordan. Between...