A5064557955- Digital Mental Health Interventions
- Mental Health and Patient Involvement
- Health Policy Implementation Science
- Mobile Health and mHealth Applications
- Primary Care and Health Outcomes
- Healthcare cost, quality, practices
- Empathy and Medical Education
- Family and Patient Care in Intensive Care Units
- Health Systems, Economic Evaluations, Quality of Life
- Public Health Policies and Education
- Telemedicine and Telehealth Implementation
- Homelessness and Social Issues
- Social Media in Health Education
- Health Literacy and Information Accessibility
- Patient-Provider Communication in Healthcare
- Service-Learning and Community Engagement
- Criminal Justice and Corrections Analysis
- Innovations in Medical Education
- Opioid Use Disorder Treatment
- Housing, Finance, and Neoliberalism
- Health Sciences Research and Education
- Cancer survivorship and care
- Pain Management and Placebo Effect
- Pain Management and Opioid Use
- Mental Health Treatment and Access
Kaiser Permanente Washington Health Research Institute
2021-2024
University of Washington
2019
Abstract Background Experts recommend that treatment for substance use disorder (SUD) be integrated into primary care. The Digital Therapeutics Opioids and Other SUD (DIGITS) Trial tests strategies implementing reSET® reSET-O®, which are prescription digital therapeutics opioid disorder, respectively, include the community reinforcement approach, contingency management, fluency training to reinforce concept mastery. This purpose of this trial is test whether two implementation improve...
Abstract Background Legal system involvement is a policy-driven risk factor for homelessness. financial obligations (LFOs), such as court fees, fines and restitution, can endanger the security of those ensnared in criminal justice system. In this study we measured effect incarceration LFOs on duration homelessness Seattle, WA, USA. Methods To analyze relationship between incarceration, debt homelessness, interviewed 101 adults experiencing living city-sanctioned encampments tiny house...
Abstract Background Alcohol use disorders (AUD) are prevalent and often go untreated. Patients commonly screened for AUD in primary care, but existing treatment programs failing to meet demand. Digital therapeutics include novel mobile app-based approaches which may be cost-effective options help fill gaps. The goal of this study was identify implementation needs workflow design considerations integrating digital into care. Methods We conducted qualitative interviews with clinicians, care...
Background: Clinician champions are front-line clinicians who advocate for and influence practice change in their local context. The strategies they use when leading efforts to reduce the of low-value care have not been well described. purpose this study is identify describe used by six clinician led a initiative clinical setting. Methods: Qualitative data collected during an overuse reduction were strategies, guided Expert Recommendations Implementing Change compilation strategies. asked...
Abstract Background Virtual patient engagement has become more common in recent years. Emerging research suggests virtual can increase accessibility for patients managing long-term health conditions and those living larger geographic areas, but it also be challenging to establish relationships maintain over time. Little is known about lasting than two years, nor the specific contributions of projects. Here we describe a project where was sustained long period time (3.5 years), measure...
To contribute to healthcare improvements, qualitative health research must adapt the demanding pace of constantly changing practices and policies. meet this challenge, researchers need methods for rigorous rapid data analysis. This article introduces Rapid Group Analysis Process (Rap-GAP), a new approach method is more efficient than other analysis methods. It allows direct involvement diverse participants in process, including patients or decision-makers with limited experience, while...
Background Delivering prescription digital therapeutics (ie, evidence-based interventions designed to treat, manage, or prevent disorders via websites smartphone apps) in primary care could increase patient access substance use disorder (SUD) treatments. However, the optimal approach implementing remains unknown. Objective This pilot study is a precursor larger trial test whether implementation strategies (practice facilitation [PF] and health coaching [HC]) improve delivery of for SUDs...
<sec> <title>BACKGROUND</title> Delivering prescription digital therapeutics (ie, evidence-based interventions designed to treat, manage, or prevent disorders via websites smartphone apps) in primary care could increase patient access substance use disorder (SUD) treatments. However, the optimal approach implementing remains unknown. </sec> <title>OBJECTIVE</title> This pilot study is a precursor larger trial test whether implementation strategies (practice facilitation [PF] and health...
421 Background: Social support is important to the management of breast cancer treatment. Our team has developed data from electronic health record (EHR) into structured ‘concept groups’ that will form basis for development EHRsupport, a computable, EHR-based measure social support. We report evaluation these concept groups against chart review as part our validation. Methods: built natural language processing (NLP) algorithm on clinical notes in 7,989 women diagnosed January 2006 September...
Abstract Background Practice facilitation (PF) is an evidence-based multicomponent in-person implementation strategy. COVID-19-related lockdowns caused many initiatives to rapidly shift virtual settings, but there limited evidence on PF deployed exclusively using meeting platforms. Our objective was assess the feasibility and acceptability of used in a primary care setting implement interdisciplinary opioid safety committees (OSCs) improve for patients medicines persistent pain reduce...
Abstract Background : Clinical champions are front-line clinicians who advocate for and influence practice change in their local context. The strategies they use when leading efforts to de-implement the of a low-value service have not been well described. purpose this study is identify describe important used by six clinical launched de-implementation project as part fellowship training experience. Methods: Fellows participated two-round modified Delphi survey key during project. In second...