Little is known about the acceptability of internet and telephone treatments, or what factors might influence patient interest in receiving treatments via these media. This study examined level face-to-face, telephone, treatment that interest. Six hundred fifty-eight primary care patients were surveyed. Among interested some form behavioral treatment, 91.9% would consider face-to-face compared to 62.4% for 48.0% care. Symptom severity was unrelated delivery medium. Interest specific...

Compared with the general population, homeless individuals are at higher risk of hepatitis C infection (HCV) and may face unique barriers in receipt HCV care. This study sought perspectives key stakeholders toward establishing a universal screening, testing, treatment protocol for accessing shelters. Four focus groups were conducted shelter staff, practice providers, social service outreach workers (n = 27) San Francisco, California, Minneapolis, Minnesota. Focus evaluated societal, system,...

The World Health Organization estimates a 25% increase in anxiety and depression prevalence during the COVID-19 pandemic. 50% of surveyed US healthcare workers reported increased anxiety, 27% Chinese health professional students psychological distress. mental their coping mechanisms, especially an adverse time such as pandemic, is less well understood. This study examined students’ lifestyle behaviors association with poor days. 890 across seven sciences colleges 2020 and/or 2021 were...

Evidence supports the contribution of various stigma-related constructs to help-seeking. These have yet be tested in a single model among college students, group highly affected by mental illness.Using data from 153 this study examines factors contributing help seeking for path analysis, current evaluated relationship between level familiarity, personal stigma, desired social distance, label avoidance, attitudes towards treatment and intentions seek treatment.Findings support help-seeking...

Abstract Background Hepatitis C virus (HCV) is highly prevalent among homeless persons, yet barriers continue to impede HCV testing and treatment in this population. We studied the experiences of individuals related accessing care inform design a shelter-based prevention program. Methods Homeless shelter clients (10 women 10 men) large San Francisco participated gender segregated focus groups. Focus groups followed semi-structured interview format, which assessed individual, program/system,...

Introduction: Individuals in treatment for substance use disorders (SUD) tobacco at much higher rates than the general population. Qualitative research can help identify successful implementation approaches tobacco-free policy interventions SUD treatment, but qualitative post-intervention evaluation studies are limited. Methods: Directors of sixteen residential programs participated a multi-year intervention. Semi-structured interviews ( n = 32) were conducted 12- and 18 months...

Abstract Background Many primary care clinicians (PCCs) hold stigma toward people with opioid use disorder (OUD), which may be a barrier to care. Few interventions exist address PCC OUD. This study examined whether an online training incorporating patient narratives reduced PCCs’ OUD (primary) and increased intentions treat compared attention-control (secondary). Methods PCCs from 15 clinics were invited complete 30 min for electronic health record-embedded clinical decision support (CDS)...

Anxiety is highly comorbid with depression, but little known about the impact of anxiety disorders on effectiveness empirically supported psychotherapies for depression. We examined such outcomes people Multiple Sclerosis (MS) and versus without disorders.

Hepatitis C virus (HCV) prevalence is high among people experiencing homelessness, but barriers to scaling up HCV testing and treatment persist. We aimed implement onsite education evaluate the effectiveness of low‐barrier linkage therapy individuals accessing homeless shelters. rapid was performed at four large shelters in San Francisco (SF) Minneapolis (MN). Sociodemographic status, risk, testing, interest were captured. Participants received information about HCV. Those positive underwent...

Mental illness is a significant public health burden in low- and middle-income countries. A wide treatment gap mental care exists within the Nigerian system this worsened by presence of stigma associated with illness, which leads to delay or acts as barrier any care. In study, our aim was understand factors that underlie order inform design effective stigma-reducing interventions among students Nigeria. We conducted four focus groups university March 2019 The included nursing, pharmacy,...

The objective of this study was to evaluate the effectiveness formal hepatitis C virus (HCV) education on engagement in therapy persons experiencing homelessness an on-site shelter-based model care. As policies eliminate Medicaid access restrictions HCV treatment are expanded, patient is paramount achieving elimination targets difficult-to-engage populations including homelessness.This prospective conducted at 4 shelters San Francisco and Minneapolis from August 2018 January 2021. Of 162...

Black immigrants are a major growing segment of the United States population. The intersection race, gender, and migration places black immigrant women at confluence multiple social determinants health, thus, experience ongoing mental health disparities. Understanding their perspectives, needs, associated stigma is critical to promoting positive outcomes.We conducted five focus groups (N = 22) among from two community organizations February 2019 June 2019. We used an inductive driven...

Public stigma is a barrier for people with mental illness. Humor may have the potential to decrease stigmatizing attitudes in context of disclosure. Participants completed measures on and humor style were then randomized one three conditions (self-disclosure comedy sketch, same sketch no disclosure, control sketch). After reviewing participants repeated attitude provided perceptions comic. styles significantly interacted condition reduce stigma. Perceptions self-disclosed comic associated...

Across the United States, substance use disorder (SUD) treatment programs vary in terms of tobacco-related policies and cessation services offered. Implementation within this setting can face several barriers. Little is known about how program leadership anticipate such barriers at pre-implementation phase. This study used Consolidated Framework for Research (CFIR) during stage to identify factors that may influence implementation residential SUD programs.We conducted semi-structured...

Purpose Nurses and nursing students often hold stigmatizing attitudes toward patients with mental illness, contributing to poor health outcomes. To address this, direct contact persons lived experience in illness (i.e. consumers) has been integrated into training curricula. This shown decreased negative increased empathy, but gains are not typically maintained at follow-up. The purpose of this paper is explore acceptability feasibility, process fidelity) after the completion a mentor-based...

Little is known about e-cigarette use among persons in substance disorder (SUD) treatment, or their of e-cigarettes for smoking cessation. Prevalence and correlates cessation were examined clients SUD treatment. Participants (n = 332) current cigarette smokers recruited from 20 residential programs California. We used multivariable logistic regression to identify using quitting smoking. Almost half (45.2%) the sample had ever cessation, 34% past 30 days. Smokers who compared those not,...

Abstract Background The COVID-19 pandemic adversely affected the mental health of healthcare workers. World Health Organization estimates a 25% increase in anxiety prevalence during pandemic. students across professions is less well understood. Objectives To better understand impact on professional students, cross-sectional analysis data collected enrollment cohort study was utilized to examine poor days association with lifestyle behaviors seven sciences colleges at large public Midwestern...

Stigma is a public health concern. Stigmatizing attitudes toward persons with substance use disorders (SUDs) can adversely impact clinical care and outcomes. Beliefs about SUD, prior experience familiarity to educational curricula drive among health-care workers. In 2019, nursing assistant students were recruited through an online survey platform. Participants completed SUD knowledge test assessing education, beliefs, personal experience, confidence in recognizing the signs symptoms of SUD....

Ethical issues arise frequently in the treatment of substance use disorders (SUD). Counselors need guidance to navigate ethical dilemmas but receive limited training resolving issues. To narrow gap between counselors face and their training, this qualitative study assessed that encounter, how they resolve them, desired training. We conducted individual interviews with 20 front-line working two SUD programs, presenting brief vignettes depicted ethics code national organization representing...