- HIV/AIDS Research and Interventions
- Vaccine Coverage and Hesitancy
- Mobile Health and mHealth Applications
- Telemedicine and Telehealth Implementation
- Adolescent Sexual and Reproductive Health
- Ethics in Clinical Research
- HIV, Drug Use, Sexual Risk
- Prenatal Screening and Diagnostics
- HIV Research and Treatment
- Health Literacy and Information Accessibility
- Digital Mental Health Interventions
- HIV-related health complications and treatments
- COVID-19 and healthcare impacts
- Child Abuse and Trauma
- Obesity and Health Practices
- Healthcare Systems and Technology
- Reproductive Health and Contraception
- Homicide, Infanticide, and Child Abuse
- Prenatal Substance Exposure Effects
- Birth, Development, and Health
- Scientific Computing and Data Management
- Ethics in Business and Education
- Management and Organizational Studies
- Obesity, Physical Activity, Diet
- HIV/AIDS drug development and treatment
Light Prescriptions Innovators (United States)
2022
Case Western Reserve University
2017-2021
University School
2021
Clinical and Translational Science Collaborative of Northern Ohio
2021
Altarum Institute
2010
University of Michigan
2000-2003
National Institutes of Health
1989-2000
National Institute of Allergy and Infectious Diseases
1992-1998
New York Blood Center
1998
Fred Hutch Cancer Center
1998
Recent studies have reported on the utility of audio computer-assisted self-interviewing (ACASI) in surveys human immunodeficiency virus (HIV) risk behaviors that involve a single assessment. This paper reports results test ACASI within longitudinal study HIV behavior and infection. Study participants (gay men (n = 1,974) injection drug users 903)) were randomly assigned to either or interviewer-administered assessment at their second follow-up visit 12 months after baseline. Significantly...
Objective: To determine the willingness of populations at high risk HIV-1 infection to participate in HIV vaccine efficacy trials, factors influencing decision-making, and evaluate knowledge levels trial concepts. Design: Cross-sectional study. Methods: HIV-1-negative homosexual men, male female injecting drug users non-injecting women heterosexual were recruited eight cities United States (n = 4892). Results: A substantial proportion study population (77%) would definitely (27%) or probably...
Type 2 diabetes (T2D) is one of the nation's leading drivers disability and health care utilization, with elevated prevalence among individuals lower education, income, racial/ethnic minorities. Health information technology (HIT) holds vast potential for helping patients, providers, payers to address T2D skyrocketing rates chronic illness associated costs. Patient portals electronic records (EHRs) serve as a gateway consumer use HIT. We found that disparities in portal portend growing...
Abstract Questions exist about whether testing of preventive human immunodeficiency virus (HIV)-1 vaccines, which will require rapid recruitment and retention cohorts with high HIV-1 seroincidence, is feasible in the United States. A prospective cohort study was conducted 1995–1997 among 4,892 persons at risk for HIV infection nine US cities. At 18 months, an 88% rate, 90 incident infections were observed (1.31/100 person-years (PY), 95% confidence interval (CI): 1.06, 1.61). seroincidence...
Procedures must be developed to ensure that valid informed consent is obtained from participants in HIV vaccine efficacy trials. A prototype process was evaluated among 4,892 persons at high risk for infection the Network Prevention Trials Vaccine Preparedness Study (VPS), a prospective cohort study of seroincidence eight U.S. metropolitan areas. Twenty percent VPS were selected random undergo month 3. Participants' knowledge 10 key trial concepts and willingness participate trials assessed...
Our objective is to describe the Women and Infants Transmission Study (WITS) design, data collection methods, study cohort characteristics. WITS a prospective epidemiologic of natural history HIV infection in pregnant women their infants carried out at obstetric/gynecologic pediatrie clinics Boston, Chicago, Manhattan, Brooklyn, San Juan, Houston. The participants were 788 HIV-infected 657 born them. main outcome measures clinical laboratory factors associated with maternal-infant...
Context: Preventive HIV vaccines can temporarily cause uninfected individuals to have positive results on testing. As preparations are underway mount larger efficacy trials, the social risks of trial participation should be studied. Objective: To describe frequency testing and discrimination among participants in a preventive phase II vaccine trial. Participants: 266 volunteers were eligible; 247 participated confidential survey. Results: 63 (26% respondents) reported 185 tests during prior...
Data on childhood obesity collected by the Centers for Disease Control and Prevention helped reveal nation’s epidemic of overweight obese children. But more information is needed. Collecting body mass index (BMI)—the widely accepted measurement weight status—at state local levels can be instrumental in identifying tracking trends, designing interventions to help children, guiding broader policy solutions. Approximately thirty states have enacted or proposed BMI surveillance laws regulations....
Older adults are a high priority for telemedicine given their elevated COVID-19 risk and need frequent provider contact to manage chronic illnesses. It seems that many older now use smartphones but few studies have examined overall readiness telemedicine.The aim of this study is survey primary care patients about preparedness, including internet usage, internet-capable devices, experiences concerns, perceived barriers. Results were used inform preparedness training program.Community-dwelling...
This article examines whether preventive HIV vaccines trials will be viable among female injection drug users (IDUs). Of the 137 women who completed baseline serologic and behavioral assessments, 121 (88%) were seronegative; all enrolled in Project Jumpstart Philadelphia (PA, U.S.A.), a vaccine preparedness initiative cosponsored by NIAID NIDA. Subjects seen every 3 months for risk opinion assessment, reduction counseling, antibody testing. The prevalence rate of infection was 12% (16 137)...
Health information technology (HIT) shows potential for increasing the value of health care. However, HIT use is lower among older adults and disadvantaged patients. We evaluated effectiveness a program patient portal internet access underserved conducted quasi-experimental study community worker (CHW) digital literacy to improve by patients seen at one urban primary care clinic. Patients met with clinic-based CHW who explained use, gave referrals free, health-focused training program,...
Data from the Demographic and Health Surveys carried out in 12 African Asian Latin American countries show that 10 of fewer than 22% women have ever practiced periodic abstinence 7% currently practice method. In Sri Lanka Peru however 40% used 15% 18% respectively are using The vast majority who use calendar or rhythm technique to determine their fertile period; 1/4 more 1/2 current users 7 report an additional method (usually condom withdrawal) during same month. problem heard most often...
Over the last several years, there has been rapid growth of digital technologies attempting to transform healthcare. Unique features medicine technology lead both challenges and opportunities for testing validation. Yet little guidance exists help a health system decide whether undertake pilot test new technology, move right full-scale adoption or start somewhere in between. To navigate this complexity, paper proposes an algorithm choose best path toward validation adoption. Special...
A Workshop was held November 8, 1994 to discuss actual and theoretical risks for discrimination against volunteers in future HIV preventive vaccine efficacy trials. small proportion of ongoing Phase I/II trials have had positive antibody tests due vaccine-induced responses. Some difficulty obtaining health life insurance, employment with the U.S. military, foreign travel. Study staff were able resolve almost all such problems. Gay men enrolled prospective seroincidence studies experienced a...
Summary: This article examines whether preventive HIV vaccine trials will be viable among female injection drug users (IDUs). Of the 137 women who completed baseline serologic and behavioral assessments, 121 (88%) were seronegative; all enrolled in Project Jumpstart Philadelphia (PA, U.S.A.), a preparedness initiative cosponsored by NIAID NIDA. Subjects seen every 3 months for risk opinion assessment, reduction counseling, antibody testing. The prevalence rate of infection was 12% (16 137)...