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Preventive Health Care

Tool
CLARO Implementation Manual: Strategies and Supports for Successful Implementation of the CLARO Intervention
This manual describes how to implement the Collaboration Leading to Addiction Treatment and Recovery from Other Stresses (CLARO) intervention, which adapts the Collaborative Care Model for adults with opioid use disorder and depression and/or PTSD.
Nov 13, 2023
Dissertation
Moving Enough People Enough: Assessing the Effectiveness of Disinformation Through the Adoption of Disinformation Rhetoric
Assesses the effects of COVID-19 disinformation narratives on behavioral outcomes, particularly vaccine uptake and ivermectin consumption.
Oct 31, 2023
Journal Article
Comparing Organization-Focused and State-Focused Financing Strategies on Provider-Level Reach of a Youth Substance Use Treatment Model: A Mixed-Method Study
This study compared two US federal grant mechanisms, organization-focused and state-focused grants, on organization-level implementation outcomes for the Adolescent Community Reinforcement Approach, an evidence-based practice for youth substance use.
Oct 16, 2023
Journal Article
US State Laws Relevant to Incentives for Health Behavior: A Qualitative Analysis
The research team conducted a systematic NexisUni legal database review of state statutes and regulations effective during 2022 to identify laws relevant to contingency management.
Oct 5, 2023
Journal Article
Health Care Provider Knowledge and Attitudes Regarding Adult Pneumococcal Conjugate Vaccine Recommendations —: United States, September 28–October 10, 2022
Despite the availability of effective vaccines, pneumococcal disease continues to be a significant cause of morbidity among U.S. adults.
Sep 25, 2023
Report
The AIA Vitality Program in Australia: Assessing the association between engagement activities and changes in health outcomes
RAND Europe conducted an observational study using longitudinal data on AIA Vitality members to explore the impacts of types of physical activity and wellbeing engagement on health outcomes.
Sep 17, 2023
Journal Article
How Are State Telehealth Policies Associated with Services Offered by Substance Use Disorder Treatment Facilities? Evidence from 2019-2022
An examination of the effect of state policies on the offering of telehealth at substance use disorder treatment facilities.
Sep 11, 2023
Commentary
The Solution to Telemedicine Prescribing of Buprenorphine Seems Clear to Everyone but DEA
For more than a decade, Congress, clinicians, and policymakers have been requesting implementation of a special registration pathway that would allow registered clinicians to prescribe buprenorphine without an in-person visit requirement. It's clear to us that the time to implement the pathway is now.
Sep 5, 2023
Commentary
Strategies to Prevent Clinically Unnecessary Opioid Use
Guidance on how to direct opioid-related settlement funds has focused on reducing deaths and improving treatment for substance use disorders. What's also needed are strategies to reduce opioid initiation, particularly through effective pain management with nonopioid alternatives.
Aug 29, 2023
Report
A Brief Overview of Emerging Vaccine Technologies for Pandemic Preparedness
This report characterizes trends and strategic implications associated with pandemic preparedness in the United States, China, and Russia, focusing on vaccine technologies, broad-spectrum medical countermeasures, and immunization facilitation.
Aug 17, 2023
Journal Article
Findings from an Organizational Context Survey to Inform the Implementation of a Collaborative Care Study for Co-occurring Disorders
This study surveyed primary care and behavioral health staff from 13 clinics implementing a collaborative care intervention for opioid use disorders co-occurring with PTSD and/or depression as part of a multisite randomized controlled trial.
Aug 17, 2023
Journal Article
Design of CLARO+ (Collaboration Leading to Addiction Treatment and Recovery from Other Stresses, Plus): A Randomized Trial of Collaborative Care to Decrease Overdose and Suicide Risk Among Patients with Co-Occurring Disorders
We build upon a model of collaborative care in which care coordinators deliver preventative measures to high-risk patients and coordinate care with the patients' care team, to increase MOUD retention and decrease risk of suicide and overdose.
Aug 17, 2023
Journal Article
Sexual Identity Differences in Tobacco (Re)Uptake: Testing Mediation by Internalizing and Externalizing Symptoms
We examined whether internalizing and externalizing psychological symptoms serve as mediators of tobacco (re)uptake among sexual minority individuals using data from Waves 4 and 5 of the Population Assessment of Tobacco and Health study.
Aug 11, 2023
Journal Article
An Experimental Evaluation of the Effects of Banning the Sale of Flavored Tobacco Products on Adolescents' and Young Adults' Future Nicotine Vaping Intentions
Experimentally removing flavored tobacco products from a model convenience store display did not change teens' intentions to vape flavored products but increased intentions to use tobacco-flavored vaping products among teens who had previously vaped.
Aug 10, 2023
Report
Psychiatric and Substance Use Disorder Bed Capacity, Need, and Shortage Estimates in Santa Clara County, California
Santa Clara County sought to understand where gaps exist between psychiatric and substance use disorder treatment bed capacity and needs — at different levels of care. The authors use various sources to identify such gaps and hard-to-place populations.
Aug 3, 2023
Journal Article
Investigating the Complexity of Naloxone Distribution: Which Policies Matter for Pharmacies and Potential Recipients
In this paper, we estimate the effects on naloxone pharmacy distribution of two types of laws: laws authorizing non-patient-specific prescription distribution of naloxone and laws granting pharmacists prescriptive authority for naloxone.
Jul 31, 2023
Journal Article
The Impact of COVID-19 Shelter-In-Place Policy Responses on Excess Mortality
Using an event study approach awe measure changes in excess deaths following the implementation of COVID-19 policies. We do not find that countries or U.S. states that implemented policies earlier had lower excess deaths.
Jul 21, 2023
Journal Article
The Stability of Influenza Vaccination Behavior Over Time: A Longitudinal Analysis of Individuals Across 8 Years
U.S. adults completed multiple surveys about influenza vaccinations over an 8 year period. Findings indicate that individuals with only a weak tendency to vaccinate or not to vaccinate are mostly likely to be impacted by interventions.
Jul 19, 2023
Journal Article
A Bridge Too Far? Distance to Waivered Physicians and Utilization of Buprenorphine Treatment for Opioid Use Disorder in West Virginia Medicaid
Longer travel distance to buprenorphine treatment is associated with a shorter duration of care that is likely to be clinically meaningful.
Jul 19, 2023
Journal Article
Sociodemographic Differences in Quality of Treatment to Medicaid Enrollees Receiving Buprenorphine
Buprenorphine is a key medication to treat opioid use disorder, but little is known about how treatment quality varies across sociodemographic groups. We examined measures of treatment quality and explored variation by sociodemographic factors.
Jul 14, 2023

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Research conducted by

RAND Health Care

Researcher Spotlight

Stephanie Stockwell

Senior Analyst

Stephanie Stockwell (she/her) is a senior analyst at the RAND Corporation. She works primarily for RAND Europe in the health and wellbeing group. Her research interests include lifestyle behaviours such as physical activity and sedentary behaviour, health over the life course with particular…
Lori Uscher-Pines

Senior Policy Researcher

Lori Uscher-Pines is a senior policy researcher at the RAND Corporation. Her research interests include telehealth, maternal and child health, health equity, and behavioral health. Her current projects include assessing the impact of various forms of telehealth such as telemental health on…

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