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Preventive Health Care

Dissertation

Dissertation

Three Essays on Value in Health Care: Workplace Wellness Program Return on Investment, Effectiveness of Monetary Penalties for Tobacco Cessation Non-Participation, and Physician Perceptions of Their Use of Time and Appropriateness of Care Provided

This dissertation, in a three paper format, examines three policy levers for improving health care value.

Jun 12, 2018
Journal Article

Effects of Medication Assisted Treatment (MAT) for Opioid Use Disorder on Functional Outcomes: A Systematic Review

A weak evidence base prevents strong conclusions about the effects of Medication Assisted Treatment for opioid use disorder on functional outcomes.

May 30, 2018
Journal Article

Journal Article

Blackouts as a Moderator of Young Adult Veteran Response to Personalized Normative Feedback for Heavy Drinking

Online personalized normative feedback (PNF) interventions for alcohol use may be particularly effective for people who have recently experienced an alcohol-induced blackout.

May 22, 2018
Article

How to Increase Immunity to Truth Decay

Americans have always held differing views about policy issues. But more and more, they disagree about basic facts. This is a symptom of what RAND calls “Truth Decay,” and it's doing severe damage to democracy in the United States.

May 16, 2018
Journal Article

Journal Article

Standards of Evidence for Conducting and Reporting Economic Evaluations in Prevention Science

This article reports the findings of Society for Prevention Research's deliberations, proposes standards for economic analyses, and identifies opportunities for future prevention science.

Apr 26, 2018
Journal Article

Journal Article

Addressing the Opioid Epidemic in the United States: Lessons from the Department of Veterans Affairs

Reflecting a comprehensive VA effort to improve pain management, in 2007 fewer veterans received high doses of opioids and more veterans received non-opioid pain therapies, naloxone, and treatment for substance use disorders.

Apr 26, 2018
Journal Article

Journal Article

Facilitators and Barriers to Pre-Exposure Prophylaxis (PrEP) Use Among Black Individuals in the United States: Results from the National Survey on HIV in the Black Community (NSHBC)

Among a nationally representative sample of Black individuals, few high risk individuals were willing to use Pre-Exposure Prophylaxis (PrEP), a preventive treatment for the HIV virus.

Apr 17, 2018
Journal Article

Effects of Motivational Interviewing Fidelity on Substance Use Treatment Engagement in Primary Care

Motivational interviewing is used extensively to improve health and substance use-related outcomes, but therapists may need more training in strategic use of the approach.

Apr 3, 2018
Journal Article

Journal Article

Influence of Mental Health and Alcohol or Other Drug Use Risk on Adolescent Reported Care Received in Primary Care Settings

Adolescents at risk for alcohol or other drug use and poor mental health are most likely to benefit from a brief intervention delivered in primary care.

Feb 14, 2018
Journal Article

Implementing the Chronic Care Model for Opioid and Alcohol Use Disorders in Primary Care

This paper describes the process of planning and developing an intervention for delivering treatment for opioid and alcohol use disorders in primary care.

Feb 14, 2018
Journal Article

Journal Article

Assessing and Improving Organizational Readiness to Implement Substance Use Disorder Treatment in Primary Care: Findings from the SUMMIT Study

An organizational readiness intervention improved some implementation outcomes related to integrating treatment for opioid and alcohol use disorders in primary care, but not all.

Feb 13, 2018
Journal Article

Journal Article

Effect of Time to Diagnostic Testing for Breast, Cervical, and Colorectal Cancer Screening Abnormalities on Screening Efficacy: A Modeling Study

Even relatively small delays in diagnostic testing after an abnormal cancer screening test can reduce screening effectiveness, though the impact varies by cancer type.

Jan 24, 2018
Journal Article

Journal Article

Specialty Societies and Breast Cancer Screening Recommendations--Reply

Gynecologists order twice as many mammograms as family medicine and/or general practice physicians; physician specialty society guidelines may account for this wide variation.

Jan 24, 2018
Journal Article

Journal Article

Structural Factors Affecting Asians and Pacific Islanders in Community-Based Substance Use Treatment: Treatment Provider Perspectives

Asians and Pacific Islanders are most likely to enter substance use treatment through court mandates, underscoring the need for preventive outreach before they are involved with the criminal justice system.

Jan 16, 2018
Commentary

Evidence-Based Treatments May Be Casualties of War on Drugs

U.S. schools and community organizations face a difficult battle to keep kids safe and drug-free. They need tools to help them choose programs that will work best for youth. The National Registry of Evidence-based Programs and Practices is such a tool, but its future is uncertain.

Jan 15, 2018
Journal Article

Journal Article

Linking Reminders and Physician Breast Cancer Screening Recommendations: Results From a National Survey

Physicians are more likely to recommend mammograms when they are reminded to do so, despite variation in how much they trust mammogram guidelines.

Dec 18, 2017
Journal Article

Journal Article

Randomized Controlled Trial of a Coordinated Care Intervention to Improve Risk Factor Control After Stroke or Transient Ischemic Attack in the Safety Net: Secondary Stroke Prevention by Uniting Community and Chronic Care Model Teams Early to End Disparities (SUCCEED)

A multi-disciplinary intervention using a Chronic Care Model framework to prevent a secondary stroke among underserved populations will be tested in a randomized controlled trial.

Dec 12, 2017
Journal Article

Journal Article

When Guidelines Conflict: A Case Study of Mammography Screening Initiation in the 1990s

Analyzing the history of age-mammography patterns in the US may help us better understand and address current guideline conflicts.

Dec 5, 2017
Report

Assigning Responsibility Following a Catastrophe: Alternatives to Relying Solely on Traditional Civil Litigation

This report reviews various alternatives to relying exclusively on traditional civil litigation to assign responsibility for the human causes of a catastrophe and to determine the types of losses that a designated responsible party must reimburse.

Nov 28, 2017
Commentary

Can Vaping Help Smokers Quit? The Real Story from a Real Story

Evidence doesn't support using electronic cigarettes to quit smoking. In fact, doing so could even lead to reduced chances of quitting. Evidence does show that other options work, such as nicotine replacement patches or gum combined with counseling strategies.

Nov 16, 2017

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