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Substance Use Harm Reduction

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

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

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

Use of Protective Behavioral Strategies Among Young Adult Veteran Marijuana Users

Taking periodic breaks from marijuana use or avoiding using marijuana before work or school may be important protective strategies for young veterans who choose to use marijuana to cope with symptoms of PTSD.

Mar 20, 2018
Journal Article

A Qualitative Study of Smoking Cessation Experiences and Perceptions Among Homeless Young Adult

Up to 70% of homeless youth smoke, but there is little information available on their smoking cessation experiences and perceptions to guide cessation intervention efforts.

Oct 10, 2017
Journal Article

Zonnic®: A New Player in an Old Field

Zonnic marks the tobacco industry's entry into nicotine-replacement therapy products, which may warrant new research and policy priorities.

Sep 19, 2017
Journal Article

Does Self-Efficacy Causally Influence Initial Smoking Cessation? An Experimental Study

This study of the relation between self-efficacy -- belief in one's own ability to complete tasks and reach goals - and successful smoking cessation was unable to isolate a causal connection.

Jun 28, 2017
Journal Article

Desistance Mandates Compared with Treatment Mandates in Criminal Justice Populations

Empowering those under criminal justice supervision to cease drug use on their own - rather than forcing them into formal treatment against their will - is a policy approach that warrants further evaluation.

Jun 8, 2017
Journal Article

Correlates of Electronic Cigarettes Use Before and During Pregnancy

Women of reproductive age were more likely to use electronic cigarettes than smoking cessation aids to quit smoking, suggesting an urgent need to understand the potential risks and benefits of e-cigarette use in this population.

May 19, 2017
Journal Article

Feasibility and Pilot Efficacy of a Brief Smoking Cessation Intervention Delivered by Vascular Surgeons in the Vascular Physician Offer and Report (VAPOR) Trial

Surgeons successfully delivered a brief smoking cessation intervention to patients preparing for peripheral artery disease surgery; initial results suggest the pre-surgery period may be a “teachable moment” for encouraging patients to quit smoking.

Feb 9, 2017
Report

Mindfulness Meditation for the Treatment of Tobacco Use: A Systematic Review

RAND researchers conducted a systematic review that synthesized evidence from trials of mindfulness meditation interventions to provide estimates of their efficacy and safety for treating tobacco use.

Jan 31, 2017
Journal Article

Efficacy of Mindfulness Meditation for Smoking Cessation: A Systematic Review and Meta-Analysis

This review synthesizes randomized controlled trials (RCTs) of mindfulness meditation (MM) interventions for smoking cessation.

Jan 23, 2017
Journal Article

Pilot Evaluation of a Brief Intervention to Improve Nicotine Patch Adherence Among Smokers Living with HIV/AIDS

Smoking cessation programs that emphasize adherence to the nicotine patch may help more smokers quit.

Oct 27, 2016
Journal Article

Racial Differences in Cigarette Smoking Among Homeless Youth

Smoking prevention programs may benefit from incorporating a social network-based approach to help youth foster relationships with lower-risk peers; programs should also address other forms of substance use.

Jun 8, 2016
Journal Article

Implementation of the Tobacco-Free Campus Policy on College Campuses: Evidence from a Survey of College Students in Beijing

A survey of Beijing college students suggests that the Tobacco Free Campus Policy for Chinese college campuses is not fully enforced.

May 25, 2016
Journal Article

Advice to Quit Smoking and Ratings of Health Care Among Medicare Beneficiaries Aged 65+

Patients whose doctors provide advice on quitting smoking are more likely to be satisfied with the care they receive.

Apr 20, 2016
Journal Article

Developing a Nicotine Patch Adherence Intervention for HIV-positive Latino Smokers

Helpful strategies for establishing consistent nicotine patch use include staying motivated to use a nicotine patch, linking patch use to daily routines, and managing expectations of what a patch can do.

Apr 20, 2016
Journal Article

Additional Validity Evidence for the PROMIS Smoking Assessment Toolkit

Using data from a follow-up sample (N = 491) and a community sample (N = 369) of adult daily and nondaily smokers, we replicated the findings from Edelen et al. (2014a) and examined the correlations of legacy smoking measures with the new item bank scores.

Feb 29, 2016
Journal Article

Frequent Alcohol Testing Combined with Swift, Certain, and Modest Sanctions Is Associated with Drop in Mortality

An innovative program that requires alcohol-involved offenders to abstain from alcohol and submit to frequent tests was associated with a 4 percent drop in mortality. The associations were most evident among causes of death related to excessive alcohol use, such as circulatory conditions.

Feb 18, 2016
Journal Article

Calibration of the Spanish PROMIS Smoking Item Banks

The goal of this study is to evaluate the performance of the Spanish version of the PROMIS smoking item banks as compared to the original banks developed in English.

Feb 12, 2016

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