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1. PHYSICAL ACTIVITY AS STRESS MANAGEMENT DURING COVID-19

Author

Vogel, Erin A, Zhang, Janice, Peng, Katy, Heaney, Catherine A, Lu, Ying, Lounsbury, David W, Hsing, Ann W, and Prochaska, Judith J

Subjects
Medical and Health Sciences, Education, Psychology and Cognitive Sciences, Public Health
Published
2021

3. Application of group model building in implementation research: A systematic review of the public health and healthcare literature

Author

Estrada-Magbanua, Weanne Myrrh, primary, Huang, Terry T.-K., additional, Lounsbury, David W., additional, Zito, Priscila, additional, Iftikhar, Pulwasha, additional, El-Bassel, Nabila, additional, Gilbert, Louisa, additional, Wu, Elwin, additional, Lee, Bruce Y., additional, Mateu-Gelabert, Pedro, additional, and S. Sabounchi, Nasim, additional

Published
2023
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6. Intersectional Stigma and Prevention Among Gay, Bisexual, and Same Gender–Loving Men in New York City, 2020: System Dynamics Models

Author

Lutete, Priscila, Matthews, David W., Sabounchi, Nasim S., Paige, Mark Q., Lounsbury, David W., Rodriguez, Noah, Echevarria, Natalie, Usher, DaShawn, Walker, Julian J., Dickerson, Alexis, Hillesheim, Joseph, and Frye, Victoria

Subjects
Male, Sexual and Gender Minorities, Research & Analysis, Public Health, Environmental and Occupational Health, Humans, HIV Infections, New York City, Homosexuality, Male, Trust, HIV Serosorting
Abstract

Objectives. To create causal loop diagrams that characterize intersectional stigma experiences among Black, gay, bisexual, same gender–loving, and other men who have sex with men and to identify intervention targets to reduce stigma and increase testing and prevention access. Methods. Between January and July 2020, we conducted focus groups and in-depth interviews with 80 expert informants in New York City, which were transcribed, coded, and analyzed. These qualitative insights were developed iteratively, visualized, and validated in a causal loop diagram (CLD) using Vensim software. Results. The CLD revealed 3 key feedback loops—medical mistrust and HIV transmission, serosorting and marginalization of Black and gay individuals, and family support and internalized homophobia—that contribute to intersectional HIV and related stigmas, homophobia, and systemic racism. On the basis of these results, we designed 2 novel intervention components to integrate into an existing community-level anti-HIV stigma and homophobia intervention. Conclusions. HIV stigma, systemic racism, and homophobia work via feedback loops to reduce access to and uptake of HIV testing, prevention, and treatment. Public Health Implications. The CLD method yielded unique insights into reciprocal feedback structures that, if broken, could interrupt stigmatization and discrimination cycles that impede testing and prevention uptake. (Am J Public Health. 2022;112(S4):S444–S451. https://doi.org/10.2105/AJPH.2022.306725 )

Published
2022

10. Explorations of the Role of Digital Technology in HIV-Related Implementation Research: Case Comparisons of Five Ending the HIV Epidemic Supplement Awards

Author

Jones, Jeb, primary, Knox, Justin, additional, Meanley, Steven, additional, Yang, Cui, additional, Lounsbury, David W., additional, Huang, Terry T., additional, Bauermeister, Jose, additional, Gonzalez-Hernandez, Graciela, additional, Frye, Victoria, additional, Grov, Christian, additional, Patel, Viraj, additional, Baral, Stefan D., additional, Sullivan, Patrick S., additional, and Schwartz, Sheree R., additional

Published
2022
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13. Food system dynamics structuring nutrition equity in racialized urban neighborhoods

Author

Freedman, Darcy A, primary, Clark, Jill K, additional, Lounsbury, David W, additional, Boswell, Lena, additional, Burns, Marilyn, additional, Jackson, Michelle B, additional, Mikelbank, Kristen, additional, Donley, Gwendolyn, additional, Worley-Bell, La Queta, additional, Mitchell, Jodi, additional, Ciesielski, Timothy H, additional, Embaye, Milen, additional, Lee, Eun Kyung, additional, Roche, Abigail, additional, Gill, India, additional, and Yamoah, Owusua, additional

Published
2022
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19. Social Determinants of Health Screening by Preclinical Medical Students During the COVID-19 Pandemic:Service-Based Learning Case Study.

Author

Herrera, Tara, Fiori, Kevin P., Archer-Dyer, Heather, Lounsbury, David W., and Wylie-Rosett, Judith

Subjects
SOCIAL determinants of health, MEDICAL sciences, COVID-19 pandemic, MEDICAL students, ELECTRONIC health records, TELEMEDICINE
Abstract

Background: The inclusion of social determinants of health is mandated for undergraduate medical education. However, little is known about how to prepare preclinical students for real-world screening and referrals for addressing social determinants of health. Objective: This pilot project's objective was to evaluate the feasibility of using a real-world, service-based learning approach for training preclinical students to assess social needs and make relevant referrals via the electronic medical record during the COVID-19 pandemic (May to June 2020). Methods: This project was designed to address an acute community service need and to teach preclinical, second-year medical student volunteers (n=11) how to assess social needs and make referrals by using the 10-item Social Determinants of Health Screening Questionnaire in the electronic health record (EHR; Epic platform; Epic Systems Corporation). Third-year medical student volunteers (n=3), who had completed 6 clinical rotations, led the 2-hour skills development orientation and were available for ongoing mentoring and peer support. All student-patient communication was conducted by telephone, and bilingual (English and Spanish) students called the patients who preferred to communicate in Spanish. We analyzed EHR data extracted from Epic to evaluate screening and data extracted from REDCap (Research Electronic Data Capture; Vanderbilt University) to evaluate community health workers' notes. We elicited feedback from the participating preclinical students to evaluate the future use of this community-based service learning approach in our preclinical curriculum. Results: The preclinical students completed 45 screening interviews. Of the 45 screened patients, 20 (44%) screened positive for at least 1 social need. Almost all of these patients (19/20, 95%) were referred to the community health worker. Half (8/16, 50%) of the patients who had consultations with the community health worker were connected with a relevant social service resource. The preclinical students indicated that project participation increased their ability to assess social needs and make needed EHR referrals. Food insecurity was the most common social need. Conclusions: Practical exposure to social needs assessment has the potential to help preclinical medical students develop the ability to address social concerns prior to entering clinical clerkships in their third year of medical school. The students can also become familiar with the EHR prior to entering third-year clerkships. Physicians, who are aware of social needs and have the electronic medical record tools and staff resources needed to act, can create workflows to make social needs assessments and services integral components of health care. Research studies and quality improvement initiatives need to investigate how to integrate screening for social needs and connecting patients to the appropriate social services into routine primary care procedures. [ABSTRACT FROM AUTHOR]

Published
2022
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21. Perceptions of Cancer Risk/Efficacy and Cancer-Related Risk Behaviors : Results From the HCHS/SOL Sociocultural Ancillary Study

Author

Fox, Rina S, Mills, Sarah D, Roesch, Scott C, Sotres-Alvarez, Daniela, Gonzalez, Patricia, Bekteshi, Venera, Cai, Jianwen, Lounsbury, David W, Talavera, Gregory A, Penedo, Frank J, and Malcarne, Vanessa L

Abstract

This study evaluated the associations among perceived risk, perceived efficacy, and engagement in six cancer-related risk behaviors in a population-based Hispanic/Latino sample. Interviews were conducted with 5,313 Hispanic/Latino adults as part of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study. Participants were recruited from the study's four field centers (Bronx, NY; Chicago, IL; Miami, FL; San Diego, CA) between February 2010 and June 2011. Perceived risk and perceived efficacy were assessed with questions drawn from the Health Interview National Trends Survey. More than half of the sample endorsed perceived risk of cancer associated with the six evaluated behaviors, as well as general perceived efficacy for preventing cancer. Adjusted logistic regression analyses demonstrated significant differences across Hispanic/Latino background groups for perceived risk associated with high consumption of alcohol and saturated fat, low consumption of fruits and vegetables, and insufficient exercise but not with smoking or low consumption of fiber. Differences were also found for the belief, "It seems like everything causes cancer" but not for other perceived efficacy items. Perceived cancer risk and perceived efficacy for preventing cancer were neither independently nor interactively associated with engagement in cancer-related risk behaviors after controlling for sociodemographic covariates. Results suggest that perceptions of risk and efficacy with regard to cancer vary across Hispanic/Latino background groups, and therefore background group differences should be considered in prevention efforts. Perceived risk and perceived efficacy were not related to cancer-related risk behaviors among Hispanics/Latinos. Further work is needed to evaluate determinants of cancer-related risk in this population.

Published
2017

22. Effective Project Management of a Pan-African Cancer Research Network: Men of African Descent and Carcinoma of the Prostate (MADCaP)

Author

Odiaka, Emeka, primary, Lounsbury, David W., additional, Jalloh, Mohamed, additional, Adusei, Ben, additional, Diallo, Thierno Amadou, additional, Kane, Papa Moussa Sene, additional, Rockson, Isabella, additional, Okyne, Vicky, additional, Irusen, Hayley, additional, Pentz, Audrey, additional, Makinde, Ifeoluwa, additional, Ajibola, Olalekan Hafees, additional, Petersen, Lindsay, additional, McBride, Jo, additional, Petersen, Desiree C., additional, Mante, Sunny, additional, Agalliu, Ilir, additional, Adebiyi, Akindele Olupelumi, additional, Popoola, Olufemi, additional, Yeboah, Edward, additional, Mensah, James E., additional, Hsing, Ann, additional, Fernandez, Pedro, additional, Aisuodionoe-Shadrach, Oseremen, additional, Joffe, Maureen, additional, Singh, Elvira, additional, Gueye, Serigne Magueye, additional, Quintana, Yuri, additional, Fortier, Brian, additional, Rebbeck, Timothy R., additional, and Andrews, Caroline, additional

Published
2018
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23. Development, Evaluation, and Implementation of a Pan-African Cancer Research Network: Men of African Descent and Carcinoma of the Prostate

Author

Andrews, Caroline, primary, Fortier, Brian, additional, Hayward, Amy, additional, Lederman, Ruth, additional, Petersen, Lindsay, additional, McBride, Jo, additional, Petersen, Desiree C., additional, Ajayi, Olabode, additional, Kachambwa, Paidamoyo, additional, Seutloali, Moleboheng, additional, Shoko, Aubrey, additional, Mokhosi, Mamokhosana, additional, Hiller, Reinhard, additional, Adams, Marcia, additional, Ongaco, Chrissie, additional, Pugh, Elizabeth, additional, Romm, Jane, additional, Shelford, Tameka, additional, Chinegwundoh, Frank, additional, Adusei, Ben, additional, Mante, Sunny, additional, Snyper, Nana Yaa, additional, Agalliu, Ilir, additional, Lounsbury, David W., additional, Rohan, Thomas, additional, Orfanos, Alex, additional, Quintana, Yuri, additional, Jacobson, Judith S., additional, Neugut, Alfred I., additional, Gelmann, Edward, additional, Lachance, Joseph, additional, Dial, Cherif, additional, Diallo, Thierno Amadou, additional, Jalloh, Mohamed, additional, Gueye, Serigne Magueye, additional, Kane, Papa Moussa Sène, additional, Diop, Halimatou, additional, Ndiaye, Anna Julienne, additional, Sall, Amina Sow, additional, Toure-Kane, Ndeye Coumba, additional, Onyemata, Ezenwa, additional, Abimiku, Alash’le, additional, Adjei, Andrew A., additional, Biritwum, Richard, additional, Gyasi, Richard, additional, Kyei, Mathew, additional, Mensah, James E., additional, Okine, Julian, additional, Okyne, Vicky, additional, Rockson, Isabella, additional, Tay, Evelyn, additional, Tettey, Yao, additional, Yeboah, Edward, additional, Chen, Wenlong C., additional, Singh, Elvira, additional, Cook, Michael B., additional, Duffy, Christine N., additional, Hsing, Ann, additional, Soo, Cassandra Claire, additional, Fernandez, Pedro, additional, Irusen, Hayley, additional, Aisuodionoe-Shadrach, Oseremen, additional, Jamda, Abubakar Mustapha, additional, Olabode, Peter Oluwole, additional, Nwegbu, Maxwell Madueke, additional, Ajibola, Olalekan Hafees, additional, Ajamu, Olushola Jeremiah, additional, Ambuwa, Yakubu Garba, additional, Adebiyi, Akindele Olupelumi, additional, Asuzu, Michael, additional, Ogunbiyi, Olufemi, additional, Popoola, Olufemi, additional, Shittu, Olayiwola, additional, Amodu, Olukemi, additional, Odiaka, Emeka, additional, Makinde, Ifeoluwa, additional, Joffe, Maureen, additional, Pentz, Audrey, additional, and Rebbeck, Timothy R., additional

Published
2018
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25. Implementing adolescent SBIRT in an urban federally qualified health center: generalist vs. specialist service delivery models

Author

Mitchell, Shannon Gwin, primary, Kirk, Arethusa S, additional, Oros, Marla, additional, Gryczynski, Jan, additional, Dusek, Kristi, additional, Hosler, Colleen, additional, Schwartz, Robert P, additional, Brown, Barry S, additional, Barbosa, Carolina, additional, Dunlap, Laura J, additional, Lounsbury, David W, additional, and O'Grady, Kevin E, additional

Published
2015
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26. The feasibility of epidemiological research on prostate cancer in African men in Ibadan, Nigeria

Author

Agalliu, Ilir, primary, Adebiyi, Akin O, additional, Lounsbury, David W, additional, Popoola, Oluwafemi, additional, Jinadu, Kola, additional, Amodu, Olukemi, additional, Paul, Suvam, additional, Adedimeji, Adebola, additional, Asuzu, Chioma, additional, Asuzu, Michael, additional, Ogunbiyi, Olufemi J, additional, Rohan, Thomas, additional, and Shittu, Olayiwola B, additional

Published
2015
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27. Effective Project Management of a Pan-African Cancer Research Network: Men of African Descent and Carcinoma of the Prostate (MADCaP).

Author

Odiaka, Emeka, Lounsbury, David W., Jalloh, Mohamed, Adusei, Ben, Diallo, Thierno Amadou, Kane, Papa Moussa Sene, Rockson, Isabella, Okyne, Vicky, Irusen, Hayley, Pentz, Audrey, Makinde, Ifeoluwa, Ajibola, Olalekan Hafees, Petersen, Lindsay, McBride, Jo, Petersen, Desiree C., Mante, Sunny, Agalliu, Ilir, Adebiyi, Akindele Olupelumi, Popoola, Olufemi, and Yeboah, Edward

Subjects
*EARLY death, *PROSTATE cancer, *PROJECT management, *PROSTATE, *QUALITY control
Abstract

Purpose: Health research in low- and middle-income countries can generate novel scientific knowledge and improve clinical care, fostering population health improvements to prevent premature death. Project management is a critical part of the success of this research, applying knowledge, skills, tools, and techniques to accomplish required goals. Here, we describe the development and implementation of tools to support a multifaceted study of prostate cancer in Africa, focusing on building strategic and operational capacity. Methods: Applying a learning organizational framework, we developed and implemented a project management toolkit (PMT) that includes a management process flowchart, a cyclical center-specific schedule of activities, periodic reporting and communication, and center-specific monitoring and evaluation metrics. Results: The PMT was successfully deployed during year one of the project with effective component implementation occurring through periodic cycles of dissemination and feedback to local center project managers. A specific evaluation was conducted 1 year after study initiation to obtain enrollment data, evaluate individual quality control management plans, and undertake risk log assessments and follow-up. Pilot data obtained identified areas in which centers required mentoring, strengthening, and capacity development. Strategies were implemented to improve project goals and operational capacity through local problem solving, conducting quality control checks and following compliancy with study aims. Moving forward, centers will perform quarterly evaluations and initiate strengthening measures as required. Conclusion: The PMT has fostered the development of both strategic and operational capacity across project centers. Investment in project management resources is essential to ensuring high-quality, impactful health research in low- and middle-income countries. [ABSTRACT FROM AUTHOR]

Published
2017
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31. Explorations of the Role of Digital Technology in HIV-Related Implementation Research: Case Comparisons of Five Ending the HIV Epidemic Supplement Awards.

Author

Jones J, Knox J, Meanley S, Yang C, Lounsbury DW, Huang TT, Bauermeister J, Gonzalez-Hernandez G, Frye V, Grov C, Patel V, Baral SD, Sullivan PS, and Schwartz SR

Subjects
Digital Technology, Humans, Research Design, United States, Awards and Prizes, Epidemics prevention & control, HIV Infections epidemiology, HIV Infections prevention & control
Abstract

Introduction: The use of digital technology in HIV-related interventions and implementation strategies is increasing. Whether the use of technology is to directly improve patient outcomes (ie, part of the intervention) or as part of the strategy to implement interventions has important implications. In this article, we present 5 case studies of projects that feature the use of technology in HIV-related implementation research to identify and describe challenges specific to technology-based implementation research about study design, outcome measurement, implementing in an evolving technology landscape, and equity., Methods: For each case study, we identified the technological components, classified the components as intervention or implementation strategy, and identified implications for measuring performance and ensuring equity. The Exploration, Preparation, Implementation, and Sustainment framework was used to identify the research stage of each project., Results: Technology is being leveraged across a diverse array of implementation strategies to promote Ending the HIV Epidemic in the United States. The case studies were primarily in the exploration and preparation phases of implementation, yet technology played a different role in each project- developing educational materials, mass media to recruit participants or distribute evidence-based campaigns, providing training, guiding tailoring, and implementing novel methods to democratize intervention development., Discussion: Technology can play multiple roles in HIV-related implementation research projects, including serving as the intervention, being leveraged within implementation strategies, or both. We identified multiple considerations across projects that should be taken into account when measuring success and planning for equitable and sustained impact., Competing Interests: The authors have no conflicts of interest to disclose., (Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.)

Published
2022
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