Publications

Depression and the revolving door of HIV care: using multistate approaches to understand complex longitudinal exposure/outcome relationships among a cohort of people entering HIV care in Cameroon from 2019 to 2020.

Addressing the mental health needs of people with HIV is critical to ending the HIV epidemic. Yet, empirical evidence on the downstream consequences of poor mental health at entry into HIV care is scant, limiting our ability to deploy appropriate interventions. Multistate methods can provide a nuanced picture of how longitudinal care engagement differs between those with and without mental ill-health.

BMJ public health

A qualitative exploration of patient and clinician needs and preferences for a physical activity intervention during breast cancer chemotherapy.

Early intervention with physical activity (PA) during active cancer treatment is critical for improved health outcomes, but often difficult to deliver. We assessed patients' and clinicians' needs and preferences for a PA intervention during chemotherapy via semi-structured interviews.

BMC cancer

The Road from Science to Health: The Importance of Designing For, Measuring, and Communicating Impact in Public Health.

Scientists are facing increasing challenges concerned with improving the health of the public. Declining trust in expertise, new diseases, widening disparities in access to care, and environmental changes all challenge population health science to lean into work that can help move societies closer to solutions. To do this work effectively, we need to nudge population health science toward research that engages with consequential health challenges, which will require a reprioritization of how we generate, measure, and articulate health impact. In this review, we provide a history of evaluating impact, along with a comprehensive framework for conceptualizing future public health research impacts. In addition, we review evaluation models and highlight best practices for measuring impact. We introduce a new framework that builds on realist evaluation principles for assessing the impact of public health research and addresses the need to communicate these impacts to diverse audiences. To achieve this reprioritization, we recognize the need for organizational and systemic changes that can incentivize, prioritize, and reward impact-driven engagement.

Annual review of public health

Supporting self-reliance for displaced and host populations: insights from the Self-Reliance Index across 16 countries.

To examine household-level patterns of self-reliance among forcibly displaced and host populations using the Self-Reliance Index (SRI) and identify opportunities for strengthening humanitarian programming, policy frameworks and service delivery systems that support sustainable well-being.

BMJ global health

Taking stock: understanding key processes in the public health programs-stages of research and evaluation framework.

The complexity of research translation is well recognized. Efforts to accelerate the process have emerged through implementation science, scale-up, scalability, and sustainability. This area of research is now inundated with a plethora of new concepts, creating overlap and confusion for those working in public health, implementation science, and scale-up as well as those seeking to understand it. This perspective examines the commonly used processes (scale-up, scalability, transferability, sustainability) and articulates their current definitions found in the literature. An explanation of the similarities and differences is also provided along with an illustration of where they may be applied in the public health programs: stages of research and evaluation framework. This perspective aims to clarify these processes, in order to provide guidance for seeking to engage in this area, how and when those processes might apply for those new to the field as well as those working within it.

Health promotion international

Poor Mental Health and the Use of Buy Now, Pay Later Loans.

This cross-sectional study examines the association between buy now, pay later loans and probable depression, anxiety, and posttraumatic stress.

JAMA health forum

Back to the Future of Primary Care.

JAMA health forum

Change in social participation over time among persons ages 45-64 aging with long-term physical disability.

This study examined changes in satisfaction with and ability to participate in social roles and activities over 3 years for people who were aging with long-term physical disability. The goal was to understand the impact of physical health, function, depression, fatigue, and pain on participation.

Archives of physical medicine and rehabilitation

Adopt & Adapt: Implementing Local Tobacco 21 Policy in Cincinnati.

This case study examines the challenges and facilitators to implementation and enforcement of Tobacco 21 and Tobacco Retail Licensing policies in Cincinnati, Ohio, from 2019 to 2022. Cincinnati was part of a cohort of communities supported by Interact for Health to develop, implement, and enforce local Tobacco 21 and related policies. The City of Cincinnati policies were initially passed in 2018 after robust coalition-building efforts and the Cincinnati Health Department was tasked with implementation and enforcement. These processes met early challenges including enactment of state and federal Tobacco 21 laws prior to local implementation, the impact of the COVID-19 pandemic and response on local public health efforts, and retailer identification and monitoring limitations. Over time, the Cincinnati Health Department overcame these challenges to successfully implement and enforce the policies through nurturing partnerships with retailers, streamlined retailer tracking, and ongoing education efforts. Adaptability and flexibility were key to gaining traction in a challenging environment. The relationships built with retailers via education and one-on-one support helped ease the transition for local businesses, retailer and public support for the policies grew, and youth reported lower access to and use of tobacco. This case study is based on a 3-year evaluation that highlighted the voices of retailers, an often underrepresented partner in tobacco policy implementation, enforcement, and evaluation.

Journal of public health management and practice : JPHMP