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Tag: screening and brief intervention
06/12/2023

Findings From the Step Up, Test Up Study of an Electronic Screening and Brief Intervention for Alcohol Misuse in Adolescents and Young Adults Presenting for HIV Testing: Randomized Controlled Efficacy Trial

Karnik N, Kuhns L, Hotton A, Del Vecchio N, McNulty M, Schneider J, Donenberg G, Keglovitz Baker K, Diskin R, Muldoon A, Rivera J, Summersett Williams F, Garofalo R. Findings From the Step Up, Test Up Study of an Electronic Screening and Brief Intervention for Alcohol Misuse in Adolescents and Young Adults Presenting for HIV Testing: Randomized Controlled Efficacy Trial. JMIR Ment Health 2023;10:e43653. DOI: 10.2196/43653

This study tested the efficacy of a fully automated electronic screening and brief intervention, Step Up, Test Up, to reduce alcohol misuse among adolescents and young adults in community-based HIV testing environments in Chicago. Effects on sexual risk and uptake of pre-exposure prophylaxis (PrEP) for HIV prevention were also examined. Three hundred twenty-nine participants aged 16-25 years who identified as a man or transgender woman who has sex with men and reported moderate to high alcohol use were randomly assigned to a brief single-visit intervention or attention control condition (modules of similar length on promotion of diet and nutrition). The Step Up, Test Up intervention used a motivational interviewing approach to deliver lessons on 11 topics focused on alcohol use. Data were collected at 1, 3, 6, and 12-months post intervention. There were no significant group differences in alcohol use outcomes over time. There was a significant but small reduction in condomless anal sex under the influence of alcohol and drugs at 12 months compared to 3 months among participants in the intervention group relative to the control group (incidence rate ratio=0.15, 95% CI 0.05-0.44). There were no significant group differences in sexual risk and PrEP engagement. The relative lack of effect of the intervention on alcohol misuse and associated risks may reflect a need for cultural tailoring and more dynamic and engaging components in the intervention.

04/18/2023

Translating Violence Prevention Programs from Research to Practice: SafERteens Implementation in an Urban Emergency Department

Carter PM, Cunningham RM, Eisman AB, Resnicow K, Roche JS, Cole JT, Goldstick J, Kilbourne AM, & Walton MA. (2022). Translating Violence Prevention Programs from Research to Practice: SafERteens Implementation in an Urban Emergency Department. The Journal of Emergency Medicine, 62(1), 109–124. https://doi.org/10.1016/j.jemermed.2021.09.003

This study examined the translation of SafERteens, an evidence-based violence prevention program, into clinical care. Implementation of the program was piloted in an emergency department (ED) hospital setting with youth (14-18 years old) who screened positive for recent aggression during an ED visit. Youth participants were randomized to SafERteens (delivered remotely by study therapists or in-person by hospital staff) or enhanced usual care. The SafERteens intervention is a 30–45-minute brief behavioral intervention that integrates motivational interviewing for cognitive behavioral strategies. Participants also received an optional 2-month tailored text messaging program on self-efficacy, reminders on their goals, and tools to avoid violence. Data was collected from hospital staff on implementation facilitators and barriers using the RE-AIM framework. SafERteens completion rate was found to be 77.6% for remote delivery and 49.1% for in-person delivery. The SafERteens and tailored text messaging demonstrated high acceptability among youth; 84.9% of participants found it helpful. After the intervention, participants reported increased self-efficacy to avoid fighting and decreased pro-violence attitudes compared to baseline. Hospital staff reported a number of barriers to implementation such as limited staff availability and lack of reimbursement for staff time to conduct intervention delivery. Remote delivery of SafERteens can be a promising strategy to overcome resource limitations. Results demonstrate that policymakers should continue to expand reimbursement mechanisms in hospitals for violence screening and interventions.

03/10/2023

‘Simple but Effective’: Colombia Turns to Algorithms to Bolster Mental Health Services

Article Excerpt: At the age of 70, Carmen Suárez* is finally coming to terms with an event that happened five decades ago. It was a trauma that changed the course of her life and left her with depression. “I used to cry uncontrollably,” she says. “I was told to seek help, but I had neither the time nor the money. I realise now that I was stuck reliving the incident.” Over the course of a year, the Diada project (detection and integrated care for depression and alcohol use), an innovative project aimed at identifying people with or at risk of developing a mental health or alcohol use disorder, helped her recover.

Full Article: https://tinyurl.com/2jrfnkdt

Article Source: The Guardian

02/21/2022

Tech Can Help Address the Behavioral Health Crisis, Says AMA

Article Excerpt: The American Medical Association, in conjunction with Manatt Health, published a report this week exploring the ways that virtual care and other digital tools can accelerate the adoption of the integrated delivery of behavioral and physical healthcare. In the report, the organizations note that behavioral health integration is essential for solving the country’s dire need for access to services. “The demand for behavioral health services is significant and rising, but so is the potential for digital technology to support the integrated delivery of physical and behavioral health services,” said AMA President Dr. Gerald Harmon in a statement.

Full Article: https://tinyurl.com/4cyb53m4

Article Source: Healthcare IT News

10/29/2021

La Salud Mental: ¿Una Nueva Pandemia?

Article Excerpt: ¿Será posible que se considere la salud mental como una nueva pandemia? ¿conoce alguna información sobre los últimos hallazgos científicos en Colombia al respecto? Lo invitamos a conectarse a este espacio creado de la mano de la Pontificia Universidad Javeriana y EL TIEMPO, donde resolveremos estas y otras preguntas con relación al cuidado de la salud mental. Conozca cuál es el panorama actual que se vive en el país, las recomendaciones y acciones que se deben tener en cuenta para un sano cuidado del bienestar y la salud mental de los colombianos.

Full Article: https://tinyurl.com/fhce4tfk

Article Source: Facebook El Tiempo En Vivo

10/28/2021

Geisel School of Medicine and Dartmouth-Hitchcock Researchers Receive Prestigious Colombian National Academy of Medicine Award

Article Excerpt: Today, researchers from the Center for Technology and Behavioral Health (CTBH) at Dartmouth’s Geisel School of Medicine, Dartmouth-Hitchcock (D-H), and Pontificia Universidad Javeriana in Bogotá, Colombia, received an award—one of that country’s most prestigious in medicine—from Colombia’s National Academy of Medicine for their work implementing a new primary care model for widespread access to diagnosis and treatment of depression and unhealthy alcohol use. This care model harnesses mobile health technology to increase the reach of science-based mental health care.

Full Article: https://tinyurl.com/5h295edb

Article Source: Geisel School of Medicine News

Dartmouth-Hitchcock Psychiatry Chair and Team Receive Prestigious Colombian National Academy of Medicine Award

Article Excerpt: Researchers from Dartmouth-Hitchcock (D-H), the Center for Technology and Behavioral Health (CTBH) at Dartmouth’s Geisel School of Medicine, and Pontificia Universidad Javeriana in Bogotá, Colombia, have received an award from Colombia’s National Academy of Medicine for their work implementing a new primary care model for widespread access to diagnosis and treatment of depression and unhealthy alcohol use. This care model harnesses mobile health technology to increase the reach of science-based mental health care.

Full Article: https://tinyurl.com/4reb8tfe

Article Source: Dartmouth-Hitchcock News

10/27/2021

Una Nueva Ruta Para Mejorar La Atención De La Depresión Y El Alcoholismo

Article Excerpt: Un modelo de atención de depresión y al uso riesgoso de alcohol ganó la mayor distinción en los Premios Academia Nacional de Medicina a la Investigación Científica. DIADA, como se llama, fue diseñado e implementado por investigadores de la U. Javeriana y el Dartmouth College de EE. UU.

Full Article: https://tinyurl.com/hxrex6w

Article Source: El Espectador

10/26/2021

Premio a La Javeriana Enorgullece a Caldas

Article Excerpt: Los premios anuales de la Academia Nacional de Medicina (ANM) tocan este 2021 a Caldas. El galardón a un proyecto con enfoque clínico, de la Pontificia Universidad Javeriana, expuso el trabajo como investigador principal de Carlos Gómez-Restrepo, que tiene familia en Manizales. El estudio que él comandó tiene por nombre Escalando intervenciones en salud mental para la depresión y el uso riesgoso de alcohol en Colombia – Proyecto DIADA (Detección y Atención Integrada de la Depresión y Uso de Alcohol en Atención Primaria).

Full Article: https://tinyurl.com/ke2s5vvk

Article Source: La Patria