2025
Addressing challenges and barriers to rural Veteran participation in clinical research within the Veterans Affairs healthcare system
Johnson M, Asghar A, Beck D, Kyriakides T, Vincenti M, Huang G. Addressing challenges and barriers to rural Veteran participation in clinical research within the Veterans Affairs healthcare system. Contemporary Clinical Trials Communications 2025, 45: 101466. PMID: 40241933, PMCID: PMC12002789, DOI: 10.1016/j.conctc.2025.101466.Peer-Reviewed Original ResearchCooperative Studies ProgramHealthcare systemIntegrated health care systemVA Cooperative Studies ProgramVeterans Affairs Healthcare SystemLack of organizational supportVA healthcare systemClinical researchMedical facilitiesHealth care systemEnrollment of study participantsClinical research staffClinical research infrastructureExecution of clinical researchProviding careCare systemRural settingsVeteran participantsHealthcare institutionsResearch staffStudy participantsRural populationOrganizational supportVeteransVAMCExperiencing Housing Instability in Rural North America and Access to Health Care and Supportive Services: A Scoping Review.
Roncarati J, Cusack M, True G, Browne J, Harris T, deRussy A, Tsai J, Elwy A, Byrne T, Montgomery A. Experiencing Housing Instability in Rural North America and Access to Health Care and Supportive Services: A Scoping Review. Journal Of Health Care For The Poor And Underserved 2025, 36: 21-55. PMID: 39957636, DOI: 10.1353/hpu.2025.a951583.Peer-Reviewed Original ResearchConceptsHousing instabilityPromote better health outcomesRural North AmericaMeta-Analyses extensionBetter health outcomesFull-text reviewPreferred Reporting ItemsExperience housing instabilityPeer-reviewed articlesHealth disparitiesHealth outcomesScoping ReviewBehavioral healthHealth careRural settingsOlder personsReporting ItemsSupport servicesSystematic reviewInclusion criteriaMeta-analysesHealthService provisionRural areasRural contextBuilding Community Resilience Through Trauma-Informed Solutions: Lessons Learned from a Social Accelerator in Rural North Carolina
Elliott A, Jana B, Vu T, Rush M, Belk A, Emmerling D, Jagannathan V, Saeugling S, Hatcher A. Building Community Resilience Through Trauma-Informed Solutions: Lessons Learned from a Social Accelerator in Rural North Carolina. Community Mental Health Journal 2025, 61: 962-972. PMID: 39939435, PMCID: PMC12126357, DOI: 10.1007/s10597-024-01435-8.Peer-Reviewed Original ResearchRural North CarolinaCommunity organizationsNegative health outcomesAdverse childhood experiencesCohort of participantsEdgecombe CountyIn-depth interviewsHealth outcomesNorth CarolinaRural settingsProgram staffSocial accelerationCommunity resilienceQualitative interviewsTrauma-informedPerceived outcomesChildhood experiencesRural communitiesPeople of colorIntergenerational traumaLocal high schoolBuilding community resilienceParticipantsStaffCommunity ties
2024
Contrast in beliefs and knowledge about dementia risk reduction in Southern Latin American Indigenous and non‐Indigenous older adults: A qualitative analysis
Aravena J, Muñoz H, Vargas D, Albala C, Levy B. Contrast in beliefs and knowledge about dementia risk reduction in Southern Latin American Indigenous and non‐Indigenous older adults: A qualitative analysis. Alzheimer's & Dementia 2024, 20: e092368. PMCID: PMC11715910, DOI: 10.1002/alz.092368.Peer-Reviewed Original ResearchDementia risk reductionOlder adultsBrain healthDementia risk reduction interventionsRisk factors of dementiaRisk factorsDementia risk factorsFactors of dementiaInfluence health behaviorsPrevention of dementiaSocial activity engagementRisk reduction interventionsExploratory qualitative studyRisk reductionNon-Indigenous peopleIn-depth interviewsHealth behaviorsPotential risk factorsRural settingsReduction interventionsThematic analysisSnowball strategyCognitive changes of agingQualitative studyDementiaSociodemographic disparities in prostate cancer imaging
Sundaresan V, Lokeshwar S, Sutherland R, Sohoni N, Golos A, Ajjawi I, Leapman M. Sociodemographic disparities in prostate cancer imaging. Abdominal Radiology 2024, 1-9. PMID: 39325212, DOI: 10.1007/s00261-024-04603-2.Peer-Reviewed Original ResearchProstate cancer imagingProstate cancerProstate cancer diagnosisMonitoring of prostate cancerProstate multiparametric MRISociodemographic disparitiesProstate cancer treatmentEquitable cancer careBiochemical recurrenceFactors associated with disparitiesMultiparametric MRIActive surveillanceTreatment planningBlack patientsCancer outcomesTreatment workflowDiagnostic imagingCancer careDiagnosisRural settingsProstateImaging utilizationTreatmentPatientsCancer imagingPolicies, adaptations, and ongoing challenges to naloxone, buprenorphine and nonprescription syringe access across four-states: Findings from an environmental scan and key informant interviews
Floyd A, Silcox J, Strickler G, Nong T, Blough M, Bolivar D, Rabin M, Bratberg J, Irwin A, Hartung D, Hansen R, Bohler R, Green T. Policies, adaptations, and ongoing challenges to naloxone, buprenorphine and nonprescription syringe access across four-states: Findings from an environmental scan and key informant interviews. Drug And Alcohol Dependence Reports 2024, 11: 100243. PMID: 38948428, PMCID: PMC11214408, DOI: 10.1016/j.dadr.2024.100243.Peer-Reviewed Original ResearchNonprescription syringesImplementation of evidence-based interventionsEnvironmental scanEvidence-based interventionsCost of medicationsSemi-structured interviewsHarm reduction organizationsPatients' stigmaNaloxone standing orderRural settingsStanding ordersActive partnershipPharmacy policiesPharmacy chainInformant interviewsStructural barriersMedicaid coverageSyringe accessDispensing buprenorphineInstitutionalized interventionsPharmacyMortality increaseKey informantsRandomized trialsInterventionHow Variable are Patient Comorbidity Profiles Among Practicing Otolaryngologists?
Torabi S, Hong E, Patel R, Nguyen T, Huck N, Khosravi P, Manes R, Kuan E. How Variable are Patient Comorbidity Profiles Among Practicing Otolaryngologists? Otolaryngology 2024, 171: 1033-1041. PMID: 38738928, DOI: 10.1002/ohn.812.Peer-Reviewed Original ResearchHierarchical Condition CategoriesAssociated with decreased oddsPatient's comorbidity profileRisk scoreHierarchical condition category risk scoresHigh-risk patient populationPatient populationComorbidity profilesHealth inequalitiesAcademic settingsPhysician characteristicsCommunity settingsRural settingsTreated cohort of patientsGroup of otolaryngologistsMedicare patientsCondition categoriesGraduation yearComorbidity burdenCohort of patientsUrban settingsIncreased riskPracticing otolaryngologistsPractice regionSubgroup analysisBarriers to Clinical Trial Implementation Among Community Care Centers
Ebrahimi H, Megally S, Plotkin E, Shivakumar L, Salgia N, Zengin Z, Meza L, Chawla N, Castro D, Dizman N, Bhagat R, Liv S, Li X, Rock A, Liu S, Tripathi A, Dorff T, Oyer R, Boehmer L, Pal S, Chehrazi-Raffle A. Barriers to Clinical Trial Implementation Among Community Care Centers. JAMA Network Open 2024, 7: e248739. PMID: 38683608, PMCID: PMC11059033, DOI: 10.1001/jamanetworkopen.2024.8739.Peer-Reviewed Original ResearchConceptsClinical trial implementationClinical trial enrollmentTrial enrollmentUnmet needsCancer clinical trial enrollmentHealth care practicesPatients seeking careTrial implementationCommunity care centersCommunity oncology settingNational survey studyRural practiceClinical research opportunitiesCare practicesCare settingsCancer clinicOncology settingLimited staffingPractice changeRural settingsOncology clinicMain OutcomesHispanic residentsReferral practicesTrial participants
2023
Assessment of short-term heat effects on cardiovascular mortality and vulnerability factors using small area data in Europe
Zhang S, Breitner S, Rai M, Nikolaou N, Stafoggia M, De' Donato F, Samoli E, Zafeiratou S, Katsouyanni K, Rao S, Palomares A, Gasparrini A, Masselot P, Aunan K, Peters A, Schneider A. Assessment of short-term heat effects on cardiovascular mortality and vulnerability factors using small area data in Europe. Environment International 2023, 179: 108154. PMID: 37603993, DOI: 10.1016/j.envint.2023.108154.Peer-Reviewed Original ResearchConceptsCardiovascular disease mortalityCardiovascular disease deathsRelative riskCardiovascular diseaseRandom-effects meta-analysisSmall area levelPooled relative riskShort-term associationsQuasi-Poisson regressionArea-specific estimatesLevels of fine particulate matterSmall area dataRural settingsIdentifying individual-Vulnerability factorsMeta-RegressionCardiovascular mortalityRural areasDegree of urbanizationMeta-analysisFine particulate matterSubgroup analysisEuropean countriesIndividual-Potential vulnerability factors‘We do not rush to the hospital for ordinary wounds (suḷu tuvāla)’: A qualitative study on the early clinical manifestations of cutaneous leishmaniasis and associated health behaviours in rural Sri Lanka
Gunasekara S, Wickramasinghe N, Agampodi S, Fernando M, Weerakoon K, Liyanage C, Dikomitis L, Agampodi T. ‘We do not rush to the hospital for ordinary wounds (suḷu tuvāla)’: A qualitative study on the early clinical manifestations of cutaneous leishmaniasis and associated health behaviours in rural Sri Lanka. PLOS Neglected Tropical Diseases 2023, 17: e0010939. PMID: 37172051, PMCID: PMC10208456, DOI: 10.1371/journal.pntd.0010939.Peer-Reviewed Original ResearchConceptsEarly clinical manifestationsClinical manifestationsCutaneous leishmaniasisHealth behaviorsRural Sri LankaAssociated health behaviorsHealthcare-seeking behaviorSelf-management actionsEarly skinTreatment periodFirst visitSkin lesionsQualitative studyHealth interventionsWorm infestationAnt bitesLeishmaniasisTropical diseasesNarrative thematic approachHealthcare facilitiesManifestationsRural settingsSymptomsAnuradhapura districtSubstantial delay
2022
Brief Report: Use of Pre-Exposure Prophylaxis to Prevent Rapid HIV Transmission Among People Who Inject Drugs in Rural Counties in the United States: A Modeling Study
Jacka B, Nolen S, Bessey S, Zang X, Goedel W, Yedinak J, Marshall B. Brief Report: Use of Pre-Exposure Prophylaxis to Prevent Rapid HIV Transmission Among People Who Inject Drugs in Rural Counties in the United States: A Modeling Study. JAIDS Journal Of Acquired Immune Deficiency Syndromes 2022, 91: 449-452. PMID: 36150038, PMCID: PMC9649854, DOI: 10.1097/qai.0000000000003093.Peer-Reviewed Original ResearchConceptsSyringe service programsPre-exposure prophylaxisHIV infectionHIV transmissionPrEP coverageHIV outbreakImpact of PrEPRural US communitiesPublic health interventionsSimulate HIV transmissionRapid HIV transmissionPrEP eligibilityHealth interventionsRural settingsUS communitiesRural countiesStatus quo scenarioPrEPCDC guidelinesAdult populationUS settingPWIDHIVInjected drugsService programsTrends in Billing and Medicare Reimbursement for In-Office Cerumen Removal by Otolaryngologists and Other Providers
Patel R, Torabi S, Kasle D, Kayastha D, Manes R. Trends in Billing and Medicare Reimbursement for In-Office Cerumen Removal by Otolaryngologists and Other Providers. Annals Of Otology Rhinology & Laryngology 2022, 132: 410-416. PMID: 35894062, DOI: 10.1177/00034894221096980.Peer-Reviewed Original ResearchConceptsAdvanced practice providersGeneral physiciansProvider typeCerumen removalMedicare reimbursementRural settingsTotal Medicare reimbursementRetrospective studyPractice providersMedicare Part BOtolaryngologistsNumber of otolaryngologistsBilling patternsNumber of providersPhysiciansProvider UtilizationPatientsReimbursementMedical practiceCharacterizing tuberculosis transmission dynamics in high-burden urban and rural settings
Smith JP, Oeltmann JE, Hill AN, Tobias JL, Boyd R, Click ES, Finlay A, Mondongo C, Zetola NM, Moonan PK. Characterizing tuberculosis transmission dynamics in high-burden urban and rural settings. Scientific Reports 2022, 12: 6780. PMID: 35474076, PMCID: PMC9042872, DOI: 10.1038/s41598-022-10488-2.Peer-Reviewed Original ResearchConceptsTuberculosis transmission dynamicsHigh TB burden countriesPopulation-based molecular epidemiology studiesLocal TB epidemiologyHigh-burden settingsTB burden countriesRural settingsTransmission dynamicsRural populationMolecular epidemiology studiesBurden countriesEffective reproductive numberIncident casesTB epidemiologyTB transmissionMedian numberSecondary casesInfectious casesEpidemiology studiesFirst outbreakReproductive numberSecondary transmissionPopulationCritical roleSetting
2021
Characterizing Medicare Reimbursements and Clinical Activity Among Female Otolaryngologists
Panth N, Torabi SJ, Kasle DA, Savoca EL, Zogg CK, O’Brien E, Manes RP. Characterizing Medicare Reimbursements and Clinical Activity Among Female Otolaryngologists. Annals Of Otology Rhinology & Laryngology 2021, 131: 749-759. PMID: 34467771, DOI: 10.1177/00034894211042445.Peer-Reviewed Original ResearchConceptsFemale otolaryngologistsClinical volumeCurrent Procedural Terminology codesUnique Current Procedural Terminology (CPT) codesProcedural Terminology codesMedicare reimbursementClinical activityRetrospective analysisTerminology codesMedicare feeOtolaryngologistsPatientsBilling patternsMedianMedicare PhysicianUrban settingsRural settingsReimbursementService billingTemporal trendsSettingRural areasRole and Growth of Independent Medicare‐Billing Otolaryngologic Advanced Practice Providers
Patel R, Torabi S, Kasle D, Pivirotto A, Manes R. Role and Growth of Independent Medicare‐Billing Otolaryngologic Advanced Practice Providers. Otolaryngology 2021, 165: 809-815. PMID: 33687283, DOI: 10.1177/0194599821994820.Peer-Reviewed Original ResearchConceptsAdvanced practice providersPractice providersRetrospective cross-sectional studyMedicare FFS patientsNumber of patientsCross-sectional studyMedicare reimbursementScope of practiceFFS patientsRetrospective reviewService patientsSex distributionMedicare populationMedicare feeMedicare Provider UtilizationPatientsCurrent ProceduralTotal MedicareProvider UtilizationTotal numberPhysiciansRural settingsMedicareReimbursementMedianMoonstruck sleep: Synchronization of human sleep with the moon cycle under field conditions
Casiraghi L, Spiousas I, Dunster G, McGlothlen K, Fernández-Duque E, Valeggia C, de la Iglesia H. Moonstruck sleep: Synchronization of human sleep with the moon cycle under field conditions. Science Advances 2021, 7: eabe0465. PMID: 33571126, PMCID: PMC7840136, DOI: 10.1126/sciadv.abe0465.Peer-Reviewed Original Research
2020
1031. Mobility and Structural Barriers Contribute to Loss to Follow up from HIV Care in Rural South Africa
Hannaford A, Moll A, Madondo T, Khoza B, Shenoi S. 1031. Mobility and Structural Barriers Contribute to Loss to Follow up from HIV Care in Rural South Africa. Open Forum Infectious Diseases 2020, 7: s546-s546. PMCID: PMC7776485, DOI: 10.1093/ofid/ofaa439.1217.Peer-Reviewed Original ResearchHIV careHIV transmissionRural South AfricaLongitudinal HIV careViral load suppressionRisk of tuberculosisRural settingsPatient-centered careStructural barriersART discontinuationPill fatigueART prescriptionMedian durationART accessPrimary careHIV knowledgeChronic careHealthcare workersHIV stigmaHigh riskPatient motivationSpecific clinicPrevents transmissionMajor precipitantSexual partnersMobility and structural barriers in rural South Africa contribute to loss to follow up from HIV care
Hannaford A, Moll AP, Madondo T, Khoza B, Shenoi SV. Mobility and structural barriers in rural South Africa contribute to loss to follow up from HIV care. AIDS Care 2020, 33: 1436-1444. PMID: 32856470, PMCID: PMC8043244, DOI: 10.1080/09540121.2020.1808567.Peer-Reviewed Original ResearchConceptsHIV careRural South AfricaHIV transmissionLongitudinal HIV careViral load suppressionRisk of tuberculosisRural settingsStructural barriersART discontinuationPill fatigueMedian durationMixed-methods evaluationART accessMajor precipitantFuture interventionsCareDistant clinicsPLWHFamily needsConvenience samplingSocial supportMethods evaluationLTFUDiscontinuationMajor contributorHome Health Rehabilitation Utilization Among Medicare Beneficiaries Following Critical Illness
Falvey JR, Murphy TE, Gill TM, Stevens‐Lapsley J, Ferrante LE. Home Health Rehabilitation Utilization Among Medicare Beneficiaries Following Critical Illness. Journal Of The American Geriatrics Society 2020, 68: 1512-1519. PMID: 32187664, PMCID: PMC7712590, DOI: 10.1111/jgs.16412.Peer-Reviewed Original ResearchConceptsRehabilitation visitsCritical illnessMedicare beneficiariesICU survivorsHome healthPost-acute care facilitiesIntensive care unit survivorsDays of dischargeHigher baseline disabilityAssessment Information SetPost-hospitalization periodRural settingsHome-based rehabilitationHH careHH servicesHH settingHospice transferLeast disabilityMore comorbiditiesBaseline disabilityICU stayElixhauser scoreHighest tertileRehabilitation utilizationDischarge planningImpact of High-Quality Goals-of-Care Discussions on Oncologist Productivity.
Pintova S, Leibrandt R, Smith CB, Adelson KB, Gonsky JP, Egorova N, Franco R, Bickell NA. Impact of High-Quality Goals-of-Care Discussions on Oncologist Productivity. JCO Oncology Practice 2020, 16: e290-e297. PMID: 32048945, DOI: 10.1200/jop.19.00381.Peer-Reviewed Original ResearchConceptsGOC discussionsAdvanced cancerPatient populationCare discussionsPractice settingsDifferent practice settingsOncologist characteristicsStudy patientsCommunity hospitalRural hospitalsPatientsOncologistsHigh-quality goalsRural settingsSignificant differencesHospitalCancerValue unitsHoursSettingPrognosisPopulationCommunication skillsVisits
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