2023
Protocol: Implementation and evaluation of an adolescent-mediated intervention to improve glycemic control and diabetes self-management among Samoan adults
Hawley N, Rivara A, Naseri J, Faumuina K, Potoa’e-Solaita N, Iopu F, Faiai M, Naveno E, Tasele S, Lefale T, Lantini R, Carlson J, Rabin T, Semaia P, Mugadza P, Rosen R. Protocol: Implementation and evaluation of an adolescent-mediated intervention to improve glycemic control and diabetes self-management among Samoan adults. PLOS ONE 2023, 18: e0279084. PMID: 36795707, PMCID: PMC9934313, DOI: 10.1371/journal.pone.0279084.Peer-Reviewed Original ResearchConceptsGlycemic controlPrimary efficacy outcomeCardiovascular risk factorsChronic disease riskType 2 diabetesSelf-care strategiesSelf-care practicesHealth behavior changeBehavior changeEfficacy outcomesUsual careDiabetes InterventionsAdult family membersRisk factorsDiabetes knowledgeSamoan adultsIntervention acceptabilityFamily-centered culturePositive behavior changeDisease riskHealth disparitiesActive interventionDisproportionate riskInterventionEthnic minority groups
2022
Patient preferences for facility-based management of hypertension and diabetes in rural Uganda: a discrete choice experiment
Moor SE, Tusubira AK, Wood D, Akiteng AR, Galusha D, Tessier-Sherman B, Donroe EH, Ngaruiya C, Rabin TL, Hawley NL, Armstrong-Hough M, Nakirya BD, Nugent R, Kalyesubula R, Nalwadda C, Ssinabulya I, Schwartz JI. Patient preferences for facility-based management of hypertension and diabetes in rural Uganda: a discrete choice experiment. BMJ Open 2022, 12: e059949. PMID: 35863829, PMCID: PMC9310153, DOI: 10.1136/bmjopen-2021-059949.Peer-Reviewed Original ResearchConceptsPeer support groupsAvailability of medicinesHealthcare providersPatient preferencesHealth facilitiesHealth educationRural UgandaFacility-based managementCost of treatmentLow-resource settingsDiabetes mellitusNakaseke districtDiscrete choice experimentHealthcare service deliveryAverage respondentIntervention designHTNMedicineUgandan shillingsDCE attributesProvidersGroupService delivery
2021
The rural Uganda non-communicable disease (RUNCD) study: prevalence and risk factors of self-reported NCDs from a cross sectional survey
Siddharthan T, Kalyesubula R, Morgan B, Ermer T, Rabin TL, Kayongo A, Munana R, Anton N, Kast K, Schaeffner E, Kirenga B, Knauf F. The rural Uganda non-communicable disease (RUNCD) study: prevalence and risk factors of self-reported NCDs from a cross sectional survey. BMC Public Health 2021, 21: 2036. PMID: 34743687, PMCID: PMC8572568, DOI: 10.1186/s12889-021-12123-7.Peer-Reviewed Original ResearchConceptsSelf-reported hypertensionSelf-reported chronic diseasesNon-communicable Disease studyChronic disease informationRural Ugandan districtSelf-reported diseasesDiagnosis of diabetesCross-sectional surveyMiddle-income settingsBaseline demographicsMale sexKidney diseasePatient cohortResultsA totalHealth districtRisk factorsChronic diseasesDisease cohortHypertensionLower oddsNCD prevalenceAverage ageSectional surveyHealth statusDiseaseSocial Support for Self-Care: Patient Strategies for Managing Diabetes and Hypertension in Rural Uganda
Tusubira AK, Nalwadda CK, Akiteng AR, Hsieh E, Ngaruiya C, Rabin TL, Katahoire A, Hawley NL, Kalyesubula R, Ssinabulya I, Schwartz JI, Armstrong-Hough M. Social Support for Self-Care: Patient Strategies for Managing Diabetes and Hypertension in Rural Uganda. Annals Of Global Health 2021, 87: 86. PMID: 34458110, PMCID: PMC8378074, DOI: 10.5334/aogh.3308.Peer-Reviewed Original ResearchConceptsNon-communicable diseasesSelf-care practicesPrescribed medicinesConventional medicinePatient's social support networkRural UgandaSelf-care activitiesBlood sugar levelsCross-sectional qualitative studyResource-limited settingsSelf-care effortsSocial support networksSocial supportNCD clinicsNineteen patientsAdult patientsHealth facilitiesPatientsPatient strategiesManaging diabetesHypertensionSelf-CareDiabetesDiagnostic testsLow-income countries
2019
Trends of admissions and case fatality rates among medical in-patients at a tertiary hospital in Uganda; A four-year retrospective study
Kalyesubula R, Mutyaba I, Rabin T, Andia-Biraro I, Alupo P, Kimuli I, Nabirye S, Kagimu M, Mayanja-Kizza H, Rastegar A, Kamya MR. Trends of admissions and case fatality rates among medical in-patients at a tertiary hospital in Uganda; A four-year retrospective study. PLOS ONE 2019, 14: e0216060. PMID: 31086371, PMCID: PMC6516645, DOI: 10.1371/journal.pone.0216060.Peer-Reviewed Original ResearchConceptsTrend of admissionsCase fatality rateAnnual percentage changeHIV/AIDSFatality rateMedical wardsDual burdenFour-year retrospective studyHigh case fatality ratePercentage changeNon-TB pneumoniaChronic kidney diseaseDate of dischargeCause of hospitalizationMajority of patientsProportion of hospitalizationsDate of admissionProportion of admissionsRisk of deathCause of morbidityAdult medical wardsDate of deathNon-communicable diseasesNon-infectious diseasesHealth system improvementChallenges to hypertension and diabetes management in rural Uganda: a qualitative study with patients, village health team members, and health care professionals
Chang H, Hawley NL, Kalyesubula R, Siddharthan T, Checkley W, Knauf F, Rabin TL. Challenges to hypertension and diabetes management in rural Uganda: a qualitative study with patients, village health team members, and health care professionals. International Journal For Equity In Health 2019, 18: 38. PMID: 30819193, PMCID: PMC6394065, DOI: 10.1186/s12939-019-0934-1.Peer-Reviewed Original ResearchConceptsHealth care professionalsVillage health team membersHealth team membersCare professionalsRural UgandaPrevalence of hypertensionCommunity health workersIndividual health care professionalsUgandan health care systemHealth care systemLifestyle factorsDiabetes careDM managementHealth workersHypertensionPatientsNakaseke districtHealth system reformPreventable aspectsMedication accessibilityCare systemLack of awarenessRural settingsPotential roleDiabetesCost-Related Insulin Underuse Among Patients With Diabetes.
Herkert D, Vijayakumar P, Luo J, Schwartz JI, Rabin TL, DeFilippo E, Lipska KJ. Cost-Related Insulin Underuse Among Patients With Diabetes. JAMA Internal Medicine 2019, 179: 112-114. PMID: 30508012, PMCID: PMC6583414, DOI: 10.1001/jamainternmed.2018.5008.Peer-Reviewed Original Research
2017
Evaluation of a social franchising and telemedicine programme and the care provided for childhood diarrhoea and pneumonia, Bihar, India
Mohanan M, Giardili S, Das V, Rabin TL, Raj SS, Schwartz JI, Seth A, Goldhaber-Fiebert JD, Miller G, Vera-Hernández M. Evaluation of a social franchising and telemedicine programme and the care provided for childhood diarrhoea and pneumonia, Bihar, India. Bulletin Of The World Health Organization 2017, 95: 343-352e. PMID: 28479635, PMCID: PMC5418816, DOI: 10.2471/blt.16.179556.Peer-Reviewed Original ResearchConceptsChildhood diarrheaHealth care providers' knowledgeTelemedicine programHypothetical patient vignettesStandardized patient methodHealth care providersHigh-quality careDifferences linear regression modelPatients MethodsProvider knowledgeAppropriate carePatient vignettesPneumoniaDiarrheaCareSocial franchisingProvider performanceLinear regression modelsSocial franchising programsRegression modelsRepresentative sampleProgram implementationProvidersRural areas
2015
The Know-Do Gap in Quality of Health Care for Childhood Diarrhea and Pneumonia in Rural India
Mohanan M, Vera-Hernández M, Das V, Giardili S, Goldhaber-Fiebert JD, Rabin TL, Raj SS, Schwartz JI, Seth A. The Know-Do Gap in Quality of Health Care for Childhood Diarrhea and Pneumonia in Rural India. JAMA Pediatrics 2015, 169: 349-357. PMID: 25686357, PMCID: PMC5023324, DOI: 10.1001/jamapediatrics.2014.3445.Peer-Reviewed Original ResearchConceptsHealth care practitionersChildhood diarrheaCare practitionersChildhood mortalityHealth careStandardized patientsHarmful treatmentCorrect treatmentMost health care practitionersKey diagnostic questionsLocal health care practitionersOral rehydration saltsUnannounced standardized patientsDiagnostic questionsCross-sectional studyPediatric health care practitionersQuality of careHigher knowledge scoresDiarrhea treatmentRehydration saltsActual careMAIN OUTCOMEMultivariable regressionAppropriate carePneumonia