2023
Principles for task shifting hypertension and diabetes screening and referral: a qualitative study exploring patient, community health worker and healthcare professional perceptions in rural Uganda
Ingenhoff R, Munana R, Weswa I, Gaal J, Sekitoleko I, Mutabazi H, Bodnar B, Rabin T, Siddharthan T, Kalyesubula R, Knauf F, Nalwadda C. Principles for task shifting hypertension and diabetes screening and referral: a qualitative study exploring patient, community health worker and healthcare professional perceptions in rural Uganda. BMC Public Health 2023, 23: 881. PMID: 37173687, PMCID: PMC10176286, DOI: 10.1186/s12889-023-15704-w.Peer-Reviewed Original ResearchConceptsCommunity health workersNon-communicable diseasesHealthcare workersRural UgandaHealth workersCHW knowledgeNCD screeningDiabetes mellitusMiddle-income countriesCHW characteristicsHypertensionCHW programsCare deliveryHealthcare accessHealthcare professionalsReferralPatient accessHealthcare systemSuccessful program implementationDiabetesPatientsProfessionals' perceptionsFramework methodFocus group discussionsScreeningProtocol: 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
COVID-19 Pandemic Impact on Academic Global Health Programs: Results of a Large International Survey
Rose ES, Rabin TL, Samaan J, Hudspeth JC, Ibrahim L, Azain MCP, Evert J, Eichbaum Q. COVID-19 Pandemic Impact on Academic Global Health Programs: Results of a Large International Survey. Annals Of Global Health 2022, 88: 84. PMID: 36247197, PMCID: PMC9524235, DOI: 10.5334/aogh.3843.Peer-Reviewed Original ResearchPatient 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 statusDiseaseGlobal Health Crisis, Global Health Response: How Global Health Experiences Prepared North American Physicians for the COVID-19 Pandemic
Coria AL, Rabin TL, Rule ARL, Haq H, Hudspeth JC, Ratner L, Walker-Descartes I. Global Health Crisis, Global Health Response: How Global Health Experiences Prepared North American Physicians for the COVID-19 Pandemic. Journal Of General Internal Medicine 2021, 37: 217-221. PMID: 34561829, PMCID: PMC8475882, DOI: 10.1007/s11606-021-07120-w.Peer-Reviewed Original ResearchConceptsPatient-centered careHealth educational activitiesCOVID-19 pandemicNorth American physiciansGlobal health responseCOVID-19 pandemic responseHealth system functionsHealth responseGlobal health activitiesHealth systemFlu pandemicHealth activitiesGlobal health crisisHospital systemHealth educatorsHealth experiencesSocial 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 countriesGlobal Health Education in the Time of COVID-19: An Opportunity to Restructure Relationships and Address Supremacy
Rabin TL, Mayanja-Kizza H, Barry M. Global Health Education in the Time of COVID-19: An Opportunity to Restructure Relationships and Address Supremacy. Academic Medicine 2021, 96: 795-797. PMID: 33394665, PMCID: PMC8140628, DOI: 10.1097/acm.0000000000003911.Commentaries, Editorials and LettersConceptsCOVID-19 pandemic underscoresProcess of changePower dynamicsHigh-income countriesEducation partnershipsEquitable experiencesCOVID-19-related travel restrictionsGlobal health communityEducational exchangeEquitable benefitsHealth Education PartnershipHealth equityInternational healthPartnershipImportant lessonsLMIC institutionsPartner institutionsInstitutionsGlobal health educationTravel restrictionsMiddle-income countriesGlobal healthIndividual levelCountriesHealth communityA Broader View of Risk to Health Care Workers: Perspectives on Supporting Vulnerable Health Care Professional Households During COVID-19
Donroe JH, Rabin TL, Hsieh E, Schwartz JI. A Broader View of Risk to Health Care Workers: Perspectives on Supporting Vulnerable Health Care Professional Households During COVID-19. Academic Medicine 2021, 96: 1233-1235. PMID: 34039858, PMCID: PMC8378440, DOI: 10.1097/acm.0000000000004175.Commentaries, Editorials and LettersConceptsVulnerable householdsHigh-risk family membersCOVID-19 pandemicState of emergencyFull-time workRange of concernsFamily responsibilitiesFamily safetyFrontline workersSupport networksChallenges of planningFamily membersHealth care workersHealth care providersHouseholdsHealth care professionalsCOVID-19Health care settingsUncertain timesBroad riskPersonal hazardWorkersCare settingsThreat of illnessCare providers
2020
Low- and Middle-Income Country Host Perceptions of Short-Term Experiences in Global Health: A Systematic Review.
Lu PM, Mansour R, Qiu MK, Biraro IA, Rabin TL. Low- and Middle-Income Country Host Perceptions of Short-Term Experiences in Global Health: A Systematic Review. Academic Medicine 2020, 96: 460-469. PMID: 33298696, DOI: 10.1097/acm.0000000000003867.Peer-Reviewed Original Research
2019
A Systematic Review of Advocacy Curricula in Graduate Medical Education
Howell BA, Kristal RB, Whitmire LR, Gentry M, Rabin TL, Rosenbaum J. A Systematic Review of Advocacy Curricula in Graduate Medical Education. Journal Of General Internal Medicine 2019, 34: 2592-2601. PMID: 31385216, PMCID: PMC6848624, DOI: 10.1007/s11606-019-05184-3.Peer-Reviewed Original ResearchConceptsGraduate medical education traineesAdvocacy curriculumEducational contentMedical education literatureGraduate Medical Education requirementsMedical Education requirementsGraduate Medical EducationPrimary care specialtiesCurriculum implementationCurricular demandsCurriculum developmentTeaching methodsEducation literatureAdvocacy educationFaculty experienceEducation requirementsMedical educationVolunteer facultyCurriculumProfessional activityAmerican CouncilCommunity partnershipsGME trainingCommunity partnersInstitutional supportTrends 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
2018
Reconfiguring a One-Way Street
Hudspeth JC, Rabin TL, Dreifuss BA, Schaaf M, Lipnick MS, Russ CM, Autry A, Pitt MB, Rowthorn V. Reconfiguring a One-Way Street. Academic Medicine 2018, Publish Ahead of Print: &na;. PMID: 30398990, PMCID: PMC6445611, DOI: 10.1097/acm.0000000000002511.Peer-Reviewed Original ResearchImpact of Global Health Electives on US Medical Residents: A Systematic Review
Lu PM, Park EE, Rabin TL, Schwartz JI, Shearer LS, Siegler EL, Peck RN. Impact of Global Health Electives on US Medical Residents: A Systematic Review. Annals Of Global Health 2018, 84: 692-703. PMID: 30779519, PMCID: PMC6748170, DOI: 10.29024/aogh.2379.Peer-Reviewed Original Research
2017
Ethical dilemmas during international clinical rotations in global health settings: Findings from a training and debriefing program
Peluso MJ, Kallem S, Elansary M, Rabin TL. Ethical dilemmas during international clinical rotations in global health settings: Findings from a training and debriefing program. Medical Teacher 2017, 40: 53-61. PMID: 29094625, DOI: 10.1080/0142159x.2017.1391374.Peer-Reviewed Original ResearchImproving inpatient medication adherence using attendant education in a tertiary care hospital in Uganda
Alupo P, Ssekitoleko R, Rabin T, Kalyesubula R, Kimuli I, Bodnar BE. Improving inpatient medication adherence using attendant education in a tertiary care hospital in Uganda. International Journal For Quality In Health Care 2017, 29: 587-592. PMID: 28934403, PMCID: PMC5890877, DOI: 10.1093/intqhc/mzx075.Peer-Reviewed Original ResearchConceptsHealth care deliveryMedication adherenceClinical careCare deliveryMulago National Referral HospitalOverall medication adherencePhysician prescription practicesTertiary care hospitalInternal medicine wardsMedication adherence ratesNational Referral HospitalResource-limited countriesResource-limited settingsBaseline data collectionHealth care systemBaseline medianInpatient medicationsReferral hospitalCare hospitalMedicine wardsAdherence ratesPrescription practicesPoor adherenceStudy wardsPharmacy communicationEvaluation 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
2016
Implementation of Patient-Centered Education for Chronic-Disease Management in Uganda: An Effectiveness Study
Siddharthan T, Rabin T, Canavan ME, Nassali F, Kirchhoff P, Kalyesubula R, Coca S, Rastegar A, Knauf F. Implementation of Patient-Centered Education for Chronic-Disease Management in Uganda: An Effectiveness Study. PLOS ONE 2016, 11: e0166411. PMID: 27851785, PMCID: PMC5112982, DOI: 10.1371/journal.pone.0166411.Peer-Reviewed Original ResearchConceptsChronic disease managementDoctor-patient communicationHeart failurePatient Activation Measure scoresUganda Heart InstitutePrevention of exacerbationsDisease-specific knowledgePatient Activation MeasureMulago National ReferralOverall clinical careOutpatient clinical settingNon-communicable diseasesImplementation of PatientHigh-income settingsPatient-centered carePatient-centered educationKnowledge of diseaseProspective cohortSecondary outcomesMiddle-income countriesPrimary outcomeCardiology clinicOutpatient departmentOverall careTreatment options