2024
It Takes a Village: An Interdisciplinary Approach to Preparing Internal Medicine Residents to Care for Patients at the Intersection of Women's Health, Gender-Affirming Care, and Health Disparities
Henrich J, Richman I, Rabin T, Gielissen K, Dhond M, Canarie J, Hirschman A, Windham M, Maya S, McNamara C, Pathy S, Bernstein P, Smith R, Vasquez L. It Takes a Village: An Interdisciplinary Approach to Preparing Internal Medicine Residents to Care for Patients at the Intersection of Women's Health, Gender-Affirming Care, and Health Disparities. Journal Of Women's Health 2024, 33: 152-162. PMID: 38190490, DOI: 10.1089/jwh.2023.0217.Peer-Reviewed Original ResearchInternal medicine residentsSelf-reported comfortWomen's healthHealth disparitiesMedicine residentsGender-Affirming CareProportion of residentsCare conditionsHealth equityElectronic surveyMeaningful increaseHealthCareFormative evaluation methodPrevious yearResidentsResident learningHigh levelsPatientsSurgeryGynecologyObstetricsDisparitiesCore team
2023
Bringing Generalists to Global Health: a Missed Opportunity and Call to Action
Heller D, Hudspeth J, Kishore S, Mercer T, Schwartz J, Rabin T. Bringing Generalists to Global Health: a Missed Opportunity and Call to Action. Journal Of General Internal Medicine 2023, 39: 1901-1904. PMID: 38135777, PMCID: PMC11282038, DOI: 10.1007/s11606-023-08573-x.Peer-Reviewed Original ResearchSelf-care and healthcare seeking practices among patients with hypertension and diabetes in rural Uganda
Tusubira A, Ssinabulya I, Kalyesubula R, Nalwadda C, Akiteng A, Ngaruiya C, Rabin T, Katahoire A, Armstrong-Hough M, Hsieh E, Hawley N, Schwartz J. Self-care and healthcare seeking practices among patients with hypertension and diabetes in rural Uganda. PLOS Global Public Health 2023, 3: e0001777. PMID: 38079386, PMCID: PMC10712841, DOI: 10.1371/journal.pgph.0001777.Peer-Reviewed Original ResearchUsing the modified Delphi technique to develop a framework for interprofessional education during international electives in health professions training institutions in Sub-Saharan Africa
Nawagi F, Munabi I, Vyt A, Kiguli S, Rabin T, Waggie F, Mubuuke A. Using the modified Delphi technique to develop a framework for interprofessional education during international electives in health professions training institutions in Sub-Saharan Africa. Frontiers In Medicine 2023, 10: 1225475. PMID: 37920599, PMCID: PMC10618419, DOI: 10.3389/fmed.2023.1225475.Peer-Reviewed Original ResearchHealth professional training institutionsProfessional training institutionsHealth professions training institutionsInterprofessional educationTraining institutionsInternational electivesIPE frameworkCollaborative practice skillsDelphi techniqueInterprofessional collaborative practiceAreas of teamworkPrinciples 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 ResearchSelf-care practices and needs in patients with hypertension, diabetes, or both in rural Uganda: a mixed-methods study
Tusubira A, Nalwadda C, Akiteng A, Armstrong-Hough M, Hsieh E, Ngaruiya C, Rabin T, Hawley N, Lipska K, Kalyesubula R, Ssinabulya I, Schwartz J. Self-care practices and needs in patients with hypertension, diabetes, or both in rural Uganda: a mixed-methods study. The Lancet Global Health 2020, 8: s19. DOI: 10.1016/s2214-109x(20)30160-1.Peer-Reviewed Original ResearchNon-communicable diseasesSelf-care practicesPhysical activityManagement of NCDsDaily vigorous physical activityEssential NCD medicinesRural UgandaMost respondentsModerate physical activityMixed-methods studyVigorous physical activitySelf-care programFocus group discussionsNCD clinicsAdult patientsMost patientsSwollen footPatient adherenceSaharan AfricaMean ageNCD medicinesNCD patientsWeight managementAlcohol abstinenceHealth facilitiesDevelopment of a discrete choice experiment to understand patient preferences for diabetes and hypertension management in rural Uganda
Moor S, Tusubira A, Akiteng A, Hsieh E, Ngaruiya C, Rabin T, Hawley N, Lipska K, Armstrong-Hough M, Nalwadda C, Nugent R, Kalyesubula R, Ssinabulya I, Schwartz J. Development of a discrete choice experiment to understand patient preferences for diabetes and hypertension management in rural Uganda. The Lancet Global Health 2020, 8: s22. DOI: 10.1016/s2214-109x(20)30163-7.Peer-Reviewed Original ResearchNon-communicable diseasesPatient preferencesHealth facilitiesCommon non-communicable diseasesRural UgandaCause of deathHealth care providersHealth service deliveryFormative qualitative researchAvailability of medicinesPeer support groupsHealth care systemPublic health officialsHypertension managementMiddle-income countriesRural patientsDiscrete choice experimentExpert consensusNakaseke districtPatientsCommunicable diseasesDiabetesLow-income countriesInternational content expertsHealth officials
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