Publications by authors named "A R Brecher"
Article Synopsis
- Cervical cancer screening rates are notably low among Korean American women in the US, prompting the development of an educational intervention aimed at improving their knowledge and beliefs about screening.
- The intervention, which included cultural cancer education and navigation services, significantly enhanced knowledge and reduced perceived barriers to screening compared to a control group.
- Ultimately, while the program improved knowledge and beliefs, it was the navigation services that most effectively increased actual screening rates, indicating their importance in health intervention strategies for underserved populations.
Introduction: African Americans/Blacks (AAB) are at increased risk for morbidity and mortality from smoking-related diseases including lung cancer (LC). Smoking stigma is believed to be a primary barrier to health care-seeking for people who smoke. Previous studies illustrate that perceptions of smoking vary across populations.
View Article and Find Full Text PDFDiGA in Primary Care and the Influence of Patient-Related Factors - Results of a Survey of Family Doctors.
Stud Health Technol Inform
April 2024
Background: In 2019, the Digital Healthcare Act created the legal basis for prescribable mobile health applications, referred to as DiGA (in German: Digitale Gesundheitsanwendungen), as a novel healthcare delivery option in Germany [1, 2].
Objectives: The aim of this study is to analyze the use of DiGA in primary care, focusing on the influence of socio-demographic characteristics of family doctors (FDs) and patient-related factors.
Methods: Pen-and-paper survey among 97 FDs in the district of Giessen, Hesse, Germany.
Purpose: Delays initiating cancer therapy are increasingly common, impact outcomes, and have implications for health equity. However, it remains unclear (1) whether patients' beliefs regarding acceptable diagnostic to treatment intervals align with current guidelines, and (2) to what degree psychological factors contribute to longer intervals. We conducted a qualitative study with patients and cancer care team members ("providers").
View Article and Find Full Text PDFArticle Synopsis
- Unmet care needs in older adults lead to cognitive decline, medical harm, and decreased quality of life, prompting the VA to pursue an "Age-Friendly Health System" that aligns with four key principles (the "4Ms") aimed at improving care for Veterans aged 65 and over.
- The "4Ms" focus on personalizing care (what Matters), reviewing necessary medications (Medications), managing mental health (Mentation), and promoting safe mobility (Mobility), to enhance outcomes and reduce harm among older adults.
- To implement these principles, the SAGE initiative will apply four evidence-based practices across nine VA centers using a unique trial design, assessing the effectiveness of active facilitation versus standard