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Tailored vs. General COVID-19 prevention for adults with mental disabilities residing in group homes: a randomized controlled effectiveness-implementation trial.
BMC Public Health
June 2024
Down Syndrome Program, Division of Medical Genetics and Metabolism, Department of Pediatrics, Massachusetts General Hospital, 125 Nashua Street, Suite 821, Boston, MA, 02114, USA.
Background: People with serious mental illness (SMI) and people with intellectual disabilities/developmental disabilities (ID/DD) are at higher risk for COVID-19 and more severe outcomes. We compare a tailored versus general best practice COVID-19 prevention program in group homes (GHs) for people with SMI or ID/DD in Massachusetts (MA).
Methods: A hybrid effectiveness-implementation cluster randomized control trial compared a four-component implementation strategy (Tailored Best Practices: TBP) to dissemination of standard prevention guidelines (General Best-Practices: GBP) in GHs across six MA behavioral health agencies.
Using simulation modeling to inform intervention and implementation selection in a rapid stakeholder-engaged hybrid effectiveness-implementation randomized trial.
Implement Sci Commun
June 2024
Medical Practice Evaluation Center, Massachusetts General Hospital, Boston, MA, USA.
Background: Implementation research generally assumes established evidence-based practices and prior piloting of implementation strategies, which may not be feasible during a public health emergency. We describe the use of a simulation model of the effectiveness of COVID-19 mitigation strategies to inform a stakeholder-engaged process of rapidly designing a tailored intervention and implementation strategy for individuals with serious mental illness (SMI) and intellectual/developmental disabilities (ID/DD) in group homes in a hybrid effectiveness-implementation randomized trial.
Methods: We used a validated dynamic microsimulation model of COVID-19 transmission and disease in late 2020/early 2021 to determine the most effective strategies to mitigate infections among Massachusetts group home staff and residents.
An investigation of heterogeneous impact, temporal stability, and aggregate shift in factors affecting the driver injury severity in single-vehicle rollover crashes.
Accid Anal Prev
June 2024
School of Transportation, Southeast University, 2 Si Pai Lou, Nanjing 210096, China.
Single-vehicle rollover crashes have been acknowledged as a predominant highway crash type resulting in serious casualties. To investigate the heterogeneous impact of factors determining different injury severity levels in single-vehicle rollover crashes, the random parameters logit model with unobserved heterogeneity in means and variances was employed in this paper. A five-year dataset on single-vehicle rollover crashes, gathered in California from January 1, 2013, to December 31, 2017, was utilized.
View Article and Find Full Text PDFSummary of influences that led to introduction of frontal airbags on US passenger vehicles.
Traffic Inj Prev
March 2024
Retired Senior Executive, National Highway Traffic Safety Administration, Washington, District of Columbia.
Objective: The history of airbags for occupant protection in frontal crashes is reviewed from the perspective of a former Senior Executive at NHTSA from the early 1970's to the late 1980's. This paper summarizes the factors that led to regulatory delays as well as those that led to voluntary adoption of airbags by several manufacturers.
Methods: The regulatory history and interactions with airbag suppliers and vehicle manufactures is recounted citing key steps in the evolution of frontal airbags.
History of airbag safety benefits and risks.
Traffic Inj Prev
March 2024
ProBiomechanics LLC, Bloomfield Hills, MI, USA.
Objective: The history of airbags was reviewed for benefits and risks as they became a supplement to lap-shoulder belts. Sled and crash tests were evaluated and field data was analyzed for airbag effectiveness. Field data on airbag deaths and studies on mechanisms of deployment injury were analyzed.
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