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How Should Clinicians Discuss Deprescribing with Caregivers of Older Adults Living with Dementia? A Qualitative Study.
Drugs Aging
January 2025
Division of Pharmaceutical Outcomes and Policy, Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Background: Preventive medications are potential targets for deprescribing in older adults with dementia as goals of care change from preventive to palliative. Yet, prescribers lack communication guidance to address deprescribing.
Objective: Using bisphosphonates as a case example, we sought to characterize and compare communication preferences of prescribers and family/informal caregivers regarding deprescribing.
Changes in Contraceptive Method Use, Access, and Experiences of Care During a Statewide Contraceptive Initiative.
Contraception
January 2025
University of Maryland School of Public Health, Department of Health Policy and Management, College Park, MD.
Objective: To examine changes in contraceptive use, access, and care experiences during a statewide contraceptive access initiative, Delaware Contraceptive Access Now.
Study Design: We used responses from the Delaware/Maryland Survey of Women at the early wave (11/2016-3/2017) and late wave (2/2021-10/2021). Our cross-sectional sample included 6,467 respondents at risk of unintended pregnancy.
Characterizing Household Perceived Evacuation Behaviors in the United States During the COVID-19 Pandemic: 2020-2021.
Disaster Med Public Health Prep
January 2025
Centers for Disease Control and Prevention (CDC), National Center for Environmental Health (NCEH), Division of Health Science and Practice (DEHSP).
Objective: Evacuation can reduce morbidity and mortality by ensuring households are safely out of the path of, and ensuing impacts from, a disaster. Our goal was to characterize potential evacuation behaviors among a nationally representative sample.
Methods: We added 10 questions to the existing Porter Novelli's (PN) ConsumerStyles surveys in Fall 2020, Spring 2021, and Fall 2021.
Household needs among wildfire survivors in the 2017 Northern California wildfires.
Environ Res Health
March 2025
Department of Public Health Sciences, School of Medicine, University of California, Davis, United States of America.
Wildfires are impacting communities globally, with California wildfires often breaking records of size and destructiveness. Knowing how communities are affected by these wildfires is vital to understanding recovery. We sought to identify impacted communities' post-wildfire needs and characterize how those needs change over time.
View Article and Find Full Text PDFChanging or validating physician opioid prescribing behaviors through audit and feedback and academic detailing interventions in primary care.
Implement Res Pract
January 2025
Institute for Health System Solutions and Virtual Care, Women's College Research and Innovation Institute, Women's College Hospital, Toronto, ON, Canada.
Background: In Ontario, Canada, province-wide initiatives supporting safer opioid prescribing in primary care include voluntary audit and feedback reports and academic detailing. In this process evaluation, we aimed to determine the fidelity of delivery and receipt of the interventions, the observed change strategies used by physicians, potential mechanisms of action, and how complementary the initiatives can be to each other.
Method: Semi-structured interviews were conducted with academic detailers and with physicians who received both interventions.
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