Social and Behavioral Sciences Commons^™

Development Of A Conversational Agent For Individuals Ambivalent About Quitting Smoking: Protocol For A Proof-Of-Concept Study, Uma S. Nair, Karah Yeona Greene, Stephanie Marhefka, Kristin A. Kosyluk, Jerome T. Galea

Social Work Faculty Publications

Background: Cigarette smoking is the leading preventable cause of disease and death in the United States. Despite the availability of a plethora of evidence-based smoking cessation resources, less than one-third of individuals who smoke seek cessation services, and individuals using these services are often those who are actively contemplating quitting smoking. There is a distinct dearth of low-cost, scalable interventions to support smokers not ready to quit (ambivalent smokers). Such interventions can assist in gradually promoting smoking behavior changes in this target population until motivation to quit arises, at which time they can be navigated to existing evidence-based smoking cessation …

Engineering Emotion Sustainably: Affective Gendered Organizing Of Engineering Identities And Third Space, Patrice M. Buzzanell, Colleen Arendt, Rebecca L. Dohrman, Carla B. Zoltowski, Prashant Rajan

Communication Faculty Publications

The questions of why there are so few women in engineering and how to change engineering cultures to be more inclusive have garnered much social scientific research and considerable funding. Despite numerous findings and interventions, no studies to our knowledge have analyzed how difference is constituted discursively, materially, and affectively in ways that are deeply embedded in engineering occupational and societal cultures. This study takes an affective gendered organizing approach to analyze how affect is constituted through emotions/talk, interactions, and materialities. Using constructivist grounded theory, we explored our interview data of 69 engineers (45 women and 24 men) to find …

Lessons Learned In Co-Creating A Virtual Village For People Ageing With Hiv, Jasmine L. Lopez, Andrea N. Polonijo, Annie L. Nguyen, Karah Y. Greene, Jerome T. Galea, Moka Yoo-Jeong, Jeff Taylor, Brandon J. Brown

Social Work Faculty Publications

No abstract provided.

Adolescent, Caregiver And Provider Perspectives On Tuberculosis Treatment Adherence: A Qualitative Study From Lima, Peru, Silvia S. Chiang, Liz Senador, Elmer Altamirano, Milagros Wong, Catherine B. Beckhorn, Stephanie Roche, Julia Coit, Victoria Elena Rapoport, Leonid Lecca, Jerome T. Galea

Social Work Faculty Publications

Objectives: To understand the perspectives of adolescents (10–19 years old), their caregivers and healthcare providers regarding factors that impact adherence to tuberculosis (TB) treatment among adolescents.

Design: We conducted in-depth interviews using semistructured interview guides based on the World Health Organization (WHO)’s Five Dimensions of Adherence framework, which conceptualises adherence as being related to the health system, socioeconomic factors, patient, treatment and condition. We applied framework thematic analysis.

Setting: Between August 2018 and May 2019, at 32 public health centres operated by the Ministry of Health in Lima, Peru.

Participants: We interviewed 34 adolescents who completed or were lost to …

Retention And Viral Suppression Among Adolescents Newly Initiating Antiretroviral Therapy In Adult Hiv Care In Lima, Peru: A Retrospective Cohort Study, Miyu Niwa, Eduardo Matos, Carly Rodriguez, Milagros Wong, Renato A. Errea, Alicia Ramos, Liz Senador, Carmen Contreras, Jerome T. Galea, Andrew Lindeborg, Carlos Benites, Sonya S. Shin, Leonid Lecca, Molly F. Franke

Social Work Faculty Publications

Purpose: Published data on outcomes among adolescents newly initiating antiretroviral treatment in the Latin American context are sparse. We estimated the frequency of sustained retention with viral load suppression (i.e., successful transition) and identified predictors of successful transition into adult care among youth (aged 14–21 years) with recently acquired HIV in Lima, Peru.

Methods: A retrospective cohort study was conducted among 184 adolescents and young adults who initiated antiretroviral therapy in an adult public sector HIV clinic between June 2014 and June 2019. Sustained retention (no loss-to-follow-up or death) with viral suppression was calculated for the first 12 and 24 …

Editorial: Noncommunicable Diseases And Mental Health Experiences Before And After The Covid-19 Pandemic, Rahul Shidhaye, Annika C. Sweetland, Jerome T. Galea, Mir Nabila Ashraf, Malay K. Mridha, Hannah Maria Jennings, Aliya Naheed

Social Work Faculty Publications

No abstract provided.

A Mixed Methods Evaluation Of A World Health Organization Competency-Based Training Package For Foundational Helping Skills Among Pre-Service And In-Service Health Workers In Nepal, Peru And Uganda, Gloria A. Pedersen, Pragya Shrestha, Josephine Akellot, Alejandra Sepulveda, Nagendra P. Luitel, Rosco Kasujja, Carmen Contreras, Jerome T. Galea, Leydi Moran, Vibha Neupane, Damodar Rimal, Alison Schafer, Brandon A. Kohrt

Social Work Faculty Publications

No abstract provided.

Perinatal Depression And Implementation Of The “Thinking Healthy Program” Support Intervention In An Impoverished Setting Of Lima, Peru: Assessment Before And During The Covid-19 Pandemic, Margot Aguilar, Carmen Contreras, Giuseppe Raviola, Alejandra Sepúlveda, Maricielo Espinoza, Leydi Moran, Lourdes Ramos, Jesús Peinado, Leonid Lecca, Gloria A. Pedersen, Brandon A. Kohrt, Jerome T. Galea

Social Work Faculty Publications

Socios En Salud (SES) implemented the Thinking Healthy program (THP) to support women with perinatal depression before and during the COVID-19 pandemic in Lima Norte. We carried out an analysis of the in-person (5 modules) and remote (1 module) THP intervention. Depression was detected using PHQ-9, and THP sessions were delivered in women with a score (PHQ-9 ≥ 5). Depression was reassessed and pre- and post-scores were compared. In the pre-pandemic cohort, perinatal depression was 25.4% (47/185), 47 women received THP and 27 were reassessed (57.4%), and the PHQ-9 score median decreased from 8 to 2, p < 0.001. In the pandemic cohort, perinatal depression was 47.5% (117/247), 117 women received THP and 89 were reassessed (76.1%), and the PHQ-9 score median decreased from 7 to 2, p < 0.001. THP’s modalities helped to reduce perinatal depression. Pregnant women who received a module remotely also reduced depression.

The Covid-19 Pandemic As A Catalyst For Integrated Global Mental Healthcare And Tuberculosis Care, Alexander L. Chu, Aneeta Pasha, Carmen Contreras, Leonid Lecca, Annika C. Sweetland, Jerome T. Galea

Social Work Faculty Publications

Mental disorders are common among persons with tuberculosis (TB), and the COVID-19 pandemic has only amplified the mental and physical health consequences of this deadly synergy. Here, we call to attention the immense vulnerability of people with TB to mental disorders during the pandemic and highlight the unique challenges and opportunities that the pandemic brings to the future integration of global TB and mental healthcare. We argue that the pandemic era is an ideal period to accelerate this integration and we provide research and policy recommendations to actualise this urgent need.