HIV testing among high risk adolescents in Dar es Salaam, Tanzania is challenging due to poor access to test sites and AIDS-related social stigma. We adapted the OraQuick HIV Test, a self-implemented test (SIT), for low literacy youth with no internet access. To compensate for poor literacy, a picture instruction...
Background. The prevalence of pediatric dental caries (PDC) is 55.7% nationally, 52% in Oregon, and 73% in Southeastern Oregon. We examined prevention programs, clinical services, and water fluoride levels in Southeastern Oregon to understand the high PDC prevalence.
Methods. We conducted telephone surveys and used secondary data to assess water...
Low-Income urban African American (LIU-AA) youth are at high risk for HIV/STIs and adolescent pregnancy. Sexual health websites (SHWs) offer an inexpensive, easy-to-disseminate, and potentially highly-accessible method of improving sexual health knowledge, awareness, and help-seeking. The present study examined engagement regarding sexual health websites for at-risk, LIU-AA youth. We conducted...
Health care providers, including complementary and alternative medical (CAM) practitioners, exert a significant influence on parental pediatric vaccination decisions. Use of CAM therapies is increasing in Oregon. Concomitantly, there has been a decade-long increase in parental vaccine refusal in Oregon, rising from 1 to 5 percent from 2000-2009. For example,...
School-based comprehensive sex education (CSE) can reduce adolescent sexual health problems. However, only 49-55% of adolescents receive CSE that meets national standards. African American youth (AAY), particularly males, are less likely to receive CSE. AAY evidence a high prevalence of STIs/teen pregnancy. Internet-based CSE offers a supplemental option. We examined...
Translation of efficacious programs into real-world settings is an important step in ensuring improved public health outcomes. Yet, the process of translating evidence-based interventions (EBIs) according to fidelity is fraught with challenges. Organizational factors, specifically organizational communication, have been shown to influence translation processes.
To date, there is limited research...
Objectives: Parental pediatric vaccine decisions are influenced by parents' health provider networks. Complementary and alternative medical providers may be key influences in the networks of those parents who do not vaccinate their children. Methods: From March to July 2013, we conducted semi-structured interviews of Oregon complementary and alternative medical providers...
The authors employ a social-ecological framework to aid our understanding of the complex array of factors in the immediate and broader environment that influence adolescent sexual development. Further, sexual development is viewed as normative and critical to positive growth. The authors provide an overview of the
Two-Cities Study, a multi-stage...
Background: Training and quality assurance (QA) are important to high fidelity program implementation in practice settings but are rarely the focus of translation research. Thus, it is important to conduct studies that specifically address training and QA.
Methods: Using the maximum variation case study method, we examined training and QA...