Disease Prevention / Health Promotion

Interventions, education and incentives that promote healthy behaviors and improve health outcomes.

Association of a Beverage Tax on Sugar-Sweetened and Artificially Sweetened Beverages With Changes in Beverage Prices and Sales at Chain Retailers in a Large Urban Setting

May. 14, 2019

Christina A. Roberto, Hannah G. Lawman, Michael T. LeVasseur, Nandita Mitra, Ana Peterhans, Bradley Herring, Sara N. Bleich

Abstract [from journal]

Importance: Policy makers have implemented beverage taxes to generate revenue and reduce consumption of sweetened drinks. In January 2017, Philadelphia, Pennsylvania, became the second US city to implement a beverage excise tax (1.5 cents per ounce).

Objectives: To compare changes in beverage prices and sales following the implementation of the tax in Philadelphia compared with Baltimore, Maryland (a control city without a tax) and to assess potential cross-border shopping to avoid the tax in neighboring zip codes....

Rationale and Design of EMPOWER, a Pragmatic Randomized Trial of Automated Hovering in Patients With Congestive Heart Failure

Apr. 3, 2019

Shivan J. MehtaKevin G. VolppDavid A. Asch, Lee R. Goldberg, Louise B. Russell, Laurie A. Norton, Lauren G. Iannotte, Andrea B. Troxel

Abstract [from journal]

Background: Congestive heart failure is a major cause of morbidity, mortality, and cost. Disease management programs have shown promise but lack firm evidence of effectiveness and scalability. We describe the motivation, design, and planned analyses of EMPOWER (Electronic Monitoring of Patients Offers Ways to Enhance Recovery), a randomized clinical trial of an innovative intervention incorporating behavioral economic principles with remote monitoring technology embedded within a healthcare system.

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A Systematic Global Review of Condom Availability Programs in High Schools

Mar. 1, 2019

Eda Algur, Elin Wang, Howard S. Friedman, Bidia Deperthes

Abstract [from journal]

Purpose: High levels of HIV, sexually transmitted infections (STIs), and pregnancy among adolescents has motivated some countries to consider the implementation of condom availability programs (CAPs) in high schools. In this present study, we analyzed the impact of CAP on students' sexual behaviors and health outcomes

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Provider-Level Rates of HEDIS-Consistent HPV Vaccination in a Regional Health Plan

Feb. 26, 2019

Catherine A. Panozzo, Melissa B. Gilkey, Melanie L. Kornides, Frank Wharam 

Abstract [from journal]

Background: Health insurers are well-positioned to address low HPV vaccination coverage in the US through initiatives such as provider assessment and feedback. However, little is known about the feasibility of using administrative claims data to assess provider performance on vaccine delivery. 

Methods: We used administrative claims data from a regional health plan to estimate provider performance on the 2013-2015 Healthcare Effectiveness Data and Information Set (HEDIS) measure for HPV vaccine. This measure

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Measles Outbreak Prompts States to Consider Stricter Immunization Laws

Feb. 13, 2019

With the ongoing measles outbreak in Washington, there has been increasing national attention to real-life consequences of vaccine-preventable diseases and vaccine hesitancy. Most of cases in this recent outbreak have been among unvaccinated individuals and children between the ages of 1 and 10 years. In the first month of 2019, the US has already seen 101 measles cases, on pace to exceed the 372 cases in 2018 and 120 cases in 2017.

Financial Incentives for Achieving and Maintaining Viral Suppression Among HIV-positive Adults in Uganda: A Randomised Controlled Trial

Jan. 17, 2019

Harsha Thirumurthy, Alex Ndyabakira, Kara Marson, Devy Emperador, Moses Kamya, Diane Havlir, Dalsone Kwarisiima, Gabriel Chamie

Summary [from journal]

Background: Viral suppression among HIV-positive individuals is essential for protecting health and preventing HIV transmission. Financial incentives have shown promise in modifying various health behaviours in low-income countries but few studies have assessed whether they can improve HIV treatment outcomes. We aimed to determine the impact of time-limited financial incentives on viral suppression among HIV-positive adults in rural Uganda.

Methods: We did a randomised controlled trial in four rural Ugandan parishes....

Experiences With Medical Exemptions After a Change in Vaccine Exemption Policy in California

Nov. 6, 2018

Salini MohantyAlison M. Buttenheim, Caroline M. Joyce, Amanda C. Howa, Daniel Salmon, Saad B. Omer

Abstract [from journal]

Video Abstract

Objectives: In 2015, California passed Senate Bill 227 (SB277), eliminating nonmedical vaccine exemptions for school entry. Our objective for this study was to describe the experiences of health officers and immunization staff addressing medical exemption requests under SB277.

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