Lynn E. Fiellin's research while affiliated with Yale-New Haven Hospital and other places

... Harmonization of instruments across projects lends itself to identifying common ingredients associated with measurable benefits, thus providing valuable data for secondary analyses to accomplish this aim. Furthermore, Patel et al. (2022) discuss ways in which the HPC overcame barriers to progress for optimal execution of the studies. It should be noted, however, that the projects were not designed to isolate program components primarily responsible for exerting an impact. ...

... Virtual reality was the technology least employed among interventions in the review (3/39). Two interventions targeted tobacco/nicotine use and were both preventionoriented: Invite only VR, tested in two studies by Weser, et al. [102,103] and the Guo et al. intervention [100]. Invite Only VR targeted e-cigarette use and derived from behaviour change theories, the theory of planned behaviour and social cognitive theory [102,103], while the Guo et al. tobacco prevention intervention was based on Keller's ARCS (attention, relevance, confidence, and satisfaction) motivation model [100]. ...

... While not all symptoms can be remedied, unhealthy alcohol use is a modifiable driver of many bothersome symptoms for PWH and people without HIV (PWoH) [5]. Alcohol use is common among PWH and unhealthy alcohol use-defined as the spectrum ranging from drinking above recommended limits to meeting diagnostic criteria for alcohol use disorder (AUD)-is also highly prevalent [6,7]. ...

... Among them, game-based intervention has become a significant way to change healthy behaviors [7][8][9]. In recent years, some randomized controlled trials conducted in the United States and Africa targeting 11-15 years old adolescents have found that game-based AIDS education could improve knowledge, attitudes and behaviors related to AIDS, and increase the effectiveness of AIDS prevention education, additionally, adolescents prefer game-based AIDS education, and are more willing to recommend it to their friends [10][11][12][13]. However, there are few gamesbased HIV education intervention studies in China, especially randomized controlled trials to evaluate the effects of game education. ...

... Recent efforts to disseminate anti-vaping messages through peer-led programs of adolescents have shown early success, with reduced adolescent vaping and lower intention to use a vaping device (Wyman et al., 2021). Other approaches that target norms, beliefs, and information about vaping for adolescents include web-based interventions (Berg et al., 2021;Hieftje et al., 2021) and one-on-one counseling for vaping cessation with the understanding that vaping may be entangled with other substance use behaviors (Berg et al., 2021). ...

... Buprenorphine OAT was defined by prescription dispensation determined through VHA Pharmacy Benefits Management records of any formulations of buprenorphine or buprenorphine/naloxone indicated for treatment of OUD; formulations of buprenorphine with a primary indication for pain were excluded. To identify buprenorphine retention, we classified patients who had ≥ 80% of days covered over the period of interest as retained [25,26]. Patients were required to have buprenorphine prescription coverage for 28 + days in their first month of treatment, 170 days in the first six months of treatment, and 292 days over 12 months to be considered retained. ...

... Distance to care influences transportation costs, and inadequate sick-leave policies can negatively affect patients' ability to seek care. [100][101][102] Programmes that cover transport costs or offer medicine delivery services are promising ways to bridge gaps in access. 100,102,103 Such initiatives should be complemented by strategies to reduce out-of-pocket costs for medication and treatment, which can be prohibitively expensive. ...

... 15,16 The nine primary studies included in this report were two-arm parallel RCTs. [18][19][20][21][22][23][24][25][26] Two evidence-based guidelines were included in this report. 27,28 One guideline was commissioned by the National Institute for Health and Care Excellence (NICE) 28 and one guideline was commissioned by the Canadian Task Force on Preventive Health Care (CTFPHC). ...

... The study team developed a stepped peer-led training intervention that reflected the four UTAUT determinants of use (usefulness, ease/convenience, social influence, and facilitating conditions) and could be adapted for group and individualized training (Santa Ana et al., 2021). "Stepped care" refers to increasing intensity of peer-led training and support (Edelman et al., 2017(Edelman et al., , 2019, and such a program is designed to be flexible and provide increasing support based on the needs of individual veterans (see Fig. 2). If a veteran was reasonably able to travel to a VA facility (i.e., no mobility or travel distance challenges), a low intensity group training at a local VA facility would be offered. ...

... Acceptability of the intervention condition is assessed via self-reported survey at the postgameplay time point using the game experience and satisfaction questionnaire, which is a 15-item scale with 4-point Likert-type responses ranging from 1 (strongly disagree) to 4 (strongly agree) [22,[35][36][37]. Example questions include "I enjoyed playing the game" and "I would make decisions in life like I made them in the game." ...