Kenneth Jaffe
Dados Biográficos
| ID | 107416 |
|---|---|
| NOME | Kenneth Jaffe |
| PRENOMES | Kenneth |
| SOBRENOME | Jaffe |
| ASSINATURA | JAFFE K |
| AFILIAÇÕES | University of Massachusetts Amherst |
| ORCID | 0000-0002-5084-4100 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 19 |
| TOTAL DE CITAÇÕES | 50 |
| TOTAL COMO AUTOR | 19 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1994 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 3 |
Street-level bureaucracy and relational autonomy in HIV status-neutral care implementation
Uncovered, underfunded, and undervalued
BACKGROUND: Pragmatic trials evaluate the effectiveness or feasibility of a treatment in clinical practice. However, in substance use research, the "real world" is characterized by patterns of structural stigma embedded in everchanging drug policies and public perceptions that vary by jurisdiction. While such contextual influences typically go unmeasured in clinical research, these localized features may shape participants' trial experiences and …
Barriers and facilitators to implementing status-neutral HIV care in an urban jail system
BACKGROUND: People who use drugs face barriers to accessing HIV prevention tools. The status-neutral model for HIV care starts with the HIV test and offers linkage to HIV treatment if the person tests positive and linkage to pre-exposure prophylaxis (PrEP) if the person tests negative. The goal of this study was to evaluate barriers and facilitators impacting the implementation of a status-neutral HIV model of care in the jail setting. METHODS: B…
The Gender Segregation of Precarious Work Contexts Among People Who Use Drugs
Trying to get down here when the dealer's closer
Accessible Care
Substance use disorders comprise a significant portion of disability experiences in Canada and are often experienced alongside other disabilities. During the pandemic, there were declines in healthcare and substance use treatment utilization. In response, new risk mitigation guidelines aimed to increase substance use treatment accessibility, advancing the right to available, accessible, acceptable, and quality healthcare. Injectable opioid agonis…
Roles of Randomized Controlled Trials in Establishing Evidence-Based Gender-Affirming Care and Advancing Health Equity
This article reviews the design of a recently published randomized controlled trial (RCT) on immediate vs delayed access to gender-affirming hormones for transgender and gender-diverse (TGD) people and outlines key learning points that clinicians should know about how RCTs can and cannot contribute to advancing health equity for TGD people
Using RE-AIM Framework to Evaluate Recovery Opioid Overdose Team Plus
Trust and distrust in low‐income Michigan residents during the early Covid‐19 pandemic
BACKGROUND: Trust and distrust have shaped health behaviour during the COVID-19 pandemic. Since the start of the pandemic, misinformation and polarization eroded trust across the United States. In states like Michigan, pandemic restrictions led to significant unrest. Michiganders also faced disproportionate morbidity and mortality from COVID-19 during this period. OBJECTIVE: The objective of this qualitative study was to understand the individual…
Use of Opioid-Sparing Protocols and Perceived Postpartum Pain in Patients with Opioid Use Disorder and Chronic Prenatal Opioid Exposure
Research Participation in Substance Use Disorder Trials
Background Given the health and social harms of problematic substance use, randomized controlled trials (RCTs) are critical in developing and testing pharmacotherapies for substance use disorders. However, substance use RCTs can be challenging to conduct, considering the social and structural barriers to participating in research among people with substance use disorders (PSUD), including stigma, poverty, and criminalization-factors that can shap…
A paradox of need
In Canada, publicly funded healthcare provides no-cost access to a large but not comprehensive suite of services. Dental care is largely funded by private insurance or patients, creating employment- and income-dependent gaps in care access. Difficulties accessing dental care may be amplified among vulnerable populations, including people who use drugs (PWUD), who may experience greater dental need due to side effects of substance use and health c…
Experimental (Re)structuring
Amid the growth of addiction medicine randomized controlled trials (RCTs), scholars have begun examining participants' study experiences, highlighting facilitators and barriers to enrollment. However, this work can overlook the interplay between trial participation and social-structural dimensions among people with substance use disorders linked to the social nature of use, socioeconomic marginalization, and time demands of substance procurement …
This could be my last chance
In randomised controlled trials (RCTs), 'therapeutic optimism' describes a participant's belief they will benefit from the study treatment, despite the express goal of RCTs to test unknown aspects of interventions. Harbouring such expectations may interfere with RCT participation experiences, particularly among marginalised populations, such as people with substance use disorders (PSUD) who may experience social and structural barriers to partici…
Informal recycling, income generation and risk
These findings suggest informal recycling as a situated practice for PWUD, with potential indications for higher-risk drug use, experiencing greater surveillance, and difficulty accessing health and addiction treatment services. This research highlights the significance of the broader risk environment and the need for health-promoting policies for socioeconomically marginalised PWUD engaged in informal recycling
Project nGage
From Maid to Mother
This article provides a case study of a project to improve the health, safety, and development of children birth to 6 years old in a large orphanage in Nepal. Two interventions were conducted: improvement of physical infrastructure and training, mentoring, and support for caregiving staff. As a result of these interventions, positive outcomes in terms of children's health and development have been observed, including reduction of communicable dis…
Attachment, caregiving, and relationship functioning in couples
We examined the links among attachment, caregiving, and relationship functioning in both dating (Study 1) and married couples (Study 2), assessing both partners' perspectives. We found that (1) men and women generally evidenced caregiving characteristics similar to those of their parent% especially their same‐sex parent; (2) individuals who reported giving more care to their partner evidenced less fearful‐avoidant attachment (Studies 1 and 2) and…
Depression, working models of others, and relationship functioning
Two studies examined depressives' working models of others and the relative contribution of these models and depression to relationship functioning. Respondents reported on their childhood relationships, adult attachment style, and relationship functioning. Study 1 compared mildly depressed and nondepressed college women, and Study 2 compared married women recovering from clinical depression with nondepressed married women. Mildly depressed colle…
Depression, working models of others, and relationship functioning
Two studies examined depressives' working models of others and the relative contribution of these models and depression to relationship functioning. Respondents reported on their childhood relationships, adult attachment style, and relationship functioning. Study 1 compared mildly depressed and nondepressed college women, and Study 2 compared married women recovering from clinical depression with nondepressed married women. Mildly depressed colle…
Experimental (Re)structuring
Amid the growth of addiction medicine randomized controlled trials (RCTs), scholars have begun examining participants' study experiences, highlighting facilitators and barriers to enrollment. However, this work can overlook the interplay between trial participation and social-structural dimensions among people with substance use disorders linked to the social nature of use, socioeconomic marginalization, and time demands of substance procurement …
From Maid to Mother
This article provides a case study of a project to improve the health, safety, and development of children birth to 6 years old in a large orphanage in Nepal. Two interventions were conducted: improvement of physical infrastructure and training, mentoring, and support for caregiving staff. As a result of these interventions, positive outcomes in terms of children's health and development have been observed, including reduction of communicable dis…
This could be my last chance
In randomised controlled trials (RCTs), 'therapeutic optimism' describes a participant's belief they will benefit from the study treatment, despite the express goal of RCTs to test unknown aspects of interventions. Harbouring such expectations may interfere with RCT participation experiences, particularly among marginalised populations, such as people with substance use disorders (PSUD) who may experience social and structural barriers to partici…
A paradox of need
In Canada, publicly funded healthcare provides no-cost access to a large but not comprehensive suite of services. Dental care is largely funded by private insurance or patients, creating employment- and income-dependent gaps in care access. Difficulties accessing dental care may be amplified among vulnerable populations, including people who use drugs (PWUD), who may experience greater dental need due to side effects of substance use and health c…
Depression, working models of others, and relationship functioning
Two studies examined depressives' working models of others and the relative contribution of these models and depression to relationship functioning. Respondents reported on their childhood relationships, adult attachment style, and relationship functioning. Study 1 compared mildly depressed and nondepressed college women, and Study 2 compared married women recovering from clinical depression with nondepressed married women. Mildly depressed colle…
Attachment, caregiving, and relationship functioning in couples
We examined the links among attachment, caregiving, and relationship functioning in both dating (Study 1) and married couples (Study 2), assessing both partners' perspectives. We found that (1) men and women generally evidenced caregiving characteristics similar to those of their parent% especially their same‐sex parent; (2) individuals who reported giving more care to their partner evidenced less fearful‐avoidant attachment (Studies 1 and 2) and…
From Maid to Mother
This article provides a case study of a project to improve the health, safety, and development of children birth to 6 years old in a large orphanage in Nepal. Two interventions were conducted: improvement of physical infrastructure and training, mentoring, and support for caregiving staff. As a result of these interventions, positive outcomes in terms of children's health and development have been observed, including reduction of communicable dis…
Project nGage
Informal recycling, income generation and risk
These findings suggest informal recycling as a situated practice for PWUD, with potential indications for higher-risk drug use, experiencing greater surveillance, and difficulty accessing health and addiction treatment services. This research highlights the significance of the broader risk environment and the need for health-promoting policies for socioeconomically marginalised PWUD engaged in informal recycling
A paradox of need
In Canada, publicly funded healthcare provides no-cost access to a large but not comprehensive suite of services. Dental care is largely funded by private insurance or patients, creating employment- and income-dependent gaps in care access. Difficulties accessing dental care may be amplified among vulnerable populations, including people who use drugs (PWUD), who may experience greater dental need due to side effects of substance use and health c…
Experimental (Re)structuring
Amid the growth of addiction medicine randomized controlled trials (RCTs), scholars have begun examining participants' study experiences, highlighting facilitators and barriers to enrollment. However, this work can overlook the interplay between trial participation and social-structural dimensions among people with substance use disorders linked to the social nature of use, socioeconomic marginalization, and time demands of substance procurement …
This could be my last chance
In randomised controlled trials (RCTs), 'therapeutic optimism' describes a participant's belief they will benefit from the study treatment, despite the express goal of RCTs to test unknown aspects of interventions. Harbouring such expectations may interfere with RCT participation experiences, particularly among marginalised populations, such as people with substance use disorders (PSUD) who may experience social and structural barriers to partici…
Research Participation in Substance Use Disorder Trials
Background Given the health and social harms of problematic substance use, randomized controlled trials (RCTs) are critical in developing and testing pharmacotherapies for substance use disorders. However, substance use RCTs can be challenging to conduct, considering the social and structural barriers to participating in research among people with substance use disorders (PSUD), including stigma, poverty, and criminalization-factors that can shap…
Trust and distrust in low‐income Michigan residents during the early Covid‐19 pandemic
BACKGROUND: Trust and distrust have shaped health behaviour during the COVID-19 pandemic. Since the start of the pandemic, misinformation and polarization eroded trust across the United States. In states like Michigan, pandemic restrictions led to significant unrest. Michiganders also faced disproportionate morbidity and mortality from COVID-19 during this period. OBJECTIVE: The objective of this qualitative study was to understand the individual…
Use of Opioid-Sparing Protocols and Perceived Postpartum Pain in Patients with Opioid Use Disorder and Chronic Prenatal Opioid Exposure
Accessible Care
Substance use disorders comprise a significant portion of disability experiences in Canada and are often experienced alongside other disabilities. During the pandemic, there were declines in healthcare and substance use treatment utilization. In response, new risk mitigation guidelines aimed to increase substance use treatment accessibility, advancing the right to available, accessible, acceptable, and quality healthcare. Injectable opioid agonis…
Roles of Randomized Controlled Trials in Establishing Evidence-Based Gender-Affirming Care and Advancing Health Equity
This article reviews the design of a recently published randomized controlled trial (RCT) on immediate vs delayed access to gender-affirming hormones for transgender and gender-diverse (TGD) people and outlines key learning points that clinicians should know about how RCTs can and cannot contribute to advancing health equity for TGD people
Using RE-AIM Framework to Evaluate Recovery Opioid Overdose Team Plus
Trying to get down here when the dealer's closer
Street-level bureaucracy and relational autonomy in HIV status-neutral care implementation
Uncovered, underfunded, and undervalued
BACKGROUND: Pragmatic trials evaluate the effectiveness or feasibility of a treatment in clinical practice. However, in substance use research, the "real world" is characterized by patterns of structural stigma embedded in everchanging drug policies and public perceptions that vary by jurisdiction. While such contextual influences typically go unmeasured in clinical research, these localized features may shape participants' trial experiences and …
Barriers and facilitators to implementing status-neutral HIV care in an urban jail system
BACKGROUND: People who use drugs face barriers to accessing HIV prevention tools. The status-neutral model for HIV care starts with the HIV test and offers linkage to HIV treatment if the person tests positive and linkage to pre-exposure prophylaxis (PrEP) if the person tests negative. The goal of this study was to evaluate barriers and facilitators impacting the implementation of a status-neutral HIV model of care in the jail setting. METHODS: B…
The Gender Segregation of Precarious Work Contexts Among People Who Use Drugs
Medicine (12 obras) · Psychology (10 obras) · HIV, Drug Use, Sexual Risk (7 obras) · Psychiatry (7 obras) · Nursing (6 obras) · Public health (6 obras) · Qualitative research (6 obras) · Randomized controlled trial (6 obras) · Internal Medicine (5 obras) · Opioid Use Disorder Treatment (5 obras)