Mari-Lynn Drainoni
Biographic Data
| ID | 179642 |
|---|---|
| NAME | Mari-Lynn Drainoni |
| GIVEN NAMES | Mari-Lynn |
| FAMILY NAME | Drainoni |
| SIGNATURE | DRAINONI M |
| AFFILIATIONS | Boston University |
| VERIFIED | No |
| TOTAL WORKS | 30 |
| TOTAL CITATIONS | 32 |
| AUTHOR COUNT | 30 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1995 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 3 |
Immigrant perspectives on navigating the US healthcare system in the Post-Covid-19 landscape: A photo-elicitation project
Introduction The experiences of immigrants navigating the United States (US) healthcare system in the post-COVID-19 pandemic era are unknown. This study explores the experiences of recently arrived Haitian and Ugandan immigrants navigating this greatly changed system. Methods This single-center study used photo-elicitation, a qualitative method in which photos taken by participants served as an interview guide. Participants were recruited between…
Exploring Perspectives on HIV Vulnerability Communication among Transgender and Gender Diverse Patients and Primary Care Providers
A Qualitative Study of Health Equity’s Role in Community Coalition Development
Opioid overdose deaths are dramatically increasing in the United States and disproportionately affecting minority communities, with the increasing presence of fentanyl exacerbating this crisis. Developing community coalitions is a long-standing strategy used to address public health issues. However, there is a limited understanding of how coalitions operate amid a serious public health crisis. To address this gap, we leveraged data from the HEALi…
Effects of Experienced Discrimination in Pediatric Sickle Cell Disease: Caregiver and Provider Perspectives
For Black children with sickle cell disease (SCD) and their families, high disease stigmatization and pervasive racism increase susceptibility to discrimination in healthcare settings. Childhood experiences of discrimination can result in medical nonadherence, mistrust of healthcare providers, and poorer health outcomes across the lifespan. Caregivers and medical providers are essential to childhood SCD management and are therefore well-positione…
Community-level determinants of stakeholder perceptions of community stigma toward people with opioid use disorders, harm reduction services and treatment in the Healing Communities Study
Embedding Big Qual and Team Science Into Qualitative Research: Lessons From a Large-Scale, Cross-Site Research Study
Background: A major part of the HEALing Communities Study (HCS), launched in 2019 to address the growing opioid epidemic, is evaluating the study's intervention implementation process through an implementation science (IS) approach. One component of the IS approach involves teams with more than 20 researchers collaborating across four research sites to conduct in-depth qualitative interviews with over 300 participants at four time points. After c…
Enhancing community integration after incarceration: Findings from a prospective study of an intensive peer support intervention for veterans with an historical comparison group
A Participatory Curricula for Community Health Workers and Supervisors to Increase HIV Health Outcomes
Community Health Workers (CHWs) are becoming essential members of the HIV workforce as emerging evidence demonstrates their effectiveness in engaging people with HIV into care and treatment. In 2018, among the estimated 37,000 persons who received an HIV diagnosis, the majority were from racial ethnic minority communities. CHWs serve as a bridge between the community and health care system and have the potential to address structural inequities a…
Client Satisfaction with Community Health Workers in HIV Care Teams
Examining the implementation of police-assisted referral programs for substance use disorder services in Massachusetts
Opening the door to somebody who has a chance.” – The experiences and perceptions of public safety personnel towards a public restroom overdose prevention alarm system
Overdose response in public restrooms has been incorporated into the daily duties of public safety personnel at an academic medical center. Anti-motion alarm systems are an innovation with potential to improve overdose response and safety, though the technology warrants ongoing development and unintended consequences should be assessed. To optimize restroom safety in the midst of fentanyl use, more research is needed among first responders, peopl…
You need money to get high, and that's the easiest and fastest way: ” A typology of sex work and health behaviours among people who inject drugs
Are missed- and kept-visit measures capturing different aspects of retention in HIV primary care
The literature recognizes six measures of retention in care, an integral component of the HIV Continuum of Care. Given prior research showing that different retention measures are differentially associated with HIV health outcomes (e.g., CD4 count and viral suppression), we hypothesized that different groups of people living with HIV (PLWH) would also have differential retention outcomes based on the retention measure applied. We conducted a cros…
Coordinating across correctional, community, and VA systems: Applying the Collaborative Chronic Care Model to post-incarceration healthcare and reentry support for veterans with mental health and subs…
A novel application of process mapping in a criminal justice setting to examine implementation of peer support for veterans leaving incarceration
BACKGROUND: Between 12,000 and 16,000 veterans leave incarceration every year, yet resources are limited for reentry support that helps veterans remain connected to VA and community health care and services after leaving incarceration. Homelessness and criminal justice recidivism may result when such follow-up and support are lacking. In order to determine where gaps exist in current reentry support efforts, we developed a novel methodological ad…
Identifying and Addressing Language Needs in Primary Care: A Pilot Implementation Study
Evaluation of a computer-based and counseling support intervention to improve HIV patients’ viral loads
We sought to integrate a brief computer and counseling support intervention into the routine practices of HIV clinics and evaluate effects on patients' viral loads. The project targeted HIV patients in care whose viral loads exceeded 1000 copies/ml at the time of recruitment. Three HIV clinics initiated the intervention immediately, and three other HIV clinics delayed onset for 16 months and served as concurrent controls for evaluating outcomes. …
Caring for Young Children with Asthma: Perspectives from Urban Community Health Centers
In our stories: The perspectives of women living with HIV on an evidence-based group intervention
A qualitative study among women living with HIV assessed the aspects of an evidence-based intervention targeting HIV transmission risk reduction (Women Involved in Life Learning from Other Women [WiLLOW]) that women valued and how their lives were impacted. Thirty-one women (80.6% African American) completed interviews. Women valued the personal stories and positive group dynamics (i.e. safety, trust, openness, getting feedback, bonding, and soci…
The Contribution of Missed Clinic Visits to Disparities in HIV Viral Load Outcomes
Objectives. We explored the contribution of missed primary HIV care visits (“no-show”) to observed disparities in virological failure (VF) among Black persons and persons with injection drug use (IDU) history. Methods. We used patient-level data from 6 academic clinics, before the Centers for Disease Control and Prevention and Health Resources and Services Administration Retention in Care intervention. We employed staged multivariable logistic re…
Measuring Retention in HIV Care: The Elusive Gold Standard
BACKGROUND: Measuring retention in HIV primary care is complex, as care includes multiple visits scheduled at varying intervals over time. We evaluated 6 commonly used retention measures in predicting viral load (VL) suppression and the correlation among measures. METHODS: Clinic-wide patient-level data from 6 academic HIV clinics were used for 12 months preceding implementation of the Centers for Disease Control and Prevention/Health Resources a…
Barriers to Accessible Health Care for Medicaid Eligible People With Disabilities: A Comparative Analysis
People with disabilities (PWD) are more likely than those without disabilities to experience barriers when accessing healthcare, often leading to unmet needs. The chasm between what providers perceive as adequate care for PWD and the actual health care needs as perceived by PWD remains significant. Using data from 360 health care providers and 540 Medicaid eligible PWD, we compared perceived barriers to care faced by PWD from the perspective of b…
Mental and Physical Health Status and Alcohol and Drug Use Following Return From Deployment to Iraq or Afghanistan
Objectives. We examined (1) mental and physical health symptoms and functioning in US veterans within 1 year of returning from deployment, and (2) differences by gender, service component (Active, National Guard, other Reserve), service branch (Army, Navy, Air Force, Marines), and deployment operation (Operation Enduring Freedom/Operation Iraqi Freedom [OEF/OIF]). Methods. We surveyed a national sample of 596 OEF/OIF veterans, oversampling women …
Effectiveness of a Risk Screener in Identifying Hepatitis C Virus in a Primary Care Setting
Objectives. We evaluated an intervention designed to identify patients at risk for hepatitis C virus (HCV) through a risk screener used by primary care providers. Methods. A clinical reminder sticker prompted physicians at 3 urban clinics to screen patients for 12 risk factors and order HCV testing if any risks were present. Risk factor data were collected from the sticker; demographic and testing data were extracted from electronic medical recor…
Designing and Delivering a Prevention Project within an HIV Treatment Setting: Lessons Learned from a Specialist Model
Cross-Disability Experiences of Barriers to Health-Care Access: Consumer Perspectives
In this article, we present the results of a series of focus groups with people with disabilities, in which we took a cross-disability, lifespan perspective of disability. Consumers were asked about a broad set of barriers, such as problems with communication, transportation, and insurance, as well as about barriers related to physical accessibility. We used the Institute of Medicine's framework to categorize barriers as either structural, financ…
Mental and Physical Health Status and Alcohol and Drug Use Following Return From Deployment to Iraq or Afghanistan
Objectives. We examined (1) mental and physical health symptoms and functioning in US veterans within 1 year of returning from deployment, and (2) differences by gender, service component (Active, National Guard, other Reserve), service branch (Army, Navy, Air Force, Marines), and deployment operation (Operation Enduring Freedom/Operation Iraqi Freedom [OEF/OIF]). Methods. We surveyed a national sample of 596 OEF/OIF veterans, oversampling women …
In our stories: The perspectives of women living with HIV on an evidence-based group intervention
A qualitative study among women living with HIV assessed the aspects of an evidence-based intervention targeting HIV transmission risk reduction (Women Involved in Life Learning from Other Women [WiLLOW]) that women valued and how their lives were impacted. Thirty-one women (80.6% African American) completed interviews. Women valued the personal stories and positive group dynamics (i.e. safety, trust, openness, getting feedback, bonding, and soci…
Barriers to Accessible Health Care for Medicaid Eligible People With Disabilities: A Comparative Analysis
People with disabilities (PWD) are more likely than those without disabilities to experience barriers when accessing healthcare, often leading to unmet needs. The chasm between what providers perceive as adequate care for PWD and the actual health care needs as perceived by PWD remains significant. Using data from 360 health care providers and 540 Medicaid eligible PWD, we compared perceived barriers to care faced by PWD from the perspective of b…
Effectiveness of a Risk Screener in Identifying Hepatitis C Virus in a Primary Care Setting
Objectives. We evaluated an intervention designed to identify patients at risk for hepatitis C virus (HCV) through a risk screener used by primary care providers. Methods. A clinical reminder sticker prompted physicians at 3 urban clinics to screen patients for 12 risk factors and order HCV testing if any risks were present. Risk factor data were collected from the sticker; demographic and testing data were extracted from electronic medical recor…
Provider Perceptions of Their Capacity to Offer Accessible Health Care for People With Disabilities
The purpose of this article is to provide preliminary data about the results of a comprehensive survey of providers regarding their perceptions of access to health care for people with a broad range of disabilities. We conducted a mail and telephone follow-up survey of providers that contract with two managed care organizations, the Massachusetts Division of Medical Assistance, and the Assisted Living Association (36% response rate). Data were an…
Overcoming Treatment Barriers to Providing Services for Adults With Dual Diagnosis: Three Approaches
A large and growing proportion of individuals with permanent and total disability are adults dually diagnosed with mental illness and substance-abuse disorders. These dually diagnosed individuals are frequently hospitalized, often unable to work, and thus are dependent on public systems for care. As the prevalence of clients with dual diagnosis continues to increase, states must examine how to best manage services for these individuals. This pape…
Overcoming Treatment Barriers to Providing Services for Adults With Dual Diagnosis: Three Approaches
A large and growing proportion of individuals with permanent and total disability are adults dually diagnosed with mental illness and substance-abuse disorders. These dually diagnosed individuals are frequently hospitalized, often unable to work, and thus are dependent on public systems for care. As the prevalence of clients with dual diagnosis continues to increase, states must examine how to best manage services for these individuals. This pape…
Substance Abuse Treatment Services for People with Disabilities: Does Managed Care Prompt Innovation
The authors present results from an exploratory study conducted to learn more about how Medicaid managed-care plans meet the needs for substance abuse treatment among people with disabilities. These results suggest that capitated health plan staff members are more likely to be knowledgeable about the special needs of people with disabilities who also experience substance abuse problems. Staff members of smaller and more focused health plans demon…
Cross-Disability Experiences of Barriers to Health-Care Access: Consumer Perspectives
In this article, we present the results of a series of focus groups with people with disabilities, in which we took a cross-disability, lifespan perspective of disability. Consumers were asked about a broad set of barriers, such as problems with communication, transportation, and insurance, as well as about barriers related to physical accessibility. We used the Institute of Medicine's framework to categorize barriers as either structural, financ…
Provider Perceptions of Their Capacity to Offer Accessible Health Care for People With Disabilities
The purpose of this article is to provide preliminary data about the results of a comprehensive survey of providers regarding their perceptions of access to health care for people with a broad range of disabilities. We conducted a mail and telephone follow-up survey of providers that contract with two managed care organizations, the Massachusetts Division of Medical Assistance, and the Assisted Living Association (36% response rate). Data were an…
Health Services Utilization for People with HIV Infection: Comparison of a Population Targeted for Outreach with the U.S. Population in Care
BACKGROUND: Many persons with HIV infection do not receive consistent ambulatory medical care and are excluded from studies of patients in medical care. However, these hard-to-reach groups are important to study because they may be in greatest need of services. OBJECTIVE: This study compared the sociodemographic, clinical, and health care utilization characteristics of a multisite sample of HIV-positive persons who were hard to reach with a natio…
Designing and Delivering a Prevention Project within an HIV Treatment Setting: Lessons Learned from a Specialist Model
Measuring Retention in HIV Care: The Elusive Gold Standard
BACKGROUND: Measuring retention in HIV primary care is complex, as care includes multiple visits scheduled at varying intervals over time. We evaluated 6 commonly used retention measures in predicting viral load (VL) suppression and the correlation among measures. METHODS: Clinic-wide patient-level data from 6 academic HIV clinics were used for 12 months preceding implementation of the Centers for Disease Control and Prevention/Health Resources a…
Barriers to Accessible Health Care for Medicaid Eligible People With Disabilities: A Comparative Analysis
People with disabilities (PWD) are more likely than those without disabilities to experience barriers when accessing healthcare, often leading to unmet needs. The chasm between what providers perceive as adequate care for PWD and the actual health care needs as perceived by PWD remains significant. Using data from 360 health care providers and 540 Medicaid eligible PWD, we compared perceived barriers to care faced by PWD from the perspective of b…
Mental and Physical Health Status and Alcohol and Drug Use Following Return From Deployment to Iraq or Afghanistan
Objectives. We examined (1) mental and physical health symptoms and functioning in US veterans within 1 year of returning from deployment, and (2) differences by gender, service component (Active, National Guard, other Reserve), service branch (Army, Navy, Air Force, Marines), and deployment operation (Operation Enduring Freedom/Operation Iraqi Freedom [OEF/OIF]). Methods. We surveyed a national sample of 596 OEF/OIF veterans, oversampling women …
Effectiveness of a Risk Screener in Identifying Hepatitis C Virus in a Primary Care Setting
Objectives. We evaluated an intervention designed to identify patients at risk for hepatitis C virus (HCV) through a risk screener used by primary care providers. Methods. A clinical reminder sticker prompted physicians at 3 urban clinics to screen patients for 12 risk factors and order HCV testing if any risks were present. Risk factor data were collected from the sticker; demographic and testing data were extracted from electronic medical recor…
The Contribution of Missed Clinic Visits to Disparities in HIV Viral Load Outcomes
Objectives. We explored the contribution of missed primary HIV care visits (“no-show”) to observed disparities in virological failure (VF) among Black persons and persons with injection drug use (IDU) history. Methods. We used patient-level data from 6 academic clinics, before the Centers for Disease Control and Prevention and Health Resources and Services Administration Retention in Care intervention. We employed staged multivariable logistic re…
Caring for Young Children with Asthma: Perspectives from Urban Community Health Centers
In our stories: The perspectives of women living with HIV on an evidence-based group intervention
A qualitative study among women living with HIV assessed the aspects of an evidence-based intervention targeting HIV transmission risk reduction (Women Involved in Life Learning from Other Women [WiLLOW]) that women valued and how their lives were impacted. Thirty-one women (80.6% African American) completed interviews. Women valued the personal stories and positive group dynamics (i.e. safety, trust, openness, getting feedback, bonding, and soci…
Evaluation of a computer-based and counseling support intervention to improve HIV patients’ viral loads
We sought to integrate a brief computer and counseling support intervention into the routine practices of HIV clinics and evaluate effects on patients' viral loads. The project targeted HIV patients in care whose viral loads exceeded 1000 copies/ml at the time of recruitment. Three HIV clinics initiated the intervention immediately, and three other HIV clinics delayed onset for 16 months and served as concurrent controls for evaluating outcomes. …
Coordinating across correctional, community, and VA systems: Applying the Collaborative Chronic Care Model to post-incarceration healthcare and reentry support for veterans with mental health and subs…
A novel application of process mapping in a criminal justice setting to examine implementation of peer support for veterans leaving incarceration
BACKGROUND: Between 12,000 and 16,000 veterans leave incarceration every year, yet resources are limited for reentry support that helps veterans remain connected to VA and community health care and services after leaving incarceration. Homelessness and criminal justice recidivism may result when such follow-up and support are lacking. In order to determine where gaps exist in current reentry support efforts, we developed a novel methodological ad…
Identifying and Addressing Language Needs in Primary Care: A Pilot Implementation Study
Are missed- and kept-visit measures capturing different aspects of retention in HIV primary care
The literature recognizes six measures of retention in care, an integral component of the HIV Continuum of Care. Given prior research showing that different retention measures are differentially associated with HIV health outcomes (e.g., CD4 count and viral suppression), we hypothesized that different groups of people living with HIV (PLWH) would also have differential retention outcomes based on the retention measure applied. We conducted a cros…
A Participatory Curricula for Community Health Workers and Supervisors to Increase HIV Health Outcomes
Community Health Workers (CHWs) are becoming essential members of the HIV workforce as emerging evidence demonstrates their effectiveness in engaging people with HIV into care and treatment. In 2018, among the estimated 37,000 persons who received an HIV diagnosis, the majority were from racial ethnic minority communities. CHWs serve as a bridge between the community and health care system and have the potential to address structural inequities a…
Client Satisfaction with Community Health Workers in HIV Care Teams
Examining the implementation of police-assisted referral programs for substance use disorder services in Massachusetts
Opening the door to somebody who has a chance.” – The experiences and perceptions of public safety personnel towards a public restroom overdose prevention alarm system
Overdose response in public restrooms has been incorporated into the daily duties of public safety personnel at an academic medical center. Anti-motion alarm systems are an innovation with potential to improve overdose response and safety, though the technology warrants ongoing development and unintended consequences should be assessed. To optimize restroom safety in the midst of fentanyl use, more research is needed among first responders, peopl…
You need money to get high, and that's the easiest and fastest way: ” A typology of sex work and health behaviours among people who inject drugs
Enhancing community integration after incarceration: Findings from a prospective study of an intensive peer support intervention for veterans with an historical comparison group
Effects of Experienced Discrimination in Pediatric Sickle Cell Disease: Caregiver and Provider Perspectives
For Black children with sickle cell disease (SCD) and their families, high disease stigmatization and pervasive racism increase susceptibility to discrimination in healthcare settings. Childhood experiences of discrimination can result in medical nonadherence, mistrust of healthcare providers, and poorer health outcomes across the lifespan. Caregivers and medical providers are essential to childhood SCD management and are therefore well-positione…
Medicine (28 works) · Psychology (21 works) · Family medicine (16 works) · Health care (14 works) · Psychiatry (13 works) · Nursing (12 works) · HIV/AIDS Research and Interventions (11 works) · Gerontology (10 works) · HIV, Drug Use, Sexual Risk (8 works) · Environmental health (7 works)