Ryan K McBain
Dados Biográficos
| ID | 5540577 |
|---|---|
| NOME | Ryan K McBain |
| PRENOMES | Ryan K |
| SOBRENOME | McBain |
| ASSINATURA | MCBAIN R K |
| AFILIAÇÕES | RAND Corporation |
| ORCID | 0000-0003-0073-0348 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 26 |
| TOTAL DE CITAÇÕES | 7 |
| TOTAL COMO AUTOR | 26 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2009 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 2 |
The Relationship Between State Fiscal Capacity and Opioid Settlement Expenditures
Introduction The distribution of funds from national opioid settlements provides a critical opportunity for states to address the ongoing overdose crisis in the US. However, it remains unclear whether these funds have been spent by states with significant fiscal needs, in addition to higher opioid-related needs.Methods We used data from KFF Health News to examine per capita opioid settlement spending across states, categorizing them into tertiles…
Patient perspectives on group problem management plus for adults with major depressive disorder in rural Malawi
BACKGROUND: Major depressive disorder (MDD) frequently co-occurs with other medical conditions. Care integration and task shifting are two frameworks that may strengthen person-centered care among individuals with MDD and comorbid diagnoses, including for adults with limited access to healthcare resources living in rural settings within sub-Saharan Africa. OBJECTIVE: We assessed the acceptability and feasibility of group psychotherapy (Problem Ma…
Cell Phone Bans in a National Sample of US Public School Principals
This cross-sectional study reports the national prevalence of public-school cell phone bans and how they vary by school characteristics
Adoption of Artificial Intelligence in the Health Care Sector
This cross-sectional study examines artificial intelligence use in health care and other industries according to US firms participating in the 2023 to 2025 Business Trends and Outlook Survey
Mapping care pathways
In Uganda, where HIV prevalence remains high, innovative strategies are sought to achieve 95-95-95 targets in combating the epidemic. In 2020, Uganda joined the Activity-Based Costing and Management (ABC/M) Initiative, a multi-country effort to monitor resource allocation and funding for HIV services. As part of this Initiative, data collectors generated process maps, specific to each facility, from the data collected by observing patients as the…
Trajectories of perinatal depression among women living with HIV in Uganda
Background: Perinatal depression affects one-third of pregnant women living with HIV (WLH). We examined patterns of treatment response to a novel stepped model of depression care among WLH with perinatal depression in Uganda. Methods: As part of the Maternal Depression Treatment in HIV (M-DEPTH) cluster randomised controlled trial, 191 women were enrolled across four antenatal care clinics assigned to provide stepped care including behavioural an…
Availability of Mental Telehealth Services in the US
The findings of this cross-sectional study indicate that there were no differences in the availability of mental telehealth services based on the prospective patient's clinical condition, perceived race or ethnicity, or sex; however, differences were found at the facility-, county-, and state-level. These findings suggest widespread disparities in who has access to which telehealth services throughout the US
Depressive disorder at the household level
Background Globally, an estimated five percent of adults have major depressive disorder. However, little is known about the relationship between these individuals’ depressive symptoms and their household members’ mental health and well-being.Objectives We aimed to investigate the prevalence and predictors of depressive symptoms among adult household members of patients living with major depressive disorder in Neno District, Malawi.Methods As part…
Prevalence and correlates of internalized stigma among adults with HIV and major depressive disorder in rural Malawi
Internalized stigma is common among individuals with sexually transmitted infections such as HIV and among those with mental health conditions such as major depressive disorder (MDD). As part of a cluster randomized trial, we investigated the prevalence and correlates of internalized stigma among adults living with comorbid HIV and MDD in rural Malawi (n = 339). We found heightened stigma toward HIV and mental illness among those in the cohort: m…
Mental Health Service Utilization Rates Among Commercially Insured Adults in the US During the First Year of the Covid-19 Pandemic
In this cohort study of US adults, we found that the COVID-19 pandemic was associated with a rapid increase in telehealth services for mental health conditions, offsetting a sharp decline in in-person care and generating overall higher service utilization rates for several mental health conditions compared with prepandemic levels
Study protocol for type II hybrid implementation-effectiveness trial of strategies for depression care task-sharing in community health stations in Vietnam
NCT04491045 on Clinicaltrials.gov. Registered July 29, 2020
Treatment of Perinatal Depression and Correlates of Treatment Response Among Pregnant Women Living with HIV in Uganda
Both depression treatment modalities yielded high response rates in Ugandan PWLWH; ADT was well-tolerated. Our results highlight a need to build capacity to implement the stepped-care protocol for non-responders and screen for social support and interpersonal violence
Effects of M-DEPTH Model of Depression Care on Maternal HIV Viral Suppression and Adherence to the PMTCT Care Continuum Among HIV-Infected Pregnant Women in Uganda
Perinatal depression has been shown to impede adherence to antiretroviral therapy (ART) and the prevention of mother-to-child transmission (PMTCT) care continuum; therefore, treating perinatal depression may result in increased viral suppression and PMTCT adherence. We examined the effects of the M-DEPTH (Maternal Depression Treatment in HIV) depression care model (including antidepressants and individual Problem Solving Therapy) on depression, m…
National Evaluation of HIV Service Resource Allocation in Tanzania
Using time-driven activity-based costing (TDABC), we examined resource allocation and costs for HIV services throughout Tanzania at patient and facility levels. This national, cross-sectional analysis of 22 health facilities quantified costs and resources associated with 886 patients receiving care for five HIV services: antiretroviral therapy, prevention of mother-to-child transmission, HIV testing and counseling, voluntary medical male circumci…
Improving access to health services through health reform in Lesotho
In 2014 the Kingdom of Lesotho, in conjunction with Partners In Health, launched a National Health Reform with three components: 1) improved supply-side inputs based on disease burden in the catchment area of each of 70 public primary care clinics, 2) decentralization of health managerial capacity to the district level, and 3) demand-side interventions including paid village health workers. We assessed changes in the quarterly average of quality …
A household-based community health worker programme for non-communicable disease, malnutrition, tuberculosis, HIV and maternal health
BACKGROUND: Community health worker (CHW) programmes are a valuable component of primary care in resource-poor settings. The evidence supporting their effectiveness generally shows improvements in disease-specific outcomes relative to the absence of a CHW programme. In this study, we evaluated expanding an existing HIV and tuberculosis (TB) disease-specific CHW programme into a polyvalent, household-based model that subsequently included non-comm…
Evaluating clinical outcomes of routinely delivered task-shared care for depression in rural Haiti
Our findings support the potential positive impact of scaling up routine mental health services in low- and middle-income countries, despite greater than expected variability in service provision, as well as the importance of understanding potential barriers and facilitators to care as they occur in resource-limited settings
The relationship between quality of housing and quality of life
State Medicaid expansion, coupled with financial incentives from alternative payment models, have fostered an increase in housing programs supported and implemented by hospitals and health systems. Permanent supportive housing (PSH) can improve patients’ health, quality of life (QOL) and wellbeing, and reduce healthcare costs over the long-run. Yet, there is limited research to understand the challenges and opportunities that arise, particularly …
Perceived care coordination among permanent supportive housing participants
Homelessness is a pervasive public health problem in the United States (U.S.). Under the U.S. Affordable Care Act, the nation's public health insurance program (Medicaid) was expanded to serve more individuals, including those experiencing homelessness. Coupled with changes in financial incentives designed to reduce healthcare costs, health plans, hospitals and large health systems have started to operate permanent supportive housing (PSH) progra…
Availability of Outpatient Telemental Health Services in the United States at the Outset of the Covid-19 Pandemic
BACKGROUND: Since coronavirus disease 2019 (COVID-19) has caused dramatic changes in everyday life, a major concern is whether patients have adequate access to mental health care despite shelter-in-place ordinances, school closures, and social distancing practices. OBJECTIVES: The aim was to examine the availability of telehealth services at outpatient mental health treatment facilities in the United States at the outset of the COVID-19 pandemic,…
Impact of community-based adherence support on treatment outcomes for tuberculosis, leprosy and HIV/Aids-infected individuals in post-Ebola Liberia
BACKGROUND: Partners In Health (PIH) committed to improving health care delivery in Maryland County, Liberia following the Ebola epidemic by employing 71 community health workers (CHWs) to provide treatment support to tuberculosis (TB), HIV and leprosy patients. PIH simultaneously deployed a socioeconomic assistance program with three core components: transportation reimbursement to clinics; food support; and additional social assistance in selec…
Implementation and clinical effectiveness of a community-based non-communicable disease treatment programme in rural Mexico
Non-communicable diseases (NCDs) account for the five largest contributors to burden of disease in Mexico, with diabetes representing the greatest contributor. However, evidence supporting chronic disease programmes in Mexico is limited, especially in rural communities. Compañeros En Salud (CES) partnered with the Secretariat of Health of Chiapas, Mexico to implement a novel community-based NCD treatment programme. We describe the implementation …
Race to the Top
BackgroundPerformance-based financing (PBF) has demonstrated a range of successes and failures in improving health outcomes across low- and middle-income countries. Evidence indicates that the success of PBF depends, in large part, on the model selected, in relation to a variety of contextual factors.ObjectivePartners In Health∣Inshuti Mu Buzima aimed to evaluate health outcomes associated with a novel capacity-building model of PBF at health cen…
Costs and cost-effectiveness of a mental health intervention for war-affected young persons
BACKGROUND: One billion children live in war-affected regions of the world. We conducted the first cost-effectiveness analysis of an intervention for war-affected youth in sub-Saharan Africa, as well as a broader cost analysis. METHODS: The Youth Readiness Intervention (YRI) is a behavioural treatment for reducing functional impairment associated with psychological distress among war-affected young persons. A randomized controlled trial was condu…
Speaking from ignorance
Values-pragmatics theory (Hodges & Geyer, 2006) predicts that people will sometimes disagree with others they believe are correct, for reasons similar to those explaining agreement with incorrect answers in an Asch (1956) situation. In 3 experiments, we found evidence that people in a position of ignorance sometimes do not agree with the correct answers of others in positions of knowledge. Experiments 1a and 1b found this speaking-from-ignorance …
Perceived care coordination among permanent supportive housing participants
Homelessness is a pervasive public health problem in the United States (U.S.). Under the U.S. Affordable Care Act, the nation's public health insurance program (Medicaid) was expanded to serve more individuals, including those experiencing homelessness. Coupled with changes in financial incentives designed to reduce healthcare costs, health plans, hospitals and large health systems have started to operate permanent supportive housing (PSH) progra…
The relationship between quality of housing and quality of life
State Medicaid expansion, coupled with financial incentives from alternative payment models, have fostered an increase in housing programs supported and implemented by hospitals and health systems. Permanent supportive housing (PSH) can improve patients’ health, quality of life (QOL) and wellbeing, and reduce healthcare costs over the long-run. Yet, there is limited research to understand the challenges and opportunities that arise, particularly …
Speaking from ignorance
Values-pragmatics theory (Hodges & Geyer, 2006) predicts that people will sometimes disagree with others they believe are correct, for reasons similar to those explaining agreement with incorrect answers in an Asch (1956) situation. In 3 experiments, we found evidence that people in a position of ignorance sometimes do not agree with the correct answers of others in positions of knowledge. Experiments 1a and 1b found this speaking-from-ignorance …
Reduced Ability to Detect Facial Configuration in Middle-Aged and Elderly Individuals
Visual sensitivity decreases with age, and this presumably has an impact on face recognition. However, the relationship between aging in basic visual processing and in the sensory and cognitive mechanisms mediating face recognition is not well understood. Face detection, a foundational step in recognizing faces, relies primarily on sensory information. This study measured the ability to detect facial configuration and contrast detection in young …
Speaking from ignorance
Values-pragmatics theory (Hodges & Geyer, 2006) predicts that people will sometimes disagree with others they believe are correct, for reasons similar to those explaining agreement with incorrect answers in an Asch (1956) situation. In 3 experiments, we found evidence that people in a position of ignorance sometimes do not agree with the correct answers of others in positions of knowledge. Experiments 1a and 1b found this speaking-from-ignorance …
Race to the Top
BackgroundPerformance-based financing (PBF) has demonstrated a range of successes and failures in improving health outcomes across low- and middle-income countries. Evidence indicates that the success of PBF depends, in large part, on the model selected, in relation to a variety of contextual factors.ObjectivePartners In Health∣Inshuti Mu Buzima aimed to evaluate health outcomes associated with a novel capacity-building model of PBF at health cen…
Costs and cost-effectiveness of a mental health intervention for war-affected young persons
BACKGROUND: One billion children live in war-affected regions of the world. We conducted the first cost-effectiveness analysis of an intervention for war-affected youth in sub-Saharan Africa, as well as a broader cost analysis. METHODS: The Youth Readiness Intervention (YRI) is a behavioural treatment for reducing functional impairment associated with psychological distress among war-affected young persons. A randomized controlled trial was condu…
Impact of community-based adherence support on treatment outcomes for tuberculosis, leprosy and HIV/Aids-infected individuals in post-Ebola Liberia
BACKGROUND: Partners In Health (PIH) committed to improving health care delivery in Maryland County, Liberia following the Ebola epidemic by employing 71 community health workers (CHWs) to provide treatment support to tuberculosis (TB), HIV and leprosy patients. PIH simultaneously deployed a socioeconomic assistance program with three core components: transportation reimbursement to clinics; food support; and additional social assistance in selec…
Implementation and clinical effectiveness of a community-based non-communicable disease treatment programme in rural Mexico
Non-communicable diseases (NCDs) account for the five largest contributors to burden of disease in Mexico, with diabetes representing the greatest contributor. However, evidence supporting chronic disease programmes in Mexico is limited, especially in rural communities. Compañeros En Salud (CES) partnered with the Secretariat of Health of Chiapas, Mexico to implement a novel community-based NCD treatment programme. We describe the implementation …
A household-based community health worker programme for non-communicable disease, malnutrition, tuberculosis, HIV and maternal health
BACKGROUND: Community health worker (CHW) programmes are a valuable component of primary care in resource-poor settings. The evidence supporting their effectiveness generally shows improvements in disease-specific outcomes relative to the absence of a CHW programme. In this study, we evaluated expanding an existing HIV and tuberculosis (TB) disease-specific CHW programme into a polyvalent, household-based model that subsequently included non-comm…
Evaluating clinical outcomes of routinely delivered task-shared care for depression in rural Haiti
Our findings support the potential positive impact of scaling up routine mental health services in low- and middle-income countries, despite greater than expected variability in service provision, as well as the importance of understanding potential barriers and facilitators to care as they occur in resource-limited settings
The relationship between quality of housing and quality of life
State Medicaid expansion, coupled with financial incentives from alternative payment models, have fostered an increase in housing programs supported and implemented by hospitals and health systems. Permanent supportive housing (PSH) can improve patients’ health, quality of life (QOL) and wellbeing, and reduce healthcare costs over the long-run. Yet, there is limited research to understand the challenges and opportunities that arise, particularly …
Perceived care coordination among permanent supportive housing participants
Homelessness is a pervasive public health problem in the United States (U.S.). Under the U.S. Affordable Care Act, the nation's public health insurance program (Medicaid) was expanded to serve more individuals, including those experiencing homelessness. Coupled with changes in financial incentives designed to reduce healthcare costs, health plans, hospitals and large health systems have started to operate permanent supportive housing (PSH) progra…
Availability of Outpatient Telemental Health Services in the United States at the Outset of the Covid-19 Pandemic
BACKGROUND: Since coronavirus disease 2019 (COVID-19) has caused dramatic changes in everyday life, a major concern is whether patients have adequate access to mental health care despite shelter-in-place ordinances, school closures, and social distancing practices. OBJECTIVES: The aim was to examine the availability of telehealth services at outpatient mental health treatment facilities in the United States at the outset of the COVID-19 pandemic,…
Improving access to health services through health reform in Lesotho
In 2014 the Kingdom of Lesotho, in conjunction with Partners In Health, launched a National Health Reform with three components: 1) improved supply-side inputs based on disease burden in the catchment area of each of 70 public primary care clinics, 2) decentralization of health managerial capacity to the district level, and 3) demand-side interventions including paid village health workers. We assessed changes in the quarterly average of quality …
Depressive disorder at the household level
Background Globally, an estimated five percent of adults have major depressive disorder. However, little is known about the relationship between these individuals’ depressive symptoms and their household members’ mental health and well-being.Objectives We aimed to investigate the prevalence and predictors of depressive symptoms among adult household members of patients living with major depressive disorder in Neno District, Malawi.Methods As part…
Prevalence and correlates of internalized stigma among adults with HIV and major depressive disorder in rural Malawi
Internalized stigma is common among individuals with sexually transmitted infections such as HIV and among those with mental health conditions such as major depressive disorder (MDD). As part of a cluster randomized trial, we investigated the prevalence and correlates of internalized stigma among adults living with comorbid HIV and MDD in rural Malawi (n = 339). We found heightened stigma toward HIV and mental illness among those in the cohort: m…
Mental Health Service Utilization Rates Among Commercially Insured Adults in the US During the First Year of the Covid-19 Pandemic
In this cohort study of US adults, we found that the COVID-19 pandemic was associated with a rapid increase in telehealth services for mental health conditions, offsetting a sharp decline in in-person care and generating overall higher service utilization rates for several mental health conditions compared with prepandemic levels
Study protocol for type II hybrid implementation-effectiveness trial of strategies for depression care task-sharing in community health stations in Vietnam
NCT04491045 on Clinicaltrials.gov. Registered July 29, 2020
Treatment of Perinatal Depression and Correlates of Treatment Response Among Pregnant Women Living with HIV in Uganda
Both depression treatment modalities yielded high response rates in Ugandan PWLWH; ADT was well-tolerated. Our results highlight a need to build capacity to implement the stepped-care protocol for non-responders and screen for social support and interpersonal violence
Effects of M-DEPTH Model of Depression Care on Maternal HIV Viral Suppression and Adherence to the PMTCT Care Continuum Among HIV-Infected Pregnant Women in Uganda
Perinatal depression has been shown to impede adherence to antiretroviral therapy (ART) and the prevention of mother-to-child transmission (PMTCT) care continuum; therefore, treating perinatal depression may result in increased viral suppression and PMTCT adherence. We examined the effects of the M-DEPTH (Maternal Depression Treatment in HIV) depression care model (including antidepressants and individual Problem Solving Therapy) on depression, m…
National Evaluation of HIV Service Resource Allocation in Tanzania
Using time-driven activity-based costing (TDABC), we examined resource allocation and costs for HIV services throughout Tanzania at patient and facility levels. This national, cross-sectional analysis of 22 health facilities quantified costs and resources associated with 886 patients receiving care for five HIV services: antiretroviral therapy, prevention of mother-to-child transmission, HIV testing and counseling, voluntary medical male circumci…
Trajectories of perinatal depression among women living with HIV in Uganda
Background: Perinatal depression affects one-third of pregnant women living with HIV (WLH). We examined patterns of treatment response to a novel stepped model of depression care among WLH with perinatal depression in Uganda. Methods: As part of the Maternal Depression Treatment in HIV (M-DEPTH) cluster randomised controlled trial, 191 women were enrolled across four antenatal care clinics assigned to provide stepped care including behavioural an…
Availability of Mental Telehealth Services in the US
The findings of this cross-sectional study indicate that there were no differences in the availability of mental telehealth services based on the prospective patient's clinical condition, perceived race or ethnicity, or sex; however, differences were found at the facility-, county-, and state-level. These findings suggest widespread disparities in who has access to which telehealth services throughout the US
Patient perspectives on group problem management plus for adults with major depressive disorder in rural Malawi
BACKGROUND: Major depressive disorder (MDD) frequently co-occurs with other medical conditions. Care integration and task shifting are two frameworks that may strengthen person-centered care among individuals with MDD and comorbid diagnoses, including for adults with limited access to healthcare resources living in rural settings within sub-Saharan Africa. OBJECTIVE: We assessed the acceptability and feasibility of group psychotherapy (Problem Ma…
Cell Phone Bans in a National Sample of US Public School Principals
This cross-sectional study reports the national prevalence of public-school cell phone bans and how they vary by school characteristics
Adoption of Artificial Intelligence in the Health Care Sector
This cross-sectional study examines artificial intelligence use in health care and other industries according to US firms participating in the 2023 to 2025 Business Trends and Outlook Survey
Mapping care pathways
In Uganda, where HIV prevalence remains high, innovative strategies are sought to achieve 95-95-95 targets in combating the epidemic. In 2020, Uganda joined the Activity-Based Costing and Management (ABC/M) Initiative, a multi-country effort to monitor resource allocation and funding for HIV services. As part of this Initiative, data collectors generated process maps, specific to each facility, from the data collected by observing patients as the…
Medicine (22 obras) · Psychiatry (13 obras) · Nursing (12 obras) · Health care (11 obras) · Mental health (10 obras) · Environmental health (8 obras) · Family medicine (8 obras) · Public health (8 obras) · Economic growth (6 obras) · Psychology (6 obras)