Alain H Litwin
Datos Biográficos
| ID | 6063201 |
|---|---|
| NOMBRE | Alain H Litwin |
| NOMBRES | Alain H |
| APELLIDO | Litwin |
| FIRMA | LITWIN A H |
| AFILIACIONES | Prisma Health |
| ORCID | 0000-0002-6717-0288 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 29 |
| TOTAL DE CITAS | 2 |
| TOTAL COMO AUTOR | 29 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2012 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 1 |
Impact of Social Drivers of Health, Self-Efficacy, and Substance Use on Covid-19 Preventative Behaviors Among Persons Who Inject Drugs with Hepatitis C
Greater SDoH difficulties and lower self-efficacy were associated with greater inability to practice COVID-19 personal protective behaviors. Interventions to meet SDoH-related challenges and increase self-efficacy could help encourage practice of personal protective behaviors and economically reduce disease burden during health crises
Development, Validity, and Acceptability of the Peer Recovery Coach (PRC) Service Checklist for Medication for Opioid Use Disorder (Moud) Support
Objectives Peer recovery support services (PRSS) may enhance medication initiation and treatment outcomes for individuals with Opioid Use Disorder (OUD). However, variability in operationalizing these services complicates systematic evaluation of PRSS interventions. Moreover, patient needs and service availability may vary in rural and urban regions. This study sought to develop a tool to guide peer recovery coaches (PRCs) in supporting treatment…
Predicting mobile health clinic utilization for Covid-19 vaccination in South Carolina
Mobile health clinics (MHCs) are effective tools for providing health services to disadvantaged populations, especially during health emergencies. However, patient utilization of MHC services varies substantially. Strategies to increase utilization are needed to maximize the effectiveness of MHC services by serving more patients in need. The purpose of this study is to develop a statistical framework to identify and prioritize high-risk communiti…
Psychological Distress Mediates the Relationship Between HIV-Related Stigma and Prescription Opioid Misuse Among Chinese People Living with HIV
Self-reported and measured adherence to hepatitis C direct-acting antiviral therapy and sustained virologic response among people who inject drugs
Effectiveness of Transitional Care Program among High-Risk Discharged Patients
Transitional care programs (TCPs), where hospital care team members repeatedly follow up with discharged patients, aim to reduce post-discharge hospital or emergency department (ED) utilization and healthcare costs. We examined the effectiveness of TCPs at reducing healthcare costs, hospital readmissions, and ED visits. Centers for Medicare and Medicaid Services Bundled Payments for Care Improvement (BPCI) program adjudicated claims files and ele…
Preliminary Evidence of the Association between Time on Buprenorphine and Cognitive Performance among Individuals with Opioid Use Disorder Maintained on Buprenorphine
People on buprenorphine maintenance treatment (BMT) commonly present cognitive deficits that have been associated with illicit drug use and dropout from buprenorphine treatment. This study has compared cognitive responses to the Stroop Task and the Continuous Performance Task (CPT) among individuals on BMT, with recent drug use, and healthy controls and explored the associations between cognitive responses and drug use, craving, and buprenorphine…
Association between Initial Opioid Prescription and Patient Pain with Continued Opioid Use among Opioid-Naïve Patients Undergoing Elective Surgery in a Large American Health System
There is growing concern about the over-prescription of opioids and the risks of long-term use. This study examined the relationship between initial need (pre-operative, post-operative, and discharge pain) and dosage of opioids in the first prescription after surgery with continued opioid use through opioid refills over 12 months, while considering patient-level characteristics. A total of 9262 opioid-naïve patients underwent elective surgery, 72…
Evolution of the assertive community engagement model for peer recovery coaching informed by the assertive community treatment model
Peer recovery support services for Substance Use Disorder (SUD) are becoming increasingly more prevalent to support individuals in initiating and maintaining recovery. However, models that operationalize service delivery are lacking. Here we describe the Assertive Community Engagement (ACE) model, a new model that emphasizes personalization and peer recovery support with a social determinants of health focus. This article defines the tenets of th…
Recommandations pour la prise en charge de l’infection par le virus de l’hépatite C chez les usagers de drogues par injection
Empfehlungen zur Hepatitis Versorgung bei Drogenkonsumierenden
Recomendaciones para el manejo de la infección por el virus de la hepatitis C entre usuarios de drogas por vía parenteral
HIV And HCV adherence and treatment outcomes among people who inject drugs receiving opioid agonist therapy
Among people who inject drugs (PWID), 60% have HCV and 50–90% of HIV-infected PWID are co-infected with HCV. Data comparing adherence to direct-acting antiviral (DAA) therapy among HCV mono-infected and HIV/HCV co-infected PWID is limited. The impact of HCV treatment initiation on HIV antiretroviral therapy (ART) adherence is also poorly understood. We assessed DAA adherence in HCV mono-infected and HIV/HCV co-infected PWID and examined changes i…
HIV Preexposure Prophylaxis Care Continuum Among Individuals Receiving Medication for Opioid Use Disorder, South Carolina, 2020–2021
We implemented the HIV preexposure prophylaxis (PrEP) care continuum among individuals receiving medication for opioid use disorder (MOUD). We screened HIV-negative MOUD participants for PrEP eligibility by assessing injection drug use risk factors and sexual behaviors. Implementation of the PrEP care continuum was challenging; less than a third of MOUD participants were aware of PrEP, and very few initiated PrEP. Findings should promote the deve…
Community Attitudes Toward Opioid Use Disorder and Medication for Opioid Use Disorder in a Rural Appalachian County
PURPOSE: To evaluate community attitudes concerning opioid use disorder (OUD) and medication for opioid use disorder (MOUD) in a rural community, and to plan educational initiatives to reduce stigma surrounding OUD and treatment. METHODS: Dissemination of a 24-question survey to people living in a rural community followed by comparative analysis of survey results between 2 groups classified by recognition of OUD as a real illness. FINDINGS: Three…
High HCV cure rates among people who inject drugs and have suboptimal adherence
Gaps in HCV Knowledge and Risk Behaviors among Young Suburban People Who Inject Drugs
Hepatitis C virus (HCV) among young suburban people who inject drugs (PWID) is a growing epidemic in the United States, yet little is known about the factors contributing to increased exposure. The goal of this study was to explore and assess HCV knowledge and attitudes about treatment and identify risk behaviors among a cohort of young suburban PWID. Methods: We conducted interviews with New Jersey (NJ) service providers and staff from the state…
Evaluation of contingency management as a strategy to improve HCV linkage to care and treatment in persons attending needle and syringe programs
Perceptions and self-reported competency related to testing, management and treatment of hepatitis C virus infection among physicians prescribing opioid agonist treatment
Adherence to sofosbuvir and velpatasvir among people with chronic HCV infection and recent injection drug use
Drug Purchasing Strategies to Treat People With Hepatitis C in the Criminal Justice System
"Drug Purchasing Strategies to Treat People With Hepatitis C in the Criminal Justice System." , 108(5), pp. 607–608
High HCV cure rates for people who use drugs treated with direct acting antiviral therapy at an urban primary care clinic
Research priorities to achieve universal access to hepatitis C prevention, management and direct-acting antiviral treatment among people who inject drugs
Recommendations for the management of hepatitis C virus infection among people who inject drugs
Successful treatment of chronic hepatitis C with triple therapy in an opioid agonist treatment program
HIV Preexposure Prophylaxis Care Continuum Among Individuals Receiving Medication for Opioid Use Disorder, South Carolina, 2020–2021
We implemented the HIV preexposure prophylaxis (PrEP) care continuum among individuals receiving medication for opioid use disorder (MOUD). We screened HIV-negative MOUD participants for PrEP eligibility by assessing injection drug use risk factors and sexual behaviors. Implementation of the PrEP care continuum was challenging; less than a third of MOUD participants were aware of PrEP, and very few initiated PrEP. Findings should promote the deve…
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…
Impact of adherence counseling dose on antiretroviral adherence and HIV viral load among HIV-infected methadone maintained drug users
Adherence counseling can improve antiretroviral adherence and related health outcomes in HIV-infected individuals. However, little is known about how much counseling is necessary to achieve clinically significant effects. We investigated antiretroviral adherence and HIV viral load relative to the number of hours of adherence counseling received by 60 HIV-infected drug users participating in a trial of directly observed antiretroviral therapy deli…
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…
“Damaging what wasn't damaged already”
Active drug use among HIV-infected persons is associated with poor adherence to highly active antiretroviral therapy (HAART) and suboptimal treatment outcomes. To understand adherence experiences among HIV-infected drug users, we conducted semistructured interviews with 15 participants in a randomized controlled trial evaluating the efficacy of directly observed HAART delivered in methadone maintenance clinics. Interviews were recorded, transcrib…
Recommendations for the management of hepatitis C virus infection among people who inject drugs
Successful treatment of chronic hepatitis C with triple therapy in an opioid agonist treatment program
Evidence-based interventions to enhance assessment, treatment, and adherence in the chronic Hepatitis C care continuum
High HCV cure rates for people who use drugs treated with direct acting antiviral therapy at an urban primary care clinic
Research priorities to achieve universal access to hepatitis C prevention, management and direct-acting antiviral treatment among people who inject drugs
Adherence to sofosbuvir and velpatasvir among people with chronic HCV infection and recent injection drug use
Drug Purchasing Strategies to Treat People With Hepatitis C in the Criminal Justice System
"Drug Purchasing Strategies to Treat People With Hepatitis C in the Criminal Justice System." , 108(5), pp. 607–608
Gaps in HCV Knowledge and Risk Behaviors among Young Suburban People Who Inject Drugs
Hepatitis C virus (HCV) among young suburban people who inject drugs (PWID) is a growing epidemic in the United States, yet little is known about the factors contributing to increased exposure. The goal of this study was to explore and assess HCV knowledge and attitudes about treatment and identify risk behaviors among a cohort of young suburban PWID. Methods: We conducted interviews with New Jersey (NJ) service providers and staff from the state…
Evaluation of contingency management as a strategy to improve HCV linkage to care and treatment in persons attending needle and syringe programs
Perceptions and self-reported competency related to testing, management and treatment of hepatitis C virus infection among physicians prescribing opioid agonist treatment
Community Attitudes Toward Opioid Use Disorder and Medication for Opioid Use Disorder in a Rural Appalachian County
PURPOSE: To evaluate community attitudes concerning opioid use disorder (OUD) and medication for opioid use disorder (MOUD) in a rural community, and to plan educational initiatives to reduce stigma surrounding OUD and treatment. METHODS: Dissemination of a 24-question survey to people living in a rural community followed by comparative analysis of survey results between 2 groups classified by recognition of OUD as a real illness. FINDINGS: Three…
High HCV cure rates among people who inject drugs and have suboptimal adherence
HIV And HCV adherence and treatment outcomes among people who inject drugs receiving opioid agonist therapy
Among people who inject drugs (PWID), 60% have HCV and 50–90% of HIV-infected PWID are co-infected with HCV. Data comparing adherence to direct-acting antiviral (DAA) therapy among HCV mono-infected and HIV/HCV co-infected PWID is limited. The impact of HCV treatment initiation on HIV antiretroviral therapy (ART) adherence is also poorly understood. We assessed DAA adherence in HCV mono-infected and HIV/HCV co-infected PWID and examined changes i…
HIV Preexposure Prophylaxis Care Continuum Among Individuals Receiving Medication for Opioid Use Disorder, South Carolina, 2020–2021
We implemented the HIV preexposure prophylaxis (PrEP) care continuum among individuals receiving medication for opioid use disorder (MOUD). We screened HIV-negative MOUD participants for PrEP eligibility by assessing injection drug use risk factors and sexual behaviors. Implementation of the PrEP care continuum was challenging; less than a third of MOUD participants were aware of PrEP, and very few initiated PrEP. Findings should promote the deve…
Effectiveness of Transitional Care Program among High-Risk Discharged Patients
Transitional care programs (TCPs), where hospital care team members repeatedly follow up with discharged patients, aim to reduce post-discharge hospital or emergency department (ED) utilization and healthcare costs. We examined the effectiveness of TCPs at reducing healthcare costs, hospital readmissions, and ED visits. Centers for Medicare and Medicaid Services Bundled Payments for Care Improvement (BPCI) program adjudicated claims files and ele…
Preliminary Evidence of the Association between Time on Buprenorphine and Cognitive Performance among Individuals with Opioid Use Disorder Maintained on Buprenorphine
People on buprenorphine maintenance treatment (BMT) commonly present cognitive deficits that have been associated with illicit drug use and dropout from buprenorphine treatment. This study has compared cognitive responses to the Stroop Task and the Continuous Performance Task (CPT) among individuals on BMT, with recent drug use, and healthy controls and explored the associations between cognitive responses and drug use, craving, and buprenorphine…
Association between Initial Opioid Prescription and Patient Pain with Continued Opioid Use among Opioid-Naïve Patients Undergoing Elective Surgery in a Large American Health System
There is growing concern about the over-prescription of opioids and the risks of long-term use. This study examined the relationship between initial need (pre-operative, post-operative, and discharge pain) and dosage of opioids in the first prescription after surgery with continued opioid use through opioid refills over 12 months, while considering patient-level characteristics. A total of 9262 opioid-naïve patients underwent elective surgery, 72…
Evolution of the assertive community engagement model for peer recovery coaching informed by the assertive community treatment model
Peer recovery support services for Substance Use Disorder (SUD) are becoming increasingly more prevalent to support individuals in initiating and maintaining recovery. However, models that operationalize service delivery are lacking. Here we describe the Assertive Community Engagement (ACE) model, a new model that emphasizes personalization and peer recovery support with a social determinants of health focus. This article defines the tenets of th…
Recommandations pour la prise en charge de l’infection par le virus de l’hépatite C chez les usagers de drogues par injection
Empfehlungen zur Hepatitis Versorgung bei Drogenkonsumierenden
Recomendaciones para el manejo de la infección por el virus de la hepatitis C entre usuarios de drogas por vía parenteral
Psychological Distress Mediates the Relationship Between HIV-Related Stigma and Prescription Opioid Misuse Among Chinese People Living with HIV
Medicine (28 obras) · Hepatitis C virus research (17 obras) · Internal Medicine (15 obras) · Psychiatry (13 obras) · HIV, Drug Use, Sexual Risk (12 obras) · Hepatitis C (11 obras) · Family medicine (10 obras) · Immunology (10 obras) · Hepatitis C virus (9 obras) · Virus (9 obras)