Gery W Ryan
Biographic Data
| ID | 659933 |
|---|---|
| NAME | Gery W Ryan |
| GIVEN NAMES | Gery W |
| FAMILY NAME | Ryan |
| SIGNATURE | RYAN G W |
| AFFILIATIONS | RAND Corporation |
| ORCID | 0000-0002-9256-9469 |
| VERIFIED | Yes |
| TOTAL WORKS | 49 |
| TOTAL CITATIONS | 1024 |
| AUTHOR COUNT | 49 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1991 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 9 |
Frontline perspectives on barriers to care for patients with California Medicaid: A qualitative study
Our findings highlight gaps in system-level policy, inconsistencies in pursuing insurance authorizations, limited resources for scheduling and social work support, and poor dissemination of information to and between providers and patients, which limit access to care at an academic medical center for Medi-Cal insured patients. Many interviewees additionally shared the moral injury that they experienced as they witnessed patient care delays in the…
Moving upstream: Healthcare partnerships addressing social determinants of health through community wealth building
Assessing healthcare partnerships with community wealth building organizations yields key strategies healthcare organizations can use to develop more effective partnerships to address the upstream causes of poor health
Stressors and Silver Linings during Covid-19: Implications for Supporting Families with Young Children in a Post-Pandemic World
Evaluation of the early-stage entrepreneurship activity in the United States during the Covid-19 pandemic
This paper examines the effects of the COVID-19 pandemic (measured by total cases and deaths per 100K people) on the early-stage entrepreneurship activity (measured by the Kauffman Early-Stage Entrepreneurship indicators) in the United States. The empirical analyses are based on the panel dataset of 51 States between 2020 and 2021. The findings show that the COVID-19 pandemic negatively affects early-stage entrepreneurship activity. Further analy…
Associations of Self-Reported Sleep Quality with Demographic and Other Characteristics in Older Korean Immigrants
Beyond housing: Understanding community integration among homeless‐experienced veteran families in the United States
Community integration is important to address among homeless-experienced individuals. Little is known about helping veteran families (families with a parent who is a veteran) integrate into the community after homelessness. We sought to understand the experiences of community integration among homeless-experienced veteran families. We used a two-stage, community-partnered approach. First, we analysed 16 interviews with homeless-experienced vetera…
Using a “Positive Deviance” Framework to Discover Adaptive Risk Reduction Behaviors Among High-Risk HIV Negative Black Men Who Have Sex with Men
Risk evaluations and condom use decisions of homeless youth: A multi-level qualitative investigation
Interventions targeting homeless youth should reflect multiple levels of risk behavior and evaluation in order to address the diversity of risk profiles. Relationship/partner-, event-, and individual-level factors are all important but have different levels of importance for different homeless youth. Interventions should be tailored to address the most important factor contributing to homeless youth reproductive needs
Improving Health Care for the Future Uninsured in Los Angeles County: A Community Partnered Dialogue
Improving health care for the residually uninsured after ACA implementation will require addressing dissatisfaction in safety-net providers, disseminating knowledge and providing health care through trusted nontraditional sources, and using effective and trusted partnerships between community and health care agencies with mutual respect. Community-academic partnerships can be a trusted conduit to discuss issues related to the health care of vulne…
Incarcerated Youths’ Perspectives on Protective Factors and Risk Factors for Juvenile Offending: A Qualitative Analysis
Objectives. We sought to understand incarcerated youths’ perspectives on the role of protective factors and risk factors for juvenile offending. Methods. We performed an in-depth qualitative analysis of interviews (conducted October–December 2013) with 20 incarcerated youths detained in the largest juvenile hall in Los Angeles. Results. The adolescent participants described their homes, schools, and neighborhoods as chaotic and unsafe. They expre…
Strategies for Obtaining Probability Samples of Homeless Youth
Studies of homeless individuals typically sample subjects from few types of sites or regions within a metropolitan area. This article focuses on the biases that can result from such a practice. We obtained a probability sample of 419 homeless youth from 41 sites (shelters, drop-in centers, and streets) in four regions of Los Angeles County (LAC). We found that restricting the frame to only certain types of sites or geographic regions biased the s…
To use or not to use: A stage-based approach to understanding condom use among homeless youth
This study used a stage-based approach to understand condom use behavior in a representative sample of 309 sexually active homeless youth recruited from shelters, drop-in centers, and street sites in Los Angeles County. Focusing on the youth's most recent sexual event, the three stages of condom use examined were: (1) whether the partners decided prior to the event about using condoms; (2) whether a condom was available at the event; and (3) whet…
Understanding Condom Use Decision Making Among Homeless Youth Using Event-Level Data
This is one of the first qualitative event-based studies to understand the various mechanisms through which multiple factors influence condom use decision making among homeless youth. Event-level interviews that explore characteristics of the environment surrounding sexual events were conducted with 29 youth who were asked to describe two recent sexual encounters. In thematic analyses of data across events, reasons that youth gave for engaging in…
Measuring Agreement between Egos and Alters: Understanding Informant Accuracy in Personal Network Studies
In personal network studies, respondents (egos) are asked to report information about members of their personal network (alters); egos respond based on their perceptions. Previous studies of informant accuracy present a varied picture: Some find egos' reporting on their relationships with alters to be accurate; others do not. In our study of people living with HIV/AIDS in Uganda, egos were asked to invite up to four alters named during their inte…
From well-being to positive mental health: Conceptualization and qualitative development of an instrument in Singapore
Provider Barriers and Facilitators to Screening for Intimate Partner Violence in Bogotá, Colombia
We conducted interviews with 27 health care personnel in Bogotá, Colombia, to examine provider barriers and facilitators to screening for intimate partner violence (IPV). We used systematic qualitative analysis to identify the range and consistency of beliefs. We found that respondents did not routinely screen for IPV. Providers listed numerous barriers to screening. Ways to improve screening included increased clinician training, installing syst…
A qualitative exploration of the impact of HIV and ART on social disruption and household continuity in Uganda
With increased uptake of antiretroviral therapy (ART) throughout sub-Saharan Africa, it is critical to have a better understanding of the impact of ART on all health dimensions since the treatment can have the expected benefits as well as unintended negative consequences. We conducted semi-structured interviews with 24 adult HIV clients (19 women and 5 men) in Uganda who had been on ART for at least six months. A grounded approach and content ana…
An exploratory study of HIV-prevention advocacy by persons in HIV care in Uganda
To explore how people living with HIV (PLHIV) and in care encourage others to adopt HIV-protective behaviours, we conducted in-depth interviews with a purposive sample of 40 HIV clinic patients in Kampala, Uganda. Content analysis was used to examine the message content, trigger events, and outcomes of HIV-prevention advocacy events initiated by the HIV clients with members of their social networks. The content themes included encouraging specifi…
Sex and Relationships on the Street: How Homeless Men Judge Partner Risk on Skid Row
Substance Use and Other Risk Factors for Unprotected Sex: Results from an Event-Based Study of Homeless Youth
Increased Substance Use and Risky Sexual Behavior Among Migratory Homeless Youth: Exploring the Role of Social Network Composition
Factors Associated with Condom Use Among HIV Clients in Stable Relationships with Partners at Varying Risk for HIV in Uganda
Parents’ Disclosure of Their HIV Infection to Their Children in the Context of the Family
We interviewed 33 HIV-infected parents from the HIV Cost and Services Utilization Study (HCSUS), 27 of their minor children, 19 adult children, and 15 caregivers about the process of children learning that their parents were HIV positive. We summarize the retrospective descriptions of parents' disclosure of their HIV status to their children, from the perspective of multiple family members. We analyzed transcripts of these interviews with systema…
Social Networks of PLHA in Uganda: Implications for Mobilizing PLHA as Agents for Prevention
Recruiting and Retaining Primary Care Physicians in Urban Underserved Communities: The Importance of Having a Mission to Serve
Objectives. We examined factors influencing physician practice decisions that may increase primary care supply in underserved areas. Methods. We conducted in-depth interviews with 42 primary care physicians from Los Angeles County, California, stratified by race/ethnicity (African American, Latino, and non-Latino White) and practice location (underserved vs nonunderserved area). We reviewed transcriptions and coded them into themes by using stand…
Techniques to Identify Themes
Theme identification is one of the most fundamental tasks in qualitative research. It also is one of the most mysterious. Explicit descriptions of theme discovery are rarely found in articles and reports, and when they are, they are often relegated to appendices or footnotes. Techniques are shared among small groups of social scientists, but sharing is impeded by disciplinary or epistemological boundaries. The techniques described here are drawn …
Successive Free Listing: Using Multiple Free Lists to Generate Explanatory Models
Successive free listing is a data collection technique that links multiple free lists together in a single interview. The technique can be incorporated into naturally occurring conversations and is readily understood by informants. It also generates more information about the similarity between items than do standard free-listing tasks and allows investigators to better describe intracultural variation among informants. Data from Yoder's ethnomed…
Experiences of Social Stigma and Implications For Healthcare Among a Diverse Population of HIV Positive Adults
Sampling to Reduce Respondent Burden in Personal Network Studies and Its Effect on Estimates of Structural Measures
Recently, researchers have been increasingly interested in collecting personal network data. Collecting this type of data is particularly burdensome on the respondents, who need to elicit the names of alters, answer questions about each alter (network composition), and evaluate the strength of possible relationships among the named alters (network structure). In line with the research of McCarty et al., the authors propose reducing respondent bur…
What do sequential behavioral patterns suggest about the medical decision-making process: Modeling home case management of acute illnesses in a rural Cameroonian village
The Teen Photovoice Project: A Pilot Study to Promote Health Through Advocacy
Youth can engage in a process of identifying community-level health influences, leading to health promotion through advocacy. Participants focused their advocacy work on selected issues addressing the types of unhealthy food available in their communities and stress. This process appears to provide meaningful insight into the youths' perspective on what influences their health behaviors
Measuring Agreement between Egos and Alters: Understanding Informant Accuracy in Personal Network Studies
In personal network studies, respondents (egos) are asked to report information about members of their personal network (alters); egos respond based on their perceptions. Previous studies of informant accuracy present a varied picture: Some find egos' reporting on their relationships with alters to be accurate; others do not. In our study of people living with HIV/AIDS in Uganda, egos were asked to invite up to four alters named during their inte…
Increased Substance Use and Risky Sexual Behavior Among Migratory Homeless Youth: Exploring the Role of Social Network Composition
When, Where, Why and with Whom Homeless Women Engage in Risky Sexual Behaviors: A Framework for Understanding Complex and Varied Decision-Making Processes
Variations in provider conceptions of integrative medicine
Incarcerated Youths’ Perspectives on Protective Factors and Risk Factors for Juvenile Offending: A Qualitative Analysis
Objectives. We sought to understand incarcerated youths’ perspectives on the role of protective factors and risk factors for juvenile offending. Methods. We performed an in-depth qualitative analysis of interviews (conducted October–December 2013) with 20 incarcerated youths detained in the largest juvenile hall in Los Angeles. Results. The adolescent participants described their homes, schools, and neighborhoods as chaotic and unsafe. They expre…
Behavior Sampling and Ethnography: Complementary Methods for Understanding Home-School Connections among Latino Immigrant Families
Both ethnography and experience-sampling methods (ESMs) are effective for assessing children's home activities. The authors combined them to examine home activities that were school-like, complementary to school, or unrelated to school. The activities were then related to children's school achievement in a sample of low-income Latino immigrant families and their tento eleven-year-old children at risk for low school achievement. Children reported …
Recruiting and Retaining Primary Care Physicians in Urban Underserved Communities: The Importance of Having a Mission to Serve
Objectives. We examined factors influencing physician practice decisions that may increase primary care supply in underserved areas. Methods. We conducted in-depth interviews with 42 primary care physicians from Los Angeles County, California, stratified by race/ethnicity (African American, Latino, and non-Latino White) and practice location (underserved vs nonunderserved area). We reviewed transcriptions and coded them into themes by using stand…
Using a Word Processor to Tag and Retrieve Blocks of Text
Sophisticated text management software is currently available for doing thematic or code-based analysis, the principal procedural approach to qualitative data analysis. Such packages allow researchers to tag and retrieve contiguous blocks of data, maintain complex codebooks, manage large corpora of data, and display search results in interesting ways. For simple projects, however, with a few themes and a small number of texts, a complex program t…
Fear and Loathing at the Cineplex: Gender Differences in Descriptions and Perceptions of Slasher Films
Pathways to Health Risk Exposure in Adult Film Performers
Experiencing Interpersonal Violence: Perspectives of Sexually Active, Substance-Using Women Living in Shelters and Low-Income Housing
As part of a larger study, the authors investigated experiences of recent violence among sexually active, substance-using women. Structured interviews were conducted with 172 women living in shelters and low-income housing, 41 of whom also completed an in-depth interview on their worst violent episode. Structured interviews indicated that rape and self-blame were more common among sheltered women. In-depth interviews suggested that sheltered wome…
Strategies for Obtaining Probability Samples of Homeless Youth
Studies of homeless individuals typically sample subjects from few types of sites or regions within a metropolitan area. This article focuses on the biases that can result from such a practice. We obtained a probability sample of 419 homeless youth from 41 sites (shelters, drop-in centers, and streets) in four regions of Los Angeles County (LAC). We found that restricting the frame to only certain types of sites or geographic regions biased the s…
Analyzing Words in Brief Descriptions: Fathers and Mothers Describe Their Children
Using WordPerfect Macros to Handle Fieldnotes I: Coding
Understanding Condom Use Decision Making Among Homeless Youth Using Event-Level Data
This is one of the first qualitative event-based studies to understand the various mechanisms through which multiple factors influence condom use decision making among homeless youth. Event-level interviews that explore characteristics of the environment surrounding sexual events were conducted with 29 youth who were asked to describe two recent sexual encounters. In thematic analyses of data across events, reasons that youth gave for engaging in…
Can Expert Systems Really Help Us Model Decisions in the Field: Testing Artificial Intelligence on Infantile Diarrhea Management
Using WordPerfect Macros to Handle Fieldnotes I: Coding
Can We Predict What Mothers Do? Modeling Childhood Diarrhea in Rural Mexico
UNICEF estimated in 1993 that diarrhea caused approximately 3 million child deaths in 1990. Other children who do not die from diarrhea-related illness may nonetheless suffer retardation of physical growth. A decision-making model was built to predict how Mexican women in Solis Valley treat childhood diarrhea. Diarrhea and poor nutrition are significant factors leading to childrens low weight and height in the valley. The model was constructed ba…
Analyzing Words in Brief Descriptions: Fathers and Mothers Describe Their Children
What do sequential behavioral patterns suggest about the medical decision-making process: Modeling home case management of acute illnesses in a rural Cameroonian village
Measuring the Typicality of Text: Using Multiple Coders for More Than Just Reliability and Validity Checks
Social scientists often use agreement among multiple coders to check the reliability and of the analytic process. High degrees of intercoder agreement indicate that multiple coders are applying the codes in the same manner and are thus acting as reliable measurement instruments. Coders who independently mark the same text for a theme provide evidence that a theme has external validity and is not just a figment of the investigator's imagination. I…
Fear and Loathing at the Cineplex: Gender Differences in Descriptions and Perceptions of Slasher Films
Successive Free Listing: Using Multiple Free Lists to Generate Explanatory Models
Successive free listing is a data collection technique that links multiple free lists together in a single interview. The technique can be incorporated into naturally occurring conversations and is readily understood by informants. It also generates more information about the similarity between items than do standard free-listing tasks and allows investigators to better describe intracultural variation among informants. Data from Yoder's ethnomed…
Behavior Sampling and Ethnography: Complementary Methods for Understanding Home-School Connections among Latino Immigrant Families
Both ethnography and experience-sampling methods (ESMs) are effective for assessing children's home activities. The authors combined them to examine home activities that were school-like, complementary to school, or unrelated to school. The activities were then related to children's school achievement in a sample of low-income Latino immigrant families and their tento eleven-year-old children at risk for low school achievement. Children reported …
Techniques to Identify Themes
Theme identification is one of the most fundamental tasks in qualitative research. It also is one of the most mysterious. Explicit descriptions of theme discovery are rarely found in articles and reports, and when they are, they are often relegated to appendices or footnotes. Techniques are shared among small groups of social scientists, but sharing is impeded by disciplinary or epistemological boundaries. The techniques described here are drawn …
Using a Word Processor to Tag and Retrieve Blocks of Text
Sophisticated text management software is currently available for doing thematic or code-based analysis, the principal procedural approach to qualitative data analysis. Such packages allow researchers to tag and retrieve contiguous blocks of data, maintain complex codebooks, manage large corpora of data, and display search results in interesting ways. For simple projects, however, with a few themes and a small number of texts, a complex program t…
Worksite-Based Parenting Programs to Promote Healthy Adolescent Sexual Development: A Qualitative Study Of Feasibility and Potential Content
Experiencing Interpersonal Violence: Perspectives of Sexually Active, Substance-Using Women Living in Shelters and Low-Income Housing
As part of a larger study, the authors investigated experiences of recent violence among sexually active, substance-using women. Structured interviews were conducted with 172 women living in shelters and low-income housing, 41 of whom also completed an in-depth interview on their worst violent episode. Structured interviews indicated that rape and self-blame were more common among sheltered women. In-depth interviews suggested that sheltered wome…
Testing an Ethnographic Decision Tree Model on a National Sample: Recycling Beverage Cans
We report here on an ethnographic model of a decision that Americans make regularly: to recycle beverage cans or not. The model was derived from 21 ethnographic interviews and 70 structured interviews in Florida and North Dakota. Ethnographic decision models are not new, but we show here that these models can be tested for both internal and external validity. We test internal validity by comparing the model's predictions systematically to what pe…
Variations in provider conceptions of integrative medicine
HIV-Related Stigma among People with HIV and their Families: A Qualitative Analysis
The Teen Photovoice Project: A Pilot Study to Promote Health Through Advocacy
Youth can engage in a process of identifying community-level health influences, leading to health promotion through advocacy. Participants focused their advocacy work on selected issues addressing the types of unhealthy food available in their communities and stress. This process appears to provide meaningful insight into the youths' perspective on what influences their health behaviors
Experiences of Social Stigma and Implications For Healthcare Among a Diverse Population of HIV Positive Adults
Pathways to Health Risk Exposure in Adult Film Performers
Trials and tribulations on the road to implementing integrative medicine in a hospital setting
In this paper, results are reported from a five year qualitative study involving a stakeholder analysis of a hospital-based centre for integrative medicine. The objective of the study was to identify the barriers and the facilitators for creating integrative medicine in this setting. The study documented the timeline of the Centre from its very hopeful beginning to its demise. The paper focuses on the administrative implementation process, examin…
Homeless Women’s Personal Networks: Implications for Understanding Risk Behavior
The goal of this exploratory study was to examine the composition of homeless women's personal networks in order to better understand the social context of risk behavior in this vulnerable population. Twenty-eight homeless women residing in temporary shelters in Los Angeles County provided detailed information about their extended personal networks. Women named 25 people with whom they had contact during the past year, and then were asked a serie…
Unprotected Sex of Homeless Women Living in Los Angeles County: An Investigation of the Multiple Levels of Risk
When, Where, Why and with Whom Homeless Women Engage in Risky Sexual Behaviors: A Framework for Understanding Complex and Varied Decision-Making Processes
Factors Associated with Condom Use Among HIV Clients in Stable Relationships with Partners at Varying Risk for HIV in Uganda
Parents’ Disclosure of Their HIV Infection to Their Children in the Context of the Family
We interviewed 33 HIV-infected parents from the HIV Cost and Services Utilization Study (HCSUS), 27 of their minor children, 19 adult children, and 15 caregivers about the process of children learning that their parents were HIV positive. We summarize the retrospective descriptions of parents' disclosure of their HIV status to their children, from the perspective of multiple family members. We analyzed transcripts of these interviews with systema…
Psychology (37 works) · Medicine (32 works) · Sociology (22 works) · Social Psychology (19 works) · Family medicine (17 works) · Public health (16 works) · Social Psychology (16 works) · Environmental health (15 works) · Adolescent Sexual and Reproductive Health (14 works) · Nursing (14 works)