Geoffrey M Curran
Dados Biográficos
| ID | 162186 |
|---|---|
| NOME | Geoffrey M Curran |
| PRENOMES | Geoffrey M |
| SOBRENOME | Curran |
| ASSINATURA | CURRAN G M |
| AFILIAÇÕES | University of Arkansas for Medical Sciences |
| ORCID | 0000-0003-3464-8422 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 25 |
| TOTAL DE CITAÇÕES | 14 |
| TOTAL COMO AUTOR | 25 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1996 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 2 |
Transitioning between institutions
Social epidemiological mediators of rural and urban differences in perceived need for cocaine use treatment
< .05) mediators were as follows: ASI employment scores (-0.114), ASI legal scores (0.146), perceived treatment effectiveness (0.294), and PHQ-9 scores (0.113). To further reduce rural and urban disparities in perceived need for treatment, policymakers, treatment managers, and providers might consider programs that address cocaine users' underlying social epidemiological differences
Rural community pharmacists’ perceptions of implementing mental health interventions to reach underserved populations
Mental illness and suicide are significant public health problems. Limited resources put individuals at greater risk, particularly in rural areas with fewer health providers. Community pharmacists are the most accessible health professionals in rural communities and are interested in addressing mental health concerns. Research is limited on how to implement mental health interventions in community pharmacy settings. The objectives of this study w…
Substance Use Disorder Treatment Programs during a Health Crisis
Background: The COVID-19 pandemic rapidly changed how substance use disorder (SUD) treatment services are delivered. In this qualitative study, we examined what changes SUD treatment programs in Arkansas implemented in response to the pandemic, what factors influenced their ability to implement these changes, and their reflections, outlook, and future recommendations. Methods: Between May and August 2020, we conducted semi-structured phone interv…
Facilitators and barriers to providing affirming care for transgender patients in primary care practices in Arkansas
PURPOSE: This study assessed factors affecting the provision of affirming-care best practices (ACBPs) for transgender individuals by primary care providers (PCPs) in a rural, southern state METHODS: We conducted a sequential explanatory mixed-methods study in 2020, including a statewide survey (phase 1) and interviews (phase 2). Surveyed PCPs (phase 1) included Medical Doctors/Doctors of Osteopathy (MDs/DOs), nurse practitioners, and 1 physician …
Reaching late adopters
The following strategies may improve vaccine-related attitudes and behaviors of Marshallese and Hispanic communities not only for the COVID-19 vaccine but also for other preventive vaccinations: 1) interpersonal-level - develop culturally-focused vaccine campaigns targeting the family units, 2) community-level - host vaccination events at convenient and/or trusted locations, such as FBOs, and engage community and/or FBO formal or lay leaders as v…
A participant-randomized pilot hybrid II trial of group cognitive processing therapy for incarcerated persons with posttraumatic stress and substance use disorder symptoms
Older Adults’ Perceptions and Recommendations Regarding a Falls Prevention Self-Management Plan Template Based on the Health Belief Model
Falls are the leading cause of fatal and non-fatal injuries among older adults. Self-management plans have been used in different contexts to promote healthy behaviors, but older adults' perceptions of a falls prevention self-management plan template have not been investigated. Using mixed methods, we investigated older adults' perceptions and recommendations of a falls prevention self-management plan template aligned with the Health Belief Model…
Covid‐19 vaccine hesitancy
Understanding and minimizing coronavirus disease 2019 (COVID‐19) vaccine hesitancy is critical to population health and minimizing health inequities, which continue to be brought into stark relief by the pandemic. We investigate questions regarding vaccine hesitancy in a sample ( n = 1205) of Arkansas adults surveyed online in July/August of 2020. We examine relationships among sociodemographics, COVID‐19 health literacy, fear of COVID‐19 infecti…
Making change happen in criminal justice settings
HIV patient and provider feedback on a telehealth collaborative care for depression intervention
In the HIV Translating Initiatives for Depression into Effective Solutions project, we conducted a randomized controlled effectiveness and implementation trial comparing depression collaborative care with enhanced usual care in Veterans Health Administration HIV clinics in the US. An offsite HIV depression care team including a psychiatrist, a depression care manager (DCM), and a clinical pharmacist provided collaborative care using a stepped-car…
Situating mental health work in place
Harnessing Implementation Science to Increase the Impact of Health Equity Research
BACKGROUND: Health disparities are differences in health or health care between groups based on social, economic, and/or environmental disadvantage. Disparity research often follows 3 steps: detecting (phase 1), understanding (phase 2), and reducing (phase 3), disparities. Although disparities have narrowed over time, many remain. OBJECTIVES: We argue that implementation science could enhance disparities research by broadening the scope of phase …
Overcoming Barriers to Sustained Engagement in Mental Health Care
PURPOSE: To better understand the attitudes, beliefs, and values that influence use of mental health care among rural veterans. METHODS: In-depth, semistructured interviews were conducted with 25 rural veterans and 11 rural mental health care providers in 4 states. Experienced qualitative interviewers asked participants about the attitudinal factors they thought most influenced rural veterans' decisions to seek and sustain mental health care. Ver…
Acceptability of HIV Testing Sites Among Rural and Urban African Americans Who Use Cocaine
Rural/Urban Residence, Access, and Perceived Need for Treatment Among African American Cocaine Users
OBJECTIVE: To examine how rural/urban residence, perceived access, and other factors impede or facilitate perceived need for drug use treatment, a concept closely linked to treatment utilization. STUDY DESIGN: Two hundred rural and 200 urban African American cocaine users who were not receiving treatment were recruited via Respondent-Driven Sampling and completed a structured in-person interview. Bivariate and multivariate analyses were conducted…
Impact of Economic Constraints on Public Health Delivery Systems Structures
Objectives. We estimated the effect of economic constraints on public health delivery systems (PHDS) density and centrality during 3 time periods, 1998, 2006, and 2012. Methods. We obtained data from the 1998, 2006, and 2012 National Longitudinal Study of Public Health Agencies; the 1993, 1997, 2005, and 2010 National Association for County and City Health Officials Profile Study; and the 1997, 2008, and 2011 Area Resource Files. We used multivar…
A Qualitative Analysis of Provider Barriers and Solutions to HIV Testing for Substance Users in a Small, Largely Rural Southern State
PURPOSE: Integrating HIV testing programs into substance use treatment is a promising avenue to help increase access to HIV testing for rural drug users. Yet few outpatient substance abuse treatment facilities in the United States provide HIV testing. The purpose of this study was to identify barriers to incorporating HIV testing with substance use treatment from the perspectives of treatment and testing providers in Arkansas. METHODS: We used pu…
The Intersections of Gender and Power in Women Veterans' Experiences of Substance Use and Va Care
In this article, we show that the Veterans Health Administration (VA), similar to military organizations, is a gendered organization where women Veterans' experiences are embedded in and shaped by gender inequalities and structures of power. Based on an in-depth analysis of women Veterans' substance use histories and VA treatment seeking experiences, we illustrate how gender power dynamics are (re)produced and maintained through everyday social i…
Partnership for Implementation of Evidence-Based Mental Health Practices in Rural Federally Qualified Health Centers
By integrating these frameworks into a meaningful conceptual model, we hope to develop a successful implementation partnership between an academic health center and small rural CHCs to improve mental health outcomes. Findings from this implementation partnership should have relevance to hundreds of clinics and millions of patients, and could help promote the sustained adoption of EBPs across rural America
Effectiveness-implementation Hybrid Designs
OBJECTIVES: This study proposes methods for blending design components of clinical effectiveness and implementation research. Such blending can provide benefits over pursuing these lines of research independently; for example, more rapid translational gains, more effective implementation strategies, and more useful information for decision makers. This study proposes a "hybrid effectiveness-implementation" typology, describes a rationale for thei…
Development and implementation of collaborative care for depression in HIV clinics
We sought to develop and implement collaborative depression care in human immunodeficiency virus (HIV) clinics in a project called HIV Translating Initiatives for Depression into Effective Solutions (HITIDES). Here we describe: (i) the formative evaluation (FE) conducted prior to implementation; (ii) the process used to adapt the primary care collaborative care model for depression to specialty HIV clinics; and (iii) the intervention itself. The …
Depressive Disorders and Alcohol Dependence in a Community Population
Quality Enhancement Research Initiative in Mental Health
The Veterans Administration (VA) recently introduced its Quality Enhancement Research Initiative (QUERI) to facilitate the translation of best practices into usual clinical care. The Mental Health QUERI (MHQ) was charged with developing strategic plans for major depressive disorder (MDD) and schizophrenia. Twenty percent or more of VA service users are affected by 1 of these 2 disorders, disorders that often have a devastating impact on affected …
From 'Swinging Hard' to 'Rocking Out
This article takes a social constructionist approach to the study of a seldom considered subculture-the 'world' of drumming. I describe this subculture from both the 'etic' and 'emic' perspectives, showing how drummers and drumming are perceived and experienced by the musicians themselves (insiders) as well as the 'outside' public. The main focus is on the drummers' intersubjective 'mental maps' of their world, specifically exploring how they cre…
From 'Swinging Hard' to 'Rocking Out
This article takes a social constructionist approach to the study of a seldom considered subculture-the 'world' of drumming. I describe this subculture from both the 'etic' and 'emic' perspectives, showing how drummers and drumming are perceived and experienced by the musicians themselves (insiders) as well as the 'outside' public. The main focus is on the drummers' intersubjective 'mental maps' of their world, specifically exploring how they cre…
The Intersections of Gender and Power in Women Veterans' Experiences of Substance Use and Va Care
In this article, we show that the Veterans Health Administration (VA), similar to military organizations, is a gendered organization where women Veterans' experiences are embedded in and shaped by gender inequalities and structures of power. Based on an in-depth analysis of women Veterans' substance use histories and VA treatment seeking experiences, we illustrate how gender power dynamics are (re)produced and maintained through everyday social i…
Partnership for Implementation of Evidence-Based Mental Health Practices in Rural Federally Qualified Health Centers
By integrating these frameworks into a meaningful conceptual model, we hope to develop a successful implementation partnership between an academic health center and small rural CHCs to improve mental health outcomes. Findings from this implementation partnership should have relevance to hundreds of clinics and millions of patients, and could help promote the sustained adoption of EBPs across rural America
Situating mental health work in place
From 'Swinging Hard' to 'Rocking Out
This article takes a social constructionist approach to the study of a seldom considered subculture-the 'world' of drumming. I describe this subculture from both the 'etic' and 'emic' perspectives, showing how drummers and drumming are perceived and experienced by the musicians themselves (insiders) as well as the 'outside' public. The main focus is on the drummers' intersubjective 'mental maps' of their world, specifically exploring how they cre…
Quality Enhancement Research Initiative in Mental Health
The Veterans Administration (VA) recently introduced its Quality Enhancement Research Initiative (QUERI) to facilitate the translation of best practices into usual clinical care. The Mental Health QUERI (MHQ) was charged with developing strategic plans for major depressive disorder (MDD) and schizophrenia. Twenty percent or more of VA service users are affected by 1 of these 2 disorders, disorders that often have a devastating impact on affected …
Depressive Disorders and Alcohol Dependence in a Community Population
Development and implementation of collaborative care for depression in HIV clinics
We sought to develop and implement collaborative depression care in human immunodeficiency virus (HIV) clinics in a project called HIV Translating Initiatives for Depression into Effective Solutions (HITIDES). Here we describe: (i) the formative evaluation (FE) conducted prior to implementation; (ii) the process used to adapt the primary care collaborative care model for depression to specialty HIV clinics; and (iii) the intervention itself. The …
Partnership for Implementation of Evidence-Based Mental Health Practices in Rural Federally Qualified Health Centers
By integrating these frameworks into a meaningful conceptual model, we hope to develop a successful implementation partnership between an academic health center and small rural CHCs to improve mental health outcomes. Findings from this implementation partnership should have relevance to hundreds of clinics and millions of patients, and could help promote the sustained adoption of EBPs across rural America
Effectiveness-implementation Hybrid Designs
OBJECTIVES: This study proposes methods for blending design components of clinical effectiveness and implementation research. Such blending can provide benefits over pursuing these lines of research independently; for example, more rapid translational gains, more effective implementation strategies, and more useful information for decision makers. This study proposes a "hybrid effectiveness-implementation" typology, describes a rationale for thei…
A Qualitative Analysis of Provider Barriers and Solutions to HIV Testing for Substance Users in a Small, Largely Rural Southern State
PURPOSE: Integrating HIV testing programs into substance use treatment is a promising avenue to help increase access to HIV testing for rural drug users. Yet few outpatient substance abuse treatment facilities in the United States provide HIV testing. The purpose of this study was to identify barriers to incorporating HIV testing with substance use treatment from the perspectives of treatment and testing providers in Arkansas. METHODS: We used pu…
The Intersections of Gender and Power in Women Veterans' Experiences of Substance Use and Va Care
In this article, we show that the Veterans Health Administration (VA), similar to military organizations, is a gendered organization where women Veterans' experiences are embedded in and shaped by gender inequalities and structures of power. Based on an in-depth analysis of women Veterans' substance use histories and VA treatment seeking experiences, we illustrate how gender power dynamics are (re)produced and maintained through everyday social i…
Rural/Urban Residence, Access, and Perceived Need for Treatment Among African American Cocaine Users
OBJECTIVE: To examine how rural/urban residence, perceived access, and other factors impede or facilitate perceived need for drug use treatment, a concept closely linked to treatment utilization. STUDY DESIGN: Two hundred rural and 200 urban African American cocaine users who were not receiving treatment were recruited via Respondent-Driven Sampling and completed a structured in-person interview. Bivariate and multivariate analyses were conducted…
Impact of Economic Constraints on Public Health Delivery Systems Structures
Objectives. We estimated the effect of economic constraints on public health delivery systems (PHDS) density and centrality during 3 time periods, 1998, 2006, and 2012. Methods. We obtained data from the 1998, 2006, and 2012 National Longitudinal Study of Public Health Agencies; the 1993, 1997, 2005, and 2010 National Association for County and City Health Officials Profile Study; and the 1997, 2008, and 2011 Area Resource Files. We used multivar…
Overcoming Barriers to Sustained Engagement in Mental Health Care
PURPOSE: To better understand the attitudes, beliefs, and values that influence use of mental health care among rural veterans. METHODS: In-depth, semistructured interviews were conducted with 25 rural veterans and 11 rural mental health care providers in 4 states. Experienced qualitative interviewers asked participants about the attitudinal factors they thought most influenced rural veterans' decisions to seek and sustain mental health care. Ver…
Acceptability of HIV Testing Sites Among Rural and Urban African Americans Who Use Cocaine
HIV patient and provider feedback on a telehealth collaborative care for depression intervention
In the HIV Translating Initiatives for Depression into Effective Solutions project, we conducted a randomized controlled effectiveness and implementation trial comparing depression collaborative care with enhanced usual care in Veterans Health Administration HIV clinics in the US. An offsite HIV depression care team including a psychiatrist, a depression care manager (DCM), and a clinical pharmacist provided collaborative care using a stepped-car…
Situating mental health work in place
Harnessing Implementation Science to Increase the Impact of Health Equity Research
BACKGROUND: Health disparities are differences in health or health care between groups based on social, economic, and/or environmental disadvantage. Disparity research often follows 3 steps: detecting (phase 1), understanding (phase 2), and reducing (phase 3), disparities. Although disparities have narrowed over time, many remain. OBJECTIVES: We argue that implementation science could enhance disparities research by broadening the scope of phase …
Making change happen in criminal justice settings
Covid‐19 vaccine hesitancy
Understanding and minimizing coronavirus disease 2019 (COVID‐19) vaccine hesitancy is critical to population health and minimizing health inequities, which continue to be brought into stark relief by the pandemic. We investigate questions regarding vaccine hesitancy in a sample ( n = 1205) of Arkansas adults surveyed online in July/August of 2020. We examine relationships among sociodemographics, COVID‐19 health literacy, fear of COVID‐19 infecti…
A participant-randomized pilot hybrid II trial of group cognitive processing therapy for incarcerated persons with posttraumatic stress and substance use disorder symptoms
Older Adults’ Perceptions and Recommendations Regarding a Falls Prevention Self-Management Plan Template Based on the Health Belief Model
Falls are the leading cause of fatal and non-fatal injuries among older adults. Self-management plans have been used in different contexts to promote healthy behaviors, but older adults' perceptions of a falls prevention self-management plan template have not been investigated. Using mixed methods, we investigated older adults' perceptions and recommendations of a falls prevention self-management plan template aligned with the Health Belief Model…
Rural community pharmacists’ perceptions of implementing mental health interventions to reach underserved populations
Mental illness and suicide are significant public health problems. Limited resources put individuals at greater risk, particularly in rural areas with fewer health providers. Community pharmacists are the most accessible health professionals in rural communities and are interested in addressing mental health concerns. Research is limited on how to implement mental health interventions in community pharmacy settings. The objectives of this study w…
Substance Use Disorder Treatment Programs during a Health Crisis
Background: The COVID-19 pandemic rapidly changed how substance use disorder (SUD) treatment services are delivered. In this qualitative study, we examined what changes SUD treatment programs in Arkansas implemented in response to the pandemic, what factors influenced their ability to implement these changes, and their reflections, outlook, and future recommendations. Methods: Between May and August 2020, we conducted semi-structured phone interv…
Facilitators and barriers to providing affirming care for transgender patients in primary care practices in Arkansas
PURPOSE: This study assessed factors affecting the provision of affirming-care best practices (ACBPs) for transgender individuals by primary care providers (PCPs) in a rural, southern state METHODS: We conducted a sequential explanatory mixed-methods study in 2020, including a statewide survey (phase 1) and interviews (phase 2). Surveyed PCPs (phase 1) included Medical Doctors/Doctors of Osteopathy (MDs/DOs), nurse practitioners, and 1 physician …
Reaching late adopters
The following strategies may improve vaccine-related attitudes and behaviors of Marshallese and Hispanic communities not only for the COVID-19 vaccine but also for other preventive vaccinations: 1) interpersonal-level - develop culturally-focused vaccine campaigns targeting the family units, 2) community-level - host vaccination events at convenient and/or trusted locations, such as FBOs, and engage community and/or FBO formal or lay leaders as v…
Social epidemiological mediators of rural and urban differences in perceived need for cocaine use treatment
< .05) mediators were as follows: ASI employment scores (-0.114), ASI legal scores (0.146), perceived treatment effectiveness (0.294), and PHQ-9 scores (0.113). To further reduce rural and urban disparities in perceived need for treatment, policymakers, treatment managers, and providers might consider programs that address cocaine users' underlying social epidemiological differences
Transitioning between institutions
Medicine (22 obras) · Psychology (16 obras) · Nursing (14 obras) · Psychiatry (13 obras) · Political science (10 obras) · Sociology (9 obras) · Environmental health (8 obras) · Health care (8 obras) · Health Policy Implementation Science (8 obras) · Mental health (8 obras)