David W Lounsbury
Dados Biográficos
| ID | 267960 |
|---|---|
| NOME | David W Lounsbury |
| PRENOMES | David W |
| SOBRENOME | Lounsbury |
| ASSINATURA | LOUNSBURY D W |
| AFILIAÇÕES | Albert Einstein College of Medicine |
| ORCID | 0000-0001-8539-4659 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 31 |
| TOTAL DE CITAÇÕES | 41 |
| TOTAL COMO AUTOR | 31 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2001 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 4 |
Reach of Community-Selected Strategies to Reduce Opioid-Related Overdose Deaths in the Healing Communities Study
INTRODUCTION: Despite recent declines, the U.S. opioid overdose crisis persists. The HEALing Communities Study (HCS) aimed to reduce opioid overdose deaths through community-level adoption of evidence-based practices (EBPs), including overdose education and naloxone distribution (OEND) and medications for opioid use disorder (MOUD). This paper describes the reach of OEND and MOUD strategies implemented by the 33 HCS wait-list control communities.…
The dynamic complexity of cardiovascular severe maternal morbidity among Black women in North Texas
The application of SD GMB provided novel complex systems-grounded insights into the causes and consequences of CSMM among Black women in North Texas, and these insights were leveraged by stakeholders to identify potential preventive solutions to curb these outcomes. These insights led to initial answers to the four primary research questions, illustrating the dynamic complexity of the drivers of CSMM and identifying coherent preventive strategies
System dynamics modeling in support of community-based decision-making to reduce opioid overdose fatalities
Both New York State (NYS) and the United States have experienced heightened levels of opioid overdose death and prevalence of opioid use in recent decades. While evidence-based practices (EBPs) to address opioid use and prevent overdose fatalities exist, their reach in many communities remains limited. Persistent systems-level barriers must be overcome to support and sustain effective EBP implementation. This paper describes the Systems Think Tan…
System dynamics modeling to inform implementation of evidence-based prevention of opioid overdose and fatality
Understanding and Addressing Severe Maternal Morbidity Among Black Women in Texas
Leveraging systems science and design thinking to advance implementation science
Many public health challenges are characterized by complexity that reflects the dynamic systems in which they occur. Such systems involve multiple interdependent factors, actors, and sectors that influence health, and are a primary driver of challenges of insufficient implementation, sustainment, and scale of evidence-based public health interventions. Implementation science frameworks have been developed to help embed evidence-based intervention…
Participant Perspectives on a Community Health Worker Intervention to Reduce Infant Mortality
Findings underscore how programs like BxHSP can help address gaps in resources and improve health and well-being for pregnant and postpartum participants. Limitations include possible selection, recall, and/or social desirability biases as response rates were low and data were self-reported and retrospective. Limitations were addressed in part through triangulation of qualitative and quantitative data
The Influence of Housing Status and Food Insecurity on a Behavioral HIV/STI Prevention Intervention for Black Women under Community Supervision in New York City
Physical activity and stress management during Covid-19
OBJECTIVE: Physical activity (PA) during COVID-19 shelter-in-place (SIP) may offset stress. This study examined associations between PA, stress and stress management strategies during SIP. DESIGN AND MAIN OUTCOME MEASURES: = 990) from a cohort of Northern California adults completed surveys during early SIP (3/23/20-4/2/20) and mid-SIP (4/24/20-5/8/20). Participants self-reported past-month PA (meeting vs. not meeting guidelines), changes in stre…
Using participatory system dynamics learning to support Ryan White Planning Council priority setting and resource allocations
Mediation Analyses of the Role of Apathy on Motoric Cognitive Outcomes
Recent literature indicates that apathy is associated with poor cognitive and functional outcomes in older adults, including motoric cognitive risk syndrome (MCR), a predementia syndrome. However, the underlying biological pathway is unknown. The objectives of this study were to (1) examine the cross-sectional associations between inflammatory cytokines (Interleukin 6 (IL-6) and C-Reactive Protein (CRP)) and apathy and (2) explore the direct and …
Qualitative System Dynamics Modeling to Support Community Planning in Opioid Overdose Prevention
SD modeling is a novel approach to helping community stakeholders to see the inter-connectedness of actors, factors and sectors and the need for multiple mutually reinforcing strategies to avert opioid overdose and fatality. Social workers could play a key role in linking actions across sectors in such a complex system
Intersectional Stigma and Prevention Among Gay, Bisexual, and Same Gender–Loving Men in New York City, 2020
Objectives. To create causal loop diagrams that characterize intersectional stigma experiences among Black, gay, bisexual, same gender–loving, and other men who have sex with men and to identify intervention targets to reduce stigma and increase testing and prevention access. Methods. Between January and July 2020, we conducted focus groups and in-depth interviews with 80 expert informants in New York City, which were transcribed, coded, and anal…
Fixes that Fail
Access to fresh and healthy food within a neighborhood has been identified as a social mechanism contributing to community health. Grounded in the understanding that challenges related to equity within a food system are both structural and systemic, our research demonstrates how systems thinking can further understandings of food system complexity. Within systems thinking, we provide an illustration of how system archetypes offer an analytic tool…
The role of tobacco and alcohol use in the interaction of social determinants of non-communicable diseases in Nepal
Tobacco and alcohol use facilitated interaction of the social determinants of NCDs in the context of Nepal. Socio-economic status of families was both driver and outcome of tobacco and alcohol use. Health system actions to prevent NCDs were delayed mainly due to lack of system insights and commercial influence. A multi-sectoral response led by the health system is urgently needed
Home Environment Factors and Health Behaviors of Low-income, Overweight, and Obese Youth
Objectives: Home environment may influence children's health behaviors associated with obesity. In this study, we examined home environment factors associated with diet and physical activity behaviors of overweight or obese youth. Methods: We analyzed baseline data from child and parent/caregiver dyads enrolled in an urban family weight management program. Multivariable logistic regression examined how home environment (parenting practices, famil…
Reducing Disparities in Cancer Screening and Prevention through Community‐Based Participatory Research Partnerships with Local Libraries
Highlights Community‐based participatory research project. Worked with the public library system to undertake programs to address cancer screening and risk behavior. Implemented in 20 large urban neighborhoods over 48 months. Event‐history regressions (n = 9374) showed adherence outcomes were linked with program implementation. Intervention impacted health behavior in diverse underserved and vulnerable neighborhoods
Using Participatory System Dynamics Modeling to Examine the Local HIV Test and Treatment Care Continuum in Order to Reduce Community Viral Load
Highlights Participatory system dynamics modeling helps improve the HIV service system to reduce the epidemic. We engaged local stakeholders to critique their HIV service system using system dynamics modeling. Participants showed enhanced communication and consensus about systems understanding and solutions
Importance of substance use and violence in psychosocial syndemics among women with and at-risk for HIV
Women in the US continue to be affected by HIV through heterosexual contact. Sexual risk behaviors among women have been associated with a syndemic, or a mutually reinforcing set of conditions, including childhood sexual abuse (CSA), depression, substance use, violence, and financial hardship. Baseline data from a cohort of women with and at-risk for HIV (N = 620; 52% HIV+) were analyzed with Poisson regression to assess evidence for additive, in…
A Preconception Nomogram to Predict Preterm Delivery
The feasibility of epidemiological research on prostate cancer in African men in Ibadan, Nigeria
This feasibility study demonstrated the ability to ascertain and recruit participants at UCH and collect epidemiological, clinical and biospecimen data. Our results highlighted the advanced clinical characteristics of PrCa in Nigerian men, and that family history of PrCa and some anthropometric factors were associated with PrCa risk in this population. However, larger studies are needed to better understand the epidemiological risk factors of PrC…
A Social Ecological Model of Syndemic Risk affecting Women with and At‐Risk for HIV in Impoverished Urban Communities
Syndemic risk is an ecological construct, defined by co‐occurring interdependent socio‐environmental, interpersonal and intrapersonal determinants. We posited syndemic risk to be a function of violence, substance use, perceived financial hardship, emotional distress and self‐worth among women with and at‐risk for HIV in an impoverished urban community. In order to better understand these interrelationships, we developed and validated a system dyn…
Patterns of HIV Service Use and HIV Viral Suppression Among Patients Treated in an Academic Infectious Diseases Clinic in North Carolina
Understanding social forces involved in diabetes outcomes
Using the Interactive Systems Framework to Support a Quality Improvement Approach to Dissemination of Evidence‐Based Strategies to Promote Early Detection of Breast Cancer
Dissemination efforts must optimize interventions for new settings and populations. As such, dissemination research should incorporate principles of quality improvement. Comprehensive Dynamic Trial (CDT) designs examine how information gained during dissemination may be used to modify interventions and improve performance. Although CDT may offer distinct advantages over static designs, organizing the many necessary roles and activities is a signi…
The role of power, process, and relationships in participatory research for statewide HIV/Aids programming
A Social Ecological Model of Syndemic Risk affecting Women with and At‐Risk for HIV in Impoverished Urban Communities
Syndemic risk is an ecological construct, defined by co‐occurring interdependent socio‐environmental, interpersonal and intrapersonal determinants. We posited syndemic risk to be a function of violence, substance use, perceived financial hardship, emotional distress and self‐worth among women with and at‐risk for HIV in an impoverished urban community. In order to better understand these interrelationships, we developed and validated a system dyn…
Fixes that Fail
Access to fresh and healthy food within a neighborhood has been identified as a social mechanism contributing to community health. Grounded in the understanding that challenges related to equity within a food system are both structural and systemic, our research demonstrates how systems thinking can further understandings of food system complexity. Within systems thinking, we provide an illustration of how system archetypes offer an analytic tool…
Using Participatory System Dynamics Modeling to Examine the Local HIV Test and Treatment Care Continuum in Order to Reduce Community Viral Load
Highlights Participatory system dynamics modeling helps improve the HIV service system to reduce the epidemic. We engaged local stakeholders to critique their HIV service system using system dynamics modeling. Participants showed enhanced communication and consensus about systems understanding and solutions
Using the Interactive Systems Framework to Support a Quality Improvement Approach to Dissemination of Evidence‐Based Strategies to Promote Early Detection of Breast Cancer
Dissemination efforts must optimize interventions for new settings and populations. As such, dissemination research should incorporate principles of quality improvement. Comprehensive Dynamic Trial (CDT) designs examine how information gained during dissemination may be used to modify interventions and improve performance. Although CDT may offer distinct advantages over static designs, organizing the many necessary roles and activities is a signi…
Protecting the privacy of third-party information
Disparities in Access to Over-the-Counter Nicotine Replacement Products in New York City Pharmacies
Objectives. We surveyed the availability of tobacco products and nonprescription nicotine replacement therapy (NRT) in pharmacies in New York City, stratified by the race, ethnicity, and socioeconomic status (SES) of the surrounding neighborhoods to determine whether disparities in availability existed. Methods. Surveyors visited a random sample of retail pharmacies to record the availability of tobacco products and nonprescription NRT. We used c…
Intersectional Stigma and Prevention Among Gay, Bisexual, and Same Gender–Loving Men in New York City, 2020
Objectives. To create causal loop diagrams that characterize intersectional stigma experiences among Black, gay, bisexual, same gender–loving, and other men who have sex with men and to identify intervention targets to reduce stigma and increase testing and prevention access. Methods. Between January and July 2020, we conducted focus groups and in-depth interviews with 80 expert informants in New York City, which were transcribed, coded, and anal…
Reducing Disparities in Cancer Screening and Prevention through Community‐Based Participatory Research Partnerships with Local Libraries
Highlights Community‐based participatory research project. Worked with the public library system to undertake programs to address cancer screening and risk behavior. Implemented in 20 large urban neighborhoods over 48 months. Event‐history regressions (n = 9374) showed adherence outcomes were linked with program implementation. Intervention impacted health behavior in diverse underserved and vulnerable neighborhoods
Building Collaborative Capacity in Community Coalitions
This article presents the results of a qualitative analysis of 80 articles, chapters, and practitioners' guides focused on collaboration and coalition functioning. The purpose of this review was to develop an integrative framework that captures the core competencies and processes needed within collaborative bodies to facilitate their success. The resulting framework for building collaborative capacity is presented. Four critical levels of collabo…
AJCP as a Vehicle for Improving Community Life
The current article is an analysis of the research represented in American Journal of Community Psychology (AJCP) from 1993 to 1998, including a comparison to two previously published analytic reviews by Lounsbury et al. (J. W. Lounsbury, D. S. Leader, E. P. Meares, & M. P. Cook, 1980) and Speer et al. (P. Speer, A. Dey, P. Griggs, C. Gibson, B. Lubin, & J. Hughey, 1992), respectively. Observed trends are examined with references to major epistem…
Developing a Partnership Model for Cancer Screening with Community‐Based Organizations
There is growing enthusiasm for community‐academic partnerships to promote health in underserved communities. Drawing upon resources available at a comprehensive cancer center, we developed the ACCESS program to guide community based organizations through a flexible program planning process. Over a three‐year period, ACCESS partnered with 67 agencies serving various medically underserved populations. Organizations included hospitals, parishes, se…
The role of power, process, and relationships in participatory research for statewide HIV/Aids programming
Protecting the privacy of third-party information
Disparities in Access to Over-the-Counter Nicotine Replacement Products in New York City Pharmacies
Objectives. We surveyed the availability of tobacco products and nonprescription nicotine replacement therapy (NRT) in pharmacies in New York City, stratified by the race, ethnicity, and socioeconomic status (SES) of the surrounding neighborhoods to determine whether disparities in availability existed. Methods. Surveyors visited a random sample of retail pharmacies to record the availability of tobacco products and nonprescription NRT. We used c…
Using the Interactive Systems Framework to Support a Quality Improvement Approach to Dissemination of Evidence‐Based Strategies to Promote Early Detection of Breast Cancer
Dissemination efforts must optimize interventions for new settings and populations. As such, dissemination research should incorporate principles of quality improvement. Comprehensive Dynamic Trial (CDT) designs examine how information gained during dissemination may be used to modify interventions and improve performance. Although CDT may offer distinct advantages over static designs, organizing the many necessary roles and activities is a signi…
Understanding social forces involved in diabetes outcomes
Patterns of HIV Service Use and HIV Viral Suppression Among Patients Treated in an Academic Infectious Diseases Clinic in North Carolina
The feasibility of epidemiological research on prostate cancer in African men in Ibadan, Nigeria
This feasibility study demonstrated the ability to ascertain and recruit participants at UCH and collect epidemiological, clinical and biospecimen data. Our results highlighted the advanced clinical characteristics of PrCa in Nigerian men, and that family history of PrCa and some anthropometric factors were associated with PrCa risk in this population. However, larger studies are needed to better understand the epidemiological risk factors of PrC…
A Social Ecological Model of Syndemic Risk affecting Women with and At‐Risk for HIV in Impoverished Urban Communities
Syndemic risk is an ecological construct, defined by co‐occurring interdependent socio‐environmental, interpersonal and intrapersonal determinants. We posited syndemic risk to be a function of violence, substance use, perceived financial hardship, emotional distress and self‐worth among women with and at‐risk for HIV in an impoverished urban community. In order to better understand these interrelationships, we developed and validated a system dyn…
Importance of substance use and violence in psychosocial syndemics among women with and at-risk for HIV
Women in the US continue to be affected by HIV through heterosexual contact. Sexual risk behaviors among women have been associated with a syndemic, or a mutually reinforcing set of conditions, including childhood sexual abuse (CSA), depression, substance use, violence, and financial hardship. Baseline data from a cohort of women with and at-risk for HIV (N = 620; 52% HIV+) were analyzed with Poisson regression to assess evidence for additive, in…
A Preconception Nomogram to Predict Preterm Delivery
Reducing Disparities in Cancer Screening and Prevention through Community‐Based Participatory Research Partnerships with Local Libraries
Highlights Community‐based participatory research project. Worked with the public library system to undertake programs to address cancer screening and risk behavior. Implemented in 20 large urban neighborhoods over 48 months. Event‐history regressions (n = 9374) showed adherence outcomes were linked with program implementation. Intervention impacted health behavior in diverse underserved and vulnerable neighborhoods
Using Participatory System Dynamics Modeling to Examine the Local HIV Test and Treatment Care Continuum in Order to Reduce Community Viral Load
Highlights Participatory system dynamics modeling helps improve the HIV service system to reduce the epidemic. We engaged local stakeholders to critique their HIV service system using system dynamics modeling. Participants showed enhanced communication and consensus about systems understanding and solutions
Home Environment Factors and Health Behaviors of Low-income, Overweight, and Obese Youth
Objectives: Home environment may influence children's health behaviors associated with obesity. In this study, we examined home environment factors associated with diet and physical activity behaviors of overweight or obese youth. Methods: We analyzed baseline data from child and parent/caregiver dyads enrolled in an urban family weight management program. Multivariable logistic regression examined how home environment (parenting practices, famil…
The role of tobacco and alcohol use in the interaction of social determinants of non-communicable diseases in Nepal
Tobacco and alcohol use facilitated interaction of the social determinants of NCDs in the context of Nepal. Socio-economic status of families was both driver and outcome of tobacco and alcohol use. Health system actions to prevent NCDs were delayed mainly due to lack of system insights and commercial influence. A multi-sectoral response led by the health system is urgently needed
Fixes that Fail
Access to fresh and healthy food within a neighborhood has been identified as a social mechanism contributing to community health. Grounded in the understanding that challenges related to equity within a food system are both structural and systemic, our research demonstrates how systems thinking can further understandings of food system complexity. Within systems thinking, we provide an illustration of how system archetypes offer an analytic tool…
Physical activity and stress management during Covid-19
OBJECTIVE: Physical activity (PA) during COVID-19 shelter-in-place (SIP) may offset stress. This study examined associations between PA, stress and stress management strategies during SIP. DESIGN AND MAIN OUTCOME MEASURES: = 990) from a cohort of Northern California adults completed surveys during early SIP (3/23/20-4/2/20) and mid-SIP (4/24/20-5/8/20). Participants self-reported past-month PA (meeting vs. not meeting guidelines), changes in stre…
Using participatory system dynamics learning to support Ryan White Planning Council priority setting and resource allocations
Mediation Analyses of the Role of Apathy on Motoric Cognitive Outcomes
Recent literature indicates that apathy is associated with poor cognitive and functional outcomes in older adults, including motoric cognitive risk syndrome (MCR), a predementia syndrome. However, the underlying biological pathway is unknown. The objectives of this study were to (1) examine the cross-sectional associations between inflammatory cytokines (Interleukin 6 (IL-6) and C-Reactive Protein (CRP)) and apathy and (2) explore the direct and …
Qualitative System Dynamics Modeling to Support Community Planning in Opioid Overdose Prevention
SD modeling is a novel approach to helping community stakeholders to see the inter-connectedness of actors, factors and sectors and the need for multiple mutually reinforcing strategies to avert opioid overdose and fatality. Social workers could play a key role in linking actions across sectors in such a complex system
Intersectional Stigma and Prevention Among Gay, Bisexual, and Same Gender–Loving Men in New York City, 2020
Objectives. To create causal loop diagrams that characterize intersectional stigma experiences among Black, gay, bisexual, same gender–loving, and other men who have sex with men and to identify intervention targets to reduce stigma and increase testing and prevention access. Methods. Between January and July 2020, we conducted focus groups and in-depth interviews with 80 expert informants in New York City, which were transcribed, coded, and anal…
Leveraging systems science and design thinking to advance implementation science
Many public health challenges are characterized by complexity that reflects the dynamic systems in which they occur. Such systems involve multiple interdependent factors, actors, and sectors that influence health, and are a primary driver of challenges of insufficient implementation, sustainment, and scale of evidence-based public health interventions. Implementation science frameworks have been developed to help embed evidence-based intervention…
Participant Perspectives on a Community Health Worker Intervention to Reduce Infant Mortality
Findings underscore how programs like BxHSP can help address gaps in resources and improve health and well-being for pregnant and postpartum participants. Limitations include possible selection, recall, and/or social desirability biases as response rates were low and data were self-reported and retrospective. Limitations were addressed in part through triangulation of qualitative and quantitative data
Medicine (26 obras) · Public health (16 obras) · Sociology (15 obras) · Psychology (14 obras) · Health Policy Implementation Science (13 obras) · Computer Science (12 obras) · Nursing (11 obras) · Community Health and Development (10 obras) · Environmental health (10 obras) · Political science (10 obras)