Kirsten Austad
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View article: Physician Perspectives on Pharmaceutical Promotion
Physician Perspectives on Pharmaceutical Promotion Open
This survey study reports the responses of medical students and residents about their interactions with and attitudes toward the pharmaceutical industry and changes over 13 years, from 2011 to 2024.
View article: Pharmacological Interventions for Alcohol Withdrawal Syndrome Among Hospitalized Adults: A Multicenter Cohort Study
Pharmacological Interventions for Alcohol Withdrawal Syndrome Among Hospitalized Adults: A Multicenter Cohort Study Open
Background Alcohol Withdrawal Syndrome occurs in 1 in 43 hospitalized patients and is associated with increased morbidity. Pharmacotherapy for patients hospitalized with alcohol withdrawal syndrome are incompletely described. Understanding…
View article: Developing Discrete Choice Experiments for Populations with Non-Dominant Language Preference: A Methodological Framework and Case Example
Developing Discrete Choice Experiments for Populations with Non-Dominant Language Preference: A Methodological Framework and Case Example Open
Background:Discrete choice experiments (DCEs) are widely used to elicit patient preferences for health interventions and implementation strategies. However, individuals with non-dominant language preference (NDLP) are frequently excluded f…
View article: Lost in translation: advancing intervention adaptation for populations with non-dominant language preference in high diversity settings
Lost in translation: advancing intervention adaptation for populations with non-dominant language preference in high diversity settings Open
As the population of individuals with non-dominant language preference (NDLP) continues to grow, the field of implementation science has yet to fully address the unique barriers that this population faces in accessing evidence-based interv…
View article: A multi-level implementation strategy to increase adoption of chiropractic care for low back pain in primary care clinics: a randomized stepped-wedge pilot study protocol
A multi-level implementation strategy to increase adoption of chiropractic care for low back pain in primary care clinics: a randomized stepped-wedge pilot study protocol Open
Introduction Limited adoption of first line treatments for low back pain (LBP) in primary care settings may contribute to an overreliance on pain medications by primary care providers (PCPs). While chiropractic care typically includes reco…
View article: Communication Practices for Families With Languages Other Than English in US Neonatal Care Units
Communication Practices for Families With Languages Other Than English in US Neonatal Care Units Open
BACKGROUND AND OBJECTIVES The lack of provision of culturally and linguistically appropriate services (CLAS) to families with languages other than English (LOE) is a highly modifiable driver of health care inequities. In a nationally repre…
View article: Defining the transition from new to normal: a qualitative investigation of the clinical change process
Defining the transition from new to normal: a qualitative investigation of the clinical change process Open
Background Understanding how and when a new evidence-based clinical intervention becomes standard practice is crucial to ensure that healthcare is delivered in alignment with the most up-to-date knowledge. However, rigorous methods are nee…
View article: Linguistic and Cultural Competence at Hospital Discharge
Linguistic and Cultural Competence at Hospital Discharge Open
Hospital discharge is one of the most vulnerable moments in a patient's experience of care. One relatively unexplored area to improving transitions of care is how to meet the needs of diverse populations in a growing multicultural world. T…
View article: Re-Engineering the Hospital Discharge to Improve the Transition From Hospital to Home
Re-Engineering the Hospital Discharge to Improve the Transition From Hospital to Home Open
The hospital discharge is non-standardized and frequently marked with poor quality and is an important driver of healthcare costs. There is now ample evidence that improving communication at hospital discharge can prevent problems after ho…
View article: Patient Perspectives of the Hospital Discharge Process: A Qualitative Study
Patient Perspectives of the Hospital Discharge Process: A Qualitative Study Open
Care transitions after hospitalization require communication across care teams, patients, and caregivers. As part of a quality improvement initiative, we conducted qualitative interviews with a diverse group of 53 patients who were recentl…
View article: Trends and Determinants of the Use of Episiotomy in a Prospective Population-Based Registry from Central India
Trends and Determinants of the Use of Episiotomy in a Prospective Population-Based Registry from Central India Open
Background: Findings from research and recommendations from the World Health Organization favors restrictive use of episiotomy, but whether this guidance is being followed in India and factors associated with its use are not known. Methods…
View article: Out-of-Pocket Costs for Facility-Based Obstetrical Care in Rural Guatemala
Out-of-Pocket Costs for Facility-Based Obstetrical Care in Rural Guatemala Open
BACKGROUND: Rural Indigenous Maya communities in Guatemala have some of the worst obstetrical health outcomes in Latin America, due to widespread discrimination in healthcare and an underfunded public sector. Multiple systems-level efforts…
View article: Improving the experience of facility-based delivery for vulnerable women through obstetric care navigation: a qualitative evaluation
Improving the experience of facility-based delivery for vulnerable women through obstetric care navigation: a qualitative evaluation Open
Background Global disparities in maternal mortality could be reduced by universal facility delivery. Yet, deficiencies in the quality of care prevent some mothers from seeking facility-based obstetric care. Obstetric care navigators (OCNs)…
View article: A Qualitative Comparison of Long- and Short-acting Hormonal Method: Users’ Perspectives on Method Selection in Rural Guatemala
A Qualitative Comparison of Long- and Short-acting Hormonal Method: Users’ Perspectives on Method Selection in Rural Guatemala Open
Objectives: While short-acting hormonal contraception (SAHC) remains the most popular form of modern contraception in most low and middle-income countries (LMICs), the use of long-acting reversible contraception (LARCs)—specifically implan…
View article: Insights Into Provider Bias in Family Planning from a Novel Shared Decision Making Based Counseling Initiative in Rural, Indigenous Guatemala
Insights Into Provider Bias in Family Planning from a Novel Shared Decision Making Based Counseling Initiative in Rural, Indigenous Guatemala Open
Race, ethnicity, and indigenous status should be considered as potential drivers of provider bias in family planning services globally. Efforts to confront provider bias in family planning counseling should include concrete strategies that…
View article: Obstetric care navigation: results of a quality improvement project to provide accompaniment to women for facility-based maternity care in rural Guatemala
Obstetric care navigation: results of a quality improvement project to provide accompaniment to women for facility-based maternity care in rural Guatemala Open
Background Many maternal and perinatal deaths in low-resource settings are preventable. Inadequate access to timely, quality care in maternity facilities drives poor outcomes, especially where women deliver at home with traditional birth a…
View article: Associations between contraception and stunting in Guatemala: secondary analysis of the 2014–2015 Demographic and Health Survey
Associations between contraception and stunting in Guatemala: secondary analysis of the 2014–2015 Demographic and Health Survey Open
Background There has been limited research on the relationship between contraception and child growth in low-income and middle-income countries (LMICs). This study examines the association between contraception and child linear growth in G…
View article: Resistant dermatomyositis in a rural indigenous Maya woman
Resistant dermatomyositis in a rural indigenous Maya woman Open
A 28-year-old indigenous Guatemalan woman presented with 7 months of progressive weakness and numerous dermatological findings. She initially sought care within the free government-run health system and was treated with oral steroids for p…
View article: Correlates of long-acting reversible contraception uptake among rural women in Guatemala
Correlates of long-acting reversible contraception uptake among rural women in Guatemala Open
Objective: In many low-resource settings around the world utilization of long-acting reversible contraception (LARC) is low, in part due to access barriers. We sought to explore LARC utilization patterns as well as factors associated with …
View article: Barriers to Cervical Cancer Screening and the Cervical Cancer Care Continuum in Rural Guatemala: A Mixed-Method Analysis
Barriers to Cervical Cancer Screening and the Cervical Cancer Care Continuum in Rural Guatemala: A Mixed-Method Analysis Open
Purpose Cervical cancer is an important cause of mortality in low- and middle-income countries. Although screening technologies continue to improve, systems of care remain fragmented. It is important to better understand factors that affec…
View article: Replication Data for: Correlates of long-acting reversible contraception uptake among rural women in Guatemala
Replication Data for: Correlates of long-acting reversible contraception uptake among rural women in Guatemala Open
Objective: In many low-resource settings around the world utilization of long-acting reversible contraception (LARC) is low, in part due to access barriers. We sought to explore LARC utilization patterns as well as factors associated with …