Michael D. Stein
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View article: Validation of an Electronic Health Record Algorithm for Identifying Housing‐Related Needs in a Safety‐Net Health System
Validation of an Electronic Health Record Algorithm for Identifying Housing‐Related Needs in a Safety‐Net Health System Open
Objective Accurate, efficient identification of housing‐related needs, including homelessness or housing instability, is crucial for health systems addressing health‐related social needs (HRSN). We developed and validated a novel, pragmati…
View article: A Cross-Sectional Study of Acceptability and Influence of HEALing Communities Study Communications Campaign Messaging Among Community Members in Four U.S. States
A Cross-Sectional Study of Acceptability and Influence of HEALing Communities Study Communications Campaign Messaging Among Community Members in Four U.S. States Open
Purpose Understanding reactions to health communication campaigns is essential to designing effective messaging. Multi-year campaigns through The Helping to End Addiction Long-term ® Initiative (HEALing) Communities Study (HCS) were implem…
View article: Safety Planning vs Standard Care for Suicide Prevention After Pretrial Jail Detention
Safety Planning vs Standard Care for Suicide Prevention After Pretrial Jail Detention Open
Importance In the US, 1 in 5 adult suicide decedents has spent at least 1 night in jail in the year prior to death. Objective To evaluate the effectiveness of the Safety Planning Intervention (SPI) with telephone follow-up as an adjunct to…
View article: When state Medicaid demonstrations end: projected eligibility loss after a MassHealth housing support program transition
When state Medicaid demonstrations end: projected eligibility loss after a MassHealth housing support program transition Open
Introduction Massachusetts Medicaid (MassHealth) transitioned a Section 1115 waiver-based housing support program to a permanent program in 2025, implementing new eligibility restrictions. Methods We projected the potential impact of these…
View article: Lessons Learned Identifying and Controlling Fraudulent Participation in Online Randomized Trials
Lessons Learned Identifying and Controlling Fraudulent Participation in Online Randomized Trials Open
Virtually conducted clinical trials have become an important tool for improving access to research. Online research gives rise to new avenues for potentially fraudulent actors to participate in studies to achieve monetary gain. We describe…
View article: Behavioral health telehealth utilization during the pandemic among adults with opioid use disorder and behavioral health utilization in the year prior to COVID-19: Differences by payor source, treatment type, and patient demographics.
Behavioral health telehealth utilization during the pandemic among adults with opioid use disorder and behavioral health utilization in the year prior to COVID-19: Differences by payor source, treatment type, and patient demographics. Open
Telehealth can facilitate continuity of behavioral health treatment for opioid use disorder (OUD). Use of telehealth significantly changed during COVID-19, but it is unknown how implementation differed across payors nationally. Adults with…
View article: Feasibility of combining tDCS with exercise for increasing physical activity in people with depression
Feasibility of combining tDCS with exercise for increasing physical activity in people with depression Open
Introduction Physical inactivity and depression are significant public health concerns, often co-occurring and exacerbating one another. Transcranial direct current stimulation (tDCS) has shown promise in enhancing cognitive and affective …
View article: Effects of the Communities That HEAL intervention on initiation, retention, and linkage to medications for opioid use disorder (MOUD): A cluster randomized wait-list controlled trial
Effects of the Communities That HEAL intervention on initiation, retention, and linkage to medications for opioid use disorder (MOUD): A cluster randomized wait-list controlled trial Open
Medications for opioid use disorder (MOUD) can reduce opioid use and overdose deaths. This study examined whether the Communities That HEAL (CTH) intervention increased MOUD initiation, retention, and linkage. The HEALing Communities Study…
View article: “To not feel fake, it can’t be fake”: co-creation of a harm reduction, peer-delivered, health-system intervention for people who use drugs
“To not feel fake, it can’t be fake”: co-creation of a harm reduction, peer-delivered, health-system intervention for people who use drugs Open
Background People who use drugs (PWUD) continue to experience not only high overdose rates but also growing infectious complications. In response, there has been a growing focus on increasing access to harm reduction resources, particularl…
View article: Disseminated synovial chondromatosis of the knee treated by open radical synovectomy using staged combined anterior and posterior approaches: a case report
Disseminated synovial chondromatosis of the knee treated by open radical synovectomy using staged combined anterior and posterior approaches: a case report Open
Generalized synovial chondromatosis of the knee is a rare but significant condition that requires early diagnosis and surgical intervention to prevent joint degeneration. A staged anterior and posterior synovectomy provides effective manag…
View article: “Every Time I Go in There, It Gives Me Time to Reflect”: A Qualitative Study of Patient Perspectives on Substance Use, Medications for Opioid Use Disorder, and Harm Reduction Following Hospitalization for Serious Injection-Related Infection
“Every Time I Go in There, It Gives Me Time to Reflect”: A Qualitative Study of Patient Perspectives on Substance Use, Medications for Opioid Use Disorder, and Harm Reduction Following Hospitalization for Serious Injection-Related Infection Open
Background Serious injection-related infections (SIRIs) have high morbidity and mortality, in part from incomplete antibiotic treatment, ongoing substance use and reinfection. Understanding how hospitalizations for SIRIs affect patient per…
View article: Severe Maternal Morbidity Among Pregnant People With Opioid Use Disorder Enrolled in Medicaid
Severe Maternal Morbidity Among Pregnant People With Opioid Use Disorder Enrolled in Medicaid Open
Importance Pregnant people with opioid use disorder (OUD) are at high risk for potentially avoidable maternal morbidity. The majority of pregnant people with OUD receive health insurance through state Medicaid programs, but there is little…
View article: Discriminating Between Marijuana and Alcohol Gait Impairments Using Tile CNN With TICA Pooling
Discriminating Between Marijuana and Alcohol Gait Impairments Using Tile CNN With TICA Pooling Open
Goal: To investigate whether machine learning analyses of smartphone sensor data can discriminate whether a subject consumed alcohol or marijuana from their gait. Methods: Using first-of-a-kind impaired gait datasets, we propose MariaGait,…
View article: Resting State Functional Connectivity of the Default Mode Network During Opioid Use and Cessation in Treatment‐Seeking Persons
Resting State Functional Connectivity of the Default Mode Network During Opioid Use and Cessation in Treatment‐Seeking Persons Open
Resting‐state functional connectivity analyses have been used to examine synchrony in neural networks in substance use disorders (SUDs), with the default mode network (DMN) one of the most studied. Prior research has generally found less D…
View article: Stigma and efficacy beliefs regarding opioid use disorder treatment and naloxone in communities participating in the HEALing Communities Study intervention
Stigma and efficacy beliefs regarding opioid use disorder treatment and naloxone in communities participating in the HEALing Communities Study intervention Open
Background The HEALing Communities Study (HCS) included health campaigns as part of a community-engaged intervention to reduce opioid-related overdose deaths in 67 highly impacted communities across Kentucky, Massachusetts, New York, and O…
View article: A Novel Scale of Lifestyle Physical Activity: Measure Description and Intervention Responsiveness
A Novel Scale of Lifestyle Physical Activity: Measure Description and Intervention Responsiveness Open
Lifestyle physical activity (LPA) interventions emphasize small bouts of movement that can be flexibly integrated into one’s everyday routine. Despite research illustrating benefits for LPA on health outcomes, few LPA interventions and mea…
View article: DeepMIDE: A Multi-Output Spatio-Temporal Method for Ultra-Scale Offshore Wind Energy Forecasting
DeepMIDE: A Multi-Output Spatio-Temporal Method for Ultra-Scale Offshore Wind Energy Forecasting Open
To unlock access to stronger winds, the offshore wind industry is advancing towards significantly larger and taller wind turbines. This massive upscaling motivates a departure from wind forecasting methods that traditionally focused on a s…
View article: Characterizing Collegiate Recovery Programs in the United States and Canada: A Survey of Program Directors
Characterizing Collegiate Recovery Programs in the United States and Canada: A Survey of Program Directors Open
This research lays a foundation for enhancing CRPs within higher education settings, emphasizing the significance of sustained funding and an inclusive support framework for the program directors who run CRPs. Future studies should further…
View article: Effect of the Communities That HEAL Intervention on Overdose Education and Naloxone Distribution: A Cluster-Randomized, Wait-List Controlled Trial
Effect of the Communities That HEAL Intervention on Overdose Education and Naloxone Distribution: A Cluster-Randomized, Wait-List Controlled Trial Open
Objectives. To determine whether the Communities That HEAL (CTH) intervention is effective in increasing naloxone distribution compared with usual care. Methods. The HEALing (Helping to End Addiction Long-Term) Communities Study (HCS) is a…
View article: Pain and unhealthy alcohol use among people living with <scp>HIV</scp>: A prospective cohort study
Pain and unhealthy alcohol use among people living with <span>HIV</span>: A prospective cohort study Open
Background Unhealthy alcohol use is prevalent among people living with HIV/AIDS (PLWH) and contributes to impaired functioning, diminished quality of life, and poorer HIV outcomes. Common cooccurring conditions such as chronic pain may be …
View article: Integrated telehealth intervention to reduce chronic pain and unhealthy drinking among people living with HIV: protocol for a randomized controlled trial
Integrated telehealth intervention to reduce chronic pain and unhealthy drinking among people living with HIV: protocol for a randomized controlled trial Open
Background Unhealthy alcohol use represents a significant risk for morbidity and mortality among people living with HIV (PLWH), in part through its impact on HIV management. Chronic pain, a common comorbidity, exacerbates suboptimal engage…
View article: Drug use practices and wound care experiences in the age of xylazine adulteration
Drug use practices and wound care experiences in the age of xylazine adulteration Open
People with self-identified xylazine wounds were more likely to engage in subcutaneous injection and faced several barriers seeking medical wound treatment. Programs serving people exposed to xylazine should work to support safer injection…
View article: Medication for Opioid Use Disorder After Serious Injection-Related Infections in Massachusetts
Medication for Opioid Use Disorder After Serious Injection-Related Infections in Massachusetts Open
Importance Serious injection-related infections (SIRIs) cause significant morbidity and mortality. Medication for opioid use disorder (MOUD) improves outcomes but is underused. Understanding MOUD treatment after SIRIs could inform interven…
View article: Sweet Taste Preference as a Moderator of Links Between Internalizing Symptoms and Alcohol Craving
Sweet Taste Preference as a Moderator of Links Between Internalizing Symptoms and Alcohol Craving Open
For those with low and moderate sweet taste preferences, internalizing symptoms appeared positively linked with alcohol craving. For those high in sweet taste preference, alcohol craving remained elevated regardless of anxiety symptoms but…
View article: Opioid Overdose Knowledge Among Adolescents and Young Adults
Opioid Overdose Knowledge Among Adolescents and Young Adults Open
This cross-sectional study examines awareness of opioid overdose, the ability to administer naloxone, and the willingness to help during an overdose on college campuses across the US.
View article: Effects of the Communities that Heal (CTH) intervention on perceived opioid-related community stigma in the HEALing Communities Study: results of a multi-site, community-level, cluster-randomized trial
Effects of the Communities that Heal (CTH) intervention on perceived opioid-related community stigma in the HEALing Communities Study: results of a multi-site, community-level, cluster-randomized trial Open
US National Institute on Drug Abuse.