Randall Brown

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Effective communication between health professionals and patients positively influences chronic health management, as does increased patient awareness of their symptoms and general knowledge of the condition. In this study, we leverage the use of mobile phones by pediatric patients and report results from a four-month randomized controlled trial (RCT). We(More)
BACKGROUND Healthcare reform in the United States is encouraging Federally Qualified Health Centers and other primary-care practices to integrate treatment for addiction and other behavioral health conditions into their practices. The potential of mobile health technologies to manage addiction and comorbidities such as HIV in these settings is substantial(More)
Drastic changes have occurred in the field of software development in the past few years. Concepts that have been proposed in recent times are very different from what has been done in the past. The philosophical shifts underlying these changes present many challenges – both technical and organizational. Such shifts are not peculiar to software development(More)
Background More than two-thirds of individuals with a substance use problem have seen a primary care provider in the previous 6 months. However, these substance use disorders often go unrecognized or without treatment due to a lack of optimized assessment and intervention models with which primary care providers are comfortable. As national guidelines call(More)
BACKGROUND Adoption of evidence-based practices takes place at a glacial place in healthcare. This research will pilot test an innovative implementation strategy - systems consultation -intended to speed the adoption of evidence-based practice in primary care. The strategy is based on tenets of systems engineering and has been extensively tested in(More)
BACKGROUND Millions of Americans need but don't receive treatment for substance use, and evidence suggests that addiction-focused interventions on smart phones could support their recovery. There is little research on implementation of addiction-related interventions in primary care, particularly in Federally Qualified Health Centers (FQHCs) that provide(More)
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