Advances In
Respiratory Equity (AIRE)
DESIGN
IMPLEMENT
EVALUATE
We design, implement, and evaluate theory-informed interventions to improve the delivery of health services and reduce respiratory health disparities.
Primary Projects
Promoting Change in Practice for Respiratory Failure (PRECIPICE)
PRECIPICE is an NIH-funded study (R01HL157361-01A1) aiming to improve outcomes for Hispanic patients with respiratory failure by promoting evidence-based delivery of ICU care.
Hispanic ICU Experience Study
(HICUE)
The HICUE Study seeks to understand the experiences and care preferences of family members of Hispanic patients in the ICU.
The goal is to generate provider-side interventions to improve experiences and health outcomes for Hispanic ICU patients and their families.
Theory Informed Education and Counseling Intervention for HIV-TB Treatment Adherence (TEACH)
This cluster-randomized trial in Uganda will evaluate the effectiveness and implementation of a novel, peer-led TB education and counseling strategy to
improve outcomes among persons with TB with and without HIV and determine if and how social and behavioral factors like knowledge, social support, stigma, and self-confidence affect treatment outcomes.
Predicting and Preventing Tuberculosis Treatment Failure in an Emerging Co-Epidemic of HIV, Diabetes, and Tuberculosis (TB-DM)
This goal of this study is to characterize the interfaces among HIV, TB, and diabetes for patient outcomes in Uganda, and to improve implementation of glucose screening, monitoring, and counseling in TB units in order to improve treatment outcomes.
Destigmatizing Contact Investigation to Increase Uptake of Home HIV Counseling and Testing (DECISION)
Dr. Armstrong-Hough has designed an intervention to increase uptake of HIV testing when it is offered with TB services. Findings from our recent pilot randomized, controlled trial (NCT05124665) indicate that a brief re-norming intervention significantly increased uptake of HIV testing in Uganda. The goal of DECISION is evaluate this multi-component intervention in a factorial trial, carry out qualitative research to better understand its psychosocial mechanisms, and initiate implementation research with partners to develop scale-up strategies.
Supporting Projects
Rapid Understanding of Best Practices in Rural Intensive Care (RUBRIC)
Human-centered Design and Communities of Practice to Improve Delivery of Home-based Tuberculosis Contact Investigation in Uganda (HCD-CoP)
The goal of this study is to learn if, how, and why two new tools--Human-Centered Design (HCD) and Communities of Practice (CoP) --can transform how we find, treat, and prevent TB in households in low-income countries.
Interrupting HIV and TB stigma in the household during TB contact investigation in Uganda (HIV-TB Stigma)
The HIV TB Stigma project aims to develop and pilot a complex intervention to increase the uptake of home HIV testing and linkage to HIV care among household members offered home-based HIV testing.
Implementing Tobacco Use Treatment in HIV Clinics in Viet Nam (VQuit)
The goal of this study is to adapt and tailor an intervention to HIV care settings, conduct a 3-arm RCT comparing the cost effectiveness of three models of care, and evaluate multilevel factors that facilitate or impede implementation and potential for sustainability of tobacco use treatment in Viet Nam.
Adaptation and testing of a novel text-based tobacco cessation and education intervention in Kenyan Emergency Department patients
The goal of this study is to adapt and pilot a text-based tobacco cessation in Kenyan Emergency Department patients using an implementation science approach (Re-AIM and CFIR frameworks) to guide implementation and evaluation.
Past Projects
NIH All of Us Research
The All of Us Research Program is part of an effort to advance individualized health care by enrolling one million or more participants to contribute their health data over many years. Our team is interested in exploring racial/ethnic disparities in everyday activities & quality of life among survivors of respiratory failure.