Ashley Phillips

Journal article Glob Ment Health (Camb) · 2026 Harmful and hazardous alcohol use poses significant health risks globally. Brief interventions (BIs) have shown promise in reducing hazardous alcohol use, but fidelity to the protocol needs to be ensured, especially in low- and middle-income countries like ... Full text Link to item Cite

The impact and experience of a culturally adapted brief intervention for harmful alcohol use in an emergency care setting (PPKAY: Punguza Pombe Kwa Afya Yako): A case series.

Preprint · October 14, 2025 BACKGROUND: Harmful alcohol use is widespread in Tanzania, yet specialized resources to address this remain limited. This case series explores outcomes of three individuals who received a culturally-adapted brief intervention to reduce harmful alcohol use ... Full text Link to item Cite

Effectiveness of a brief intervention and text-based booster in the emergency department to reduce harmful and hazardous alcohol use: A pragmatic randomized adaptive clinical trial in Moshi, Tanzania.

Journal article PLoS Med · October 2025 BACKGROUND: Alcohol use contributes to over 3 million deaths annually. In Tanzania, there are no evidence-based culturally adapted interventions to address harmful alcohol use behaviors. Our hypothesis was that "Punguza Pombe Kwa Afya Yako" (PPKAY, Reduce ... Full text Open Access Link to item Cite

Using the ADAPT guidance to culturally adapt a brief intervention to reduce alcohol use among injury patients in Tanzania.

Journal article PLOS Glob Public Health · 2025 Harmful alcohol use is a leading risk factor for injury-related death and disability in low- and middle-income countries (LMICs). Brief negotiational interventions (BNIs) in emergency departments (EDs) effectively reduce alcohol intake and re-injury rates. ... Full text Link to item Cite

Development of culturally-appropriate text message booster content to follow a brief intervention focused on reducing alcohol related harms for injury patients in Moshi, Tanzania.

Journal article PLOS Glob Public Health · 2024 Alcohol use is a risk factor for death and disability and is attributed to almost one-third of injury deaths globally. This highlights the need for interventions aimed at alcohol reduction, especially in areas with high rates of injury with concurrent alco ... Full text Link to item Cite

Effectiveness of a Brief Negotiational Intervention and Text-Based Booster to Reduce Harmful and Hazardous Alcohol Use in the Emergency Department of a Low-Resource Setting: A Pragmatic Randomized Adaptive Clinical Trial in Moshi, Tanzania

Preprint · November 7, 2023 Background:Alcohol use contributes to over 3 million deaths annually. In Tanzania, similar to other low- and middle-income countries, there are no evidence-based culturally adapted interventions to address harmful alcohol use behaviors. We aim to determ ... Full text Cite

Translation and Adaptation of the Brief Negotiation Interview Adherence Scale for the Tanzanian Culture

Preprint · July 11, 2023 Background: Harmful or hazardous alcohol use is a grave public health problem, causing over 3.3 million deaths annually worldwide. A large number of patients who seek medical care at Emergency Department (ED) present alcohol-related injuries. The use of ... Full text Cite

Perspectives on snakebite envenoming care needs across different sociocultural contexts and health systems: A comparative qualitative analysis among US and Brazilian health providers.

Journal article Toxicon X · March 2023 With the advancements in therapeutics and available treatment options, almost all deaths and permanent disabilities from snakebite envenoming (SBE) are preventable. The challenge lies in implementing these evidence-based treatments and practices across dif ... Full text Link to item Cite

Feasibility of a pragmatic randomized adaptive clinical trial to evaluate a brief negotiational interview for harmful and hazardous alcohol use in Moshi, Tanzania.

Journal article PLoS One · 2023 INTRODUCTION: Low-resourced settings often lack personnel and infrastructure for alcohol use disorder treatment. We culturally adapted a Brief Negotiational Interview (BNI) for Emergency Department injury patients, the "Punguza Pombe Kwa Afya Yako (PPKAY)" ... Full text Link to item Cite

PRACT: a pragmatic randomized adaptive clinical trial protocol to investigate a culturally adapted brief negotiational intervention for alcohol use in the emergency department in Tanzania.

Journal article Trials · February 5, 2022 BACKGROUND: Alcohol use in resource-limited settings results in significant morbidity and mortality. These settings lack the necessary specialty-trained personnel and infrastructure. Therefore, implementing evidence-based interventions from high-income set ... Full text Link to item Cite

BITES study: A qualitative analysis among emergency medicine physicians on snake envenomation management practices.

Journal article PLoS One · 2022 INTRODUCTION: Antivenom is currently considered standard treatment across the full spectrum of severity for snake envenomation in the United States. Although safe and effective antivenoms exist, their use in clinical practice is not universal. OBJECTIVE: T ... Full text Link to item Cite

Feasibility of SMS booster for alcohol reduction in injury patients in Tanzania.

Journal article PLOS Glob Public Health · 2022 Alcohol use is associated with 3 million annual deaths globally. Harmful alcohol use, which is associated with a high burden of disease in low- and middle-income countries (LMICs), often increases the probability of traumatic injury. Treatments for harmful ... Full text Link to item Cite

Measuring and applying motivational constructs in a brief intervention for reducing harmful alcohol use in ED patients in Moshi, Tanzania (Preprint)

Preprint · December 15, 2021 BACKGROUNDSelf Determination Theory (SDT) conceptualizes human motivation in terms of a spectrum. However, literature is scarce on how to measure self-determination in different languages ... Full text Cite

A Longitudinal Observational Study of Multimorbidity and Partner Support for Physical Activity Among People with Osteoarthritis.

Journal article International journal of behavioral medicine · December 2021 BackgroundPhysical activity can improve osteoarthritis-related symptoms; however, many people with osteoarthritis (PWOA) are insufficiently active. Social support for physical activity from an intimate partner can help PWOA increase activity, but ... Full text Cite

Contextualizing the Impact of Snakebite Envenoming on Patients: A Qualitative Content Analysis of Patient-Specific Functional Scale Activities Using the International Classification of Functioning, Disability and Health.

Journal article Int J Environ Res Public Health · September 12, 2021 To categorize the Patient-specific Functional Scale (PSFS) activities in snakebite envenoming (SBE) using the International Classification of Function (ICF) model in order to describe the impact of SBE on patients' activities and daily lives and to develop ... Full text Link to item Cite

Developing a couple typology: A qualitative study of couple dynamics around physical activity.

Journal article Transl Behav Med · August 7, 2020 Partner-based social support can motivate engagement in physical activity (PA); however, couples approach exchanging support in different ways. This study aimed to elucidate the role of relationship dynamics in couple-based support for PA, with the goal of ... Full text Link to item Cite

The Role of Cohabitating Partner and Relationship Characteristics on Physical Activity among Individuals with Osteoarthritis.

Journal article International journal of behavioral medicine · October 2019 BackgroundMost individuals with knee or hip osteoarthritis do not meet recommendations for physical activity. The Social Cognitive Theory suggests that the social environment (e.g., spouses/partners) may influence the physical activity of individu ... Full text Cite

Four Methods of Recruiting Couples Into a Longitudinal Study of Physical Activity in People With Osteoarthritis: Recruitment, Retention, and Lessons Learned.

Journal article Frontiers in public health · January 2018 Increases in physical activity can reduce joint pain among people with osteoarthritis (PWOA) who are insufficiently physically active. Because evidence suggests that social support from intimate partners may help PWOA become more active, researchers have b ... Full text Cite