Christina Makarushka

Journal article JAMA Netw Open · January 2, 2026 IMPORTANCE: Hospital global budgets gained attention as a strategy to constrain costs and improve outcomes. The Maryland all-payer model (APM), initiated in 2014 as a global budget revenue model, is an example of full-risk payment reform; yet frontline sur ... Full text Link to item Cite

Experience with the mobile health application 'mSaada' to facilitate home-based human papillomavirus testing in Western Kenya.

Journal article BMC Glob Public Health · October 17, 2025 BACKGROUND: Cervical cancer screening using human papillomavirus (HPV) DNA testing is an essential component of prevention efforts. Countries with limited health care infrastructure need innovative strategies to make HPV-based screening feasible. Our team ... Full text Link to item Cite

Role of Social Determinants of Health in COVID-19 Recovery: A Qualitative Study.

Journal article JAMA Netw Open · January 2, 2025 IMPORTANCE: Health systems are increasingly required to conduct health-related social needs screening. However, how social resources negatively and positively affect recovery from acute illnesses, such as COVID-19, is incompletely understood. OBJECTIVE: To ... Full text Link to item Cite

A Mixed-Methods Feasibility Study Linking a Community-Based Weight Loss Program with an African American Breast Cancer Support Group.

Journal article J Gen Intern Med · October 2024 Full text Link to item Cite

Managing Chronic Pain in Cancer Survivorship: Communication Challenges and Opportunities as Described by Cancer Survivors.

Journal article Am J Hosp Palliat Care · January 2024 OBJECTIVES: Many cancer survivors experience chronic pain after completing curative-intent treatment. Based on available data, chronic pain may be undertreated in this context; however, little is known about cancer survivors' experiences with clinical mana ... Full text Link to item Cite

Describing current use, barriers, and facilitators of patient portal messaging for research recruitment: Perspectives from study teams and patients at one institution.

Journal article J Clin Transl Sci · 2023 INTRODUCTION: The electronic health record (EHR) and patient portal are used increasingly for clinical research, including patient portal recruitment messaging (PPRM). Use of PPRM has grown rapidly; however, best practices are still developing. In this stu ... Full text Link to item Cite

Using the Consolidated Framework for Implementation Research to Inform the Design of the Mobile Inspección Visual con Ácido Acético System: Mixed Methods Case Study.

Journal article JMIR Form Res · June 23, 2022 BACKGROUND: There is growing evidence supporting the use of mobile health (mHealth) interventions in low- and middle-income countries to address resource limitations in the delivery of health information and services to vulnerable populations. In parallel, ... Full text Link to item Cite

Development of Culturally Adapted Media to Increase Community Awareness of Childhood Cancer in Tanzania

Journal article JCO Global Oncology · May 2022 PURPOSE There is low childhood cancer awareness in many low and middle income countries (LMICs), contributing to delayed hospital presentation, and treatment abandonment. In Tanzania, only 20% of the estimated 3,5 ... Full text Cite

Why do patients with chronic hepatitis C drink alcohol? An examination of pain, depression and drinking motives.

Journal article J Viral Hepat · May 2021 Alcohol consumption in the setting of chronic HCV is associated with accelerated progression towards cirrhosis, increased risk of hepatocellular carcinoma and higher mortality. This analysis contextualizes how sociodemographic factors, chronic pain and dep ... Full text Link to item Cite

Barriers to the uptake of cervical cancer services and attitudes towards adopting new interventions in Peru.

Journal article Prev Med Rep · December 2020 Cervical cancer mortality is high among Peruvian women of reproductive age. Understanding barriers and facilitators of cervical cancer screening and treatment could facilitate development of contextually-relevant interventions to reduce cervical cancer inc ... Full text Link to item Cite

A Randomized Controlled Trial of an Integrated Alcohol Reduction Intervention in Patients With Hepatitis C Infection.

Journal article Hepatology · June 2020 BACKGROUND AND AIMS: Hepatitis C virus (HCV) and alcohol use are patient risk factors for accelerated fibrosis progression, yet few randomized controlled trials have tested clinic-based alcohol interventions. APPROACH AND RESULTS: A total of 181 patients w ... Full text Link to item Cite

Using digital health to facilitate compliance with standardized pediatric cancer treatment guidelines in Tanzania: protocol for an early-stage effectiveness-implementation hybrid study.

Journal article BMC Cancer · March 29, 2020 BACKGROUND: In high-income countries (HICs), increased rates of survival among pediatric cancer patients are achieved through the use of protocol-driven treatment. Compared to HICs, differences in infrastructure, supportive care, and human resources, make ... Full text Link to item Cite

The Hepatitis C-Alcohol Reduction Treatment (Hep ART) intervention: Study protocol of a multi-center randomized controlled trial.

Journal article Contemp Clin Trials · September 2018 INTRODUCTION: Among patients with hepatitis C virus (HCV) infection, alcohol synergistically increases the risk of cirrhosis, hepatocellular carcinoma, and death. Randomized controlled trials of integrated models of HCV-alcohol treatment have been recommen ... Full text Link to item Cite

Exposure to drinking water disinfection by-products and pregnancy loss.

Journal article American journal of epidemiology · December 2006 Previous research has suggested that exposure to elevated levels of drinking water disinfection by-products (DBPs) may cause pregnancy loss. In 2000-2004, the authors conducted a study in three US locations of varying DBP levels and evaluated 2,409 women i ... Full text Cite

Racial differences among reasons for participating in research of pregnancy outcomes: the right from the start experience.

Journal article Gender medicine · September 2005 BackgroundHistorically, racial minorities and women are less likely to participate in medical research than are whites and men. Although much is known about barriers to enrollment for those who decline to participate, much less is known about fact ... Full text Cite

Recruitment for a community-based study of early pregnancy: the Right From The Start study.

Journal article Paediatric and perinatal epidemiology · March 2004 Despite the high incidence of spontaneous abortion, little is known about its causes, in part because of the challenge of assembling a large cohort of women in early pregnancy for prospective study. We describe the effectiveness of recruitment strategies u ... Full text Cite

The North Carolina Black Churches United for Better Health Project: intervention and process evaluation.

Journal article Health education & behavior : the official publication of the Society for Public Health Education · April 2000 The North Carolina Black Churches United for Better Health project was a 4-year intervention trial that successfully increased fruit and vegetable (F&V) consumption among rural African American adults, for cancer and chronic disease prevention. The multico ... Full text Cite