Scholars@Duke
Anna Tupetz

Anna Tupetz

Assistant Professor in Emergency Medicine
Emergency Medicine

Scholarly Works - Journal articles

From research to practice: a qualitative study examining the integration of telehealth-based suicide prevention in HIV care in Tanzania.

Journal article AIDS Care · May 28, 2026 Despite the life-saving potential of mental health interventions, their scalability and integration within healthcare systems present significant challenges, particularly in low-resource global settings. This study investigated scaling IDEAS for Hope, a te ... Full text Link to item Cite

Co-designed point-of-care ultrasound program development and implementation at a Veterans Affairs emergency department.

Journal article Intern Emerg Med · January 2026 Integrating point-of-care ultrasound (POCUS) into patient care requires a multifaceted culture change using a multi-pronged approach. A standardized implementation method is lacking for POCUS program sustainability. We developed a standardized training cur ... Full text Link to item Cite

Protocol for a community-engaged mixed-methods study for climate-related disaster preparedness and health care resilience in North Carolina.

Journal article Front Public Health · 2026 BACKGROUND: Climate change-induced disasters pose an enormous risk to human health. With the risk of climate change disasters at an all-time high, it is imperative to strengthen the resilience of health and community systems. Working with community collabo ... Full text Open Access Link to item Cite

Impact Evaluation After Implementing a Co-Designed Point-Of-Care Ultrasound Program at a Veterans Affairs Emergency Department.

Journal article Australas J Ultrasound Med · November 2025 INTRODUCTION/PURPOSE: Point-of-care ultrasound (POCUS) is an important diagnostic bedside tool, yet a gap remains between Emergency Department (ED) POCUS programme implementation and achieving sustained POCUS use and retention. We performed an impact evalu ... Full text Link to item Cite

Factors influencing the recruitment of diverse populations into pain research: findings from a qualitative study with underrepresented participants.

Journal article Pain · October 1, 2025 The inclusion of diverse populations in pain research is crucial to obtaining a complete understanding of how the biopsychosocial experience of pain is seen through the lens of different populations. Traditionally, individuals who identify as Black/African ... Full text Link to item Cite

Applying the three delays qualitative model to sepsis care seeking and emergency care in a private hospital in Lagos, Nigeria.

Journal article BMC Health Serv Res · August 27, 2025 BACKGROUND: Sepsis remains a leading cause of death among hospitalized and critically ill patients in Nigeria. Despite progress in antimicrobial therapy access and emergency resuscitative care, it continues to account for a significant proportion of death ... Full text Link to item Cite

Evaluation of the Patient-Specific Functional Scale for monitoring paediatric injury patients at a zonal referral hospital in Northern Tanzania.

Journal article BMJ Paediatr Open · March 12, 2025 BACKGROUND: Injuries are a major cause of morbidity and mortality among paediatric populations in low- and middle-income countries (LMICs). The Patient-Specific Functional Scale (PSFS) is a commonly used tool to assess functional recovery. This study aims ... Full text 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

Participant experiences receiving acupuncture for acute musculoskeletal pain in an emergency department: A qualitative evaluation.

Journal article PLoS One · 2025 OBJECTIVE: Acupuncture is an evidence-based pain treatment in clinic settings, but its optimal delivery has not been established in emergency departments (EDs). As part of an adaptive pragmatic randomized controlled trial of ED acupuncture for acute muscul ... Full text Link to item Cite

Impact of out-of-pocket expenses on children with cancer in Tanzania: A mixed-methods economic study.

Journal article PLoS One · 2025 BACKGROUND: For children with cancer in low- and middle-income countries, medical and non-medical expenses are often paid through out-of-pocket (OOP) expenditures, which pose significant barriers to timely care. Our study aims to estimate the impact of OOP ... Full text Link to item Cite

An Adaptive Pragmatic Randomized Controlled Trial of Emergency Department Acupuncture for Acute Musculoskeletal Pain Management.

Journal article Ann Emerg Med · October 2024 STUDY OBJECTIVE: Acute musculoskeletal pain in emergency department (ED) patients is frequently severe and challenging to treat with medications alone. The purpose of this study was to determine the feasibility, acceptability, and effectiveness of adding E ... Full text Link to item Cite

A systematic review and cross-sectional survey of rehabilitation resources for injury patients in the Kilimanjaro Region of Tanzania.

Journal article Disabil Rehabil · March 2024 PURPOSE: An estimated 10 million people across Tanzania have a condition that would benefit from rehabilitative care. However, access to rehabilitation remains inadequate to meet the needs of Tanzania's population. The goal of this study was to identify an ... Full text Link to item Cite

Patient and provider perspectives on barriers to myocardial infarction care among persons with human immunodeficiency virus in Tanzania: A qualitative study.

Journal article Int J STD AIDS · January 2024 INTRODUCTION: People with HIV (PLWH) have an increased risk myocardial infarction (MI), and evidence suggests that MI is under-diagnosed in Tanzania. However, little is known about barriers to MI care among PLWH in the region. METHODS: In this qualitative ... Full text Link to item Cite

Development and validation of a minimum requirements checklist for snakebite envenoming treatment in the Brazilian Amazonia.

Journal article PLoS Negl Trop Dis · January 2024 BACKGROUND: Currently, antivenoms are the only specific treatment available for snakebite envenoming. In Brazil, over 30% of patients cannot access antivenom within its critical care window. Researchers have therefore proposed decentralizing to community h ... Full text Link to item Cite

Understanding family-level decision-making when seeking access to acute surgical care for children: Protocol for a cross-sectional mixed methods study.

Journal article PLoS One · 2024 BACKGROUND: There is limited understanding of how social determinants of health (SDOH) impact family decision-making when seeking surgical care for children. Our objectives of this study are to identify key family experiences that contribute to decision-ma ... 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

A qualitative study of perceived barriers and facilitators to point-of-care ultrasound use among Veterans Affairs Emergency Department providers.

Journal article PLoS One · 2024 Consistent point-of-care ultrasound (POCUS) use and retention is difficult to achieve, with prior studies citing a lack of provider training, credentialed ultrasound users, and image review as contributing factors. We aimed to assess user feedback on a POC ... Full text Open Access Link to item Cite

Sex differences in alcohol use patterns and related harms: A mixed-methods, cross-sectional study of men and women in northern Tanzania.

Journal article PLOS Glob Public Health · 2024 In northern Tanzania, alcohol use disorders (AUD) are under-diagnosed and under-treated, and current services are mostly limited to men in clinical settings despite significant alcohol-related harm in the community. The study objective was to identify sex ... Full text Link to item Cite

"It's his cheerfulness that gives me hope": A qualitative analysis of access to pediatric cancer care in Northern Tanzania.

Journal article PLOS Glob Public Health · 2024 Pediatric cancer is a significant and growing burden in low- and middle-income countries. The objective of this project was to describe the factors influencing access to pediatric cancer care in Northern Tanzania using the Three Delays Model. This was a cr ... Full text Open Access Link to item Cite

A qualitative assessment of stakeholder perspectives on barriers and facilitators to emergency care delays in Northern Tanzania through the Three Delays.

Journal article Afr J Emerg Med · September 2023 INTRODUCTION: Emergency conditions cause a significant burden of death and disability, particularly in developing countries. Prehospital and Emergency Medical Services (EMS) are largely nonexistent throughout Tanzania and little is known about the communit ... Full text Link to item Cite

River dataset as a potential fluvial transportation network for healthcare access in the Amazon region.

Journal article Sci Data · April 6, 2023 Remote areas, such as the Amazon Forest, face unique geographical challenges of transportation-based access to health services. As transportation to healthcare in most of the Amazon Forest is only possible by rivers routes, any travel time and travel dista ... Full text Link to item Cite

"Two Cultures in Favor of a Dying Patient": Experiences of Health Care Professionals Providing Snakebite Care to Indigenous Peoples in the Brazilian Amazon.

Journal article Toxins (Basel) · March 3, 2023 In the Brazilian Amazon, deaths and disabilities from snakebite envenomations (SBEs) are a major and neglected problem for the indigenous population. However, minimal research has been conducted on how indigenous peoples access and utilize the health syste ... Full text Link to item 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

Effect of COVID-19 Vaccine Messaging Platforms in Emergency Departments on Vaccine Acceptance and Uptake: A Cluster Randomized Clinical Trial.

Journal article JAMA Intern Med · February 1, 2023 IMPORTANCE: Large segments of the US population's primary health care access occurs in emergency departments (EDs). These groups have disproportionately high COVID-19 vaccine hesitancy and lower vaccine uptake. OBJECTIVE: To determine whether provision of ... Full text Link to item Cite

Shame and Guilt in EMS: A Qualitative Analysis of Culture and Attitudes in Prehospital Emergency Care.

Journal article Prehosp Emerg Care · 2023 STUDY OBJECTIVES: The shame reaction is a highly negative emotional reaction shown to have long-term deleterious effects on the mental health of clinicians. Prior studies have focused on in-hospital personnel, but very little is known about what drives sha ... Full text Link to item Cite

Perspectives of COVID-19 vaccine-hesitant emergency department patients to inform messaging platforms to promote vaccine uptake.

Journal article Acad Emerg Med · January 2023 OBJECTIVES: Efforts to promote COVID-19 vaccine acceptance must consider the critical role of the emergency department (ED) in providing health care to underserved patients. Focusing on patients who lacked primary care, we sought to elicit the perspectives ... Full text Link to item Cite

Mapping of clinical management resources for snakebites and other animal envenomings in the Brazilian Amazon.

Journal article Toxicon X · December 2022 Snakebite envenomings (SBEs) and other envenomings triggered by venomous animals (VAEs) represent a significant disease burden in Brazil, with 29,152 SBEs reported in 2021 alone with nearly half of those occurring in the remote Brazilian Amazon. In 2021, B ... Full text Link to item Cite

Cross-Cultural Adaptation and Psychometric Properties of the SF-8 Questionnaire in Tanzanian Swahili for Injury Population

Journal article Disabilities · September 1, 2022 Background: There is a lack of tools to screen for health-related quality of life (HRQoL) in acute injury patients, despite the critical need for having a good understanding of the characteristics of mental health during the rehabilitation process. The SF- ... Full text Cite

Scarf Injury: a qualitative examination of the emergency response and acute care pathway from a unique mechanism of road traffic injury in Bangladesh.

Journal article BMC Emerg Med · August 4, 2022 BACKGROUND: Road traffic injuries (RTI) are the leading cause of death worldwide in children over 5 and adults aged 18-29. Nonfatal RTIs result in 20-50 million annual injuries. In Bangladesh, a new mechanism of RTI has emerged over the past decade known a ... Full text Link to item Cite

Exploring the intersection of critical disability studies, humanities and global health through a case study of scarf injuries in Bangladesh.

Journal article Med Humanit · June 2022 This article puts critical disability studies and global health into conversation around the phenomenon of scarf injury in Bangladesh. Scarf injury occurs when a woman wearing a long, traditional scarf called an orna rides in a recently introduced autorick ... Full text Open Access Link to item Cite

"I Don't Do Anything; I'm Just Being Taken Care Of": Experiences of Patients and Their Caregivers Transitioning Back into the Community Following Traumatic Injury in Northern Tanzania.

Journal article Trauma Care (Basel) · June 2022 After discharge from the hospital for traumatic injury, patients and their caregivers face a period of increased vulnerability. This adjustment phase is poorly characterized, especially in low- and middle-income countries. We explored the experiences of pa ... Full text Link to item Cite

Validation of a Culturally Relevant Snakebite Envenomation Clinical Practice Guideline in Brazil.

Journal article Toxins (Basel) · May 28, 2022 Snakebite envenoming (SBE) is a neglected tropical disease with significant global morbidity and mortality. Even when antivenom is available in low-resource areas, health workers do not receive adequate training to manage SBEs. This study aims to develop a ... 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

Experiences of COVID-19 infection in North Carolina: A qualitative analysis.

Journal article PLoS One · 2022 BACKGROUND AND AIM: It has been demonstrated that marginalized populations across the U.S. have suffered a disproportionate burden of the coronavirus disease 2019 (COVID-19) pandemic, illustrating the role that social determinants of health play in health ... Full text Open Access Link to item Cite

Barriers to accessing follow up care in post-hospitalized trauma patients in Moshi, Tanzania: A mixed methods study.

Journal article PLOS Glob Public Health · 2022 Disproportionately high injury rates in Sub-Saharan Africa combined with limited access to care in both the acute injury phase and for injury patients requiring continued care after hospital discharge remains a challenge. We aimed to characterize barriers ... Full text Link to item Cite

The Rapid Evaluation of COVID-19 Vaccination in Emergency Departments for Underserved Patients Study.

Journal article Ann Emerg Med · October 2021 STUDY OBJECTIVE: Emergency departments (EDs) often serve vulnerable populations who may lack primary care and have suffered disproportionate COVID-19 pandemic effects. Comparing patients having and lacking a regular source of medical care and other ED pati ... Full text Link to item 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

Gender equity in global injury research-A case example from Bangladesh.

Journal article Med · May 14, 2021 Global injury research and policy too often fail to acknowledge the need for gender-sensitive approaches in their efforts to effectively reduce the detrimental burden of traumatic road injuries. A case example from Bangladesh demonstrates the distinct chal ... Full text Link to item Cite

Prevention of childhood unintentional injuries in low- and middle-income countries: A systematic review.

Journal article PLoS One · 2020 Injuries are a leading cause of death and disability among children. Numerous injury prevention strategies have been successful in high-income countries, but the majority of unintentional injuries happen to children living in low- and middle-income countri ... Full text Open Access Link to item Cite