Scholars@Duke
Eric P Green

Eric P Green

Associate Professor of the Practice of Global Health
Duke Global Health Institute

Selected Publications

Social Vulnerability, COVID-19, Racial Violence, and Depressive Symptoms: a Cross-sectional Study in the Southern United States.

Journal Article Journal of racial and ethnic health disparities · December 2024 BackgroundIn March 2020, the novel 2019 coronavirus disease (COVID-19) was declared a pandemic. In May 2020, George Floyd was murdered, catalyzing a national racial reckoning. In the Southern United States, these events occurred in the context of ... Full text Cite

Data-Driven Cutoff Selection for the Patient Health Questionnaire-9 Depression Screening Tool.

Journal Article JAMA Netw Open · November 4, 2024 IMPORTANCE: Test accuracy studies often use small datasets to simultaneously select an optimal cutoff score that maximizes test accuracy and generate accuracy estimates. OBJECTIVE: To evaluate the degree to which using data-driven methods to simultaneously ... Full text Link to item Cite

Comparison of Patient Health Questionnaire-9, Edinburgh Postnatal Depression Scale and Hospital Anxiety and Depression - Depression subscale scores by administration mode: An individual participant data differential item functioning meta-analysis.

Journal Article Journal of affective disorders · September 2024 Administration mode of patient-reported outcome measures (PROMs) may influence responses. We assessed if Patient Health Questionnaire-9 (PHQ-9), Edinburgh Postnatal Depression Scale (EPDS) and Hospital Anxiety and Depression Scale - Depression subscale (HA ... Full text Cite

Congregation leader and member discussions in a church-based family strengthening, mental health promotion and HIV prevention trial: Intervention.

Journal Article Global mental health (Cambridge, England) · January 2024 Collaboration with African religious congregations can promote psychosocial well-being with greater accessibility. Effective collaboration requires studying congregations as unique intervention contexts. This study explored how an intervention in western K ... Full text Cite

Comparing fears about paediatric HIV disclosure to the lived experiences of parents and guardians: a prospective cohort study.

Journal Article Psychology & health · November 2023 ObjectiveWe aimed to: (1) follow parents and guardians through the process of paediatric HIV disclosure to understand how often pre-disclosure worries are realised; and (2) estimate the effects of disclosure on child, caregiver, and family well-be ... Full text Cite

Adaptation and Evaluation of a Picture-Based Measure of Parent Discipline

Journal Article Journal of Child and Family Studies · October 1, 2023 Harsh parenting behaviors are some of the most commonly used discipline practices in the United States but are often difficult to measure. Self-report instruments are the most used method of assessing parenting behaviors, but likely result in response bias ... Full text Cite

Parenting in a conflict-affected setting: Discipline practices, parent-child interactions, and parenting stress in Liberia.

Journal Article Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · April 2023 Children in conflict-affected settings are at increased risk for exposure to violence, placing particular importance on caregiving environments. This study first describes parenting in urban Liberia by evaluating parent-child interactions, the use and acce ... Full text Cite

Individual participant data meta-analysis to compare EPDS accuracy to detect major depression with and without the self-harm item.

Journal Article Scientific reports · March 2023 Item 10 of the Edinburgh Postnatal Depression Scale (EPDS) is intended to assess thoughts of intentional self-harm but may also elicit concerns about accidental self-harm. It does not specifically address suicide ideation but, nonetheless, is sometimes use ... Full text Cite

Development and functioning of the mobile app-based mh-GAP intervention guide in detection and treatment of people with mental health conditions in primary healthcare settings in Nepal.

Journal Article Glob Ment Health (Camb) · 2023 This paper describes the development process of a mobile app-based version of the World Health Organization mental health Gap Action Programme Intervention Guide, testing of the app prototypes, and its functionality in the assessment and management of peop ... Full text Link to item Cite

Is social-ecological risk associated with individual HIV risk beliefs and behaviours?: An analysis of Kenyan adolescents' local communities and activity spaces.

Journal Article Global public health · December 2022 The places where adolescents live, learn, and play are thought to influence behaviours and health, but we have limited tools for measuring environmental risk on a hyperlocal (e.g. neighbourhood) level. Working with 218 adolescents and their parents/guardia ... Full text Cite

Pathways from parent mental health to child outcomes in Liberia: Testing cross-sectional and longitudinal serial mediation models

Journal Article SSM - Mental Health · December 1, 2022 Children in humanitarian settings face complex adversities that impact development. The interplay of caregiver mental health, couples' relationship quality, and parenting practices can both protect against adversity and contribute to it. The purpose of the ... Full text Cite

External validation of a shortened screening tool using individual participant data meta-analysis: A case study of the Patient Health Questionnaire-Dep-4.

Journal Article Methods · August 2022 Shortened versions of self-reported questionnaires may be used to reduce respondent burden. When shortened screening tools are used, it is desirable to maintain equivalent diagnostic accuracy to full-length forms. This manuscript presents a case study that ... Full text Link to item Cite

Predicting healthcare-seeking behavior based on stated readiness to act: development and validation of a prediction model.

Journal Article Translational behavioral medicine · January 2022 A starting point of many digital health interventions informed by the Stages of Change Model of behavior change is assessing a person's readiness to change. In this paper, we use the concept of readiness to develop and validate a prediction model of health ... Full text Cite

Adaptation of the World Health Organization Electronic Mental Health Gap Action Programme Intervention Guide App for Mobile Devices in Nepal and Nigeria: Protocol for a Feasibility Cluster Randomized Controlled Trial.

Journal Article JMIR Res Protoc · June 15, 2021 BACKGROUND: There is a growing global need for scalable approaches to training and supervising primary care workers (PCWs) to deliver mental health services. Over the past decade, the World Health Organization Mental Health Gap Action Programme Interventio ... Full text Link to item Cite

Shortening the Edinburgh postnatal depression scale using optimal test assembly methods: Development of the EPDS-Dep-5.

Journal Article Acta psychiatrica Scandinavica · April 2021 AimsThis study used a large database to develop a reliable and valid shortened form of the Edinburgh Postnatal Depression Scale (EPDS), a self-report questionnaire used for depression screening in pregnancy and postpartum, based on objective crite ... Full text Cite

Development of the Family Togetherness Scale: A Mixed-Methods Validation Study in Kenya.

Journal Article Frontiers in psychology · January 2021 Family functioning is an important target of clinical intervention and research given its close ties with mental health outcomes of both children and adults. However, we lack family functioning measures validated for use in many low- and middle-income coun ... Full text Cite

Caregiver self-efficacy to talk about sex predicts conversations about HIV transmission risk with perinatally infected young people in Zimbabwe.

Journal Article AIDS care · December 2020 Given advances in care and treatment for HIV, perinatally infected young people are surviving into adolescence. These young people are making decisions about engaging in sexual relationships and it is critical to ensure they have the information they need ... Full text Cite

Family Functioning and Mental Health Changes Following a Family Therapy Intervention in Kenya: a Pilot Trial.

Journal Article Journal of child and family studies · December 2020 Family-based interventions offer a promising avenue for addressing chronic negative family interactions that contribute to lasting consequences, including family violence and the onset and maintenance of mental health disorders. The purpose of this study w ... Full text Cite

Expanding Access to Perinatal Depression Treatment in Kenya Through Automated Psychological Support: Development and Usability Study.

Journal Article JMIR formative research · October 2020 BackgroundDepression during pregnancy and in the postpartum period is associated with poor outcomes for women and their children. Although effective interventions exist for common mental disorders that occur during pregnancy and the postpartum per ... Full text Cite

A multiple baseline study of a brief alcohol reduction and family engagement intervention for fathers in Kenya.

Journal Article Journal of consulting and clinical psychology · August 2020 ObjectiveTo evaluate a lay provider-delivered, brief intervention to reduce problem drinking and related family consequences among men in Kenya. The 5-session intervention combines behavioral activation (BA) and motivational interviewing (MI). It ... Full text Cite

Lessons learned through piloting a community-based SMS referral system for common mental health disorders used by female community health volunteers in rural Nepal.

Journal Article BMC Res Notes · July 1, 2020 OBJECTIVE: The Community Informant Detection Tool (CIDT) is a paper-based proactive case detection strategy with evidence for improving help-seeking behavior for mental healthcare. Key implementation barriers for the paper-based CIDT include delayed report ... Full text Link to item Cite

A traumatic brain injury prognostic model to support in-hospital triage in a low-income country: a machine learning-based approach.

Journal Article J Neurosurg · June 1, 2020 OBJECTIVE: Traumatic brain injury (TBI) is a leading cause of death and disability worldwide, with a disproportionate burden of this injury on low- and middle-income countries (LMICs). Limited access to diagnostic technologies and highly skilled providers ... Full text Link to item Cite

Patient Health Questionnaire-9 scores do not accurately estimate depression prevalence: individual participant data meta-analysis.

Journal Article Journal of clinical epidemiology · June 2020 ObjectivesDepression symptom questionnaires are not for diagnostic classification. Patient Health Questionnaire-9 (PHQ-9) scores ≥10 are nonetheless often used to estimate depression prevalence. We compared PHQ-9 ≥10 prevalence to Structured Clini ... Full text Cite

Expanding Access to Depression Treatment in Kenya Through Automated Psychological Support: Protocol for a Single-Case Experimental Design Pilot Study.

Journal Article JMIR research protocols · April 2019 BackgroundDepression during pregnancy and in the postpartum period is associated with a number of poor outcomes for women and their children. Although effective interventions exist for common mental disorders that occur during pregnancy and the po ... Full text Cite

The impact of school support on depression among adolescent orphans: a cluster-randomized trial in Kenya.

Journal Article Journal of child psychology and psychiatry, and allied disciplines · January 2019 BackgroundThe objective of this study was to determine if a school support intervention for adolescent orphans in Kenya had effects on mental health, a secondary outcome.MethodsIn this paper, we analyzed data from a 4-year cluster-randomi ... Full text Cite

The prevalence and process of pediatric HIV disclosure: A population-based prospective cohort study in Zimbabwe.

Journal Article PloS one · January 2019 IntroductionThe objective of this study was to estimate the prevalence of pediatric HIV disclosure in rural Zimbabwe and track the process of disclosure over time.MethodsWe recruited a population-based sample of 372 caregivers of HIV-posi ... Full text Cite

"What is the best method of family planning for me?": A text mining analysis of messages between users and agents of a digital health service in Kenya

Journal Article Gates Open Research · January 1, 2019 Background: Text message-based interventions have been shown to have consistently positive effects on health improvement and behavior change. Some studies suggest that personalization, tailoring, and interactivity can increase efficacy. With the rise in ar ... Full text Cite

Developing a Digital Marketplace for Family Planning: Pilot Randomized Encouragement Trial.

Journal Article Journal of medical Internet research · July 2018 BackgroundFamily planning is an effective tool for preventing death among women who do not want to become pregnant and has been shown to improve newborn health outcomes, advance women's empowerment, and bring socioeconomic benefits through reducti ... Full text Cite

Developing and validating a perinatal depression screening tool in Kenya blending Western criteria with local idioms: A mixed methods study.

Journal Article Journal of affective disorders · March 2018 BackgroundRoutine screening for perinatal depression is not common in most primary health care settings. The U.S. Preventive Services Task Force only recently updated their recommendation on depression screening to specifically recommend screening ... Full text Cite

A Qualitative Study of Mechanisms Underlying Effects of a Parenting Intervention in Rural Liberia

Journal Article European Journal of Development Research · November 1, 2017 Parenting interventions can reduce child maltreatment and improve child outcomes in high-risk settings, but little is known about mechanisms underlying effects. This study presents qualitative findings on mechanisms of change from a randomized trial of a p ... Full text Cite

Associations Between Fathers' and Sons' Sexual Risk in Rural Kenya: The Potential for Intergenerational Transmission.

Journal Article The Journal of adolescent health : official publication of the Society for Adolescent Medicine · August 2017 PurposeDespite high rates of HIV in areas of Sub-Saharan Africa and men's role in driving the epidemic, little is known about whether or how sexual risk-both behaviors and beliefs-may be passed down through generations of males. This study examine ... Full text Cite

A church-based intervention for families to promote mental health and prevent HIV among adolescents in rural Kenya: Results of a randomized trial.

Journal Article Journal of consulting and clinical psychology · June 2016 ObjectiveTo evaluate a family- and church-based intervention for adolescents and caregivers in rural Kenya to improve family relationships, reduce HIV risk, and promote mental health.MethodThe intervention was developed using community-ba ... Full text Cite

Participatory mapping in low-resource settings: Three novel methods used to engage Kenyan youth and other community members in community-based HIV prevention research.

Journal Article Global public health · May 2016 Understanding the link between health and place can strengthen the design of health interventions, particularly in the context of HIV prevention. Individuals who might one day participate in such interventions - including youth - may further improve the de ... Full text Cite

The returns to microenterprise support among the ultrapoor: A field experiment in postwar Uganda

Journal Article American Economic Journal: Applied Economics · January 1, 2016 We show that extremely poor, war-affected women in northern Uganda have high returns to a package of $150 cash, five days of business skills training, and ongoing supervision. Sixteen months after grants, participants doubled their microenterprise ownershi ... Full text Cite

Women's entrepreneurship and intimate partner violence: A cluster randomized trial of microenterprise assistance and partner participation in post-conflict Uganda (SSM-D-14-01580R1).

Journal Article Social science & medicine (1982) · May 2015 Intimate partner violence is widespread and represents an obstacle to human freedom and a significant public health concern. Poverty alleviation programs and efforts to economically "empower" women have become popular policy options, but theory and empiric ... Full text Cite

Do clinical decision-support reminders for medical providers improve isoniazid preventative therapy prescription rates among HIV-positive adults? Study protocol for a randomized controlled trial.

Journal Article Trials · April 2015 BackgroundThis document describes a research protocol for a study designed to estimate the impact of implementing a reminder system for medical providers on the use of isoniazid preventative therapy (IPT) for adults living with HIV in western Keny ... Full text Cite

A clinical decision support system for integrating tuberculosis and HIV care in Kenya: a human-centered design approach.

Journal Article PloS one · January 2014 With the aim of integrating HIV and tuberculosis care in rural Kenya, a team of researchers, clinicians, and technologists used the human-centered design approach to facilitate design, development, and deployment processes of new patient-specific TB clinic ... Full text Cite

Promoting recovery after war in Northern Uganda: Reducing daily stressors by alleviating poverty

Journal Article Journal of Aggression, Maltreatment and Trauma · September 1, 2013 Findings from a representative survey of youth in northern Uganda suggest that former female child soldiers experience a range of distress symptoms, have initial problems reintegrating, and have fewer education and employment opportunities than males. Give ... Full text Cite

Alternate Technologies for the Detection of Deception

Chapter · January 1, 2013 This chapter has reviewed a variety of technologies and techniques for detecting deception. Some of these techniques, such as voice stress analysis and pupillometry, have been used for a long time, while others such as thermal imaging, event-related brain ... Full text Cite

Reconcilable differences? Human diversity, cultural relativity, and sense of community.

Journal Article American journal of community psychology · March 2011 Sense of community (SOC) is one of the most widely used and studied constructs in community psychology. As proposed by Sarason in (The Psychological sense of community: prospects for a community psychology, Jossey-Bass, San Francisco, 1974), SOC represents ... Full text Cite

Facilitating youth participation in a context of forced migration: A Photovoice project in northern Uganda

Journal Article Journal of Refugee Studies · October 13, 2009 This paper describes a documentary photography (Photovoice) project conducted in 2007 with young people (ages 12 to 16) living in an internal displacement camp in northern Uganda during a time of great transition following more than 20 years of civil war. ... Full text Cite

Third-party information in retrospective assessment of NGRI: Impact of source and supportive versus contradictory content

Journal Article Journal of Forensic Psychology Practice · March 3, 2009 Experimental conditions utilizing three types of third-party information (TPI) that supported or countered a psychologist's opinion regarding insanity were compared for differential effects in a mock jury decision-making case. Collapsed conditions of TPI t ... Full text Cite

Credibility assessment: Psychophysiology and policy in the detection of deception

Journal Article American Journal of Forensic Psychology · December 1, 2006 Current and developing techniques for detecting deception are evaluated. Following a brief history of lie detection, the authors thoroughly examine traditional polygraphy. An exploration of the technical and methodological aspects of polygraphy then preced ... Cite

Effects of preparedness to deceive on ERP waveforms in a two-stimulus paradigm

Journal Article Journal of Neurotherapy · May 23, 2006 Stimulus salience, attentional capture, and working memory load have all been theoretically and experimentally linked to deception (Allen & Iacono, 1997; Boaz, Perry, Raney, Fischler, & Shuman, 1991; Dionisio, Granholm, Hillix, & Perrine, 2001; Stelmack, H ... Full text Cite

Practice effects, workload, and reaction time in deception.

Journal Article The American journal of psychology · January 2005 Cognitive theorists argue that deception may involve attentional capture, working memory load, or perceived incongruity with memory, whereas psychophysiologists argue for stimulus salience, arousal, and emotion. This article presents a comprehensive model ... Cite

Psychologists' judgments of psychologically aggressive actions when perpetrated by a husband versus a wife.

Journal Article Violence and victims · August 2004 Research literature suggests that clinical judgments of men's versus women's behavior and symptoms typically rate the men as more pathological and dangerous. To determine whether this view would extend to assessments of psychologically aggressive actions, ... Full text Cite