Hepatitis Early Identification and Linkage to Care for Persons with Chronic HBV, Category A for Foreign Born Persons Residing in Jacksonville, Florida
Hepatitis B virus (HBV) is a DNA virus that can result in both serious acute and chronic liver insufficiencies. HBV presents as a “silent epidemic” in the US, especially for foreign-born national (FBN) populations. Estimates suggest that FBNs account for 47%-95% of the approximately 800,000 to 1.4 million HBV cases in the US; many of which are unaware of their HBV status or associated risks. The UF Center for HIV/AIDS Research, Education, and Services (UF CARES) received funding from the Centers for Disease Control and Prevention (CDC) to implement the Hepatitis B Awareness and Service Linkage (HBASL) Program for FBNs in Jacksonville, Florida. HBASL program goals were to: 1) increase the proportion of persons who are aware of their HBV status among populations born in countries with intermediate or high prevalence of HBV infection; and 2) increase the proportion who receive counseling and are linked to treatment and prevention services. Modeled after the “Seek, Test, Treat and Retain” (STTR) model, the HBASL program conducted activities, in both clinical and community settings, to: 1) screen and identify HBV cases; 2) provide post-test counseling; and 3) link participants to medical care. Between September 2012 and October 2014, the HBASL program successfully test more than 2,000 participants from 70 different countries and linked more than 40 participants to medical resources and services.
Adolescent Health Risk Assessments
This project utilized the OneFlorida Clinical Research Consortium’s health care research infrastructure and practice network to understand which factors might influence a pediatrician to use health risk assessments (HRAs), as well as understand what encourages or prevents an adolescent patient from fully participating in the assessment. The project aimed to determine what factors impact counseling related to alcohol use, tobacco use, other substance use, sexual activity, depression and weight. Findings were used to develop strategies to improve health care provider performance of and adolescent participation in HRAs.
Concussion Surveillance and Management
This project utilizes the OneFlorida Clinical Research Consortium’s health care research infrastructure and practice network for (1) implementing an evidence-based concussion assessment and management program to assess the relationship between health risk factors and injury susceptibility, severity and recovery for youth participating in organized sports activities in Florida communities; (2) teaching community physicians and medical students to apply evidence-based principles for recognition, assessment and management of concussion and mild traumatic brain injury (mTBI) risk in children and youth; and (3) providing education modules for parents, coaches, physicians/health care professionals and the general public that are designed to reduce long-term consequences of mTBI.
HPV Vaccine Initiation
This project aims to increase HPV vaccine initiation rates by using health information technology (HIT) to integrate provider- and client-based vaccination strategies at primary care clinics in real time. The HIT system incorporates evidence-based strategies to identify families interested in vaccinating and prepare providers for discussions with hesitant parents. Originally directed towards adolescents enrolled in Florida Medicaid and CHIP, the study has since expanded to include all insurances at UF adolescent primary care clinics. The information gathered through this study will be used to help researchers study how to integrate HIT into clinic workflow for quality improvement, functionalize preventive care guidelines and increase cancer prevention.