M D Stein

Summary

Affiliation: Rhode Island Hospital
Country: USA

Publications

  1. ncbi Enhanced emergency department referral improves primary care access
    G M O'Brien
    Division of General Internal Medicine, Rhode Island Hospital, Providence 02903, USA
    Am J Manag Care 5:1265-9. 1999
  2. ncbi Receipt of disability payments by substance users: mental and physical health correlates
    Michael D Stein
    Department of Medicine, Brown University School of Medicine, Providence, Rhode Island, USA
    Am J Addict 15:160-5. 2006
  3. ncbi Nicotine and drug interaction expectancies among methadone maintained cigarette smokers
    Michael D Stein
    Brown University and Division of General Internal Medicine, Rhode Island Hospital, 593 Eddy Street, 02903, Providence, RI, USA
    J Subst Abuse Treat 24:357-61. 2003
  4. ncbi Reductions in HIV risk behaviors among depressed drug injectors
    Michael D Stein
    Department of Medicine, Brown University School of Medicine, Providence, Rhode Island, USA
    Am J Drug Alcohol Abuse 31:417-32. 2005
  5. ncbi Pharmacotherapy plus psychotherapy for treatment of depression in active injection drug users
    Michael D Stein
    Department of Medicine, Brown University School of Medicine, Providence, RI 02903, USA
    Arch Gen Psychiatry 61:152-9. 2004
  6. ncbi Respiratory symptom relief related to reduction in cigarette use
    Michael D Stein
    Division of General Internal Medicine, Brown University Medical School, Providence, RI 02903, USA
    J Gen Intern Med 20:889-94. 2005
  7. ncbi Adherence to treatment of depression in active injection drug users: the minerva study
    Michael D Stein
    Brown University School of Medicine, Department of Medicine, 75 Waterman Street, Providence, RI 02912, USA
    J Subst Abuse Treat 26:87-93. 2004
  8. ncbi A brief intervention for hazardous drinkers in a needle exchange program
    Michael D Stein
    Brown University School of Medicine, Providence, RI 02912, USA
    J Subst Abuse Treat 22:23-31. 2002
  9. ncbi Sleep disturbances among methadone maintained patients
    Michael D Stein
    Rhode Island Hospital, Division of General Internal Medicine, 593 Eddy Street, Providence, RI, USA
    J Subst Abuse Treat 26:175-80. 2004
  10. ncbi Social support and zero sharing risk among hazardously drinking injection drug users
    Michael D Stein
    Brown Medical School, Providence, RI 02912, USA
    J Subst Abuse Treat 23:225-30. 2002

Research Grants

  1. Mid-Career Investigator Award in Substance Abuse - Research
    Michael Stein; Fiscal Year: 2007
  2. Antidepressants During Office-based Buprenorphine
    Michael Stein; Fiscal Year: 2007

Collaborators

Detail Information

Publications108 found, 100 shown here

  1. ncbi Enhanced emergency department referral improves primary care access
    G M O'Brien
    Division of General Internal Medicine, Rhode Island Hospital, Providence 02903, USA
    Am J Manag Care 5:1265-9. 1999
    ..People who use the emergency department (ED) as their main source of medical care cite access barriers to primary care as the reason. The purpose of this study was to test an intervention designed to refer regular ED users to primary care...
  2. ncbi Receipt of disability payments by substance users: mental and physical health correlates
    Michael D Stein
    Department of Medicine, Brown University School of Medicine, Providence, Rhode Island, USA
    Am J Addict 15:160-5. 2006
    ..Longitudinal studies of disability status and its effects on the lives of substance users are warranted...
  3. ncbi Nicotine and drug interaction expectancies among methadone maintained cigarette smokers
    Michael D Stein
    Brown University and Division of General Internal Medicine, Rhode Island Hospital, 593 Eddy Street, 02903, Providence, RI, USA
    J Subst Abuse Treat 24:357-61. 2003
    ..NOSIE was a reliable instrument that offers insight into patient expectations of the interaction of smoking and drug use...
  4. ncbi Reductions in HIV risk behaviors among depressed drug injectors
    Michael D Stein
    Department of Medicine, Brown University School of Medicine, Providence, Rhode Island, USA
    Am J Drug Alcohol Abuse 31:417-32. 2005
    ..To determine if, by reducing depressive symptoms, combined psychotherapy and pharmacotherapy reduces HIV drug risk behavior compared to an assessment-only condition for active drug injectors over 9 months...
  5. ncbi Pharmacotherapy plus psychotherapy for treatment of depression in active injection drug users
    Michael D Stein
    Department of Medicine, Brown University School of Medicine, Providence, RI 02903, USA
    Arch Gen Psychiatry 61:152-9. 2004
    ..Depressive disorders are common among opiate abusers and are associated with detrimental behavioral effects. However, there is little precedent for offering active drug users complex treatments for depression...
  6. ncbi Respiratory symptom relief related to reduction in cigarette use
    Michael D Stein
    Division of General Internal Medicine, Brown University Medical School, Providence, RI 02903, USA
    J Gen Intern Med 20:889-94. 2005
    ..Many smokers reduce their cigarette consumption during failed attempts to quit. We report the impact of changes in consumption on smoking-related respiratory symptom severity (SRRSS)...
  7. ncbi Adherence to treatment of depression in active injection drug users: the minerva study
    Michael D Stein
    Brown University School of Medicine, Department of Medicine, 75 Waterman Street, Providence, RI 02912, USA
    J Subst Abuse Treat 26:87-93. 2004
    ..01); frequency of heroin use was inversely associated with adherence. Developing public health treatment interventions to engage out-of-treatment, dually-diagnosed IDUs is possible...
  8. ncbi A brief intervention for hazardous drinkers in a needle exchange program
    Michael D Stein
    Brown University School of Medicine, Providence, RI 02912, USA
    J Subst Abuse Treat 22:23-31. 2002
    ..Results from this study demonstrate that MI reduces drug-related HIV risk behaviors among active IDUs. As a brief intervention, MI may be a useful adjunct to existing services intended to reduce harm...
  9. ncbi Sleep disturbances among methadone maintained patients
    Michael D Stein
    Rhode Island Hospital, Division of General Internal Medicine, 593 Eddy Street, Providence, RI, USA
    J Subst Abuse Treat 26:175-80. 2004
    ..01). Targeting modifiable psychological and medical risk factors that are most strongly associated with sleep disturbance may improve quality of life in drug treatment...
  10. ncbi Social support and zero sharing risk among hazardously drinking injection drug users
    Michael D Stein
    Brown Medical School, Providence, RI 02912, USA
    J Subst Abuse Treat 23:225-30. 2002
    ..Interventions that mobilize social support may increase the possibility of zero sharing, an important public health goal...
  11. ncbi Persistence of antidepressant treatment effects in a pharmacotherapy plus psychotherapy trial for active injection drug users
    Michael D Stein
    Department of Medicine, Brown University School of Medicine, Providence, RI 02903, USA
    Am J Addict 14:346-57. 2005
    ..Combined treatment is superior to an assessment-only condition in depression remission rates at the end-of-treatment, but this difference does not persist...
  12. ncbi Screening for cervical cancer in HIV-infected women receiving care in the United States
    M D Stein
    Division of General Internal Medicine, Rhode Island Hospital, Brown University, 593 Eddy Street, Providence, RI 02903, USA
    J Acquir Immune Defic Syndr 27:463-6. 2001
    ..We examined the sociodemographic, clinical and provider factors associated with screening for cervical cancer among HIV-infected women...
  13. ncbi Depression severity and drug injection HIV risk behaviors
    Michael D Stein
    Department of Medicine, Brown Medical School, Providence, RI 02903, USA
    Am J Psychiatry 160:1659-62. 2003
    ..This study examined the association of depression severity and drug injection HIV risk behavior among injection drug users...
  14. ncbi Buprenorphine retention in primary care
    Michael D Stein
    Division of General Internal Medicine, Rhode Island Hospital, Providence, RI 02903, USA
    J Gen Intern Med 20:1038-41. 2005
    ..This study assesses the rate and predictors of treatment retention for primary care patients with opioid dependence-prescribed buprenorphine, a long-acting partial opioid agonist...
  15. ncbi A smoking cessation intervention for the methadone-maintained
    Michael D Stein
    Rhode Island Hospital, Division of General Internal Medicine, Brown University Medical School, Providence, RI 02903, USA
    Addiction 101:599-607. 2006
    ..To test, in combination with the nicotine patch, the incremental efficacy of a maximal, tailored behavioral treatment over a minimal treatment for smoking cessation...
  16. ncbi Need for medical and psychosocial services among injection drug users: a comparative study of needle exchange and methadone maintenance
    Michael D Stein
    Brown University Medical School, Providence, RI, USA
    Am J Addict 11:262-70. 2002
    ..While HIV-infected drug users receive assistance through the Ryan White CARE Act, these findings suggest that seronegative drug users may benefit from similar community service programs...
  17. ncbi A motivational intervention trial to reduce cocaine use
    Michael D Stein
    Rhode Island Hospital, Division of General Internal Medicine, Providence, RI 02903, USA
    J Subst Abuse Treat 36:118-25. 2009
    ..We conclude that this motivational intervention was more effective than assessment alone at reducing cocaine days among the heaviest community-based users. Both study conditions induced positive effects on cocaine use...
  18. ncbi Perceived barriers to safe-injection practices among drug injectors who remain HCV-negative
    Michael D Stein
    Department of Medicine, Division of General Internal Medicine, Rhode Island Hospital, Providence, Rhode Island 02903, USA
    Am J Drug Alcohol Abuse 33:517-25. 2007
    ..Despite, or perhaps because of, their HCV seronegative status, IDUs continue to share. Tailoring messages to modifiable perceptions of risk may be useful in reducing continued drug equipment sharing...
  19. ncbi Relationship of depression to smoking outcomes in a methadone-maintained population
    Michael D Stein
    Division of General Internal Medicine, Brown University Medical School, Providence, RI 02903, USA
    J Addict Dis 26:35-40. 2007
    ..Depressive symptoms have little influence on smoking cessation outcomes in this population...
  20. ncbi Smoking cessation patterns in methadone-maintained smokers
    Michael D Stein
    Department of Medicine, Brown Medical School, Providence, RI, USA
    Nicotine Tob Res 9:421-8. 2007
    ..Past quit attempts, self-efficacy, and constant nicotine replacement were associated with duration of abstinence among methadone-maintained smokers. Attention to these domains in future intervention studies may improve treatment success...
  21. ncbi Injection frequency mediates health service use among persons with a history of drug injection
    Michael D Stein
    Brown University School of Medicine, 593 Eddy Street, Providence, RI 02903, USA
    Drug Alcohol Depend 70:159-68. 2003
    ..92. NEP clients are more likely to have ER visits and hospitalizations than methadone clients. We describe a pathway by which injection frequency influences health service use...
  22. ncbi A telephone-based intervention for depression in HIV patients: negative results from a randomized clinical trial
    Michael D Stein
    Department of Medicine, Rhode Island Hospital, 593 Eddy Street, MPB 1, Providence, RI 02903, USA
    AIDS Behav 11:15-23. 2007
    ..We conclude that a psycho-educational telephone support intervention did not reduce depressive symptoms for HIV patients more than an assessment-only control condition...
  23. ncbi A randomized trial of a brief alcohol intervention for needle exchangers (BRAINE)
    Michael D Stein
    Brown University School of Medicine, Providence, RI, USA
    Addiction 97:691-700. 2002
    ..To test motivational interviewing (MI) as a brief intervention for reducing alcohol use among needle exchange clients...
  24. ncbi Alcohol use and sexual risk behavior among human immunodeficiency virus-positive persons
    Michael Stein
    Rhode Island Hospital, Division of General Internal Medicine, Providence, Rhode Island 02903, USA
    Alcohol Clin Exp Res 29:837-43. 2005
    ..This study was undertaken to determine if alcohol use is associated with sexual risk taking among human immunodeficiency virus (HIV)-infected persons...
  25. ncbi Delays in seeking HIV care due to competing caregiver responsibilities
    M D Stein
    Division of General Medicine, Brown University, Providence, RI, USA
    Am J Public Health 90:1138-40. 2000
    ..This study sought to describe the characteristics of HIV-infected persons who delay medical care for themselves because they are caring for others...
  26. ncbi Use of antiretroviral therapies by HIV-infected persons receiving methadone maintenance
    M D Stein
    Division of General Internal Medicine, Rhode Island Hospital, Providence 02903, USA
    J Addict Dis 19:85-94. 2000
    ..We conclude that the model of referral for HIV care off-site does not appear to impede access to ART for HIV-infected IDUs in methadone maintenance...
  27. ncbi Social relationships and intravenous drug use among methadone maintenance patients
    A Gogineni
    Department of General Internal Medicine, 593 Eddy St, Rhode Island Hospital, Brown University School of Medicine, Providence, RI 02903, USA
    Drug Alcohol Depend 64:47-53. 2001
    ..These findings suggest that personal relationships strongly influence continued injection drug use and that methadone programs should help patients develop social networks of non-users...
  28. ncbi Trillion virion delay: time from testing positive for HIV to presentation for primary care
    J H Samet
    Department of Medicine, Boston University School of Medicine and Public Health, Mass, USA
    Arch Intern Med 158:734-40. 1998
    ..Human immunodeficiency virus (HIV)-infected individuals' initial presentation to medical care frequently occurs at a point of advanced immunosuppression...
  29. ncbi Adherence to antiretroviral therapy among HIV-infected methadone patients: effect of ongoing illicit drug use
    M D Stein
    Division of General Internal Medicine, Brown University School of Medicine, Rhode Island Hospital, Providence 02903, USA
    Am J Drug Alcohol Abuse 26:195-205. 2000
    ..Levels of nonadherence were comparable to estimates from other chronic diseases, but this finding has important implications for patients receiving highly active antiretroviral therapy...
  30. ncbi The impact of competing subsistence needs and barriers on access to medical care for persons with human immunodeficiency virus receiving care in the United States
    W E Cunningham
    Department of Medicine, School of Medicine, University of California, Los Angeles, USA
    Med Care 37:1270-81. 1999
    ..To examine whether competing subsistence needs and other barriers are associated with poorer access to medical care among persons infected with human immunodeficiency virus (HIV), using self-reported data...
  31. ncbi Effects of drug abuse and mental disorders on use and type of antiretroviral therapy in HIV-infected persons
    B J Turner
    Division of General Internal Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
    J Gen Intern Med 16:625-33. 2001
    ..To distinguish the effects of drug abuse, mental disorders, and problem drinking on antiretroviral therapy (ART) and highly active ART (HAART) use...
  32. ncbi HIV-positive women: reasons they are tested for HIV and their clinical characteristics on entry into the health care system
    M D Stein
    Department of Medicine, Brown University, Providence, Rhode Island
    J Gen Intern Med 6:286-9. 1991
    ..AIDS education strategies toward all women at risk must include information about manifestations of HIV disease in women, as well as preventive measures, to ensure early access to the health care system...
  33. ncbi Alcohol use patterns predict high-risk HIV behaviors among active injection drug users
    M D Stein
    Providence Methadone and Injection Use Study, Division of General Medicine, Rhode Island Hospital, 593 Eddy Street, Brown University, Providence, RI 02903, USA
    J Subst Abuse Treat 18:359-63. 2000
    ..The results of this study showed that prevalence of alcohol abuse is high in this population and is associated with needle sharing. HIV prevention effects in needle exchange programs should address alcohol use...
  34. ncbi Care of vaginal symptoms among HIV-infected women
    M D Stein
    Division of General Medicine, Brown University, Providence, Rhode Island 02903, USA
    J Acquir Immune Defic Syndr 25:51-5. 2000
    ..Gynecologic disease is common in HIV-infected women. We examine the sociodemographic, clinical, and provider factors associated with the care of women with vaginal symptoms...
  35. ncbi Evolution of depressive symptoms in human immunodeficiency virus-infected patients entering primary care
    J B Savetsky
    Department of Medicine, Boston Medical Center, Massachusetts 02118, USA
    J Nerv Ment Dis 189:76-83. 2001
    ..It is essential to screen, identify, and treat depression among patients entering care for HIV disease. Encouragement in joining support groups is a reasonable component of a strategy for addressing this common condition...
  36. ncbi The functioning and well being of persons who seek treatment for drug and alcohol use
    M D Stein
    Brown School of Medicine, Division of General Internal Medicine, Rhode Island Hospital, Providence 02903, USA
    J Subst Abuse 10:75-84. 1998
    ..We conclude the MOS survey is a reliable measure of function and well being in this population. Like other chronic diseases, alcohol and drug use have powerful effects on quality of life...
  37. ncbi Do internists and emergency physicians agree on the appropriateness of emergency department visits?
    G M O'Brien
    Department of Medicine, Rhode Island Hospital, Brown University School of Medicine, Providence 02903, USA
    J Gen Intern Med 12:188-91. 1997
    ..As managed care grows, the determination of ED appropriateness may depend on open discussions between physician groups, as well as on access to timely care in office settings...
  38. ncbi Understanding delay to medical care for HIV infection: the long-term non-presenter
    J H Samet
    Department of Medicine, Boston University School of Medicine and Public Health, MA, USA
    AIDS 15:77-85. 2001
    ..To examine delayed presentation for HIV testing and primary care in the second decade of the AIDS epidemic...
  39. ncbi Adverse drinking consequences among alcohol abusing intravenous drug users
    B J Anderson
    Division of General Internal Medicine, Brown University School of Medicine, Rhode Island Hospital, Providence 02903, USA
    Alcohol Clin Exp Res 25:41-5. 2001
    ....
  40. ncbi Linkage to medical services in the Drug Abuse Treatment Outcome Study
    P D Friedmann
    Department of Medicine, Brown University School of Medicine and Rhode Island Hospital, Providence, 02903, USA
    Med Care 39:284-95. 2001
    ..However, little is known about the ability of organizational linkage mechanisms to facilitate the delivery of medical care to this population...
  41. ncbi Transportation and retention in outpatient drug abuse treatment programs
    P D Friedmann
    Division of General Internal Medicine, Department of Medicine, Brown University School of Medicine, Rhode Island Hospital, Providence, RI 02903, USA
    J Subst Abuse Treat 21:97-103. 2001
    ..Future research should validate whether car, van, or contracted transportation services improve retention and other treatment outcomes in outpatient drug abuse treatment...
  42. ncbi Interest in smoking cessation among injection drug users
    J G Clarke
    Department of Medicine and Community Health, Brown University School of Medicine, Providence, Rhode Island, USA
    Am J Addict 10:159-66. 2001
    ..Although smoking cessation counseling should be offered to all smokers, interventions directed towards older individuals enrolled in MMTP may target the group most interested in smoking cessation...
  43. ncbi Curbside consultation practices and attitudes among primary care physicians and medical subspecialists
    D Kuo
    Department of Medicine, Brown University, Providence, RI, USA
    JAMA 280:905-9. 1998
    ..Informal (curbside) consultations are an integral part of medical culture and may be of great value to patients and primary care physicians. However, little is known about physicians' behavior or attitudes toward curbside consultation...
  44. ncbi Validation of the screening strategy in the NIAAA "Physicians' Guide to Helping Patients with Alcohol Problems"
    P D Friedmann
    Division of General Internal Medicine, Rhode Island Hospital, Brown University School of Medicine, Providence 02903, USA
    J Stud Alcohol 62:234-8. 2001
    ..quot;..
  45. ncbi Economic effects of community versus hospital-based faculty pneumonia care
    M D Stein
    Rhode Island Hospital, Brown University School of Medicine, Providence 02903, USA
    J Gen Intern Med 13:774-7. 1998
    ..Academic teaching services staffed by general medicine faculty may provide efficient inpatient pneumonia care...
  46. ncbi Sexual risk for hepatitis B virus infection among hepatitis C virus-negative heroin and cocaine users
    J D Rich
    Brown Medical School/The Miriam Hospital, Department of Medicine, Division of Infectious Diseases, Providence, RI 02903, USA
    Epidemiol Infect 134:478-84. 2006
    ..It appears that HBV risk among HCV-negative drug users in this cohort is primarily due to sexual behaviour...
  47. ncbi Hepatitis C disease among injection drug users: knowledge, perceived risk and willingness to receive treatment
    M D Stein
    Department of Medicine, Division of General Internal Medicine, Rhode Island Hospital, Brown University School of Medicine, 593 Eddy Street, Providence, RI 02903, USA
    Drug Alcohol Depend 61:211-5. 2001
    ..Serologic confirmation of HCV status is important among drug users, as self-report of HCV infection is often unreliable. This population, with its high prevalence of HCV, may be interested in treatments that include interferon...
  48. ncbi The association between age of hospitalized patients and the delivery of advanced cardiac life support
    T R Fried
    Rhode Island Hospital, Brown University, Providence, USA
    J Gen Intern Med 11:257-61. 1996
    ..The association between older age and short ACLS trials among all nonsurvivors suggests that age is most important of these characteristics...
  49. ncbi Alcohol use and sexual risk taking among hazardously drinking drug injectors who attend needle exchange
    M D Stein
    Brown University School of Medicine, Providence, Rhode Island, USA
    Alcohol Clin Exp Res 25:1487-93. 2001
    ..To determine if sex-risk days are also alcohol use days for active injection drug users...
  50. ncbi Differences in access to zidovudine (AZT) among symptomatic HIV-infected persons
    M D Stein
    Department of Medicine, Brown University, Providence, Rhode Island
    J Gen Intern Med 6:35-40. 1991
    ..71 to 5.11). CONCLUSION: The authors conclude that traditionally disadvantaged groups have less access to AZT, the only antiretroviral agent demonstrated to increase survival of patients who have symptomatic HIV infection...
  51. ncbi HIV-positive smokers considering quitting: differences by race/ethnicity
    Elizabeth E Lloyd-Richardson
    Brown Medical School, The Miriam Hospital, Weight Control and Diabetes Research Center, Providence, RI 02903, USA
    Am J Health Behav 32:3-15. 2008
    ..To better characterize smoking in HIV-positive individuals and to identify critical components of a targeted smoking cessation intervention for multiethnic HIV-positive smokers...
  52. ncbi Can differences in breast cancer utilities explain disparities in breast cancer care?
    Mark D Schleinitz
    Department of Medicine, Rhode Island Hospital, Providence, RI 02903, USA
    J Gen Intern Med 21:1253-60. 2006
    ..Whereas preference contributes to disparities in other health care scenarios, it is unclear if preference explains differential rates of breast cancer care...
  53. ncbi Coping and burden among informal HIV caregivers
    Patricia Engler
    Rhode Island Hospital, Division of General Internal Medicine, 593 Eddy Street, Providence, RI 02903, USA
    Psychosom Med 68:985-92. 2006
    ..The aim of this study was to examine the role of coping on caregiver burden among a heterogeneous group of caregivers of persons living with HIV during the era of highly active antiretroviral therapy...
  54. ncbi Correlates of acceptance of a hypothetical gonorrhea vaccine by incarcerated women
    Loida E Bonney
    Miriam Hospital, Providence, Rhode Island 02906, USA
    Sex Transm Dis 34:778-82. 2007
    ..This study sought to identify correlates of acceptance of a hypothetical Neisseria gonorrhea (GC) vaccine in a high-risk sample of incarcerated women...
  55. ncbi Adequacy of testing, empiric treatment, and referral for adult male emergency department patients with possible chlamydia and/or gonorrhoea urethritis
    R C Merchant
    Department of Emergency Medicine, Rhode Island Hospital, Providence, RI 02903, USA
    Int J STD AIDS 20:534-9. 2009
    ..More explicit guidance from CDC regarding syphilis testing and referral for further evaluation is needed...
  56. ncbi Physicians' utilization of health care
    T J Wachtel
    Brown University School of Medicine, Providence, Rhode Island, USA
    J Gen Intern Med 10:261-5. 1995
    ..Physicians appear to be low users of formal services overall, but high users of preventive care...
  57. ncbi The ambulatory care of HIV-infected persons: a survey of physician practice patterns
    M D Stein
    Division of General Internal Medicine, Rhode Island Hospital, Providence 02903
    J Gen Intern Med 7:180-6. 1992
    ..Such incorporation might increase guideline acceptance by practicing clinicians...
  58. ncbi Relationship quality among HIV patients and their caregivers
    I W Miller
    Psychosocial Research Program, Butler Hospital, Brown University, RI 02906, USA
    AIDS Care 19:203-11. 2007
    ..These results suggest that relationship quality is impaired in many patient-caregiver dyads and is uniquely associated with levels of depression, caregiver burden and treatment adherence...
  59. ncbi HIV/AIDS patients' perspectives on adhering to regimens containing protease inhibitors
    V E Stone
    Department of Medicine, Memorial Hospital of Rhode Island, Pawtucket 02860, USA
    J Gen Intern Med 13:586-93. 1998
    ..This early positive "reputation" of PIs may enhance motivation for adherence. Those who are taking PIs invest substantial effort adhering to these complex regimens, but resent the need to make medications the focus of their lives...
  60. ncbi Sexual risk behaviors among substance users: relationship to impulsivity
    Jumi Hayaki
    Department of Medicine, Brown Medical School, Providence, RI, US
    Psychol Addict Behav 20:328-32. 2006
    ..These findings suggest that trait impulsivity may be an independent risk factor for sexual risk behavior among substance users, thus identifying potential targets for future interventions...
  61. ncbi Injection drug users: hospital care and charges
    M D Stein
    Division of General Internal Medicine, Rhode Island Hospital, Brown University Medical School, Providence, RI 02903, USA
    Drug Alcohol Depend 64:117-20. 2001
    ..7906). We conclude that considerable savings may result from preventative care of this population, including instruction in skin-cleaning techniques...
  62. ncbi Changes in the pattern of drug overdoses
    M D Stein
    Brown University School of Medicine, Providence, Rhode Island
    J Gen Intern Med 8:179-84. 1993
    ..Discharge disposition has changed over time and is related to patients' insurance status...
  63. ncbi Motivation and patch treatment for HIV+ smokers: a randomized controlled trial
    Elizabeth E Lloyd-Richardson
    Department of Psychiatry and Human Behavior, The Warren Alpert Medical School of Brown University, Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI, USA
    Addiction 104:1891-900. 2009
    ..To test the efficacy of two smoking cessation interventions in a HIV positive (HIV+) sample: standard care (SC) treatment plus nicotine replacement therapy (NRT) versus more intensive motivationally enhanced (ME) treatment plus NRT...
  64. ncbi Neurobehavioral functioning in asymptomatic HIV-1 infected women
    R A Stern
    Brown University School of Medicine, Providence, RI, USA
    J Int Neuropsychol Soc 4:172-8. 1998
    ..However, additional studies are needed with larger sample sizes and with careful attention to possible confounding or masking variables...
  65. ncbi Continuity of medical care and risk of incarceration in HIV-positive and high-risk HIV-negative women
    Mary Sheu
    Brown University Department of Medicine and Center for Statistical Sciences, Providence, Rhode Island
    J Womens Health (Larchmt) 11:743-50. 2002
    ....
  66. ncbi Marijuana use subtypes in a community sample of young adult women
    Marcel A de Dios
    Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Butler Hospital, Providence, Rhode Island 02906, USA
    Womens Health Issues 20:201-10. 2010
    ..This study sought to empirically derive marijuana user subtypes based on DSM abuse and dependence criteria and examine demographic and substance abuse distinctions of derived classes...
  67. ncbi Overdoses among friends: drug users are willing to administer naloxone to others
    Tara Lagu
    Department of Medicine and Community Health, Brown Medical School, Providence, RI 02912, USA
    J Subst Abuse Treat 30:129-33. 2006
    ..Drug users were willing to use naloxone in the event of a friend's overdose. Specific drug use and overdose histories were associated with the greatest willingness to administer naloxone...
  68. ncbi Correlates of condom use and reasons for condom non-use among drug users
    Cynthia Rosengard
    Department of Medicine, Division of General Internal Medicine, Rhode Island Hospital and Brown University Medical School, Providence, Rhode Island 02903, USA
    Am J Drug Alcohol Abuse 32:637-44. 2006
    ..Tailoring messages to modifiable perceptions of risk and condom attitudes may be useful in reducing sexual risk among drug-using individuals...
  69. ncbi Pregnancy attitudes and contraceptive plans among women entering jail
    Jennifer G Clarke
    Rhode Island Hospital, Department of General Medicine, and Brown University School of Medicine, 593 Eddy St, Providence, RI 02903, USA
    Women Health 43:111-30. 2006
    ..47%). Tailoring services to women's specific pregnancy attitudes during periods of incarceration may aid in preventing unplanned pregnancies in populations of high-risk women...
  70. ncbi Nicotine replacement therapy: patterns of use after a quit attempt among methadone-maintained smokers
    Michael D Stein
    Department of Medicine, Brown Medical School, Providence, RI, USA
    J Gen Intern Med 21:753-7. 2006
    ..To determine the association between daily smoking and use of nicotine replacement therapy (NRT), and to determine predictors of greater NRT use among methadone-maintained smokers...
  71. ncbi Training primary care clinicians in maintenance care for moderated alcohol use
    Peter D Friedmann
    Program to Integrate Psychosocial and Health Services, Research Service, Providence Veterans Affairs Medical Center, Providence, RI, USA
    J Gen Intern Med 21:1269-75. 2006
    ..To evaluate whether training primary care clinicians in maintenance care for patients who have changed their drinking influences practice behavior...
  72. ncbi Physician attitudes regarding the prescription of medical marijuana
    Anthony Charuvastra
    University of California at Los Angeles, USA
    J Addict Dis 24:87-93. 2005
    ..Physicians are, in general, less supportive than the general American public regarding the use of medical marijuana...
  73. ncbi Optimizing opioid detoxification: rearranging deck chairs on the Titanic
    Michael D Stein
    J Addict Dis 26:1-2. 2007
  74. ncbi Levels of trauma among women inmates with HIV risk and alcohol use disorders: behavioral and emotional impacts
    Megan R Hebert
    Rhode Island Hospital Substance Abuse Rresearch Unit, DGIM, Providence, RI 02903, USA
    J Trauma Dissociation 8:27-46. 2007
    ..Through identifying these separate classes, limited resources for trauma survivors in the correctional setting could be most appropriately allocated...
  75. ncbi Do internal medicine residents find pain medication agreements useful?
    Mark J Fagan
    Division of General Internal Medicine, Department of Medicine Brown Medical School, Providence, RI 02903, USA
    Clin J Pain 24:35-8. 2008
    ..Little is known about whether internal medicine residents find pain management agreements (PMAs) useful or whether PMA use is associated with more positive attitudes toward patients with chronic noncancer pain (CNCP)...
  76. ncbi Feasibility of gaining access to women in jail for health interventions
    Megan R Hebert
    Women Health 47:79-93. 2008
    ..This study addressed the feasibility of recruiting detained women for eligibility for clinical research...
  77. ncbi Prevalence and predictors of sexually transmitted infection among newly incarcerated females
    Denise M Willers
    Department of Obstetrics and Gynecology, Washington University in St Louis School of Medicine and Barnes Jewish Hospital, St Louis, Missouri 63108, USA
    Sex Transm Dis 35:68-72. 2008
    ..To examine demographic and behavioral characteristics in incarcerated women to determine which characteristics are associated with prevalent sexually transmitted infections (STIs)...
  78. ncbi Marijuana use among young women in a primary care setting
    Jennifer S Rose
    Brown University School of Medicine, Rhode Island Hospital, 111 Plain St, Providence, RI 02903, USA
    J Gen Intern Med 22:826-9. 2007
    ..To evaluate the prevalence of marijuana use among young women, ages 18-24, within a primary care setting...
  79. ncbi A latent class typology of young women smokers
    Jennifer S Rose
    Brown University School of Medicine and Rhode Island Hospital, Providence, RI 02903, USA
    Addiction 102:1310-9. 2007
    ..Using latent class analysis, we sought to profile patterns of behavioral, attitudinal and cognitive variables related to tobacco use among young women...
  80. ncbi Women at risk for sexually transmitted diseases: correlates of intercourse without barrier contraception
    Jeffrey F Peipert
    Department of Obstetrics and Gynecology, Washington University School of Medicine, St Louis, MO, USA
    Am J Obstet Gynecol 197:474.e1-8. 2007
    ..The purpose of this study was to evaluate the correlates of vaginal intercourse without barrier contraception (unprotected intercourse)...
  81. ncbi Predictors of bacterial infections among HCV-negative injection drug users in Rhode Island
    Kristina T Phillips
    School of Psychological Sciences, University of Northern Colorado, Greeley, Colorado 80639, USA
    Am J Drug Alcohol Abuse 34:203-10. 2008
    ..IDUs with no history of HCV infection experience bacterial infections, but at lower rates than other IDU cohorts. Behavioral interventions should target bacterial infections as well as HCV or HIV prevention outcomes...
  82. ncbi Reproductive health care and family planning needs among incarcerated women
    Jennifer G Clarke
    Rhode Island Hospital DGIM, MPB 1, 593 Eddy Street, Providence, RI 02903, USA
    Am J Public Health 96:834-9. 2006
    ..We assessed the level of risk for sexually transmitted diseases (STDs) and the reproductive health needs of 484 incarcerated women in Rhode Island to plan an intervention for women returning to the community...
  83. ncbi A syringe prescription program to prevent infectious disease and improve health of injection drug users
    Josiah D Rich
    School of Medicine at Brown University, The Miriam Hospital, 164 Summit Avenue, Providence, RI 02906, USA
    J Urban Health 81:122-34. 2004
    ..The syringe prescription program in Providence represents a promising and innovative approach to disease prevention and treatment for IDUs...
  84. ncbi Utilization of preventive health services by HIV-seronegative injection drug users
    Kelly A McGarry
    Division of General Internal Medicine, Rhode Island Hospital, Providence 02903, USA
    J Addict Dis 21:93-102. 2002
    ..Given the burden of disease among IDUs, our findings suggest the need for a distinct set of testing and vaccination guidelines for the HIV-seronegative IDU population...
  85. ncbi HIV prevention services in correctional drug treatment programs: do they change risk behaviors?
    Rebecca A Ballard Lubelczyk
    Department of Medicine, Brown University School of Medicine, Rhode Island Hospital, Providence, USA
    AIDS Educ Prev 14:117-25. 2002
    ..This analysis suggests that HIV prevention services are beneficial in reducing risk behavior among incarcerated individuals whose discharge is expected in the near future...
  86. ncbi The impact of smoking cessation on drug abuse treatment outcome
    Stephenie C Lemon
    Division of General Internal Medicine, Department of Medicine, Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903, USA
    Addict Behav 28:1323-31. 2003
    ..04). Despite drug abuse treatment programs' hesitance to encourage smokers to quit, smoking cessation does not negatively impact drug use outcomes...
  87. ncbi Alcohol use disorders in primary care: do gender-specific differences exist?
    Rebecca S Brienza
    Yale Primary Care Internal Medicine Residency Program, Yale University School of Medicine, Department of Internal Medicine, New Haven, Conn, USA
    J Gen Intern Med 17:387-97. 2002
    ..To describe how alcohol use disorders (AUDs) affect women, focusing on gender-specific implications for primary care physicians (PCPs)...
  88. ncbi Accessibility of addiction treatment: results from a national survey of outpatient substance abuse treatment organizations
    Peter D Friedmann
    Division of General Internal Medicine, Rhode Island Hospital, Providence 02903, USA
    Health Serv Res 38:887-903. 2003
    ..4 to 4.3). CONCLUSIONS: Although the provision of timely addiction treatment appears to have increased throughout the 1990s, accessibility problems persist in programs that care for indigent patients and in methadone maintenance programs...
  89. ncbi Discontinuation from HIV medical care: squandering treatment opportunities
    Jeffrey H Samet
    Boston Medical Center, Boston University, USA
    J Health Care Poor Underserved 14:244-55. 2003
    ..One-fifth of HIV-infected patients did not remain engaged in primary care after establishing this essential link to treatment...
  90. ncbi Alcohol and HIV risk taking among intravenous drug users
    Michael D Stein
    Brown University School of Medicine, Providence, RI, USA
    Addict Behav 27:727-36. 2002
    ..To determine if drug risk days are also alcohol use days for active injection drug users (IDUs)...
  91. ncbi Community referral sources and entry of treatment-naive clients into outpatient addiction treatment
    Peter D Friedmann
    Division of General Internal Medicine, Department of Medicine, Brown Medical School and Rhode Island Hospital, Providence, Rhode Island 02903, USA
    Am J Drug Alcohol Abuse 29:105-15. 2003
    ..These results highlight the role of coercive community institutions in treatment outreach efforts to persons in earlier phases of the "addiction career."..
  92. ncbi Treatment of sleep disturbance in alcohol recovery: a national survey of addiction medicine physicians
    Peter D Friedmann
    Division of General Internal Medicine, Department of Medicine, Brown University School of Medicine and Rhode Island Hospital, Providence, RI 02903, USA
    J Addict Dis 22:91-103. 2003
    ..Although the treatment of disordered sleep among alcoholic patients in early recovery may have merit to prevent relapse, controlled studies of these sleep agents are needed...
  93. ncbi Predictors of follow-up health status in the Drug Abuse Treatment Outcome Study (DATOS)
    Peter D Friedmann
    Department of Medicine, Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903, USA
    Drug Alcohol Depend 69:243-51. 2003
    ..Future research should examine whether early identification and treatment of physical and mental health problems among patients in addiction treatment programs might remediate their adverse effects on long-term health status outcomes...
  94. ncbi Delay in obtaining conventional healthcare by female internal medicine patients who use herbal therapies
    Rebecca S Brienza
    Yale Primary Care Internal Medicine Residency Program, Yale University School of Medicine, New Haven, Connecticut, USA
    J Womens Health Gend Based Med 11:79-87. 2002
    ..Predictors for delay may alert physicians to educate their patients before delaying care...
  95. ncbi Effect of primary medical care on addiction and medical severity in substance abuse treatment programs
    Peter D Friedmann
    Division of General Internal Medicine, Department of Medicine, Brown University School of Medicine and Rhode Island Hospital, Providence 02903, USA
    J Gen Intern Med 18:1-8. 2003
    ..To examine whether the availability of primary medical care on-site at addiction treatment programs or off-site by referral improves patients' addiction severity and medical outcomes, compared to programs that offer no primary care...
  96. ncbi Intravenous drug users' HIV-risk behaviors with primary/other partners
    Cynthia Rosengard
    Department of Medicine, Brown University School of Medicine, Providence, Rhode Island, USA
    Am J Drug Alcohol Abuse 30:225-36. 2004
    ..Evaluation of intervention effects should use partner-specific assessments of risk behavior...
  97. ncbi Improving birth control service utilization by offering services prerelease vs postincarceration
    Jennifer G Clarke
    Division of General Internal Medicine, Rhode Island Hospital, MPB 1, 593 Eddy Street, Providence, RI 02903, USA
    Am J Public Health 96:840-5. 2006
    ..We examined whether incarcerated women would substantially increase birth control initiation if contraceptive services were available within the prison compared with after their release back into the community...
  98. ncbi Disturbed sleep and its relationship to alcohol use
    Michael D Stein
    Brown Medical School, Division of General Internal Medicine, Rhode Island Hospital, Providence, RI 02903, USA
    Subst Abus 26:1-13. 2005
    ..Future studies of this relationship should employ prospective designs with standardized, validated measures of both sleep and alcohol use. Rigorous treatment studies for chronic insomnia in alcohol dependent patients are also needed...
  99. ncbi Use and assessment of complementary and alternative therapies by intravenous drug users
    Eric Manheimer
    University of Maryland School of Medicine, Center for Integrative Medicine, Baltimore, Maryland 21207, USA
    Am J Drug Alcohol Abuse 29:401-13. 2003
    ..There was a high level of self-perceived effectiveness of CAM therapies (4.1 on a scale of 1-5), and CAM users were likely to use CAM for reasons related to their addiction...
  100. ncbi HIV and HCV testing for young drug users in Rhode Island
    David Pugatch
    Division of Pediatric Infectious Diseases, Rhode Island Hospital, Providence, Rhode Island 02903, USA
    J Adolesc Health 38:302-4. 2006
    ..2% reported ever testing for HIV versus 51.2% for HCV (p < .001). Young injectors were under-screened for HCV compared with the far less prevalent HIV infection...
  101. ncbi Do mechanisms that link addiction treatment patients to primary care influence subsequent utilization of emergency and hospital care?
    Peter D Friedmann
    Program to Integrate Psychosocial and Health Services, Research Service, Providence Veterans Affairs Medical Center, and Department of Medicine, Brown University School of Medicine, Providence, Rhode Island 02903, USA
    Med Care 44:8-15. 2006
    ....

Research Grants3

  1. Mid-Career Investigator Award in Substance Abuse - Research
    Michael Stein; Fiscal Year: 2007
    ..Stein's interest in translating this research to primary care and substance abuse treatment settings while mentoring new clinical investigators. ..
  2. Antidepressants During Office-based Buprenorphine
    Michael Stein; Fiscal Year: 2007
    ..The focus of this study, the evaluation of combinations of medications, to treat substance-related disorders, fits squarely within the emphasis of this RFA. ..