Maria Ekstrand

Tel-Me-Box: Validating and testing a novel, low cost, real-time monitoring device with hair level analysis among adherence-challenged patients

“Tel-Me-Box” is a small, low-cost, adherence monitoring device, developed by our team that transmits a wireless signal to a server when opened.  Since it cannot assess actual drug ingestion, validation against a biological measure of adherence is crucial.  The overarching hypothesis of this application is that adherence data captured by Tel-Me-Box will demonstrate strong relationships with an objective biomarker of adherence (i.e.

Improving Mental Health through Integration with Primary Care in Rural Karnataka

The overall goal of this study is to improve screening, diagnoses and treatment of Common Mental Disorders among individuals with dual mental illness and cardiovascular disease diagnoses in rural South India. The multi-level intervention uses a collaborative care model that will be tested in a cluster RCT and includes low-cost, evidence-based sustainable strategies targeting multiple chronic diseases. This five-year study is being conducted in collaboration with our colleagues at St.

Stigma as a barrier to cancer palliative care outcomes among people with HIV in India

Cancer incidence is rising among people living with HIV, as improved access to antiretroviral treatment has led to an increased life expectancy worldwide, including in India, thereby also increasing the need for palliative care services. While it is well known that HIV stigma acts as a barrier to engagement and retention in HIV care, we do not yet know how the additional stigma of cancer may compound this problem.

Healthy Oakland Teens

Healthy Oakland Teens Description and Explanation of Study Instrument


A questionnaire based on findings from earlier surveys was developed and pilot tested on junior high school students. The content and wording of the survey was modified based on pilot study results and participant feedback and used in the present study to assess demographic characteristics, HIV/AIDS/STD-related knowledge, attitudes, and beliefs, sexual behaviors and drug and alcohol use.

Context and Correlates of Health Behaviors in South India

This five-year study is being conducted in collaboration with three Indian NGOs: YRGCARE in Chennai, Tamil Nadu, SHADOWS in Chirala, Andhra Pradesh, and Shelter in Calicut, Kerala. The overall goal is to obtain a better understanding of HIV risk-taking in the context of alcohol consumption among male migrant workers and female sex workers in South India through formative work as well as qualitative and qualitative interviews.

Improving Mental Health through Integration with Primary Care in Rural Karnataka

The overall goal of this study is to improve screening, diagnoses and treatment of Common Mental Disorders among individuals with dual mental illness and cardiovascular disease diagnoses in rural South India. The multi-level intervention uses a collaborative care model that will be tested in a cluster RCT and includes low-cost, evidence-based sustainable strategies targeting multiple chronic diseases. This five-year study is being conducted in collaboration with our colleagues at St.

Reducing AIDS Stigma among Health Professionals in South India (The DriSti Study)

This study brings together researchers from the University of California, San Francisco; Research Triangle Institute in Washington DC; St. John’s National Academy of Health Sciences in Bangalore, India; and the All India Institute of Medical Sciences in New Delhi, India to evaluate the efficacy of a promising intervention designed to reduce HIV stigma among Indian health professionals.

ASHA Improving Health and Nutrition of Indian Women with AIDS and their Children

The overall goal of this study is to enhance the physical and mental health of rural Indian women living with AIDS and their children. We will achieve these goals through the use of trained village women as Accredited Social Health Activists (ASHA) to enhance the health of women and children through improved ART adherence, CD4 levels, and physical and mental health.