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Karen Chan Osilla

Title(s)Adjunct Assistant Professor
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Phone+1 213 821 0900
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    A Pilot Trial to Prevent Intoxicated and Impaired Driving Among Adolescents
    NIH/NIAAA R34AA027689Sep 1, 2019 - Aug 31, 2022
    Role: Principal Investigator
    DELIVERING TREATMENT IN DUI PROGRAMS TO REDUCE ALCOHOL-RELATED DISPARITIES
    NIH/NIMHD R01MD007762Jul 10, 2014 - Apr 30, 2019
    Role: Principal Investigator
    Web Intervention for Concerned Partners to Prevent Service Member Alcohol Abuse
    NIH/NIAAA R34AA023123Sep 26, 2013 - Aug 31, 2016
    Role: Principal Investigator
    Implementing a Screening and Brief Intervention in the EAP for At-Risk Drinkers
    NIH/NIAAA R21AA017493Sep 1, 2009 - Aug 31, 2013
    Role: Principal Investigator

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    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help. to make corrections and additions.
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    1. Randomized Clinical Trial Examining Cognitive Behavioral Therapy for Individuals With a First-Time DUI Offense. Alcohol Clin Exp Res. 2019 10; 43(10):2222-2231. Osilla KC, Paddock SM, McCullough CM, Jonsson L, Watkins KE. PMID: 31472028.
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    2. Associations between driving under the influence or riding with an impaired driver and future substance use among adolescents. Traffic Inj Prev. 2019; 20(6):563-569. Osilla KC, Seelam R, Parast L, D'Amico EJ. PMID: 31356125.
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    3. Understanding Which Teenagers Benefit Most From a Brief Primary Care Substance Use Intervention. Pediatrics. 2019 08; 144(2). D'Amico EJ, Parast L, Osilla KC, Seelam R, Meredith LS, Shadel WG, Stein BD. PMID: 31296568.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    4. Exploring the association between changes in partner behaviors, perceived service member drinking, and relationship quality: Secondary analysis of a web-based intervention for military partners. J Subst Abuse Treat. 2019 03; 98:66-72. Trail TE, Osilla KC, Rodriguez LM, Pedersen ER, Gore KL. PMID: 30665606.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    5. Initiation and engagement as mechanisms for change caused by collaborative care in opioid and alcohol use disorders. Drug Alcohol Depend. 2018 11 01; 192:67-73. Setodji CM, Watkins KE, Hunter SB, McCullough C, Stein BD, Osilla KC, Ober AJ. PMID: 30223190.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    6. Differences in alcohol cognitions, consumption, and consequences among first-time DUI offenders who co-use alcohol and marijuana. Drug Alcohol Depend. 2018 10 01; 191:187-194. Smart R, Osilla KC, Jonsson L, Paddock SM. PMID: 30130715.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    7. The longitudinal effects of military spouses' concern and behaviors over partner drinking on relationship functioning. Alcohol. 2019 05; 76:29-36. Rodriguez LM, Neighbors C, Osilla KC, Trail TE. PMID: 30553122.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    8. Patient predictors of substance use disorder treatment initiation in primary care. J Subst Abuse Treat. 2018 07; 90:64-72. Ober AJ, Watkins KE, McCullough CM, Setodji CM, Osilla K, Hunter SB. PMID: 29866385.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    9. Effects of motivational interviewing fidelity on substance use treatment engagement in primary care. J Subst Abuse Treat. 2018 04; 87:64-69. Osilla KC, Watkins KE, D'Amico EJ, McCullough CM, Ober AJ. PMID: 29471928.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    10. The Feasibility of a Web Intervention for Military and Veteran Spouses Concerned About Their Partner's Alcohol Misuse. J Behav Health Serv Res. 2018 Jan; 45(1):57-73. Osilla KC, Pedersen ER, Tolpadi A, Howard SS, Phillips JL, Gore KL. PMID: 28039559.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    11. Assessing and improving organizational readiness to implement substance use disorder treatment in primary care: findings from the SUMMIT study. BMC Fam Pract. 2017 12 21; 18(1):107. Ober AJ, Watkins KE, Hunter SB, Ewing B, Lamp K, Lind M, Becker K, Heinzerling K, Osilla KC, Diamant AL, Setodji CM. PMID: 29268702.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    12. A pilot test of a motivational interviewing social network intervention to reduce substance use among housing first residents. J Subst Abuse Treat. 2018 03; 86:36-44. Kennedy DP, Osilla KC, Hunter SB, Golinelli D, Maksabedian Hernandez E, Tucker JS. PMID: 29415849.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    13. Demographic and Mental Health Characteristics of Individuals Who Present to Community Health Clinics With Substance Misuse. Health Serv Res Manag Epidemiol. 2017 Jan-Dec; 4:2333392817734523. Iyiewuare PO, McCullough C, Ober A, Becker K, Osilla K, Watkins KE. PMID: 29124080.
      View in: PubMed   Mentions:
    14. Efficacy of a Web-based Intervention for Concerned Spouses of Service Members and Veterans with Alcohol Misuse. J Marital Fam Ther. 2018 Apr; 44(2):292-306. Osilla KC, Trail TE, Pedersen ER, Gore KL, Tolpadi A, Rodriguez LM. PMID: 28972265.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    15. Collaborative Care for Opioid and Alcohol Use Disorders in Primary Care: The SUMMIT Randomized Clinical Trial. JAMA Intern Med. 2017 10 01; 177(10):1480-1488. Watkins KE, Ober AJ, Lamp K, Lind M, Setodji C, Osilla KC, Hunter SB, McCullough CM, Becker K, Iyiewuare PO, Diamant A, Heinzerling K, Pincus HA. PMID: 28846769.
      View in: PubMed   Mentions: 17     Fields:    Translation:Humans
    16. Internalized stigma as an independent risk factor for substance use problems among primary care patients: Rationale and preliminary support. Drug Alcohol Depend. 2017 11 01; 180:52-55. Kulesza M, Watkins KE, Ober AJ, Osilla KC, Ewing B. PMID: 28869858.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    17. Alcohol Use Among Concerned Partners of Heavy Drinking Service Members and Veterans. J Marital Fam Ther. 2018 Apr; 44(2):277-291. Rodriguez LM, Osilla KC, Trail TE, Gore KL, Pedersen ER. PMID: 28782116.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    18. Bringing alcohol treatment to driving under the influence programs: Perceptions from first-time offenders. Alcohol Treat Q. 2017; 35(2):113-129. Osilla KC, Kulesza M, Miranda J. PMID: 28943712.
      View in: PubMed   Mentions:
    19. A Preliminary Evaluation of Interactive Video Simulation Training for Campus Law Enforcement in California. Rand Health Q. 2017 Jan; 6(2):4. Kase CA, Osilla KC, Seelam R, Woodbridge MW, Stein BD. PMID: 28845342.
      View in: PubMed   Mentions:
    20. Implementing the Chronic Care Model for Opioid and Alcohol Use Disorders in Primary Care. Prog Community Health Partnersh. 2017; 11(4):397-407. Watkins KE, Ober AJ, Lamp K, Lind M, Diamant A, Osilla KC, Heinzerling K, Hunter SB, Pincus HA. PMID: 29332853.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    21. Preventing, Identifying, and Treating Prescription Drug Misuse Among Active-Duty Service Members. Rand Health Q. 2017 Jan; 7(1):8. Pacula RL, Hunter SB, Ober AJ, Osilla KC, Vardavas R, Blanchard JC, DeVries D, Drabo EF, Leuschner KJ, Stewart W, Walters J. PMID: 29057158.
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    22. The role of perceived injunctive alcohol norms in adolescent drinking behavior. Addict Behav. 2017 04; 67:1-7. Pedersen ER, Osilla KC, Miles JN, Tucker JS, Ewing BA, Shih RA, D'Amico EJ. PMID: 27978424.
      View in: PubMed   Mentions: 6     Fields:    Translation:Humans
    23. Feasibility of a computer-assisted social network motivational interviewing intervention for substance use and HIV risk behaviors for housing first residents. Addict Sci Clin Pract. 2016 09 07; 11(1):14. Osilla KC, Kennedy DP, Hunter SB, Maksabedian E. PMID: 27604543.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    24. Assessing the Quality and Value of Psychological Health Care in Civilian Health Plans: Lessons and Implications for the Military Health System. Rand Health Q. 2016 May 09; 5(4):16. Martsolf GR, Osilla KC, Mandel D, Hepner KA, Farmer CM. PMID: 28083426.
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    25. A Systematic Review of the Prevention and Treatment of Prescription Drug Misuse. Mil Med. 2016 05; 181(5):410-23. Blanchard J, Hunter SB, Osilla KC, Stewart W, Walters J, Pacula RL. PMID: 27136647.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    26. It is time to develop appropriate tools for assessing minimal clinically important differences, performance bias and quality of evidence in reviews of behavioral interventions. Addiction. 2016 09; 111(9):1533-5. Grant S, Pedersen ER, Osilla KC, Kulesza M, D'Amico EJ. PMID: 27095296.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    27. Factors Affecting Mental Health Service Utilization Among California Public College and University Students. Psychiatr Serv. 2016 08 01; 67(8):890-7. Sontag-Padilla L, Woodbridge MW, Mendelsohn J, D'Amico EJ, Osilla KC, Jaycox LH, Eberhart NK, Burnam AM, Stein BD. PMID: 27032662.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    28. Student Mental Health in California's K-12 Schools: School Principal Reports of Common Problems and Activities to Address Them. Rand Health Q. 2016 Jan 29; 5(3):9. Kaufman JH, Seelam R, Woodbridge MW, Sontag-Padilla L, Osilla KC, Stein BD. PMID: 28083406.
      View in: PubMed   Mentions:
    29. Family Resilience in the Military: Definitions, Models, and Policies. Rand Health Q. 2016 Jan 29; 5(3):12. Meadows SO, Beckett MK, Bowling K, Golinelli D, Fisher MP, Martin LT, Meredith LS, Osilla KC. PMID: 28083409.
      View in: PubMed   Mentions:
    30. Navigating the Road to Reintegration: Status and Continuing Support of the U.S. Air Force's Wounded Warriors. Rand Health Q. 2015 Nov 30; 5(2):17. Sims CS, Vaughan CA, Theologis H, Boal A, Osilla KC. PMID: 28083393.
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    31. Suicide Postvention in the Department of Defense: Evidence, Policies and Procedures, and Perspectives of Loss Survivors. Rand Health Q. 2015 Nov 30; 5(2):20. Ramchand R, Ayer L, Fisher G, Osilla KC, Barnes-Proby D, Wertheimer S. PMID: 28083396.
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    32. Reviewing and interpreting the effects of brief alcohol interventions: comment on a Cochrane review about motivational interviewing for young adults. Addiction. 2016 09; 111(9):1521-7. Grant S, Pedersen ER, Osilla KC, Kulesza M, D'Amico EJ. PMID: 26508301.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    33. A pilot study comparing in-person and web-based motivational interviewing among adults with a first-time DUI offense. Addict Sci Clin Pract. 2015 Sep 03; 10:18. Osilla KC, Paddock SM, Leininger TJ, D'Amico EJ, Ewing BA, Watkins KE. PMID: 26334629.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    34. Mental Health Trainings in California's Higher Education System Are Associated with Increased Confidence and Likelihood to Intervene with and Refer Students. Rand Health Q. 2015 Jul 15; 5(1):17. Osilla KC, Woodbridge MW, Seelam R, Kase CA, Roth E, Stein BD. PMID: 28083370.
      View in: PubMed   Mentions:
    35. Mental Health Trainings in California's K-12 System Are Associated with Increased Confidence and Likelihood to Intervene with and Refer Students. Rand Health Q. 2015 Jul 15; 5(1):18. Osilla KC, Goldweber A, Seelam R, Kase CA, Roth E, Stein BD. PMID: 28083371.
      View in: PubMed   Mentions:
    36. Access to Behavioral Health Care for Geographically Remote Service Members and Dependents in the U.S. Rand Health Q. 2015 Jul 15; 5(1):21. Brown RA, Marshall GN, Breslau J, Farris C, Osilla KC, Pincus HA, Ruder T, Voorhies P, Barnes-Proby D, Pfrommer K, Miyashiro L, Rana Y, Adamson DM. PMID: 28083374.
      View in: PubMed   Mentions:
    37. The longitudinal relationship between employment and substance use among at-risk adolescents. J Child Adolesc Behav. 2015 Jun; 3(3). Osilla KC, Miles JN, Hunter SB, D'Amico EJ. PMID: 26448969.
      View in: PubMed   Mentions:
    38. The effects of mental health symptoms and marijuana expectancies on marijuana use and consequences among at-risk adolescents. J Drug Issues. 2015 Apr 01; 45(2):151-165. Pedersen ER, Miles JN, Osilla KC, Ewing BA, Hunter SB, D'Amico EJ. PMID: 25977590.
      View in: PubMed   Mentions:
    39. How group factors affect adolescent change talk and substance use outcomes: implications for motivational interviewing training. J Couns Psychol. 2015 Jan; 62(1):79-86. Osilla KC, Ortiz JA, Miles JN, Pedersen ER, Houck JM, D'Amico EJ. PMID: 25602608.
      View in: PubMed   Mentions: 8     Fields:    Translation:Humans
    40. A Case Study Evaluating the Fidelity of Suicide Prevention Workshops in California. Rand Health Q. 2014 Dec 30; 4(3):11. Osilla KC, Barnes-Proby D, Gilbert ML, Ramchand R. PMID: 28560080.
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    41. Group motivational interviewing for adolescents: change talk and alcohol and marijuana outcomes. J Consult Clin Psychol. 2015 Feb; 83(1):68-80. D'Amico EJ, Houck JM, Hunter SB, Miles JN, Osilla KC, Ewing BA. PMID: 25365779.
      View in: PubMed   Mentions: 28     Fields:    Translation:Humans
    42. Longitudinal family effects on substance use among an at-risk adolescent sample. Addict Behav. 2015 Feb; 41:185-91. Ewing BA, Osilla KC, Pedersen ER, Hunter SB, Miles JN, D'Amico EJ. PMID: 25452064.
      View in: PubMed   Mentions: 7     Fields:    Translation:Humans
    43. The effects of purchasing alcohol and marijuana among adolescents at-risk for future substance use. Subst Abuse Treat Prev Policy. 2014 Sep 18; 9:38. Osilla KC, Pedersen ER, Ewing BA, Miles JN, Ramchand R, D'Amico EJ. PMID: 25231097.
      View in: PubMed   Mentions: 6     Fields:    Translation:HumansAnimals
    44. Study design to develop and pilot-test a web intervention for partners of military service members with alcohol misuse. Addict Sci Clin Pract. 2014 Sep 02; 9(1):18. Osilla KC, Pedersen ER, Gore K, Trail T, Howard SS. PMID: 25179672.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    45. Evaluating the impact of getting to outcomes-underage drinking on prevention capacity and alcohol merchant attitudes and selling behaviors. Prev Sci. 2014 Aug; 15(4):485-96. Chinman M, Ebener P, Burkhart Q, Osilla KC, Imm P, Paddock SM, Wright PA. PMID: 23564504.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    46. Perceived norms moderate the association between mental health symptoms and drinking outcomes among at-risk adolescents. J Stud Alcohol Drugs. 2013 Sep; 74(5):736-45. Pedersen ER, Miles JN, Hunter SB, Osilla KC, Ewing BA, D'Amico EJ. PMID: 23948533.
      View in: PubMed   Mentions: 7     Fields:    Translation:Humans
    47. A randomized controlled trial of a group motivational interviewing intervention for adolescents with a first time alcohol or drug offense. J Subst Abuse Treat. 2013 Nov-Dec; 45(5):400-8. D'Amico EJ, Hunter SB, Miles JN, Ewing BA, Osilla KC. PMID: 23891459.
      View in: PubMed   Mentions: 28     Fields:    Translation:Humans
    48. The Carrot and the Stick: A Cross-Sectional Study of the Influences on Responsible Merchant Practices to Reduce Underage Drinking. J Community Psychol. 2013 May; 41(4):463-470. Ebener P, Malone P, Imm P, Osilla KC, Paddock SM, Wright PA, Burkhart Q. PMID: 29051676.
      View in: PubMed   Mentions: 1     Fields:    
    49. Training Addiction Counselors to Implement an Evidence-Based Intervention: Strategies for Increasing Organizational and Provider Acceptance. Cogn Behav Pract. 2013 May 01; 20(2):232-244. Woo SM, Hepner KA, Gilbert EA, Osilla KC, Hunter SB, Muñoz RF, Watkins KE. PMID: 23734072.
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    50. Interventions to Improve Student Mental Health: A Literature Review to Guide Evaluation of California's Mental Health Prevention and Early Intervention Initiative. Rand Health Q. 2013; 2(4):4. Stein BD, Sontag-Padilla L, Osilla KC, Woodbridge MW, Kase CA, Jaycox LH, D'Amico EJ, Cerully JL, Eberhart NK, Golan S. PMID: 28083276.
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    51. The effects of employment among adolescents at-risk for future substance use. Addict Behav. 2013 Mar; 38(3):1616-9. Osilla KC, Hunter SB, Ewing BA, Ramchand R, Miles JN, D'Amico EJ. PMID: 23254207.
      View in: PubMed   Mentions: 6     Fields:    Translation:Humans
    52. Assessing motivational interviewing integrity for group interventions with adolescents. Psychol Addict Behav. 2012 Dec; 26(4):994-1000. D'Amico EJ, Osilla KC, Miles JN, Ewing B, Sullivan K, Katz K, Hunter SB. PMID: 22642853.
      View in: PubMed   Mentions: 9     Fields:    Translation:Humans
    53. Provider and patient correlates of provider decisions to recommend HCV treatment to HIV co-infected patients. J Int Assoc Physicians AIDS Care (Chic). 2012 Jul-Aug; 11(4):245-51. Wagner G, Osilla KC, Garnett J, Ghosh-Dastidar B, Bhatti L, Witt M, Goetz MB. PMID: 22564797.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    54. Multicultural web-based motivational interviewing for clients with a first-time DUI offense. Cultur Divers Ethnic Minor Psychol. 2012 Apr; 18(2):192-202. Osilla KC, D'Amico EJ, Díaz-Fuentes CM, Lara M, Watkins KE. PMID: 22506822.
      View in: PubMed   Mentions: 12     Fields:    Translation:Humans
    55. Treating depression and substance use: a randomized controlled trial. J Subst Abuse Treat. 2012 Sep; 43(2):137-51. Hunter SB, Watkins KE, Hepner KA, Paddock SM, Ewing BA, Osilla KC, Perry S. PMID: 22301087.
      View in: PubMed   Mentions: 9     Fields:    Translation:Humans
    56. Systematic review of the impact of worksite wellness programs. Am J Manag Care. 2012 Feb 01; 18(2):e68-81. Osilla KC, Van Busum K, Schnyer C, Larkin JW, Eibner C, Mattke S. PMID: 22435887.
      View in: PubMed   Mentions: 34     Fields:    Translation:Humans
    57. Patient and provider characteristics associated with the decision of HIV coinfected patients to start hepatitis C treatment. AIDS Patient Care STDS. 2011 Sep; 25(9):533-8. Osilla KC, Wagner G, Garnett J, Ghosh-Dastidar B, Witt M, Bhatti L, Goetz MB. PMID: 21823907.
      View in: PubMed   Mentions: 8     Fields:    Translation:Humans
    58. The premises is the premise: understanding off- and on-premises alcohol sales outlets to improve environmental alcohol prevention strategies. Prev Sci. 2011 Jun; 12(2):181-91. Chinman M, Burkhart Q, Ebener P, Fan CC, Imm P, Osilla KC, Paddock SM, Wright A. PMID: 21373877.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    59. Developing a Group Motivational Interviewing Intervention for Adolescents At-Risk for Developing an Alcohol or Drug use Disorder. Alcohol Treat Q. 2010 Oct; 28(4):417-436. D'Amico EJ, Osilla KC, Hunter SB. PMID: 21113392.
      View in: PubMed   Mentions:
    60. Disparate prevalence estimates of PTSD among service members who served in Iraq and Afghanistan: possible explanations. J Trauma Stress. 2010 Feb; 23(1):59-68. Ramchand R, Schell TL, Karney BR, Osilla KC, Burns RM, Caldarone LB. PMID: 20135699.
      View in: PubMed   Mentions: 54     Fields:    Translation:Humans
    61. Factors that influence an HIV coinfected patient's decision to start hepatitis C treatment. AIDS Patient Care STDS. 2009 Dec; 23(12):993-9. Osilla KC, Ryan G, Bhatti L, Goetz M, Witt M, Wagner G. PMID: 19929229.
      View in: PubMed   Mentions: 8     Fields:    Translation:Humans
    62. Exploring productivity outcomes from a brief intervention for at-risk drinking in an employee assistance program. Addict Behav. 2010 Mar; 35(3):194-200. Osilla KC, dela Cruz E, Miles JN, Zellmer S, Watkins K, Larimer ME, Marlatt GA. PMID: 19897312.
      View in: PubMed   Mentions: 8     Fields:    Translation:Humans
    63. Treat early or wait and monitor? A qualitative analysis of provider hepatitis C virus treatment decision-making in the context of HIV coinfection. AIDS Patient Care STDS. 2009 Sep; 23(9):715-25. Wagner G, Ryan G, Osilla KC, Bhatti L, Goetz M, Witt M. PMID: 19663714.
      View in: PubMed   Mentions: 12     Fields:    Translation:HumansCells
    64. Developing an integrated treatment for substance use and depression using cognitive-behavioral therapy. J Subst Abuse Treat. 2009 Dec; 37(4):412-20. Osilla KC, Hepner KA, Muñoz RF, Woo S, Watkins K. PMID: 19540701.
      View in: PubMed   Mentions: 9     Fields:    Translation:Humans
    65. Transactional sex among men and women in the south at high risk for HIV and other STIs. J Urban Health. 2009 Jul; 86 Suppl 1:32-47. Bobashev GV, Zule WA, Osilla KC, Kline TL, Wechsberg WM. PMID: 19513853.
      View in: PubMed   Mentions: 31     Fields:    Translation:Humans
    66. Further validity evidence for the dimensions of change in therapeutic community treatment instrument. Am J Drug Alcohol Abuse. 2008; 34(3):285-92. Edelen MO, Miles JN, Osilla KC, Wenzel SL. PMID: 18428071.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    67. A brief intervention for at-risk drinking in an employee assistance program. J Stud Alcohol Drugs. 2008 Jan; 69(1):14-20. Osilla KC, Zellmer SP, Larimer ME, Neighbors C, Marlatt GA. PMID: 18080060.
      View in: PubMed   Mentions: 20     Fields:    Translation:Humans
    68. Regular tobacco use among American Indian and Alaska native adolescents: an examination of protective mechanisms. J Ethn Subst Abuse. 2007; 6(3-4):143-53. Osilla KC, Lonczak HS, Mail PD, Larimer ME, Marlatt GA. PMID: 19842310.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
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