HIV Disclosure and Prevention Advocacy Partially Mediate Advocacy Training Intervention Effect on Reduced Internalized HIV Stigma
A randomized controlled trial in Uganda tested the Game Changers for HIV Prevention peer‑advocacy training on 210 people living with HIV. Over 18 months the intervention lowered internalized HIV stigma compared with usual care. Mediation analysis showed that increased HIV disclosure and heightened prevention advocacy each partially explained the stigma reduction, while improved HIV knowledge did not. The study confirms that empowering PLWH to speak openly and advocate for others can directly diminish self‑stigma.
Strategic Implications of Deploying Artificial Intelligence in Defence
Artificial intelligence is reshaping defence strategy as militaries pour resources into general‑purpose AI technologies. The RAND chapter argues that AI will alter the offense‑defence balance, boost lethality, and accelerate proliferation to both state and non‑state actors. It highlights that national...
The Effects of the Measure ULA (United to House LA) Transfer Tax on Economic Development and Municipal Finances in Los...
Measure ULA, a Los Angeles transfer tax, has generated $1.2 billion for affordable housing and tenant assistance. However, the tax has cut high‑value property sales by 31% and slowed housing production, eliminating over 9,000 units through early 2026. The city lost an estimated...
Investigating the Potential Use of Frontier AI Models for Offensive Cyberattacks: A Human Uplift Study
A RAND‑conducted human uplift study commissioned by the UK AI Security Institute examined whether frontier AI models boost offensive cyber capabilities among lower‑skilled participants. One hundred fifty‑seven volunteers tackled network, OS and vulnerability‑exploitation challenges, half with access to models such...
Battle Damage Repair for Arleigh Burke–Class Destroyers
A tabletop exercise held Aug. 13‑14, 2025 examined how the U.S. Navy and Indo‑Pacific allies would salvage and repair battle‑damaged Arleigh Burke‑class destroyers, the fleet’s primary surface combatants. Participants modeled four damage scenarios, focusing on required capabilities, command‑and‑control structures, and partner‑nation roles....
Qualified Medical Evaluators and the Medical-Legal Process in California Workers' Compensation
The RAND Health report examines California's Qualified Medical Evaluators (QMEs), physicians certified by the Division of Workers' Compensation to assess injured workers and produce legal reports. Using data from the Department of Industrial Relations and stakeholder interviews, the study evaluates...
Automating Knowledge Work
RAND’s May 2026 paper introduces a systematic framework for automating knowledge work, focusing on tasks that involve analysis, decision‑making, and information processing. It evaluates each task across four dimensions—criticality, accuracy, novelty, and observability—to determine the appropriate level of AI oversight. Based...
Development of the Revised CAHPS Hospice Survey
The Centers for Medicare & Medicaid Services (CMS) has released a revised CAHPS Hospice Survey, streamlining the instrument used by more than 4,000 hospices each month. Stakeholder feedback prompted a shorter questionnaire that adds questions on patient wishes and cultural...
Medicaid Home-Based and Community-Based Services Long-Term Care Expenditures
The Balancing Incentive Program (BIP), created under the 2010 Affordable Care Act, offered states financial incentives to expand Medicaid home‑based and community‑based services (HCBS). Researchers compared 17 BIP‑participating states with a synthetic control of 17 non‑participating states using state‑level long‑term...
Building Resilience Against Artificial Intelligence–Enabled Biological Threats
The RAND Center for AI, Security, and Technology hosted a two‑day workshop on Jan 14‑15, 2026, to devise mitigation strategies for AI‑enabled biological threats. Twenty‑two experts from AI research, biotechnology, policy, ethics, and systems thinking collaborated in small teams to map the...
An AI Taxonomy for Criminal Justice
The RAND Corporation released a comprehensive taxonomy that maps artificial‑intelligence tools across policing, courts, corrections and community supervision. It shows that AI applications vary widely in technical sophistication, purpose, and influence on human judgment, yet are often regulated as a...
Home Sensor Technology in Social Care Reform: Moving From Potential to Practice at Scale in Tech-Enabled Care
A NIHR‑commissioned rapid evaluation by the DECIDE centre examined home‑sensor pathways in adult social care across three local authorities. The study found that sensors can flag early health deterioration and reduce unnecessary visits, but privacy worries and anxiety limit uptake...
Initiation Setting and Persistence of Medications Affecting Cognition in Older Adults
A RAND‑sponsored cross‑sectional analysis of Health and Retirement Study data linked to Medicare claims examined where medications that impair cognition are first prescribed to adults 66 and older, and how many remain on them after one year. The study covered...
Telemedicine Adoption, US Ambulatory Visits, and Total Medical Spending, 2019-2023
The study examined 3.04 million U.S. adults from 2019‑2023 using multipayer claims to gauge how regional telemedicine adoption impacted total ambulatory visits and per‑member spending. High‑adoption hospital referral regions recorded a 2.4% dip in visit volume and a 0.5% reduction in...
Reimbursement Potential of Collaborative Care Model (CoCM) Billing Codes for Opioid Use Disorder Co-Occurring with Mental Disorders
A RAND‑sponsored pragmatic trial evaluated how Medicare’s Collaborative Care Model (CoCM) billing codes translate into revenue for treating opioid use disorder with co‑occurring depression or PTSD. Across 381 patients and 90,996 care‑manager minutes, only 56% of activity met billing criteria,...