AHRQ Publications Summarize Evidence on Behavioral Programs for Patients With Diabetes
AHRQ Stats: Health Care’s Top Spenders
In 2014, the top 1 percent of people ranked by their health care spending accounted for 23 percent of the nation’s total health care spending. The average amount spent by each of these top health care spenders was $107,208. (Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey Statistical Brief #497, Concentration of Health Expenditures in the U.S. Civilian Non-Institutionalized Population, 2014.)
- AHRQ Publications Summarize Evidence on Behavioral Programs for Patients With Diabetes.
- AHRQ Announces Funding Opportunity for Developing Measures of Shared Decisionmaking.
- AHRQ Schedules Open Forums on Harmonizing Outcome Measures for Patient Registries.
- New Research and Evidence From AHRQ.
- Featured Case Study: AHRQ Resources Support Public Health Training in Maine.
- AHRQ in the Professional Literature
New publications from AHRQ summarize the effectiveness of behavioral programs to supplement clinical care for people with type 1 and type 2 diabetes, conditions that affect about 29 million Americans. The publications, developed for clinicians and consumers, reflect the findings of an AHRQ-funded systematic review that examined behavioral programs for diabetes self-management including patient education, dietary interventions and structured exercise or physical activity interventions. Findings show, for example, that people with type 1 diabetes who participated in behavioral programs had greater reductions in hemoglobin A1c levels at six months, but that more research is needed to know if reductions can be sustained for 12 months or longer. For people with type 2 diabetes, 11 or more hours of behavioral programs resulted in improvements in glycemic control. AHRQ’s new online publications for clinicians summarize the effectiveness of behavioral programs and indicate the strength of evidence behind the findings:
- Behavioral Programs for Type 1 Diabetes Mellitus: Current State of the Evidence.
- Behavioral Programs for Type 2 Diabetes Mellitus: Current State of the Evidence.
Summaries for patients are written in plain language:
- Behavioral Programs To Help Manage Type 1 Diabetes: A Review of the Research for Children, Teens, and Adults.
- Behavioral Programs To Help Manage Type 2 Diabetes: A Review of the Research for Adults.
Call (800) 358-9295 or email AHRQPubs@ahrq.hhs.gov for printed versions of the patient publications.
A new funding opportunity announcement from AHRQ solicits applications for research projects to develop, test and evaluate measures of shared decisionmaking for research conducted in clinical settings. Shared decisionmaking is a collaborative process in which patients and members of their clinical team make health care decisions that are informed by scientific evidence as well as patients’ values and preferences. Each project is expected to produce valid and reliable measures of shared decisionmaking, along with instructions for implementing the measures and documentation on the development, testing and evaluation of the measures. The maximum cost for each project is $500,000 per year and $1.5 million for up to three years.
Registration is open for two AHRQ online open forums on how to harmonize patient registry outcome performance measures using AHRQ’s Outcome Measures Framework. The forums are scheduled on Dec. 13 from 1 to 2:30 p.m. ET and Dec. 15 from 12 to 1:30 p.m. ET. Comparing, aggregating and reporting clinical care data can be difficult due to variations in the types and definitions of outcome measures used in patient registries. AHRQ’s Outcome Measures Framework is a generic content model for developing harmonized outcome performance measures in specific disease areas to reduce these variations. AHRQ is assessing the feasibility of using the framework to develop standardized libraries of outcome measures for five conditions. Forum participants will be asked for input on the planned approach for harmonization, dissemination of libraries of outcome measures and their use in new research. Contact RoPR@ahrq.hhs.gov with questions.
About 200 graduate students at the University of Southern Maine have used AHRQ resources in training for public health careers. AHRQ's Morbidity & Mortality (WebM&M) cases, Partnering to Heal online video training, and the Patient Safety Network are featured in classes at the university's Muskie School of Public Service. Access the case study.
Using EHRs and machine learning for heart failure survival analysis. Panahiazar M, Taslimitehrani V, Pereira N, et al. Stud Health Technol Inform 2015;216:40-4. Access the abstract on PubMed®.
Operating room to intensive care unit handoffs and the risks of patient harm. McElroy LM, Collins KM, Koller FL, et al. Surgery 2015 Sep;158(3):588-94. Epub 2015 Jun 9. Access the abstract on PubMed®.
Improvement in patient-reported physical and mental health after parathyroidectomy for primary hyperparathyroidism. Zanocco K, Butt Z, Kaltman D, et al. Surgery 2015 Sep;158(3):837-45. Epub 2015 May 29. Access the abstract on PubMed®.
Predicting inpatient hospital payments in the United States: a retrospective analysis. Smith MW, Friedman B, Karaca Z, et al. BMC Health Serv Res 2015 Sep 10;15(1):372. Access the abstract on PubMed®.
Study protocol for "Healthy Hearts Northwest": a 2 × 2 randomized factorial trial to build quality improvement capacity in primary care. Parchman ML, Fagnan LJ, Dorr DA, et al. Implement Sci 2016 Oct 13;11(1):138. Access the abstract in PubMed®.
Effectiveness of screening colonoscopy to prevent colorectal cancer among Medicare beneficiaries aged 70 to 79 years: a prospective observational study. García-Albéniz X, Hsu J, Bretthauer M, et al. Ann Intern Med 2016 Sep 27. [Epub ahead of print.] Access the abstract in PubMed®.
A national evaluation of a dissemination and implementation initiative to enhance primary care practice capacity and improve cardiovascular disease care: the ESCALATES study protocol. Cohen DJ, Balasubramanian BA, Gordon L, et al. Implement Sci 2016 Jun 29;11(1):86. Access the abstract on PubMed®.
Advancing heart health in North Carolina primary care: the Heart Health NOW study protocol. Weiner BJ, Pignone MP, DuBard CA, et al. Implement Sci 2015 Nov 14;10:160. Access the abstract on PubMed®.
Please address comments and questions regarding the AHRQ Electronic Newsletter to Bruce Seeman at Bruce.Seeman@ahrq.hhs.gov or (301) 427-1998.
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Page originally created November 2016