Behavior, Medication Therapies Both Effective To Treat Childhood Anxiety, But Medication Carries Risk: AHRQ Report

Issue 581
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
September 5, 2017

AHRQ Stats: Disparities in Patient Safety

In 2013-2014, blacks and Hispanics received worse health care than whites in more than 20 percent of patient safety measures. Meanwhile, Asians received worse care than whites for 35 percent of such measures. (Source: AHRQ, 2016 National Healthcare Quality and Disparities Report, Chartbook on Patient Safety.)

Today's Headlines:

Behavior, Medication Therapies Both Effective To Treat Childhood Anxiety, But Medication Carries Risk: AHRQ Report

Both behavior-based therapy and some medication-based treatments are effective for treating childhood anxiety, but some medication-based treatments are likely to cause short-term adverse effects, according to an AHRQ-funded report in JAMA Pediatrics. Researchers evaluated published data on the effectiveness and adverse events of treatments for childhood anxiety disorders such as panic, phobias and separation anxiety. The most common treatments are cognitive behavioral therapy, which combines cognitive restructuring, relaxation training and exposure therapy; and two classes of drug-based therapies:  selective serotonin reuptake inhibitors and serotonin-norepinephrine reuptake inhibitors. Researchers found that a combination of both the behavior- and medication-based treatment was more effective than either treatment alone, but the benefits and risks need to be considered; they also found that long-term adverse effects of medications require further study. The researchers also called for more research to address treatment of children who have other psychiatric conditions in addition to anxiety, evaluate the effectiveness of the components of cognitive behavioral therapy and compare drugs head to head. Access the abstract.

Highlights From AHRQ’s Patient Safety Network

AHRQ’s Patient Safety Network (PSNet) highlights journal articles, books and tools related to patient safety. Articles featured this week include:

Review additional new publications in PSNet’s current issue or access recent cases and commentaries in AHRQ’s WebM&M (Morbidity and Mortality Rounds on the Web).

Register Now: Sept. 13 Webinar on Helping Organizations Maintain Success of TeamSTEPPS® Safety Program

Registration is open for an AHRQ webinar on Sept. 13 from 1 to 2 p.m. ET to highlight strategies for organizations to maintain continued effectiveness of the TeamSTEPPS (Team Strategies & Tools to Enhance Performance & Patient Safety) program. TeamSTEPPS is AHRQ’s evidence-based curriculum to improve teamwork and communication among health care professionals to enhance patient safety. Webinar attendees will receive guidance on maintaining program momentum by building on previous successes, understanding the need to evaluate and adjust programming and embracing transparency about program measures. There is no cost to participate. 

Health Insurance Coverage Among Small Employers Remains Turbulent, AHRQ Study Finds

Nearly 15 percent of small employers with 50 or fewer workers that offered health insurance in 2014 stopped offering coverage in 2015, a new study from AHRQ researchers concluded. But this trend was offset by a gain of 5.5 percent among small employers that did not offer coverage in 2014, according to the article published in Health Affairs. AHRQ researchers used a new data source, the 2014-2015 Medical Expenditure Panel Survey–Insurance Component longitudinal survey, to examine the dynamics of employer-sponsored health insurance coverage. Employers with fewer than 10 workers had the highest rate (19 percent) of dropping coverage. Access the abstract.

AHRQ's "Questions Are the Answer" Offers Tools To Promote Patient Involvement

"Questions Are the Answer," AHRQ's ongoing public education initiative on patient involvement, offers several information tools to help clinicians and their patients communicate to make health care safer. AHRQ's website features these valuable tools:

  • A 7-minute DVD of patients and clinicians discussing the importance of asking questions and sharing information, which is ideal for a lobby or waiting room area.
  • A brochure, titled "Be More Involved in Your Health Care: Tips for Patients," that offers helpful suggestions to follow before, during and after a medical visit.
  • Notepads to help patients prioritize the top three questions they wish to ask during their medical appointment.

"Questions Are the Answer" is designed to promote safer care and better health outcomes. To request a free supply of these materials, email AHRQpubs@ahrq.hhs.gov or call 1-800-358-9295.

Registration Is Open for Two Webinars To Learn About AHRQ’s Healthcare Cost and Utilization Project

Register now for two webinars on using the databases, products and tools offered by AHRQ’s Healthcare Cost and Utilization Project (HCUP). HCUP is the nation’s most comprehensive source of hospital data, including information on inpatient care, ambulatory care and emergency department visits. The first webinar, on Sept. 6 from 2 to 3 p.m. ET, will provide health services and policy researchers with an overview of HCUP databases. The second webinar on Sept. 13, also from 2 to 3 p.m. ET, will offer an overview of HCUP tools and products, including the attributes of HCUPnet, the project’s free online data query system. 

AHRQ in the Professional Literature

Map of different vaccine supply chain efficiency measures. Haidari LA, Brown ST, Wedlock P, et al. Vaccine 2017 Jan 3;35(1):199-200. Epub 2016 Nov 21. Access the abstract on PubMed®.

Potential economic burden of carbapenem-resistant Enterobacteriaceae (CRE) in the United States. Bartsch SM, McKinnell JA, Mueller LE, et al. Clin Microbiol Infect 2017 Jan;23(1):48.e9-16. Epub 2016 Sep 15. Access the abstract on PubMed®.

Impact of delays between Clinical and Laboratory Standards Institute and Food and Drug Administration revisions of interpretive criteria for carbapenem-resistant Enterobacteriaceae. Bartsch SM, Huang SS, Wong KF, et al. J Clin Microbiol 2016 Nov;54(11):2757-62. Epub 2016 Aug 31. Access the abstract on PubMed®.

Association of statins with diabetes mellitus and diabetic complications: role of confounders during follow-up. Mansi IA, Frei CR, Halm EA, et al. J Investig Med 2017 Jan;65(1):32-42. Epub 2016 Aug 29. Access the abstract on PubMed®.

Re-designing the Mozambique vaccine supply chain to improve access to vaccines. Lee BY, Haidari LA, Prosser W, et al. Vaccine 2016 Sep 22;34(41):4998-5004. Epub 2016 Aug 26. Access the abstract on PubMed®.

Multitasking and silent electronic health record use in ambulatory visits. Ratanawongsa N, Matta GY, Lyles CR, et al. JAMA Intern Med 2017 Jul 3. [Epub ahead of print.] Access the abstract on PubMed®.

Implementation of practice transformation: patient experience according to practice leaders. Quigley DD, Palimaru AI, Chen AY, et al. Qual Manag Health Care 2017 Jul/Sep;26(3):140-51. Access the abstract on PubMed®.

Impact of a patient-centered medical home pilot on utilization, quality, and costs and variation in medical homeness. Flieger SP. J Ambul Care Manage. 2017 Jul/Sep;40(3):228-37. Access the abstract on PubMed®.

 

Contact Information

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Page last reviewed September 2017
Page originally created September 2017
Internet Citation: Behavior, Medication Therapies Both Effective To Treat Childhood Anxiety, But Medication Carries Risk: AHRQ Report . Content last reviewed September 2017. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsletters/e-newsletter/581.html