AHRQ Grant HS21864: Related Publication Summaries

Ideas for a Healthy Baby: Reducing Disparities in Consumer Use of Quality Data

1. "IDEAS for a healthy baby—reducing disparities in use of publicly reported quality data: study protocol for a randomized controlled trial."

Goff SL, Pekow PS, White KO, and others.
Trials 2013 14(244).
PUBMED link:
www.ncbi.nlm.nih.gov/pubmed/23919671

A major goal of this study is to determine the efficacy of a patient navigator intervention to assist low-income pregnant women in the use of publicly available information about quality of care when choosing a pediatrician. Successful completion will yield important new knowledge about the value of guided website navigation as a strategy to increase the value of publicly reported data.

2. "Successful Strategies for practice-based recruitment of racial and ethnic minority pregnant women in a randomized controlled trial: the IDEAS for a Healthy Baby Study."

Goff SL, Youssef Y, Pekow PS, White KO, Guhn-Knight H, Lagu T, Mazor KM, Lindenauer PK.
Journal of Racial and Ethnic Health Disparities 2016 Dec;3(4):731-737.
PUBMED link:
www.ncbi.nlm.nih.gov/pubmed/27068662

The authors used strategies grounded in a health equity framework to address barriers to recruitment and retention in three domains: preparation, process, and patient-centeredness in the IDEAS (Information, Description, Education, Assistance, and Support) for a Healthy Baby study. They achieved higher recruitment (87.1 %) and retention rates (97.3 %) than anticipated, concluding that others seeking to recruit racial and ethnic minority pregnant women in similar settings may find the preparation, process, and patient-centered strategies used in this study applicable for their own studies.

3. "Patient navigators and parent use of quality data: a randomized trial."

Goff SL, Mazor KM, Pekow PS, White KO, Priya A, Lagu T, Guhn-Knight H, Murphy  L, Youssef Budway Y, Lindenauer PK.
Pediatrics 2016 Oct;138(4). pii: e20161140.
PUBMED link:
www.ncbi.nlm.nih.gov/pubmed/27600316

The authors explored the effectiveness of strategies to overcome barriers to use of publicly reported health care quality data in vulnerable populations. They found that an intervention to reduce these barriers had a modest effect on patient choice. This suggests that factors other than performance on common publicly reported quality metrics have a stronger influence on which pediatric practices women choose.

4. "Factors that matter to low-income and racial/ethnic minority mothers when choosing a pediatric practice: a mixed methods analysis."

Goff SL, Mazor KM, Guhn-Knight H, Budway YY, Murphy L, White KO, Lagu T, Pekow PS, Priya A, Lindenauer PK.
Journal of Racial and Ethnic Health Disparities 2017 Dec;4(6):1051-1060.
PUBMED link:
 www.ncbi.nlm.nih.gov/pubmed/28275998

The authors sought to understand potential barriers to using quality data by assessing what factors mattered to women when choosing a pediatric practice. They found that pediatrician characteristics and factors related to access to care may be more important to low-income and racial/ethnic minority women than more commonly reported quality metrics.

 

 
Page last reviewed May 2018
Page originally created October 2012
Internet Citation: AHRQ Grant HS21864: Related Publication Summaries. Content last reviewed May 2018. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/sciencepubreport/hs021864.html