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- Access to Care (1)
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- (-) Behavioral Health (22)
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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 22 of 22 Research Studies DisplayedBorgatti AC, Crockett KB, Jacob AE
Correlates of psychological distress among adults with obesity during the COVID-19 pandemic.
The objective of this study was to evaluate changes in stress and loneliness among participants with obesity who were engaged in weight loss self-management in the US during COVID-19, and to identify risk factors that may increase psychosocial distress during this period. Participants completed an online survey about social, economic and health behavior changes during COVID-19 and their relationship to changes in perceived stress and loneliness. Results indicated that stress and loneliness increased two months into the COVID-19 pandemic-related shutdown. Factors associated with increased stress and/or loneliness included higher body mass index, social distancing, alcohol intake, and working from home. The authors concluded that ongoing attention to psychosocial well-being among individuals with obesity remains imperative both during the ongoing pandemic and afterwards.
AHRQ-funded; HS013852.
Citation: Borgatti AC, Crockett KB, Jacob AE .
Correlates of psychological distress among adults with obesity during the COVID-19 pandemic.
Psychol Health 2022 Dec; 37(12):1547-64. doi: 10.1080/08870446.2022.2038790..
Keywords: COVID-19, Obesity, Stress, Social Stigma, Behavioral Health
Crockett KB, Borgatti A, Tan F
Weight discrimination experienced prior to enrolling in a behavioral obesity intervention is associated with treatment response among Black and White adults in the Southeastern U.S.
This study examined the role that weight discrimination and race is associated with pre-treatment depressive symptoms. A cohort of Black and White adults were enrolled in a 16-week obesity intervention treatment (N = 271; mean BMI = 35.7 kg/m2); 59% Black; 92% women). They reported prior experiences of weight discrimination and completed the Center for Epidemiological Studies Depression (CES-D) Scale at baseline. Their weekly attendance at group sessions was recorded, and weight was measured at baseline and post-treatment. Participants with a history of weight discrimination scored 2.4 points higher on the CES-D and lost 2% less weight relative to those without weight discrimination. Race modified the association between weight discrimination and treatment session attendance, such that Black participants attended fewer sessions if they had prior experience of weight discrimination. However, this association was not true among White individuals.
AHRQ-funded; HS013852.
Citation: Crockett KB, Borgatti A, Tan F .
Weight discrimination experienced prior to enrolling in a behavioral obesity intervention is associated with treatment response among Black and White adults in the Southeastern U.S.
Int J Behav Med 2022 Apr;29(2):152-59. doi: 10.1007/s12529-021-10009-x..
Keywords: Obesity, Obesity: Weight Management, Behavioral Health, Racial and Ethnic Minorities, Depression
Luo Z, Gritz M, Connelly L
A survey of primary care practices on their use of the intensive behavioral therapy for obese Medicare patients.
The objective of this study was to fill the gap in knowledge on systematic differences between primary care practices (PCP) that do or do not provide intensive behavioral therapy (IBT) for obese Medicare patients. The investigators concluded that although the Centers for Medicare and Medicaid Services established payment codes for PCPs to deliver IBT for obesity in 2011, very few providers submitted fee-for-service claims for these services after almost 10 years.
AHRQ-funded; HS024843.
Citation: Luo Z, Gritz M, Connelly L .
A survey of primary care practices on their use of the intensive behavioral therapy for obese Medicare patients.
J Gen Intern Med 2021 Sep;36(9):2700-08. doi: 10.1007/s11606-021-06596-w..
Keywords: Primary Care, Obesity, Behavioral Health, Medicare, Elderly
Darling KE, Rancourt D, Evans EW
Adolescent weight management intervention in a nonclinical setting: changes in eating-related cognitions and depressive symptoms.
The present study was a secondary data analysis of a randomized controlled trial (RCT) to examine changes in depressive symptoms and eating-related cognitions in teens who participated in a non-clinic-based adolescent behavioral weight control treatment delivered by YMCA coaches. The results demonstrated some positive and no detrimental effects of a non-clinic-based behavioral weight control intervention on adolescents' eating-related cognitions and depressive symptoms.
AHRQ-funded; HS027071.
Citation: Darling KE, Rancourt D, Evans EW .
Adolescent weight management intervention in a nonclinical setting: changes in eating-related cognitions and depressive symptoms.
J Dev Behav Pediatr 2021 Sep 1;42(7):579-87. doi: 10.1097/dbp.0000000000000929..
Keywords: Children/Adolescents, Obesity: Weight Management, Obesity, Depression, Behavioral Health
Gurka MJ, Siddiqi SU, Filipp SL
Attention deficit hyperactivity disorder medications and BMI trajectories: the role of medication type, sex and age.
Investigators estimated the proximal change in BMI associated with start of medication and to assess whether medication-specific departures in BMI varied by age and sex in patients with attention deficit hyperactivity disorder (ADHD). Longitudinal electronic health records from children aged 4-19 years with an ADHD diagnosis at one healthcare system were analyzed. They found that all medications had larger impacts at younger ages; decreased BMI was observed with stimulants, while antidepressants and antipsychotics led to BMI increases as did alpha-agonists, significantly varying by sex and age. They recommended future research to study further the interactions of these medications on long-term impacts on obesity.
AHRQ-funded; HS025298.
Citation: Gurka MJ, Siddiqi SU, Filipp SL .
Attention deficit hyperactivity disorder medications and BMI trajectories: the role of medication type, sex and age.
Pediatr Obes 2021 Apr;16(4):e12738. doi: 10.1111/ijpo.12738..
Keywords: Children/Adolescents, Behavioral Health, Medication, Obesity
Darling KE, Ranzenhofer LM, Hadley W
Negative childhood experiences and disordered eating in adolescents in a weight management program: the role of depressive symptoms.
This cross-sectional study examined the association between stressful life events and weight-related outcomes including weight status, disordered eating behaviors, and insulin sensitivity in treatment-seeking adolescents with overweight and obesity. The authors were also looking at the potential mediating role of depression. The study included 170 adolescents (mean age 14.8, 62% female) enrolled in an interdisciplinary weight management program. Findings were that stressful childhood experiences were significantly related to weight status and disordered eating but not insulin sensitivity. Depressive symptoms were related to stressful experiences and disordered eating patterns but not weight status or insulin sensitivity.
AHRQ-funded; HS027071.
Citation: Darling KE, Ranzenhofer LM, Hadley W .
Negative childhood experiences and disordered eating in adolescents in a weight management program: the role of depressive symptoms.
Eat Behav 2020 Aug;38:101402. doi: 10.1016/j.eatbeh.2020.101402..
Keywords: Children/Adolescents, Obesity: Weight Management, Obesity, Stress, Depression, Behavioral Health, Trauma
Yaramala SR, McElroy SL, Geske J
The impact of binge eating behavior on lithium- and quetiapine-associated changes in body weight, body mass index, and waist circumference during 6 months of treatment: Findings from the bipolar CHOICE study.
Lithium and quetiapine can cause weight gain, but their comparative longer term anthropometric effects are unknown, as are the potential moderating effects of baseline binge-eating (BE) behavior. In this research, the investigators assessed 6 month changes in body weight, body mass index (BMI) and waist circumference in 482 adults with DSM-IV bipolar disorders who participated in a comparative effectiveness study of lithium and quetiapine with evidence-based adjunctive treatment (Bipolar CHOICE).
AHRQ-funded; HS019371.
Citation: Yaramala SR, McElroy SL, Geske J .
The impact of binge eating behavior on lithium- and quetiapine-associated changes in body weight, body mass index, and waist circumference during 6 months of treatment: Findings from the bipolar CHOICE study.
months of treatment: Findings from the bipolar CHOICE study.
J Affect Disord 2020 Apr 1;266:772-81. doi: 10.1016/j.jad.2018.09.025.
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J Affect Disord 2020 Apr 1;266:772-81. doi: 10.1016/j.jad.2018.09.025.
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Keywords: Behavioral Health, Medication, Obesity, Comparative Effectiveness, Patient-Centered Outcomes Research, Evidence-Based Practice, Outcomes
Fitzsimmons-Craft EE, Eichen DM, Kass AE
Reciprocal longitudinal relations between weight/shape concern and comorbid pathology among women at very high risk for eating disorder onset.
This study examined short-term reciprocal longitudinal relations between weight/shape concern and comorbid symptoms and behaviors over the course of 24 months using cross-lagged panel models. Subjects were women 18-25 years old at high risk for onset of an eating disorder (ED), randomized to an online ED preventive intervention or waitlist control. Results supported focusing intervention on reducing weight/shape concern over reducing comorbid constructs for efficient short-term change.
AHRQ-funded; HS00078.
Citation: Fitzsimmons-Craft EE, Eichen DM, Kass AE .
Reciprocal longitudinal relations between weight/shape concern and comorbid pathology among women at very high risk for eating disorder onset.
Eat Weight Disord 2019 Dec;24(6):1189-98. doi: 10.1007/s40519-017-0469-7..
Keywords: Obesity, Obesity: Weight Management, Women, Risk, Behavioral Health, Young Adults
Ibrahim N, Alameddine M, Brennan J
New onset alcohol use disorder following bariatric surgery.
Researchers sought to characterize the patients and incidence of alcohol use disorder (AUD) following sleeve gastrectomy (SG) compared to Roux-en-Y gastric bypass (RYGB). They found that the prevalence of alcohol use disorder in patients undergoing SG and RYGB was similar pre- and postoperatively, with the majority of patients developing AUD following their second postoperative year. The authors recommended understanding the timing and incidence of AUD in order to provide appropriate counseling and treatment.
AHRQ-funded; HS023621; HS024403.
Citation: Ibrahim N, Alameddine M, Brennan J .
New onset alcohol use disorder following bariatric surgery.
Surg Endosc 2019 Aug;33(8):2521-30. doi: 10.1007/s00464-018-6545-x..
Keywords: Alcohol Use, Behavioral Health, Obesity, Obesity: Weight Management, Substance Abuse, Surgery
Kemmick Pintor J, Mitchell DC, Schenker MB
Exploring the role of depression as a moderator of a workplace obesity intervention for latino immigrant farmworkers.
This study explored if depression affects treatment for obesity among Latino immigrant farmworkers. The workplace pilot study called Pasos Saludables,was successful, but the participants at risk for depression had lower weight loss than the participants with no indication of depression.
AHRQ-funded; HS022236.
Citation: Kemmick Pintor J, Mitchell DC, Schenker MB .
Exploring the role of depression as a moderator of a workplace obesity intervention for latino immigrant farmworkers.
J Immigr Minor Health 2019 Apr;21(2):383-92. doi: 10.1007/s10903-018-0743-4..
Keywords: Depression, Behavioral Health, Obesity, Racial and Ethnic Minorities, Vulnerable Populations
Gowey MA, Khodneva Y, Tison SE
Depressive symptoms, perceived stress, and metabolic health: the REGARDS study.
The purpose of this study was to describe the relationship between metabolic health parameters and depressive symptoms and perceived stress, and determine whether the co-occurrence of these two psychological stressors had an additive influence on metabolic dysregulation in adults at different levels of body mass index (BMI) without diabetes. The investigators found that elevated depressive symptoms in conjunction with high levels of perceived stress were more strongly associated with several parameters of metabolic health than only one of these psychological constructs in a large, diverse cohort of adults.
AHRQ-funded; HS023009; HS013852.
Citation: Gowey MA, Khodneva Y, Tison SE .
Depressive symptoms, perceived stress, and metabolic health: the REGARDS study.
Int J Obes 2019 Mar;43(3):615-32. doi: 10.1038/s41366-018-0270-3..
Keywords: Depression, Behavioral Health, Obesity, Stress
Lv N, Azar KMJ, Rosas LG
Behavioral lifestyle interventions for moderate and severe obesity: a systematic review.
This study reviews evidence of behavioral lifestyle interventions for weight loss in this population. Evidence for the effectiveness of behavioral interventions versus pharmacological or surgical treatment was limited. Comprehensive and intensive behavioral interventions can result in clinically significant, albeit modest, weight loss in this obese subpopulation but may not result in significant improvements in other cardiometabolic risk factors.
AHRQ-funded; HS022702.
Citation: Lv N, Azar KMJ, Rosas LG .
Behavioral lifestyle interventions for moderate and severe obesity: a systematic review.
Prev Med 2017 Jul;100:180-93. doi: 10.1016/j.ypmed.2017.04.022.
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Keywords: Behavioral Health, Lifestyle Changes, Obesity, Obesity: Weight Management
Kass AE, Theim Hurst K, Kolko RP
Psychometric evaluation of the youth eating disorder examination questionnaire in children with overweight or obesity.
This study evaluated the psychometric properties of the Youth Eating Disorder Examination Questionnaire (YEDE-Q) and its utility for detecting loss of control (LOC) eating . It concluded that the YEDE-Q may not have utility as a screener for identifying true cases of LOC eating among school-age children with overweight or obesity.
AHRQ-funded; HS000078.
Citation: Kass AE, Theim Hurst K, Kolko RP .
Psychometric evaluation of the youth eating disorder examination questionnaire in children with overweight or obesity.
Int J Eat Disord 2017 Jul;50(7):776-80. doi: 10.1002/eat.22693.
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Keywords: Behavioral Health, Children/Adolescents, Nutrition, Obesity, Screening
Kass AE, Wilfley DE, Eddy KT
Secretive eating among youth with overweight or obesity.
This study evaluated the prevalence and correlates of secretive eating in youth with overweight or obesity. It found that youth who endorsed secretive eating had higher eating-related psychopathology and were more likely to endorse loss of control eating and purging than their counterparts who did not endorse secretive eating. Groups did not differ in excessive exercise or behavioral problems.
AHRQ-funded; HS000078.
Citation: Kass AE, Wilfley DE, Eddy KT .
Secretive eating among youth with overweight or obesity.
Appetite 2017 Jul 1;114:275-81. doi: 10.1016/j.appet.2017.03.042.
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Keywords: Behavioral Health, Children/Adolescents, Obesity
Aschbrenner KA, Mueser KT, Naslund JA
Facilitating partner support for lifestyle change among adults with serious mental illness: a feasibility pilot study.
The purpose of this pilot study was to explore the feasibility of an intervention designed to facilitate partner support for lifestyle change among overweight and obese adults with serious mental illness. After 12 weeks, approximately two-thirds of participants were below their baseline weight at follow-up, including 27 percent who achieved clinically significant weight loss.
AHRQ-funded; HS021695.
Citation: Aschbrenner KA, Mueser KT, Naslund JA .
Facilitating partner support for lifestyle change among adults with serious mental illness: a feasibility pilot study.
Community Ment Health J 2017 May;53(4):394-404. doi: 10.1007/s10597-017-0100-4.
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Keywords: Family Health and History, Lifestyle Changes, Behavioral Health, Obesity, Obesity: Weight Management
Wilfley DE, Staiano AE, Altman M
Improving Access and Systems of Care for Evidence-Based Childhood Obesity Treatment: conference key findings and next steps.
This conference sought ways to improve systems of care to advance implementation of the U.S. Preventive Services Task Force recommendations for childhood obesity treatment and to expand payment for these services. Consensus recommendations for childhood obesity treatment included: family-based multicomponent behavioral therapy; integrated care model; and multidisciplinary care team.
AHRQ-funded; HS022816.
Citation: Wilfley DE, Staiano AE, Altman M .
Improving Access and Systems of Care for Evidence-Based Childhood Obesity Treatment: conference key findings and next steps.
Obesity 2017 Jan;25(1):16-29. doi: 10.1002/oby.21712.
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Keywords: Obesity, Children/Adolescents, U.S. Preventive Services Task Force (USPSTF), Behavioral Health, Access to Care
Brownley KA, Berkman ND, Peat CM
Binge-eating disorder in adults: a systematic review and meta-analysis.
This review summarized evidence about the benefits and harms of psychological and pharmacologic therapies for adults with binge-eating disorder. It concluded that cognitive behavioral therapy, lisdexamfetamine, SGAs, and topiramate reduced binge eating and related psychopathology, and lisdexamfetamine and topiramate reduced weight in adults with binge-eating disorder.
AHRQ-funded; 290201200008U.
Citation: Brownley KA, Berkman ND, Peat CM .
Binge-eating disorder in adults: a systematic review and meta-analysis.
Ann Intern Med 2016 Sep 20;165(6):409-20. doi: 10.7326/m15-2455.
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Keywords: Obesity, Medication, Evidence-Based Practice, Behavioral Health, Comparative Effectiveness
Aschbrenner KA, Naslund JA, Shevenell M
Feasibility of behavioral weight loss treatment enhanced with peer support and mobile health technology for individuals with serious mental illness.
This pilot study evaluated the feasibility of a behavioral weight loss intervention enhanced with peer support and mobile health (mHealth) technology for obese individuals with serious mental illness (SMI). Feasibility was assessed by program attendance, and participant satisfaction and suggestions for improving the model. It found that overall attendance amounted to approximately half of weekly sessions, with participants suggesting a number of modifications.
AHRQ-funded; HS021695.
Citation: Aschbrenner KA, Naslund JA, Shevenell M .
Feasibility of behavioral weight loss treatment enhanced with peer support and mobile health technology for individuals with serious mental illness.
Psychiatr Q 2016 Sep;87(3):401-15. doi: 10.1007/s11126-015-9395-x.
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Keywords: Health Information Technology (HIT), Behavioral Health, Obesity: Weight Management, Obesity
Aschbrenner KA, Naslund JA, Shevenell M
A pilot study of a peer-group lifestyle intervention enhanced with mHealth technology and social media for adults with serious mental illness.
This pilot study of 32 participants examined the preliminary effectiveness of a peer-group lifestyle intervention enhanced with mobile health technology and social media for obese individuals with serious mental illness. Most participants (72%) lost weight, and 17% showed clinically significant improvements in cardiovascular fitness. This study demonstrated the preliminary effectiveness of peer-group lifestyle intervention in a community mental health setting.
AHRQ-funded; HS021695.
Citation: Aschbrenner KA, Naslund JA, Shevenell M .
A pilot study of a peer-group lifestyle intervention enhanced with mHealth technology and social media for adults with serious mental illness.
J Nerv Ment Dis 2016 Jun;204(6):483-6. doi: 10.1097/nmd.0000000000000530.
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Keywords: Behavioral Health, Social Media, Lifestyle Changes, Obesity, Community-Based Practice
Fiechtner L, Kleinman K, Melly SJ
Effects of proximity to supermarkets on a randomized trial studying interventions for obesity.
To determine whether proximity to a supermarket modified the effects of an obesity intervention, the researchers examined distance to the closest supermarket as an effect modifier.They concluded that living closer to a supermarket is associated with greater improvements in fruit and vegetable intake and weight status in an obesity intervention.
AHRQ-funded; HS022986.
Citation: Fiechtner L, Kleinman K, Melly SJ .
Effects of proximity to supermarkets on a randomized trial studying interventions for obesity.
Am J Public Health 2016 Mar;106(3):557-62. doi: 10.2105/ajph.2015.302986.
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Keywords: Obesity, Nutrition, Lifestyle Changes, Social Determinants of Health, Behavioral Health
Aschbrenner KA, Brunette MF, McElvery R
Cigarette smoking and interest in quitting among overweight and obese adults with serious mental illness enrolled in a fitness intervention.
The authors explored cigarette smoking, health status, and interest in quitting among overweight and obese adults with serious mental illness enrolled in a fitness intervention. Using the In SHAPE fitness intervention data, the researchers found that 84% of smokers were interested in quitting. Smokers in the intervention had lower high-density lipoprotein cholesterol and were less ready to reduce dietary fat.
AHRQ-funded; HS021695.
Citation: Aschbrenner KA, Brunette MF, McElvery R .
Cigarette smoking and interest in quitting among overweight and obese adults with serious mental illness enrolled in a fitness intervention.
J Nerv Ment Dis 2015 Jun;203(6):473-6. doi: 10.1097/nmd.0000000000000309.
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Keywords: Health Status, Lifestyle Changes, Behavioral Health, Obesity, Tobacco Use
Siddiqui M, Cooper LA, Appel LJ
Recruitment and enrollment of African Americans and Caucasians in a health promotion trial for persons with serious mental illness.
The researchers examined overall recruitment into a trial of cardiovascular disease prevention among people with serious mental illness (SMI), including the racial differences in interest, enrollment, and potential barriers to participation in a behavioral weight loss intervention aimed at adults with SMI. It found that 9.6 percent fewer African Americans enrolled due to inability to complete initial data collection.
AHRQ-funded; HS019488
Citation: Siddiqui M, Cooper LA, Appel LJ .
Recruitment and enrollment of African Americans and Caucasians in a health promotion trial for persons with serious mental illness.
Ethn Dis. 2015 Winter;25(1):72-7..
Keywords: Cardiovascular Conditions, Health Promotion, Behavioral Health, Obesity, Racial and Ethnic Minorities