National Healthcare Quality and Disparities Report
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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 25 of 79 Research Studies DisplayedDayao JKO, Duffy CEL, Cristiano AM
Implementation and evaluation of Exercise is Medicine in primary care clinics within a large academic health system.
The objective of this study was to evaluate the feasibility, implementation, and effectiveness of the Exercise is Medicine (EIM) initiative. Researchers used a combination of the Practical Robust Implementation and Sustainability Model (PRISM) and the Learning Evaluation model to implement EIM; data was collected from the EHR, including Physical Activity Vital Sign (PAVS) scores, and also from qualitative surveys and interviews with the patients, clinicians, and staff of 5 primary care clinics within a large academic health system. The results indicated that EIM is feasible for routine primary care practice within a large academic health system. The researchers concluded that EIM is a model to emulate to help primary care providers address healthy lifestyle behaviors more efficiently.
AHRQ-funded; HS026517.
Citation: Dayao JKO, Duffy CEL, Cristiano AM .
Implementation and evaluation of Exercise is Medicine in primary care clinics within a large academic health system.
Fam Med Community Health 2024 Feb 2; 12(1):e002608. doi: 10.1136/fmch-2023-002608..
Keywords: Primary Care, Lifestyle Changes, Health Promotion, Implementation
Moffit R, McTigue K, Conroy MB
Aspects of program engagement in an online physical activity intervention and baseline predictors of engagement.
The authors described participant engagement in ActiveGOALS, a 3-month, self-directed online physical activity (PA) intervention and identified the baseline factors related to engagement. Participants were adult primary care patients aged 21-70 years. Program engagement was found to be high, but average time between completed lessons was longer than expected and participants only contacted their coach about 1 of every 3 weeks. Individual predictors related to health, health care, demographics, lifestyle, and quality of life were significantly related to engagement. The authors concluded that examining multiple aspects of engagement and a large number of potential predictors might be needed to determine facilitators and barriers for high engagement in multi-faceted online intervention programs.
AHRQ-funded; HS022989.
Citation: Moffit R, McTigue K, Conroy MB .
Aspects of program engagement in an online physical activity intervention and baseline predictors of engagement.
Am J Health Promot 2023 Nov; 37(8):1100-08. doi: 10.1177/08901171231194176..
Keywords: Patient and Family Engagement, Health Promotion, Health Information Technology (HIT)
Marcotte LM, Deeds S, Wheat C
Automated opt-out vs opt-in patient outreach strategies for breast cancer screening: a randomized clinical trial.
The objective of this study was to evaluate the effect on breast cancer screening of an opt-out automatic mammography referral strategy compared with an opt-in automated telephone message strategy. Participants in the pragmatic randomized clinical trial, conducted at a Veterans Affairs (VA) medical center, were female veterans aged 45-75 eligible for breast cancer screening and enrolled in VA primary care. The results indicated that the opt-out population-based breast cancer screening outreach approach compared with an opt-in approach did not result in a significant difference in mammography completion, but did lead to more canceled mammography referrals, which increased staff burden.
AHRQ-funded; HS026369.
Citation: Marcotte LM, Deeds S, Wheat C .
Automated opt-out vs opt-in patient outreach strategies for breast cancer screening: a randomized clinical trial.
JAMA Intern Med 2023 Nov; 183(11):1187-94. doi: 10.1001/jamainternmed.2023.4321..
Keywords: Cancer: Breast Cancer, Cancer, Screening, Prevention, Health Promotion
Griesemer I, Lightfoot AF, Eng E
Examining ACCURE's nurse navigation through an antiracist lens: transparency and accountability in cancer care.
This paper discussed an intervention that was conducted to eliminate racial disparity in cancer treatment through a program called Accountability for Cancer Care through Undoing Racism and Equity (ACCURE). The program successfully eliminated the Black-White disparity in cancer treatment completion among patients with early-stage breast and lung cancer. It used specially trained nurse navigators who leveraged real-time data to follow-up with patients during their treatment journeys. Thematic analysis on all clinical notes that were written by ACCURE navigators after each contact with patients in the specialized navigation arm (n = 162) was conducted by community and academic research partners. The authors identified six themes in the navigator notes that demonstrated enhanced accountability of the care system to patient needs. Those themes include: (1) patient-centered advocacy, (2) addressing system barriers to care, (3) connection to resources, (4) re-engaging patients after lapsed treatment, (5) addressing symptoms and side effects, and (6) emotional support.
AHRQ-funded; HS000032.
Citation: Griesemer I, Lightfoot AF, Eng E .
Examining ACCURE's nurse navigation through an antiracist lens: transparency and accountability in cancer care.
Health Promot Pract 2023 May; 24(3):415-25. doi: 10.1177/15248399221136534..
Keywords: Cancer, Racial and Ethnic Minorities, Disparities, Health Promotion
Sneed NM, Azuero A, Morrison SA
Prediabetes awareness is not associated with lower consumption of self-reported added sugar in U.S. adults.
This study examined whether prediabetes awareness is associated with lower consumption of self-reported added sugar in US adults 20 years and older. Cross-sectional data for 3314 adults with prediabetes were analyzed from 2013-2018 National Health and Nutrition Examination Survey data. Among 3314 adults, 528 reported being aware and 2786 were unaware of their condition. Prediabetes awareness was not significantly associated with added sugar consumption with no differences for age, sex, or race/Hispanic origin.
AHRQ-funded; HS026122.
Citation: Sneed NM, Azuero A, Morrison SA .
Prediabetes awareness is not associated with lower consumption of self-reported added sugar in U.S. adults.
Ann Epidemiol 2022 Nov;75:21-24. doi: 10.1016/j.annepidem.2022.08.039..
Keywords: Diabetes, Chronic Conditions, Education: Patient and Caregiver, Nutrition, Health Promotion
Patil SJ, Tallon E, Wang Y
Effect of Stanford Youth Diabetes Coaches' Program on youth and adults in diverse communities.
This study’s objective was to assess the effects of the Stanford Youth Diabetes Coaches’ Program (SYDCP) on youth and adults from a rural and urban underserved high school community. The program trains high school students to become diabetes coaches for friends and adult family members. The authors used the Patient-Reported Outcomes Measurement Information System (PROMIS) measure Pediatric Sense of Meaning and Purpose. Coached adults were surveyed using measures from PROMIS Adult Global Health and Self-Efficacy. Twenty-five students participated in the study, with 15 having coached adults with diabetes or prediabetes. Postintervention results included significant improvement in students’ sense of meaning and purpose. Youth and adult-relatedness also led to improved health behaviors.
AHRQ-funded; HS022140.
Citation: Patil SJ, Tallon E, Wang Y .
Effect of Stanford Youth Diabetes Coaches' Program on youth and adults in diverse communities.
Fam Community Health 2022 Jul-Sep;45(3):178-86. doi: 10.1097/fch.0000000000000323..
Keywords: Children/Adolescents, Diabetes, Health Promotion, Lifestyle Changes
Rafferty MR, Held Bradford EC, Fritz S
Health promotion and wellness in neurologic physical therapy: strategies to advance practice.
The purpose of this special interest article was to provide consensus-driven strategies to address barriers to implementing health promotion and wellness (HPW)-related neurologic physical therapy (PT) practice. Four key strategies emerged, and recommendations included having clinicians practice to their full scope of HPW-related PT practice, including optimizing movement, including physical activity and fitness, and reinforcing the importance of healthy sleep, nutrition, stress, and smoking cessation.
AHRQ-funded; HS025077.
Citation: Rafferty MR, Held Bradford EC, Fritz S .
Health promotion and wellness in neurologic physical therapy: strategies to advance practice.
J Neurol Phys Ther 2022 Apr 1;46(2):103-17. doi: 10.1097/npt.0000000000000376..
Keywords: Health Promotion, Neurological Disorders
Santana S, Brach C, Harris L
AHRQ Author: Brach C
Updating Health Literacy for Healthy People 2030: Defining Its Importance for a New Decade in Public Health.
The US Department of Health & Human Services (HHS) updates the Healthy People objectives each decade based on the most current science. For the development of HP2030, the HHS drew on recommendations from the Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030 (Secretary's Advisory Committee), an independent advisory committee of national health experts, to update the 20-year old individual-focused Healthy People definition of health literacy. This paper discusses that process.
AHRQ-authored.
Citation: Santana S, Brach C, Harris L .
Updating Health Literacy for Healthy People 2030: Defining Its Importance for a New Decade in Public Health.
J Public Health Manag Pract 2021 Nov-Dec;27(Suppl 6):S258-S64. doi: 10.1097/phh.0000000000001324..
Keywords: Health Literacy, Public Health, Health Promotion
Blok AC, Valley TS, Abbott P
Gamification for family engagement in lifestyle interventions: a systematic review.
This paper is a systematic review of studies on lifestyle interventions involving family members that were reviewed for game design elements using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework. Sixty-one studies met the inclusion criteria. A total of 50 independent interventions were reviewed, with 31 of these interventions addressing lifestyle in those with a chronic condition, and 19 addressed lifestyle in those at high risk for chronic conditions. Overall, there were limited elements utilized together although the majority of the studied lifestyle interventions included at least one game design element.
AHRQ-funded; HS028038.
Citation: Blok AC, Valley TS, Abbott P .
Gamification for family engagement in lifestyle interventions: a systematic review.
Prev Sci 2021 Oct;22(7):831-44. doi: 10.1007/s11121-021-01214-x..
Keywords: Lifestyle Changes, Family Health and History, Health Promotion
Hofstetter AM, Opel DJ, Stockwell MS
Associations between health care professional communication practices and influenza vaccination of hospitalized children.
The objective of this study was to describe the communication of health care professionals (HCPs) with parents of hospitalized children concerning the influenza vaccine. A survey was conducted online or via telephone with English- and Spanish-speaking parents of influenza vaccine-eligible children hospitalized at a pediatric hospital after discharge. Findings showed that a parent-reported HCP conversation and recommendation were associated with influenza vaccination during hospitalization.
AHRQ-funded; HS025470.
Citation: Hofstetter AM, Opel DJ, Stockwell MS .
Associations between health care professional communication practices and influenza vaccination of hospitalized children.
Acad Pediatr 2021 Sep-Oct;21(7):1142-50. doi: 10.1016/j.acap.2021.06.014..
Keywords: Children/Adolescents, Influenza, Vaccination, Communication, Health Promotion, Clinician-Patient Communication
Calabrese SK, Lane SB, Caldwell A
Electronic dissemination of a web-based video promotes PrEP contemplation and conversation among US women engaged in care at Planned Parenthood.
This study evaluated the acceptability and impact of a web-based PrEP educational video among women (n = 126) by comparing two Planned Parenthood centers: one using a Web Video and the other using standard education tools. Most women reported the video helped them understand better what PrEP is (92%), how it works (93%), and how to take PrEP (92%). One month post-intervention, more women in the Web Video group reported a high level of comfort discussing PrEP with a provider (82% vs 48%) and commonly thinking about PrEP (36.% vs. 4%).
AHRQ-funded; HS022242.
Citation: Calabrese SK, Lane SB, Caldwell A .
Electronic dissemination of a web-based video promotes PrEP contemplation and conversation among US women engaged in care at Planned Parenthood.
AIDS Behav 2021 Aug;25(8):2483-500. doi: 10.1007/s10461-021-03210-2..
Keywords: Human Immunodeficiency Virus (HIV), Sexual Health, Education: Patient and Caregiver, Health Promotion, Prevention, Health Information Technology (HIT), Communication, Women
Cunningham-Erves J, Campbell L, Barlow C
Reducing HPV associated cancers and disparities: engaging African American men to develop a culturally-appropriate program that addresses their needs.
Reducing HPV associated cancers and disparities: engaging African American men to develop a culturally-appropriate program that addresses their needs.
Am J Health Educ 2021;52(4):194-206. doi: 10.1080/19325037.2021.1930614.
This paper discusses the results of the Healthy Men, Healthy Communities program that aims to improve preventive behaviors among African American men to reduce HPV-related cancer disparities. An educational intervention was developed using cultural-targeting strategies such as linguistics, peripherals, evidence, socio-culture, and constituent-involving. Research team members were recruited from community-based (CBO) leaders. Three focus groups, 30 surveys, and a community review and program evaluation with African American men were conducted. The five focus group themes were: 1) The Known and Unknown of Cancer, HPV, and the vaccine; (2) Personal experiences with cancer were commonplace; (3) Barriers to Engaging HPV Cancer Preventive Behaviors; (4) Multi-Modal Strategies are needed to improve preventive behaviors; and (5) Actual versus Preferred Sources of Information. Survey data showed men desired information on penile (52%) and oral cancer (48%). A speaker summit on various topics was the preferred education format (96%). A post-summit evaluation indicated most males intended to get screened (73%), eat healthier (77%), and exercise more (65%). After these interventions the HPV vaccine was administered to about 40% of the men, and their children and grandchildren.
Am J Health Educ 2021;52(4):194-206. doi: 10.1080/19325037.2021.1930614.
This paper discusses the results of the Healthy Men, Healthy Communities program that aims to improve preventive behaviors among African American men to reduce HPV-related cancer disparities. An educational intervention was developed using cultural-targeting strategies such as linguistics, peripherals, evidence, socio-culture, and constituent-involving. Research team members were recruited from community-based (CBO) leaders. Three focus groups, 30 surveys, and a community review and program evaluation with African American men were conducted. The five focus group themes were: 1) The Known and Unknown of Cancer, HPV, and the vaccine; (2) Personal experiences with cancer were commonplace; (3) Barriers to Engaging HPV Cancer Preventive Behaviors; (4) Multi-Modal Strategies are needed to improve preventive behaviors; and (5) Actual versus Preferred Sources of Information. Survey data showed men desired information on penile (52%) and oral cancer (48%). A speaker summit on various topics was the preferred education format (96%). A post-summit evaluation indicated most males intended to get screened (73%), eat healthier (77%), and exercise more (65%). After these interventions the HPV vaccine was administered to about 40% of the men, and their children and grandchildren.
AHRQ-funded; HS022990.
Citation: Cunningham-Erves J, Campbell L, Barlow C .
Reducing HPV associated cancers and disparities: engaging African American men to develop a culturally-appropriate program that addresses their needs.
Am J Health Educ 2021;52(4):194-206. doi: 10.1080/19325037.2021.1930614..
Keywords: Sexual Health, Infectious Diseases, Cancer, Disparities, Racial and Ethnic Minorities, Men's Health, Prevention, Health Promotion, Education: Patient and Caregiver
Danan ER, White KM, Wilt TJ
Reactions to recommendations and evidence about prostate cancer screening among White and Black male veterans.
This study looked at differences in attitudes about recommendations and evidence on prostate cancer screening among White and Black male veterans. The authors provided a draft educational pamphlet about the benefits and harms of Prostate Specific Antigen (PSA) screening to 44 men, ages 55-81 at a midwestern VA medical center in 2013 and 2015. The groups were divided into four White and two Black focus groups. Three universal themes were low baseline familiarity with prostate cancer, surprise and resistance to the guidelines not to test routinely, and negative emotions in response to ambiguity. Discussions in the White groups highlighted the potential benefits of screening, minimized the harms, and emphasized personal choice in screening decisions. Discussions in Black groups devoted almost no time to benefits, considered harms significant, and emphasized personal and collective responsibility for cancer prevention through diet, exercise, and alternative medicine. Discussion in Black groups also emphasized the history of racism and discrimination in healthcare and medical research.
AHRQ-funded; HS026379.
Citation: Danan ER, White KM, Wilt TJ .
Reactions to recommendations and evidence about prostate cancer screening among White and Black male veterans.
Am J Mens Health 2021 May-Jun;15(3):15579883211022110. doi: 10.1177/15579883211022110..
Keywords: Cancer: Prostate Cancer, Cancer, Screening, Prevention, Racial and Ethnic Minorities, Evidence-Based Practice, Health Promotion, Education: Patient and Caregiver
Lopez-Olivo MA, des Bordes JK, Lin H
A randomized controlled trial comparing two self-administered educational strategies for patients with knee osteoarthritis.
The authors conducted a randomized clinical trial in patients with knee osteoarthritis to assess the efficacy of providing a video for entertainment education, in combination with two booklets, compared with providing the booklets alone. They found that, although both education strategies were associated with improved knowledge and reduced decisional conflict at 6 months, receiving the video + booklets in combination, compared with receiving the booklets alone, proved to be more effective in changing behaviors and appeared to have some advantages for Spanish speakers and those who were less educated.
AHRQ-funded; HS019354.
Citation: Lopez-Olivo MA, des Bordes JK, Lin H .
A randomized controlled trial comparing two self-administered educational strategies for patients with knee osteoarthritis.
ACR Open Rheumatol 2021 Mar;3(3):185-95. doi: 10.1002/acr2.11222..
Keywords: Arthritis, Orthopedics, Education: Patient and Caregiver, Patient Self-Management, Patient Adherence/Compliance, Shared Decision Making, Health Promotion
Batsis JA, Daniel K, Eckstrom E
Promoting healthy aging during COVID-19.
This article is provides guidance to practicing geriatrics healthcare professionals overseeing the care of older adults and the consequences of COVID-19 on health promotion. It provides a follow-up from the American Geriatrics Society previously published White Paper on Healthy Aging in 2018 and provides frameworks for clinical evaluation and screening for the domains discussed that are core to healthy aging in older adults. The domains are health promotion, injury prevention and managing chronic conditions; cognitive health; physical health; mental health; and social health.
AHRQ-funded; HS027277.
Citation: Batsis JA, Daniel K, Eckstrom E .
Promoting healthy aging during COVID-19.
J Am Geriatr Soc 2021 Mar;69(3):572-80. doi: 10.1111/jgs.17035..
Keywords: Elderly, COVID-19, Health Promotion, Infectious Diseases
Whooten RC, Horan C, Cordes J
Evaluating the implementation of a before-school physical activity program: a mixed-methods approach in Massachusetts, 2018.
The aim of this study was to evaluate the implementation of a widely available, before-school, physical activity program in a low-resource, racially/ethnically and socioeconomically diverse, urban school setting to identify adaptations needed for successful implementation. The investigators used a collaborative effort with stakeholders to implement the Build Our Kids' Success (BOKS) program in 3 schools in Revere, Massachusetts.
AHRQ-funded; HS000063.
Citation: Whooten RC, Horan C, Cordes J .
Evaluating the implementation of a before-school physical activity program: a mixed-methods approach in Massachusetts, 2018.
Prev Chronic Dis 2020 Oct 1;17:E116. doi: 10.5888/pcd17.190445..
Keywords: Children/Adolescents, Education, Implementation, Health Promotion, Prevention, Lifestyle Changes, Social Determinants of Health
Aguilera A, Figueroa CA, Hernandez-Ramos R
mHealth app using machine learning to increase physical activity in diabetes and depression: clinical trial protocol for the DIAMANTE study.
In this randomized controlled trial, the researchers’ goal is to examine the effect of a text-messaging smartphone application to encourage physical activity in low-income ethnic minority patients with comorbid diabetes and depression. They will compare passively collected daily step counts, self-reported PHQ-8 and most recent hemoglobin A1c from medical records at baseline and at intervention completion at 6-month follow-up. They plan to submit manuscripts describing their user-designed methods and testing of the adaptive learning algorithm and will submit the results of the trial for publication in peer-reviewed journals and presentations at scientific meetings.
AHRQ-funded; HS025429.
Citation: Aguilera A, Figueroa CA, Hernandez-Ramos R .
mHealth app using machine learning to increase physical activity in diabetes and depression: clinical trial protocol for the DIAMANTE study.
BMJ Open 2020 Aug 20;10(8):e034723. doi: 10.1136/bmjopen-2019-034723..
Keywords: Telehealth, Health Information Technology (HIT), Diabetes, Chronic Conditions, Racial and Ethnic Minorities, Low-Income, Health Promotion
Payán DD, Maggard-Gibbons M, Flórez KR
Taking Care of Yourself and Your Risk for Breast Cancer (CUIDARSE): a randomized controlled trial of a health communication intervention for Latinas.
Latinas in the United States are more likely to be diagnosed with late-stage breast cancer (BC) compared to non-Latinas. Literacy-appropriate and culturally sensitive cancer communication interventions can help address existing racial/ethnic BC disparities. In this study, the investigators formatively developed a new BC prevention brochure for Spanish-speaking Latinas (≥35 years) and conducted a randomized controlled trial of a health communication intervention for Latinas.
AHRQ-funded; HS019264.
Citation: Payán DD, Maggard-Gibbons M, Flórez KR .
Taking Care of Yourself and Your Risk for Breast Cancer (CUIDARSE): a randomized controlled trial of a health communication intervention for Latinas.
Health Educ Behav 2020 Aug;47(4):569-80. doi: 10.1177/1090198120920529..
Keywords: Cancer: Breast Cancer, Cancer, Racial and Ethnic Minorities, Health Literacy, Education: Patient and Caregiver, Cultural Competence, Health Promotion, Communication, Women, Community-Based Practice
Nelson HD, Cantor A, Wagner J
Effectiveness of patient navigation to increase cancer screening in populations adversely affected by health disparities: a meta-analysis.
This study evaluated the effectiveness of patient navigation to increase screening for colorectal, breast, and cervical cancer in populations adversely affected by health care disparities. Two of the investigators independently abstracted study data and assessed study quality and applicability using criteria adapted from the USPSTF. Findings indicated that, in populations adversely affected by disparities, colorectal, breast, and cervical cancer screening rates were higher in patients provided navigation services.
AHRQ-funded; 290201500009I.
Citation: Nelson HD, Cantor A, Wagner J .
Effectiveness of patient navigation to increase cancer screening in populations adversely affected by health disparities: a meta-analysis.
J Gen Intern Med 2020 Jul 22;35(10):3026-35. doi: 10.1007/s11606-020-06020-9..
Keywords: Cancer, Disparities, Cancer: Colorectal Cancer, Screening, Prevention, Women, Health Promotion
Krist AH, O'Loughlin K, Woolf SH
Enhanced care planning and clinical-community linkages versus usual care to address basic needs of patients with multiple chronic conditions: a clinician-level randomized controlled trial.
This paper describes the beginning of a clinician-level cluster-randomized controlled trial to evaluate how primary care clinicians can participate in community and hospital solutions to connecting patients with needed services and whether doing so is effective in controlling multiple chronic conditions. Electronic health records will be used to identify patients with these conditions, including cardiovascular disease or risks, diabetes, obesity, or depression.
AHRQ-funded; HS026223.
Citation: Krist AH, O'Loughlin K, Woolf SH .
Enhanced care planning and clinical-community linkages versus usual care to address basic needs of patients with multiple chronic conditions: a clinician-level randomized controlled trial.
Trials 2020 Jun 11;21(1):517. doi: 10.1186/s13063-020-04463-3..
Keywords: Chronic Conditions, Primary Care, Health Promotion, Access to Care
Whitley MD, Payán DD, Flórez KR
Feasibility and acceptability of a mobile messaging program within a church-based healthy living intervention for African Americans and Latinos.
Church-based programs can act on multiple levels to improve dietary and physical activity behaviors among African Americans and Latinos. However, the effectiveness of these interventions may be limited due to challenges in reaching all congregants or influencing behavior outside of the church setting. This study examined the feasibility and acceptability of a mobile messaging program within a church-based healthy living intervention for African Americans and Latinos.
AHRQ-funded; HS000046.
Citation: Whitley MD, Payán DD, Flórez KR .
Feasibility and acceptability of a mobile messaging program within a church-based healthy living intervention for African Americans and Latinos.
Health Informatics J 2020 Jun;26(2):880-96. doi: 10.1177/1460458219853408..
Keywords: Racial and Ethnic Minorities, Community-Based Practice, Health Information Technology (HIT), Health Promotion
Sun CJ, Anderson KM, Kuhn T
A sexual health promotion app for transgender women (Trans Women Connected): development and usability study.
HIV severely impacts the transgender communities in the United States, and transgender women have the highest HIV incidence rates among any identified risk group. Guided by formative research with transgender women and by an expert advisory panel of transgender women, the investigators designed a prototype mobile app to promote HIV prevention among transgender women. This study aimed to develop and test the usability and acceptability of the prototype Trans Women Connected mobile app.
AHRQ-funded; HS022981.
Citation: Sun CJ, Anderson KM, Kuhn T .
A sexual health promotion app for transgender women (Trans Women Connected): development and usability study.
JMIR Mhealth Uhealth 2020 May 12;8(5):e15888. doi: 10.2196/15888..
Keywords: Human Immunodeficiency Virus (HIV), Health Promotion, Sexual Health, Infectious Diseases, Prevention, Women
Rinehart DJ, Leslie S, Durfee MJ
Acceptability and efficacy of a sexual health texting intervention designed to support adolescent females.
The purpose of this study was to evaluate the feasibility, acceptability, and initial efficacy of a pilot texting intervention ("t4she") in primary care designed to increase sexual health knowledge and promote dual protection strategies to reduce unintended pregnancies and sexually transmitted infections among adolescent females. The investigators concluded that the pilot t4she sexual health intervention significantly improved knowledge and use of short-acting prescription birth control among young females in primary care and was acceptable by youth and feasible to implement.
AHRQ-funded; HS022143.
Citation: Rinehart DJ, Leslie S, Durfee MJ .
Acceptability and efficacy of a sexual health texting intervention designed to support adolescent females.
Acad Pediatr 2020 May-Jun;20(4):475-84. doi: 10.1016/j.acap.2019.09.004..
Keywords: Children/Adolescents, Sexual Health, Women, Health Information Technology (HIT), Health Promotion
Flórez KR, Payán DD, Palar K
Church-based interventions to address obesity among African Americans and Latinos in the United States: a systematic review.
This systematic literature review examined the impact of multilevel church-based interventions to address racial/ethnic disparities in obesity in the US. The review identified 43 relevant articles using systematic review methods developed by the CDC’s Task Force on Community Preventive Services. Although 81% of the studies reported significant results, effective size was reported or could only be calculated in 56% of the cases. A lack of diversity among the samples was also found with few studies involving Latinos, men, young adults, or children. Few interventions were actually multilevel in nature or incorporated strategies at the church or community. Greater diversity is needed in future church-based interventions.
AHRQ-funded; HS000046.
Citation: Flórez KR, Payán DD, Palar K .
Church-based interventions to address obesity among African Americans and Latinos in the United States: a systematic review.
Nutr Rev 2020 Apr;78(4):304-22. doi: 10.1093/nutrit/nuz046..
Keywords: Racial and Ethnic Minorities, Obesity, Obesity: Weight Management, Disparities, Health Promotion, Prevention
Rice WS, Stringer KL, Sohail M
Accessing pre-exposure prophylaxis (PrEP): perceptions of current and potential prEP users in Birmingham, Alabama.
Limited studies to date assess barriers to and facilitators of pre-exposure prophylaxis (PrEP) uptake and utilization using a patient-centered access to care framework, among diverse socio-demographic groups, or in the U.S. Deep South, an area with disproportionate HIV burden. In this study, the investigators examine perceptions of PrEP access in qualitative interviews with 44 current and potential PrEP users in Birmingham, Alabama.
AHRQ-funded; HS013852.
Citation: Rice WS, Stringer KL, Sohail M .
Accessing pre-exposure prophylaxis (PrEP): perceptions of current and potential prEP users in Birmingham, Alabama.
AIDS Behav 2019 Nov;23(11):2966-79. doi: 10.1007/s10461-019-02591-9..
Keywords: Human Immunodeficiency Virus (HIV), Prevention, Healthcare Utilization, Patient-Centered Healthcare, Racial and Ethnic Minorities, Health Literacy, Education: Patient and Caregiver, Access to Care, Health Promotion