National Healthcare Quality and Disparities Report
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AHRQ Research Studies Date
Topics
- Behavioral Health (1)
- Cardiovascular Conditions (2)
- Care Management (1)
- Children/Adolescents (3)
- Clinical Decision Support (CDS) (1)
- Clinician-Patient Communication (1)
- Communication (2)
- Comparative Effectiveness (1)
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) (1)
- Critical Care (1)
- Diagnostic Safety and Quality (2)
- Education: Continuing Medical Education (9)
- Electronic Health Records (EHRs) (1)
- Emergency Medical Services (EMS) (4)
- Emergency Preparedness (2)
- Evidence-Based Practice (3)
- Healthcare Delivery (1)
- Health Information Technology (HIT) (3)
- Heart Disease and Health (1)
- Human Immunodeficiency Virus (HIV) (1)
- Injuries and Wounds (1)
- Maternal Care (2)
- Medical Devices (1)
- Nursing (1)
- Obesity (1)
- Patient-Centered Healthcare (1)
- Patient-Centered Outcomes Research (1)
- Patient and Family Engagement (1)
- Patient Experience (1)
- Patient Safety (6)
- Provider (2)
- Provider: Clinician (1)
- Provider: Health Personnel (2)
- Provider Performance (1)
- Quality of Care (2)
- Research Methodologies (1)
- Shared Decision Making (1)
- Simulation (4)
- Stress (1)
- Stroke (1)
- Surgery (6)
- Teams (2)
- (-) Training (25)
- Trauma (1)
- Women (2)
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 25 Research Studies DisplayedShields AD, Vidosh J, Thomson BA
Validation of a simulation-based resuscitation curriculum for maternal cardiac arrest.
The purpose of this study was to evaluate the knowledge, skills, and self-efficacy of health care participants completing a simulation-based blended learning training curriculum on managing maternal medical emergencies and maternal cardiac arrest. The study included a formative assessment of the Obstetric Life Support curriculum. The training consisted of self-guided pre-course work and an instructor-led simulation course using a customized low-fidelity simulator. Eighty-five participants consented to participation in the training (out of 88 invited); 77 participants completed the training over eight sessions. The study found that at baseline, less than 50% of participants were able to achieve a passing score on the cognitive assessment. After the course, mean cognitive assessment scores improved by 13 points, from 69.4% at baseline to 82.4% after the course. The researchers observed significant improvements in participant self-efficacy, and 92.6% of participants agreed or strongly agreed that the course met its educational objectives.
AHRQ-funded; HS026169.
Citation: Shields AD, Vidosh J, Thomson BA .
Validation of a simulation-based resuscitation curriculum for maternal cardiac arrest.
Obstet Gynecol 2023 Nov 1; 142(5):1189-98. doi: 10.1097/aog.0000000000005349..
Keywords: Heart Disease and Health, Cardiovascular Conditions, Maternal Care, Simulation, Training, Education: Continuing Medical Education, Women
Tarnutzer AA, Gold D, Wang Z
Impact of clinician training background and stroke location on bedside diagnostic test accuracy in the acute vestibular syndrome - a meta-analysis.
Researchers conducted a systematic review to assess the accuracy of bedside diagnosis of acute dizziness/vertigo to differentiate peripheral vestibular from central neurologic causes. Their review indicated that the Head Impulse, Nystagmus, Test of Skew (HINTS) examination by trained clinicians can differentiate peripheral from central causes and show higher diagnostic accuracy for stroke in the first 24-48 hours than MRI diffusion-weighted imaging. They concluded that these techniques should be disseminated to clinicians evaluating dizziness/vertigo.
AHRQ-funded; HS029350.
Citation: Tarnutzer AA, Gold D, Wang Z .
Impact of clinician training background and stroke location on bedside diagnostic test accuracy in the acute vestibular syndrome - a meta-analysis.
Ann Neurol 2023 Aug; 94(2):295-308. doi: 10.1002/ana.26661..
Keywords: Diagnostic Safety and Quality, Training, Education: Continuing Medical Education, Provider: Clinician, Stroke, Cardiovascular Conditions
Soares A, Afshar M, Moesel C
AHRQ Author: Lomotan EA
Playing in the clinical decision support sandbox: tools and training for all.
This AHRQ-authored paper introduces the CDS-Sandbox, a cloud-based virtual machine created to facilitate Clinical Decision Support (CDS) developers and implementers in the use of FHIR- and CQL-based open-source tools and technologies for building and testing CDS artifacts. The CDS-Sandbox was demonstrated at two workshops at the 2020 and 2021 AMIA Annual Symposia and includes components that enable workflows for authoring and testing CDS artifacts. At both workshops, participants demonstrated use and understanding of the workshop materials and provided positive feedback after the workshops.
AHRQ-authored; AHRQ-funded; 75FCMC18D0047; 75Q80119F8005.
Citation: Soares A, Afshar M, Moesel C .
Playing in the clinical decision support sandbox: tools and training for all.
JAMIA Open 2023 Jul; 6(2):ooad038. doi: 10.1093/jamiaopen/ooad038..
Keywords: Clinical Decision Support (CDS), Health Information Technology (HIT), Training
Katzman JG, Balbus J, Herring D
AHRQ Author: Bole A
Clinician education on climate change and health: virtual learning community models.
The Climate Change and Human Health Extension for Community Healthcare Outcomes program (Climate ECHO) is a weekly virtual mentoring program for health-care and public health professionals addressing foundational climate and health educational needs for clinicians. The program includes three objectives: 1) to increase knowledge and self-efficacy of climate change; 2) to improve communication among clinicians, community health workers, and patients regarding the health-related effects of climate change; and 3) to advance knowledge on environmental justice and health equity to reduce health disparities. In February 2021 Climate ECHO introduced a pilot program, with contributions from the United Systems Global Change Research Program’s Interagency Crosscutting Group on Climate Change and Human Health. Project ECHO has participants from over 190 countries and builds virtual communities of practice, where peer participants meet consistently to learn from each other and subject matter experts. The U.S. Department of Health and Human Services’ Office of Climate Change and Health Equity, the Centers for Disease Control and Prevention’s Office of Climate and Health, the National Oceanic and Atmospheric Administration’s Climate Program Office, the National Park Service’s One Health Program, and other non-governmental organizations partnered to support the development of multiple programs focused on climate change and health. The first 8-week pilot program included 625 participants from 45 U.S. states and 25 countries. Most participants were health professionals. Participants reported high levels of satisfaction with the program, indicating increased climate-related knowledge and improved communication skills. After the sessions, participants report a greater likelihood of communicating about climate effects with colleagues and patients.
AHRQ-authored.
Citation: Katzman JG, Balbus J, Herring D .
Clinician education on climate change and health: virtual learning community models.
Lancet Planet Health 2023 Jun; 7(6):e444-e46. doi: 10.1016/s2542-5196(23)00087-6..
Keywords: Education: Continuing Medical Education, Training
Meyerhoff J, Kruzan KP, Reddy M
Preparing a workforce of care coordinators to address patient mental health needs in the digital age: training and needs identification.
Previous research shows Care Coordinators (CCs) are frequently the primary point of contact for patients with medical health and mental health comorbidities in integrated healthcare settings, and they are less comfortable addressing mental health concerns than physical health concerns. The purpose of this study was to assess the effectiveness of training to support CCs' management of patient mental health needs prior to digital mental health intervention implementation. The researchers delivered a 1-hour training focused on the evaluation and management of depression and suicide-related thoughts and behaviors to CCs within a large healthcare system's Division of Ambulatory Care Coordination. Prior to and following the training CCs completed online surveys. The study found that training resulted in increased comfort working with clinical populations. including patients with suicide-related ideations and behaviors.
AHRQ-funded; HS028003.
Citation: Meyerhoff J, Kruzan KP, Reddy M .
Preparing a workforce of care coordinators to address patient mental health needs in the digital age: training and needs identification.
SAGE Open Nurs 2023 Jan-Dec; 9. doi: 10.1177/23779608231173279..
Keywords: Behavioral Health, Training, Patient-Centered Healthcare, Care Management, Healthcare Delivery
Garrett SB, Walia A, Miller F
Antibias efforts in United States maternity care: a scoping review of the publicly funded health equity intervention pipeline.
Clin Obstet Gynecol 2023 Mar 1; 66(1):110-23. doi: 10.1097/grf.0000000000000761.
AHRQ-funded; HS022241.
Citation: Garrett SB, Walia A, Miller F .
Antibias efforts in United States maternity care: a scoping review of the publicly funded health equity intervention pipeline.
Clin Obstet Gynecol 2023 Mar 1; 66(1):110-23. doi: 10.1097/grf.0000000000000761..
Keywords: Maternal Care, Women, Training, Evidence-Based Practice
Sullivan CE, Weber LS, Lamas PV
Expanding APHON's Pediatric Chemotherapy/Biotherapy Provider and Instructor program to Spanish-speaking countries: pilot series development and evaluation.
This article described the process of adapting and implementing Provider and Instructor program courses for standardized, comprehensive pediatric chemotherapy/biotherapy education in Latin American and Caribbean countries, culturally adapted and translated to Spanish by the Association of Pediatric Hematology/Oncology Nurses (APHON). The Spanish APHON Provider program was piloted four times and the Instructor program twice with nurses from Mexico, Central America, the Caribbean, South America, and Spain. Statistical analysis identified factors associated with pass rates. The Spanish APHON program was deemed appropriate for nurses' education and practice levels in Latin American and Caribbean countries.
AHRQ-funded; HS013852.
Citation: Sullivan CE, Weber LS, Lamas PV .
Expanding APHON's Pediatric Chemotherapy/Biotherapy Provider and Instructor program to Spanish-speaking countries: pilot series development and evaluation.
J Pediatr Hematol Oncol Nurs 2023 Mar-Apr; 40(2):119-32. doi: 10.1177/27527530221121729..
Keywords: Children/Adolescents, Education: Continuing Medical Education, Training
Kman NE, Price A, Berezina-Blackburn V
First Responder Virtual Reality Simulator to train and assess emergency personnel for mass casualty response.
This paper describes the First Responder Virtual Reality Simulator, a high-fidelity, fully immersive, automated, programmable virtual reality (VR) simulation designed to train frontline responders to treat and triage victims of mass casualty incidents. First responder trainees wear a wireless VR head-mounted display linked to a compatible desktop computer. Autonomous, interactive victims who are programmed to simulate individuals with injuries consistent with an explosion in an underground space are used. The trainees are armed with a virtual medical kit, who are then tasked with triaging and treating the victims on the scene. Increased challenges can be added such as increasing the environmental chaos, adding patients, or increasing the acuity of patient injuries.
AHRQ-funded; HS025915.
Citation: Kman NE, Price A, Berezina-Blackburn V .
First Responder Virtual Reality Simulator to train and assess emergency personnel for mass casualty response.
J Am Coll Emerg Physicians Open 2023 Feb;4(1):e12903. doi: 10.1002/emp2.12903.
Keywords: Emergency Medical Services (EMS), Simulation, Health Information Technology (HIT), Training, Emergency Preparedness
Wang D
Use contexts and usage patterns of interactive case simulation tools by HIV healthcare providers in a statewide online clinical education program.
The researcher analyzed four interactive case simulation tools (ICSTs) from a statewide online clinical education program. Results have shown that ICSTs are increasingly used by HIV healthcare providers. Smart phone has become the primary usage platform for specific ICSTs. Usage patterns depend on particular ICST modules, usage stages, and use contexts.
AHRQ-funded; HS022057.
Citation: Wang D .
Use contexts and usage patterns of interactive case simulation tools by HIV healthcare providers in a statewide online clinical education program.
Stud Health Technol Inform 2017;245:1242.
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Keywords: Education: Continuing Medical Education, Health Information Technology (HIT), Human Immunodeficiency Virus (HIV), Provider, Simulation, Training
Juriga LL, Murray DJ, Boulet JR
Simulation and the diagnostic process: a pilot study of trauma and rapid response teams.
Simulation can be used to recreate conditions that engage teams in the diagnostic process. In contrast to most instruction about diagnostic error, teams learn through realistic experiences and receive timely feedback about their decision-making skills. The purpose of this study was to assess how trauma teams (TrT) and pediatric rapid response teams (RRT) managed scenarios that included a diagnostic error.
AHRQ-funded; HS022265; HS018731.
Citation: Juriga LL, Murray DJ, Boulet JR .
Simulation and the diagnostic process: a pilot study of trauma and rapid response teams.
Diagnosis 2017 Nov 27;4(4):241-49. doi: 10.1515/dx-2017-0010..
Keywords: Diagnostic Safety and Quality, Emergency Medical Services (EMS), Injuries and Wounds, Training, Trauma
Branzetti JB, Adedipe AA, Gittinger MJ
Randomised controlled trial to assess the effect of a Just-in-Time training on procedural performance: a proof-of-concept study to address procedural skill decay.
The purpose of this study was to evaluate the impact of a novel Just-in-Time (JIT) intervention on transvenous pacemaker (TVP) placement during a simulated patient event. The authors concluded that a JIT intervention improved procedure performance, suggesting a role for JIT interventions in rarely performed procedures.
AHRQ-funded; HS020295
Citation: Branzetti JB, Adedipe AA, Gittinger MJ .
Randomised controlled trial to assess the effect of a Just-in-Time training on procedural performance: a proof-of-concept study to address procedural skill decay.
BMJ Qual Saf 2017 Nov;26(11):881-91. doi: 10.1136/bmjqs-2017-006656..
Keywords: Medical Devices, Patient Safety, Surgery, Training, Emergency Medical Services (EMS)
Landsittel DP, Kessler L, Schmid CH
Training in patient-centered outcomes research for specific researcher communities.
A number of publications have discussed approaches to training the scientific workforce in comparative effectiveness research (CER) and patient-centered outcomes research (PCOR). To extend these efforts into specific researcher communities, the AHRQ developed a Funding Opportunity Announcement that called for training for a specific researcher community in collaboration with associated program partners. This paper describes the strategies developed by the 5 subsequently funded programs, and the challenges associated with developing in-person and online programs.
AHRQ-funded; HS023214; HS023199; HS023299; HS023207; HS023185.
Citation: Landsittel DP, Kessler L, Schmid CH .
Training in patient-centered outcomes research for specific researcher communities.
J Clin Transl Sci 2017 Oct;1(5):278-84. doi: 10.1017/cts.2017.307.
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Keywords: Comparative Effectiveness, Evidence-Based Practice, Patient-Centered Outcomes Research, Research Methodologies, Training
Pranaat R, Mohan V, O'Reilly M
Use of simulation based on an electronic health records environment to evaluate the structure and accuracy of notes generated by medical scribes: Proof-of-concept study.
The objective of the researchers was to develop a virtual video-based simulation to demonstrate and quantify the variability and accuracy of scribes' transcribed notes in the EHR. Their high-fidelity, video-based EHR simulation was able to assess multiple performance indicators in medical scribes and demonstrate significant variability both in terms of structure and accuracy in clinical documentation.
AHRQ-funded; HS025141.
Citation: Pranaat R, Mohan V, O'Reilly M .
Use of simulation based on an electronic health records environment to evaluate the structure and accuracy of notes generated by medical scribes: Proof-of-concept study.
JMIR Med Inform 2017 Sep 20;5(3):e30. doi: 10.2196/medinform.7883.
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Keywords: Electronic Health Records (EHRs), Quality of Care, Patient Safety, Training
Fehr JJ, McBride ME, Boulet JR
The simulation-based assessment of pediatric rapid response teams.
The researchers created scenarios of simulated decompensating pediatric patients to train pediatric rapid response teams (RRTs) and to determine whether the scenario scores provide a valid assessment of RRT performance with the hypothesis that RRTs led by intensivists-in-training would be better prepared to manage the scenarios than teams led by nurse practitioners. The greater scores achieved by intensivist-in-training-led teams provides some evidence to support the validity of the assessment.
AHRQ-funded; HS018734.
Citation: Fehr JJ, McBride ME, Boulet JR .
The simulation-based assessment of pediatric rapid response teams.
J Pediatr 2017 Sep;188:258-62.e1. doi: 10.1016/j.jpeds.2017.03.030.
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Keywords: Critical Care, Education: Continuing Medical Education, Children/Adolescents, Teams, Training
Roy B, Huff N, Estrada C
Contextual influences of trainee characteristics and daily workload on trainee learning preferences.
In this study, the investigators sought to understand whether trainee characteristics and daily fluctuations in workload influence the prioritization of various teaching domains necessary for successful inpatient medicine attending rounds. They conducted a prospective observational study in general medicine inpatient wards at a university, Veterans Affairs, and a county hospital affiliated with one academic institution over the course of 6 months.
AHRQ-funded; HS023000.
Citation: Roy B, Huff N, Estrada C .
Contextual influences of trainee characteristics and daily workload on trainee learning preferences.
J Hosp Med 2017 Jul;12(7):558-61. doi: 10.12788/jhm.2771..
Keywords: Education: Continuing Medical Education, Training
Cox ED, Jacobsohn GC, Rajamanickam VP
A family-centered rounds checklist, family engagement, and patient safety: a randomized trial.
The researchers examined the impact of the family-centered rounds (FCRs) checklist intervention, a checklist and associated provider training, on performance of FCR elements, family engagement, and patient safety. They found that the performance of FCR checklist elements was enhanced by checklist implementation and associated with changes in family engagement and more positive perceptions of safety climate.
AHRQ-funded; HS018680.
Citation: Cox ED, Jacobsohn GC, Rajamanickam VP .
A family-centered rounds checklist, family engagement, and patient safety: a randomized trial.
Pediatrics 2017 May;139(5). doi: 10.1542/peds.2016-1688.
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Keywords: Quality of Care, Patient Safety, Patient and Family Engagement, Clinician-Patient Communication, Training
Scerbo MW, Britt RC, Montano M
Effects of a retention interval and refresher session on intracorporeal suturing and knot tying skill and mental workload.
The effects of refraining from practice for different intervals on laparoscopic suturing and mental workload were assessed with a secondary task developed by the authors. When participants who reached proficiency in suturing and knot tying were reassessed after either 1 or 5 months without practice, their performance times increased by 35 percent and secondary task scores decreased by 30 percent. These deficits, however, were nearly reversed after a single refresher session.
AHRQ-funded; HS020386.
Citation: Scerbo MW, Britt RC, Montano M .
Effects of a retention interval and refresher session on intracorporeal suturing and knot tying skill and mental workload.
Surgery 2017 May;161(5):1209-14. doi: 10.1016/j.surg.2016.11.011.
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Keywords: Surgery, Education: Continuing Medical Education, Training, Provider: Health Personnel
Kruser JM, Taylor LJ, Campbell TC
"Best case/worst case": training surgeons to use a novel communication tool for high-risk acute surgical problems.
"Best Case/Worst Case" (BC/WC) is a communication tool designed to promote goal-concordant care during discussions about high-risk surgery. The objective of this study was to evaluate a structured training program designed to teach surgeons how to use BC/WC. It concluded that : surgeons can learn to use BC/WC with older patients considering acute high-risk surgical interventions..
AHRQ-funded; HS000078.
Citation: Kruser JM, Taylor LJ, Campbell TC .
"Best case/worst case": training surgeons to use a novel communication tool for high-risk acute surgical problems.
J Pain Symptom Manage 2017 Apr;53(4):711-19.e5. doi: 10.1016/j.jpainsymman.2016.11.014.
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Keywords: Communication, Shared Decision Making, Provider: Health Personnel, Surgery, Training
Fernandez R, Shah S, Rosenman ED
Developing team cognition: a role for simulation.
Evidence from team science research demonstrates a strong relationship between team cognition and team performance and suggests a role for simulation in the development of this team-level construct. In this article, the researchers synthesize research from the broader team science literature to provide foundational knowledge regarding team cognition and highlight best practices for using simulation to target team cognition.
AHRQ-funded; HS020295; HS022458.
Citation: Fernandez R, Shah S, Rosenman ED .
Developing team cognition: a role for simulation.
Simul Healthc 2017 Apr;12(2):96-103. doi: 10.1097/sih.0000000000000200.
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Keywords: Teams, Training, Provider Performance, Patient Safety
Cicero MX, Whitfill T, Munjal K
60 seconds to survival: a pilot study of a disaster triage video game for prehospital providers.
The researchers hypothesized that players of the video game "60 Seconds to Survival" (60S) would have greater improvements in disaster triage accuracy compared to control subjects who did not play 60S. The video game intervention demonstrated a significant improvement in accuracy from baseline to time 2 while the control did not.
AHRQ-funded; HS022837.
Citation: Cicero MX, Whitfill T, Munjal K .
60 seconds to survival: a pilot study of a disaster triage video game for prehospital providers.
Am J Disaster Med 2017 Spring;12(2):75-83. doi: 10.5055/ajdm.2017.0263.
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Keywords: Emergency Medical Services (EMS), Emergency Preparedness, Training
Oladeru OA, Hamadu M, Cleary PD
House staff communication training and patient experience scores.
The purpose of this study was to assess whether communication training for housestaff via role-playing exercises (1) was well-received and (2) improved patient experience scores in housestaff clinics. Forty-four of a possible 45 housestaff (97.8%) participated, with 31 (70.5%) indicating that the role-playing exercise increased their perception of the 5-step strategy the study emphasized.
AHRQ-funded; HS016978.
Citation: Oladeru OA, Hamadu M, Cleary PD .
House staff communication training and patient experience scores.
J Patient Exp 2017 Mar 1;4(1):28-36. doi: 10.1177/2374373517694533..
Keywords: Communication, Consumer Assessment of Healthcare Providers and Systems (CAHPS), Patient Experience, Patient Experience, Training
Blay E, Jr., Hewitt DB, Chung JW
Association between flexible duty hour policies and general surgery resident examination performance: a Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) Trial analysis.
This study investigated whether a flexible, less-restrictive duty hour policy (Flexible Policy) was associated with differential general surgery examination performance compared with current ACGME duty hour policy (Standard Policy). It found that flexible, less-restrictive duty hour policies were not associated with differences in general surgery resident performance on examinations during the FIRST Trial.
AHRQ-funded; HS000078.
Citation: Blay E, Jr., Hewitt DB, Chung JW .
Association between flexible duty hour policies and general surgery resident examination performance: a Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) Trial analysis.
J Am Coll Surg 2017 Feb;224(2):137-42. doi: 10.1016/j.jamcollsurg.2016.10.042.
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Keywords: Education: Continuing Medical Education, Patient Safety, Provider, Surgery, Training
Scerbo MW, Britt RC, Stefanidis D
Differences in mental workload between traditional and single-incision laparoscopic procedures measured with a secondary task.
The purpose of this study was to use a secondary task to measure the incremental workload demands of single-incision laparoscopic surgery (SILS) procedures versus traditional laparoscopic procedures. It concluded that SILS procedures were significantly more mentally demanding than traditional laparoscopic procedures, as corroborated by primary and secondary tasks scores and subjective ratings.
AHRQ-funded; HS020386.
Citation: Scerbo MW, Britt RC, Stefanidis D .
Differences in mental workload between traditional and single-incision laparoscopic procedures measured with a secondary task.
Am J Surg 2017 Feb;213(2):244-48. doi: 10.1016/j.amjsurg.2016.09.056.
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Keywords: Surgery, Training, Simulation
Stefanidis D, Anton NE, Howley LD
Effectiveness of a comprehensive mental skills curriculum in enhancing surgical performance: results of a randomized controlled trial.
The researchers hypothesized that the implementation of a novel mental skills curriculum (MSC) during laparoscopic simulator training would improve mental skills and performance, and decrease stress. They found that, compared to controls, the intervention group significantly improved their mental skill use, demonstrated higher laparoscopic skill improvement during retention, and reported less stress during the transfer test.
AHRQ-funded; HS022080.
Citation: Stefanidis D, Anton NE, Howley LD .
Effectiveness of a comprehensive mental skills curriculum in enhancing surgical performance: results of a randomized controlled trial.
Am J Surg 2017 Feb;213(2):318-24. doi: 10.1016/j.amjsurg.2016.10.016.
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Keywords: Surgery, Training, Stress, Patient Safety
Kolko RP, Kass AE, Hayes JF
Provider training to screen and initiate evidence-based pediatric obesity treatment in routine practice settings: a randomized pilot trial.
This randomized pilot trial evaluated two training modalities for first-line, evidence-based pediatric obesity services (screening and goal setting) among nursing students. Both live interactive training and Web-facilitated self-study training were acceptable, with higher ratings for live training and participants with previous experience. Knowledge and skill improved from pretraining to post-training and follow-up in both conditions.
AHRQ-funded; HS000078.
Citation: Kolko RP, Kass AE, Hayes JF .
Provider training to screen and initiate evidence-based pediatric obesity treatment in routine practice settings: a randomized pilot trial.
J Pediatr Health Care 2017 Jan - Feb;31(1):16-28. doi: 10.1016/j.pedhc.2016.01.001.
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Keywords: Children/Adolescents, Evidence-Based Practice, Nursing, Obesity, Training