National Healthcare Quality and Disparities Report
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AHRQ Research Studies Date
Topics
- Children/Adolescents (2)
- Communication (5)
- Comparative Effectiveness (1)
- Cultural Competence (1)
- Diabetes (1)
- Disparities (1)
- (-) Education: Patient and Caregiver (23)
- Elderly (1)
- Evidence-Based Practice (2)
- Healthcare Delivery (1)
- Healthcare Utilization (2)
- Health Information Exchange (HIE) (1)
- Health Information Technology (HIT) (3)
- Health Literacy (3)
- Health Promotion (3)
- Health Services Research (HSR) (1)
- Labor and Delivery (1)
- Lifestyle Changes (1)
- Low-Income (1)
- Medication (4)
- Newborns/Infants (1)
- Patient-Centered Healthcare (1)
- Patient-Centered Outcomes Research (1)
- Patient Adherence/Compliance (1)
- Patient and Family Engagement (1)
- Patient Self-Management (1)
- Practice Patterns (2)
- Pregnancy (1)
- Primary Care: Models of Care (1)
- Provider: Health Personnel (1)
- Provider Performance (1)
- Public Health (2)
- Public Reporting (3)
- Quality of Care (3)
- Racial and Ethnic Minorities (3)
- Registries (2)
- Shared Decision Making (8)
- Social Media (1)
- Tobacco Use (1)
- Tools & Toolkits (1)
- Transplantation (1)
- Vaccination (2)
- Web-Based (3)
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 23 of 23 Research Studies DisplayedKuntz JL, Safford MM, Singh JA
Patient-centered interventions to improve medication management and adherence: a qualitative review of research findings.
This review reports the current state of scientific research around interventions to improve medication management through four patient-centered domains. Out of 60 studies, the authors found the following types of intervention: patient education, augmented pharmacy services, decision aids, shared decision-making, and clinical review of patient adherence. They were unable to determine whether these interventions were more effective than traditional medication adherence interventions.
AHRQ-funded; HS021107.
Citation: Kuntz JL, Safford MM, Singh JA .
Patient-centered interventions to improve medication management and adherence: a qualitative review of research findings.
Patient Educ Couns 2014 Dec;97(3):310-26. doi: 10.1016/j.pec.2014.08.021.
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Keywords: Education: Patient and Caregiver, Shared Decision Making, Medication, Patient Adherence/Compliance, Patient-Centered Healthcare
Rodrigue JR, Fleishman A, Fitzpatrick S
Organ donation knowledge, willingness, and beliefs of motor vehicle clerks.
This study assessed the donation knowledge, willingness, and beliefs of MV clerks and their association with demographic characteristics. It found that most clerks believed that people should register as organ donors. Whites and already registered donors were more likely than minorities and nonregistered clerks to believe others should register as donors.
AHRQ-funded; HS022061; HS024204.
Citation: Rodrigue JR, Fleishman A, Fitzpatrick S .
Organ donation knowledge, willingness, and beliefs of motor vehicle clerks.
Transplantation 2014 Nov 27;98(10):1025-8. doi: 10.1097/tp.0000000000000424..
Keywords: Racial and Ethnic Minorities, Registries, Education: Patient and Caregiver
Mitchell SE, Mako M, Sadikova E
The comparative experiences of women in control: diabetes self-management education in a virtual world.
The investigators characterized participants' experiences of a diabetes self-management (DSM) education program delivered via a virtual world (VW) versus a face-to-face (F2F) format. They found that VW and F2F groups both reported mastery of DSM knowledge, attitudes, and skills, and there were no differences in peer-derived social support between groups. The technological aspects of VW participation afforded VW participants a unique sense of personal agency and diabetes self-efficacy not reported by F2F participants. They concluded that DSM education in a VW is feasible and educational outcomes are similar to a F2F classroom experience.
AHRQ-funded; HS019771.
Citation: Mitchell SE, Mako M, Sadikova E .
The comparative experiences of women in control: diabetes self-management education in a virtual world.
J Diabetes Sci Technol 2014 Nov;8(6):1185-92. doi: 10.1177/1932296814549829.
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Keywords: Education: Patient and Caregiver, Diabetes, Health Promotion, Patient Self-Management
Damberg CL, McNamara P
AHRQ Author: McNamara P
Postscript: research agenda to guide the next generation of public reports for consumers.
The authors identified five areas for additional public reporting tools research that, if addressed, could foster better design and delivery of quality and cost information to consumers.
AHRQ-authored.
Citation: Damberg CL, McNamara P .
Postscript: research agenda to guide the next generation of public reports for consumers.
Med Care Res Rev 2014 Oct;71(5 Suppl):97s-107s. doi: 10.1177/1077558714535982.
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Keywords: Education: Patient and Caregiver, Shared Decision Making, Quality of Care, Health Services Research (HSR), Public Reporting
Hussey PS, Luft HS, McNamara P
AHRQ Author: McNamara P
Public reporting of provider performance at a crossroads in the United States: summary of current barriers and recommendations on how to move forward.
The authors presented a vision statement and 10 recommendations for public reports to achieve their potential for engaging and informing consumers.
AHRQ-authored; AHRQ-funded.
Citation: Hussey PS, Luft HS, McNamara P .
Public reporting of provider performance at a crossroads in the United States: summary of current barriers and recommendations on how to move forward.
Med Care Res Rev 2014 Oct;71(5 Suppl):5s-16s. doi: 10.1177/1077558714535980.
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Keywords: Education: Patient and Caregiver, Quality of Care, Provider: Health Personnel, Provider Performance, Public Reporting
Eden KB, Perrin NA, Vesco KK
A randomized comparative trial of two decision tools for pregnant women with prior cesareans.
The authors evaluated tools to help pregnant women with prior cesareans make informed decisions about having trials of labor. They found that women in both groups felt more informed, were more clear about their birth priorities, felt more supported, and overall reported less conflict after receiving either intervention.
AHRQ-funded; HS011338; HS013959.
Citation: Eden KB, Perrin NA, Vesco KK .
A randomized comparative trial of two decision tools for pregnant women with prior cesareans.
J Obstet Gynecol Neonatal Nurs 2014 Sep-Oct;43(5):568-79. doi: 10.1111/1552-6909.12485.
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Keywords: Education: Patient and Caregiver, Shared Decision Making, Labor and Delivery, Patient-Centered Outcomes Research
Robinson MN, Tansil KA, Elder RW
AHRQ Author: Miller T
Mass media health communication campaigns combined with health-related product distribution: a community guide systematic review.
The researchers conducted a systematic review to evaluate the effectiveness of health communication campaigns that use multiple channels, including mass media, and distribute health-related products. They concluded that health communication campaigns that combine mass media and other communication channels with distribution of free or reduced-price health-related products are effective in improving healthy behaviors. They expect this intervention to be applicable across U.S. demographic groups, with appropriate population targeting.
AHRQ-authored.
Citation: Robinson MN, Tansil KA, Elder RW .
Mass media health communication campaigns combined with health-related product distribution: a community guide systematic review.
Am J Prev Med 2014 Sep;47(3):360-71. doi: 10.1016/j.amepre.2014.05.034.
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Keywords: Communication, Education: Patient and Caregiver, Health Promotion, Lifestyle Changes, Social Media, Tobacco Use
Lee YJ, Boden-Albala B, Larson E
Online health information seeking behaviors of Hispanics in New York City: a community-based cross-sectional study.
The authors examined factors associated with online health-information-seeking behaviors (HISBs) of the Hispanic population. This large survey identified factors meriting closer examination, such as cultural context. Health care providers and policymakers need to understand the cultural context of this population and develop informatics-based interventions to improve their health.
AHRQ-funded; HS019853; HS022961
Citation: Lee YJ, Boden-Albala B, Larson E .
Online health information seeking behaviors of Hispanics in New York City: a community-based cross-sectional study.
J Med Internet Res. 2014 Jul 22;16(7):e176. doi: 10.2196/jmir.3499..
Keywords: Education: Patient and Caregiver, Racial and Ethnic Minorities, Racial and Ethnic Minorities, Web-Based
Klann JG, Buck MD, Brown J
Query Health: standards-based, cross-platform population health surveillance.
The Office of the National Coordinator for Health Information Technology (ONC) Query Health Initiative is a collaboration to develop a national architecture for distributed, population-level health queries across diverse clinical systems with disparate data models. The authors review Query Health activities, including a standards-based methodology, an open-source reference implementation, and three pilot projects.
AHRQ-funded; HS019912.
Citation: Klann JG, Buck MD, Brown J .
Query Health: standards-based, cross-platform population health surveillance.
J Am Med Inform Assoc. 2014 Jul-Aug;21(4):650-6. doi: 10.1136/amiajnl-2014-002707..
Keywords: Public Health, Education: Patient and Caregiver, Health Information Technology (HIT)
Longo DR, Woolf HS
Rethinking the information priorities of patients.
Efforts have intensified to provide consumers with online data tools and consumer reports that offer profiles and statistics for evaluating specialists, hospitals, and other clinical facilities. In this article, the authors examine two key questions: what should these resources look like and do patients really want them?
AHRQ-funded; HS021902
Citation: Longo DR, Woolf HS .
Rethinking the information priorities of patients.
JAMA. 2014 May 14;311(18):1857-8. doi: 10.1001/jama.2014.3038..
Keywords: Education: Patient and Caregiver, Shared Decision Making, Quality of Care, Health Information Technology (HIT), Web-Based
Del Fiol G, Workman TE, Gorman PN
Clinical questions raised by clinicians at the point of care: a systematic review.
The researchers conducted a systematic review of studies examining the questions that clinicians raise in the context of patient care decisionmaking. They concluded that clinicians frequently raise questions about patient care in their practice. Although they are effective at finding answers to questions they pursue, roughly half of the questions are never pursued.
AHRQ-funded; HS018352.
Citation: Del Fiol G, Workman TE, Gorman PN .
Clinical questions raised by clinicians at the point of care: a systematic review.
JAMA Intern Med. 2014 May;174(5):710-8. doi: 10.1001/jamainternmed.2014.368..
Keywords: Education: Patient and Caregiver, Shared Decision Making, Health Information Exchange (HIE), Health Information Technology (HIT), Practice Patterns
Liu KY, Haukoos JS, Sasson C
Availability and quality of cardiopulmonary resuscitation information for Spanish-speaking population on the Internet.
The goal of this study was to evaluate the availability and quality of CPR-related literature for Spanish-speaking-only individuals on the Internet. It found that only 1 in 7 websites on the Internet has quality hands-only CPR education for this population.
AHRQ-funded; HS017526.
Citation: Liu KY, Haukoos JS, Sasson C .
Availability and quality of cardiopulmonary resuscitation information for Spanish-speaking population on the Internet.
Resuscitation. 2014 Jan;85(1):131-7. doi: 10.1016/j.resuscitation.2013.08.274..
Keywords: Education: Patient and Caregiver, Cultural Competence, Disparities, Racial and Ethnic Minorities, Web-Based
Schwitzer G
Addressing tensions when popular media and evidence-based care collide.
This paper documents recurring problems in media messages about health-care interventions and offers suggestions for new or expanded efforts to improve the public dialogue about health care. It concluded that inaccurate, imbalanced, incomplete news stories may drown out more careful scrutiny of the evidence by many influential news organizations.
AHRQ-funded; 290200810015C
Citation: Schwitzer G .
Addressing tensions when popular media and evidence-based care collide.
BMC Med Inform Decis Making 2013;13 Suppl 3:S3. doi: 10.1186/1472-6947-13-s3-s3..
Keywords: Communication, Education: Patient and Caregiver, Evidence-Based Practice
Glanz JM, Wagner NM, Narwaney KJ
A mixed methods study of parental vaccine decision making and parent-provider trust.
Given the growing public health problem of parental vaccine hesitancy, researchers investigated parental vaccine decisionmaking through the use of focus groups and a mailed survey. They found that parents had overall trust in their pediatricians but not in the information they provided about vaccines. Parents refusing or delaying vaccines were twice as likely to begin thinking about vaccines before their child was born.
AHRQ-funded; HS019760
Citation: Glanz JM, Wagner NM, Narwaney KJ .
A mixed methods study of parental vaccine decision making and parent-provider trust.
Acad Pediatr. 2013 Sep-Oct;13(5):481-8. doi: 10.1016/j.acap.2013.05.030..
Keywords: Children/Adolescents, Vaccination, Education: Patient and Caregiver, Healthcare Utilization, Shared Decision Making
Williams SE, Rothman RL, Offit PA
A randomized trial to increase acceptance of childhood vaccines by vaccine-hesitant parents: a pilot study.
This pilot study evaluated an educational intervention (a video and written information) to improve parental attitudes and vaccine-uptake in vaccine-hesitant parents. It found a modest increase in parental attitudes toward vaccines but no difference in receipt of vaccines between the intervention and control groups at 12 weeks.
AHRQ-funded; HS019675
Citation: Williams SE, Rothman RL, Offit PA .
A randomized trial to increase acceptance of childhood vaccines by vaccine-hesitant parents: a pilot study.
Acad Pediatr. 2013 Sep-Oct;13(5):475-80. doi: 10.1016/j.acap.2013.03.011..
Keywords: Children/Adolescents, Vaccination, Education: Patient and Caregiver, Healthcare Utilization
Shoemaker SJ, Staub-DeLong L, Wasserman M
Factors affecting adoption and implementation of AHRQ health literacy tools in pharmacies.
The purpose of this study is to understand the facilitators and barriers to the adoption and implementation of AHRQ’s health literacy tools, particularly a tool to assess a pharmacy’s health literacy practices. The study found facilitators including awareness of health literacy, a culture of innovation, and a change champion. It also identified barriers such as lack of leadership support and limited staff time.
AHRQ-funded; 290200600011I
Citation: Shoemaker SJ, Staub-DeLong L, Wasserman M .
Factors affecting adoption and implementation of AHRQ health literacy tools in pharmacies.
Res Social Adm Pharm. 2013 Sep-Oct;9(5):553-63. doi: 10.1016/j.sapharm.2013.05.003..
Keywords: Health Literacy, Education: Patient and Caregiver, Practice Patterns, Tools & Toolkits, Medication
Quick B, Harrison TR, King AJ
It's up to you: a multi-message, phased driver facility campaign to increase organ donation registration rates in Illinois.
This project applied successful strategies previously employed in driver facility campaigns to examine whether these strategies would be effective in growing a registry where the majority of individuals have already had the opportunity to register as an organ donor. In facilities with historically high and low registration percentages, these strategies resulted in higher organ donor registration rates, compared with control facilities.
AHRQ-funded; HS019218
Citation: Quick B, Harrison TR, King AJ .
It's up to you: a multi-message, phased driver facility campaign to increase organ donation registration rates in Illinois.
Clin Transplant. 2013 Sep-Oct;27(5):E546-53. doi: 10.1111/ctr.12208..
Keywords: Comparative Effectiveness, Registries, Transplantation, Education: Patient and Caregiver, Evidence-Based Practice
Goff SL, Pekow PS, White KO
IDEAS for a healthy baby--reducing disparities in use of publicly reported quality data: study protocol for a randomized controlled trial.
This study's goals were 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; to evaluate the relative importance of factors influencing women's choice of pediatric practices; to evaluate the effect of the intervention on patient engagement in management of their own and their child's health care; and to assess variation in efficacy of the intervention for sub-groups based on parity, age, and race/ethnicity. Successful completion of the study aims is expected to yield important new knowledge about the value of guided website navigation as a strategy to increase the impact of publicly reported quality data and to reduce disparities in use of these data.
AHRQ-funded; HS021864.
Citation: Goff SL, Pekow PS, White KO .
IDEAS for a healthy baby--reducing disparities in use of publicly reported quality data: study protocol for a randomized controlled trial.
Trials 2013 Aug 7;14:244. doi: 10.1186/1745-6215-14-244.
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Keywords: Education: Patient and Caregiver, Newborns/Infants, Low-Income, Pregnancy, Public Reporting
Robertson J, Farris KB, Schultz SK
Older adults' views about "Managing Your Medications" booklet.
The objective of the study was to evaluate the Managing Your Medications (MYM) booklet to improve medication management. Older adults reported it was comprehensible and 17 percent reported behavioral intentions to change their current actions regarding medications. Overall, 12.7 percent of respondents agreed that MYM changed their opinion of the topic. The most popular means to dis¬seminate were doctors’ offices and senior citizens’ centers.
AHRQ-funded; HS016094.
Citation: Robertson J, Farris KB, Schultz SK .
Older adults' views about "Managing Your Medications" booklet.
J Appl Gerontol 2013 Apr;32(3):370-82. doi: 10.1177/0733464811421910..
Keywords: Elderly, Education: Patient and Caregiver, Health Literacy, Medication
Koh HK, Brach C, Harris LM
AHRQ Author: Brach C
A proposed 'health literate care model' would constitute a systems approach to improving patients' engagement in care.
The researchers proposed a Health Literate Care Model that would weave health literacy strategies into the widely adopted Care Model (formerly known as the Chronic Care Model). Their new model calls for approaching all patients with the assumption that they are at risk of not understanding their health conditions or how to deal with them, and then confirming and ensuring patients' understanding. They suggested that health literacy would then become an organizational value infused into all aspects of planning and operations. They also proposed a measurement framework to track the impact of the new Health Literate Care Model on patient outcomes and quality of care.
AHRQ-authored.
Citation: Koh HK, Brach C, Harris LM .
A proposed 'health literate care model' would constitute a systems approach to improving patients' engagement in care.
Health Aff 2013 Feb;32(2):357-67. doi: 10.1377/hlthaff.2012.1205.
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Keywords: Healthcare Delivery, Shared Decision Making, Education: Patient and Caregiver, Health Literacy, Primary Care: Models of Care, Patient and Family Engagement
Santa JS
Communicating information about "what not to do" to consumers.
The author reports on ways in which Consumer Reports magazine has communicated information about health services to its readers. Over a 5-year period, the author shows that the magazine as it learned more about how to communicate “what not to do” to consumers, was ultimately able to enhance the effectiveness of this difficult message.
AHRQ-funded; 290200810015C
Citation: Santa JS .
Communicating information about "what not to do" to consumers.
BMC Med Inform Decis Making 2013;13 Suppl 3:S2. doi: 10.1186/1472-6947-13-s3-s2..
Keywords: Communication, Education: Patient and Caregiver
Sanders Thompson VL
Making decisions in a complex information environment: evidential preference and information we trust.
This article discusses the role of information sources and evidential preferences—including the influence of health professionals, general and ethnicity-specific media, Internet sources, personal experiences, and family and friends and their testimonials and anecdotal evidence in health decisions. It also contains recommendations for health communication practices, professional training, and future research directions.
AHRQ-funded; 290200810015C
Citation: Sanders Thompson VL .
Making decisions in a complex information environment: evidential preference and information we trust.
BMC Med Inform Decis Making 2013;13 Suppl 3:S7. doi: 10.1186/1472-6947-13-s3-s7..
Keywords: Communication, Education: Patient and Caregiver, Shared Decision Making
Kravitz RL, Bell RA
Media, messages, and medication: strategies to reconcile what patients hear, what they want, and what they need from medications.
This analysis takes the form of a critical, integrative synthesis of research from the fields of medicine, marketing, public health, and health communications. The authors conclude that the problem is not a lack of information: rather, it is knowing what information to trust.
AHRQ-funded; 290200810015C
Citation: Kravitz RL, Bell RA .
Media, messages, and medication: strategies to reconcile what patients hear, what they want, and what they need from medications.
BMC Med Inform Decis Making 2013;13 Suppl 3:S5. doi: 10.1186/1472-6947-13-s3-s5..
Keywords: Communication, Education: Patient and Caregiver, Health Promotion, Medication, Public Health