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Search All Research Studies
AHRQ Research Studies Date
Topics
- Chronic Conditions (1)
- Communication (2)
- (-) Comparative Effectiveness (12)
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- (-) Health Information Technology (HIT) (12)
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- Patient-Centered Outcomes Research (5)
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- Pressure Ulcers (1)
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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 12 of 12 Research Studies DisplayedMeeker D, Jiang X, Matheny ME
A system to build distributed multivariate models and manage disparate data sharing policies: implementation in the scalable national network for effectiveness research.
The authors’ objective was to implement infrastructure that supports the functionality of some existing research networks (e.g., cohort discovery, workflow management, and estimation of multivariate analytic models on centralized data) while adding additional important new features. They were able to implement massively parallel (map-reduce) computation methods and a new policy management system to enable each study initiated by network participants to define the ways in which data may be processed, managed, queried, and shared.
AHRQ-funded; HS019913.
Citation: Meeker D, Jiang X, Matheny ME .
A system to build distributed multivariate models and manage disparate data sharing policies: implementation in the scalable national network for effectiveness research.
J Am Med Inform Assoc 2015 Nov;22(6):1187-95. doi: 10.1093/jamia/ocv017..
Keywords: Communication, Comparative Effectiveness, Data, Health Information Technology (HIT), Policy, Research Methodologies
Hazlehurst BL, Kurtz SE, Masica A
CER Hub: An informatics platform for conducting comparative effectiveness research using multi-institutional, heterogeneous, electronic clinical data.
The authors describe the CER Hub, a web-based informatics platform for developing and conducting research studies that combine comprehensive electronic clinical data from multiple health care organizations. They conclude that CER requires coordinated and scalable methods for extracting, aggregating, and analyzing complex, multi-institutional clinical data.
AHRQ-funded; HS019828.
Citation: Hazlehurst BL, Kurtz SE, Masica A .
CER Hub: An informatics platform for conducting comparative effectiveness research using multi-institutional, heterogeneous, electronic clinical data.
Int J Med Inform 2015 Oct;84(10):763-73. doi: 10.1016/j.ijmedinf.2015.06.002..
Keywords: Comparative Effectiveness, Health Information Technology (HIT), Data, Web-Based
Marsolo K, Margolis PA, Forrest CB
A digital architecture for a network-based learning health system: integrating chronic care management, quality improvement, and research.
The authors collaborated with the ImproveCareNow Network to create a proof-of-concept architecture for a network-based Learning Health System. This collaboration involved transitioning an existing registry to one that is linked to the electronic health record (EHR), enabling a “data in once” strategy. This required automating a series of reports that support care improvement while also demonstrating the use of observational registry data for comparative effectiveness research.
AHRQ-funded; HS020024; HS022974.
Citation: Marsolo K, Margolis PA, Forrest CB .
A digital architecture for a network-based learning health system: integrating chronic care management, quality improvement, and research.
eGEMS 2015 Aug 17;3(1):1168. doi: 10.13063/2327-9214.1168..
Keywords: Electronic Health Records (EHRs), Registries, Patient-Centered Outcomes Research, Comparative Effectiveness, Health Information Technology (HIT)
Sittig DF, Murphy DR, Smith MW
Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems.
In an attempt to understand how well current electronic health records (EHRs) facilitate accurate display and interpretation of clinical laboratory test results, the researchers evaluated the graphical displays of laboratory test results in 8 EHRs using objective criteria for optimal graphs. None of the EHRs met all 11 criteria.
AHRQ-funded; HS022087
Citation: Sittig DF, Murphy DR, Smith MW .
Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems.
J Am Med Inform Assoc. 2015 Jul;22(4):900-4. doi: 10.1093/jamia/ocv013..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Comparative Effectiveness
Guillory J, Chang P, Henderson CR
Piloting a text message-based social support intervention for patients with chronic pain: establishing feasibility and preliminary efficacy.
This pilot study examined the effectiveness of a short message service (SMS) text message–based social support intervention through mobile technology for pain attenuation and improving positive affect in a sample of patients with chronic noncancer pain. Findings show that this novel social support intervention reduced perceptions of pain and pain interference and improved positive affect among patients randomized to the intervention condition.
AHRQ-funded; HS020648.
Citation: Guillory J, Chang P, Henderson CR .
Piloting a text message-based social support intervention for patients with chronic pain: establishing feasibility and preliminary efficacy.
Clin J Pain 2015 Jun;31(6):548-56. doi: 10.1097/ajp.0000000000000193..
Keywords: Comparative Effectiveness, Chronic Conditions, Health Information Technology (HIT), Social Media
Shepherd MM, Wipke-Tevis DD, Alexander GL
Analysis of qualitative interviews about the impact of information technology on pressure ulcer prevention programs: implications for the wound, ostomy and continence nurse.
The purpose of this study was to compare pressure ulcer prevention programs in 2 long-term care facilities with diverse Information Technology Sophistication (ITS), one with high sophistication and one with low sophistication, and to identify implications for the WOC nurse. Its findings suggest that effective strategies for staff education and communication regarding pressure ulcer prevention differ based on the level of ITS within a given facility.
AHRQ-funded; HS016862.
Citation: Shepherd MM, Wipke-Tevis DD, Alexander GL .
Analysis of qualitative interviews about the impact of information technology on pressure ulcer prevention programs: implications for the wound, ostomy and continence nurse.
J Wound Ostomy Continence Nurs 2015 May-Jun;42(3):235-41. doi: 10.1097/won.0000000000000136.
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Keywords: Health Information Technology (HIT), Pressure Ulcers, Prevention, Long-Term Care, Comparative Effectiveness
Smith-Ray RL, Hughes SL, Prohaska TR
Impact of cognitive training on balance and gait in older adults.
The researchers assessed whether a commercially available computer-based cognitive training program delivered in a classroom format over a 10-week period improved physical performance outcomes related to walking and balance in older adults. They found that the time to complete the Timed Up and Go increased less for the intervention group; however, there were no significant differences by group on gait speed or gait speed while distracted.
AHRQ-funded; HS018295.
Citation: Smith-Ray RL, Hughes SL, Prohaska TR .
Impact of cognitive training on balance and gait in older adults.
J Gerontol B Psychol Sci Soc Sci 2015 May;70(3):357-66. doi: 10.1093/geronb/gbt097..
Keywords: Elderly, Health Information Technology (HIT), Comparative Effectiveness, Outcomes
Cross RK, Jambaulikar G, Langenberg P
TELEmedicine for Patients with Inflammatory Bowel Disease (TELE-IBD): design and implementation of randomized clinical trial.
This study compares disease activity and quality of life over 1 year in a randomized trial of IBD patients receiving standard care versus telemedicine. If effective, telemedicine should decrease symptoms, improve quality of life, and decrease health care utilization. The burden associated with use of telemedicine for patients and providers needs to be assessed. This trial is ongoing and will be completed in July 2016.
AHRQ-funded; HS018975.
Citation: Cross RK, Jambaulikar G, Langenberg P .
TELEmedicine for Patients with Inflammatory Bowel Disease (TELE-IBD): design and implementation of randomized clinical trial.
Contemp Clin Trials 2015 May;42:132-44. doi: 10.1016/j.cct.2015.03.006..
Keywords: Comparative Effectiveness, Digestive Disease and Health, Health Information Technology (HIT), Patient-Centered Outcomes Research, Telehealth
Hartzler AL, Chaudhuri S
Integrating patient-reported outcomes into spine surgical care through visual dashboards: lessons learned from human-centered design.
The researchers share lessons learned from engaging health care professionals to inform design of visual dashboards, an emerging type of health information technology (HIT). Their work illustrates a range of engagement methods guided by human-centered principles and design recommendations for optimizing PRO Dashboards for patient care and quality improvement.
AHRQ-funded; HS020025.
Citation: Hartzler AL, Chaudhuri S .
Integrating patient-reported outcomes into spine surgical care through visual dashboards: lessons learned from human-centered design.
eGEMS 2015 Mar 13;3(2):1133. doi: 10.13063/2327-9214.1133..
Keywords: Comparative Effectiveness, Health Information Technology (HIT), Surgery, Patient-Centered Outcomes Research
Samwald M, Minarro Gimenez JA, Boyce RD
Pharmacogenomic knowledge representation, reasoning and genome-based clinical decision support based on OWL 2 DL ontologies.
The authors developed Web Ontology Language (OWL) ontologies and automated reasoning methodologies to meet various goals such as providing a simple and concise formalism for representing pharmacogenomic knowledge. Their ontology-based framework can be used to represent, organize and reason over the growing wealth of pharmacogenomic knowledge, as well as to identify errors, inconsistencies and insufficient definitions in source data sets or individual patient data.
AHRQ-funded; HS019461.
Citation: Samwald M, Minarro Gimenez JA, Boyce RD .
Pharmacogenomic knowledge representation, reasoning and genome-based clinical decision support based on OWL 2 DL ontologies.
BMC Med Inform Decis Mak 2015 Feb 22;15:12. doi: 10.1186/s12911-015-0130-1..
Keywords: Comparative Effectiveness, Health Information Technology (HIT), Shared Decision Making, Medication, Genetics
Armstrong AW, Johnson MA, Lin S
Patient-centered, direct-access online care for management of atopic dermatitis: a randomized clinical trial.
The researchers compared the effectiveness of a direct-access, online model with that of an in-person model for follow-up management of pediatric and adult patients with atopic dermatitis. They found that patients whose disease was managed through the direct-access online model achieved equivalent improvements in atopic dermatitis disease severity compared with those whose disease was managed through the usual, in-person visits.
AHRQ-funded; HS018341.
Citation: Armstrong AW, Johnson MA, Lin S .
Patient-centered, direct-access online care for management of atopic dermatitis: a randomized clinical trial.
JAMA Dermatol 2015 Feb;151(2):154-60. doi: 10.1001/jamadermatol.2014.2299..
Keywords: Healthcare Delivery, Comparative Effectiveness, Health Information Technology (HIT), Patient-Centered Healthcare, Patient-Centered Outcomes Research
Arcia A, Velez M, Bakken S
Style guide: An interdisciplinary communication tool to support the process of generating tailored infographics from electronic health data using EnTICE3.
In this case study the authors describe key features of the structured communication tool—a style guide—used to support interdisciplinary collaboration. They propose the use of such a tool for research teams engaged in similar projects. They employ tailored infographics to present patient reported outcome data from a community health survey, in a comprehensible and actionable manner, to the individuals who provided it.
AHRQ-funded; HS019853; HS022961.
Citation: Arcia A, Velez M, Bakken S .
Style guide: An interdisciplinary communication tool to support the process of generating tailored infographics from electronic health data using EnTICE3.
eGEMS 2015 Jan 26;3(1):1120. doi: 10.13063/2327-9214.1120..
Keywords: Communication, Comparative Effectiveness, Health Information Technology (HIT), Patient-Centered Outcomes Research