National Healthcare Quality and Disparities Report
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Search All Research Studies
Topics
- Asthma (1)
- Care Management (1)
- (-) Chronic Conditions (8)
- Communication (1)
- Community-Based Practice (1)
- Comparative Effectiveness (1)
- Diabetes (1)
- (-) Education: Patient and Caregiver (8)
- Elderly (2)
- Electronic Health Records (EHRs) (1)
- Evidence-Based Practice (1)
- (-) Health Information Technology (HIT) (8)
- Health Literacy (1)
- Outcomes (2)
- Pain (1)
- Patient-Centered Healthcare (1)
- Patient-Centered Outcomes Research (1)
- Patient and Family Engagement (1)
- Patient Self-Management (3)
- Racial and Ethnic Minorities (1)
- Respiratory Conditions (1)
- Telehealth (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 8 of 8 Research Studies DisplayedSilverstein GD, Styke SC, Kaur S
The relationship between depressive symptoms, eHealth literacy, and asthma outcomes in the context of a mobile health intervention.
This study’s objective was to evaluate the associations between health/eHealth literacy and depressive symptoms with app usage and clinical outcomes. The authors recruited adults with persistent asthma to utilize the ASTHMAXcel PRO mobile app. Participants completed the following questionnaires: Patient Health Questionnaire-9 (PHQ-9) to assess for depressive symptoms, Asthma Control Test (ACT), Mini Asthma Quality of Life (QOL) Questionnaire, and the Newest Vital Sign (NVS) tool to measure health literacy. Subsets of participant data were available on eHealth literacy (eHeals) (n = 24) and average number of app logins across 2 months (n = 40). The average participant age was 44.0 years, with 74% identifying as female. Increased depressive symptoms were associated with worse asthma control and asthma QOL, but not eHealth literacy. Higher eHealth literacy was associated with worse asthma QOL and more app logins. NVS scores weren’t associated with any measures.
AHRQ-funded; HS025645.
Citation: Silverstein GD, Styke SC, Kaur S .
The relationship between depressive symptoms, eHealth literacy, and asthma outcomes in the context of a mobile health intervention.
Psychosom Med 2023 Sep 1; 85(7):605-11. doi: 10.1097/psy.0000000000001170..
Keywords: Health Literacy, Asthma, Telehealth, Health Information Technology (HIT), Education: Patient and Caregiver, Outcomes, Respiratory Conditions, Chronic Conditions
McKernan LC, Crofford LJ, Kim A
Electronic delivery of pain education for chronic overlapping pain conditions: a prospective cohort study.
This study’s objective was to examine the impact of educational materials for chronic overlapping pain conditions (COPCs), the feasibility of delivery materials online, and to explore its impact on self-reported self-management applications at 3-month follow-up. This prospective cohort study used individuals from a university-wide active research repository with ≥1 coded diagnostic COPC by ICD-9/10 in the medical record. The authors assessed content awareness after the participants read educational materials pre- and post-exposure to education. A total of 216 individuals were enrolled, with 181 completing both timepoints. Knowledge and understanding of COPCs increased significantly after education and were retained at three months. There was no significant change to symptoms or self-management applications over the three-month period.
AHRQ-funded; HS022990.
Citation: McKernan LC, Crofford LJ, Kim A .
Electronic delivery of pain education for chronic overlapping pain conditions: a prospective cohort study.
Pain Med 2021 Oct 8;22(10):2252-62. doi: 10.1093/pm/pnab018..
Keywords: Education: Patient and Caregiver, Pain, Health Information Technology (HIT), Chronic Conditions
Presley C, Agne A, Shelton T
Mobile-enhanced peer support for African Americans with Type 2 diabetes: a randomized controlled trial.
This study compared the effectiveness of a community-based diabetes self-management education (DSME) plus mobile health (mHealth)-enhanced peer support intervention to community-based DSME alone for African American adults with poorly controlled type 2 diabetes. This randomized controlled trial took place in Jefferson County, Alabama within a safety-net healthcare system with a group diagnosed with type 2 diabetes and hemoglobin A1C ≥ 7.5%. The intervention group reviewed community-based DSME plus 6 months of mHealth-enhanced peer support, including 12 weekly phone calls, then 3 monthly calls from community health workers. The control group received community based DSME only. Primary outcomes were lower A1C and secondary outcomes were lower diabetes distress, depressive symptoms, self-efficacy or confidence in their ability to manage diabetes, and social support. Of 120 participants selected, 97 completed the study. Both groups experienced clinical meaning reduction in A1C. Participants in the intervention group experienced a significantly larger reduction in diabetes distress compared to the control group.
AHRQ-funded; HS019465.
Citation: Presley C, Agne A, Shelton T .
Mobile-enhanced peer support for African Americans with Type 2 diabetes: a randomized controlled trial.
J Gen Intern Med 2020 Oct;35(10):2889-96. doi: 10.1007/s11606-020-06011-w..
Keywords: Telehealth, Health Information Technology (HIT), Patient Self-Management, Diabetes, Chronic Conditions, Racial and Ethnic Minorities, Community-Based Practice, Comparative Effectiveness, Patient-Centered Outcomes Research, Evidence-Based Practice, Outcomes, Education: Patient and Caregiver
Nahm ES, Son H, Yoon JM
Older adults' use of patient portals: experiences, challenges, and suggestions shared through discussion board forums.
The goal of this study was to explore older adults' experiences with using patient portals (PPs), perceived impact of PPs on their health, and suggestions for improvement through analysis of discussion posts. The research team had previously developed an older-adult-friendly Theory-based PP eLearning Program (T-PeP), and tested its impact on older adults with chronic conditions. Findings from 10 major themes explained older adults' experiences with PPs and offered suggestions for vendors and healthcare organizations.
AHRQ-funded; HS024739.
Citation: Nahm ES, Son H, Yoon JM .
Older adults' use of patient portals: experiences, challenges, and suggestions shared through discussion board forums.
Geriatr Nurs 2020 Jul-Aug;41(4):387-93. doi: 10.1016/j.gerinurse.2019.12.001..
Keywords: Elderly, Health Information Technology (HIT), Chronic Conditions, Care Management, Patient and Family Engagement, Education: Patient and Caregiver
Nahm ES, Zhu S, Bellantoni M
The effects of a theory-based patient portal e-learning program for older adults with chronic illnesses.
The main aim of this study was to assess the impact of an older adult friendly Theory-based Patient portal e-Learning Program (T-PeP) on patient portal (PP) knowledge, selected health outcomes (health decision-making self-efficacy [SE] and health communication), PP SE and use, and e-health literacy in older adults. The investigators found that the T-PeP was effective in improving selected health and PP usage outcomes.
AHRQ-funded; HS024739.
Citation: Nahm ES, Zhu S, Bellantoni M .
The effects of a theory-based patient portal e-learning program for older adults with chronic illnesses.
Telemed J E Health 2019 Oct;25(10):940-51. doi: 10.1089/tmj.2018.0184..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Elderly, Chronic Conditions, Education: Patient and Caregiver
Ancker JS, Witteman HO, Hafeez B
"You get reminded you're a sick person": personal data tracking and patients with multiple chronic conditions.
The researchers’ aim was to explore the perspectives of individuals with multiple chronic conditions (MCC) using a semistructured interview study. Their research questions were (1) How do individuals with MC track their own health and medical data? and (2) How do patients and providers perceive and use patient-tracked data? Their findings potentially explain relatively low adoption of consumer health information technology.
AHRQ-funded; HS021531.
Citation: Ancker JS, Witteman HO, Hafeez B .
"You get reminded you're a sick person": personal data tracking and patients with multiple chronic conditions.
J Med Internet Res 2015 Aug 19;17(8):e202. doi: 10.2196/jmir.4209..
Keywords: Chronic Conditions, Education: Patient and Caregiver, Health Information Technology (HIT), Patient Self-Management
Ancker JS, Witteman HO, Hafeez B
The invisible work of personal health information management among people with multiple chronic conditions: qualitative interview study among patients and providers.
The researchers conducted a semistructured interview study with 22 patients with multiple chronic conditions (MCC) with the objective of exploring their role in managing their personal health information. They concluded that personal health information management should be recognized as an additional burden that MCC places upon patients. Their findings suggest that both provider-centered and patient-centered information technologies will continue to be needed.
AHRQ-funded; HS021531.
Citation: Ancker JS, Witteman HO, Hafeez B .
The invisible work of personal health information management among people with multiple chronic conditions: qualitative interview study among patients and providers.
J Med Internet Res 2015 Jun 4;17(6):e137. doi: 10.2196/jmir.4381..
Keywords: Chronic Conditions, Education: Patient and Caregiver, Patient-Centered Healthcare, Health Information Technology (HIT), Patient Self-Management
Valdez RS, Brennan PF
Exploring patients' health information communication practices with social network members as a foundation for consumer health IT design.
The purpose of this study was to inform the broader design of consumer health IT by characterizing patients’ existing health information communication practices with their social network members. It found that participants’ rationales for health information communication reflected various themes including characteristics and circumstances of the person, characteristics and circumstances of the relationship, and structure and composition of the social network.
AHRQ-funded; HS018809.
Citation: Valdez RS, Brennan PF .
Exploring patients' health information communication practices with social network members as a foundation for consumer health IT design.
Int J Med Inform 2015 May;84(5):363-74. doi: 10.1016/j.ijmedinf.2015.01.014..
Keywords: Chronic Conditions, Communication, Education: Patient and Caregiver, Health Information Technology (HIT)