National Healthcare Quality and Disparities Report
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AHRQ Research Studies Date
Topics
- Access to Care (1)
- Behavioral Health (4)
- Cancer (3)
- Cancer: Colorectal Cancer (2)
- Cardiovascular Conditions (1)
- Care Coordination (1)
- Children/Adolescents (6)
- Communication (1)
- Community-Based Practice (2)
- Community Partnerships (1)
- Dental and Oral Health (1)
- Diabetes (1)
- Education: Patient and Caregiver (2)
- Elderly (3)
- Evidence-Based Practice (2)
- Family Health and History (1)
- Healthcare Costs (1)
- Health Information Technology (HIT) (2)
- Health Literacy (1)
- (-) Health Promotion (21)
- Health Services Research (HSR) (1)
- Health Status (2)
- Implementation (1)
- Infectious Diseases (1)
- Lifestyle Changes (4)
- Low-Income (2)
- Maternal Care (1)
- Nutrition (2)
- Obesity (1)
- Obesity: Weight Management (1)
- Patient and Family Engagement (3)
- Pneumonia (1)
- Practice Patterns (1)
- Prevention (4)
- Primary Care (1)
- Quality of Life (4)
- Risk (1)
- Screening (4)
- Sexual Health (1)
- Shared Decision Making (1)
- Social Determinants of Health (1)
- Social Media (1)
- Telehealth (1)
- U.S. Preventive Services Task Force (USPSTF) (1)
- Vaccination (2)
- Vulnerable Populations (2)
- Web-Based (1)
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 21 of 21 Research Studies DisplayedRaffo JE, Lloyd C, Collier M
Defining the role of the community health worker within a federal healthy start care coordination team.
The Strong Beginnings program worked to define community health worker (CHW) interventions, a core service of the program to improve maternal and child health. The workgroup identified seven core functions and 28 maternal and child health risk topics to be addressed by the CHW. The process resulted in a detailed document of program interventions that the CHWs use to guide care.
AHRQ-funded; HS020208.
Citation: Raffo JE, Lloyd C, Collier M .
Defining the role of the community health worker within a federal healthy start care coordination team.
Matern Child Health J 2017 Dec;21(Suppl 1):93-100. doi: 10.1007/s10995-017-2379-8.
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Keywords: Care Coordination, Children/Adolescents, Health Promotion, Health Services Research (HSR), Maternal Care
Zieve GG, Richardson LP, Katzman K
Adolescents' perspectives on personalized e-feedback in the context of health risk behavior screening for primary care: Qualitative study.
The aim of this study was to explore youth perceptions of and preferences for receiving personalized feedback for multiple health risk behaviors and reinforcement for health promoting behaviors from an electronic health screening tool for primary care settings, using qualitative methodology. Overall, the tool was well-received by participants who perceived it as a way to enhance-but not replace-their interactions with providers.
AHRQ-funded; HS023383.
Citation: Zieve GG, Richardson LP, Katzman K .
Adolescents' perspectives on personalized e-feedback in the context of health risk behavior screening for primary care: Qualitative study.
J Med Internet Res 2017 Jul 20;19(7):e261. doi: 10.2196/jmir.7474.
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Keywords: Children/Adolescents, Health Information Technology (HIT), Health Promotion, Primary Care, Screening
Patnode CD, Evans CV, Senger CA
Behavioral counseling to promote a healthful diet and physical activity for cardiovascular disease prevention in adults without known cardiovascular disease risk factors: updated evidence report and systematic review for the USPSTF
The researchers systematically reviewed the evidence on the benefits and harms of behavioral counseling for the primary prevention of cardiovascular disease in adults without known cardiovascular risk factors to inform the US Preventive Services Task Force (USPSTF). Diet and physical activity behavioral interventions were found to result in consistent modest benefits across a variety of important intermediate health outcomes across 6 to 12 months, including blood pressure, low-density lipoprotein and total cholesterol levels, and adiposity.
AHRQ-funded; 290201200015I.
Citation: Patnode CD, Evans CV, Senger CA .
Behavioral counseling to promote a healthful diet and physical activity for cardiovascular disease prevention in adults without known cardiovascular disease risk factors: updated evidence report and systematic review for the USPSTF
JAMA 2017 Jul 11;318(2):175-93. doi: 10.1001/jama.2017.3303.
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Keywords: Behavioral Health, Cardiovascular Conditions, Evidence-Based Practice, Health Promotion, Lifestyle Changes, Nutrition, Prevention, Risk, U.S. Preventive Services Task Force (USPSTF)
Payan DD, Sloane DC, Illum J
Catalyzing implementation of evidence-based interventions in safety net settings: a clinical-community partnership in South Los Angeles.
This study was a process evaluation of a clinical-community partnership that implemented evidence-based interventions in clinical safety net settings. Key participants and health care providers, involved in the study, expressed a high level of satisfaction with the collaborative and the interventions, respectively. The authors provide key lessons learned for researchers and practitioners interested in partnering with Federally Qualified Health Centers to implement health promotion interventions.
AHRQ-funded; HS000046.
Citation: Payan DD, Sloane DC, Illum J .
Catalyzing implementation of evidence-based interventions in safety net settings: a clinical-community partnership in South Los Angeles.
Health Promot Pract 2017 Jul;18(4):586-97. doi: 10.1177/1524839917705418.
Keywords: Community Partnerships, Health Promotion, Evidence-Based Practice, Vulnerable Populations, Implementation
Pisu M, Demark-Wahnefried W, Kenzik KM
A dance intervention for cancer survivors and their partners (RHYTHM).
The purpose of this study was to assess the feasibility, acceptability, and impact of a ballroom dance intervention on improving quality of life (QOL) and relationship outcomes in cancer survivors and their partners. It found that survivors saw this light-intensity physical activity as easing them into becoming more physically active. Light intensity ballroom dancing has the potential to improve cancer survivors' QOL.
AHRQ-funded; HS023009.
Citation: Pisu M, Demark-Wahnefried W, Kenzik KM .
A dance intervention for cancer survivors and their partners (RHYTHM).
J Cancer Surviv 2017 Jun;11(3):350-59. doi: 10.1007/s11764-016-0593-9.
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Keywords: Cancer, Health Promotion, Quality of Life
Brown T, Goldman SN, Persell SD
Development and evaluation of a patient education video promoting pneumococcal vaccination.
The researchers aimed to develop and refine a patient education video about pneumococcal polysaccharide vaccination (PPSV23) and to assess patient perceptions regarding video content and receipt of video during a clinic visit. They found that focus group participants had positive reactions to the video but suggested reducing the intensity of messages about pneumonia severity. Participants shown the revised video during a clinic visit perceived it to be easy to understand and informative.
AHRQ-funded; HS021141.
Citation: Brown T, Goldman SN, Persell SD .
Development and evaluation of a patient education video promoting pneumococcal vaccination.
Patient Educ Couns 2017 May;100(5):1024-27. doi: 10.1016/j.pec.2016.12.025.
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Keywords: Education: Patient and Caregiver, Health Promotion, Pneumonia, Vaccination
Burgette JM, Preisser JS, Jr., Weinberger M
Impact of early head start in North Carolina on dental care use among children younger than 3 years.
The researchers examined the effects of North Carolina Early Head Start (EHS), an early education program for low-income children younger than 3 years and their families, on dental care use among children. They concluded that EHS participation increases dental care use among disadvantaged young children.
AHRQ-funded; HS000032.
Citation: Burgette JM, Preisser JS, Jr., Weinberger M .
Impact of early head start in North Carolina on dental care use among children younger than 3 years.
Am J Public Health 2017 Apr;107(4):614-20. doi: 10.2105/ajph.2016.303621.
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Keywords: Children/Adolescents, Dental and Oral Health, Access to Care, Health Promotion, Low-Income
Fiechtner L, Cheng ER, Lopez G
Multilevel correlates of healthy BMI maintenance and return to a healthy BMI among children in Massachusetts.
This study examined predictors of healthy BMI maintenance (HBM) or return to a healthy BMI (RHB) among children. It found that racial/ethnic minorities had lower odds of HBM and RHB than non-Hispanic white children. Higher neighborhood median household income, proximity to a supermarket, and access to more open recreational space were associated with a higher odds of HBM.
AHRQ-funded; HS024332; HS022986.
Citation: Fiechtner L, Cheng ER, Lopez G .
Multilevel correlates of healthy BMI maintenance and return to a healthy BMI among children in Massachusetts.
Child Obes 2017 Apr;13(2):146-53. doi: 10.1089/chi.2016.0261.
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Keywords: Children/Adolescents, Health Promotion, Obesity, Social Determinants of Health
Baldwin AS, Denman DC, Sala M
Translating self-persuasion into an adolescent HPV vaccine promotion intervention for parents attending safety-net clinics.
Researchers developed a tablet-based application (in English and Spanish) to elicit parental self-persuasion for adolescent HPV vaccination and evaluated its feasibility in a safety-net population. They found that the self-persuasion application was feasible and resulted in a change in parents' decision stage. Future studies can now test the efficacy of the tablet-based application on HPV vaccination.
AHRQ-funded; HS022418.
Citation: Baldwin AS, Denman DC, Sala M .
Translating self-persuasion into an adolescent HPV vaccine promotion intervention for parents attending safety-net clinics.
Patient Educ Couns 2017 Apr;100(4):736-41. doi: 10.1016/j.pec.2016.11.014.
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Keywords: Children/Adolescents, Health Promotion, Vaccination, Infectious Diseases, Sexual Health, Prevention
Singal AG, Tiro JA, Marrero JA
Mailed outreach program increases ultrasound screening of patients with cirrhosis for hepatocellular carcinoma.
The researchers compared effectiveness of mailed outreach strategies, with and without patient navigation, in increasing the numbers of patients with cirrhosis undergoing surveillance for hepatocellular carcinoma (HCC) in a racially diverse and socioeconomically disadvantaged cohort. They found outreach strategies to double the percentage of patients with cirrhosis who underwent ultrasound screening for HCC. However, adding patient navigation to telephone reminders provided no significant additional benefit.
AHRQ-funded; HS022418.
Citation: Singal AG, Tiro JA, Marrero JA .
Mailed outreach program increases ultrasound screening of patients with cirrhosis for hepatocellular carcinoma.
Gastroenterology 2017 Feb;152(3):608-15.e4. doi: 10.1053/j.gastro.2016.10.042.
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Keywords: Cancer, Health Promotion, Patient and Family Engagement, Screening
Fontil V, McDermott K, Tieu L
Adaptation and feasibility study of a digital health program to prevent diabetes among low-income patients: results from a partnership between a digital health company and an academic research team.
Researchers collaborated with a digital health company to adapt a diabetes prevention program for low-income prediabetes patients at a large safety net clinic. They concluded that underserved prediabetic patients displayed high engagement and satisfaction with a digital diabetes prevention program despite lower digital literacy skills. The collaboration between researchers and a digital health company enabled iterative improvements in technology implementation to address challenges in low-income populations.
AHRQ-funded; HS022408.
Citation: Fontil V, McDermott K, Tieu L .
Adaptation and feasibility study of a digital health program to prevent diabetes among low-income patients: results from a partnership between a digital health company and an academic research team.
J Diabetes Res 2016;2016:8472391. doi: 10.1155/2016/8472391.
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Keywords: Diabetes, Health Information Technology (HIT), Low-Income, Prevention, Health Promotion
Naslund JA, Aschbrenner KA, Bartels SJ
How people with serious mental illness use smartphones, mobile apps, and social media.
The researchers surveyed individuals with serious mental illness to explore their use of mobile devices or whether they access social media. Among respondents (n = 70), 93 percent owned cellphones, 78 percent used text messaging, 50 percent owned smartphones, and 71 percent used social media such as Facebook. Most respondents reported daily use of text messaging, mobile apps, and social media.
AHRQ-funded; HS021695.
Citation: Naslund JA, Aschbrenner KA, Bartels SJ .
How people with serious mental illness use smartphones, mobile apps, and social media.
Psychiatr Rehabil J 2016 Dec;39(4):364-67. doi: 10.1037/prj0000207.
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Keywords: Communication, Community-Based Practice, Health Promotion, Behavioral Health, Social Media
Oreskovic NM, Fletcher R, Sharifi M
Design and rationale of the STRIVE trial to improve cardiometabolic health among children and families.
The researchers described the design and rationale for the Study for using Technology to Reach Individual Excellence (STRIVE), which incorporates patient-generated mobile health technology (mHealth) data on health behaviors and provides clinical recommendations to help manage cardiometabolic risk and disease (CMRD) among at-risk families. They concluded that the STRIVE trial will test the use of mHealth to improve health behaviors among families at-risk for or with established CMRD.
AHRQ-funded; HS022986; HS024001.
Citation: Oreskovic NM, Fletcher R, Sharifi M .
Design and rationale of the STRIVE trial to improve cardiometabolic health among children and families.
Contemp Clin Trials 2016 Jul;49:149-54. doi: 10.1016/j.cct.2016.07.012.
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Keywords: Children/Adolescents, Family Health and History, Health Promotion, Lifestyle Changes, Telehealth
Gaugler JE
Driving and other important activities in older adulthood.
In this editorial, the author introduced the June 2016 issue by discussing driving as a key indicator of independence. He continued by discussing related articles that appear in this issue along with articles covering other potentially health-promoting activities enjoyed by older persons.
AHRQ-funded; HS022836.
Citation: Gaugler JE .
Driving and other important activities in older adulthood.
J Appl Gerontol 2016 Jun;35(6):579-82. doi: 10.1177/0733464816647560.
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Keywords: Elderly, Health Promotion, Health Status, Quality of Life
Aschbrenner KA, Mueser KT, Naslund JA
Feasibility study of increasing social support to enhance a healthy lifestyle intervention for individuals with serious mental illness.
The authors assessed the feasibility of increasing support from family and friends to enhance a healthy lifestyle intervention (In SHAPE) adapted for individuals with serious mental illness. They found that participants reported high satisfaction and perceived benefits from the program, showing that the study design is feasible and that the intervention can facilitate social support for health behavior change in people with serios mental illness.
AHRQ-funded; HS021695.
Citation: Aschbrenner KA, Mueser KT, Naslund JA .
Feasibility study of increasing social support to enhance a healthy lifestyle intervention for individuals with serious mental illness.
J Soc Social Work Res 2016 Summer;7(2):289-313. doi: 10.1086/686486.
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Keywords: Health Promotion, Lifestyle Changes, Behavioral Health, Nutrition, Obesity: Weight Management
Groessl EJ, Kaplan RM, Castro Sweet CM
AHRQ Author: Kaplan RM
Cost-effectiveness of the LIFE physical activity intervention for older adults at increased risk for mobility disability.
The study objective was to examine the resources required to deliver the physical activity (PA) intervention and calculate the incremental cost-effectiveness compared with a health education intervention. They found that the average cost per participant over 2.6 years was US $3,302 and US $1,001 for the PA and health education interventions, respectively. PA participants accrued 0.047 per person more Quality-Adjusted Life-Years than health education participants.
AHRQ-authored.
Citation: Groessl EJ, Kaplan RM, Castro Sweet CM .
Cost-effectiveness of the LIFE physical activity intervention for older adults at increased risk for mobility disability.
J Gerontol A Biol Sci Med Sci 2016 May;71(5):656-62. doi: 10.1093/gerona/glw001.
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Keywords: Elderly, Lifestyle Changes, Health Promotion, Healthcare Costs, Quality of Life
Brenner AT, Gupta S, Ko LK
Development of a practical model for targeting patient decision support interventions to promote colorectal cancer screening in vulnerable populations.
The authors sought to develop a practical model for predicting probability of colorectal cancer (CRC) screening completion in a diverse safety-net population and a subsequent framework for targeting screening promotion interventions. Their model and framework may be useful for designing and delivering targeted interventions to promote CRC screening.
AHRQ-funded; HS013853.
Citation: Brenner AT, Gupta S, Ko LK .
Development of a practical model for targeting patient decision support interventions to promote colorectal cancer screening in vulnerable populations.
J Health Care Poor Underserved 2016;27(2):465-78. doi: 10.1353/hpu.2016.0090.
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Keywords: Cancer: Colorectal Cancer, Shared Decision Making, Health Promotion, Screening, Vulnerable Populations
Kenzik K, Pisu M, Fouad MN
Are long-term cancer survivors and physicians discussing health promotion and healthy behaviors?
This study aimed to (1) describe the proportion of survivors reporting that a physician discussed strategies to improve health and (2) identify which groups are more likely to report these discussions. It concluded that the frequency of health promotion discussions varied across survivor characteristics. Discussions were more frequently reported by some groups, e.g., survivors with diabetes, or among individuals less likely to engage in healthy behaviors.
AHRQ-funded; HS013852.
Citation: Kenzik K, Pisu M, Fouad MN .
Are long-term cancer survivors and physicians discussing health promotion and healthy behaviors?
J Cancer Surviv 2016 Apr;10(2):271-9. doi: 10.1007/s11764-015-0473-8.
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Keywords: Behavioral Health, Cancer, Health Promotion, Patient and Family Engagement, Practice Patterns
Nikolich-Zugich J, Goldman DP, Cohen PR
Preparing for an aging world: engaging biogerontologists, geriatricians, and the society.
This perspective article summarizes a workshop discussion in Tucson in April, 2014, on biomedical approaches to best extend healthspan as way to reduce age-related dysfunction and disability. It further specifies the action items necessary to unite health professionals, scientists, and society to partner around the exciting and palpable opportunities to extend healthspan.
AHRQ-funded; HS022763.
Citation: Nikolich-Zugich J, Goldman DP, Cohen PR .
Preparing for an aging world: engaging biogerontologists, geriatricians, and the society.
J Gerontol A Biol Sci Med Sci 2016 Apr;71(4):435-44. doi: 10.1093/gerona/glv164.
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Keywords: Elderly, Quality of Life, Health Status, Health Promotion
Liss DT, French DD, Buchanan DR
Outreach for annual colorectal cancer screening: a budget impact analysis for community health centers.
This budget impact analysis investigated benefits and costs of fecal immunochemical testing (FIT) outreach-with FIT kits mailed to patients, followed by reminders and phone calls-compared with point-of-care (POC) strategies. Cost per patient screened was $20.60 for POC and $71.84 for outreach ($51.24 difference). Outreach costs decreased by approximately one fourth under optimized workflows.
AHRQ-funded; HS021141.
Citation: Liss DT, French DD, Buchanan DR .
Outreach for annual colorectal cancer screening: a budget impact analysis for community health centers.
Am J Prev Med 2016 Feb;50(2):e54-61. doi: 10.1016/j.amepre.2015.07.003.
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Keywords: Cancer: Colorectal Cancer, Community-Based Practice, Health Promotion, Prevention, Screening
Arcia A, Suero-Tejeda N, Bales ME
Sometimes more is more: iterative participatory design of infographics for engagement of community members with varying levels of health literacy.
The study objective was to collaborate with community members to develop tailored infographics that support comprehension of health information, engage the viewer, and may have the potential to motivate health-promoting behaviors. It concluded that carefully designed infographics can be useful tools to support comprehension and thus help patients engage with their own health data.
AHRQ-funded; HS019853; HS022961
Citation: Arcia A, Suero-Tejeda N, Bales ME .
Sometimes more is more: iterative participatory design of infographics for engagement of community members with varying levels of health literacy.
J Am Med Inform Assoc 2016 Jan;23(1):174-83. doi: 10.1093/jamia/ocv079.
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Keywords: Education: Patient and Caregiver, Health Literacy, Health Promotion, Patient and Family Engagement, Web-Based