National Healthcare Quality and Disparities Report
Latest available findings on quality of and access to health care
Data
- Data Infographics
- Data Visualizations
- Data Tools
- Data Innovations
- All-Payer Claims Database
- Healthcare Cost and Utilization Project (HCUP)
- Medical Expenditure Panel Survey (MEPS)
- AHRQ Quality Indicator Tools for Data Analytics
- State Snapshots
- United States Health Information Knowledgebase (USHIK)
- Data Sources Available from AHRQ
Search All Research Studies
AHRQ Research Studies Date
AHRQ Research Studies
Sign up: AHRQ Research Studies Email updates
Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 2 of 2 Research Studies DisplayedHalliday TM, McFadden M, Cedillo M
Lifestyle strategies after intentional weight loss: results from the MAINTAIN-pc randomized trial.
The aim of this study was to explore the strategies related with successful long-term weight loss maintenance. Researchers analyzed data from the 24-month Maintaining Activity and Nutrition Through Technology-Assisted Innovation in Primary Care (MAINTAIN-pc) trial. MAINTAIN-pc recruited 194 adults with recent intentional weight loss and randomized participants a group using tracking tools plus coaching (i.e., coaching group) or tracking tools without coaching (i.e., tracking-only group). The participants reported the lifestyle strategies they utilized in the previous 6 months, including self-monitoring, group support, behavioral skills, and professional support. The study found that at baseline, 100% used behavioral skills, 73% used group support, 69% used self-monitoring, and 68% used professional support in the past 6 months; at 24 months, the rates were 98%, 60%, 75%, and 61%, respectively. The number of participants using individual strategies did not vary significantly over time, but the overall number of strategies participants reported decreased. A greater number of strategies were utilized at baseline and 6 months compared to 12- and 24-month follow-ups. The coaching group utilized a greater number of strategies at months 6 and 12 than the tracking-only group. Consistent utilization of professional support strategies over the 24-month study period was related with less weight regain.
AHRQ-funded; HS021162.
Citation: Halliday TM, McFadden M, Cedillo M .
Lifestyle strategies after intentional weight loss: results from the MAINTAIN-pc randomized trial.
Transl J Am Coll Sports Med 2023 Spring; 8(2). doi: 10.1249/tjx.0000000000000220..
Keywords: Lifestyle Changes, Obesity, Primary Care, Electronic Health Records (EHRs), Health Information Technology (HIT)
Cedillo M, Kukhareva PV, Larsen SM
Impact of electronic health record-coaching features in weight change: a secondary analysis from the MAINTAIN-pc randomized trial.
This study evaluated whether coaching features were successfully transmitted via electronic health record (EHR) communication and to evaluate their relationship with weight change in a previously tested EHR-based coaching intervention. The authors conducted a secondary analysis from the Maintaining Activity and Nutrition through Technology-Assisted Innovation in Primary Care (MAINTAIN-pc) study randomized clinical trial in nine primary care practices and one specialty practice (endocrinology) affiliated with the University of Pittsburgh Medical Center. Eligible participants were aged 18 to 75 years, had intentional 5% weight loss in the previous 2 years, had access to an internet-connected computer, and had receipt of care from a University of Pittsburgh Medical Center primary care provider. Participants content with intervention delivery via the EHR and those who felt a strong connection to their coach had significantly less weight regain. Participants who had needs unmet by the intervention (e.g., "in-person" support in a group setting or individual settings) regained more weight. The results suggest heterogeneity in the patient population regarding preference for in-person versus EHR-based coaching formats.
AHRQ-funded; HS021162.
Citation: Cedillo M, Kukhareva PV, Larsen SM .
Impact of electronic health record-coaching features in weight change: a secondary analysis from the MAINTAIN-pc randomized trial.
Obesity 2023 Jan;31(1):31-36. doi: 10.1002/oby.23595..
Keywords: Electronic Health Records (EHRs), Obesity, Obesity: Weight Management, Lifestyle Changes