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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
51 to 75 of 84 Research Studies DisplayedArcia 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
Sorkin DH, Amin A, Weimer DL
Rationale and study protocol for the Nursing Home Compare Plus (NHCPlus) randomized controlled trial: A personalized decision aid for patients transitioning from the hospital to a skilled-nursing facility.
This paper describes the design and rationale of a two-arm randomized controlled trial designed to test the effectiveness of Nursing Home Compare Plus (NHCPlus) compared to usual care only, in a sample of patients being discharged from the hospital to an SNF (N=229). Assessments were conducted within 24h prior to patient discharge and 30-days post discharge. A primary outcome to be examined was the use of NHC.
AHRQ-funded; HS021844.
Citation: Sorkin DH, Amin A, Weimer DL .
Rationale and study protocol for the Nursing Home Compare Plus (NHCPlus) randomized controlled trial: A personalized decision aid for patients transitioning from the hospital to a skilled-nursing facility.
Contemp Clin Trials 2016 Jan 7;47:139-45. doi: 10.1016/j.cct.2015.12.018.
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Keywords: Nursing Homes, Web-Based, Patient Experience, Hospitalization, Health Information Technology (HIT)
Mirsky JB, Tieu L, Lyles C
A mixed-methods study of patient-provider e-mail content in a safety-net setting.
The researchers explored the content of patient-provider e-mails in a safety-net primary care clinic, by conducting a content analysis using inductive and deductive coding of e-mail exchanges. Their results showed that patients in safety-net clinics are capable of safely and effectively using electronic messaging for between-visit communication with providers.
AHRQ-funded; HS022408; HS023558.
Citation: Mirsky JB, Tieu L, Lyles C .
A mixed-methods study of patient-provider e-mail content in a safety-net setting.
J Health Commun 2016;21(1):85-91. doi: 10.1080/10810730.2015.1033118..
Keywords: Communication, Health Information Technology (HIT), Patient and Family Engagement, Primary Care, Web-Based
Siegel CA, Horton H, Siegel LS
A validated web-based tool to display individualised Crohn's disease predicted outcomes based on clinical, serologic and genetic variables.
The researchers developed a validated, individualised, web-based tool for patients and clinicians to visualise individualised risks for developing Crohn's disease complications. Their web-based tool displays an individualised predicted outcome for adult patients with Crohn's disease based on clinical, serologic and genetic variables. This tool can be used to help providers and patients make personalised decisions about treatment options.
AHRQ-funded; HS021747.
Citation: Siegel CA, Horton H, Siegel LS .
A validated web-based tool to display individualised Crohn's disease predicted outcomes based on clinical, serologic and genetic variables.
Aliment Pharmacol Ther 2016 Jan;43(2):262-71. doi: 10.1111/apt.13460.
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Keywords: Web-Based, Tools & Toolkits, Risk, Outcomes
Dalal AK, Dykes PC, Collins S
A web-based, patient-centered toolkit to engage patients and caregivers in the acute care setting: a preliminary evaluation.
The researchers implemented a web-based, patient-centered toolkit that engages patients/caregivers in the hospital plan of care by facilitating education and patient-provider communication. Of the 585 eligible patients approached on medical intensive care and oncology units, 239 were enrolled (119 patients, 120 caregivers). They found that the average system usability scores and satisfaction ratings of a sample of surveyed enrollees were favorable.
AHRQ-funded; HS023535.
Citation: Dalal AK, Dykes PC, Collins S .
A web-based, patient-centered toolkit to engage patients and caregivers in the acute care setting: a preliminary evaluation.
J Am Med Inform Assoc 2016 Jan;23(1):80-7. doi: 10.1093/jamia/ocv093.
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Keywords: Critical Care, Patient and Family Engagement, Clinician-Patient Communication, Tools & Toolkits, Web-Based
Lee JL, Choudhry NK, Wu AW
Patient use of email, Facebook, and physician websites to communicate with physicians: a national online survey of retail pharmacy users.
The researchers explored patient behavior and interest in using the Internet to contact physicians. They surveyed CVS customers with at least one chronic condition in the household and found strong interest among patients in the use of email and Facebook to communicate with their physicians. They identified a gap between patient interest and what physicians may currently provide. They suggested the adoption of secure Web messaging systems as a possible solution that addresses both institutional concerns and patient demand.
AHRQ-funded; HS000029.
Citation: Lee JL, Choudhry NK, Wu AW .
Patient use of email, Facebook, and physician websites to communicate with physicians: a national online survey of retail pharmacy users.
J Gen Intern Med 2016 Jan;31(1):45-51. doi: 10.1007/s11606-015-3374-7.
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Keywords: Communication, Health Information Technology (HIT), Clinician-Patient Communication, Provider: Pharmacist, Web-Based
Tieu L, Sarkar U, Schillinger D
Barriers and facilitators to online portal use among patients and caregivers in a safety net health care system: a qualitative study.
The researchers explored patient and caregiver perspectives on online patient portal use before its implementation at San Francisco General Hospital. Despite concerns about security, difficulty understanding medical information, and satisfaction with current communication processes, respondents generally expressed enthusiasm about portal use. Their findings suggest a strong need for training and support to assist vulnerable patients with portal registration and use, particularly those with limited health literacy.
AHRQ-funded; HS022561; HS022047; HS022408.
Citation: Tieu L, Sarkar U, Schillinger D .
Barriers and facilitators to online portal use among patients and caregivers in a safety net health care system: a qualitative study.
J Med Internet Res 2015 Dec 03;17(12):e275. doi: 10.2196/jmir.4847.
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Keywords: Web-Based, Electronic Health Records (EHRs), Health Information Technology (HIT), Health Literacy
Keim-Malpass J, Adelstein K, Kavalieratos D
Legacy making through illness blogs: online spaces for young adults approaching the end-of-life.
The study analyzed the illness blogs of five young women (aged 25-39 years) at the end-of-life using a narrative approach. Key elements of legacy making and grief processing were explored. The women had varying experiences before their death, but uniform posthumous occurrences with the use of the blog for a space of grief for loved ones.
AHRQ-funded; HS022989.
Citation: Keim-Malpass J, Adelstein K, Kavalieratos D .
Legacy making through illness blogs: online spaces for young adults approaching the end-of-life.
J Adolesc Young Adult Oncol 2015 Dec;4(4):209-12. doi: 10.1089/jayao.2015.0003.
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Keywords: Cancer, Mortality, Web-Based, Young Adults
Sun DL, Harris N, Walther G
Peer assessment enhances student learning: the results of a matched randomized crossover experiment in a college statistics class.
It has been conjectured that students learn from the practice of peer assessment. Using an online educational platform, the researchers conducted an in-class matched-set, randomized crossover experiment with high power to detect small effects. They established that peer assessment causes a small but significant gain in student achievement.
AHRQ-funded; HS022192.
Citation: Sun DL, Harris N, Walther G .
Peer assessment enhances student learning: the results of a matched randomized crossover experiment in a college statistics class.
PLoS One 2015;10(12):e0143177. doi: 10.1371/journal.pone.0143177.
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Keywords: Education, Web-Based, Research Methodologies
Lee YJ, Boden-Albala B, Jia H
The association between online health information-seeking behaviors and health behaviors among Hispanics in New York City: a community-based cross-sectional study.
The specific aim of this study was to examine the association between online health information-seeking behaviors and health behaviors (physical activity, fruit and vegetable consumption, alcohol use, and hypertension medication adherence) among Hispanics. It concluded that given the promising, although modest, associations between online health information-seeking behaviors and some health behaviors, efforts are needed to improve Hispanics' ability to access and understand health information.
AHRQ-funded; HS022961; HS019853.
Citation: Lee YJ, Boden-Albala B, Jia H .
The association between online health information-seeking behaviors and health behaviors among Hispanics in New York City: a community-based cross-sectional study.
J Med Internet Res 2015 Nov 26;17(11):e261. doi: 10.2196/jmir.4368.
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Keywords: Education: Patient and Caregiver, Web-Based, Telehealth, Patient Adherence/Compliance, Racial and Ethnic Minorities
Eschler J, Liu LS, Vizer LM
Designing asynchronous communication tools for optimization of patient-clinician coordination.
The authors elicited narratives about patients' experiences and expectations for using asynchronous communication to address medical issues with their clinicians. They then presented opportunities for designing asynchronous communication tools to better facilitate understanding of and coordination around care activities between patients and clinicians.
AHRQ-funded; HS021590.
Citation: Eschler J, Liu LS, Vizer LM .
Designing asynchronous communication tools for optimization of patient-clinician coordination.
AMIA Annu Symp Proc 2015 Nov 5;2015:543-52.
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Keywords: Chronic Conditions, Health Information Technology (HIT), Patient Experience, Clinician-Patient Communication, Web-Based
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
Vo NM, Trocki R
AHRQ Author: Vo NM, Trocki R
Virtual and peer reviews of grant applications at the Agency for Healthcare Research and Quality.
This study documents the first six unplanned virtual review (VR) sessions conducted during the 2012 hurricane season at the Agency for Healthcare Research and Quality and their effects on review outcomes. Despite their technical novelty, all of the VR sessions have been successfully conducted to the satisfaction of reviewers and agency organizers. Special emphasis panel reviewers are more receptive to the new technology than study section reviewers.
AHRQ-authored.
Citation: Vo NM, Trocki R .
Virtual and peer reviews of grant applications at the Agency for Healthcare Research and Quality.
South Med J 2015 Oct;108(10):622-6. doi: 10.14423/smj.0000000000000353..
Keywords: Web-Based, Research Methodologies, Provider: Health Personnel
Gance-Cleveland B, Aldrich H, Dandreaux D
A virtual childhood obesity collaborative: satisfaction with online continuing education.
This descriptive study evaluated school-based health center (SBHC) providers’ satisfaction with Web based continuing education as part of a virtual childhood obesity intervention. Participation in the first two learning sessions was higher than the last two. Provider satisfaction of training modules by question type and content area was quite high. Many providers also reported plans to make changes in their practice after completing the training.
AHRQ-funded; HS018646.
Citation: Gance-Cleveland B, Aldrich H, Dandreaux D .
A virtual childhood obesity collaborative: satisfaction with online continuing education.
J Pediatr Health Care 2015 Sep-Oct;29(5):413-23. doi: 10.1016/j.pedhc.2015.01.006..
Keywords: Education: Continuing Medical Education, Obesity, Children/Adolescents, Prevention, Web-Based
Fink A, Beck JC
Developing and evaluating a website to guide older adults in their health information searches: a mixed-methods approach.
This mixed-methods study developed and evaluated an online program to improve older adults’ skills in identifying high-quality web-based health information. It found that experimental participants assigned significantly higher ratings of usability and learning to the new site than controls did to their tutorial although no differences were found in self-efficacy or knowledge.
AHRQ-funded; HS019745.
Citation: Fink A, Beck JC .
Developing and evaluating a website to guide older adults in their health information searches: a mixed-methods approach.
J Appl Gerontol 2015 Aug;34(5):633-51. doi: 10.1177/0733464813486961..
Keywords: Elderly, Web-Based, Health Information Technology (HIT), Health Literacy
Perez SL, Paterniti DA, Wilson M
Characterizing the processes for navigating internet health information using real-time observations: a mixed-methods approach.
The researchers aimed to describe the processes by which users navigate the Internet for information about a hypothetical acute illness and to identify individual characteristics predictive of their information-seeking strategies. They identified and classified two approaches to processing Internet health information: System 1(41 percent, 32/78) unconscious, rapid, automatic, and high capacity processing and System 2 (59 percent, 46/78) conscious, slow, and deliberative processing.
AHRQ-funded; HS022236.
Citation: Perez SL, Paterniti DA, Wilson M .
Characterizing the processes for navigating internet health information using real-time observations: a mixed-methods approach.
J Med Internet Res 2015 Jul 20;17(7):e173. doi: 10.2196/jmir.3945..
Keywords: Education: Patient and Caregiver, Web-Based, Telehealth
Lyles C, Schillinger D, Sarkar U
Connecting the dots: health information technology expansion and health disparities.
The authors argue that early evidence links EHR and portal use to better healthcare processes and health outcomes. Promoting patient engagement with health technology such as portals is challenging, and rapid expansion of portals could exacerbate existing healthcare disparities if only well-resourced individuals use these websites.
AHRQ-funded; HS023558; HS022408; HS022047.
Citation: Lyles C, Schillinger D, Sarkar U .
Connecting the dots: health information technology expansion and health disparities.
PLoS Med 2015 Jul 14;12(7):e1001852. doi: 10.1371/journal.pmed.1001852..
Keywords: Disparities, Electronic Health Records (EHRs), Health Information Technology (HIT), Patient and Family Engagement, Web-Based
Shorten A, Fagerlin A, Illuzzi J
Developing an Internet-based decision aid for women choosing between vaginal birth after cesarean and planned repeat cesarean.
This article is part of a series that address midwifery innovations in clinical practice, education, interprofessional collaboration, health policy, and global health. The authors outlined a framework and process used to create an Internet-based decision aid about birth choices after previous cesarean. They transformed a paper-based decision aid into a secure, interactive Web site to meet the diverse needs of women and providers.
AHRQ-funded; HS022114.
Citation: Shorten A, Fagerlin A, Illuzzi J .
Developing an Internet-based decision aid for women choosing between vaginal birth after cesarean and planned repeat cesarean.
J Midwifery Womens Health 2015 Jul-Aug;60(4):390-400. doi: 10.1111/jmwh.12298.
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Keywords: Shared Decision Making, Health Information Technology (HIT), Pregnancy, Web-Based, Women
Crotty BH, Mostaghimi A, O'Brien J
Prevalence and risk profile of unread messages to patients in a patient web portal.
The researchers sought to assess the prevalence and risk profile of unread messages in a mature patient portal. They found that overall, secure messaging appears a safe form of communication, but systems to notify senders when messages are unread may have value. While most clinical messages were read, many outreach messages were not.
AHRQ-funded; HS021495.
Citation: Crotty BH, Mostaghimi A, O'Brien J .
Prevalence and risk profile of unread messages to patients in a patient web portal.
Appl Clin Inform 2015 Jun 12;6(2):375-82. doi: 10.4338/aci-2015-01-cr-0006..
Keywords: Communication, Health Information Technology (HIT), Web-Based, Patient Safety
Scott KW, Blendon RJ, Sommers BD
The 2014 governors' races and health care: a campaign web site analysis.
To better understand the role of health care in the recent gubernatorial elections, the researchers analyzed health policy content presented by 71 candidates for governor on their campaign Web sites. They concluded that the prominence of health care in the gubernatorial campaigns strengthens the likelihood that governors will play an influential role in the health system’s future, especially as the Affordable Care Act undergoes further federal debate.
AHRQ-funded; HS000055.
Citation: Scott KW, Blendon RJ, Sommers BD .
The 2014 governors' races and health care: a campaign web site analysis.
Inquiry 2015 May 5;52. doi: 10.1177/0046958015584798..
Keywords: Policy, Web-Based
Bardach NS, Hibbard JH, Greaves F
Sources of traffic and visitors' preferences regarding online public reports of quality: web analytics and online survey results.
Online public reports of quality exist, but little is known about how visitors find reports or about their purpose in visiting. To address this gap,the researchers gathered website analytics data from a national group of online public reports of hospital or physician quality and surveyed real-time visitors to those websites. They found that consumers were frequently interested in using the information to choose providers or assess the quality of their provider.
AHRQ-funded; 290200600023I.
Citation: Bardach NS, Hibbard JH, Greaves F .
Sources of traffic and visitors' preferences regarding online public reports of quality: web analytics and online survey results.
J Med Internet Res 2015 May;17(5):e102. doi: 10.2196/jmir.3637.
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Keywords: Web-Based, Public Reporting, Quality Measures, Education: Patient and Caregiver
Latulipe C, Gatto A, Nguyen HT
Design considerations for patient portal adoption by low-income, older adults.
This paper describes the results of an interview study investigating facilitators and barriers to adoption of patient portals among low-income, older adults in rural and urban populations in the southeastern United States. The authors then present a set of considerations for designing the patient portal user experience, aimed at helping healthcare clinics to meet U.S. federally-mandated 'meaningful use' requirements.
AHRQ-funded; HS021679.
Citation: Latulipe C, Gatto A, Nguyen HT .
Design considerations for patient portal adoption by low-income, older adults.
Proc SIGCHI Conf Hum Factor Comput Syst 2015 Apr;2015:3859-68. doi: 10.1145/2702123.2702392..
Keywords: Health Information Technology (HIT), Web-Based, Low-Income, Elderly
Callen J, Giardina TD, Singh H
Emergency physicians' views of direct notification of laboratory and radiology results to patients using the Internet: a multisite survey.
The authors explored emergency physicians' current practices of test result notification and attitudes to direct patient notification of clinically significant abnormal and normal test results. They found that more than half of the emergency physicians were uncomfortable with patients receiving direct notification of normal or abnormal test results. Main concerns were that patients could be anxious, confused, and lacking in the necessary expertise to interpret their results.
AHRQ-funded; HS022087.
Citation: Callen J, Giardina TD, Singh H .
Emergency physicians' views of direct notification of laboratory and radiology results to patients using the Internet: a multisite survey.
J Med Internet Res 2015 Mar 4;17(3):e60. doi: 10.2196/jmir.3721.
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Keywords: Communication, Electronic Health Records (EHRs), Emergency Medical Services (EMS), Provider: Health Personnel, Web-Based
Turner A, Osterhage K, Joe J
Use of patient portals: personal health information management in older adults.
This paper described initial results from the SOARING (Studying Older Adults & Researching Information Needs and Goals) study at the University of Washington, a participatory design investigation of personal health information management (PHIM) in older adults. Its findings indicate that patient portals designed to target the specific needs for older adults can support PHIM.
AHRQ-funded; HS022106.
Citation: Turner A, Osterhage K, Joe J .
Use of patient portals: personal health information management in older adults.
Stud Health Technol Inform 2015;216:978..
Keywords: Elderly, Electronic Health Records (EHRs), Health Information Technology (HIT), Web-Based
Gerber DE, Laccetti AL, Chen B
Predictors and intensity of online access to electronic medical records among patients with cancer.
This study set out to determine predictors and patterns of use of a Web-based portal for accessing PHRs and communicating with health providers among patients with cancer. It found that among patients with cancer, PHR portal use is frequent and increasing. Younger patients, white patients, and patients with upper aerodigestive malignancies exhibit the heaviest portal use.
AHRQ-funded; HS022418.
Citation: Gerber DE, Laccetti AL, Chen B .
Predictors and intensity of online access to electronic medical records among patients with cancer.
J Oncol Pract 2014 Sep;10(5):e307-12. doi: 10.1200/jop.2013.001347..
Keywords: Cancer, Electronic Health Records (EHRs), Health Information Technology (HIT), Clinician-Patient Communication, Web-Based