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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 85 Research Studies DisplayedDeCourcey DD, Silverman M, Oladunjoye A
Patterns of care at the end of life for children and young adults with life-threatening complex chronic conditions.
The purpose of this study, which used a cross sectional survey, was to characterize patterns of care at the end of life for children and young adults with life-threatening complex chronic conditions (LT-CCCs) and to compare them by LT-CCC type. The investigators concluded that significant differences in patterns of care at the end of life existed depending on LT-CCC type. They suggest that attention to these patterns is important to ensure equal access to palliative care and targeted improvements in end-of-life care for these populations.
AHRQ-funded; HS022986.
Citation: DeCourcey DD, Silverman M, Oladunjoye A .
Patterns of care at the end of life for children and young adults with life-threatening complex chronic conditions.
J Pediatr 2018 Feb;193:196-203.e2. doi: 10.1016/j.jpeds.2017.09.078..
Keywords: Children/Adolescents, Chronic Conditions, Palliative Care, Practice Patterns, Young Adults
Kazemi DM, Borsari B, Levine MJ
REMIT: Development of a mHealth theory-based intervention to decrease heavy episodic drinking among college students.
This paper discusses development of a mHealth theory-based intervention to decrease heavy episodic drinking among college students. Informed by current theories of Ecological Momentary Interventions (EMI), Motivational Interviewing (MI), and the Transtheoretical Model (TTM) of Change, investigators developed a self-monitoring app-Reductions through Ecological Momentary/Motivational Intervention/Transtheoretical (REMIT)-with the aim of reducing hazardous drinking among college students. The app was developed using the Integrate, Design, Assess, and Share (IDEAS) framework.
AHRQ-funded; HS023875.
Citation: Kazemi DM, Borsari B, Levine MJ .
REMIT: Development of a mHealth theory-based intervention to decrease heavy episodic drinking among college students.
Addict Res Theory 2018;26(5):377-85. doi: 10.1080/16066359.2017.1420783..
Keywords: Alcohol Use, Young Adults
Gooding HC, Brown CA, Wisk LE
Investing in our future: the importance of ambulatory visits to achieving blood pressure control in young adults.
In this commentary, the authors discuss an article written by King, et al. and published in 2017 in the Journal of Clinical Hypertension, entitled “The importance of frequent return visits and hypertension control among US young adults: a multidisciplinary group practice observational study.”
AHRQ-funded; K12 HS022986.
Citation: Gooding HC, Brown CA, Wisk LE .
Investing in our future: the importance of ambulatory visits to achieving blood pressure control in young adults.
J Clin Hypertens 2017 Dec;19(12):1298-300. doi: 10.1111/jch.13100..
Keywords: Ambulatory Care and Surgery, Care Management, Blood Pressure, Young Adults
Chen J, Vargas-Bustamante A, Novak P
Reducing young adults' health care spending through the ACA expansion of dependent coverage.
The researchers estimated health care expenditure trends among young adults ages 19-25 before and after the 2010 implementation of the Affordable Care Act (ACA) provision that extended eligibility for dependent private health insurance coverage. They found that increased health insurance enrollment as a consequence of the ACA provision for dependent coverage has successfully reduced spending and catastrophic expenditures, providing financial protections for young adults.
AHRQ-funded; HS022135.
Citation: Chen J, Vargas-Bustamante A, Novak P .
Reducing young adults' health care spending through the ACA expansion of dependent coverage.
Health Serv Res 2017 Oct;52(5):1835-57. doi: 10.1111/1475-6773.12555.
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Keywords: Medical Expenditure Panel Survey (MEPS), Health Insurance, Healthcare Costs, Policy, Young Adults
Schoenbaum M, Sutherland JM, Chappel A
AHRQ Author: Sutherland JM
Twelve-month health care use and mortality in commercially insured young people with incident psychosis in the United States.
This study assessed 12-month mortality and patterns of outpatient and inpatient treatment among young people experiencing an incident episode of psychosis in the United States. The hugely elevated mortality observed, when compared to the general population, underscores that young people experiencing psychosis warrant intensive clinical attention-yet the researchers found low rates of pharmacotherapy and limited use of psychosocial treatment.
AHRQ-authored.
Citation: Schoenbaum M, Sutherland JM, Chappel A .
Twelve-month health care use and mortality in commercially insured young people with incident psychosis in the United States.
Schizophr Bull 2017 Oct;43(6):1262-72. doi: 10.1093/schbul/sbx009.
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Keywords: Healthcare Utilization, Health Insurance, Health Services Research (HSR), Behavioral Health, Young Adults
Primack BA, Shensa A, Sidani JE
Social media use and perceived social isolation among young adults in the U.S.
Perceived social isolation (PSI) is associated with substantial morbidity and mortality. Social media platforms, commonly used by young adults, may offer an opportunity to ameliorate social isolation. This study assessed associations between social media use (SMU) and PSI among U.S. young adults. It concluded that young adults with high SMU seem to feel more socially isolated than their counterparts with lower SMU.
AHRQ-funded; HS022989.
Citation: Primack BA, Shensa A, Sidani JE .
Social media use and perceived social isolation among young adults in the U.S.
Am J Prev Med 2017 Jul;53(1):1-8. doi: 10.1016/j.amepre.2017.01.010.
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Keywords: Behavioral Health, Social Media, Young Adults
Kelley C, Lee B, Wilcox L
Self-tracking for mental wellness: understanding expert perspectives and student experiences.
Recent studies with college student populations have examined the feasibility of collecting everyday mood, activity, and social data. However, these studies do not account for students' experiences and challenges adopting self-tracking technologies to support mental wellness goals. In this paper, the authors present two studies conducted to better understand self-tracking for stress management and mental wellness in student populations.
AHRQ-funded; HS021393.
Citation: Kelley C, Lee B, Wilcox L .
Self-tracking for mental wellness: understanding expert perspectives and student experiences.
Proc SIGCHI Conf Hum Factor Comput Syst 2017 May 2;2017:629-41. doi: 10.1145/3025453.3025750..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Behavioral Health, Stress, Young Adults
Kazemi DM, Borsari B, Levine MJ
A systematic review of the mhealth interventions to prevent alcohol and substance abuse.
This systematic review evaluated the recent body of research on mHealth-based interventions for substance use, with aims of (a) examining the functionality and effectiveness of these interventions, (b) evaluating the available research on the effectiveness of these interventions for substance use, and (c) evaluating the design, methodology, results, theoretical grounding, limitations, and implications of each study.
AHRQ-funded; HS023875.
Citation: Kazemi DM, Borsari B, Levine MJ .
A systematic review of the mhealth interventions to prevent alcohol and substance abuse.
J Health Commun 2017 May;22(5):413-32. doi: 10.1080/10810730.2017.1303556.
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Keywords: Alcohol Use, Prevention, Substance Abuse, Telehealth, Young Adults
Macmadu A, Carroll JJ, Hadland SE
Prevalence and correlates of fentanyl-contaminated heroin exposure among young adults who use prescription opioids non-medically.
Researchers examined risk factors for exposure to fentanyl-contaminated heroin (FCH) and experiences with FCH use among young adult non-medical prescription opioids (NMPO) users. Several drug use patterns and risk behaviors were associated with FCH exposure, including: regular heroin and cocaine use; diverted pharmaceutical fentanyl use in the prior six months; NMPO use to avoid withdrawal symptoms; regular injection drug use; and prior overdose.
AHRQ-funded; HS024021.
Citation: Macmadu A, Carroll JJ, Hadland SE .
Prevalence and correlates of fentanyl-contaminated heroin exposure among young adults who use prescription opioids non-medically.
Addict Behav 2017 May;68:35-38. doi: 10.1016/j.addbeh.2017.01.014.
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Keywords: Opioids, Medication, Risk, Substance Abuse, Young Adults
Rice WS, Turan B, Stringer KL
Norms and stigma regarding pregnancy decisions during an unintended pregnancy: development and predictors of scales among young women in the U.S. South.
The researchers sought to create measures of perceived norms and stigma around pregnancy decisions by developing and pre-testing 97 survey items using a mixed methods approach. Their factor analyses revealed four subscales for each pregnancy decision: conditional acceptability, anticipated reactions, stereotypes/misperceptions, and attitudes. Minority women endorsed more negative norms and stigma around adoption.
AHRQ-funded; HS013852.
Citation: Rice WS, Turan B, Stringer KL .
Norms and stigma regarding pregnancy decisions during an unintended pregnancy: development and predictors of scales among young women in the U.S. South.
PLoS One 2017 Mar 22;12(3):e0174210. doi: 10.1371/journal.pone.0174210.
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Keywords: Children/Adolescents, Shared Decision Making, Pregnancy, Social Stigma, Young Adults
Karam M, Scherzer R, Ogbogu PU
Food allergy prevalence, knowledge, and behavioral trends among college students - a 6-year comparison.
In this study, the investigators reassess trends in reported student food allergen awareness and preparation, to compare 6-year outcomes of an earlier study within the same university. They also assess awareness among nonefood-allergic students and compare trends at 2 other large Midwestern universities without a food allergy diet/labeling program.
AHRQ-funded; HS024599.
Citation: Karam M, Scherzer R, Ogbogu PU .
Food allergy prevalence, knowledge, and behavioral trends among college students - a 6-year comparison.
J Allergy Clin Immunol Pract 2017 Mar - Apr;5(2):504-06.e5. doi: 10.1016/j.jaip.2016.11.035..
Keywords: Nutrition, Outcomes, Young Adults
Richardson LP, McCarty CA, Radovic A
Research in the integration of behavioral health for adolescents and young adults in primary care settings: a systematic review.
Adolescents and young adults with mental health conditions have some of the lowest rates of treatment for their conditions of all age groups.. In this paper, the authors review the current research literature for behavioral health integration in the adolescent and young adult population and make recommendations for needed research to move the field forward.
AHRQ-funded; HS022989.
Citation: Richardson LP, McCarty CA, Radovic A .
Research in the integration of behavioral health for adolescents and young adults in primary care settings: a systematic review.
J Adolesc Health 2017 Mar;60(3):261-69. doi: 10.1016/j.jadohealth.2016.11.013.
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Keywords: Children/Adolescents, Behavioral Health, Patient-Centered Healthcare, Primary Care, Young Adults
Harris SK, Aalsma MC, Weitzman ER
Research on clinical preventive services for adolescents and young adults: where are we and where do we need to go?
The researchers reviewed research regarding system- and visit-level strategies to enhance clinical preventive service delivery and quality for adolescents and young adults. They argue that further research that builds off successful models of linking traditional and community clinics is needed to improve access to care for all youth.
AHRQ-funded; HS022681.
Citation: Harris SK, Aalsma MC, Weitzman ER .
Research on clinical preventive services for adolescents and young adults: where are we and where do we need to go?
J Adolesc Health 2017 Mar;60(3):249-60. doi: 10.1016/j.jadohealth.2016.10.005.
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Keywords: Children/Adolescents, Health Services Research (HSR), Prevention, Primary Care, Young Adults
Kass AE, Balantekin KN, Fitzsimmons-Craft EE
The economic case for digital interventions for eating disorders among United States college students.
This article aimed to estimate the costs, in United States (US) dollars, of a stepped care model for online prevention and treatment among US college students to inform meaningful decisions regarding resource allocation and adoption of efficient care delivery models for EDs on college campuses. A stepped care model was estimated to achieve modest cost savings compared to standard care, but these estimates need to be tested with sensitivity analyses.
AHRQ-funded; HS000078.
Citation: Kass AE, Balantekin KN, Fitzsimmons-Craft EE .
The economic case for digital interventions for eating disorders among United States college students.
Int J Eat Disord 2017 Mar;50(3):250-58. doi: 10.1002/eat.22680.
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Keywords: Behavioral Health, Healthcare Delivery, Healthcare Costs, Prevention, Primary Care: Models of Care, Telehealth, Young Adults, Web-Based
Morales-Aleman MM, Opoku J, Murray A
Disparities in retention in HIV care among HIV-infected young men who have sex with men in the District of Columbia, 2013.
Among young men who have sex with men (YMSM), aged 13-24 years, Blacks/African Americans and Hispanics/Latinos are disproportionately affected by HIV. This study analyzed surveillance data from the District of Columbia to examine care retention among YMSM living with HIV infection. They found that retention in HIV care was suboptimal for YMSM and indicated that increased retention efforts are warranted to improve outcomes and reduce age and racial/ethnic disparities.
AHRQ-funded; HS013852.
Citation: Morales-Aleman MM, Opoku J, Murray A .
Disparities in retention in HIV care among HIV-infected young men who have sex with men in the District of Columbia, 2013.
LGBT Health 2017 Feb;4(1):34-41. doi: 10.1089/lgbt.2016.0126..
Keywords: Disparities, Human Immunodeficiency Virus (HIV), Patient-Centered Healthcare, Young Adults
Eskreis-Winkler L, Shulman EP, Young V
Using wise interventions to motivate deliberate practice.
This study examined whether psychologically "wise" interventions targeting expectancies and values-stock antecedents of ordinary effortful behaviors-could motivate nonexperts to engage in deliberate practice and improve their achievement. Its findings provide preliminary support for the heretofore untested hypothesis that deliberate practice submits to the same laws that govern typical forms of effortful behavior.
AHRQ-funded; HS022990.
Citation: Eskreis-Winkler L, Shulman EP, Young V .
Using wise interventions to motivate deliberate practice.
J Pers Soc Psychol 2016 Nov;111(5):728-44. doi: 10.1037/pspp0000074.
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Keywords: Children/Adolescents, Education, Young Adults
Chou R, Dana T, Blazina I
Screening for dyslipidemia in younger adults: a systematic review for the U.S. Preventive Services Task Force.
This study's purpose was to update the 2008 U.S. Preventive Services Task Force review on dyslipidemia screening in younger adults. However, no study met the inclusion criteria. As direct evidence remains unavailable, estimating the potential effects of screening for dyslipidemia in younger adults requires extrapolation from studies performed in older adults.
Citation: Chou R, Dana T, Blazina I .
Screening for dyslipidemia in younger adults: a systematic review for the U.S. Preventive Services Task Force.
Ann Intern Med 2016 Oct 18;165(8):560-64. doi: 10.7326/m16-0946.
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Keywords: U.S. Preventive Services Task Force (USPSTF), Screening, Young Adults, Heart Disease and Health, Prevention
Upadhya KK, Jalazo ER, Connor KA
AHRQ Author: Mistry KB
Optimizing preconception health among young women: what are we missing?
This study evaluated whether receipt of specific preconception counseling topics differs between teen, young adult, and older mothers. It found that teen mothers were less than half as likely to be counseled about taking folic acid, 4 times more likely to be counseled about vaccines, and twice as likely to be counseled about mental health before pregnancy compared with adult mothers.
AHRQ-authored.
Citation: Upadhya KK, Jalazo ER, Connor KA .
Optimizing preconception health among young women: what are we missing?
J Pediatr Adolesc Gynecol 2016 Oct;29(5):464-6. doi: 10.1016/j.jpag.2016.02.010.
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Keywords: Children/Adolescents, Sexual Health, Maternal Care, Pregnancy, Women, Young Adults
Womack VY, De Chavez PJ, Albrecht SS
A longitudinal relationship between depressive symptoms and development of metabolic syndrome: the Coronary Artery Risk Development in Young Adults study.
The researchers tested whether baseline and time-varying depressive symptoms were associated with metabolic syndrome incidence in black and white men and women from the Coronary Artery Risk Development in Young Adults study. They found that, over 15 years, the incidence rate of metabolic syndrome varied by race and sex, with the highest rate in black women followed by white men, black men, and white women. Depressive symptoms were associated with incident metabolic syndrome in white men and white women. However, they found no significant association between depression and metabolic syndrome among black men or black women.
AHRQ-funded; HS023009.
Citation: Womack VY, De Chavez PJ, Albrecht SS .
A longitudinal relationship between depressive symptoms and development of metabolic syndrome: the Coronary Artery Risk Development in Young Adults study.
Psychosom Med 2016 Sep;78(7):867-73. doi: 10.1097/psy.0000000000000347.
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Keywords: Cardiovascular Conditions, Depression, Racial and Ethnic Minorities, Sex Factors, Young Adults
Bradley KA, Lapham GT
Is it time for a more ambitious research agenda for decreasing alcohol-related harm among young adults?
The authors commented that brief motivational interviewing-based interventions could probably impact drinking at the population level. They noted that there is a critical need to develop and test more effective interventions and recommended that the public health approach to preventing alcohol-related harm among young adults include known effective approaches, including those that decrease alcohol use by reducing the availability of alcohol.
AHRQ-funded; HS023173.
Citation: Bradley KA, Lapham GT .
Is it time for a more ambitious research agenda for decreasing alcohol-related harm among young adults?
Addiction 2016 Sep;111(9):1531-2. doi: 10.1111/add.13235.
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Keywords: Alcohol Use, Lifestyle Changes, Prevention, Substance Abuse, Young Adults
Ali MM, Chen J, Mutter R
AHRQ Author: Novak P
The ACA's dependent coverage expansion and out-of-pocket spending by young adults with behavioral health conditions.
The authors analyzed out-of-pocket spending as a share of total health care expenditures for young adults with behavioral health conditions before and after the implementation of the ACA dependent care provision. They found that the extension of health insurance coverage to young adults with behavioral health disorders has provided them with additional financial protection, which can be important given the low incomes and high debt burden that characterize the age group.
AHRQ-authored.
Citation: Ali MM, Chen J, Mutter R .
The ACA's dependent coverage expansion and out-of-pocket spending by young adults with behavioral health conditions.
Psychiatr Serv 2016 Sep;67(9):977-82. doi: 10.1176/appi.ps.201500346.
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Keywords: Behavioral Health, Healthcare Costs, Health Insurance, Medical Expenditure Panel Survey (MEPS), Young Adults
Bertrand KA, Baer HJ, Orav EJ
Early life body fatness, serum anti-mullerian hormone, and breast density in young adult women.
Researchers examined associations of early life body fatness, serum anti-Mullerian hormone (AMH) concentrations, and breast density among 172 women in the Dietary Intervention Study in Children (DISC). They found no evidence that current or early life BMI influences AMH concentrations in later life. Women with higher concentrations of AMH had similar percent and absolute dense breast volume, but lower nondense volume.
AHRQ-funded; HS019789.
Citation: Bertrand KA, Baer HJ, Orav EJ .
Early life body fatness, serum anti-mullerian hormone, and breast density in young adult women.
Cancer Epidemiol Biomarkers Prev 2016 Jul;25(7):1151-7. doi: 10.1158/1055-9965.epi-16-0185.
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Keywords: Cancer: Breast Cancer, Children/Adolescents, Obesity, Women, Young Adults
Wisk LE, Weitzman ER
Substance use patterns through early adulthood: results for youth with and without chronic conditions.
As there have been no nationally representative studies of substance use during this period for these medically vulnerable youth, the authors examined onset and intensification of these behaviors for a national sample of youth with and without chronic conditions. Youth with chronic medical conditions (YCMC) were more likely to engage in any and heavier substance use; transition years and early adulthood were periods of peak risk for YCMC compared with their healthy peers.
AHRQ-funded; HS000063.
Citation: Wisk LE, Weitzman ER .
Substance use patterns through early adulthood: results for youth with and without chronic conditions.
Am J Prev Med 2016 Jul;51(1):33-45. doi: 10.1016/j.amepre.2016.01.029.
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Keywords: Children/Adolescents, Children/Adolescents, Chronic Conditions, Substance Abuse, Young Adults
Smith W, Turan JM, White K
Social norms and stigma regarding unintended pregnancy and pregnancy decisions: a qualitative study of young women in Alabama.
The authors sought to describe the presence and manifestations of social norms and stigmas associated with unintended pregnancy and related decision making from the perspective of young women in the southern United States. They found that the community expected young women faced with unintended pregnancies to bear and raise their children, viewing them more positively than women who chose abortion or adoption. They concluded that there's a need to reduce stigma and create a social environment in which young women are empowered to make the best reproductive decisions for themselves.
AHRQ-funded; HS013852.
Citation: Smith W, Turan JM, White K .
Social norms and stigma regarding unintended pregnancy and pregnancy decisions: a qualitative study of young women in Alabama.
Perspect Sex Reprod Health 2016 Jun;48(2):73-81. doi: 10.1363/48e9016.
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Keywords: Shared Decision Making, Pregnancy, Social Stigma, Women, Young Adults
Gibbs EL, Kass AE, Eichen DM
Attention-deficit/hyperactivity disorder-specific stimulant misuse, mood, anxiety, and stress in college-age women at high risk for or with eating disorders.
The researchers examined the misuse of attention-deficit/hyperactivity disorder (ADHD)-specific stimulants in a college population at high risk for or with clinical or subclinical eating disorders. They found that ADHD-specific stimulant misuse is associated with eating disorder and comorbid pathology among such individuals, recommending that screening for stimulant misuse and eating disorder pathology may improve identification of college-age women who may be engaging in maladaptive behaviors and inform prevention efforts.
AHRQ-funded; HS000078.
Citation: Gibbs EL, Kass AE, Eichen DM .
Attention-deficit/hyperactivity disorder-specific stimulant misuse, mood, anxiety, and stress in college-age women at high risk for or with eating disorders.
J Am Coll Health 2016 May-Jun;64(4):300-8. doi: 10.1080/07448481.2016.1138477.
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Keywords: Education: Academic, Behavioral Health, Medication, Substance Abuse, Young Adults