National Healthcare Quality and Disparities Report
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Search All Research Studies
Topics
- Blood Pressure (1)
- Cardiovascular Conditions (2)
- Care Management (1)
- Chronic Conditions (2)
- Communication (2)
- Community-Based Practice (1)
- Comparative Effectiveness (1)
- Diabetes (5)
- (-) Education: Patient and Caregiver (12)
- Electronic Health Records (EHRs) (1)
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- Health Information Technology (HIT) (1)
- Health Promotion (1)
- Heart Disease and Health (1)
- Implementation (1)
- (-) Lifestyle Changes (12)
- Medication (1)
- Nutrition (3)
- Obesity (5)
- Obesity: Weight Management (2)
- Patient-Centered Outcomes Research (2)
- Patient and Family Engagement (1)
- Patient Self-Management (5)
- Primary Care (1)
- Racial and Ethnic Minorities (1)
- Risk (1)
- Social Determinants of Health (1)
- Social Media (1)
- Tobacco Use (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 12 of 12 Research Studies DisplayedMakelarski JA, DePumpo M, Boyd K
Implementation of systematic community resource referrals at small primary care practices to promote cardiovascular disease self-management.
The purpose of this study was to describe outcomes from implementation of a community resource referral system into small clinical practices to reduce cardiovascular disease risk. HealtheRx-H3, a printed list of resources for patients, was created. It was feasible to create practice-specific HealtheRx-H3s; however, systematic distribution of HealtheRx-H3s using digital electronic health record integration was found to be infeasible. Successful implementation of quality improvement strategies to systematize community resource referral solutions was feasible at small practices, but more research was recommended in order to understand what motivates small practices to participate in implementation of these solutions.
AHRQ-funded; HS023921.
Citation: Makelarski JA, DePumpo M, Boyd K .
Implementation of systematic community resource referrals at small primary care practices to promote cardiovascular disease self-management.
J Healthc Qual 2020 Sep/Oct;42(5):278-86. doi: 10.1097/jhq.0000000000000234..
Keywords: Cardiovascular Conditions, Risk, Community-Based Practice, Patient Self-Management, Education: Patient and Caregiver, Primary Care, Implementation, Lifestyle Changes
Sterling MR, Silva AF, Robbins L
Let's talk numbers: a qualitative study of community-dwelling US adults to understand the role of numeracy in the management of heart failure.
This qualitative study examined the role of numeracy (basic number skills) in the management of patients with heart failure (HF). Thirty men and women aged 47-89 years with a history of HF were recruited from an urban academic primary care practice. Participants all had a history of HF within the past year, were seen at the practice within the last year, and had been hospitalized for HF within the last 6 months. They were interviewed about their numeracy to help manage monitoring weight, maintaining a low-salt diet, and monitoring blood pressure. A wide range of knowledge and understanding was found and fear served as a barrier and facilitator to carrying out HF self-care tasks involving numbers. If the patient has a caregiver who also lacks those skills or does not have HF care training, patients may not be managing their HF as well as they should.
AHRQ-funded; HS000066.
Citation: Sterling MR, Silva AF, Robbins L .
Let's talk numbers: a qualitative study of community-dwelling US adults to understand the role of numeracy in the management of heart failure.
BMJ Open 2018 Sep 19;8(9):e023073. doi: 10.1136/bmjopen-2018-023073..
Keywords: Patient Self-Management, Education: Patient and Caregiver, Care Management, Heart Disease and Health, Nutrition, Lifestyle Changes, Obesity: Weight Management, Obesity, Blood Pressure, Cardiovascular Conditions
Brown SD, Grijalva CS, Ferrara A
Leveraging EHRs for patient engagement: perspectives on tailored program outreach.
Electronic health records (EHRs) present healthcare delivery systems with scalable, cost-effective opportunities to promote lifestyle programs among patients at high risk for type 2 diabetes, yet little consensus exists on strategies to enhance patient engagement. In this study, the investigators explored patient perspectives on program outreach messages containing content tailored to EHR-derived diabetes risk factors--a theory-driven strategy to increase the persuasiveness of health communications.
AHRQ-funded; HS019367.
Citation: Brown SD, Grijalva CS, Ferrara A .
Leveraging EHRs for patient engagement: perspectives on tailored program outreach.
Am J of Manag Care 2017 Jul;23(7):e223-e30..
Keywords: Diabetes, Communication, Education: Patient and Caregiver, Electronic Health Records (EHRs), Health Information Technology (HIT), Healthcare Delivery, Lifestyle Changes, Patient and Family Engagement
Halbert CH, Bellamy S, Briggs V
A comparative effectiveness education trial for lifestyle health behavior change in African Americans.
The authors of this study compared the effects of alternate behavioral interventions on obesity-related health behaviors by conducting a comparative effectiveness education trial in a community-based sample of 530 adult African Americans. The investigators suggest that education about risk factors for chronic disease and evidence-based strategies for health behavior change may be useful for addressing obesity-related behaviors among African Americans.
AHRQ-funded; HS019339.
Citation: Halbert CH, Bellamy S, Briggs V .
A comparative effectiveness education trial for lifestyle health behavior change in African Americans.
Health Educ Res 2017 Jun 1;32(3):207-18. doi: 10.1093/her/cyx039..
Keywords: Comparative Effectiveness, Education: Patient and Caregiver, Lifestyle Changes, Lifestyle Changes, Obesity, Racial and Ethnic Minorities
Mathur MB, Gould M, Khazeni N
Direct-to-consumer drug advertisements can paradoxically increase intentions to adopt lifestyle changes.
The researchers aimed to assess whether priming with real direct-to-consumer (DTC) television advertisements elicited boomerang effects on perceptions of lifestyle change and whether these effects, if present, were moderated by individual problem status. They found that real television advertisements elicited only a weak boomerang effect on perceived effectiveness and elicited an unexpected reverse boomerang effect on personal intentions to use lifestyle change versus drugs.
AHRQ-funded; HS019816.
Citation: Mathur MB, Gould M, Khazeni N .
Direct-to-consumer drug advertisements can paradoxically increase intentions to adopt lifestyle changes.
Front Psychol 2016 Oct 3;7:1533. doi: 10.3389/fpsyg.2016.01533.
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Keywords: Medication, Lifestyle Changes, Lifestyle Changes, Education: Patient and Caregiver
Mayberry LS, Harper KJ, Osborn CY
Family behaviors and type 2 diabetes: what to target and how to address in interventions for adults with low socioeconomic status.
The researchers studied adults with type 2 diabetes at a Federally Qualified Health Center to better understand experiences with diabetes-specific family behaviors and willingness to engage family members in diabetes interventions. They found that some participants (40 percent) said engaging family in interventions would positively affect all members; others (27 percent) did not want to involve family.
AHRQ-funded; HS022990.
Citation: Mayberry LS, Harper KJ, Osborn CY .
Family behaviors and type 2 diabetes: what to target and how to address in interventions for adults with low socioeconomic status.
Chronic Illn 2016 Sep;12(3):199-215. doi: 10.1177/1742395316644303.
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Keywords: Diabetes, Patient Self-Management, Social Determinants of Health, Lifestyle Changes, Education: Patient and Caregiver
Pillay J, Armstrong MJ, Butalia S
Behavioral programs for type 1 diabetes mellitus: a systematic review and meta-analysis.
The purpose of this review and meta-analysis was to determine the effects of behavioral programs for patients with type 1 diabetes on behavioral, clinical, and health outcomes and to investigate factors that might moderate effect. It concluded that behavioral programs for type 1 diabetes offer some benefit for glycemic control, at least at short-term follow-up, but improvement for other outcomes has not been shown.
AHRQ-funded; 2902012000131.
Citation: Pillay J, Armstrong MJ, Butalia S .
Behavioral programs for type 1 diabetes mellitus: a systematic review and meta-analysis.
Ann Intern Med 2015 Dec 1;163(11):836-47. doi: 10.7326/m15-1399..
Keywords: Diabetes, Education: Patient and Caregiver, Patient Self-Management, Patient-Centered Outcomes Research, Lifestyle Changes, Chronic Conditions
Pillay J, Armstrong MJ, Butalia S
Behavioral programs for type 2 diabetes mellitus: a systematic review and network meta-analysis.
The purpose of this review was to identify factors moderating the effectiveness of behavioral programs for adults with type 2 diabetes. It concluded that diabetes self-management education offering 10 or fewer hours of contact with delivery personnel provided little benefit. Behavioral programs seem to benefit persons with suboptimal or poor glycemic control more than those with good control.
AHRQ-funded; 2902012000131.
Citation: Pillay J, Armstrong MJ, Butalia S .
Behavioral programs for type 2 diabetes mellitus: a systematic review and network meta-analysis.
Ann Intern Med 2015 Dec 1;163(11):848-60. doi: 10.7326/m15-1400..
Keywords: Diabetes, Education: Patient and Caregiver, Patient Self-Management, Patient-Centered Outcomes Research, Lifestyle Changes, Chronic Conditions
Azar KM, Chung S, Wang EJ
Impact of education on weight in newly diagnosed type 2 diabetes: every little bit helps.
The researchers sought to evaluate the benefit of participation in more limited counseling and/or education among individuals with newly diagnosed type 2 diabetes in more modest real-world clinical settings. The average weight loss of patients who received counseling/education alone during the follow-up period (up to three years post-exposure to participation) was 6.3 lbs., and, if received with medication prescription, 8.1 lbs. The weight loss associated with medication was only 3.5 lbs.
AHRQ-funded; HS019815.
Citation: Azar KM, Chung S, Wang EJ .
Impact of education on weight in newly diagnosed type 2 diabetes: every little bit helps.
PLoS One 2015 Jun 8;10(6):e0129348. doi: 10.1371/journal.pone.0129348..
Keywords: Diabetes, Education: Patient and Caregiver, Lifestyle Changes, Obesity, Obesity: Weight Management
Chen R, Smyser M, Chan N
Changes in awareness and use of calorie information after mandatory menu labeling in restaurants in King County, Washington.
This study reports on countywide and subpopulation changes in menu-labeling awareness (i.e., seeing calorie information) and use (i.e., using calorie information) before and after policy implementation. It found that awareness and use of calorie information among residents who ate at regulated chains increased significantly and across all demographic subgroups.
AHRQ-funded; HS013853.
Citation: Chen R, Smyser M, Chan N .
Changes in awareness and use of calorie information after mandatory menu labeling in restaurants in King County, Washington.
Am J Public Health 2015 Mar;105(3):546-53. doi: 10.2105/ajph.2014.302262..
Keywords: Education: Patient and Caregiver, Nutrition, Obesity, Lifestyle Changes
Chen R, Smyser M, Chan N
Changes in awareness and use of calorie information after mandatory menu labeling in restaurants in King County, Washington.
This study reports on countywide and subpopulation changes in menu-labeling awareness (i.e., seeing calorie information) and use (i.e., using calorie information) before and after policy implementation. It found that awareness and use of calorie information among residents who ate at regulated chains increased significantly and across all demographic subgroups.
AHRQ-funded; HS013853.
Citation: Chen R, Smyser M, Chan N .
Changes in awareness and use of calorie information after mandatory menu labeling in restaurants in King County, Washington.
Am J Public Health 2015 Mar;105(3):546-53. doi: 10.2105/ajph.2014.302262..
Keywords: Education: Patient and Caregiver, Nutrition, Obesity, Lifestyle Changes
Robinson MN, Tansil KA, Elder RW
AHRQ Author: Miller T
Mass media health communication campaigns combined with health-related product distribution: a community guide systematic review.
The researchers conducted a systematic review to evaluate the effectiveness of health communication campaigns that use multiple channels, including mass media, and distribute health-related products. They concluded that health communication campaigns that combine mass media and other communication channels with distribution of free or reduced-price health-related products are effective in improving healthy behaviors. They expect this intervention to be applicable across U.S. demographic groups, with appropriate population targeting.
AHRQ-authored.
Citation: Robinson MN, Tansil KA, Elder RW .
Mass media health communication campaigns combined with health-related product distribution: a community guide systematic review.
Am J Prev Med 2014 Sep;47(3):360-71. doi: 10.1016/j.amepre.2014.05.034.
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Keywords: Communication, Education: Patient and Caregiver, Health Promotion, Lifestyle Changes, Social Media, Tobacco Use