National Healthcare Quality and Disparities Report
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- Adverse Events (1)
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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
1 to 19 of 19 Research Studies DisplayedKang Y, Taylor JO, Osterhage K
Home care nurses' perspectives regarding health information management among older adults.
The purpose of this qualitative study was to determine how home healthcare nurses (HCNs) obtain and provide health information, to describe the perspective of HCNs regarding older adult personal health information (PHI), and to identify the potential role of technology in older adult health information transfer. Researchers conducted and analyzed phone interviews with 17 HCNs from two home healthcare agencies. Results showed these five themes: 1) common practices of obtaining health information; 2) barriers to obtaining health information; 3) ideal ways to obtain and provide health information; 4) use of patient portals; and 5) HCNs' use of technology for health information exchange. Most HCNs reported that it would be difficult for older adult patients to update their PHI without assistance, but HCNs lack the time and resources to assist older adults in PHI management activities.
AHRQ-funded; HS022106.
Citation: Kang Y, Taylor JO, Osterhage K .
Home care nurses' perspectives regarding health information management among older adults.
Home Healthc Now 2019 Nov/Dec;37(6):319-27. doi: 10.1097/nhh.0000000000000796..
Keywords: Home Healthcare, Elderly, Health Information Technology (HIT), Provider: Nurse, Provider
Nahm ES, Zhu S, Bellantoni M
The effects of a theory-based patient portal e-learning program for older adults with chronic illnesses.
The main aim of this study was to assess the impact of an older adult friendly Theory-based Patient portal e-Learning Program (T-PeP) on patient portal (PP) knowledge, selected health outcomes (health decision-making self-efficacy [SE] and health communication), PP SE and use, and e-health literacy in older adults. The investigators found that the T-PeP was effective in improving selected health and PP usage outcomes.
AHRQ-funded; HS024739.
Citation: Nahm ES, Zhu S, Bellantoni M .
The effects of a theory-based patient portal e-learning program for older adults with chronic illnesses.
Telemed J E Health 2019 Oct;25(10):940-51. doi: 10.1089/tmj.2018.0184..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Elderly, Chronic Conditions, Education: Patient and Caregiver
Quintana Y, Fahy D, Abdelfattah AM
The design and methodology of a usability protocol for the management of medications by families for aging older adults.
Health research apps often do not focus on usability as a design priority. This is problematic when the population of interest is disproportionately underrepresented as users of mobile apps, especially observed with aging older adults (> = 75). Challenges with the adoption of health information technology (HIT) among this group are exacerbated by poor design and user interface/experience (UI/UX) choices. This protocol described the testing and evaluation process of one HIT app for the family-based collaboration platform InfoSAGE.
AHRQ-funded; HS021495; HS24869.
Citation: Quintana Y, Fahy D, Abdelfattah AM .
The design and methodology of a usability protocol for the management of medications by families for aging older adults.
BMC Med Inform Decis Mak 2019 Sep 5;19(1):181. doi: 10.1186/s12911-019-0907-8..
Keywords: Care Management, Caregiving, Elderly, Health Information Technology (HIT), Medication
Turner AM, Osterhage K, Hartzler A
Personal health information management practices of older adults: one size does not fit all.
This study’s objective was to describe a process of identifying personal health information management (PHIM) activities and objectives of older adults aged 60 years and older from different resident settings. The purpose was to better align PHIM with their needs and practices.
AHRQ-funded; HS022106.
Citation: Turner AM, Osterhage K, Hartzler A .
Personal health information management practices of older adults: one size does not fit all.
Stud Health Technol Inform 2019 Aug 21;264:1995-96. doi: 10.3233/shti190752..
Keywords: Elderly, Electronic Health Records (EHRs), Health Information Technology (HIT), Chronic Conditions
Gillespie SM, Wasserman EB, Wood NE
High-intensity telemedicine reduces emergency department use by older adults with dementia in senior living communities.
Individuals with dementia have high rates of emergency department (ED) use for acute illnesses. In this study, the investigators evaluated the effect of a high-intensity telemedicine program that delivered care for acute illnesses on ED use rates for individuals with dementia residing in senior living communities (SLCs; independent and assisted living).
AHRQ-funded; HS018047.
Citation: Gillespie SM, Wasserman EB, Wood NE .
High-intensity telemedicine reduces emergency department use by older adults with dementia in senior living communities.
J Am Med Dir Assoc 2019 Aug;20(8):942-46. doi: 10.1016/j.jamda.2019.03.024..
Keywords: Elderly, Telehealth, Health Information Technology (HIT), Dementia, Neurological Disorders, Healthcare Delivery, Chronic Conditions, Emergency Department, Healthcare Utilization
Davidson C, Loganathan S, Bishop L
AHRQ Author: Bergofsky L, Spector W
Scalability of an IT intervention to prevent pressure ulcers in nursing homes.
Researchers assessed the scalability of the On-Time Pressure Ulcer Prevention intervention strategy in nursing homes nationwide. They found that the overall decline in pressure ulcer rates for treatment relative to matched comparison homes was statistically insignificant.
AHRQ-authored; AHRQ-funded; 2332010500023I.
Citation: Davidson C, Loganathan S, Bishop L .
Scalability of an IT intervention to prevent pressure ulcers in nursing homes.
J Am Med Dir Assoc 2019 Jul;20(7):816-21.e2. doi: 10.1016/j.jamda.2019.02.008..
Keywords: Elderly, Health Information Technology (HIT), Nursing Homes, Patient-Centered Outcomes Research, Prevention, Pressure Ulcers
Powell KR, Alexander GL, Madsen R
A national assessment of access to technology among nursing home residents: a secondary analysis.
The purpose of this study was to report findings from a secondary analysis of data from a national nursing home study of information technology (IT) adoption, called IT sophistication. The investigators found that resident access to technology was a significant predictor of the nursing home IT sophistication (P<.001). The inclusion of covariates-nursing home location, bed size, and ownership-with their interactions produced a nonsignificant effect in the model.
AHRQ-funded; HS022497.
Citation: Powell KR, Alexander GL, Madsen R .
A national assessment of access to technology among nursing home residents: a secondary analysis.
JMIR Aging 2019 Mar 5;2(1):e11449. doi: 10.2196/11449..
Keywords: Elderly, Health Information Technology (HIT), Nursing Homes, Patient and Family Engagement, Patient-Centered Healthcare
Quintana Y, Fahy D, Crotty B
A usability evaluation of the InfoSAGE app for family-based medication management.
This article presents the preliminary results of a usability study of an iOS and Android app for the mobile management of medication lists intended for use by aging adults and family members. The purpose of the study was to help inform future design choices in the development and use cases of eldercare apps. Seven participants were recorded while performing eight typical user case scenarios via the medication portion of the InfoSAGE app. These audio and video recordings were then analyzed for themes and events.
AHRQ-funded; HS024869.
Citation: Quintana Y, Fahy D, Crotty B .
A usability evaluation of the InfoSAGE app for family-based medication management.
Stud Health Technol Inform 2019;257:352-57..
Keywords: Caregiving, Elderly, Health Information Technology (HIT), Medication
Gaugler JE, Zmora R, Mitchell LL
Six-month effectiveness of remote activity monitoring for persons living with dementia and their family caregivers: an experimental mixed methods study.
This paper describes a pilot study conducted to evaluate the effectiveness of remote activity monitoring (RAM) for persons living with Alzheimer’s disease or a related dementia (ADRD) and their family caregivers. An experimental mixed methods study of 132 persons living with ADRD was conducted for six months. There were mixed results as the early months spent calibrating and modifying the RAM system was challenging for families. For families who care for ADRD patients with less severe cognitive impairment and difficulty navigating around the most there was a statistically significant increase in competence and self-sufficiency. However, it may not be as effective for patients with more severe cognitive impairment.
AHRQ-funded; HS022836.
Citation: Gaugler JE, Zmora R, Mitchell LL .
Six-month effectiveness of remote activity monitoring for persons living with dementia and their family caregivers: an experimental mixed methods study.
Gerontologist 2019 Jan 9;59(1):78-89. doi: 10.1093/geront/gny078..
Keywords: Caregiving, Dementia, Elderly, Health Information Technology (HIT), Neurological Disorders, Quality of Care, Quality Improvement
Son H, Nahm ES
Older adults' experience using patient portals in communities: challenges and opportunities.
The purpose of this study was to assess the perceived usability of patient portals currently used by older adults. 272 older adults were recruited from an online trial testing the effects of a 3-week Theory-Based Patient Portal eLearning Program. Self-efficacy and perceived usability of patient portals were both low; difficulties with using patient portals were primarily associated with login/access and specific portal functions. Favored features were review of medical information and eMessaging.
AHRQ-funded; HS024739.
Citation: Son H, Nahm ES .
Older adults' experience using patient portals in communities: challenges and opportunities.
Comput Inform Nurs 2019 Jan;37(1):4-10. doi: 10.1097/cin.0000000000000476..
Keywords: Clinician-Patient Communication, Communication, Elderly, Electronic Health Records (EHRs), Health Information Technology (HIT), Patient Experience, Web-Based
Berridge C
Breathing room in monitored space: the impact of passive monitoring technology on privacy in independent living.
The author examines articulations of the relationship between privacy and passive monitoring by users and former users of a sensor-based remote monitoring system. This research identifies where boundary intrusion can occur in the use of passive monitoring and how changes to technology design and practice could create opportunities for residents to manage their own boundaries according to their privacy needs.
AHRQ-funded; HS000011.
Citation: Berridge C .
Breathing room in monitored space: the impact of passive monitoring technology on privacy in independent living.
Gerontologist 2016 Oct;56(5):807-16. doi: 10.1093/geront/gnv034.
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Keywords: Care Management, Elderly, Health Information Technology (HIT)
Masterson Creber RM, Hickey KT, Maurer MS
Gerontechnologies for older patients with heart failure: what is the role of smartphones, tablets, and remote monitoring devices in improving symptom monitoring and self-care management?
The authors discussed the role of gerontechnologies, specifically the use of mobile applications available on smartphones and tablets as well as remote monitoring systems, for outpatient disease management among older adults with heart failure.
AHRQ-funded; HS021816.
Citation: Masterson Creber RM, Hickey KT, Maurer MS .
Gerontechnologies for older patients with heart failure: what is the role of smartphones, tablets, and remote monitoring devices in improving symptom monitoring and self-care management?
Curr Cardiovasc Risk Rep 2016 Oct;10(10). doi: 10.1007/s12170-016-0511-8.
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Keywords: Elderly, Telehealth, Health Information Technology (HIT), Heart Disease and Health, Cardiovascular Conditions, Patient Self-Management
Gillespie SM, Shah MN, Wasserman EB
Reducing emergency department utilization through engagement in telemedicine by senior living communities.
High-intensity telemedicine has been shown to reduce the need for emergency department (ED) care for older adult senior living community (SLC) residents with acute illnesses. In this study, the investigators evaluated the effect of SLC engagement in a telemedicine program on ED use rates. The investigators concluded that individuals residing in more engaged SLCs experienced a greater decrease in ED use compared with subjects residing in less engaged SLCs or those without access to high-intensity telemedicine for acute illnesses.
AHRQ-funded; HS018047.
Citation: Gillespie SM, Shah MN, Wasserman EB .
Reducing emergency department utilization through engagement in telemedicine by senior living communities.
Telemed J E Health 2016 Jun;22(6):489-96. doi: 10.1089/tmj.2015.0152..
Keywords: Elderly, Emergency Department, Health Information Technology (HIT), Healthcare Utilization, Patient and Family Engagement, Telehealth
Donovan JL, Kanaan AO, Gurwitz JH
A pilot health information technology-based effort to increase the quality of transitions from skilled nursing facility to home: compelling evidence of high rate of adverse outcomes.
The authors investigated whether or not patients transferred from skilled nursing facilities to home may be at risk for adverse outcomes. They tracked rehospitalization within 30 days after discharge and adverse drug events within 45 days. They concluded that older adults discharged from skilled nursing facilities are at high risk of adverse outcomes immediately following discharge.
AHRQ-funded; HS017817.
Citation: Donovan JL, Kanaan AO, Gurwitz JH .
A pilot health information technology-based effort to increase the quality of transitions from skilled nursing facility to home: compelling evidence of high rate of adverse outcomes.
J Am Med Dir Assoc 2016 Apr;17(4):312-7. doi: 10.1016/j.jamda.2015.11.008.
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Keywords: Health Information Technology (HIT), Transitions of Care, Adverse Events, Elderly, Hospital Readmissions
Shah MN, Wasserman EB, Wang H
High-intensity telemedicine decreases emergency department use by senior living community residents.
The authors evaluated the effect on emergency departrment use of a high-intensity telemedicine program that provides acute illness care for senior living community (SLC) residents. They found that high-intensity telemedicine significantly reduced emergency department use among SLC residents without increasing other utilization or mortality.
AHRQ-funded; HS018047.
Citation: Shah MN, Wasserman EB, Wang H .
High-intensity telemedicine decreases emergency department use by senior living community residents.
Telemed J E Health 2016 Mar;22(3):251-8. doi: 10.1089/tmj.2015.0103.
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Keywords: Elderly, Telehealth, Health Information Technology (HIT), Emergency Department, Healthcare Utilization, Long-Term Care
Wang F, Skubic M, Rantz M
Quantitative gait measurement with pulse-Doppler radar for passive in-home gait assessment.
The researchers proposed and validated a low-cost Doppler radar system for passive and continuous in-home gait assessment. Using signal processing techniques, they estimated human torso velocity and leg swing for step recognition. They found that the radar system has achieved a high accuracy on the step time estimation, while the walking speed estimation is systematically affected by the walking path direction.
AHRQ-funded; HS018477.
Citation: Wang F, Skubic M, Rantz M .
Quantitative gait measurement with pulse-Doppler radar for passive in-home gait assessment.
IEEE Trans Biomed Eng 2014 Sep;61(9):2434-43. doi: 10.1109/tbme.2014.2319333..
Keywords: Health Information Technology (HIT), Patient Safety, Falls, Elderly
Chrischilles EA, Hourcade JP, Doucette W
Personal health records: a randomized trial of effects on elder medication safety.
The purpose of this study was to compare patient-reported medication self-management behaviors and safety indicators among older adult participants invited to use an electronic personal health record (PHR). Among the 16.1 percent of participants who used the PHR frequently, there were significantly more changes in medication use, improved medication reconciliation behaviors, and more recognition of side effects.
AHRQ-funded; HS017034
Citation: Chrischilles EA, Hourcade JP, Doucette W .
Personal health records: a randomized trial of effects on elder medication safety.
J Am Med Inform Assoc. 2014 Jul-Aug;21(4):679-86. doi: 10.1136/amiajnl-2013-002284..
Keywords: Elderly, Medication, Medication: Safety, Health Information Technology (HIT), Patient Safety, Patient Self-Management
Jang Y, Chiriboga DA, Molinari V
Telecounseling for the linguistically isolated: a pilot study with older Korean immigrants.
This study explored the feasibility and preliminary efficacy of a telecounseling program in the client’s native language. Participants who were native Korean language speakers living in Florida showed generally high levels of acceptance and adherence to the telecounseling program. The high retention of the participants may be due to multiple factors including brevity of the program and convenience of the location.
AHRQ-funded; HS020636
Citation: Jang Y, Chiriboga DA, Molinari V .
Telecounseling for the linguistically isolated: a pilot study with older Korean immigrants.
Gerontologist 2014 Apr;54(2):290-6. doi: 10.1093/geront/gns196..
Keywords: Depression, Elderly, Health Information Technology (HIT), Behavioral Health, Racial and Ethnic Minorities, Telehealth
Stone EE, Skubic M, Back J
Automated health alerts from Kinect-based in-home gait measurements.
This paper details initial investigation of a method for automatically generating alerts to clinicians in response to changes in in-home gait parameters. The three case studies discussed illustrate the potential of automated alerts based on in-home gait data for notifying caregivers of changes in an individual's gait that may be indicative of changes in health status.
AHRQ-funded; HS018477.
Citation: Stone EE, Skubic M, Back J .
Automated health alerts from Kinect-based in-home gait measurements.
Conf Proc IEEE Eng Med Biol Soc 2014;2014:2961-4. doi: 10.1109/embc.2014.6944244..
Keywords: Patient Safety, Health Information Technology (HIT), Elderly, Falls