National Healthcare Quality and Disparities Report
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AHRQ Research Studies Date
Topics
- Adverse Events (1)
- Alcohol Use (1)
- Behavioral Health (2)
- Caregiving (1)
- Care Management (1)
- Case Study (1)
- Children/Adolescents (7)
- Chronic Conditions (1)
- Diabetes (2)
- Education (1)
- Electronic Health Records (EHRs) (1)
- Evidence-Based Practice (1)
- Family Health and History (1)
- Healthcare Costs (1)
- Health Information Technology (HIT) (2)
- Health Status (1)
- Hospital Readmissions (1)
- Kidney Disease and Health (2)
- Lifestyle Changes (5)
- Medication (1)
- Nutrition (1)
- Obesity (19)
- (-) Obesity: Weight Management (19)
- Opioids (1)
- Outcomes (3)
- Pain (1)
- Patient-Centered Outcomes Research (1)
- Prevention (2)
- Primary Care (2)
- Primary Care: Models of Care (1)
- Racial and Ethnic Minorities (2)
- Risk (3)
- Screening (1)
- Social Determinants of Health (2)
- Social Stigma (1)
- Stress (1)
- Substance Abuse (1)
- Surgery (6)
- Telehealth (1)
- Transplantation (1)
- U.S. Preventive Services Task Force (USPSTF) (1)
- Women (1)
- Young Adults (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 19 of 19 Research Studies DisplayedConroy MB, McTigue KM, Bryce CL
Effect of electronic health record-based coaching on weight maintenance: a randomized trial.
This study compared long-term weight regain after participation in a weight loss management program using an electronic health record (EHR)-based weight maintenance intervention program. Participants were adult outpatients with a BMI of 25 kg/m2 or higher, had intentional weight loss of at least 5% in the previous 2 years, and had no bariatric procedures in the previous 5 years. The EHR tools included weight, diet and physical activity tracking sheets, standardized surveys and reminders. Patients were randomly assigned to the coaching or non-coaching group. They were tracked for 24 months with 24 scheduled contacts. Results showed patients who used the EHR tools plus coaching had less weight regain than patients using EHR tools alone.
AHRQ-funded; HS021162.
Citation: Conroy MB, McTigue KM, Bryce CL .
Effect of electronic health record-based coaching on weight maintenance: a randomized trial.
Ann Intern Med 2019 Dec 3;171(11):777-84. doi: 10.7326/m18-3337..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Obesity: Weight Management, Obesity, Lifestyle Changes
Dolan PT, Afaneh C, Dakin G
Lessons learned from developing a mobile app to assist in patient recovery after weight loss surgery.
This study examines the outcomes of patients recovering from weight loss surgery using a newly developed mobile app to help them recover successfully. The enrolled patients used the app for 30 days from July 2017 to October 2018. As the app was being used, it was updated. Ten patients were enrolled in the trial period with four using the initial version and six with the updated version. All patients were satisfied with the app and liked the notifications of updates. In the trial version only one patient completed at least 70% of the surveys, but five completed the surveys for the updated version. Next steps for the researchers is to conduct a pilot study with a larger set of patients.
AHRQ-funded; HS000066.
Citation: Dolan PT, Afaneh C, Dakin G .
Lessons learned from developing a mobile app to assist in patient recovery after weight loss surgery.
J Surg Res 2019 Dec;244:402-08. doi: 10.1016/j.jss.2019.06.063..
Keywords: Obesity: Weight Management, Obesity, Surgery, Telehealth, Health Information Technology (HIT)
Fitzsimmons-Craft EE, Eichen DM, Kass AE
Reciprocal longitudinal relations between weight/shape concern and comorbid pathology among women at very high risk for eating disorder onset.
This study examined short-term reciprocal longitudinal relations between weight/shape concern and comorbid symptoms and behaviors over the course of 24 months using cross-lagged panel models. Subjects were women 18-25 years old at high risk for onset of an eating disorder (ED), randomized to an online ED preventive intervention or waitlist control. Results supported focusing intervention on reducing weight/shape concern over reducing comorbid constructs for efficient short-term change.
AHRQ-funded; HS00078.
Citation: Fitzsimmons-Craft EE, Eichen DM, Kass AE .
Reciprocal longitudinal relations between weight/shape concern and comorbid pathology among women at very high risk for eating disorder onset.
Eat Weight Disord 2019 Dec;24(6):1189-98. doi: 10.1007/s40519-017-0469-7..
Keywords: Obesity, Obesity: Weight Management, Women, Risk, Behavioral Health, Young Adults
Montgomery JR, Waits SA, Dimick JB
Risks of bariatric surgery among patients with end-stage renal disease.
Pretransplant morbid obesity among patients with end-stage renal disease (ESRD) is a significant predictor of delayed access to transplant and inferior posttransplant patient and kidney allograft outcomes. In this study, the authors performed an analysis of perioperative safety of bariatric surgery in obese patients with ESRD using a national registry capturing greater than 95% of bariatric operations.
AHRQ-funded; HS025778.
Citation: Montgomery JR, Waits SA, Dimick JB .
Risks of bariatric surgery among patients with end-stage renal disease.
JAMA Surg 2019 Dec;154(12):1160-62. doi: 10.1001/jamasurg.2019.2824..
Keywords: Surgery, Obesity, Obesity: Weight Management, Kidney Disease and Health, Transplantation, Risk, Chronic Conditions
Gibbs BB, Tudorascu D, Bryce CL
Lifestyle habits associated with weight regain after intentional loss in primary care patients participating in a randomized trial.
This study examined lifestyle habits associated with weight regain at 6 and 24 months after intentional loss in primary care patients. This randomized trial used adult primary care patients who had a recent weight loss of at least 5%. Lifestyle habits measured using the Connor Diet Habit Survey included consumption of low-fat foods, fish, desserts, sugary beverages, fruits and vegetables and eating at restaurants; moderate-vigorous physical activity by self-report; steps recorded on a pedometer; and sedentary behavior by self-report. Participants had a mean age of 53.4 years, were 26% male and 88% white. Overall, they maintained weight loss at 6 months, but began to regain weight at 24 months. The habits most attributed to weight regain included more eating at restaurants, less fish consumption, and less physical activity. More sedentary behavior was associated with weight regain at 6 months, and reduced consumption of low-fat foods and more desserts and sugary beverages were associated with weight regain at 24 months.
AHRQ-funded; HS021162.
Citation: Gibbs BB, Tudorascu D, Bryce CL .
Lifestyle habits associated with weight regain after intentional loss in primary care patients participating in a randomized trial.
J Gen Intern Med 2020 Nov;35(11):3227-33. doi: 10.1007/s11606-020-06056-x..
Keywords: Obesity: Weight Management, Obesity, Lifestyle Changes, Primary Care, Nutrition
Turer CB, Barlow SE, Sarwer DB
Association of clinician behaviors and weight change in school-aged children.
This study used clinical practice data to determine whether recommended weight management clinician behaviors were associated with weight status improvement in children aged 6-12 years who are overweight or obese. Electronic health record data (2009-2014) from 52 clinics were used. Weight status was examined from 1 visit to the next as dichotomous improvement (versus worsening or no change) and change in percentage overweight (over sex/age-specific BMI95).
AHRQ-funded; HS022418.
Citation: Turer CB, Barlow SE, Sarwer DB .
Association of clinician behaviors and weight change in school-aged children.
Am J Prev Med 2019 Sep;57(3):384-93. doi: 10.1016/j.amepre.2019.04.029..
Keywords: Children/Adolescents, Obesity, Obesity: Weight Management, Outcomes, Patient-Centered Outcomes Research
Campbell AD, Baker EH
Do income inequalities in higher weight status depend on social integration?
In this study, the investigators use data from the 2003-2008 National Health and Nutrition Examination Survey (NHANES) to examine whether the association between higher weight status and social integration varies by income. The investigators concluded that the association between income and higher weight status operates differently for women and men and is dependent, in part, on their level of social integration.
AHRQ-funded; HS013852.
Citation: Campbell AD, Baker EH .
Do income inequalities in higher weight status depend on social integration?
Soc Sci Res 2019 Sep;83:102301. doi: 10.1016/j.ssresearch.2019.04.014..
Keywords: Health Status, Obesity, Obesity: Weight Management, Social Determinants of Health
Drouin O, Sharifi M, Gerber M
Parents' willingness to pay for pediatric weight management programs.
This study examined parents’ interested in continuing and willingness to pay (WTP) for 2 pediatric weight management programs after their childrens’ participation. Participants were parents of 2- to 12-year-old children with a body mass index equal to or greater than the 85th percentile who participated in the Connect for Health trial. One group received enhanced primary care (EPC) and the other group EPC plus individualized coaching (EPC+C). After 1 year, they assessed parents’ self-reported WTP for a similar program and the maximum amount they would pay. Of 638 parents polled, 85% were interested in continuing and 38% of them were willing to pay. The median amount they were willing to pay was $25/month. Parents of Hispanic/Latino children versus white ethnicity and those reporting a higher satisfaction with the program more most likely to endorse WTP. Parents of children getting EPC+C were also more willing to pay.
AHRQ-funded; HS024332; HS022986.
Citation: Drouin O, Sharifi M, Gerber M .
Parents' willingness to pay for pediatric weight management programs.
Acad Pediatr 2019 Sep - Oct;19(7):764-72. doi: 10.1016/j.acap.2019.05.124..
Keywords: Children/Adolescents, Obesity: Weight Management, Obesity, Healthcare Costs, Caregiving, Primary Care, Primary Care: Models of Care
Sheetz KH, Woodside KJ, Shahinian VB
Trends in bariatric surgery procedures among patients with ESKD in the United States.
This study examined trends in bariatric surgery among patients with end-stage kidney disease (ESKD) in the United States. There was an almost ninefold increase in surgery between 2006 and 2016 for ESKD patients and also for sleeve gastrectomy surgery. ESKD patients showed similar complication rates compared with non-ESKD patients, but there were more readmissions.
AHRQ-funded; HS023597; HS000053.
Citation: Sheetz KH, Woodside KJ, Shahinian VB .
Trends in bariatric surgery procedures among patients with ESKD in the United States.
Clin J Am Soc Nephrol 2019 Aug 7;14(8):1193-99. doi: 10.2215/cjn.01480219..
Keywords: Obesity, Surgery, Kidney Disease and Health, Obesity: Weight Management, Hospital Readmissions, Adverse Events, Outcomes
Smith ME, Lee JS, Bonham A
Effect of new persistent opioid use on physiologic and psychologic outcomes following bariatric surgery.
In this study, the investigators sought to determine the relationship between new persistent opioid use and 1-year postoperative outcomes for patients undergoing bariatric surgery. The investigators concluded that new persistent opioid use is common following bariatric surgery and associated with significantly worse physiologic and psychologic outcomes. More effective screening and postoperative surveillance tools are needed to identify these patients, who likely require more aggressive counseling and treatment to maximize the benefits of bariatric surgery.
AHRQ-funded; HS024403.
Citation: Smith ME, Lee JS, Bonham A .
Effect of new persistent opioid use on physiologic and psychologic outcomes following bariatric surgery.
Surg Endosc 2019 Aug;33(8):2649-56. doi: 10.1007/s00464-018-6542-0..
Keywords: Opioids, Surgery, Medication, Obesity: Weight Management, Obesity, Obesity: Weight Management, Pain, Outcomes
Ibrahim N, Alameddine M, Brennan J
New onset alcohol use disorder following bariatric surgery.
Researchers sought to characterize the patients and incidence of alcohol use disorder (AUD) following sleeve gastrectomy (SG) compared to Roux-en-Y gastric bypass (RYGB). They found that the prevalence of alcohol use disorder in patients undergoing SG and RYGB was similar pre- and postoperatively, with the majority of patients developing AUD following their second postoperative year. The authors recommended understanding the timing and incidence of AUD in order to provide appropriate counseling and treatment.
AHRQ-funded; HS023621; HS024403.
Citation: Ibrahim N, Alameddine M, Brennan J .
New onset alcohol use disorder following bariatric surgery.
Surg Endosc 2019 Aug;33(8):2521-30. doi: 10.1007/s00464-018-6545-x..
Keywords: Alcohol Use, Behavioral Health, Obesity, Obesity: Weight Management, Substance Abuse, Surgery
Mabry-Hernandez I, Ojeda LC
AHRQ Author: Mabry-Hernandez I
Behavioral weight loss interventions to prevent obesity-related morbidity and mortality in adults.
This Putting Prevention Into Practice (PPIP) case-study quiz illustrates the recommendations of the U.S. Preventive Services Task Force on Behavioral Weight Loss Interventions to Prevent Obesity-Related Morbidity and Mortality in Adults. Three questions were created about a 32-year old women presents with normal blood glucose levels, but has a BMI of 34. The answers are given below the quiz which illustrate the recommendations that were given.
AHRQ-authored.
Citation: Mabry-Hernandez I, Ojeda LC .
Behavioral weight loss interventions to prevent obesity-related morbidity and mortality in adults.
Am Fam Physician 2019 Apr 15;99(8):515-16..
Keywords: Case Study, Obesity, Obesity: Weight Management, Screening, U.S. Preventive Services Task Force (USPSTF)
Baskind MJ, Taveras EM, Gerber MW
Parent-perceived stress and its association with children's weight and obesity-related behaviors.
Psychosocial stress is associated with obesity in adult and pediatric populations, but few studies have examined the relationship between parent-perceived stress and risk of child obesity and related behaviors. In this study, the investigators studied 689 pairs of parents and children aged 2 to 12 in Massachusetts with a body mass index (BMI) at or above the 85th percentile. The investigators found that among children with overweight or obesity, parent-perceived stress was associated with fast-food consumption and physical activity.
AHRQ-funded; HS024332; HS022986.
Citation: Baskind MJ, Taveras EM, Gerber MW .
Parent-perceived stress and its association with children's weight and obesity-related behaviors.
Prev Chronic Dis 2019 Mar 28;16:E39. doi: 10.5888/pcd16.180368..
Keywords: Children/Adolescents, Family Health and History, Lifestyle Changes, Obesity, Obesity: Weight Management, Risk, Stress
Dolan P, Afaneh C, Symer M
Assessment of public attitudes toward weight loss surgery in the United States.
The authors designed a national cross-sectional survey to assess attitudes toward weight loss surgery in the US general population. Their survey results suggested that a large percentage of the population has negative attitudes toward weight loss surgery, including men and non-Hispanic black respondents, who were more likely to think that people who chose weight loss surgery were taking the easy way out. The authors recommended further research with respect to normalizing weight loss surgery as a reasonable option for managing obesity.
AHRQ-funded; HS000066.
Citation: Dolan P, Afaneh C, Symer M .
Assessment of public attitudes toward weight loss surgery in the United States.
JAMA Surg 2019 Mar;154(3):264-66. doi: 10.1001/jamasurg.2018.4650..
Keywords: Obesity: Weight Management, Obesity, Surgery, Social Stigma
Whooten R, Kerem L, Stanley T
Physical activity in adolescents and children and relationship to metabolic health.
The purpose of this review was to summarize recent developments relating to the role of physical activity in insulin resistance and increased metabolic health in children and adolescents. Recent findings confirm the role of physical activity in decreasing insulin resistance and metabolic syndrome, but the authors note that the current literature is limited by unstandardized research methods and definitions. Future research that addresses these issues in order to offer targeted physical activity interventions is recommended.
AHRQ-funded; HS000063.
Citation: Whooten R, Kerem L, Stanley T .
Physical activity in adolescents and children and relationship to metabolic health.
Curr Opin Endocrinol Diabetes Obes 2019 Feb;26(1):25-31. doi: 10.1097/med.0000000000000455..
Keywords: Children/Adolescents, Diabetes, Lifestyle Changes, Obesity, Obesity: Weight Management
Bramante CT, Thornton RLJ, Bennett WL
Systematic review of natural experiments for childhood obesity prevention and control.
This article reviews the effectiveness of population-level policies and programs from natural experiments for childhood obesity prevention. A search of PubMed, CINAHL, PsycINFO, and EconLit from 2000 to 2017 sought studies about policies evaluated by natural experiments reporting childhood BMI outcomes. Interventions were classified by environmental focus and stratified by setting; risk of bias was evaluated for each study. Most of the studies evaluated took place in a school setting. The most common environmental focus in any setting was food/beverage. All four of the studies that focused on food/beverage and physical activity in schools showed decreased prevalence of overweight/obesity in the subjects. BMI decreased in all four studies in both school and community settings. The authors note that while school-based policies focusing on both food/beverage and physical activity environments showed consistent improvement in BMI, most of these studies had high risk of bias. Improved methods for the evaluation of natural experiments for childhood obesity prevention are needed.
AHRQ-funded; 290201200007I.
Citation: Bramante CT, Thornton RLJ, Bennett WL .
Systematic review of natural experiments for childhood obesity prevention and control.
Am J Prev Med 2019 Jan;56(1):147-58. doi: 10.1016/j.amepre.2018.08.023..
Keywords: Children/Adolescents, Evidence-Based Practice, Obesity, Obesity: Weight Management, Prevention
Aldrich H, Gance-Cleveland B, Schmiege S
School-based health center providers' treatment of overweight children.
The purpose of this study was to determine self-reported treatment practices of school-based health center (SBHC) providers when caring for overweight/obese children. SBHC providers reported patient/parent barriers to be more significant to treatment than clinician/setting barriers. Most providers (97%) indicated childhood overweight needs treatment, yet only 36% indicated that they initiate treatment in children who do not want to control their weight. SBHC providers also did not commonly refer these children to specialists.
AHRQ-funded; HS018646.
Citation: Aldrich H, Gance-Cleveland B, Schmiege S .
School-based health center providers' treatment of overweight children.
J Pediatr Nurs 2014 Nov-Dec;29(6):521-7. doi: 10.1016/j.pedn.2014.05.007.
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Keywords: Care Management, Children/Adolescents, Education, Obesity, Prevention, Obesity: Weight Management
McCormick EV, Dickinson LM, Haemer MA
What can providers learn from childhood body mass index trajectories: a study of a large, safety-net clinical population.
The investigators described childhood weight gain using body mass index (BMI) z-score trajectories in a low-income urban safety-net population and identified among gender- and race/ethnicity-specific groups any trends for increased risk. They found that all gender and race/ethnicity subgroups showed increasing average BMI z-scores during childhood, with Hispanic boys and black girls showing the most significant increase during this observation period. They further found that many obese children were already overweight by age 3, and persistence of obesity after 3 years of age was high. They concluded that intervention before age 3 may be essential to curbing unhealthy weight trajectories.
AHRQ-funded; HS021138.
Citation: McCormick EV, Dickinson LM, Haemer MA .
What can providers learn from childhood body mass index trajectories: a study of a large, safety-net clinical population.
Acad Pediatr 2014 Nov-Dec;14(6):639-45. doi: 10.1016/j.acap.2014.06.009.
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Keywords: Children/Adolescents, Obesity, Racial and Ethnic Minorities, Social Determinants of Health, Obesity: Weight Management
Sorkin DH, Mavandadi S, Rook KS
AHRQ Author: Ngo-Metzger Q
Dyadic collaboration in shared health behavior change: the effects of a randomized trial to test a lifestyle intervention for high-risk Latinas.
The authors sought to evaluate the feasibility of a pilot, dyad-based lifestyle intervention, the Unidas por la Vida program, for improving weight loss and dietary intake among high-risk Mexican American mothers with Type 2 diabetes and their overweight/obese adult daughters. They found that, at 16 weeks, Unidas participants lost significantly more weight compared with the control participants, and intervention participants also were more likely to be eating foods with lower glycemic load and less saturated fat. They concluded that interventions that draw upon multiple people who share a health-risk have the potential to foster significant changes in lifestyle behaviors and in social network members' health-related involvement.
AHRQ-authored.
Citation: Sorkin DH, Mavandadi S, Rook KS .
Dyadic collaboration in shared health behavior change: the effects of a randomized trial to test a lifestyle intervention for high-risk Latinas.
Health Psychol 2014 Jun;33(6):566-75. doi: 10.1037/hea0000063.
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Keywords: Diabetes, Lifestyle Changes, Obesity, Racial and Ethnic Minorities, Obesity: Weight Management