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Research Studies is a monthly compilation of research articles funded by AHRQ or authored by AHRQ researchers and recently published in journals or newsletters.
Results1 to 10 of 10 Research Studies Displayed
King HA, Jeffreys AS, McVay MA
Spouse health behavior outcomes from a randomized controlled trial of a spouse-assisted lifestyle change intervention to improve patient low-density lipoprotein cholesterol.
The authors evaluated spouse health behavior outcomes from a randomized controlled trial of a spouse-assisted lifestyle intervention to reduce patient low-density lipoprotein cholesterol and improve patient health behaviors. Participants were 251 spouses of patients from the Durham Veterans Affairs Medical Center. At 11 months, there were no differences in spouse outcomes between intervention and usual care groups for moderate intensity physical activity or dietary intake. To improve spouse outcomes, the authors recommended couple interventions to include spouse behavior change goals and reciprocal support between patients and spouses.
Citation: King HA, Jeffreys AS, McVay MA . Spouse health behavior outcomes from a randomized controlled trial of a spouse-assisted lifestyle change intervention to improve patient low-density lipoprotein cholesterol. J Behav Med 2014 Dec;37(6):1102-7. doi: 10.1007/s10865-014-9559-4.
Keywords: Heart Disease and Health, Family Health and History, Lifestyle Changes, Patient-Centered Outcomes Research
Shaikh U, Nettiksimmons J, Joseph JG
Collaborative practice improvement for childhood obesity in rural clinics: the Healthy Eating Active Living Telehealth Community of Practice (HEALTH COP).
The authors assessed the impact of participation in a virtual quality improvement (QI) learning network on adherence to clinical guidelines for childhood obesity prevention in rural clinics. They found that children who received care from clinicians who led the implementation of the intervention at their clinic showed significant improvements in nutrition and physical activity. Virtual QI learning networks in geographically dispersed clinics can significantly increase clinicians' adherence to guidelines for childhood obesity and improve access to recommended care for rural and underserved children.
Citation: Shaikh U, Nettiksimmons J, Joseph JG . Collaborative practice improvement for childhood obesity in rural clinics: the Healthy Eating Active Living Telehealth Community of Practice (HEALTH COP). Am J Med Qual 2014 Nov-Dec;29(6):467-75. doi: 10.1177/1062860613506252.
Keywords: Children/Adolescents, Evidence-Based Practice, Health Information Technology (HIT), Lifestyle Changes, Nutrition, Obesity, Prevention, Quality Improvement, Rural Health, Telehealth
Patel M, Phillips-Caesar E, Boutin-Foster C
Attitudes and beliefs regarding cardiovascular risk factors among Bangladeshi immigrants in the US.
The researchers conducted a qualitative study using individual in-depth interviews to explore attitudes towards and difficulties with modifying cardiovascular disease related behaviors among a Bangladeshi cohort. Bangladeshi individuals in this study cited a combination of internal and external factors as barriers to lifestyle modification. The authors recommended interventions to address these barriers that simultaneously address self-efficacy and work-life balance.
Citation: Patel M, Phillips-Caesar E, Boutin-Foster C . Attitudes and beliefs regarding cardiovascular risk factors among Bangladeshi immigrants in the US. J Immigr Minor Health 2014 Oct;16(5):994-1000. doi: 10.1007/s10903-013-9868-7.
Keywords: Cardiovascular Conditions, Lifestyle Changes, Racial / Ethnic Minorities, Risk
Richards MR, Marti J
Heterogeneity in the smoking response to health shocks by out-of-pocket spending risk.
Using longitudinal data from 11 European countries, the researchers investigated the impact of a new cardiovascular (CV) health shock on smoking decisions among older adults and examine whether personal exposure to medical spending risk influences the smoking response. They found that CV shocks impact the propensity to smoke, with relatively more impact among individuals with high financial risk exposure to medical spending.
Citation: Richards MR, Marti J . Heterogeneity in the smoking response to health shocks by out-of-pocket spending risk. Health Econ Policy Law 2014 Oct;9(4):343-57. doi: 10.1017/s1744133114000152..
Keywords: Cardiovascular Conditions, Tobacco Use, Lifestyle Changes, Health Insurance, Social Determinants of Health
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.
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.
Keywords: Communication, Education: Patient and Caregiver, Health Promotion, Lifestyle Changes, Social Media, Tobacco Use
Leung LA, Swaminathan S, Trivedi AN
Diabetes diagnosis and exercise initiation among older Americans.
The investigators sought to determine whether exercise participation increased following a new diagnosis of diabetes using a sample of U.S. individuals aged 50 and over who did not report exercise prior to diagnosis. They found that over 35% of persons with a new diagnosis of diabetes initiated moderate or vigorous exercise in the year following their diagnosis.
Citation: Leung LA, Swaminathan S, Trivedi AN . Diabetes diagnosis and exercise initiation among older Americans. Prev Med 2014 Aug;65:128-32. doi: 10.1016/j.ypmed.2014.05.001.
Keywords: Diabetes, Diagnostic Safety and Quality, Elderly, Lifestyle Changes, Patient Self-Management
Voils CI, Gierisch JM, Yancy WS, Jr.
Differentiating behavior initiation and maintenance: theoretical framework and proof of concept.
The authors posited that health behavior initiation and maintenance require separate psychological processes and skills. They found evidence of improvement in dietary intake and of maintenance of physical activity and low-density lipoprotein cholesterol during the 4-month maintenance study. Participants found it helpful to plan for relapses, self-monitor, and obtain social support, but they had mixed reactions about reflecting on satisfaction with outcomes.
Citation: Voils CI, Gierisch JM, Yancy WS, Jr. . Differentiating behavior initiation and maintenance: theoretical framework and proof of concept. Health Educ Behav 2014 Jun;41(3):325-36. doi: 10.1177/1090198113515242.
Keywords: Behavioral Health, Heart Disease and Health, Lifestyle Changes, Nutrition, Veterans
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.
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.
Keywords: Diabetes, Lifestyle Changes, Obesity, Racial / Ethnic Minorities, Obesity: Weight Management
Hendrix KS, Carroll AE, Downs SM
Screen exposure and body mass index status in 2- to 11-year-old children.
This study was designed to test whether screen exposure predicts pediatric obesity risk in 2- to 11-year-old children. It found that having a TV in the bedroom was significantly related to an increased risk for BMI percentile greater than 85. However, it did not find that same association for watching more than 2 hours of TV or computer a day.
AHRQ-funded; HS017939; HS018453; HS020640
Citation: Hendrix KS, Carroll AE, Downs SM . Screen exposure and body mass index status in 2- to 11-year-old children. Clin Pediatr. 2014 Jun;53(6):593-600. doi: 10.1177/0009922814526973..
Keywords: Children/Adolescents, Obesity, Lifestyle Changes
Anand V, Downs SM, Bauer NS
Prevalence of infant television viewing and maternal depression symptoms.
This study evaluated how the risk of very early TV viewing by infants relates to the mother’s reported symptoms of depression. It found that TV viewing by infants increased by almost 50 percent with maternal report of depression symptoms.
AHRQ-funded; HS018453; HS017939
Citation: Anand V, Downs SM, Bauer NS . Prevalence of infant television viewing and maternal depression symptoms. J Dev Behav Pediatr. 2014 Apr;35(3):216-24. doi: 10.1097/dbp.0000000000000035..
Keywords: Newborns/Infants, Depression, Risk, Lifestyle Changes