National Healthcare Quality and Disparities Report
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Search All Research Studies
AHRQ Research Studies Date
Topics
- Ambulatory Care and Surgery (1)
- Arthritis (1)
- Behavioral Health (3)
- Care Management (2)
- Children/Adolescents (2)
- Clinical Decision Support (CDS) (1)
- Clinician-Patient Communication (1)
- Comparative Effectiveness (2)
- Diabetes (5)
- Diagnostic Safety and Quality (1)
- Disparities (2)
- Education: Patient and Caregiver (1)
- Elderly (1)
- Electronic Health Records (EHRs) (1)
- Family Health and History (1)
- Health Information Technology (HIT) (2)
- Health Promotion (1)
- Heart Disease and Health (1)
- Human Immunodeficiency Virus (HIV) (1)
- Lifestyle Changes (5)
- Maternal Care (1)
- Medical Expenditure Panel Survey (MEPS) (1)
- Medicare (1)
- Medication (3)
- Newborns/Infants (2)
- Nutrition (3)
- Obesity (14)
- (-) Obesity: Weight Management (21)
- Outcomes (5)
- Patient-Centered Outcomes Research (2)
- Patient Adherence/Compliance (1)
- Policy (1)
- Pregnancy (2)
- Provider Performance (1)
- Quality of Care (1)
- Racial and Ethnic Minorities (3)
- Social Media (1)
- Social Stigma (1)
- Surgery (3)
- Women (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 21 of 21 Research Studies DisplayedAschbrenner KA, Naslund JA, Bartels SJ
A mixed methods study of peer-to-peer support in a group-based lifestyle intervention for adults with serious mental illness.
The authors explored peer-to-peer support among individuals participating in a group lifestyle intervention that included social media to enhance in-person weight management sessions. They found that participants described how shared learning and group problem-solving activities fostered friendships and provided essential support for health behavior change, while sharing information, personal successes and challenges, and "being in the same boat" as other group members were key features of peer-to-peer support.
AHRQ-funded; HS021695.
Citation: Aschbrenner KA, Naslund JA, Bartels SJ .
A mixed methods study of peer-to-peer support in a group-based lifestyle intervention for adults with serious mental illness.
Psychiatr Rehabil J 2016 Dec;39(4):328-34. doi: 10.1037/prj0000219.
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Keywords: Lifestyle Changes, Lifestyle Changes, Behavioral Health, Obesity: Weight Management
Varban OA, Greenberg CC, Schram J
Surgical skill in bariatric surgery: Does skill in one procedure predict outcomes for another?
Whether skill for one bariatric procedure can predict outcomes for another related procedure is unknown. This study found that video ratings of surgical skill with laparoscopic gastric bypass do not predict outcomes of laparoscopic sleeve gastrectomy. Evaluation of surgical skill with one procedure may not apply to other related procedures and may require independent assessment of surgical technical proficiency.
AHRQ-funded; R01 HS023597.
Citation: Varban OA, Greenberg CC, Schram J .
Surgical skill in bariatric surgery: Does skill in one procedure predict outcomes for another?
Surgery 2016 Nov;160(5):1172-81. doi: 10.1016/j.surg.2016.04.033.
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Keywords: Surgery, Obesity: Weight Management, Obesity, Outcomes, Provider Performance
Herrin M, Tate JP, Akgun KM
Weight gain and incident diabetes among HIV-infected veterans initiating antiretroviral therapy compared with uninfected individuals.
The authors used data from the Veterans Aging Cohort Study to determine whether weight gain after antiretroviral therapy has a similar association with incident type 2 diabetes mellitus as weight gained among HIV-uninfected individuals. They found that weight gained during the first year after antiretroviral therapy initiation is associated with greater risk of diabetes mellitus than that among uninfected individuals.
AHRQ-funded; HS018372.
Citation: Herrin M, Tate JP, Akgun KM .
Weight gain and incident diabetes among HIV-infected veterans initiating antiretroviral therapy compared with uninfected individuals.
J Acquir Immune Defic Syndr 2016 Oct 1;73(2):228-36. doi: 10.1097/qai.0000000000001071.
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Keywords: Diabetes, Human Immunodeficiency Virus (HIV), Medication, Obesity: Weight Management
Aschbrenner KA, Naslund JA, Shevenell M
Feasibility of behavioral weight loss treatment enhanced with peer support and mobile health technology for individuals with serious mental illness.
This pilot study evaluated the feasibility of a behavioral weight loss intervention enhanced with peer support and mobile health (mHealth) technology for obese individuals with serious mental illness (SMI). Feasibility was assessed by program attendance, and participant satisfaction and suggestions for improving the model. It found that overall attendance amounted to approximately half of weekly sessions, with participants suggesting a number of modifications.
AHRQ-funded; HS021695.
Citation: Aschbrenner KA, Naslund JA, Shevenell M .
Feasibility of behavioral weight loss treatment enhanced with peer support and mobile health technology for individuals with serious mental illness.
Psychiatr Q 2016 Sep;87(3):401-15. doi: 10.1007/s11126-015-9395-x.
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Keywords: Health Information Technology (HIT), Behavioral Health, Obesity: Weight Management, Obesity
Fischer HH, Fischer IP, Pereira RI
Text message support for weight loss in patients with prediabetes: a randomized clinical trial.
This study explores whether text message support enhances weight loss in patients offered Diabetes Prevention Program (DPP) classes. Stratification by language demonstrated a significant treatment effect in Spanish speakers but not in English speakers. It concluded that text message support can lead to clinically significant weight loss in patients with prediabetes.
AHRQ-funded; HS022143.
Citation: Fischer HH, Fischer IP, Pereira RI .
Text message support for weight loss in patients with prediabetes: a randomized clinical trial.
Diabetes Care 2016 Aug;39(8):1364-70. doi: 10.2337/dc15-2137.
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Keywords: Diabetes, Obesity, Patient-Centered Outcomes Research, Social Media, Obesity: Weight Management
Aschbrenner KA, Mueser KT, Naslund JA
Feasibility study of increasing social support to enhance a healthy lifestyle intervention for individuals with serious mental illness.
The authors assessed the feasibility of increasing support from family and friends to enhance a healthy lifestyle intervention (In SHAPE) adapted for individuals with serious mental illness. They found that participants reported high satisfaction and perceived benefits from the program, showing that the study design is feasible and that the intervention can facilitate social support for health behavior change in people with serios mental illness.
AHRQ-funded; HS021695.
Citation: Aschbrenner KA, Mueser KT, Naslund JA .
Feasibility study of increasing social support to enhance a healthy lifestyle intervention for individuals with serious mental illness.
J Soc Social Work Res 2016 Summer;7(2):289-313. doi: 10.1086/686486.
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Keywords: Health Promotion, Lifestyle Changes, Behavioral Health, Nutrition, Obesity: Weight Management
Ehrlich SF, Sternfeld B, Krefman AE
Moderate and vigorous intensity exercise during pregnancy and gestational weight gain in women with gestational diabetes.
The researchers estimated the associations of exercise intensity during pregnancy with the rate of gestational weight gain (GWG) from gestational diabetes (GDM) diagnosis to delivery. Upon stratification by prepregnancy overweight/obesity, they found that significant associations were only observed for BMI greater than or equal to 25.0. There were no associations observed for moderate intensity exercise.
AHRQ-funded; HS019367.
Citation: Ehrlich SF, Sternfeld B, Krefman AE .
Moderate and vigorous intensity exercise during pregnancy and gestational weight gain in women with gestational diabetes.
Matern Child Health J 2016 Jun;20(6):1247-57. doi: 10.1007/s10995-016-1926-z.
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Keywords: Diabetes, Lifestyle Changes, Obesity, Obesity: Weight Management, Outcomes, Patient-Centered Outcomes Research, Pregnancy, Women
Scally CP, Varban OA, Carlin AM
Video ratings of surgical skill and late outcomes of bariatric surgery.
The authors sought to study the association between surgical skill and long-term outcomes of bariatric surgery. They found that surgical skill did not affect postoperative weight loss or resolution of medical comorbidities at 1 year after laparoscopic gastric bypass. They suggested that long-term outcomes after bariatric surgery may be less dependent on a surgeon's operative skill and instead be driven by other factors.
AHRQ-funded; HS023597.
Citation: Scally CP, Varban OA, Carlin AM .
Video ratings of surgical skill and late outcomes of bariatric surgery.
JAMA Surg 2016 Jun 15;151(6):e160428. doi: 10.1001/jamasurg.2016.0428.
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Keywords: Surgery, Obesity: Weight Management, Obesity, Quality of Care, Outcomes
Pellegrini CA, Song J, Chang RW
Change in physical activity and sedentary time associated with 2-year weight loss in obese adults with osteoarthritis.
The investigators examined if changes in moderate-to-vigorous physical activity (MVPA), light activity, and sedentary behavior are related to weight change over a 2-year period in obese adults with elevated risk for knee osteoarthritis. They found that small increases in MVPA and decreases in sedentary time over 2 years were associated with weight loss among adults with obesity and with or at elevated risk for knee osteoarthritis.
AHRQ-funded; HS023011.
Citation: Pellegrini CA, Song J, Chang RW .
Change in physical activity and sedentary time associated with 2-year weight loss in obese adults with osteoarthritis.
J Phys Act Health 2016 May;13(5):461-6. doi: 10.1123/jpah.2015-0404.
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Keywords: Lifestyle Changes, Obesity, Arthritis, Obesity: Weight Management
Reid AE, Rosenthal L, Earnshaw VA
Discrimination and excessive weight gain during pregnancy among Black and Latina young women.
The researchers examined the influence of discrimination, a culturally relevant stressor, on odds of gaining weight beyond Institute of Medicine recommendations during pregnancy. They found that ever experiencing discrimination was associated with a 71 percent increase in the odds of excessive weight gain.
AHRQ-funded; HS022986.
Citation: Reid AE, Rosenthal L, Earnshaw VA .
Discrimination and excessive weight gain during pregnancy among Black and Latina young women.
Soc Sci Med 2016 May;156:134-41. doi: 10.1016/j.socscimed.2016.03.012..
Keywords: Disparities, Obesity: Weight Management, Pregnancy, Racial and Ethnic Minorities, Social Stigma
Servan-Mori E, Sosa-Rubi SG, Najera-Leon E
Timeliness, frequency and content of antenatal care: which is most important to reducing indigenous disparities in birth weight in Mexico?
The authors estimated the potential for added weight gain among indigenous infants if their mothers received timely, frequent, and complete antenatal care (ANC). They found that the frequency of ANC was positively associated with birth weight for all women but complete ANC appears to differentially affect indigenous women at the bottom of the birth weight distribution.
AHRQ-funded; HS017582.
Citation: Servan-Mori E, Sosa-Rubi SG, Najera-Leon E .
Timeliness, frequency and content of antenatal care: which is most important to reducing indigenous disparities in birth weight in Mexico?
Health Policy Plan 2016 May;31(4):444-53. doi: 10.1093/heapol/czv082.
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Keywords: Disparities, Maternal Care, Racial and Ethnic Minorities, Newborns/Infants, Obesity: Weight Management
Yang HY, Chen HJ, Marsteller JA
AHRQ Author: Liang L
Patient-health care professional gender or race/ethnicity concordance and its association with weight-related advice in the United States.
This study examined association between adult patients' and health care providers' (HCPs) gender or race/ethnicity concordance and patients' reported receiving weight-related advice from HCP's in USA. It found that patient/HCP gender or race/ethnicity concordance was not positively associated with HCPs providing weight-related advice. Patients with female HCPs or with racial/ethnic discordant HCPs (especially black or Asian HCPs) were more likely to receive advice.
AHRQ-authored.
Citation: Yang HY, Chen HJ, Marsteller JA .
Patient-health care professional gender or race/ethnicity concordance and its association with weight-related advice in the United States.
Patient Educ Couns 2016 Feb;99(2):271-8. doi: 10.1016/j.pec.2015.08.030.
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Keywords: Medical Expenditure Panel Survey (MEPS), Racial and Ethnic Minorities, Obesity, Obesity: Weight Management, Clinician-Patient Communication
Boles RE, Yun L, Hambidge SJ, et al.
Influencing the home food and activity environment of families of preschool children receiving home-based treatment for obesity.
The goal of this study was to characterize the home food and activity environments of overweight and obese preschool-aged children from low socioeconomic status Latino families. It showed that despite a small, but significant reduction in preschool BMI for a subsample, families showed little change in the home food and activity environment.
AHRQ-funded; HS021138.
Citation: Boles RE, Yun L, Hambidge SJ, et al..
Influencing the home food and activity environment of families of preschool children receiving home-based treatment for obesity.
Clin Pediatr 2015 Dec;54(14):1387-90. doi: 10.1177/0009922815570614..
Keywords: Obesity, Children/Adolescents, Nutrition, Obesity: Weight Management, Family Health and History
Hurst DM, Oster ME, Smith S
Is clinic visit frequency associated with weight gain during the interstage period? A report from the Joint Council on Congenital Heart Disease National Pediatric Cardiology Quality Improvement Collaborative (JCCHD-NPCQIC).
The researchers sought to determine whether frequency of outpatient clinic visits correlated with weight gain in patients with hypoplastic left heart syndrome or variant during the interstage period between discharge from stage I palliation and presentation for stage II palliation . There was no correlation between interstage visit frequency and change in weight-for-age z-score in this patient population.
AHRQ-funded; HS016957.
Citation: Hurst DM, Oster ME, Smith S .
Is clinic visit frequency associated with weight gain during the interstage period? A report from the Joint Council on Congenital Heart Disease National Pediatric Cardiology Quality Improvement Collaborative (JCCHD-NPCQIC).
Pediatr Cardiol 2015 Oct;36(7):1382-5. doi: 10.1007/s00246-015-1169-6.
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Keywords: Newborns/Infants, Obesity: Weight Management, Heart Disease and Health, Ambulatory Care and Surgery
Gill LE, Bartels SJ, Batsis JA
Weight management in older adults.
This overview highlights the challenges and implications of measuring adiposity in older adults and the dangers and benefits of weight loss in this population and provides an overview of the new Medicare Obesity Benefit. In addition, it provide a summary of outcomes from successful weight loss interventions for older adults and discuss implications for advancing clinical practice.
AHRQ-funded; HS0217695.
Citation: Gill LE, Bartels SJ, Batsis JA .
Weight management in older adults.
Curr Obes Rep 2015 Sep;4(3):379-88. doi: 10.1007/s13679-015-0161-z.
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Keywords: Elderly, Obesity: Weight Management, Obesity, Medicare
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
Romanelli RJ, Chung S, Pu J
Comparative effectiveness of early versus delayed metformin in the treatment of type 2 diabetes.
The purpose of this study was to quantify the effectiveness of early versus delayed initiation of metformin monotherapy on glycemic control (measured by change in HbA1c) and weight modification (change in body mass index [BMI]). It found that treatment with metformin earlier in the course of type 2 diabetes is associated with better glycemic control, more pronounced weight reduction, and a lower risk for therapy intensification than delayed treatment.
AHRQ-funded; HS019815.
Citation: Romanelli RJ, Chung S, Pu J .
Comparative effectiveness of early versus delayed metformin in the treatment of type 2 diabetes.
Diabetes Res Clin Pract 2015 Apr;108(1):170-8. doi: 10.1016/j.diabres.2014.12.019..
Keywords: Diabetes, Medication, Comparative Effectiveness, Obesity: Weight Management, Outcomes
Polsky S, Donahoo WT, Lyons EE
Evaluation of care management intensity and bariatric surgical weight loss.
This study examined the effect of pre- and postoperative care management on weight loss following bariatric surgery. It found no statistically significant associations between either preoperative or postoperative care management intensity and postoperative change in body mass index at year 1 or year 2. Results were limited by heterogeneity of care management across sites and an inability to assess adherence to care management programs.
AHRQ-funded; HS019912.
Citation: Polsky S, Donahoo WT, Lyons EE .
Evaluation of care management intensity and bariatric surgical weight loss.
Am J Manag Care 2015 Mar;21(3):182-9..
Keywords: Care Management, Obesity, Obesity: Weight Management, Patient Adherence/Compliance, Surgery
Daubresse M, Alexander GC
The uphill battle facing antiobesity drugs.
The authors argue that the barriers faced by individual anorectic products belie larger regulatory and clinical challenges to their mainstream adoption, and contribute to the irony that despite American’s penchant for high rates of pharmaceutical use, obesity drugs have fared remarkably poorly in the market.
AHRQ-funded; HS0189960.
Citation: Daubresse M, Alexander GC .
The uphill battle facing antiobesity drugs.
Int J Obes 2015 Mar;39(3):377-8. doi: 10.1038/ijo.2014.169..
Keywords: Obesity, Medication, Obesity: Weight Management, Policy
McVay MA, Jeffreys AS, King HA
The relationship between pretreatment dietary composition and weight loss during a randomised trial of different diet approaches.
Identifying pretreatment dietary habits that are associated with weight-loss intervention outcomes could help guide individuals’ selection of weight-loss approach among competing options. This study concluded that selection of a weight-loss approach on the basis of pretreatment macronutrient intake is unlikely to improve weight outcomes at the end of a 1-year treatment.
AHRQ-funded; HS000079.
Citation: McVay MA, Jeffreys AS, King HA .
The relationship between pretreatment dietary composition and weight loss during a randomised trial of different diet approaches.
J Hum Nutr Diet 2015 Feb;28 Suppl 2:16-23. doi: 10.1111/jhn.12188..
Keywords: Nutrition, Obesity: Weight Management, Obesity, Outcomes, Comparative Effectiveness
Shaikh U, Berrong J, Nettiksimmons J
Impact of electronic health record clinical decision support on the management of pediatric obesity.
The investigators assessed the impact of electronic health record-based clinical decision support in improving the diagnosis and management of pediatric obesity. They found a statistically significant increase in the diagnosis of overweight/obesity, scheduling of follow-up appointments, frequency of ordering recommended laboratory investigations, and assessment and counseling for nutrition and physical activity.
AHRQ-funded; HS018567.
Citation: Shaikh U, Berrong J, Nettiksimmons J .
Impact of electronic health record clinical decision support on the management of pediatric obesity.
Am J Med Qual 2015 Jan-Feb;30(1):72-80. doi: 10.1177/1062860613517926.
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Keywords: Care Management, Children/Adolescents, Clinical Decision Support (CDS), Diagnostic Safety and Quality, Electronic Health Records (EHRs), Health Information Technology (HIT), Obesity, Obesity: Weight Management