National Healthcare Quality and Disparities Report
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AHRQ Research Studies Date
Topics
- Access to Care (1)
- Behavioral Health (1)
- Blood Pressure (1)
- Cancer (1)
- Cancer: Breast Cancer (1)
- Cardiovascular Conditions (1)
- Children/Adolescents (4)
- Chronic Conditions (2)
- Clinician-Patient Communication (1)
- Communication (1)
- Comparative Effectiveness (1)
- Critical Care (2)
- Depression (1)
- Diabetes (1)
- Diagnostic Safety and Quality (2)
- Disparities (1)
- Education: Patient and Caregiver (1)
- Elderly (3)
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- Family Health and History (1)
- Healthcare-Associated Infections (HAIs) (1)
- Healthcare Utilization (2)
- Health Information Technology (HIT) (11)
- Health Promotion (1)
- Health Services Research (HSR) (1)
- Heart Disease and Health (3)
- Hospital Discharge (1)
- Hospitalization (2)
- Hospital Readmissions (2)
- Injuries and Wounds (2)
- Lifestyle Changes (2)
- Long-Term Care (1)
- Low-Income (1)
- Nursing Homes (1)
- Patient-Centered Outcomes Research (1)
- Patient and Family Engagement (2)
- Patient Self-Management (5)
- Pregnancy (1)
- Primary Care (1)
- Quality of Life (1)
- Racial and Ethnic Minorities (1)
- Respiratory Conditions (1)
- Social Determinants of Health (1)
- Stroke (1)
- Surgery (1)
- (-) Telehealth (20)
- Vulnerable Populations (1)
- 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 20 of 20 Research Studies DisplayedWellbeloved-Stone CA, Weppner JL, Valdez RS
A systematic review of telerehabilitation and mhealth interventions for spinal cord injury.
This systematic review evaluated the previous decade of telerehabilitation and mHealth interventions for spinal cord injury. The heterogeneity of the included studies coupled with a lack of standardized reporting guidelines precluded the development of specific recommendations for future intervention development. Rather, recommendations from this review focus on the need for a wide of range of future research in this domain, with a stronger focus on mobile Health.
AHRQ-funded; HS023849.
Citation: Wellbeloved-Stone CA, Weppner JL, Valdez RS .
A systematic review of telerehabilitation and mhealth interventions for spinal cord injury.
Current Physical Medicine and Rehabilitation Reports 2016 Dec;4(4):295-311. doi: 10.1007/s40141-016-0138-1.
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Keywords: Telehealth, Health Information Technology (HIT), Injuries and Wounds
Mayberry LS, Berg CA, Harper KJ
The design, usability, and feasibility of a family-focused diabetes self-care support mHealth intervention for diverse, low-income adults with type 2 diabetes.
Through user-centered design and iterative usability/feasibility testing, the researchers developed a mobile Health intervention for disadvantaged adults with type 2 diabetes (T2D) called FAMS. FAMS delivers phone coaching to set self-care goals and improve patient participant's (PP) ability to identify and address family actions that support/impede self-care. PPs reported FAMS increased self-care and both PPs and support persons reported FAMS improved support for and communication about diabetes.
AHRQ-funded; HS022990.
Citation: Mayberry LS, Berg CA, Harper KJ .
The design, usability, and feasibility of a family-focused diabetes self-care support mHealth intervention for diverse, low-income adults with type 2 diabetes.
J Diabetes Res 2016;2016:7586385. doi: 10.1155/2016/7586385.
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Keywords: Diabetes, Low-Income, Patient and Family Engagement, Patient Self-Management, Telehealth
Sarkar U, Gourley GI, Lyles CR
Usability of commercially available mobile applications for diverse patients.
The objective of this study was to investigate the usability of existing mobile health applications ("apps") for diabetes, depression, and caregiving, in order to facilitate development and tailoring of patient-facing apps for diverse populations. Participants completed 43 percent of tasks across 11 apps without assistance. Three themes emerged from participant comments: lack of confidence with technology, frustration with design features and navigation, and interest in having technology to support their self-management.
AHRQ-funded; HS022408.
Citation: Sarkar U, Gourley GI, Lyles CR .
Usability of commercially available mobile applications for diverse patients.
J Gen Intern Med 2016 Dec;31(12):1417-26. doi: 10.1007/s11606-016-3771-6.
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Keywords: Chronic Conditions, Health Information Technology (HIT), Patient Self-Management, Telehealth, Vulnerable Populations
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
Darlow S, Wen KY
Development testing of mobile health interventions for cancer patient self-management: a review.
The purpose of the current study was to conduct a review of published articles that describe the development process of mobile health interventions for patients’ cancer care self-management. The following trends emerged: importance of stakeholder engagement during the development process, addressing the unique needs and experiences of cancer patients and care providers, ensuring user satisfaction with the system, and identifying perceived benefits and limitations of the system.
AHRQ-funded; HS019001.
Citation: Darlow S, Wen KY .
Development testing of mobile health interventions for cancer patient self-management: a review.
Health Informatics J 2016 Sep;22(3):633-50. doi: 10.1177/1460458215577994..
Keywords: Patient Self-Management, Cancer, Chronic Conditions, Telehealth, Health Information Technology (HIT)
Ritchie CS, Houston TK, Richman JS
The E-Coach technology-assisted care transition system: a pragmatic randomized trial.
The researchers sought to evaluate the impact of a technology-supported care transition support program (E-Coach) on hospitalizations, days out of the community, and mortality. for patients with congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD). They found that rehospitalization rates did not differ between E-Coach and usual care groups; however, E-Coach was associated with fewer days in the hospital with the COPD subgroup, suggesting that E-Coach may be more beneficial among those with COPD but not those with CHF.
AHRQ-funded; HS017786.
Citation: Ritchie CS, Houston TK, Richman JS .
The E-Coach technology-assisted care transition system: a pragmatic randomized trial.
Transl Behav Med 2016 Sep;6(3):428-37. doi: 10.1007/s13142-016-0422-8.
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Keywords: Respiratory Conditions, Heart Disease and Health, Hospitalization, Patient Self-Management, Telehealth
Oreskovic NM, Fletcher R, Sharifi M
Design and rationale of the STRIVE trial to improve cardiometabolic health among children and families.
The researchers described the design and rationale for the Study for using Technology to Reach Individual Excellence (STRIVE), which incorporates patient-generated mobile health technology (mHealth) data on health behaviors and provides clinical recommendations to help manage cardiometabolic risk and disease (CMRD) among at-risk families. They concluded that the STRIVE trial will test the use of mHealth to improve health behaviors among families at-risk for or with established CMRD.
AHRQ-funded; HS022986; HS024001.
Citation: Oreskovic NM, Fletcher R, Sharifi M .
Design and rationale of the STRIVE trial to improve cardiometabolic health among children and families.
Contemp Clin Trials 2016 Jul;49:149-54. doi: 10.1016/j.cct.2016.07.012.
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Keywords: Children/Adolescents, Family Health and History, Health Promotion, Lifestyle Changes, Telehealth
Wiseman JT, Fernandes-Taylor S, Gunter R
Inter-rater agreement and checklist validation for postoperative wound assessment using smartphone images in vascular surgery.
The authors evaluated whether smartphone digital images can supplant in-person evaluation of postoperative vascular surgery wounds. They concluded that using smartphone digital images is a valid method for evaluating postoperative vascular surgery wounds and is comparable to in-person evaluation with regard to most wound characteristics. The inter-rater reliability for determining treatment recommendations was universally high.
AHRQ-funded; HS023395.
Citation: Wiseman JT, Fernandes-Taylor S, Gunter R .
Inter-rater agreement and checklist validation for postoperative wound assessment using smartphone images in vascular surgery.
J Vasc Surg Venous Lymphat Disord 2016 Jul;4(3):320-28.e2. doi: 10.1016/j.jvsv.2016.02.001.
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Keywords: Healthcare-Associated Infections (HAIs), Injuries and Wounds, Telehealth, Surgery, Health Information Technology (HIT), Diagnostic Safety and Quality
Radovic A, Vona PL, Santostefano AM
Smartphone applications for mental health.
This study seeks to characterize apps readily available to smartphone users seeking mental health information and/or support. The most common purported purpose for the 208 apps studied was symptom relief (41 percent) and general mental health education (18 percent). The most frequently mentioned approaches to improving mental health were those that may benefit only milder symptoms such as relaxation (21 percent).
AHRQ-funded; HS022989.
Citation: Radovic A, Vona PL, Santostefano AM .
Smartphone applications for mental health.
Cyberpsychol Behav Soc Netw 2016 Jul;19(7):465-70. doi: 10.1089/cyber.2015.0619.
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Keywords: Behavioral Health, Telehealth, Education: Patient and Caregiver, Children/Adolescents, Health Information Technology (HIT)
McConnochie KM, Wood NE, Alarie C
Care offered by an information-rich pediatric acute illness connected care model.
The authors described care provided over a 12-year period by Health-e-Access, an evidence-based, information-rich, connected care model designed to serve children with acute illness. They demonstrated the broad clinical capacity of this care model and key components imparting this capacity. They concluded that Health-e-Access included technology essential for establishing diagnoses, ruling out more serious conditions, and identifying problems beyond its scope.
AHRQ-funded; HS018912; HS016871; HS015165.
Citation: McConnochie KM, Wood NE, Alarie C .
Care offered by an information-rich pediatric acute illness connected care model.
Telemed J E Health 2016 Jun;22(6):465-72. doi: 10.1089/tmj.2015.0161.
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Keywords: Critical Care, Children/Adolescents, Health Services Research (HSR), Children/Adolescents, Telehealth
Goldberg EM, Levy PD
New approaches to evaluating and monitoring blood pressure.
The authors reviewed the current literature on mobile health technologies and novel diagnostic and management protocols and made recommendations on how to incorporate these innovations into practice. They recommend collaboration between device designers and clinical researchers to develop rigorous clinical trials to test cardiovascular outcomes associated with emerging technologies.
AHRQ-funded; HS000011.
Citation: Goldberg EM, Levy PD .
New approaches to evaluating and monitoring blood pressure.
Curr Hypertens Rep 2016 Jun;18(6):49. doi: 10.1007/s11906-016-0650-9.
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Keywords: Blood Pressure, Telehealth, Health Information Technology (HIT), Diagnostic Safety and Quality
Driessen J, Bonhomme A, Chang W
Nursing home provider perceptions of telemedicine for reducing potentially avoidable hospitalizations.
The goal of this study was to survey a nationally representative sample of nursing home physicians and advanced practice providers to quantify provider perceptions and desired functionality of telemedicine in nursing homes to reduce potentially avoidable hospitalizations. The authors found that there is a high degree of confidence in the potential for a telemedicine solution and concrete views about its features, concluding that further research is needed to study the impact of successful implementations.
AHRQ-funded; HS018721; HS022989; HS022465; HS023779.
Citation: Driessen J, Bonhomme A, Chang W .
Nursing home provider perceptions of telemedicine for reducing potentially avoidable hospitalizations.
J Am Med Dir Assoc 2016 Jun;17(6):519-24. doi: 10.1016/j.jamda.2016.02.004.
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Keywords: Health Information Technology (HIT), Hospital Readmissions, Hospitalization, Nursing Homes, Telehealth
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
Lyons EJ, Baranowski T, Basen-Engquist KM
Testing the effects of narrative and play on physical activity among breast cancer survivors using mobile apps: study protocol for a randomized controlled trial.
This paper described a study to determine the effectiveness of an intervention that combines narrative and gaming to encourage sustained physical activity in postmenopausal breast cancer survivors. The primary outcome of the study is minutes of moderate to vigorous physical activity at six months. Other objectively measured outcomes include fitness and physical function. Self-reported outcomes include quality of life, depression, and motivation.
AHRQ-funded; HS022134.
Citation: Lyons EJ, Baranowski T, Basen-Engquist KM .
Testing the effects of narrative and play on physical activity among breast cancer survivors using mobile apps: study protocol for a randomized controlled trial.
BMC Cancer 2016 Mar 9;16:202. doi: 10.1186/s12885-016-2244-y.
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Keywords: Cancer: Breast Cancer, Comparative Effectiveness, Lifestyle Changes, Patient-Centered Outcomes Research, Telehealth
Ong MK, Romano PS, Edgington S
Effectiveness of remote patient monitoring after discharge of hospitalized patients with heart failure: the better effectiveness after transition-heart failure (BEAT-HF) randomized clinical trial.
The researchers evaluated the effectiveness of a care transition intervention using remote patient monitoring in reducing 180-day all-cause readmissions among a broad population of older adults hospitalized with HF. Theyn found that intervention and usual care groups did not differ significantly in readmissions for any cause 180 days after discharge.
AHRQ-funded; HS019311.
Citation: Ong MK, Romano PS, Edgington S .
Effectiveness of remote patient monitoring after discharge of hospitalized patients with heart failure: the better effectiveness after transition-heart failure (BEAT-HF) randomized clinical trial.
JAMA Intern Med 2016 Mar;176(3):310-8. doi: 10.1001/jamainternmed.2015.7712.
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Keywords: Heart Disease and Health, Hospital Readmissions, Telehealth, Quality of Life, Hospital Discharge
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
Lyerly MJ, Wu TC, Mullen MT
The effects of telemedicine on racial and ethnic disparities in access to acute stroke care.
The authors sought to determine the effect of telemedicine on access to acute stroke care for racial and ethnic minorities in the state of Texas. They found that telemedicine increased access to acute stroke care for 1.5 million Texans, and they found no evidence of disparities in access to the acute stroke expertise afforded by telemedicine.
AHRQ-funded; HS013852.
Citation: Lyerly MJ, Wu TC, Mullen MT .
The effects of telemedicine on racial and ethnic disparities in access to acute stroke care.
J Telemed Telecare 2016 Mar;22(2):114-20. doi: 10.1177/1357633x15589534.
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Keywords: Access to Care, Disparities, Racial and Ethnic Minorities, Stroke, Telehealth
Garg SK, Lyles CR, Ackerman S
Qualitative analysis of programmatic initiatives to text patients with mobile devices in resource-limited health systems.
The researchers interviewed safety net health systems piloting texting initiatives to study facilitators and barriers to real-world implementation. Sites interviewed applied texting for programs related to medication adherence and monitoring, appointment reminders, care coordination, and health education and promotion. Patient privacy government regulations emerged as a crucial barrier. A technical challenge was the inablitiy to integrate texting platforms with electronic health records. The authors concluded that inadequate data management capabilities and unclear privacy and security regulations for mobile health technology slowed the initial implementation and limited the clinical use of texting in the safety net and scope of pilots.
AHRQ-funded; HS022047; HS022408.
Citation: Garg SK, Lyles CR, Ackerman S .
Qualitative analysis of programmatic initiatives to text patients with mobile devices in resource-limited health systems.
BMC Med Inform Decis Mak 2016 Feb 6;16:16. doi: 10.1186/s12911-016-0258-7.
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Keywords: Communication, Primary Care, Telehealth, Health Information Technology (HIT), Clinician-Patient Communication
Gordon M, Henderson R, Holmes JH
Participatory design of ehealth solutions for women from vulnerable populations with perinatal depression.
Using a participatory design approach, the Stress in Pregnancy: Improving Results with Interactive Technology group developed specifications for a suite of eHealth applications to improve the quality of perinatal mental health care. Three apps were developed by the group: an app to support high-risk women after discharge from hospital, a screening tool for depression, and a patient decision aid for supporting treatment choice.
AHRQ-funded; HS022441.
Citation: Gordon M, Henderson R, Holmes JH .
Participatory design of ehealth solutions for women from vulnerable populations with perinatal depression.
J Am Med Inform Assoc 2016 Jan;23(1):105-9. doi: 10.1093/jamia/ocv109.
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Keywords: Telehealth, Women, Pregnancy, Depression, Social Determinants of Health
Hernandez M, Hojman N, Sadorra C
Pediatric critical care telemedicine program: a single institution review.
The researchers conducted a retrospective review of a pediatric critical care telemedicine program at a single university children's hospital between 2000 and 2014. They concluded that their review demonstrated that a pediatric critical care telemedicine program used to provide consultations to seriously ill children in rural and community emergency departments is feasible, sustainable, and used relatively infrequently, most typically for the sickest pediatric patients.
AHRQ-funded; HS019712.
Citation: Hernandez M, Hojman N, Sadorra C .
Pediatric critical care telemedicine program: a single institution review.
Telemed J E Health 2016 Jan;22(1):51-5. doi: 10.1089/tmj.2015.0043.
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Keywords: Children/Adolescents, Critical Care, Emergency Department, Telehealth