National Healthcare Quality and Disparities Report
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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
201 to 225 of 250 Research Studies DisplayedHorner-Johnson W, Dobbertin K, Kulkarni-Rajasekhara S
Food insecurity, hunger, and obesity among informal caregivers.
Increasing numbers of US residents rely on informal caregiving from friends and family members. Caregiving can have substantial health and financial impacts on caregivers. This study addressed whether those impacts include adverse nutritional states. It concluded that caregiving is associated with increased risk of food insecurity and hunger in Oregon.
AHRQ-funded; HS022981.
Citation: Horner-Johnson W, Dobbertin K, Kulkarni-Rajasekhara S .
Food insecurity, hunger, and obesity among informal caregivers.
Prev Chronic Dis 2015 Oct 8;12:E170. doi: 10.5888/pcd12.150129..
Keywords: Caregiving, Obesity, Nutrition, Health Status
Yawn BP, Rank MA, Bertram SL
Obesity, low levels of physical activity and smoking present opportunities for primary care asthma interventions: an analysis of baseline data from the asthma tools study.
The researchers calculated cross-sectional frequencies of activity levels, smoking, secondhand smoke exposure and the presence of obesity, as well as rates of out-of-control asthma and asthma exacerbations. They found that tobacco smoke exposure, obesity, low activity levels, poverty, inadequately controlled asthma and high asthma-related health-care utilization were common. Across all age groups, obesity was associated with poorer asthma outcomes.
AHRQ-funded; HS018431.
Citation: Yawn BP, Rank MA, Bertram SL .
Obesity, low levels of physical activity and smoking present opportunities for primary care asthma interventions: an analysis of baseline data from the asthma tools study.
NPJ Prim Care Respir Med 2015 Oct 1;25:15058. doi: 10.1038/npjpcrm.2015.58..
Keywords: Asthma, Obesity, Tobacco Use, Primary Care, Outcomes
Abdus S, Zuvekas SH
AHRQ Author: Abdus S, Zuvekas SH
Racial/ethnic differences in the relationship between obesity and depression treatment.
This study examined the relationship between obesity and the treatment of depression across racial/ethnic subgroups, controlling for depressive symptoms, self-rated mental health, health status, and socioeconomic characteristics. It found that the association between obesity and depression-related medication was significant for white women but not for black or Hispanic women. The results for men were, in general, mixed and inconsistent.
AHRQ-authored.
Citation: Abdus S, Zuvekas SH .
Racial/ethnic differences in the relationship between obesity and depression treatment.
J Behav Health Serv Res 2015 Oct;42(4):486-503. doi: 10.1007/s11414-014-9391-1..
Keywords: Obesity, Depression, Social Determinants of Health, Racial and Ethnic Minorities, Medical Expenditure Panel Survey (MEPS)
Gance-Cleveland B, Aldrich H, Dandreaux D
A virtual childhood obesity collaborative: satisfaction with online continuing education.
This descriptive study evaluated school-based health center (SBHC) providers’ satisfaction with Web based continuing education as part of a virtual childhood obesity intervention. Participation in the first two learning sessions was higher than the last two. Provider satisfaction of training modules by question type and content area was quite high. Many providers also reported plans to make changes in their practice after completing the training.
AHRQ-funded; HS018646.
Citation: Gance-Cleveland B, Aldrich H, Dandreaux D .
A virtual childhood obesity collaborative: satisfaction with online continuing education.
J Pediatr Health Care 2015 Sep-Oct;29(5):413-23. doi: 10.1016/j.pedhc.2015.01.006..
Keywords: Education: Continuing Medical Education, Obesity, Children/Adolescents, Prevention, Web-Based
Pu J, Zhao B, Wang EJ
Racial/ethnic differences in gestational diabetes prevalence and contribution of common risk factors.
This study aimed to assess racial/ethnic differences in relative contribution of risk factors of gestational diabetes mellitus (GDM) among Asian subgroups (Asian Indian, Chinese, Filipino, Japanese, Korean, and Vietnamese), Hispanics, non-Hispanic blacks, and non-Hispanic whites. It found that GDM was most prevalent among Asian Indians (19.3 percent). Relative risks were similar across all race/ethnic groups.
AHRQ-funded; HS019815.
Citation: Pu J, Zhao B, Wang EJ .
Racial/ethnic differences in gestational diabetes prevalence and contribution of common risk factors.
Paediatr Perinat Epidemiol 2015 Sep;29(5):436-43. doi: 10.1111/ppe.12209.
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Keywords: Diabetes, Obesity, Pregnancy, Racial and Ethnic Minorities, Risk, Women
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
Chung CF, Cook K, Bales E
More than telemonitoring: Health provider use and nonuse of life-log data in irritable bowel syndrome and weight management.
The researchers sought to develop an in-depth understanding of providers’ facilitators and barriers to successfully integrating life-log data into their practices and creating better experiences. Providers reported using self-monitoring data to enhance provider-patient communication, develop personalized treatment plans, and to motivate and educate patients, in addition to using them as diagnostic and adherence tools. Barriers included a lack of time to review detailed records and questions about providers' expertise to review it.
AHRQ-funded; HS023654.
Citation: Chung CF, Cook K, Bales E .
More than telemonitoring: Health provider use and nonuse of life-log data in irritable bowel syndrome and weight management.
J Med Internet Res 2015 Aug 21;17(8):e203. doi: 10.2196/jmir.4364..
Keywords: Digestive Disease and Health, Health Information Technology (HIT), Telehealth, Obesity, Clinician-Patient Communication
Dugan TM, Mukhopadhyay S, Carroll A
Machine learning techniques for prediction of early childhood obesity.
This study aimed to predict childhood obesity after age two, using only data collected prior to the second birthday by a clinical decision support system called CHICA. It demonstrated that data from a production clinical decision support system can be used to build an accurate machine learning model to predict obesity in children after age two.
AHRQ-funded; HS020640; HS018453; HS017939.
Citation: Dugan TM, Mukhopadhyay S, Carroll A .
Machine learning techniques for prediction of early childhood obesity.
Appl Clin Inform 2015 Aug 12;6(3):506-20. doi: 10.4338/aci-2015-03-ra-0036.
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Keywords: Children/Adolescents, Obesity, Health Information Technology (HIT), Clinical Decision Support (CDS), Children/Adolescents
Kurtz MP, McNamara ER, Schaeffer AJ
Association of BMI and pediatric urologic postoperative events: results from pediatric NSQIP.
The researchers sought to determine the association of elevated BMI with overall 30-day postoperative events and wound complications in a large national sample of children undergoing urologic procedures. They concluded that BMI in the pediatric National Surgical Quality Improvement Program urologic population was found to be associated with overall complication after adjustment for case type and preoperative comorbidity.
AHRQ-funded; HS000063.
Citation: Kurtz MP, McNamara ER, Schaeffer AJ .
Association of BMI and pediatric urologic postoperative events: results from pediatric NSQIP.
J Pediatr Urol 2015 Aug;11(4):224.e1-6. doi: 10.1016/j.jpurol.2015.04.014..
Keywords: Surgery, Children/Adolescents, Obesity, Risk, Adverse Events
Baer HJ, Wee CC, DeVito K
Design of a cluster-randomized trial of electronic health record-based tools to address overweight and obesity in primary care.
The researchers described the design of a trial to examine the effectiveness of electronic health record-based tools for the assessment and management of overweight and obesity among adult primary care patients, as well as the challenges encountered. New features included reminders to measure height and weight, and an alert asking providers to add overweight or obesity to the problem list.
AHRQ-funded; HS019789.
Citation: Baer HJ, Wee CC, DeVito K .
Design of a cluster-randomized trial of electronic health record-based tools to address overweight and obesity in primary care.
Clin Trials 2015 Aug;12(4):374-83. doi: 10.1177/1740774515578132..
Keywords: Health Information Technology (HIT), Primary Care, Obesity, Electronic Health Records (EHRs), Clinician-Patient Communication
Bertrand KA, Baer HJ, Orav EJ
Body fatness during childhood and adolescence and breast density in young women: a prospective analysis.
The authors examined associations of early life body fatness with adult breast density in 182 women in the Dietary Intervention Study in Children (DISC) who were ages 25-29 at follow-up. Their results support the hypothesis that body fatness during childhood and adolescence may play an important role in premenopausal breast density, independent of current BMI, and further suggest direct or indirect influences on absolute dense breast volume.
AHRQ-funded; HS019789.
Citation: Bertrand KA, Baer HJ, Orav EJ .
Body fatness during childhood and adolescence and breast density in young women: a prospective analysis.
Breast Cancer Res 2015 Jul 16;17:95. doi: 10.1186/s13058-015-0601-4.
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Keywords: Cancer: Breast Cancer, Children/Adolescents, Obesity, Women
Shaikh U, Romano P, Paterniti DA
Organizing for quality improvement in health care: An example from childhood obesity prevention.
The researchers evaluated how the quality improvement (QI) intervention, Healthy Eating Active Living TeleHealth Community of Practice, at 7 rural California clinics addressed the challenges. of preventing and managing obesity and translation of evidence into practice. Key challenges were clinician and staff buy-in, changing ingrained clinical practices, and motivating patient and families. Facilitators included top-down organizational requirements for QI, linkages to local QI resources, and involvement of clinical champions.
AHRQ-funded; HS018567.
Citation: Shaikh U, Romano P, Paterniti DA .
Organizing for quality improvement in health care: An example from childhood obesity prevention.
Qual Manag Health Care 2015 Jul-Sep;24(3):121-8. doi: 10.1097/qmh.0000000000000066.
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Keywords: Quality Improvement, Children/Adolescents, Obesity, Prevention, Primary Care
Wang Y, Cai L, Wu Y
What childhood obesity prevention programmes work? A systematic review and meta-analysis.
The researchers systematically evaluated the effectiveness of childhood obesity prevention programs conducted in high-income countries and implemented in various settings. Their review found at least moderately strong evidence supporting the effectiveness of school-based interventions involving physical activity, diet or combined diet and physical activity for preventing childhood obesity.
AHRQ-funded; 290200710061I.
Citation: Wang Y, Cai L, Wu Y .
What childhood obesity prevention programmes work? A systematic review and meta-analysis.
Obes Rev 2015 Jul;16(7):547-65. doi: 10.1111/obr.12277..
Keywords: Children/Adolescents, Comparative Effectiveness, Obesity, Prevention
Lewis ZH, Lyons EJ, Jarvis JM
Using an electronic activity monitor system as an intervention modality: a systematic review.
The authors aimed to synthesize the efficacy and feasibility results of electronic activity monitor systems (EAMSs) within published physical activity interventions. They found preliminary evidence suggesting that EAMS can increase physical activity and decrease weight significantly, but their efficacy compared to other interventions has not yet been demonstrated.
AHRQ-funded; HS022134.
Citation: Lewis ZH, Lyons EJ, Jarvis JM .
Using an electronic activity monitor system as an intervention modality: a systematic review.
BMC Public Health 2015 Jun 24;15:585. doi: 10.1186/s12889-015-1947-3.
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Keywords: Diabetes, Health Promotion, Lifestyle Changes, Obesity
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
Yaghjyan L, Sites S, Ruan Y
Associations of urinary phthalates with body mass index, waist circumference and serum lipids among females: National Health and Nutrition Examination Survey 1999-2004.
This study investigated the association of urinary phthalate metabolites and, for the first time, the ratios of the major metabolites of the most common phthalate, di-2-ethylhexyl phthalate, with body mass index (BMI), waist circumference and serum lipid levels in the US female population. It found that a higher metabolic ratio of monobutyl phthalate (MBP) and mono-2-ethylhexyl phthalate (MEHP), reflective of slower oxidative conversion of MEHP, is associated with greater BMI and waist circumference.
AHRQ-funded; HS022330.
Citation: Yaghjyan L, Sites S, Ruan Y .
Associations of urinary phthalates with body mass index, waist circumference and serum lipids among females: National Health and Nutrition Examination Survey 1999-2004.
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Keywords: Nutrition, Obesity, Women
Aschbrenner KA, Brunette MF, McElvery R
Cigarette smoking and interest in quitting among overweight and obese adults with serious mental illness enrolled in a fitness intervention.
The authors explored cigarette smoking, health status, and interest in quitting among overweight and obese adults with serious mental illness enrolled in a fitness intervention. Using the In SHAPE fitness intervention data, the researchers found that 84% of smokers were interested in quitting. Smokers in the intervention had lower high-density lipoprotein cholesterol and were less ready to reduce dietary fat.
AHRQ-funded; HS021695.
Citation: Aschbrenner KA, Brunette MF, McElvery R .
Cigarette smoking and interest in quitting among overweight and obese adults with serious mental illness enrolled in a fitness intervention.
J Nerv Ment Dis 2015 Jun;203(6):473-6. doi: 10.1097/nmd.0000000000000309.
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Keywords: Health Status, Lifestyle Changes, Behavioral Health, Obesity, Tobacco Use
Leeman J, Myers AE, Ribisl KM
Disseminating policy and environmental change interventions: insights from obesity prevention and tobacco control.
This paper describes the approach that two projects developed to disseminate policy and environmental change interventions. The Center for Training and Research Translation (Center TRT) disseminates evidence-based interventions (EBIs) to promote physical activity and healthy eating. Counter Tobacco disseminates EBIs to counter tobacco product sales and marketing in the retail environment.
AHRQ-funded; HS019468.
Citation: Leeman J, Myers AE, Ribisl KM .
Disseminating policy and environmental change interventions: insights from obesity prevention and tobacco control.
Int J Behav Med 2015 Jun;22(3):301-11. doi: 10.1007/s12529-014-9427-1..
Keywords: Communication, Evidence-Based Practice, Obesity, Policy, Prevention, Public Health, Tobacco Use, Implementation
Masho SW, Cha S, Morris MR
Prepregnancy obesity and breastfeeding noninitiation in the United States: an examination of racial and ethnic differences.
This study used a large, nationally representative sample to assess racial/ethnic differences in breastfeeding noninitiation among U.S. women of different body mass index (BMI) classifications. It found that prepregnancy BMI is a significant predictor for breastfeeding noninitiation for non-Hispanic white and non-Hispanic black women.
AHRQ-funded; HS021504.
Citation: Masho SW, Cha S, Morris MR .
Prepregnancy obesity and breastfeeding noninitiation in the United States: an examination of racial and ethnic differences.
Breastfeed Med 2015 Jun;10(5):253-62. doi: 10.1089/bfm.2015.0006..
Keywords: Breast Feeding, Obesity, Racial and Ethnic Minorities, Racial and Ethnic Minorities
Yun L, Boles RE, Haemer MA
A randomized, home-based, childhood obesity intervention delivered by patient navigators.
This paper delineates the study protocol for the Community Outreach Obesity Prevention Trial. COOPT is an ongoing, 4-year (October 2011-September 2015) randomized controlled trial that tests the effectiveness of a home-based patient navigator program delivered to preschoolers of a large urban safety-net health care system. The researchers believe that its home-based intervention venue will provide rich data characterizing barriers and facilitators to healthy behavior change within the home.
AHRQ-funded; HS021138.
Citation: Yun L, Boles RE, Haemer MA .
A randomized, home-based, childhood obesity intervention delivered by patient navigators.
BMC Public Health 2015 May;15:506. doi: 10.1186/s12889-015-1833-z..
Keywords: Children/Adolescents, Community-Based Practice, Obesity, Prevention, Racial and Ethnic Minorities
Gance-Cleveland B, Aldrich H, Schmiege S
Clinician adherence to childhood overweight and obesity recommendations by race/ethnicity of the child.
This study describes school-based health center (SBHC) providers’ adherence to obesity guidelines. Providers (n = 28) were from SBHCs in six states serving children 5–12 years of age. Body mass index percentage was documented on 73 percent of charts and blood pressure percentage on 30.5 percent. Providers accurately diagnosed 40 percent overweight and 49.3 percent obese children.
AHRQ-funded; HS018646.
Citation: Gance-Cleveland B, Aldrich H, Schmiege S .
Clinician adherence to childhood overweight and obesity recommendations by race/ethnicity of the child.
J Spec Pediatr Nurs 2015 Apr;20(2):115-22. doi: 10.1111/jspn.12107..
Keywords: Children/Adolescents, Guidelines, Obesity, Prevention
Heerman WJ, White RO, Barkin SL
Advancing informed consent for vulnerable populations.
The authors suggest an innovative approach that uses low health-literacy communication strategies and visual aids to augment and potentially replace the traditional approach to informed consent. This approach involves: (1) the use of effective health communication and low-literacy techniques, (2) the use of visual aids and graphics to promote understanding and guide the reader toward key study concepts, and (3) careful attention to child dissenting behaviors.
AHRQ-funded; HS022990.
Citation: Heerman WJ, White RO, Barkin SL .
Advancing informed consent for vulnerable populations.
Pediatrics 2015 Mar;135(3):e562-4. doi: 10.1542/peds.2014-3041..
Keywords: Children/Adolescents, Communication, Health Literacy, Obesity, Research Methodologies
Chen R, Smyser M, Chan N
Changes in awareness and use of calorie information after mandatory menu labeling in restaurants in King County, Washington.
This study reports on countywide and subpopulation changes in menu-labeling awareness (i.e., seeing calorie information) and use (i.e., using calorie information) before and after policy implementation. It found that awareness and use of calorie information among residents who ate at regulated chains increased significantly and across all demographic subgroups.
AHRQ-funded; HS013853.
Citation: Chen R, Smyser M, Chan N .
Changes in awareness and use of calorie information after mandatory menu labeling in restaurants in King County, Washington.
Am J Public Health 2015 Mar;105(3):546-53. doi: 10.2105/ajph.2014.302262..
Keywords: Education: Patient and Caregiver, Nutrition, Obesity, Lifestyle Changes
Chen R, Smyser M, Chan N
Changes in awareness and use of calorie information after mandatory menu labeling in restaurants in King County, Washington.
This study reports on countywide and subpopulation changes in menu-labeling awareness (i.e., seeing calorie information) and use (i.e., using calorie information) before and after policy implementation. It found that awareness and use of calorie information among residents who ate at regulated chains increased significantly and across all demographic subgroups.
AHRQ-funded; HS013853.
Citation: Chen R, Smyser M, Chan N .
Changes in awareness and use of calorie information after mandatory menu labeling in restaurants in King County, Washington.
Am J Public Health 2015 Mar;105(3):546-53. doi: 10.2105/ajph.2014.302262..
Keywords: Education: Patient and Caregiver, Nutrition, Obesity, Lifestyle Changes
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