National Healthcare Quality and Disparities Report
Latest available findings on quality of and access to health care
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AHRQ Research Studies Date
Topics
- Access to Care (8)
- Adverse Drug Events (ADE) (2)
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- Ambulatory Care and Surgery (2)
- Anxiety (1)
- (-) Behavioral Health (71)
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- Racial and Ethnic Minorities (3)
- Research Methodologies (3)
- Respiratory Conditions (1)
- Risk (3)
- Rural Health (1)
- Screening (5)
- Sex Factors (1)
- Skin Conditions (1)
- Social Determinants of Health (2)
- Social Media (4)
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- Stress (3)
- Substance Abuse (10)
- Teams (1)
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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
51 to 71 of 71 Research Studies DisplayedKenzik K, Pisu M, Fouad MN
Are long-term cancer survivors and physicians discussing health promotion and healthy behaviors?
This study aimed to (1) describe the proportion of survivors reporting that a physician discussed strategies to improve health and (2) identify which groups are more likely to report these discussions. It concluded that the frequency of health promotion discussions varied across survivor characteristics. Discussions were more frequently reported by some groups, e.g., survivors with diabetes, or among individuals less likely to engage in healthy behaviors.
AHRQ-funded; HS013852.
Citation: Kenzik K, Pisu M, Fouad MN .
Are long-term cancer survivors and physicians discussing health promotion and healthy behaviors?
J Cancer Surviv 2016 Apr;10(2):271-9. doi: 10.1007/s11764-015-0473-8.
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Keywords: Behavioral Health, Cancer, Health Promotion, Patient and Family Engagement, Practice Patterns
Lin LY, Sidani JE, Shensa A
Association between social media use and depression among U.S. young adults.
The authors assessed the association between social media use and depression in a nationally representative sample of young adults. They found that participants in the highest quartile of total time per day using social media had significantly increased odds of depression. They conluded that social media use was significantly associated with increased depression.
AHRQ-funded; HS022989.
Citation: Lin LY, Sidani JE, Shensa A .
Association between social media use and depression among U.S. young adults.
Depress Anxiety 2016 Apr;33(4):323-31. doi: 10.1002/da.22466.
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Keywords: Social Media, Depression, Young Adults, Behavioral Health, Patient-Centered Outcomes Research
Singh G, Zhang W, Kuo YF
Association of psychological disorders with 30-day readmission rates in patients with COPD.
Using a 5 percent sample of Medicare beneficiaries, the researchers examined the association of psychological disorders such as depression, anxiety, psychosis, alcohol abuse and drug abuse with early readmission for patients with COPD. They found that psychological disorders like depression, anxiety, psychosis, alcohol abuse and drug abuse are independently associated with higher all-cause 30-day readmission rates for Medicare beneficiaries with COPD.
AHRQ-funded; HS020642; HS022134.
Citation: Singh G, Zhang W, Kuo YF .
Association of psychological disorders with 30-day readmission rates in patients with COPD.
Chest 2016 Apr;149(4):905-15. doi: 10.1378/chest.15-0449..
Keywords: Behavioral Health, Hospital Readmissions, Medicare, Respiratory Conditions
Blanco C, Hasin DS, Wall MM
Cannabis use and risk of psychiatric disorders: prospective evidence from a US national longitudinal study.
The researchers examined prospective associations between cannabis use and risk of mental health and substance use disorders in the general adult population. Within the general population, cannabis use is associated with an increased risk for several substance use disorders. Physicians and policy makers should take these associations of cannabis use under careful consideration.
AHRQ-funded; HS021112.
Citation: Blanco C, Hasin DS, Wall MM .
Cannabis use and risk of psychiatric disorders: prospective evidence from a US national longitudinal study.
JAMA Psychiatry 2016 Apr;73(4):388-95. doi: 10.1001/jamapsychiatry.2015.3229.
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Keywords: Substance Abuse, Behavioral Health, Risk, Adverse Drug Events (ADE)
Kinasz K, Accurso EC, Kass AE
Does sex matter in the clinical presentation of eating disorders in youth?
The authors compared demographic and clinical characteristics of child and adolescent males and females who presented for eating disorder treatment. They found that males presented at a significantly younger age and were more likely to be nonwhite, while females showed more severe pathology across the Eating Disorder Examination subscales. They suggested further exploration into why the sexes present differently.
AHRQ-funded; HS000078.
Citation: Kinasz K, Accurso EC, Kass AE .
Does sex matter in the clinical presentation of eating disorders in youth?
J Adolesc Health 2016 Apr;58(4):410-6. doi: 10.1016/j.jadohealth.2015.11.005.
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Keywords: Children/Adolescents, Behavioral Health, Nutrition, Sex Factors
Rocque GB, Taylor RA, Acemgil A
Guiding lay navigation in geriatric patients with cancer using a distress assessment tool.
This study assessed the feasibility and impact of using distress assessments to frame lay navigator interactions with geriatric patients with cancer who were enrolled in navigation between January 1, 2014, and December 31, 2014. It concluded that lay navigators were able to routinely screen for patient distress at a high degree of penetration using a structured distress assessment.
AHRQ-funded; HS013852.
Citation: Rocque GB, Taylor RA, Acemgil A .
Guiding lay navigation in geriatric patients with cancer using a distress assessment tool.
J Natl Compr Canc Netw 2016 Apr;14(4):407-14.
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Keywords: Elderly, Cancer, Tools & Toolkits, Stress, Behavioral Health
Watkins KE, Smith B, Akincigil A
The quality of medication treatment for mental disorders in the department of Veterans Affairs and in private-sector plans.
The objective of this paper was to compare the quality of mental health care provided by the U.S. Department of Veterans Affairs (VA) with care provided to a comparable population treated in the private sector. The researchers found that VA performance was superior to that of the private sector by more than 30%. They concluded that their findings demonstrate the significant advantages that accrue from an organized, nationwide system of care and suggested that the much higher performance of the VA has important clinical and policy implications.
AHRQ-funded; HS003258; HS021112.
Citation: Watkins KE, Smith B, Akincigil A .
The quality of medication treatment for mental disorders in the department of Veterans Affairs and in private-sector plans.
Psychiatr Serv 2016 Apr;67(4):391-6. doi: 10.1176/appi.ps.201400537.
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Keywords: Quality of Care, Health Insurance, Medication, Behavioral Health
O'Connor BC, Lewandowski RE, Rodriguez S
Usual care for adolescent depression from symptom identification through treatment initiation.
The researchers sought to determine rates of appropriate follow-up care for adolescents with newly identified depression symptoms in 3 large health systems. They concluded that most adolescents with newly identified depression symptoms received some treatment, usually including psychotherapy, within the first 3 months after identification. However, follow-up care was low and substantial variation existed between sites.
AHRQ-funded; HS020503.
Citation: O'Connor BC, Lewandowski RE, Rodriguez S .
Usual care for adolescent depression from symptom identification through treatment initiation.
JAMA Pediatr 2016 Apr;170(4):373-80. doi: 10.1001/jamapediatrics.2015.4158.
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Keywords: Medication, Children/Adolescents, Depression, Behavioral Health
Gartlehner G, Gaynes BN, Amick HR
Comparative benefits and harms of antidepressant, psychological, complementary, and exercise treatments for major depression: An evidence report for a clinical practice guideline from the American College of Physicians.
This evidence report compared the benefits and harms of second-generation antidepressants and psychological, complementary and alternative medicine (CAM), and exercise treatments as first- and second-step interventions for adults with acute major depressive disorder (MDD). It concluded tht, given their similar efficacy, cognitive behavioral therapy and antidepressants are both viable choices for initial treatment of MDD.
AHRQ-funded.
Citation: Gartlehner G, Gaynes BN, Amick HR .
Comparative benefits and harms of antidepressant, psychological, complementary, and exercise treatments for major depression: An evidence report for a clinical practice guideline from the American College of Physicians.
Ann Intern Med 2016 Mar 1;164(5):331-41. doi: 10.7326/m15-1813.
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Keywords: Medication, Comparative Effectiveness, Complementary and Alternative Medicine, Depression, Behavioral Health
Domino ME, Jackson C, Beadles CA
Do primary care medical homes facilitate care transitions after psychiatric discharge for patients with multiple chronic conditions?
The purpose of this manuscript is to assess outpatient follow-up rates with primary care and mental health providers following psychiatric discharge by medical home enrollment and medical complexity. Hospitalized persons with multiple chronic conditions including serious mental illness enrolled in a medical home were more likely to receive timely outpatient follow-up with a primary care provider but not with a mental health specialist.
AHRQ-funded; HS000032; HS019659.
Citation: Domino ME, Jackson C, Beadles CA .
Do primary care medical homes facilitate care transitions after psychiatric discharge for patients with multiple chronic conditions?
Gen Hosp Psychiatry 2016 Mar-Apr;39:59-65. doi: 10.1016/j.genhosppsych.2015.11.002.
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Keywords: Primary Care, Patient-Centered Healthcare, Behavioral Health, Hospitalization, Chronic Conditions
Fiechtner L, Kleinman K, Melly SJ
Effects of proximity to supermarkets on a randomized trial studying interventions for obesity.
To determine whether proximity to a supermarket modified the effects of an obesity intervention, the researchers examined distance to the closest supermarket as an effect modifier.They concluded that living closer to a supermarket is associated with greater improvements in fruit and vegetable intake and weight status in an obesity intervention.
AHRQ-funded; HS022986.
Citation: Fiechtner L, Kleinman K, Melly SJ .
Effects of proximity to supermarkets on a randomized trial studying interventions for obesity.
Am J Public Health 2016 Mar;106(3):557-62. doi: 10.2105/ajph.2015.302986.
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Keywords: Obesity, Nutrition, Lifestyle Changes, Social Determinants of Health, Behavioral Health
Forman-Hoffman V, McClure E, McKeeman J
Screening for major depressive disorder in children and adolescents: a systematic review for the U.S. Preventive Services Task Force.
This report updates the 2009 U.S. Preventive Services Task Force (USPSTF) systematic review on screening for and treatment of Major depressive disorder (MDD) in children and adolescents in primary care settings. No evidence was found of a direct link between screening children and adolescents for MDD in primary care or similar settings and depression or other health-related outcomes. Evidence showed that some screening tools are accurate.
AHRQ-funded; 290201200015.
Citation: Forman-Hoffman V, McClure E, McKeeman J .
Screening for major depressive disorder in children and adolescents: a systematic review for the U.S. Preventive Services Task Force.
Ann Intern Med 2016 Mar 1;164(5):342-9. doi: 10.7326/m15-2259.
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Keywords: U.S. Preventive Services Task Force (USPSTF), Screening, Depression, Behavioral Health, Children/Adolescents
Hwang SW, Chambers C, Katic M
Accuracy of self-reported health care use in a population-based sample of homeless adults.
The objective of this study was to assess the accuracy of self-reported ambulatory care visits, emergency department (ED) encounters, and overnight hospitalizations in a population-based sample of homeless adults.It found that adults experiencing homelessness are quite accurate reporters of their use of health care, especially for ED encounters and hospitalizations.
AHRQ-funded; HS014129.
Citation: Hwang SW, Chambers C, Katic M .
Accuracy of self-reported health care use in a population-based sample of homeless adults.
Health Serv Res 2016 Feb. doi: 10.1111/1475-6773.12329..
Keywords: Hospitalization, Behavioral Health, Social Determinants of Health, Healthcare Utilization, Emergency Department
Liu L, Strawderman RL, Johnson BA
Analyzing repeated measures semi-continuous data, with application to an alcohol dependence study.
The authors reviewed and considered three extensions of two-part random effects models. They compared the performance through applications to daily drinking records in a secondary data analysis from a randomized controlled trial of topiramate for alcohol dependence treatment. They found that all three models provide a significantly better fit than the log-normal model, and there exists strong evidence for heteroscedasticity.
AHRQ-funded; HS020263.
Citation: Liu L, Strawderman RL, Johnson BA .
Analyzing repeated measures semi-continuous data, with application to an alcohol dependence study.
Stat Methods Med Res 2016 Feb;25(1):133-52. doi: 10.1177/0962280212443324.
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Keywords: Alcohol Use, Behavioral Health, Substance Abuse
Irvin VL, Kaplan RM
AHRQ Author: Kaplan RM
Effect sizes and primary outcomes in large-budget, cardiovascular-related behavioral randomized controlled trials funded by NIH since 1980.
The authors reviewed large-budget, National Institutes of Health (NIH)-supported randomized controlled trials (RCTs) with behavioral interventions to assess (1) publication rates, (2) trial registration, (3) use of objective measures, (4) significant behavior and physiological change, and (5) effect sizes. They concludedc that behavioral trials complied with trial registration standards. Most reported a physiological benefit, but few documented morbidity or mortality benefits.
AHRQ-authored.
Citation: Irvin VL, Kaplan RM .
Effect sizes and primary outcomes in large-budget, cardiovascular-related behavioral randomized controlled trials funded by NIH since 1980.
Ann Behav Med 2016 Feb;50(1):130-46. doi: 10.1007/s12160-015-9739-7.
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Keywords: Outcomes, Cardiovascular Conditions, Research Methodologies, Behavioral Health
Eichen DM, Kass AE, Fitzsimmons-Craft EE
Non-suicidal self-injury and suicidal ideation in relation to eating and general psychopathology among college-age women.
Limited research has examined the effects of combined non-suicidal self-injury (NSSI)+suicidal ideation; thus concurrent examination is needed to understand potential differential effects on psychopathology. In this study, college-aged women completed self-report measures of NSSI, suicidal ideation, general psychopathology, and Eating Disorder-specific psychopathology. The study found that the NSSI+Suicidal Ideation group was only greater than Suicidal Ideation-only on measures of depression and eating concern.
AHRQ-funded; HS000078.
Citation: Eichen DM, Kass AE, Fitzsimmons-Craft EE .
Non-suicidal self-injury and suicidal ideation in relation to eating and general psychopathology among college-age women.
Psychiatry Res 2016 Jan 30;235:77-82. doi: 10.1016/j.psychres.2015.11.046.
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Keywords: Behavioral Health, Nutrition, Depression, Risk
Finnerty M, Neese-Todd S, Pritam R
Access to psychosocial services prior to starting antipsychotic treatment among Medicaid-insured youth.
The researchers sought to examine rates and predictors of receiving a psychosocial service before initiating antipsychotic treatment among young people in the Medicaid program. They found that less than one-half of youth received a psychosocial service before initiating antipsychotic treatment, and youth diagnosed with stress disorders were significantly more likely than those diagnosed with psychotic or bipolar disorders to have received a psychosocial service before starting an antipsychotic. They concluded that this service pattern highlights a critical gap in access to psychosocial services.
AHRQ-funded; HS019937; HS020503; HS021112.
Citation: Finnerty M, Neese-Todd S, Pritam R .
Access to psychosocial services prior to starting antipsychotic treatment among Medicaid-insured youth.
J Am Acad Child Adolesc Psychiatry 2016 Jan;55(1):69-76.e3. doi: 10.1016/j.jaac.2015.09.020.
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Keywords: Access to Care, Children/Adolescents, Medication, Behavioral Health
Deckersbach T, Nierenberg AA, McInnis MG
Baseline disability and poor functioning in bipolar disorder predict worse outcomes: results from the Bipolar CHOICE study.
This study examined the effects of treatment on functioning impairments and quality of life and assessed baseline functioning and employment status as predictors of treatment response in symptomatic individuals from the Bipolar Clinical Health Outcomes Initiative in Comparative Effectiveness (Bipolar CHOICE) study. It found that prior disability status was associated with a worse treatment response and prospective illness course.
AHRQ-funded; HS019371.
Citation: Deckersbach T, Nierenberg AA, McInnis MG .
Baseline disability and poor functioning in bipolar disorder predict worse outcomes: results from the Bipolar CHOICE study.
J Clin Psychiatry 2016 Jan;77(1):100-8. doi: 10.4088/JCP.14m09210.
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Keywords: Behavioral Health, Comparative Effectiveness, Patient-Centered Outcomes Research, Medication
Nierenberg AA, McElroy SL, Friedman ES
Bipolar CHOICE (Clinical Health Outcomes Initiative in Comparative Effectiveness): a pragmatic 6-month trial of lithium versus quetiapine for bipolar disorder.
The purpose of this trial was to compare lithium and second-generation antipsychotics. The investigators found that outcomes with lithium + APT and quetiapine + APT were not significantly different across 6 months of treatment for bipolar disorder.
AHRQ-funded; HS019371.
Citation: Nierenberg AA, McElroy SL, Friedman ES .
Bipolar CHOICE (Clinical Health Outcomes Initiative in Comparative Effectiveness): a pragmatic 6-month trial of lithium versus quetiapine for bipolar disorder.
J Clin Psychiatry 2016 Jan;77(1):90-9. doi: 10.4088/JCP.14m09349.
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Keywords: Adverse Drug Events (ADE), Comparative Effectiveness, Medication, Behavioral Health, Patient-Centered Outcomes Research
Kriegel LS, Henwood BF, Gilmer TP
Implementation and outcomes of forensic housing first programs.
The authors used administrative data and evaluative and qualitative site visit data to compare fidelity to the Housing First model and residential client outcomes between forensic and nonforensic programs and to investigate whether and how providers working in forensic programs can navigate competing Housing First principles and criminal justice mandates. They found that existing mental health and criminal justice collaborations necessitate adaptation to the Housing First model to accommodate client needs.
AHRQ-funded; HS018466.
Citation: Kriegel LS, Henwood BF, Gilmer TP .
Implementation and outcomes of forensic housing first programs.
Community Ment Health J 2016 Jan;52(1):46-55. doi: 10.1007/s10597-015-9946-5.
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Keywords: Healthcare Delivery, Behavioral Health, Vulnerable Populations
Patel SR, Gorritz M, Olfson M
Training community-based primary care physicians in the screening and management of mental health disorders among Latino primary care patients.
The researchers evaluated a quality improvement intervention to improve the screening and management (e.g., referral to psychiatric care) of common mental disorders in small independent Latino primary care practices. They concluded that improving the quality of mental health care in low-resourced primary care settings may require academic detailing and consultation/liaison psychiatric intervention supplemented with staff outreach to achieve meaningful improvement in the processes of care.
AHRQ-funded; HS021112.
Citation: Patel SR, Gorritz M, Olfson M .
Training community-based primary care physicians in the screening and management of mental health disorders among Latino primary care patients.
Gen Hosp Psychiatry 2016 Jan-Feb;38:71-8. doi: 10.1016/j.genhosppsych.2015.09.006.
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Keywords: Community-Based Practice, Primary Care, Behavioral Health, Racial and Ethnic Minorities, Quality Improvement