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
1 to 14 of 14 Research Studies DisplayedRice WS, Stringer KL, Sohail M
Accessing pre-exposure prophylaxis (PrEP): perceptions of current and potential prEP users in Birmingham, Alabama.
Limited studies to date assess barriers to and facilitators of pre-exposure prophylaxis (PrEP) uptake and utilization using a patient-centered access to care framework, among diverse socio-demographic groups, or in the U.S. Deep South, an area with disproportionate HIV burden. In this study, the investigators examine perceptions of PrEP access in qualitative interviews with 44 current and potential PrEP users in Birmingham, Alabama.
AHRQ-funded; HS013852.
Citation: Rice WS, Stringer KL, Sohail M .
Accessing pre-exposure prophylaxis (PrEP): perceptions of current and potential prEP users in Birmingham, Alabama.
AIDS Behav 2019 Nov;23(11):2966-79. doi: 10.1007/s10461-019-02591-9..
Keywords: Human Immunodeficiency Virus (HIV), Prevention, Healthcare Utilization, Patient-Centered Healthcare, Racial and Ethnic Minorities, Health Literacy, Education: Patient and Caregiver, Access to Care, Health Promotion
Jefferson UT, Zachary I, Majee W
Employing a user-centered design to engage mothers in the development of a mHealth breastfeeding application.
The Mother's Milk Connection mHealth application was designed to improve breastfeeding duration and access to support. This article describes a user-centered design process to engage mothers in the development of the Mother's Milk Connection application. Stakeholder and user engagement indicated the integration of four distinct features acceptable for use as a comprehensive mHealth intervention to improve access to breastfeeding support. Further, mHealth has the potential to be a useful strategy for providing breastfeeding support, and a clinical trial regarding the efficacy of the Mother's Milk Connection application is needed.
AHRQ-funded; HS022140.
Citation: Jefferson UT, Zachary I, Majee W .
Employing a user-centered design to engage mothers in the development of a mHealth breastfeeding application.
Comput Inform Nurs 2019 Oct;37(10):522-31. doi: 10.1097/cin.0000000000000549..
Keywords: Breast Feeding, Maternal Care, Pregnancy, Women, Health Information Technology (HIT), Patient and Family Engagement, Patient Adherence/Compliance, Health Promotion, Education: Patient and Caregiver, Caregiving
Lyson HC, Le GM, Zhang J
Social media as a tool to promote health awareness: results from an online cervical cancer prevention study.
In this study, the authors investigated whether participation in an online social media platform and receipt of brief, tailored messages was effective at increasing knowledge, awareness, and prevention behaviors related to human papillomavirus (HPV) and cervical cancer. The investigators found that although most study participants had substantial knowledge, awareness, and engagement in positive behaviors related to cervical cancer prevention at the start of the study, HPV awareness could be increased through brief participation in an online social media platform and receipt of tailored health messages.
AHRQ-funded; HS022241.
Citation: Lyson HC, Le GM, Zhang J .
Social media as a tool to promote health awareness: results from an online cervical cancer prevention study.
J Cancer Educ 2019 Aug;34(4):819-22. doi: 10.1007/s13187-018-1379-8..
Keywords: Social Media, Cancer: Cervical Cancer, Cancer, Health Promotion, Prevention
Ye L, Owens RL, Dykes P
Individualized sleep promotion in acute care hospitals: Identifying factors that affect patient sleep.
The aim of this study was develop a tool that can be used to measure factors that affect patient sleep in acute care hospitals. A tool called Factors Affected Inpatient Sleep (FAIS) was developed using literature review and was validated by content validity testing. The scale was tested on 105 hospitalized patients and the most significant sleep disruptors were identified. The final FAIS scale included 14 items in three subscales. The biggest factors for sleep disruption included 1) emotional or physical impairment due to illness or hospitalization; 2) sleep disturbance due to discomfort of their care plan schedule; and 3) sleep interruption due to the hospital environment or medical care. The reliability of the scale was measured at 0.87 with Cronbach’s alpha coefficient and reliability of the subscales ranged from 0.72 to 0.81.
AHRQ-funded; HS024330.
Citation: Ye L, Owens RL, Dykes P .
Individualized sleep promotion in acute care hospitals: Identifying factors that affect patient sleep.
Appl Nurs Res 2019 Aug;48:63-67. doi: 10.1016/j.apnr.2019.05.006..
Keywords: Health Promotion, Hospitalization, Hospitals, Inpatient Care, Sleep Problems
Chu KH, Colditz J, Malik M
Identifying key target audiences for public health campaigns: leveraging machine learning in the case of hookah tobacco smoking.
Current social media platforms provide researchers with opportunities to better identify and target specific audiences and even individuals. However, the investigators were not aware of systematic research attempting to identify audiences with mixed or ambivalent views toward hookah tobacco smoking (HTS). The objective of their study was to (1) confirm previous research showing positively skewed HTS sentiment on Twitter using a larger dataset by leveraging machine learning techniques and (2) systematically identify individuals who exhibit mixed opinions about HTS via the Twitter platform and therefore represent key audiences for intervention.
AHRQ-funded; HS022989.
Citation: Chu KH, Colditz J, Malik M .
Identifying key target audiences for public health campaigns: leveraging machine learning in the case of hookah tobacco smoking.
J Med Internet Res 2019 Jul 8;21(7):e12443. doi: 10.2196/12443..
Keywords: Health Promotion, Public Health, Social Media, Tobacco Use, Tobacco Use: Smoking Cessation
Brown SD, Fotuhi O, Grijalva CS
A randomized study of values affirmation to promote interest in diabetes prevention among women with a history of gestational diabetes.
The purpose of this study was to test whether two interventions promote interest in diabetes prevention among women with a history of gestational diabetes mellitus. The researchers designed an email outreach message incorporating ‘values affirmation,’ a theory-based intervention, and promoting an existing preventive lifestyle program. Selected patients were randomized to read an outreach message containing either no affirmation (control) or 1 of 2 affirmations. Results showed that participants randomized to the values affirmation more frequently demonstrated interest in the lifestyle program and sought information about diabetes prevention, while the parenting affirmation yielded no significant differences in either outcome.
AHRQ-funded; HS019367.
Citation: Brown SD, Fotuhi O, Grijalva CS .
A randomized study of values affirmation to promote interest in diabetes prevention among women with a history of gestational diabetes.
Med Care 2019 Jul;57(7):528-35. doi: 10.1097/mlr.0000000000001133..
Keywords: Diabetes, Chronic Conditions, Pregnancy, Women, Health Promotion, Prevention, Lifestyle Changes
Payan DD, Florez KR, Bogart LM
Promoting health from the pulpit: a process evaluation of HIV sermons to reduce HIV stigma and promote testing in African American and Latino churches.
This study explored implementation of an HIV sermon as part of a multi-component intervention in three churches (Latino Catholic, Latino Pentecostal, and African American Baptist) in high HIV prevalence areas of Los Angeles County, California. The investigators found large variation in fidelity to communicating key HIV messages from the sermon guide. They concluded that structured training of clergy may be necessary to implement the more theoretically driven stigma reduction cues included in the sermon guide.
AHRQ-funded; HS000046.
Citation: Payan DD, Florez KR, Bogart LM .
Promoting health from the pulpit: a process evaluation of HIV sermons to reduce HIV stigma and promote testing in African American and Latino churches.
Health Commun 2019 Jan;34(1):11-20. doi: 10.1080/10410236.2017.1384352..
Keywords: Human Immunodeficiency Virus (HIV), Social Stigma, Racial and Ethnic Minorities, Diagnostic Safety and Quality, Health Promotion, Education: Patient and Caregiver, Communication, Prevention
Margolis MA, Brewer NT, Shah PD
Stories about HPV vaccine in social media, traditional media, and conversations.
To understand how stories from media and social interactions shape parents' HPV vaccination decisions, the authors sought to characterize parents' exposure to these stories, as well as associations between story exposure and vaccination behavior. They found that stories of HPV vaccine harms may be associated more strongly with vaccination behavior than stories of HPV vaccine preventable diseases. They recommended that communication campaigns consider strategies to elevate stories of preventable diseases in social and traditional media.
AHRQ-funded; HS000032.
Citation: Margolis MA, Brewer NT, Shah PD .
Stories about HPV vaccine in social media, traditional media, and conversations.
Prev Med 2019 Jan;118:251-56. doi: 10.1016/j.ypmed.2018.11.005..
Keywords: Caregiving, Children/Adolescents, Communication, Education: Patient and Caregiver, Health Promotion, Infectious Diseases, Prevention, Sexual Health, Social Media, Vaccination
Renfro T, Johnson E, Lambert DN
The MEDIA model: an innovative method for digitizing and training community members to facilitate an HIV prevention intervention.
This article describes an effort to train lay community members within predominantly Black churches in Atlanta, GA, to implement an HIV-prevention intervention using digital media. Lay educators were trained by translating a face-to-face Training of Facilitators (TOF) to a digital platform using the MEDIA (Motivate-Engage-Digitize-Implement-Assess) model. The research team worked with topical experts and a production company to develop storyboards for core curriculum activities, which were scripted and filmed. A user guide, toolkit, and program website were also developed as supplemental materials to accompany the video training. The article concludes that creating digital media can be a time-consuming process, that pilot testing in the new format is necessary even for previously tested interventions, and that the structure provided by facilitators in face-to-face training must be embedded within the format of the digitized trainings.
AHRQ-funded; HS022059.
Citation: Renfro T, Johnson E, Lambert DN .
The MEDIA model: an innovative method for digitizing and training community members to facilitate an HIV prevention intervention.
Transl Behav Med 2018 Nov 21;8(6):815-23. doi: 10.1093/tbm/iby012..
Keywords: Health Promotion, Human Immunodeficiency Virus (HIV), Prevention, Racial and Ethnic Minorities, Women
Tung EL, Gunter KE, Bergeron NQ
Cross-sector collaboration in the high-poverty setting: qualitative results from a community-based diabetes intervention.
The purpose of this study was to characterize the motivations of stakeholders from diverse sectors who engaged in cross-sector collaboration with an academic medical center. The investigators identified several factors that motivated collaboration across diverse sectors with health care systems to promote health in a high-poverty, urban setting.
AHRQ-funded; HS023007.
Citation: Tung EL, Gunter KE, Bergeron NQ .
Cross-sector collaboration in the high-poverty setting: qualitative results from a community-based diabetes intervention.
Health Serv Res 2018 Oct;53(5):3416-36. doi: 10.1111/1475-6773.12824..
Keywords: Community-Based Practice, Diabetes, Health Promotion
Connor KA, Duran G, Faiz-Nassar M
Feasibility of implementing group well baby/well woman dyad care at federally qualified health centers.
The aim of this qualitative study was to assess stakeholder perspectives on the feasibility of implementing Centering Parenting (CP) in federally qualified health centers (FQHCs) in Baltimore. The investigators concluded that perceptions regarding facilitators and barriers to CP implementation in FQHCs were similar to existing group well-child care literature; however the benefit of emphasis on maternal wellness was a unique finding. The investigators suggested that a maternal wellness integration might make CP a particularly desirable model for implementation at FQHCs, but potential systems barriers must be addressed.
AHRQ-funded; HS017596.
Citation: Connor KA, Duran G, Faiz-Nassar M .
Feasibility of implementing group well baby/well woman dyad care at federally qualified health centers.
Acad Pediatr 2018 Jul;18(5):510-15. doi: 10.1016/j.acap.2017.09.011..
Keywords: Caregiving, Children/Adolescents, Education: Patient and Caregiver, Health Promotion, Healthcare Delivery, Maternal Care, Newborns/Infants, Pregnancy, Women
Gilbert AL, Lee J, Ehrlich-Jones L
A randomized trial of a motivational interviewing intervention to increase lifestyle physical activity and improve self-reported function in adults with arthritis.
In this study, the investigators evaluated the effect of a motivational interviewing-based lifestyle physical activity intervention on self-reported physical function in adults with knee osteoarthritis (KOA) or rheumatoid arthritis (RA). They found that participants with KOA receiving the lifestyle intervention experienced modest improvement in self-reported function and a trend toward improved pain compared to controls; there was no intervention effect for RA participants.
AHRQ-funded; HS023011.
Citation: Gilbert AL, Lee J, Ehrlich-Jones L .
A randomized trial of a motivational interviewing intervention to increase lifestyle physical activity and improve self-reported function in adults with arthritis.
Semin Arthritis Rheum 2018 Apr;47(5):732-40. doi: 10.1016/j.semarthrit.2017.10.003..
Keywords: Arthritis, Health Promotion, Lifestyle Changes, Arthritis
Sun CJ, Sutfin E, Bachmann LH
Comparing men who have sex with men and transgender women who use Grindr, other similar social and sexual networking apps, or no social and sexual networking apps: implications for recruitment and health promotion.
This paper seeks to identify differences in men who have sex with men (MSM) and transgender women who use the Grindr app and those who use other similar apps. It found significant differences in the sociodemographic characteristics by app use, including age, race/ethnicity, sexual orientation, and outness. After adjusting for the sociodemographic characteristics associated with app use, there were significant differences in HIV risk and substance use between the groups.
AHRQ-funded; HS022981.
Citation: Sun CJ, Sutfin E, Bachmann LH .
Comparing men who have sex with men and transgender women who use Grindr, other similar social and sexual networking apps, or no social and sexual networking apps: implications for recruitment and health promotion.
J AIDS Clin Res 2018;9(2). doi: 10.4172/2155-6113.1000757.
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Keywords: Health Promotion, Human Immunodeficiency Virus (HIV), Risk, Social Determinants of Health, Vulnerable Populations
Davis MM, Freeman M, Shannon J
A systematic review of clinic and community intervention to increase fecal testing for colorectal cancer in rural and low-income populations in the United States - how, what and when?
Researchers conducted this systematic review to determine how implementation strategies and contextual factors influenced the uptake of interventions to increase fecal testing for colorectal cancer in rural and low-income populations. They found that provision of kits through the mail, use of pre-addressed stamped envelopes, client reminders and in-clinic distribution appeared most frequently in the highly effective/effective clinic-based study arms. Few studies described contextual factors or implementation strategies.
AHRQ-funded; HS022981.
Citation: Davis MM, Freeman M, Shannon J .
A systematic review of clinic and community intervention to increase fecal testing for colorectal cancer in rural and low-income populations in the United States - how, what and when?
BMC Cancer 2018 Jan 6;18(1):40. doi: 10.1186/s12885-017-3813-4.
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Keywords: Cancer: Colorectal Cancer, Health Promotion, Low-Income, Rural Health, Screening