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Research Studies is a monthly compilation of research articles funded by AHRQ or authored by AHRQ researchers and recently published in journals or newsletters.
Results1 to 4 of 4 Research Studies Displayed
Sterling MR, Silva AF, Robbins L
Let's talk numbers: a qualitative study of community-dwelling US adults to understand the role of numeracy in the management of heart failure.
This qualitative study examined the role of numeracy (basic number skills) in the management of patients with heart failure (HF). Thirty men and women aged 47-89 years with a history of HF were recruited from an urban academic primary care practice. Participants all had a history of HF within the past year, were seen at the practice within the last year, and had been hospitalized for HF within the last 6 months. They were interviewed about their numeracy to help manage monitoring weight, maintaining a low-salt diet, and monitoring blood pressure. A wide range of knowledge and understanding was found and fear served as a barrier and facilitator to carrying out HF self-care tasks involving numbers. If the patient has a caregiver who also lacks those skills or does not have HF care training, patients may not be managing their HF as well as they should.
Citation: Sterling MR, Silva AF, Robbins L . Let's talk numbers: a qualitative study of community-dwelling US adults to understand the role of numeracy in the management of heart failure. BMJ Open 2018 Sep 19;8(9):e023073. doi: 10.1136/bmjopen-2018-023073..
Keywords: Patient Self-Management, Education: Patient and Caregiver, Care Management, Heart Disease and Health, Nutrition, Lifestyle Changes, Obesity: Weight Management, Obesity, Blood Pressure, Cardiovascular Conditions
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.
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
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.
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.
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
Aldrich H, Gance-Cleveland B, Schmiege S
School-based health center providers' treatment of overweight children.
The purpose of this study was to determine self-reported treatment practices of school-based health center (SBHC) providers when caring for overweight/obese children. SBHC providers reported patient/parent barriers to be more significant to treatment than clinician/setting barriers. Most providers (97%) indicated childhood overweight needs treatment, yet only 36% indicated that they initiate treatment in children who do not want to control their weight. SBHC providers also did not commonly refer these children to specialists.
Citation: Aldrich H, Gance-Cleveland B, Schmiege S . School-based health center providers' treatment of overweight children. J Pediatr Nurs 2014 Nov-Dec;29(6):521-7. doi: 10.1016/j.pedn.2014.05.007.
Keywords: Care Management, Children/Adolescents, Education, Obesity, Prevention, Obesity: Weight Management