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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 19 of 19 Research Studies DisplayedMichelson KA, Samuels-Kalow ME
Association of elementary school reopening status and county COVID-19 incidence.
This study examined the association between elementary school opening status (ESOS) and pediatric COVID-19 incidence. The authors conducted a cross-sectional study of US counties with school districts with ≥500 elementary school students. The main exposure was ESOS in September 2020 and outcome was county incidence of COVID-19. Among 3220 US counties, 19.2% were remote, 12.1% were hybrid, and 62.8% were in person. In unadjusted models, COVID-19 incidence after school started was higher among children in hybrid or in-person counties compared with remote only counties. After adjusting for local COVID-19 incidence, the incidence rate ratio compared with remote counties was 1.01 in hybrid counties and 0.79 in in-person counties.
AHRQ-funded; HS026503.
Citation: Michelson KA, Samuels-Kalow ME .
Association of elementary school reopening status and county COVID-19 incidence.
Acad Pediatr 2022 May-Jun;22(4):667-70. doi: 10.1016/j.acap.2021.09.006..
Keywords: Children/Adolescents, COVID-19, Public Health, Education
Whooten RC, Horan C, Cordes J
Evaluating the implementation of a before-school physical activity program: a mixed-methods approach in Massachusetts, 2018.
The aim of this study was to evaluate the implementation of a widely available, before-school, physical activity program in a low-resource, racially/ethnically and socioeconomically diverse, urban school setting to identify adaptations needed for successful implementation. The investigators used a collaborative effort with stakeholders to implement the Build Our Kids' Success (BOKS) program in 3 schools in Revere, Massachusetts.
AHRQ-funded; HS000063.
Citation: Whooten RC, Horan C, Cordes J .
Evaluating the implementation of a before-school physical activity program: a mixed-methods approach in Massachusetts, 2018.
Prev Chronic Dis 2020 Oct 1;17:E116. doi: 10.5888/pcd17.190445..
Keywords: Children/Adolescents, Education, Implementation, Health Promotion, Prevention, Lifestyle Changes, Social Determinants of Health
Yoo BK, Schaffer SJ, Humiston SG
Cost effectiveness of school-located influenza vaccination programs for elementary and secondary school children.
This paper describes a clinical trial which created a school-located influenza vaccination (SLIV) program in upstate New York. Researchers wanted to determine if this was a cost-effective alternative to vaccination in primary care practices. Two groups of students were vaccinated – one in an elementary school and the other in a secondary school. Secondary school vaccinations were more cost-effective than elementary schools with a lower median cost per vaccination. The authors concluded that it does raise vaccination rates, but it is not cost-effective due to the higher costs for consent systems and project coordination.
AHRQ-funded; HS021163.
Citation: Yoo BK, Schaffer SJ, Humiston SG .
Cost effectiveness of school-located influenza vaccination programs for elementary and secondary school children.
BMC Health Serv Res 2019 Jun 24;19(1):407. doi: 10.1186/s12913-019-4228-5..
Keywords: Children/Adolescents, Education, Healthcare Costs, Influenza, Public Health, Vaccination
Louisias M, Petty CR, Sheehan W
Use of a school-based survey to screen students for symptoms concerning for asthma.
Researchers sought early identification of asthma in minority children. Their goal was to determine if they could apply screening surveys to an inner-city, school-based cohort. They found a significant number of children with a positive asthma screen and no parent-reported asthma. Children with symptoms suggestive of asthma had elevated rates of hospital care for breathing problems and an atopic background. The researchers conclude that these children without known asthma, but who experience increased morbidity, can be easily identified with a school-based asthma screening survey and should be closely monitored.
AHRQ-funded; HS000063; HS022986.
Citation: Louisias M, Petty CR, Sheehan W .
Use of a school-based survey to screen students for symptoms concerning for asthma.
Clin Pediatr 2019 May;58(5):586-89. doi: 10.1177/0009922819832087..
Keywords: Children/Adolescents, Asthma, Screening, Education, Diagnostic Safety and Quality, Urban Health
Forster M, Amy GL, Areba E
Cumulative psychosocial risks, internal asse, and past 30-day tobacco use among middle and high school students: the promise of internal assets.
The authors investigated whether internal assets (IAs), factors that promote healthy youth development, can mitigate the adverse effects of psychosocial risks on tobacco use. Their results indicated that every additional psychosocial risk factor was associated with an increase in the odds of using tobacco and in the estimated number of products used. IAs were inversely associated with tobacco use and attenuated the association between cumulative psychosocial risks and use. They concluded that bolstering resilience by facilitating students' IAs represents a promising direction for youth-focused prevention efforts.
AHRQ-funded; HS022236.
Citation: Forster M, Amy GL, Areba E .
Cumulative psychosocial risks, internal asse, and past 30-day tobacco use among middle and high school students: the promise of internal assets.
Addict Behav 2019 Feb;89:240-47. doi: 10.1016/j.addbeh.2018.10.014..
Keywords: Tobacco Use, Children/Adolescents, Risk, Education
Cohen JFW, Gorski Findling MT, Rosenfeld L
The impact of 1 year of healthier school food policies on students' diets during and outside of the school day.
In 2012, Massachusetts implemented both the updated national school meal standards and comprehensive competitive food/beverage standards that closely align with current national requirements for school snacks. This study examines the impact of these combined standards on school meal and snack food selections, as well as food choices outside of school. The investigators concluded that with the reduction in the number of unhealthy school snacks, significantly more students selected school meals. Students did not compensate for lack of unhealthy snacks in school by increased consumption of unhealthy snacks outside of school.
AHRQ-funded; HS000055.
Citation: Cohen JFW, Gorski Findling MT, Rosenfeld L .
The impact of 1 year of healthier school food policies on students' diets during and outside of the school day.
J Acad Nutr Diet 2018 Dec;118(12):2296-301. doi: 10.1016/j.jand.2018.07.009..
Keywords: Children/Adolescents, Education, Nutrition, Policy
Parikh K, Paul J, Foushee N
Barriers and facilitators to asthma care after hospitalization as reported by caregivers, health providers, and school nurses.
This study focused on developing a comprehensive understanding of asthma care after hospitalization of children as reported by caregivers, health providers, and school nurses. The children had a median age of 7 years, mean hospital length of stay of 1.9 days, and 56% had a previous hospitalization in the last 12 months. Family caregivers and health professionals were given individual interviews while focus groups were conducted with school nurses. There were different health beliefs about asthma knowledge between caregivers and health professionals. School nurses highlighted specific barriers that focused on medication use in schools.
AHRQ-funded; HS024554.
Citation: Parikh K, Paul J, Foushee N .
Barriers and facilitators to asthma care after hospitalization as reported by caregivers, health providers, and school nurses.
Hosp Pediatr 2018 Nov;8(11):706-17. doi: 10.1542/hpeds.2017-0182..
Keywords: Asthma, Hospitalization, Children/Adolescents, Caregiving, Patient Adherence/Compliance, Education
Jaime MCD, McCauley HL, Tancredi DJ
Implementing a coach-delivered dating violence prevention program with high school athletes.
This paper describes the implementation of a coach-delivered dating violence prevention program with high school athletes. The program, Coaching Boys Into Men (CBIM), is an evidence-based, athletic coach-delivered dating violence prevention program that has been shown to increase positive bystander behaviors and reduce abuse perpetration among high school male athletes.
AHRQ-funded; HS022236.
Citation: Jaime MCD, McCauley HL, Tancredi DJ .
Implementing a coach-delivered dating violence prevention program with high school athletes.
Prev Sci 2018 Nov;19(8):1113-22. doi: 10.1007/s11121-018-0909-2..
Keywords: Children/Adolescents, Domestic Violence, Education
Szilagyi PG, Schaffer S, Rand CM
School-located influenza vaccinations for adolescents: a randomized controlled trial.
In this study, the investigators aimed to evaluate the effect of school-located influenza vaccination (SLIV) on adolescents' influenza vaccination rates. In 2015-2016, they performed a cluster-randomized trial of adolescent SLIV in middle/high schools. They concluded that SLIV in this community increased influenza vaccination rates among adolescents attending suburban schools.
AHRQ-funded; HS021163.
Citation: Szilagyi PG, Schaffer S, Rand CM .
School-located influenza vaccinations for adolescents: a randomized controlled trial.
J Adolesc Health 2018 Feb;62(2):157-63. doi: 10.1016/j.jadohealth.2017.09.021..
Keywords: Children/Adolescents, Education, Influenza, Prevention, Public Health, Vaccination
Baiocchi M, Omondi B, Langat N
A behavior-based intervention that prevents sexual assault: the results of a matched-pairs, cluster-randomized study in Nairobi, Kenya.
This study was a cluster-randomized, matched-pairs, parallel trial of a behavior-based sexual assault prevention intervention in the informal settlements in Nairobi, Kenya. The study intervention combined parallel training for young adolescent girls and boys in school settings and showed significant reduction in the rate of sexual assault among girls in this population.
AHRQ-funded; HS022192.
Citation: Baiocchi M, Omondi B, Langat N .
A behavior-based intervention that prevents sexual assault: the results of a matched-pairs, cluster-randomized study in Nairobi, Kenya.
Prev Sci 2017 Oct;18(7):818-27. doi: 10.1007/s11121-016-0701-0..
Keywords: Children/Adolescents, Education, Prevention, Women
Wisk LE, Weitzman ER
Expectancy and achievement gaps in educational attainment and subsequent adverse health effects among adolescents with and without chronic medical conditions.
This study sought to investigate educational aspirations, expectations, and attainment among youth with and without chronic conditions and to determine if these relationships mediated subsequent disparities in health and well-being. Findings suggest an important risk mechanism through which youth with chronic medical conditions may acquire socioeconomic disadvantage as they develop and progress through educational settings.
AHRQ-funded; HS022986; HS000063.
Citation: Wisk LE, Weitzman ER .
Expectancy and achievement gaps in educational attainment and subsequent adverse health effects among adolescents with and without chronic medical conditions.
J Adolesc Health 2017 Oct;61(4):461-70. doi: 10.1016/j.jadohealth.2017.04.006..
Keywords: Children/Adolescents, Chronic Conditions, Disparities, Education, Health Status
Payan DD, Sloane DC, Illum J
Perceived barriers and facilitators to healthy eating and school lunch meals among adolescents: a qualitative study.
The researchers explored how perceived barriers and facilitators influence healthy eating and investigated the acceptability of changes to school lunch meals among adolescents after implementation of the Healthy, Hunger-Free Kids Act of 2010. Their findings suggest the need to measure perceived and actual barriers to healthy eating among adolescents and to examine the effect of these barriers on dietary behavior.
AHRQ-funded; HS000046.
Citation: Payan DD, Sloane DC, Illum J .
Perceived barriers and facilitators to healthy eating and school lunch meals among adolescents: a qualitative study.
Am J Health Behav 2017 Sep 1;41(5):661-69. doi: 10.5993/ajhb.41.5.15.
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Keywords: Children/Adolescents, Education, Lifestyle Changes, Nutrition
Davis MM, Spurlock M, Ramsey K
Milk options observation (MOO): a mixed-methods study of chocolate milk removal on beverage consumption and student/staff behaviors in a rural elementary school.
The researchers conducted a study of flavored milk removal at a rural primary school between May and June 2012. They measured beverage selection/consumption pre- and post-chocolate milk removal and collected observation field notes. Their conclusion was that removing flavored milk from school-provided lunches may lower students' daily added sugar consumption without considerably decreasing calcium and protein intake and may promote healthy weight.
AHRQ-funded; HS022981.
Citation: Davis MM, Spurlock M, Ramsey K .
Milk options observation (MOO): a mixed-methods study of chocolate milk removal on beverage consumption and student/staff behaviors in a rural elementary school.
J Sch Nurs 2017 Aug;33(4):285-98. doi: 10.1177/1059840517703744.
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Keywords: Children/Adolescents, Education, Nutrition, Rural Health
Eskreis-Winkler L, Shulman EP, Young V
Using wise interventions to motivate deliberate practice.
This study examined whether psychologically "wise" interventions targeting expectancies and values-stock antecedents of ordinary effortful behaviors-could motivate nonexperts to engage in deliberate practice and improve their achievement. Its findings provide preliminary support for the heretofore untested hypothesis that deliberate practice submits to the same laws that govern typical forms of effortful behavior.
AHRQ-funded; HS022990.
Citation: Eskreis-Winkler L, Shulman EP, Young V .
Using wise interventions to motivate deliberate practice.
J Pers Soc Psychol 2016 Nov;111(5):728-44. doi: 10.1037/pspp0000074.
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Keywords: Children/Adolescents, Education, Young Adults
Cohen JF, Gorski MT, Hoffman JA
Healthier standards for school meals and snacks: impact on school food revenues and lunch participation rates.
This study evaluated the impact of updated school meal standards and Massachusetts' comprehensive competitive food standards on school food revenues and school lunch participation. The study found that schools experienced initial revenue losses after implementation of the standards, yet longer-term school food revenues were not impacted and school meal participation increased among children eligible for reduced-price meals. Weakening the school meal or competitive food guidelines based on revenue concerns appears unwarranted.
AHRQ-funded; HS000055.
Citation: Cohen JF, Gorski MT, Hoffman JA .
Healthier standards for school meals and snacks: impact on school food revenues and lunch participation rates.
Am J Prev Med 2016 Oct;51(4):485-92. doi: 10.1016/j.amepre.2016.02.031..
Keywords: Children/Adolescents, Education, Nutrition
Gorski MT, Cohen JF, Hoffman JA
Impact of nutrition standards on competitive food quality in Massachusetts middle and high schools.
This study examined changes in competitive foods (items sold in a la carte lines, vending machines, and school stores that "compete" with school meals) in Massachusetts middle and high schools before and after implementation of a statewide nutrition law in 2012. It found that by 2014, 60 percent of competitive foods and 79 percent of competitive beverages were compliant.
AHRQ-funded; HS000055.
Citation: Gorski MT, Cohen JF, Hoffman JA .
Impact of nutrition standards on competitive food quality in Massachusetts middle and high schools.
Am J Public Health 2016 Jun;106(6):1101-8. doi: 10.2105/ajph.2016.303139.
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Keywords: Nutrition, Education, Children/Adolescents
Hoffman JA, Rosenfeld L, Schmidt N
Implementation of competitive food and beverage standards in a sample of Massachusetts Schools: the NOURISH Study (Nutrition Opportunities to Understand Reforms Involving Student Health).
This study examined the extent to which a sample of Massachusetts middle schools and high schools sold foods and beverages that were compliant with the state competitive food and beverage standards after the first year of implementation, and complied with four additional aspects of the regulation. The multilevel models used in the study demonstrated a 47-percentage-point increase in food and 46-percentage-point increase in beverage compliance in Massachusetts schools from 2012 to 2013.
AHRQ-funded; HS000055.
Citation: Hoffman JA, Rosenfeld L, Schmidt N .
Implementation of competitive food and beverage standards in a sample of Massachusetts Schools: the NOURISH Study (Nutrition Opportunities to Understand Reforms Involving Student Health).
J Acad Nutr Diet 2015 Aug;115(8):1299-307.e2. doi: 10.1016/j.jand.2015.04.019..
Keywords: Nutrition, Children/Adolescents, Education, Policy
Aldrich H, Gance-Cleveland B, Schmiege S
Identification and assessment of childhood obesity by school-based health center providers.
The authors evaluated obesity care assessment practices of school-based health center (SBHC) providers prior to completing training on obesity guidelines. They found that most providers reported using BMI to assess weight, reported screening for hypertension 100% of the time and cardiovascular disease 93.9% of the time, and approximately two thirds reported requesting total cholesterol and lipid profile laboratory assessments.
AHRQ-funded; HS018646.
Citation: Aldrich H, Gance-Cleveland B, Schmiege S .
Identification and assessment of childhood obesity by school-based health center providers.
J Pediatr Health Care 2014 Nov-Dec;28(6):526-33. doi: 10.1016/j.pedhc.2014.05.002.
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Keywords: Children/Adolescents, Guidelines, Education, Obesity, Prevention
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.
AHRQ-funded; HS018646.
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.
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Keywords: Care Management, Children/Adolescents, Education, Obesity, Prevention, Obesity: Weight Management