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´óÏóÊÓƵResearch Studies

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Research Studies is a compilation of published research articles funded by ´óÏóÊÓƵor authored by ´óÏóÊÓƵresearchers.

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1 to 15 of 15 Research Studies Displayed
Wagner L, Foster T, Bonnet K
Identifying the unique determinants influencing rural families' engagement with an existing tele-assessment approach for autism identification: a qualitative study.
This study’s goal was to understand how rural families view tele-assessment as a method for autism identification. The authors held focus groups with caregivers of children with autism and local service providers in the Southeastern U.S. They met with 22 caregivers and 10 providers. They analyzed the discussions and found four key attitudes: (1) questions about whether autism assessment can really be done online; (2) level of trust in the evaluation process, especially tele-assessment; (3) beliefs about whether tele-assessment is practical for families; and (4) worries about privacy. They concluded that there is a need to improve tele-assessment by better supporting everyone involved at different stages of the tele-assessment process. It also highlighted important areas for improvement to provide fair access to tele-assessment for rural families.
AHRQ-funded; HS026395.
Citation: Wagner L, Foster T, Bonnet K . Identifying the unique determinants influencing rural families' engagement with an existing tele-assessment approach for autism identification: a qualitative study. Autism 2025 Jun; 29(6):1458-68. doi: 10.1177/13623613241307078..
Keywords: Telehealth, Health Information Technology (HIT), Rural Health, Access to Care
Guettabi M, Arnold RI, Ferucci ED
On telemedicine and healthcare spending.
The purpose of this study was to evaluate how telemedicine affects healthcare spending patterns. Using de-identified data from the Alaska Tribal Health System and Medicaid, researchers compared healthcare expenditures between telemedicine users and a matched sample of non-users. Results showed that individuals who used telemedicine services incurred lower healthcare spending compared to the control group after their first exposure to telemedicine. The researchers' preferred estimates indicated a 1.14% decrease in spending for the Medicaid sample and a 0.7% decrease for the Alaska Tribal Health System sample. These findings contribute to our understanding of telemedicine's potential economic benefits as its use continues to increase worldwide, raising important questions about its effects on health outcomes, utilization rates, and healthcare costs.
AHRQ-funded; HS026208.
Citation: Guettabi M, Arnold RI, Ferucci ED . On telemedicine and healthcare spending. Int J Circumpolar Health 2025 Dec; 84(1):2489195. doi: 10.1080/22423982.2025.2489195.
Keywords: Telehealth, Health Information Technology (HIT), Healthcare Costs, Medicaid
Olfson M, McClellan C, Zuvekas SH
´óÏóÊÓƵAuthor: McClellan C, Zuvekas SH
Use of telemental health care by children and adolescents in the United States.
In this AHRQ-authored study, researchers examined national patterns of telemental health service usage by civilian, non-institutionalized children and adolescents. Data on outpatient mental health care was taken from the 2021 Medical Expenditure Panel Survey (MEPS). Nearly one-third received one or more visits via videoconference; however, the findings suggested that this modality may pose logistical barriers for lower income, publicly insured, and rural children and adolescents.
AHRQ-authored.
Citation: Olfson M, McClellan C, Zuvekas SH . Use of telemental health care by children and adolescents in the United States. https://www.pubmed.ncbi.nlm.nih.gov/39810556.
Keywords: Medical Expenditure Panel Survey (MEPS), Children/Adolescents, Behavioral Health, Telehealth, Health Information Technology (HIT)
Rudin RS, Plombon S, Sulca Flores J
Between-visit asthma symptom monitoring with a scalable digital intervention: a randomized clinical trial.
The objective of this randomized clinical trial was to assess the effect of a scalable symptom monitoring intervention on asthma outcomes. Intervention group patients used a mobile health app to complete symptom questionnaires and view educational information. The results indicated that increase in asthma-related quality of life did not reach the threshold for a minimally important change; however, exploratory analyses suggested possible benefits for patients with low levels of activation.
AHRQ-funded; HS026432.
Citation: Rudin RS, Plombon S, Sulca Flores J . Between-visit asthma symptom monitoring with a scalable digital intervention: a randomized clinical trial. JAMA Netw Open 2025 Apr 1; 8(4):e256219. doi: 10.1001/jamanetworkopen.2025.6219.
Keywords: Asthma, Respiratory Conditions, Telehealth, Health Information Technology (HIT)
Huang J, Lieu TA, Gopalan A
Patient photo attachments and telemedicine visit effectiveness: is a picture worth a thousand words?
Researchers studied patients with skin-related concerns in a large integrated health care delivery system to assess whether clinical needs can be effectively addressed by telephone visits. Findings indicated that telephone visits may pose more difficulty in diagnosis, due to a lack of visual information; less than a third included a photo attached. The study also found that photo attachments were associated with lower follow-up visit rates.
AHRQ-funded; HS025189.
Citation: Huang J, Lieu TA, Gopalan A . Patient photo attachments and telemedicine visit effectiveness: is a picture worth a thousand words? J Gen Intern Med 2025 Apr; 40(5):1208-10. doi: 10.1007/s11606-024-09110-0..
Keywords: Telehealth, Health Information Technology (HIT), Primary Care
McCullough HP, Moczygemba LR, Avanceña ALV
The Interactive Care Coordination and Navigation mHealth intervention for people experiencing homelessness: cost analysis, exploratory financial cost-benefit analysis, and budget impact analysis.
This study’s objective was to conduct a cost-benefit analysis of the Interactive Care Coordination and Navigation (iCAN) mobile health intervention. The findings indicated that, if average costs of emergency department and hospital visits among homeless persons were reduced by more than 7.8% through iCAN, financial benefits would outweigh the costs of the intervention.
AHRQ-funded; HS027750.
Citation: McCullough HP, Moczygemba LR, Avanceña ALV . The Interactive Care Coordination and Navigation mHealth intervention for people experiencing homelessness: cost analysis, exploratory financial cost-benefit analysis, and budget impact analysis. JMIR Form Res 2025 Mar 18; 9:e64973. doi: 10.2196/64973..
Keywords: Care Coordination, Telehealth, Vulnerable Populations, Healthcare Costs, Health Information Technology (HIT)
Singh RD, Bahadori B, Tjoa T
A telehealth approach to central line-associated bloodstream infection prevention activities in nursing homes: the SAFER lines program.
This study’s objective was to evaluate the impact of a mobile-app-based central line-associated bloodstream infection (CLABSI) prevention program in nursing home residents with peripherally inserted central catheters (PICCs). The CLABSI prevention program consisted of an actionable scoring system for identifying insertion site infection/inflammation coupled with a mobile-app enabling photo-assessments and automated physician alerting for remote response. The intervention was associated with 57% lower odds of peeling dressings, 73% lower local inflammation/infection, and 41% lower risk of infection-related hospitalizations. Physician mobile-app alerting and response enabled 62% lower risk of lines remaining in place after inflammation/infection was identified and 95% faster removal of infected lines from mean (SD) 19 (20) to 1 (2) days.
AHRQ-funded; HS024424.
Citation: Singh RD, Bahadori B, Tjoa T . A telehealth approach to central line-associated bloodstream infection prevention activities in nursing homes: the SAFER lines program. AHRQ-funded; HS024424..
Keywords: Central Line-Associated Bloodstream Infections (CLABSI), Healthcare-Associated Infections (HAIs), Telehealth, Health Information Technology (HIT), Nursing Homes, Long-Term Care, Prevention
Reese TJ, Padi-Adjirackor NA, Griffith KN
Comparative effectiveness of buprenorphine adherence with telemedicine vs. in-person for rural and urban patients.
This study examined the comparative effectiveness of buprenorphine adherence with telemedicine versus in-person for rural and urban patients. The authors of this retrospective cohort study used electronic health record data from a large medical center. The cohort included all patients who were prescribed buprenorphine for opioid use disorder from 2017 through 2022. Primary outcome was adherence, characterized by the Medication Possession Ratio (MPR), and gaps in buprenorphine treatment at 30 and 180 days. There was no observed difference in the adherence following telemedicine visits overall. However, telemedicine was associated with higher MPR for rural patients and fewer gaps compared to in-person visits.
AHRQ-funded; HS029695.
Citation: Reese TJ, Padi-Adjirackor NA, Griffith KN . Comparative effectiveness of buprenorphine adherence with telemedicine vs. in-person for rural and urban patients. J Am Pharm Assoc 2025 Mar-Apr; 65(2):102318. doi: 10.1016/j.japh.2024.102318..
Keywords: Patient Adherence/Compliance, Rural Health, Urban Health, Rural/Inner-City Residents, Comparative Effectiveness, Evidence-Based Practice, Telehealth, Health Information Technology (HIT), Substance Abuse, Behavioral Health
Larson AE, Stange KC, Heintzman J
Video versus audio telehealth in safety net clinic patients: changes by rurality and time.
This study examined telehealth modality and continued use of telehealth for low-income safety net clinic patients by rurality and whether that usage changed over time. The results showed that safety net clinic patients were more likely to use audio-only telehealth visits. By the end of the study period, patients in small rural communities used significantly more telehealth than urban patients.
AHRQ-funded; HS028732.
Citation: Larson AE, Stange KC, Heintzman J . Video versus audio telehealth in safety net clinic patients: changes by rurality and time. J Rural Health 2025 Mar; 41(2):e12887. doi: 10.1111/jrh.12887..
Keywords: Telehealth, Health Information Technology (HIT), Rural Health, Community-Based Practice, Rural Health, Rural/Inner-City Residents
Martinez KA, Deshpande A, Stanley E
Antibiotic prescribing for respiratory tract infections in urgent care: a comparison of in-person and virtual settings.
The authors used electronic health record data from the Cleveland Clinic Health System for this retrospective study on virtual versus in-person urgent care antibiotic prescribing for respiratory tract infections (RTIs). The results showed that antibiotic prescriptions were more common in virtual urgent care, even among physicians who provided care in both platforms. The authors noted that these results appear related to the high rate of sinusitis diagnosis in virtual urgent care.
AHRQ-funded; HS028633.
Citation: Martinez KA, Deshpande A, Stanley E . Antibiotic prescribing for respiratory tract infections in urgent care: a comparison of in-person and virtual settings. Clin Infect Dis 2025 Feb 5; 80(1):7-13. doi: 10.1093/cid/ciae396..
Keywords: Antibiotics, Respiratory Conditions, Medication, Telehealth, Health Information Technology (HIT)
Davis J, Perkins R, Bailey J
Acceptability of telehealth post-pandemic among clinicians across the United States caring for people with cystic fibrosis.
The purpose of this study was to assess the endurance of clinicians’ positive perceptions of the use of telehealth by cystic fibrosis center providers after the pandemic. The study found that Clinicians largely continued to support telehealth for cystic fibrosis care post-pandemic, citing convenience and reduced disruptions despite decreased provider satisfaction compared to pandemic levels.
AHRQ-funded; HS000063.
Citation: Davis J, Perkins R, Bailey J . Acceptability of telehealth post-pandemic among clinicians across the United States caring for people with cystic fibrosis. Pediatr Pulmonol 2025 Feb; 60(2):e70000. doi: 10.1002/ppul.70000..
Keywords: Telehealth, Health Information Technology (HIT), Chronic Conditions
Hudson EM, Bazal SP, Rauzi MR
Feasibility of group telerehabilitation for older adults: a quality improvement project.
The authors evaluated the feasibility of implementing Fit for Life, a telerehabilitation group for older veterans. Eligible veterans lived in the study community and were at risk for falls or hospitalization. The authors analyzed and integrated adaptations posed by clinicians and veterans in real-time to enhance Fit for Life access and participation.
AHRQ-funded; HS026379.
Citation: Hudson EM, Bazal SP, Rauzi MR . Feasibility of group telerehabilitation for older adults: a quality improvement project. Int J Telerehabil 2025 Jan 15; 16(2):e6651. doi: 10.5195/ijt.2024.6651..
Keywords: Telehealth, Health Information Technology (HIT), Quality Improvement, Quality of Care
Tu KJ, Vakkalanka JP, Okoro UE
Provider-to-provider telemedicine for sepsis is used less frequently in communities with high social vulnerability.
This study’s objective was to determine if county-level social vulnerability index (SVI) was associated with provider-to-provider emergency department (ED)-based telehealth consultation (tele-ED) use for sepsis and, if so, which SVI elements were most strongly associated. The authors used data from the TELEmedicine as a Virtual Intervention for Sepsis in Rural Emergency Department study. Providers in counties with a high SVI were less likely to use tele-ED, an effect principally attributable to the housing type and transportation component of SVI. Providers who treated fewer sepsis patients (1‒10 vs. 31+ over study period) and therefore may have been less experienced in sepsis care, were more likely to activate tele-ED.
AHRQ-funded; HS025753.
Citation: Tu KJ, Vakkalanka JP, Okoro UE . Provider-to-provider telemedicine for sepsis is used less frequently in communities with high social vulnerability. J Rural Health 2025 Jan; 41(1):e12861. doi: 10.1111/jrh.12861.
Keywords: Telehealth, Health Information Technology (HIT), Sepsis, Rural Health, Rural/Inner-City Residents, Emergency Department, Vulnerable Populations, Disparities
Tu KJ, Wymore C, Tchangalova N
The impact of telehealth in sepsis care: a systematic review.
This paper is a systematic review of the impact of telehealth in sepsis care. The investigators included 15 studies, involving 188,418 patients with sepsis. Thirteen of these studies used observational study designs, and the most common telehealth applications were provider-to-provider telehealth consultation and intensive care unit telehealth. Clinical and methodological heterogeneity was significantly high, and telehealth use was associated with higher survival. Telehealth effect on other care processes and outcomes were more varied and likely dependent on hospital-level factors.
AHRQ-funded; HS025753.
Citation: Tu KJ, Wymore C, Tchangalova N . The impact of telehealth in sepsis care: a systematic review. J Telemed Telecare 2025 Jan; 31(1):3-13. doi: 10.1177/1357633x231170038.
Keywords: Telehealth, Health Information Technology (HIT), Sepsis, Evidence-Based Practice, Patient-Centered Outcomes Research
Simcoe K, Stainbrook JA, Chazin KT
Use of telemediated caregiver coaching to increase access to naturalistic developmental behavioral interventions within a statewide early intervention system.
The authors described a statewide model developed to increase access to naturalistic developmental behavioral interventions for families, while increasing training opportunities for early intervention providers. Using this model, consultants worked with caregivers and providers via telehealth for a brief series of visits; the responses indicated that the model was effective and acceptable.
AHRQ-funded; HS026395.
Citation: Simcoe K, Stainbrook JA, Chazin KT . Use of telemediated caregiver coaching to increase access to naturalistic developmental behavioral interventions within a statewide early intervention system. Autism 2025 Jan; 29(1):207-21. doi: 10.1177/13623613241273081..
Keywords: Telehealth, Health Information Technology (HIT), Caregiving, Behavioral Health

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