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Research Studies is a compilation of published research articles funded by 大象视频or authored by 大象视频researchers.

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1 to 16 of 16 Research Studies Displayed
Dauber-Decker KL, Serafini MA, Monane R
User-centered design of a preference-driven patient activation tool for optimizing depression treatment in integrated primary care settings (The Transform DepCare Study).
The purpose of this study was to characterize a user-centered design (UCD) process for implementing a tool for preference-driven patient activation. The study found that the tool, which included UCD and the principles of behavior change/implementation science, improved patient engagement and decision-making comfort in primary care depression treatment. The results emphasized usability and accessibility of a real-world, patient experience-driven and workflow-aligned patient activation tool in a variety of populations.
AHRQ-funded; HS025198.
Citation: Dauber-Decker KL, Serafini MA, Monane R . User-centered design of a preference-driven patient activation tool for optimizing depression treatment in integrated primary care settings (The Transform DepCare Study). J Gen Intern Med 2025 Feb; 40(2):556-68. doi: 10.1007/s11606-024-08833-4..
Keywords: Patient-Centered Healthcare, Depression, Behavioral Health, Primary Care, Patient and Family Engagement
Dorr DA, Montgomery E, Ghumman AJ
Study protocol: Collaboration Oriented Approach to Controlling High blood pressure (COACH) in adults - a randomised controlled trial.
The authors created a patient-facing and provider-facing clinical decision support (CDS) application called the Collaboration Oriented Approach to Controlling High BP (COACH) to integrate home blood pressure (BP) data, guideline recommendations and patient-centered goals with primary care workflows. This article describes a multisite, two-arm hybrid type III implementation randomized controlled trial intended to measure the effectiveness of the COACH intervention and evaluate its adoption as part of BP management. Participants will be adults with high BP for whom home BP monitoring is indicated; the intervention arm of the trial will receive COACH. The trial is approved under a single IRB through the University of Missouri-Columbia.
AHRQ-funded; HS028579.
Citation: Dorr DA, Montgomery E, Ghumman AJ . Study protocol: Collaboration Oriented Approach to Controlling High blood pressure (COACH) in adults - a randomised controlled trial. BMJ Open 2024 Jul 8; 14(7):e085898. doi: 10.1136/bmjopen-2024-085898..
Keywords: Blood Pressure, Cardiovascular Conditions, Clinical Decision Support (CDS), Health Information Exchange (HIE), Patient-Centered Outcomes Research, Primary Care, Patient Self-Management, Patient and Family Engagement, Evidence-Based Practice, Patient-Centered Healthcare
Zittleman L, Westfall JM, Callen D
Does engagement matter? The impact of patient and community engagement on implementation of cardiovascular health materials in primary care settings.
This report described uptake by primary care practices of cardiovascular disease (CVD) prevention materials produced through local community engagement efforts using Boot Camp Translation (BCT). Four BCTs were conducted, and the locally created materials made available to participating urban and rural practices in an "enhanced" arm of a randomized trial. While practices ordered a wide variety of BCT products, they were more likely to order materials developed by their local BCT. The authors concluded that the greater uptake of locally created materials supported the use of patient engagement methods such as BCT to increase implementation and delivery of guideline-based care.
AHRQ-funded; HS023904.
Citation: Zittleman L, Westfall JM, Callen D . Does engagement matter? The impact of patient and community engagement on implementation of cardiovascular health materials in primary care settings. BMC Prim Care 2024 Apr 25; 25(1):135. doi: 10.1186/s12875-024-02365-w..
Keywords: Primary Care, Patient and Family Engagement, Cardiovascular Conditions, Health Promotion, Prevention
Chen KY, Lang Y, Zhou Y
Assessing interventions on crowdsourcing platforms to nudge patients for engagement behaviors in primary care settings: randomized controlled trial.
This study鈥檚 goals were to (1) to assess the feasibility of using crowdsourced surveys to evaluate behavioral economics interventions for patient partnerships by examining whether web-based participants responded to simulated incentives in the same way they would have responded to actual incentives, and (2) to assess the impact of 2 behavioral economics-based intervention designs, psychological rewards and loss of framing, on simulated medication reconciliation behaviors in a simulated primary care setting. The authors conducted a randomized controlled trial using a between-subject design on a crowdsourcing platform (Amazon Mechanical Turk) to evaluate the effectiveness of behavioral interventions designed to improve medication adherence in primary care visits. The study group included a control baseline group and 3 groups with simulated interventions, namely monetary compensation, a status effect as a psychological reward, and a loss frame as a modification of the status effect. A total of 569 study participants were recruited, with 132 in the baseline group, 187 in the monetary compensation group, 149 in the psychological reward group, and 101 in the loss frame group. The monetary compensation intervention caused an increase of 17.51% participation, psychological rewards on status increased willingness by 11.85%, and a loss frame on psychological rewards increased willingness by 24.35%.
AHRQ-funded; HS027277.
Citation: Chen KY, Lang Y, Zhou Y . Assessing interventions on crowdsourcing platforms to nudge patients for engagement behaviors in primary care settings: randomized controlled trial. J Med Internet Res 2023 Jul 13; 25:e41431. doi: 10.2196/41431..
Keywords: Primary Care, Patient and Family Engagement
Hinesley JLG, Brooks EM, O'Loughlin K
Feasibility of patient navigation for care planning in primary care.
The purpose of this study was to help better control chronic conditions by connecting patients with a navigator for support creating a personal care goal. Twenty-four clinicians in 12 practices in the Virginia Ambulatory Care Outcomes Research Network (ACORN) participated in a care planning intervention under a structured process that guided 87 patients with uncontrolled chronic conditions, trained navigators, and adapted the navigation process to meet the needs of each practice. Findings indicated that patient navigation to address care plans should be feasible, with a minimal time commitment and non-intensive training. However, given the burden and competing demands in primary care, this help cannot be offered without additional resources.
AHRQ-funded; HS026223.
Citation: Hinesley JLG, Brooks EM, O'Loughlin K . Feasibility of patient navigation for care planning in primary care. J Prim Care Community Health 2022 Jan-Dec;13:21501319221134754. doi: 10.1177/21501319221134754..
Keywords: Primary Care, Chronic Conditions, Patient and Family Engagement
Carter E, Monane R, Peccoralo L
Missed opportunities to engage patients in collaborative care challenge program sustainability: a qualitative study.
The authors examined barriers and accompanying strategies to patient engagement in the context of collaborative care sustainability. They concluded that their research signals the need for improved patient engagement at the time of diagnosis and referral, and they suggested innovative areas for quality improvement in primary care settings, including e-handoffs, culturally-tailored preference-driven treatment, collaborative care vs. psychiatry referral algorithms, and community-based paraprofessionals.
AHRQ-funded; HS025198.
Citation: Carter E, Monane R, Peccoralo L . Missed opportunities to engage patients in collaborative care challenge program sustainability: a qualitative study. Gen Hosp Psychiatry 2020 Nov-Dec;67:158-59. doi: 10.1016/j.genhosppsych.2020.05.007..
Keywords: Patient and Family Engagement, Primary Care, Primary Care, Behavioral Health, Patient-Centered Healthcare
Dickinson WP, Nease DE, Rhyne RL
Practice transformation support and patient engagement to improve cardiovascular care: from EvidenceNOW Southwest (ENSW).
The purpose of this study was to improve cardiovascular care through supporting primary care practices' adoption of evidence-based guidelines; a cluster randomized trial compared standard practice support--practice facilitation, practice assessment with feedback, health information technology assistance, and collaborative learning sessions--and standard support plus patient engagement support. Findings showed that practice transformation support can assist practices with improving quality of care. Patient engagement in practice transformation can further enhance practices' implementation of aspects of new models of care.
AHRQ-funded; HS023904.
Citation: Dickinson WP, Nease DE, Rhyne RL . Practice transformation support and patient engagement to improve cardiovascular care: from EvidenceNOW Southwest (ENSW). J Am Board Fam Med 2020 Sep-Oct;33(5):675-86. doi: 10.3122/jabfm.2020.05.190395..
Keywords: Cardiovascular Conditions, Primary Care: Models of Care, Primary Care, Patient and Family Engagement, Evidence-Based Practice, Implementation, Quality Improvement, Quality of Care
Hall TL, Knierim KE, Nease DE
Primary care practices' implementation of patient-team partnership: findings from EvidenceNOW Southwest.
The authors reported on practice characteristics associated with greater patient-team partnership scores. Using EvidenceNOW Southwest data, they found that practices can improve efforts to partner with patients to assess social needs, gather meaningful input on practice improvement and patient experience, and offer resource connections. These findings supplement recent evidence that patient registries and evidence-based guidelines may effectively prevent and manage cardiovascular disease.
AHRQ-funded; HS023904.
Citation: Hall TL, Knierim KE, Nease DE . Primary care practices' implementation of patient-team partnership: findings from EvidenceNOW Southwest. J Am Board Fam Med 2019 Jul-Aug;32(4):490-504. doi: 10.3122/jabfm.2019.04.180361..
Keywords: Cardiovascular Conditions, Clinician-Patient Communication, Evidence-Based Practice, Patient-Centered Healthcare, Patient-Centered Outcomes Research, Patient and Family Engagement, Primary Care, Quality of Care, Quality Improvement
Misra-Hebert AD, Rose S, Clayton C
Implementation of patient and family advisory councils in primary care practices in a large, integrated health system.
This paper was presented as part of a poster presentation at the Comprehensive Primary Care Plus national meeting in Baltimore, MD on May 8, 2018. It describes the formation of patient and family advisory councils (PFAC) at the Cleveland Clinic Health System (CCHS). A steering committee was first created and then staff and patients were recruited. Patients were recruited through a survey and provider nominations. No monetary incentives were provided. Forty PFAC meetings were conducted between July and December 2017. A total of 151 patients were included, but there was only 35% retention of patient advisors in both quarters. Most meetings were held at the practice sites, although they were first offered at hub sites. The CFACs included a volunteer clinic lead and a group facilitator. Topics discussed varied by site but included communication with the office between visits, team-based care, access to care, financial issues, and clinical decisions such as antibiotic use. The authors concluded that these meetings were successful and they will continue to hold quarter meetings. Work will be done to improve patient recruitment and retention along with better representation of patient populations.
AHRQ-funded; HS024128.
Citation: Misra-Hebert AD, Rose S, Clayton C . Implementation of patient and family advisory councils in primary care practices in a large, integrated health system. J Gen Intern Med 2019 Feb;34(2):190-91. doi: 10.1007/s11606-018-4660-y..
Keywords: Health Systems, Patient-Centered Healthcare, Patient and Family Engagement, Primary Care
Moise N, Falzon L, Obi M
Interventions to increase depression treatment initiation in primary care patients: a systematic review.
Researchers investigated interventions for increasing depression treatment initiation in primary care settings. They found that collaborative/integrated care, preference treatment matching, and case management strategies had the best evidence for improving depression treatment initiation, but none of the strategies had high strength of evidence. While primary care settings can consider using some of these strategies when referring depressed patients to treatment, their review highlights the need for further rigorous research in this area.
AHRQ-funded; HS025198.
Citation: Moise N, Falzon L, Obi M . Interventions to increase depression treatment initiation in primary care patients: a systematic review. J Gen Intern Med 2018 Nov;33(11):1978-89. doi: 10.1007/s11606-018-4554-z..
Keywords: Patient-Centered Healthcare, Depression, Primary Care, Behavioral Health, Patient and Family Engagement
English AF, Dickinson LM, Zittleman L
A community engagement method to design patient engagement materials for cardiovascular health.
This trial included development of locally tailored cardiovascular disease (CVD) patient engagement materials through Boot Camp Translation (BCT), a community engagement process that occurred before practice recruitment but after cluster randomization. The 4 BCTs' messages and materials developed by the BCT groups uniquely reflected each community and ranged from family or spiritual values to early prevention or adding relevance to CVD risk.
AHRQ-funded; HS023904.
Citation: English AF, Dickinson LM, Zittleman L . A community engagement method to design patient engagement materials for cardiovascular health. Ann Fam Med 2018 Apr;16(Suppl 1):S58-s64. doi: 10.1370/afm.2173.
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Keywords: Cardiovascular Conditions, Education: Patient and Caregiver, Evidence-Based Practice, Patient and Family Engagement, Primary Care
Shortell SM, Poon BY, Ramsay PP
A multilevel analysis of patient engagement and patient-reported outcomes in primary care practices of accountable care organizations.
For adult primary care practices seeing patients with diabetes and/or cardiovascular disease, researchers examined the relationship between selected practice characteristics, patient engagement, and patient-reported outcomes of care. They found that having a patient-centered culture was positively associated with fewer depression symptoms and better physical function scores. Patient activation was positively associated with fewer depression symptoms.
AHRQ-funded; HS024075.
Citation: Shortell SM, Poon BY, Ramsay PP . A multilevel analysis of patient engagement and patient-reported outcomes in primary care practices of accountable care organizations. J Gen Intern Med 2017 Jun;32(6):640-47. doi: 10.1007/s11606-016-3980-z.
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Keywords: Patient and Family Engagement, Patient-Centered Outcomes Research, Primary Care, Chronic Conditions, Diabetes, Cardiovascular Conditions
Lee JL, Beach MC, Berger ZD
A qualitative exploration of favorite patients in primary care.
This study ascertained whether physicians have favorite patients, their experiences with such patients, and how such relationships may influence patients and physicians. It found that most participants (22/25) reported having favorite patients. For many physicians, favorite patients were not necessarily the most compliant patients, or those most similar to them. Instead, favorite patients were often very sick patients and/or those who have known their physicians for a long time.
AHRQ-funded; HS000029.
Citation: Lee JL, Beach MC, Berger ZD . A qualitative exploration of favorite patients in primary care. Patient Educ Couns 2016 Nov;99(11):1888-93. doi: 10.1016/j.pec.2016.06.023.
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Keywords: Patient Experience, Patient and Family Engagement, Primary Care, Clinician-Patient Communication
Stults CD, McCuistion MH, Frosch DL
Shared medical appointments: a promising innovation to improve patient engagement and ease the primary care provider shortage.
The authors examined the patient's perspective on participation in shared medical appointments (SMAs). They conducted five focus groups in the San Francisco Bay Area. They concluded that SMAs improve access, engagement with physicians and other patients, and knowledge of patients' health, as well as also helping to ease the workload for primary care physicians.
AHRQ-funded; HS019167.
Citation: Stults CD, McCuistion MH, Frosch DL . Shared medical appointments: a promising innovation to improve patient engagement and ease the primary care provider shortage. Popul Health Manag 2016 Feb;19(1):11-6. doi: 10.1089/pop.2015.0008.
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Keywords: Patient and Family Engagement, Primary Care, Healthcare Delivery
Mirsky JB, Tieu L, Lyles C
A mixed-methods study of patient-provider e-mail content in a safety-net setting.
The researchers explored the content of patient-provider e-mails in a safety-net primary care clinic, by conducting a content analysis using inductive and deductive coding of e-mail exchanges. Their results showed that patients in safety-net clinics are capable of safely and effectively using electronic messaging for between-visit communication with providers.
AHRQ-funded; HS022408; HS023558.
Citation: Mirsky JB, Tieu L, Lyles C . A mixed-methods study of patient-provider e-mail content in a safety-net setting. J Health Commun 2016;21(1):85-91. doi: 10.1080/10810730.2015.1033118..
Keywords: Communication, Health Information Technology (HIT), Patient and Family Engagement, Primary Care, Web-Based
VanGompel EC, Jerant AF, Franks PM
Primary care attributes associated with receipt of preventive care services: a national study.
This study explored whether primary care attributes (PCAs) encompassed by patient-centered medical homes increase receipt of preventive care. Based ,on a nationally representative sample, greater reported exposure to key primary care attributes, with the exception of enhanced access, was associated with increased preventive care. These findings may inform best practices for maximizing preventive care delivery.
AHRQ-funded; HS022236.
Citation: VanGompel EC, Jerant AF, Franks PM . Primary care attributes associated with receipt of preventive care services: a national study. J Am Board Fam Med 2015 Nov-Dec;28(6):733-41. doi: 10.3122/jabfm.2015.06.150092.
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Keywords: Patient-Centered Healthcare, Patient and Family Engagement, Prevention, Primary Care

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