The Experts below are selected from a list of 12210 Experts worldwide ranked by ideXlab platform
Robert C Green - One of the best experts on this subject based on the ideXlab platform.
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effect of communicating personalized rheumatoid arthritis risk on concern for developing ra a randomized controlled trial
Patient Education and Counseling, 2019Co-Authors: Maria G Prado, Rachel Miller Kroouze, Sarah S Kalia, Robert C Green, Allison A Marshall, Alessandra Zaccardelli, Xinyi LiuAbstract:Abstract Objective To investigate the effect of providing comprehensive personalized risk information on concern for chronic disease development. Methods Unaffected first-degree relatives (FDRs) of rheumatoid arthritis (RA) patients (n = 238) were randomly allocated to: 1) disclosure of RA risk personalized to demographics, genetics, biomarkers, and behaviors using a web-based tool (PRE-RA arm, n = 78); 2) PRE-RA with interpretation by a Health Educator (PRE-RA Plus arm, n = 80); and 3) standard RA education (Comparison arm, n = 80). Concern for developing RA was assessed at baseline and immediately, 6 weeks, 6 months, and 12 months post-intervention. Results FDRs randomized to PRE-RA arms were less concerned about developing RA than the Comparison arm at all post-intervention assessments (p Conclusion A comprehensive tool provided reassurance to those at risk for developing a chronic disease, with or without interpretation from a Health Educator, compared to standard education. Practice implications Individuals may be more likely to be reassured using a personalized chronic disease risk disclosure tool than a standard non-personalized approach.
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effectiveness of a web based personalized rheumatoid arthritis risk tool with or without a Health Educator for knowledge of rheumatoid arthritis risk factors
Arthritis Care and Research, 2018Co-Authors: Maria G Prado, Maura D Iversen, Rachel Miller Kroouze, Nellie A Triedman, Sarah S Kalia, Robert C Green, Elizabeth W Karlson, Jeffrey A SparksAbstract:OBJECTIVE To assess knowledge of rheumatoid arthritis (RA) risk factors among unaffected first-degree relatives (FDRs) and to study whether a personalized RA education tool increases risk factor knowledge. METHODS We performed a randomized controlled trial assessing RA educational interventions among 238 FDRs. The web-based Personalized Risk Estimator for RA (PRE-RA) tool displayed personalized RA risk results (genetics, autoantibodies, demographics, and behaviors) and educated about risk factors. Subjects were randomly assigned to a Comparison arm (standard RA education; n = 80), a PRE-RA arm (PRE-RA alone; n = 78), or a PRE-RA Plus arm (PRE-RA and a one-on-one session with a trained Health Educator; n = 80). The RA Knowledge Score (RAKS), the number of 8 established RA risk factors identified as related to RA, was calculated at baseline and post-education (immediate/6 weeks/6 months/12 months). We compared RAKS and its components at each post-education point by randomization arm. RESULTS At baseline before education, few FDRs identified behavioral RA risk factors (15.6% for dental Health, 31.9% for smoking, 47.5% for overweight/obesity, and 54.2% for diet). After education, RAKS increased in all arms, higher in PRE-RA and PRE-RA Plus than Comparison at all post-education points (P < 0.05). PRE-RA subjects were more likely to identify risk factors than those who received standard education (proportion agreeing that smoking is a risk factor at 6 weeks: 83.1% in the PRE-RA Plus arm, 71.8% in the PRE-RA arm, and 43.1% in the Comparison arm; P < 0.05 for PRE-RA versus Comparison). CONCLUSION Despite being both familiar with RA and at increased risk, FDRs had low knowledge about RA risk factors. A web-based personalized RA education tool successfully increased RA risk factor knowledge.
Alison A Moore - One of the best experts on this subject based on the ideXlab platform.
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the effect of an educational intervention on alcohol consumption at risk drinking and Health care utilization in older adults the project share study
Journal of Studies on Alcohol and Drugs, 2014Co-Authors: Susan L Ettner, Kenrik O Duru, Alfonso Ang, Chihong Tseng, Louise Tallen, Andrew J Barnes, Michelle Mirkin, Kurt Ransohoff, Alison A MooreAbstract:Objective:The purpose of this study was to examine the effectiveness of a patient–provider educational intervention in reducing at-risk drinking among older adults.Method:This was a cluster-randomized controlled trial of 31 primary care providers and their patients ages 60 years and older at a community-based practice with seven clinics. Recruitment occurred from July 2005 to August 2007. Eligibility was determined by telephone and a baseline mailed survey. A total of 1,186 at-risk drinkers were identified by the Comorbidity Alcohol Risk Evaluation Tool. Follow-up patient surveys were administered at 3, 6, and 12 months after baseline. Study physicians and their patients were randomly assigned to usual care (n = 640 patients) versus the Project SHARE (Senior Health and Alcohol Risk Education) intervention (n = 546 patients), which included personalized reports, educational materials, drinking diaries, physician advice during office visits, and telephone counseling delivered by a Health Educator. Main outc...
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do Health Educator telephone calls reduce at risk drinking among older adults in primary care
Journal of General Internal Medicine, 2010Co-Authors: James C Lin, Mitchell P Karno, Lingqi Tang, Kristen L Barry, Frederic C Blow, James W Davis, Karina D Ramirez, Sandra Welgreen, Marc Hoffing, Alison A MooreAbstract:Background Alcohol screening and brief intervention for unHealthy alcohol use has not been consistently delivered in primary care as part of preventive Healthcare.
Maria G Prado - One of the best experts on this subject based on the ideXlab platform.
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effect of communicating personalized rheumatoid arthritis risk on concern for developing ra a randomized controlled trial
Patient Education and Counseling, 2019Co-Authors: Maria G Prado, Rachel Miller Kroouze, Sarah S Kalia, Robert C Green, Allison A Marshall, Alessandra Zaccardelli, Xinyi LiuAbstract:Abstract Objective To investigate the effect of providing comprehensive personalized risk information on concern for chronic disease development. Methods Unaffected first-degree relatives (FDRs) of rheumatoid arthritis (RA) patients (n = 238) were randomly allocated to: 1) disclosure of RA risk personalized to demographics, genetics, biomarkers, and behaviors using a web-based tool (PRE-RA arm, n = 78); 2) PRE-RA with interpretation by a Health Educator (PRE-RA Plus arm, n = 80); and 3) standard RA education (Comparison arm, n = 80). Concern for developing RA was assessed at baseline and immediately, 6 weeks, 6 months, and 12 months post-intervention. Results FDRs randomized to PRE-RA arms were less concerned about developing RA than the Comparison arm at all post-intervention assessments (p Conclusion A comprehensive tool provided reassurance to those at risk for developing a chronic disease, with or without interpretation from a Health Educator, compared to standard education. Practice implications Individuals may be more likely to be reassured using a personalized chronic disease risk disclosure tool than a standard non-personalized approach.
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effectiveness of a web based personalized rheumatoid arthritis risk tool with or without a Health Educator for knowledge of rheumatoid arthritis risk factors
Arthritis Care and Research, 2018Co-Authors: Maria G Prado, Maura D Iversen, Rachel Miller Kroouze, Nellie A Triedman, Sarah S Kalia, Robert C Green, Elizabeth W Karlson, Jeffrey A SparksAbstract:OBJECTIVE To assess knowledge of rheumatoid arthritis (RA) risk factors among unaffected first-degree relatives (FDRs) and to study whether a personalized RA education tool increases risk factor knowledge. METHODS We performed a randomized controlled trial assessing RA educational interventions among 238 FDRs. The web-based Personalized Risk Estimator for RA (PRE-RA) tool displayed personalized RA risk results (genetics, autoantibodies, demographics, and behaviors) and educated about risk factors. Subjects were randomly assigned to a Comparison arm (standard RA education; n = 80), a PRE-RA arm (PRE-RA alone; n = 78), or a PRE-RA Plus arm (PRE-RA and a one-on-one session with a trained Health Educator; n = 80). The RA Knowledge Score (RAKS), the number of 8 established RA risk factors identified as related to RA, was calculated at baseline and post-education (immediate/6 weeks/6 months/12 months). We compared RAKS and its components at each post-education point by randomization arm. RESULTS At baseline before education, few FDRs identified behavioral RA risk factors (15.6% for dental Health, 31.9% for smoking, 47.5% for overweight/obesity, and 54.2% for diet). After education, RAKS increased in all arms, higher in PRE-RA and PRE-RA Plus than Comparison at all post-education points (P < 0.05). PRE-RA subjects were more likely to identify risk factors than those who received standard education (proportion agreeing that smoking is a risk factor at 6 weeks: 83.1% in the PRE-RA Plus arm, 71.8% in the PRE-RA arm, and 43.1% in the Comparison arm; P < 0.05 for PRE-RA versus Comparison). CONCLUSION Despite being both familiar with RA and at increased risk, FDRs had low knowledge about RA risk factors. A web-based personalized RA education tool successfully increased RA risk factor knowledge.
David B Connell - One of the best experts on this subject based on the ideXlab platform.
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overview of the national Health Educator competencies update project 1998 2004
Health Education & Behavior, 2005Co-Authors: Gary D Gilmore, Larry K Olsen, Alyson Taub, David B ConnellAbstract:The National Health Educator Competencies Update Project (CUP), conducted during 1998-2004, addressed what Health Educators currently do in practice, the degree to which the role definition of the entry-level Health Educator is still up-to-date, and the validation of advanced-level competencies. A 19-page questionnaire was sent to a representative sample of Health Educators in recognized practice settings in all states and the District of Columbia. A total of 4,030 Health Educators participated in the research (70.6% adjusted response rate) resulting in the largest national data set of its kind, with 1.6 million data points. The model derived from the research was hierarchical (7 areas of responsibility, 35 competencies, and 163 subcompetencies), with three levels of practice (Entry, Advanced 1, and Advanced 2) differentiated by degrees earned and years of experience. The findings affect professional preparation, credentialing, and professional development.
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overview of the national Health Educator competencies update project 1998 2004
Journal of Health Education, 2005Co-Authors: Gary D Gilmore, Larry K Olsen, Alyson Taub, David B ConnellAbstract:Abstract This research was supported in part by the Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services (HHSP233200400186P);Bureau of Health Professions, Health Resources and Services Administration, U.S. Department of Health and Human Services (Purchase Order 00-257(P)); New York University Research Challenge Fund Programs; American Association for Health Education; National Commission for Health Education Credentialing, Inc.; and Society for Public Health Education, Inc. The National Health Educator Competencies Update Project (CUP), conducted during 1998-2004, addressed what Health Educators currently do in practice, the degree to which the role definition of the entry-level Health Educator is still up-to-date, and the validation of advanced-level competencies. A 19-page questionnaire was sent to a representative sample of Health Educators in recognized practice settings in all states and the District of Columbia. A total of 4,030 Health Educators participated in th...
Tumaini R Coker - One of the best experts on this subject based on the ideXlab platform.
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a parent coach model for well child care among low income children a randomized controlled trial
Pediatrics, 2016Co-Authors: Tumaini R Coker, Sandra Chacon, Marc N Elliott, Yovana Bruno, Toni Chavis, Christopher Biely, Christina Bethell, Sandra Contreras, Naomi A MimilaAbstract:OBJECTIVE: The goal of this study was to examine the effects of a new model for well-child care (WCC), the Parent-focused Redesign for Encounters, Newborns to Toddlers (PARENT), on WCC quality and Health care utilization among low-income families. METHODS: PARENT includes 4 elements designed by using a stakeholder-engaged process: (1) a parent coach (ie, Health Educator) to provide anticipatory guidance, psychosocial screening and referral, and developmental/behavioral guidance and screening at each well-visit; (2) a Web-based tool for previsit screening; (3) an automated text message service to provide periodic, age-specific Health messages to families; and (4) a brief, problem-focused encounter with the pediatric clinician. The Promoting Healthy Development Survey–PLUS was used to assess receipt of recommended WCC services at 12 months’ postenrollment. Intervention effects were examined by using bivariate analyses. RESULTS: A total of 251 parents with a child aged ≤12 months were randomized to receive either the control (usual WCC) or the intervention (PARENT); 90% completed the 12-month assessment. Mean child age at enrollment was 4.5 months; 64% had an annual household income less than $20 000. Baseline characteristics for the intervention and control groups were similar. Intervention parents scored higher on all preventive care measures (anticipatory guidance, Health information, psychosocial assessment, developmental screening, and parental developmental/behavioral concerns addressed) and experiences of care measures (family-centeredness, helpfulness, and overall rating of care). Fifty-two percent fewer intervention children had ≥2 emergency department visits over the 12-month period. There were no significant differences in WCC or sick visits/urgent care utilization. CONCLUSIONS: A parent coach–led model for WCC may improve the receipt of comprehensive WCC for low-income families, and it may potentially lead to cost savings by reducing emergency department utilization.
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well child care clinical practice redesign for serving low income children
Pediatrics, 2014Co-Authors: Tumaini R Coker, Candice Moreno, Paul G Shekelle, Mark A Schuster, Paul J ChungAbstract:Our objective was to conduct a rigorous, structured process to create a new model of well-child care (WCC) in collaboration with a multisite community Health center and 2 small, independent practices serving predominantly Medicaid-insured children. Working groups of clinicians, staff, and parents (called “Community Advisory Boards” [CABs]) used (1) perspectives of WCC stakeholders and (2) a literature review of WCC practice redesign to create 4 comprehensive WCC models for children ages 0 to 3 years. An expert panel, following a modified version of the Rand/UCLA Appropriateness Method, rated each model for potential effectiveness on 4 domains: (1) receipt of recommended services, (2) family-centeredness, (3) timely and appropriate follow-up, and (4) feasibility and efficiency. Results were provided to the CABs for selection of a final model to implement. The newly developed models rely heavily on a Health Educator for anticipatory guidance and developmental, behavioral, and psychosocial surveillance and screening. Each model allots a small amount of time with the pediatrician to perform a brief physical examination and to address parents' physical Health concerns. A secure Web-based tool customizes the visit to parents' needs and facilitates previsit screening. Scheduled, non–face-to-face methods (text, phone) for parent communication with the Health care team are also critical to these new models of care. A structured process that engages small community practices and community Health centers in clinical practice redesign can produce comprehensive, site-specific, and innovative models for delivery of WCC. This process, as well as the models developed, may be applicable to other small practices and clinics interested in practice redesign.
