Article
Obstetrics & Gynecology
Jen Sothornwit, Pisake Lumbiganon, Kesinee Saranrittichai, Ussanee Sangkomkamhang, Thanyarat Singhdaeng, Nampet Jampathong
Summary: This study identified the barriers and facilitators to the successful implementation of Immediate postpartum (IPP) insertion of contraceptive implants service. Overcoming modifiable barriers and strengthening facilitators are crucial for the successful implementation of this service.
INTERNATIONAL JOURNAL OF WOMENS HEALTH
(2022)
Review
Health Care Sciences & Services
Devon K. Check, Leah L. Zullig, Melinda M. Davis, Louise Davies, David Chambers, Linda Fleisher, Samantha J. Kaplan, Enola Proctor, Shoba Ramanadhan, Florian R. Schroeck, Angela M. Stover, Bogda Koczwara
Summary: Efforts to improve cancer care come from improvement science and implementation science, which although developed independently, share similarities in purpose, scope, and methods. Studies show potential for synergy between the two fields, suggesting alignment can enhance care significantly through harmonizing language and methods.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Review
Surgery
Elena Pallari, Zarnie Khadjesari, David Aceituno, Catherine Anyango Odhiambo, Ross Warner, Christopher Bastianpillai, James S. A. Green, Nick Sevdalis
Summary: Teaching quality improvement (QI) skills to surgeons and surgical residents typically involves a combination of QI techniques such as QI models, process mapping, and lean principles, paired with didactic teaching and practical project delivery. However, there is poor reporting on the implementation of QI training, methodological weaknesses, and lack of clarity on underlying frameworks, environmental descriptions, content, and conclusions. Conducting larger-scale educational QI studies across multiple institutions can help advance the field and clarify the true impact of QI training.
Article
Health Care Sciences & Services
Laura J. Damschroder, Nicholas R. Yankey, Claire H. Robinson, Michelle B. Freitag, Jennifer A. Burns, Susan D. Raffa, Julie C. Lowery
Summary: Integrating evidence-based innovations into sustained use is challenging in health systems, but increasing frontline teams' QI capability through programs like LEAP can improve implementation readiness. Despite improvements in QI skills and high satisfaction with LEAP components, participating teams still struggled to complete assignments due to competing clinical priorities.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Infectious Diseases
Joseph F. Golob, Heather L. Evans, Laura A. Kreiner, Jeffrey A. Claridge
Summary: Implementation science aims to reduce the time it takes to apply medical innovations to patients, focusing on key concepts such as information diffusion, dissemination, implementation, adoption, and sustainability. Clinicians should prepare for implementation by asking the right questions, and implementation science provides proven tools and strategies for successful implementation.
SURGICAL INFECTIONS
(2021)
Article
Obstetrics & Gynecology
Michelle H. Moniz, Vanessa K. Dalton, Roger D. Smith, Lauren E. Owens, Zach Landis-Lewis, Alex F. Peahl, Barbara Van Kainen, Margaret R. Punch, Marisa K. Wetmore, Kirsten Bonawitz, Giselle E. Kolenic, Christine Dehlendorf, Michele Heisler
Summary: This study aimed to develop a theory-informed toolkit for immediate postpartum long-acting reversible contraception care and assess its feasibility. The implementation of the toolkit was associated with high acceptability but varied healthcare quality outcomes. The toolkit was refined to optimize counseling rates and improve the patient experience of contraceptive care.
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2022)
Article
Pediatrics
Elizabeth L. Cope, Margaret Johnson, Marya Khan, Heather C. Kaplan, Anne Sales, Kamila B. Mistry
Summary: The study highlighted that professional interactions, incentives and resources, and capacity for organizational change were the key influential factors in pediatric quality improvement projects. While social, political, and legal factors were less commonly referenced, the policies of payers or funders were found to be one of the most influential factors. Future quality improvement efforts should focus on supporting infrastructure development and providing resources for program implementation.
ACADEMIC PEDIATRICS
(2021)
Article
Medicine, General & Internal
Avir Sarkar, Isha Wadhawan, Anjaly Raj, Prerana Nagabhushana, Preeti Singh
Summary: By increasing awareness and providing counseling, we successfully increased the acceptance rate of Centchroman from a baseline of 2.9% to 78.2%, with high continuation rates during follow-up. Despite minor side effects, the primary reason for discontinuation was a preference for other contraceptive methods.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2022)
Article
Health Care Sciences & Services
Helena Kilander, Maja Weinryb, Malin Vikstrom, Kerstin Petersson, Elin C. Larsson
Summary: This study evaluated a Quality Improvement Collaborative (QIC) aimed at improving contraceptive services for immigrant women postpartum. By using healthcare professionals' (HCPs) counseling and a more effective choice of contraceptive methods, as well as user feedback, the QIC helped midwives improve their contraceptive services and increased immigrant women's choice of a more effective contraceptive method postpartum.
BMC HEALTH SERVICES RESEARCH
(2022)
Article
Obstetrics & Gynecology
Kavita Shah Arora, Roselle Ponsaran, Laura Morello, Leila Katabi, Rosemary T. Behmer Hansen, Nikki Zite, Kari White
Summary: The study reveals diverse practices among obstetrician-gynecologists in the United States when it comes to postpartum sterilization without a valid Medicaid consent form. Some physicians proceed with the procedure due to ethical obligations or broader interpretations of the emergency justification section, while others are concerned about legal risks and funding issues.
OBSTETRICS AND GYNECOLOGY
(2021)
Article
Obstetrics & Gynecology
Brooke W. Bullington, Kavita Shah Arora
Summary: Women of color face disparities in fulfilling desired postpartum permanent contraception. The disparities cannot be completely explained by policies, as racial and ethnic disparities persist within different insurance types. We propose addressing postpartum permanent contraception as a health disparities issue and highlight barriers at the patient, physician, hospital, and policy levels that interact and affect individuals differently.
REPRODUCTIVE SCIENCES
(2022)
Article
Public, Environmental & Occupational Health
Dan Han, Emma Clarke-Deelder, Nora Miller, Kennedy Opondo, Thomas Burke, Monica Oguttu, Margaret McConnell, Jessica Cohen
Summary: Evidence suggests that health care providers' non-adherence to clinical guidelines is a common problem in low- and middle-income countries, leading to poor patient outcomes. A study conducted in Kenya found limited adherence to recommended monitoring practices for postpartum hemorrhage, despite providers having training and equipment. The study also revealed that providers' decisions to actively monitor patients are influenced by subjective risk and perceived uncertainty. The findings highlight the need to understand provider decision-making and could inform interventions to promote proactive obstetric care.
SOCIAL SCIENCE & MEDICINE
(2023)
Article
Health Care Sciences & Services
Melinda M. Davis, Rose Gunn, Erin Kenzie, Caitlin Dickinson, Cullen Conway, Alex Chau, LeAnn Michaels, Steven Brantley, Devon K. Check, Nancy Elder
Summary: The study found that approximately 30% of projects within the PBRN included IS or QI elements, with 54% classified as IS/QI. All projects used evidence-based interventions and shared many similarities in objectives and settings. IS and IS/QI projects were more likely to use randomized designs and theoretical frameworks compared to QI projects. There was an upward trend in project complexity over time. Projects with IS/QI elements demonstrated how QI operationalizes the principles of IS to support local practice change, while IS provides theories for implementation and evaluation to produce generalizable knowledge.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Review
Obstetrics & Gynecology
Giovanni Grandi, Maria C. C. Del Savio, Alice Tassi, Fabio Facchinetti
Summary: The postpartum period is an important time to consider family planning services. Guidelines vary on the use of combined hormonal contraceptives in breastfeeding women from 6 weeks to 6 months postpartum. Progestin-only pills are recommended for non-breastfeeding women, while guidelines differ on the use of implants in breastfeeding women. Intrauterine devices are a viable option for postpartum contraception, but guidelines have different recommendations on timing of insertion.
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
(2023)
Article
Nursing
Jessica R. Botfield, Melanie Tulloch, Hannah Contziu, Hala Phipps, Deborah Bateson, Sarah M. Wright, Kevin McGeechan, Kirsten I. Black
Summary: Most midwives recognize the value of providing contraception information to women in the postpartum period, but only a minority have received formal training in this area. Few midwives currently provide contraceptive counseling, highlighting the need for further research in this area.
Article
Health Care Sciences & Services
Kirin Saint, Michele Heisler
Summary: Participants who became coaches in a peer coaching program displayed a deeper understanding of their coaching role and emphasized the importance of their own peer coach in influencing their decision to become a coach. They described commitment to their partners, providing realistic encouragement, and fostering a reciprocal partnership.
Article
Medicine, General & Internal
Karen M. Goldstein, Corrine Voils, Lori A. Bastian, Michele Heisler, Maren K. Olsen, Sandra Woolson, Courtney White-Clark, Jennifer Zervakis, Eugene Z. Oddone
Summary: This study tested a hybrid model of peer support in veterans for promoting heart-healthy diet and exercise behaviors for cardiovascular disease risk reduction. The results showed that the supplemented peer support model with as-needed coaching was acceptable and feasible, effectively expanding the potential impact of peer support for behavior change.
Article
Medicine, Research & Experimental
Eli W. Carter, Harita S. Vadari, Shelley Stoll, Baylee Rogers, Kenneth Resnicow, Michele Heisler, William H. Herman, H. Myra Kim, Laura N. McEwen, Kevin G. Volpp, Jeffrey T. Kullgren
Summary: This randomized controlled trial aims to test the effectiveness of financial incentives and automated messaging in increasing participation and motivation for preventing type 2 diabetes. If successful, these approaches can be widely implemented to help individuals with prediabetes lower their risk of developing type 2 diabetes.
CONTEMPORARY CLINICAL TRIALS
(2023)
Article
Ophthalmology
Olivia J. Killeen, Leslie M. Niziol, Juno Cho, Michele Heisler, Ken Resnicow, Deborah Darnley-Fisch, David C. Musch, Paul P. Lee, Paula Anne Newman-Casey
Summary: An evaluation was conducted to assess the effectiveness of the Support, Educate, Empower (SEE) glaucoma coaching program in improving medication adherence among poorly adherent patients with glaucoma. The study found that medication adherence decreased in the year after the program ended but remained higher than baseline adherence. The findings suggest that intermittent reinforcement sessions might be necessary to maintain long-term medication adherence.
OPHTHALMOLOGY GLAUCOMA
(2023)
Article
Health Care Sciences & Services
Tiffany Yung -Shin Hu, Iman Ali, Michele Heisler, Helen Levy, Angela Fagerlin, Jeffrey Kullgren
Summary: A growing number of Americans enrolled in high-deductible health plans (HDHPs) face challenges in managing their out-of-pocket costs and often delay or forgo needed care due to cost. This study aimed to assess preferences among HDHP enrollees with chronic conditions for a novel behavioral intervention that supports the use of cost-conscious strategies when seeking health care. Findings suggest that interventions delivered through a web-based modality, specifically a website or phone app, that assist patients in comparing prices for services at different locations are most valued and desired.
JMIR FORMATIVE RESEARCH
(2023)
Article
Public, Environmental & Occupational Health
Michele Heisler, Wendy T. Dyer, Holly Finertie, Shelley C. Stoll, Deanne Wiley, Cassie D. Turner, Tali Sedgwick, Jeffrey Kullgren, Caroline R. Richardson, Monique Hedderson, Julie A. Schmittdiel
Summary: This study examined the effects of a low-intensity peer support program on a diverse population with prediabetes. The results showed that peer support improved participation in formal diabetes prevention programs and perceived social support, but had no significant impact on weight and HbA1c control.
AMERICAN JOURNAL OF PREVENTIVE MEDICINE
(2023)
Article
Medicine, Research & Experimental
Paula Anne Newman-Casey, Ken Resnicow, Suzanne Winter, Leslie M. Niziol, Deborah Darnley-Fisch, Nauman Imami, Phalatha McHaney-Conner, David C. Musch, Jamie Mitchell, Michele Heisler
Summary: The purpose of this study is to improve glaucoma medication adherence among those with medically treated glaucoma and poor self-reported adherence using the Support, Educate, Empower personalized coaching program. The study is a two-site randomized controlled trial enrolling 230 participants with poor self-reported glaucoma medication adherence. The primary outcome is the proportion of prescribed doses taken on schedule during the 6-month period.
Article
Endocrinology & Metabolism
Yiqing Qian, Dane A. Emmerling, Sarah D. Kowitt, Guadalupe X. Ayala, Andrea L. Cherrington, Michele Heisler, Monika M. Safford, Tricia S. Tang, David H. Thom, Edwin B. Fisher
Summary: This study found that diabetes distress is positively associated with HbA(1c) and may mediate the relationship between depressive symptoms and HbA(1c) in a diverse sample of adults with type 2 diabetes. The results suggest that diabetes distress partially mediates the influence of depressive symptoms on HbA(1c).
Editorial Material
Medicine, General & Internal
Michele Heisler, Pavlo Kovtonyuk, Christian De Vos
Summary: In this Viewpoint, the authors from Physicians for Human Rights and the Ukrainian Healthcare Center present findings from a joint report that documents the use of attacks on health care workers and facilities as a weapon of war in the Russian war with Ukraine.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2023)
Article
Ophthalmology
Juno Cho, Melinda Song, Leslie M. Niziol, Michele Heisler, Ken Resnicow, David C. Musch, Paul Lee, Deborah Darnley-Fisch, Paula Anne Newman-Casey
Summary: This study aimed to evaluate the impact of the personalized glaucoma coaching program (SEE program) on self-determination theory (SDT) metrics and other patient-centered outcome measures. The results showed that the SEE program improved participants' autonomous motivation, perceived support, perceived competence, glaucoma-related distress, and competence.
JOURNAL OF GLAUCOMA
(2023)
Editorial Material
Medicine, General & Internal
Michele Heisler, Tamya Cox-Toure, Risa Kaufman
Article
Multidisciplinary Sciences
Lauren Oshman, Amal Othman, Wendy Furst, Michele Heisler, Andrew Kraftson, Yousra Zouani, Cheryl Hershey, Tsai-Chin Cho, Timothy Guetterman, Gretchen Piatt, Dina H. Griauzde
Summary: This study aimed to understand primary care physicians' perspectives on barriers to obesity treatment and opportunities to overcome them. The study found that many primary care physicians lack the ability to use evidence-based guidelines for obesity treatment decisions, but they believe that improvements can be made through education, team-based care, and policy changes.
Article
Nutrition & Dietetics
Dina H. H. Griauzde, Cheryl Hershey, Jamie Michaels, Richard R. R. Evans, Caroline R. R. Richardson, Michele Heisler, Jeffrey T. T. Kullgren, Laura R. R. Saslow
Summary: All VA Medical Centers offer the MOVE! Weight Management Program, but most participants do not achieve clinically significant weight loss. A carbohydrate-restricted diet may help more Veterans to achieve >=5% weight loss.
FRONTIERS IN NUTRITION
(2023)
Article
Public, Environmental & Occupational Health
Tainayah Whitney Thomas, Rebecca Lindsey, Maher Yassin, Luis A. Rodriguez, Michele Heisler, Julie A. Schmittdiel
Summary: The purpose of this study was to assess if the COVID-19 pandemic affected diabetes prevention behaviors among American adults with prediabetes. The results showed a decrease in health promotion behaviors and an increase in stress due to the pandemic. Therefore, it is crucial to improve diabetes prevention behaviors and address mental health concerns during and after the COVID-19 pandemic.
PREVENTIVE MEDICINE REPORTS
(2023)
Article
Psychology, Multidisciplinary
Katherine Diaz Vickery, Becky R. Ford, Lillian Gelberg, Zobeida Bonilla, Ella Strother, Susan Gust, Edward Adair, Victor M. Montori, Mark Linzer, Michael D. Evans, John Connett, Michele Heisler, Patrick J. O'Connor, Andrew M. Busch
Summary: Compared to stably housed peers, individuals experiencing homelessness have poorer glycemic control and higher morbidity and mortality rates. The high prevalence of behavioral health comorbidities and trauma contribute to access barriers and poor outcomes. There is limited evidence on behavioral approaches to support individuals experiencing homelessness with diabetes.
FRONTIERS IN PSYCHOLOGY
(2023)