Abstract：
PURPOSE:Conducting studies in national practice-based research networks presents logistic and methodologic challenges. Pediatric Research in Office Settings (PROS) has learned valuable lessons in implementing new strategies and adapting to challenges. We describe practical challenges and results of novel applied strategies in implementing and testing the Clinical Effort Against Secondhand Smoke Exposure (CEASE) intervention as part of a national-level cluster-randomized controlled trial. METHODS:In the trial, 20 PROS practices were randomized to either a CEASE intervention arm or a control arm. Parents of children seen in the office who indicated smoking in the past 7 days were asked to complete a postvisit enrollment interview and telephone interviews 3 and 12 months later. Identified challenges included (1) recruiting 20 practices serving a high percentage of parent smokers; (2) screening all parents bringing children for visits and enrolling eligible parents who smoked; and (3) achieving an acceptable 12-month telephone response rate. RESULTS:A total of 47 interested practices completed the Practice Population Survey, of which 20 practices in 16 states completed parent enrollment. Thirty-two research assistants screened 18,607 parents and enrolled 1,980 of them. The initial telephone interview response rate was 56% at 12 months, with incorrect and disconnected numbers accounting for nearly 60% of nonresponses. The response rate rose to 67% after practices supplied 532 new contact numbers and 754 text messages were sent, with 389 parents completing interviews. CONCLUSION:The strategies we used to overcome methodologic barriers in conducting a national intervention trial allowed data collection to be completed in the office setting and increased the telephone interview response rate.
journal_name
Ann Fam Medjournal_title
Annals of family medicineauthors
Finch SA,Wasserman R,Nabi-Burza E,Hipple B,Oldendick R,Winickoff JPdoi
10.1370/afm.1809subject
Has Abstractpub_date
2015-09-01 00:00:00pages
475-9issue
5eissn
1544-1709issn
1544-1717pii
13/5/475journal_volume
13pub_type
杂志文章,多中心研究,随机对照试验abstract：PURPOSE:Shared medical appointments (SMAs) are becoming popular, but little is known about their association with patient experience in primary care. We performed an exploratory analysis examining overall satisfaction and patient-centered care experiences across key domains of the patient-centered medical home among pa...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1660
更新日期：2014-07-01 00:00:00
abstract：:Physician narratives in family medicine have the potential to convey the vibrant spirit of our field and provide meaningful insights into disease, illness, suffering, and the nature of healing. They may also complement empirical research, education, and practice through their integrative, expressive nature. This true ...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.372
更新日期：2006-01-01 00:00:00
abstract：PURPOSE:Up to 50% of urinary tract infections (UTIs) in young children are missed in primary care. Urine culture is essential for diagnosis, but urine collection is often difficult. Our aim was to derive and internally validate a 2-step clinical rule using (1) symptoms and signs to select children for urine collection;...
journal_title：Annals of family medicine
pub_type： 杂志文章,多中心研究
doi：10.1370/afm.1954
更新日期：2016-07-01 00:00:00
abstract：PURPOSE:We wanted develop a reliable and valid objective measure of patient-physician collaborative decision making, the Rochester Participatory Decision-Making Scale (RPAD). METHODS:Based on an informed decision-making model, the RPAD assesses physician behavior that encourages patient participation in decision makin...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.305
更新日期：2005-09-01 00:00:00
abstract：PURPOSE:Self-harm is a public health problem that requires a better understanding of mortality risk. We undertook a study to examine premature mortality in a nationally representative cohort of primary care patients who had harmed themselves. METHODS:During 2001-2013, a total of 385 general practices in England contri...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.2054
更新日期：2017-05-01 00:00:00
abstract：PURPOSE:We aimed to identify the strategies used to support patient behavior change by clinicians whose patients had an increase in patient activation. METHODS:This mixed methods study was conducted in collaboration with Fairview Health Services, a Pioneer Accountable Care Organization. We aggregated data on the chang...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1904
更新日期：2016-03-01 00:00:00
abstract：PURPOSE:This review summarizes the evidence regarding the efficacy of adjuvant steroids for pain reduction in acute pharyngitis. METHODS:We searched for randomized controlled trials, using MEDLINE, EMBASE, and the Cochrane Database of Systematic Reviews, published between 1966 and December 2008. Two reviewers assessed...
journal_title：Annals of family medicine
pub_type： 杂志文章,评审
doi：10.1370/afm.1038
更新日期：2010-01-01 00:00:00
abstract：:Translational research seeks to improve health care by promoting action and change in real-world health care settings. Although translational research advocates a break from the traditional researcher-initiated approach to science, strategies to successfully engage clinicians and leaders of health care delivery organi...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1117
更新日期：2010-05-01 00:00:00
abstract：PURPOSE:Various models of care delivery have been investigated to meet the increasing demands in primary care. One proposed model is comanagement of patients by more than 1 primary care clinician. Comanagement has been investigated in acute care with surgical teams and in outpatient settings with primary care physician...
journal_title：Annals of family medicine
pub_type： 杂志文章,评审
doi：10.1370/afm.2230
更新日期：2018-05-01 00:00:00
abstract：PURPOSE:Despite growing calls for team-based care, the current staff composition of primary care practices is unknown. We describe staffing patterns for primary care practices in the Centers for Medicare and Medicaid Services (CMS) Comprehensive Primary Care (CPC) initiative. METHODS:We undertook a descriptive analysi...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1626
更新日期：2014-03-01 00:00:00
abstract：PURPOSE:The risk of an injury increases exponentially with alcohol consumption on a given occasion, but the conclusion that alcohol-related injuries are attributable primarily to heavy drinking may or may not be correct. The prevention paradox states that a large number of people at small risk may contribute more cases...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.243
更新日期：2005-01-01 00:00:00
abstract：:PURPOSE We examined how the closure of a large safety-net hospital in Los Angeles County, California, affected local primary care physicians. METHODS We conducted semistructured interviews with 42 primary care physicians who practiced in both underserved and nonunderserved settings in Los Angeles County. Two investiga...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1317
更新日期：2011-11-01 00:00:00
abstract：PURPOSE:At this second anniversary of the Annals of Family Medicine, we sought to characterize primary care research and to identify opportunities for new directions by analyzing the content of the first and second volumes of the Annals. METHODS:Using an a priori classification scheme, 2 editors independently categori...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.330
更新日期：2005-05-01 00:00:00
abstract：PURPOSE:Our goal was to monitor the progress of 3 Healthy People 2010 (HP2010) objectives encouraging self-management education and clinician counseling for weight loss and physical activity among adults with doctor-diagnosed arthritis. METHODS:Using the national 2002 and 2006 National Health Interview Survey (NHIS) a...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1210
更新日期：2011-03-01 00:00:00
abstract：PURPOSE:In primary care, the involvement of health care assistants (HCAs) in clinical depression management is an innovative approach. Little is known, however, about how HCAs experience their new tasks. We wanted to describe the perceptions and experiences of HCAs who provided case management to patients with depressi...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1037
更新日期：2009-11-01 00:00:00
abstract：PURPOSE:Qualitative research projects often involve the collaborative efforts of a research team. Challenges inherent in teamwork include changes in membership and differences in analytical style, philosophy, training, experience, and skill. This article discusses teamwork issues and tools and techniques used to improv...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.290
更新日期：2005-07-01 00:00:00
abstract：PURPOSE:Little is known about the impact of pay-for-performance incentives on health care disparities. We examined ethnic disparities in the management of hypertension among patients with and without cardiovascular comorbidities after the implementation of a major pay-for-performance incentive scheme in UK primary care...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.907
更新日期：2008-11-01 00:00:00
abstract：PURPOSE:There is a shortage of rural primary care personnel with expertise in team care for patients with common mental disorders. Building the workforce for this population is a national priority. We investigated the feasibility of regular systematic case reviews through telepsychiatric consultation, within collaborat...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.2561
更新日期：2020-09-01 00:00:00
abstract：PURPOSE:Knowledge about the ways patients perceive their vulnerability to disease is important for communication with patients about risk and preventive health measures. This interview study aimed to explore how patients with a diagnosis of heterozygous familial hypercholesterolemia understand and perceive their vulner...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.529
更新日期：2006-05-01 00:00:00
abstract：:William Osler is quoted as saying, "Nothing will sustain you more potently than the power to recognize in your humdrum routine, as perhaps it may be thought, the true poetry of life-the poetry of the commonplace, of the plain, toil-worn woman, with their loves and their joys, their sorrows and their griefs."(1) A fami...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1622
更新日期：2014-05-01 00:00:00
abstract：PURPOSE:Though evidence supports the value of community health workers (CHWs) in chronic disease self-management support, and authorities have called for expanding their roles within patient-centered medical homes (PCMHs), few PCMHs in Minnesota have incorporated these health workers into their care teams. We undertook...
journal_title：Annals of family medicine
pub_type： 杂志文章,多中心研究
doi：10.1370/afm.2171
更新日期：2018-01-01 00:00:00
abstract：PURPOSE:There is currently too few endoscopists to enact a national colorectal cancer screening program with colonoscopy. Primary care physicians could play an important role in filling this shortage by offering screening colonoscopy in their practice. The purpose of this study was to examine the safety and effectivene...
journal_title：Annals of family medicine
pub_type： 杂志文章,meta分析,评审
doi：10.1370/afm.939
更新日期：2009-01-01 00:00:00
abstract：PURPOSE:We wanted to describe family physicians' use of information from an electronic knowledge resource for answering clinical questions, and their perception of subsequent patient health outcomes; and to estimate the number needed to benefit from information (NNBI), defined as the number of patients for whom clinica...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1565
更新日期：2013-11-01 00:00:00
abstract：PURPOSE:We wanted to identify characteristics of adults who do not have a usual source of care and then stratify the analysis by those who prefer vs those who do not prefer to have a usual source of care. METHODS:We analyzed data from a nationally representative sample of 9,011 adults to identify characteristics of th...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.557
更新日期：2006-07-01 00:00:00
abstract：PURPOSE:Most new mothers return to work soon after childbirth. A need exists to reexamine the definition of postpartum health and evaluate employed women's recovery from childbirth in association with such factors as delivery type and breastfeeding. METHODS:Using a prospective cohort design, we recruited Minnesota wom...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.519
更新日期：2006-03-01 00:00:00
abstract：PURPOSE:The purpose of this study was to examine the association between the prevalence of both diabetes-concordant and diabetes-discordant conditions and the quality of diabetes care at the family practice level in England. We hypothesized that the prevalence of concordant (or discordant) conditions would be associate...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1848
更新日期：2015-11-01 00:00:00
abstract：PURPOSE:We aimed to advance the internal and external validity of research by sharing our empirical experience and recommendations for systematically reporting contextual factors. METHODS:Fourteen teams conducting research on primary care practice transformation retrospectively considered contextual factors important ...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1549
更新日期：2013-05-01 00:00:00
abstract：PURPOSE:Postpartum depression (PPD) screening at 4 to 12 weeks' postpartum can improve outcomes for women when linked to in-practice management programs. The benefit of repeated PPD screening during the first year postpartum remains unclear. METHODS:We report a substudy of a large pragmatic trial of early PPD screenin...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.1777
更新日期：2015-05-01 00:00:00
abstract：PURPOSE:We wanted to understand the views of patients and clinicians on the central concept of healing and to identify major facilitators of and barriers to promoting healing in primary care. METHODS:We undertook a qualitative analysis of focus group discussions. Participants were drawn from primary care clinics of a ...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.838
更新日期：2008-07-01 00:00:00
abstract：:During a night of severe pain and weakness, I found several plausible-sounding diagnoses online: occipital neuralgia, nerve damage, and meningitis. The next day, I consulted a physician who did not offer professional guidance; instead the physician suggested tests entirely based on my self-diagnoses. What resulted was...
journal_title：Annals of family medicine
pub_type： 杂志文章
doi：10.1370/afm.2414
更新日期：2019-09-01 00:00:00
