Disease Prevention / Health Promotion

Interventions, education and incentives that promote healthy behaviors and improve health outcomes.

Using Video from Mobile Phones to Improve Pediatric Phone Triage in an Underserved Population

Aug. 19, 2016

Brandi Freeman, Stephanie Mayne, A. Russell Localio, Anthony Luberti, Joseph J. Zorc, and Alexander G. Fiks

In Telemedicine and Health, Brandi Freeman and colleagues, including LDI Senior Fellow Alexander Fiks, assess the feasibility, acceptability, and utility of videos sent via mobile phones to enhance pediatric telephone triage for an underserved population with asthma. Asthma is a leading cause of childhood hospitalization, disability and healthcare-related cost. Asthma disproportionately affects Black and Hispanic children, and these populations have been shown to be more likely to use the emergency department as a routine source of sick care. Moreover, telephone triage systems...

Adoption of a portal for the primary care management of pediatric asthma: a mixed method implementation study

Aug. 19, 2016

Alexander G. Fiks ; Nathalie Du Rivage ; Stephanie L. Mayne ; Stacia Finch ; Michelle E. Ross ; Kelli Giacomini ; Andrew Suh ; Banita McCarn ; Elias Brandt ; Dean Karavite ; Elizabeth W. Staton ; Laura P. Shone ; Valerie McGoldrick ; Kathleen Noonan ; Dorothy...

In the Journal of Medical Internet Research, LDI Senior Fellows Alexander Fiks and Kathleen Noonan and colleagues evaluate the feasibility of using a patient portal for pediatric asthma in primary care, its impact on management and the barriers and facilitators of implementation success. Patient portals improve communication between families of children with asthma and their primary care providers as well as outcomes. This mixed-methods multi-site (11 states) study used 10 clinician focus groups, 22 semi-structured parent interviews and surveys that were sent to the parents...

The Effect of a Sunday Liquor-Sales Ban Repeal on Crime: A Triple-Difference Analysis

Jun. 21, 2016

SeungHoon Han, Charles BranasJohn MacDonald

In Alcoholism: Clinical and Experimental Research, SeungHoon Han, Charles Branas and John MacDonald investigate whether alcohol availability in state-run liquor stores affects a neighborhood’s crime rates, and if the relationship between alcohol availability and crime differs based on a neighborhood’s socioeconomic status (SES).  In 2003, Pennsylvania repealed the Sunday alcohol-sales ban for a portion of its state-run stores. The authors utilized this policy change for their analysis. They find that the repeal was associated with a significant increase in total and property-crime...

Transforming Baltimore: The Role of Public Health

Jun. 2, 2016

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The past, present, and future of public health in Baltimore was on full display during LDI’s recent Alumni Faculty Exchange panel, which featured current Health Commissioner Leana Wen, MD, MSc, and former Health Commissioner, Joshua Sharfstein, MD. The panel, moderated by Bradley Herring, PhD, a Wharton alumnus now at Johns Hopkins, touched on topics ranging from the role of public health in the city to recent events revolving around issues of equity and justice.

Effect of a Financial Incentive for Colorectal Cancer Screening Adherence on the Appropriateness of Colonoscopy Orders

May. 18, 2016

Thomas B. Morland, Marie Synnestvedt, Steven Honeywell Jr, Feifel Yang, Katrina Armstrong, Carmen Guerra

Abstract: Performance incentives for preventive care may encourage inappropriate testing, such as cancer screening for patients with short life expectancies. Defining screening colonoscopies for patients with a >50% 4-year mortality risk as inappropriate, the authors performed a pre-post analysis assessing the effect of introducing a cancer screening incentive on the proportion of screening colonoscopy orders that were inappropriate. Among 2078 orders placed by 23 attending physicians in 4 academic general internal medicine practices, only 0.6% (n = 6/1057) of screening colonoscopy...

Gender of the Clinician, Child, and Guardian and the Association With Receipt of Routine Adolescent Vaccines

May. 17, 2016

Laura Johnson Faherty, Benjamin French, Alexander Fiks

In the Journal of Adolescent Health, Laura Johnson Faherty and colleagues, including Benjamin French and Alexander Fiks, investigate the relationship of the gender of the clinician, child and guardian to the child’s receipt of human papilloma virus (HPV) vaccine compared to tetanus, diphtheria, acellular pertussis (Tdap) and meningococcal dose 1 (MCV4) vaccines. Faherty and colleagues used electronic health record data from visits by adolescents to 27 primary care practices from 2009 to 2014 and stratified visits by type (preventive/acute). Adolescents were more likely to be...

The Health Status and Well-Being of Low-Resource, Housing-Unstable, Single-Parent Families Living in Violent Neighborhoods in Philadelphia, Pennsylvania

May. 11, 2016

Sara Jacoby, Laura Tach, Terry Guerra, Douglas Wiebe, Therese Richmond

In Health and Social Care, Sara Jacoby and colleagues, including Terry Guerra, Douglas Wiebe, and Therese Richmond, investigate the health and well-being of single-parent families in public housing, and living in violent neighborhoods. The authors designed a two-phase, mixed methods study: in phase 1, data collected using standardized health status instruments were used to describe the health of the participating families in comparison to population norms; in phase 2, daily activity mapping, surveys and interviews of parents and children were collected to assess how these family...

Clinical Decision Support Tool for Parental Tobacco Treatment in Primary Care

Apr. 22, 2016

Brian Jenssen, Tyra Byrant-Stephens, Frank Leone, Robert Grundmeier, Alexander Fiks

In Pediatrics, Brian Jenssen and colleagues, including Frank Leone and Alexander Fiks, evaluate the effectiveness of an intervention to help primary care pediatricians provide smoking cessation treatment to parents/caregivers who smoke. The authors created a clinical decision support tool, embedded it in the electronic health record, and evaluated its use and clinical impact. Participating clinicians, at an urban primary care center, received training in smoking cessation counseling, nicotine replacement therapy (NRT) prescribing, referring to an adult treatment program and use of...

Built Environment Assessment: Multidisciplinary Perspectives

Apr. 19, 2016

Karen Glanz, Susan Handy, Kathryn Henderson, Sandy Slater, Erica Davis, Lisa Powell

In SSM Population Health, Karen Glanz and colleagues examine how different disciplinary perspectives can contribute to environmental context-based assessment related to obesity.  The authors also make recommendations for encouraging effective advances in built-environment assessment. A multidisciplinary team of experts convened in 2013 to discuss how their respective disciplines can collaborate to integrate environmental assessment to prevent obesity. There has been significant progress in collaboration across key disciplines that contribute to studies of built environments and...

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