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Implementation and adoption of a health insurance support tool in the electronic health record: a mixed methods analysis within a randomized trial.

Brigit Hatch, Carrie Tillotson, Nathalie Huguet, Miguel Marino, Andrea Baron, Joan Nelson, Aleksandra Sumic, Deborah Cohen, Jennifer E DeVoe,

BACKGROUND:In addition to delivering vital health care to millions of patients in the United States, community health centers (CHCs) provide needed health insurance outreach and enrollment support to their communities. We developed a health insurance enrollment tracking tool integrated within the electronic health record (EHR) and conducted a hybrid implementation-effectiveness ... Read more >>

BMC Health Serv Res (BMC health services research)
[2020, 20(1):428]

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Practice facilitation to promote evidence-based screening and management of unhealthy alcohol use in primary care: a practice-level randomized controlled trial.

Alison N Huffstetler, Anton J Kuzel, Roy T Sabo, Alicia Richards, E Marshall Brooks, Paulette Lail Kashiri, Gabriela Villalobos, Albert J Arias, Dace Svikis, Beth A Bortz, Ashley Edwards, John Epling, Deborah J Cohen, Michael L Parchman, Jonathan Winter, Patricia Wessler, Timothy J Yu, Alex H Krist,

BACKGROUND:Unhealthy alcohol use is the third leading cause of preventable death in the United States. Evidence demonstrates that screening for unhealthy alcohol use and providing persons engaged in risky drinking with brief behavioral and counseling interventions improves health outcomes, collectively termed screening and brief interventions. Medication assisted therapy (MAT) is ... Read more >>

BMC Fam Pract (BMC family practice)
[2020, 21(1):93]

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Implementation and adoption of a health insurance support tool in the electronic health record: A mixed methods analysis within a randomized trial

Brigit Hatch, Carrie Tillotson, Nathalie Huguet, Miguel Marino, Andrea Baron, Joan Nelson, Aleksandra Sumic, Deborah Cohen, Jennifer DeVoe,

Abstract Background: In addition to delivering vital health care to millions of patients in the United States, community health centers (CHCs) provide needed health insurance outreach and enrollment support to their communities. We developed a health insurance enrollment tracking tool integrated within the electronic health record (EHR) and conducted a ... Read more >>

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Improved Street Walkability, Incivilities, and Esthetics Are Associated with Greater Park Use in Two Low-Income Neighborhoods.

Andrea S Richardson, Madhumita Ghosh-Dastidar, Rebecca L Collins, Gerald P Hunter, Wendy M Troxel, Natalie Colabianchi, Deborah A Cohen, Tamara Dubowitz,

Parks may provide opportunities for people to increase their physical activity and improve health. Yet, parks are generally less plentiful and underutilized in low-income urban neighborhoods compared with more advantaged neighborhoods. Renovations within and around parks may improve park utilization but the empirical evidence supporting this relationship is scarce. This ... Read more >>

J Urban Health (Journal of urban health : bulletin of the New York Academy of Medicine)
[2020, 97(2):204-212]

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Abstracts From the 26th Annual Health Care Systems Research Network Conference, April 8–10, 2020.

(Journal of Patient-Centered Research and Reviews)
[2020, 7(1):64-137]

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Neighborhood Environments, SNAP-Ed Eligibility, and Health Behaviors: An Analysis of the California Health Interview Survey (CHIS).

Jonathan Cantor, Deborah A Cohen, Julia Caldwell, Tony Kuo,

Neighborhood conditions are associated with health outcomes, but whether individual health behaviors are independent of or associated with the settings are not clear. We analyzed the California Health Interview Survey (CHIS) (N = 11,152) data to determine if the perceptions and behaviors of similar individuals with an income low enough to be ... Read more >>

J Urban Health (Journal of urban health : bulletin of the New York Academy of Medicine)
[2020, :]

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Dedicated Workforce Required to Support Large-Scale Practice Improvement.

Shannon M Sweeney, Jennifer R Hemler, Andrea N Baron, Tanisha T Woodson, Sarah S Ono, Leah Gordon, Benjamin F Crabtree, Deborah J Cohen,

BACKGROUND:Facilitation is an effective approach for helping practices implement sustainable evidence-based practice improvements. Few studies examine the facilitation infrastructure and support needed for large-scale dissemination and implementation initiatives. METHODS:The Agency for Health care Research and Quality funded 7 Cooperatives, each of which worked with over 200 primary care practices to ... Read more >>

J Am Board Fam Med (Journal of the American Board of Family Medicine : JABFM)
[2020, 33(2):230-239]

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Unmet information needs of clinical teams delivering care to complex patients and design strategies to address those needs.

Deborah J Cohen, Tamar Wyte-Lake, David A Dorr, Rachel Gold, Richard J Holden, Richelle J Koopman, Joshua Colasurdo, Nathaniel Warren,

OBJECTIVES:To identify the unmet information needs of clinical teams delivering care to patients with complex medical, social, and economic needs; and to propose principles for redesigning electronic health records (EHR) to address these needs. MATERIALS AND METHODS:In this observational study, we interviewed and observed care teams in 9 community health ... Read more >>

J Am Med Inform Assoc (Journal of the American Medical Informatics Association : JAMIA)
[2020, 27(5):690-699]

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New England Journal of Medicine reviews controversial stent study.

Deborah Cohen, Ed Brown,

BMJ (BMJ (Clinical research ed.))
[2020, 368:m878]

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Predicting Child-to-Adult Community Mental Health Service Continuation.

Deborah A Cohen, Vanessa V Klodnick, Mark D Kramer, Stephen M Strakowski, James Baker,

Serious mental health conditions peak in prevalence and incidence during the transition to adulthood (approximately ages 16-25). Young adults are at high risk for discontinuation of care when no longer eligible for child mental health services. This study uses state administrative data to examine service continuation among those aging out ... Read more >>

J Behav Health Serv Res (The journal of behavioral health services & research)
[2020, :]

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Does increased implementation support improve community clinics' guideline-concordant care? Results of a mixed methods, pragmatic comparative effectiveness trial.

Rachel Gold, Arwen Bunce, Stuart Cowburn, James V Davis, Joan C Nelson, Christine A Nelson, Elisabeth Hicks, Deborah J Cohen, Michael A Horberg, Gerardo Melgar, James W Dearing, Janet Seabrook, Ned Mossman, Joanna Bulkley,

BACKGROUND:Disseminating care guidelines into clinical practice remains challenging, partly due to inadequate evidence on how best to help clinics incorporate new guidelines into routine care. This is particularly true in safety net community health centers (CHCs). METHODS:This pragmatic comparative effectiveness trial used a parallel mixed methods design. Twenty-nine CHC clinics ... Read more >>

Implement Sci (Implementation science : IS)
[2019, 14(1):100]

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Implementing Adapted Individual Placement and Support (IPS) Supported Employment for Transition-Age Youth in Texas.

Deborah Ann Cohen, Vanessa Vorhies Klodnick, Laura Stevens, Marc A Fagan, E-Shawn Spencer,

Transition-age youth (TAY, ages 14-26) diagnosed with serious mental health conditions are at high risk for vocational struggles. This paper examines the implementation and process evaluation of Individual Placement and Support (IPS) and Supported Employment enhanced to better meet developmental needs of TAY. Enhancements include the integration of a TAY ... Read more >>

Community Ment Health J (Community mental health journal)
[2020, 56(3):513-523]

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Playground features and physical activity in U.S. neighborhood parks.

Deborah A Cohen, Bing Han, Stephanie Williamson, Catherine Nagel, Thomas L McKenzie, Kelly R Evenson, Peter Harnik,

All people need to engage in routine physical activity and children require it daily. Playgrounds are settings designed for children to be physically active, yet there has been little research assessing which play elements and structures are associated with more moderate-to-vigorous physical activity (MVPA) among both youth and adults. We ... Read more >>

Prev Med (Preventive medicine)
[2020, 131:105945]

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Authors' reply to Shaw.

Deborah Cohen, Hannah Barnes,

BMJ (BMJ (Clinical research ed.))
[2019, 367:l6789]

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Parents' Consumer Preferences for Early Childhood Behavioral Intervention in Primary Care.

Andrew R Riley, Bethany L Walker, Anna C Wilson, Trevor A Hall, Elizabeth A Stormshak, Deborah J Cohen,

OBJECTIVE:Early childhood parenting interventions are increasingly delivered in primary care, but parental engagement with those interventions is often suboptimal. We sought to better understand parents' preferences for the content and delivery method of behavioral health guidance in pediatric primary care and to determine the relationship of those preferences with demographic ... Read more >>

J Dev Behav Pediatr (Journal of developmental and behavioral pediatrics : JDBP)
[2019, 40(9):669-678]

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Park Marketing Strategies, Park Conditions, and Park Use: A Longitudinal National Study of Parks.

Andrea Richardson, Bing Han, Stephanie Williamson, Deborah Cohen,

BACKGROUND:Parks present opportunities for recreational physical activity and mental relaxation; however, they are underutilized. METHODS:The authors examined how changes in management directly and indirectly impacted park use. Using a national sample of 169 parks sampled from 25 cities, the authors linked park management reported via surveys with systematic direct observation ... Read more >>

J Phys Act Health (Journal of physical activity & health)
[2019, :1-9]

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The trajectory of patterns of light and sedentary physical activity among females, ages 14-23.

Deborah A Cohen, Bing Han, Lisa Kraus, Deborah Rohm Young,

PURPOSE:Light physical activity (LPA) and patterns of sedentary behavior influence cardio-metabolic health independently of moderate-to-vigorous physical activity. Understanding the trajectory and determinants of these activity levels over time may provide insights relevant to public health practice. METHODS:We measured a cohort of young women recruited in middle school (age 14) using ... Read more >>

PLoS ONE (PloS one)
[2019, 14(11):e0223737]

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Gender dysphoria in children: puberty blockers study draws further criticism.

Deborah Cohen, Hannah Barnes,

BMJ (BMJ (Clinical research ed.))
[2019, 366:l5647]

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High consumption of energy-dense nutrient-poor foods among low-income groups in the Mississippi Delta and Alabama.

Deborah A Cohen, Laura M Bogart, Bing Han, Stephanie Williamson, Gabriela Castro,

OBJECTIVE:To assess the consumption of sugar-sweetened beverages (SSB) and other energy-dense nutrient-poor (EDNP) foods in two Southern low-income communities targeted by the Balance Calories Initiative, a campaign by the top-three American beverage companies intended to reduce the consumption of sugary beverages by 20 % over 10 years. DESIGN:We conducted self-administered ... Read more >>

Public Health Nutr (Public health nutrition)
[2020, 23(6):1067-1075]

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NHS England explores funding options for cystic fibrosis drug.

Deborah Cohen,

BMJ (BMJ (Clinical research ed.))
[2019, 366:l5600]

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Avastin: drug regulator clears way for use for wet AMD.

Deborah Cohen,

BMJ (BMJ (Clinical research ed.))
[2019, 366:l5701]

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Free Time and Physical Activity Among Americans 15 Years or Older: Cross-Sectional Analysis of the American Time Use Survey.

Roland Sturm, Deborah A Cohen,

INTRODUCTION:Many Americans fail to meet physical activity guidelines. We investigated whether this failure is due in part to a lack of free time. METHODS:We analyzed data from the American Time Use Survey, 2014 through 2016, with 32,048 respondents aged 15 years or older, categorizing every activity during a 24-hour period. ... Read more >>

Prev Chronic Dis (Preventing chronic disease)
[2019, 16:E133]

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The mediating role of perceived crime in gender and built environment associations with park use and park-based physical activity among park users in high poverty neighborhoods.

Kathryn P Derose, Bing Han, Sujeong Park, Stephanie Williamson, Deborah A Cohen,

Women use parks less for physical activity than men, and explanations include gendered concerns regarding personal safety and access to walking paths. This study conducted mediation analyses to examine the effects of gender and presence of park walking path on park use, participation in park programs, and park-based physical activity ... Read more >>

Prev Med (Preventive medicine)
[2019, 129:105846]

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Feasibility of Motivational Interviewing to Engage Older Inpatients in Fall Prevention: A Pilot Randomized Controlled Trial.

Hiroko Kiyoshi-Teo, Kathlynn Northup-Snyder, Deborah J Cohen, Nathan Dieckmann, Sydnee Stoyles, Elizabeth Eckstrom, Kerri Winters-Stone,

In the current 3-month, two arm, unblinded, single site, pilot randomized controlled trial, 120 high fall risk hospitalized older adults (age ≥65) were contacted, and 67 participants were enrolled. The intervention arm received a brief motivational interviewing (MI) intervention. Both arms received routine hospital fall prevention protocols. Measurements were conducted ... Read more >>

J Gerontol Nurs (Journal of gerontological nursing)
[2019, 45(9):19-29]

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Predictors of Medication-Assisted Treatment Initiation for Opioid Use Disorder in an Interdisciplinary Primary Care Model.

Rebecca E Cantone, Brian Garvey, Allison O'Neill, Joan Fleishman, Deborah Cohen, John Muench, Steffani R Bailey,

INTRODUCTION:Medication-assisted treatment (MAT) for opioid use disorder (OUD) is underused in primary care. Little is known about patient demographics associated with MAT initiation, particularly among models with an interdisciplinary approach, including behavioral health integration. We hypothesize few disparities in MAT initiation by patient characteristics after implementing this model for OUD. ... Read more >>

J Am Board Fam Med (Journal of the American Board of Family Medicine : JABFM)
[2019, 32(5):724-731]

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