Population Health Management最新文献

The Impact of Social Vulnerability and Race on Colorectal Cancer Screening. 社会脆弱性和种族对结直肠癌筛查的影响。

IF 2.1 4区医学

Population Health Management Pub Date : 2026-04-27 DOI: 10.1177/19427891261446802

Charlotte Blumrosen, Claire Clark, Myla Strawderman, Jennifer Maguire, Robert J Fortuna

{"title":"The Impact of Social Vulnerability and Race on Colorectal Cancer Screening.","authors":"Charlotte Blumrosen, Claire Clark, Myla Strawderman, Jennifer Maguire, Robert J Fortuna","doi":"10.1177/19427891261446802","DOIUrl":"https://doi.org/10.1177/19427891261446802","url":null,"abstract":"Colorectal cancer (CRC) is a leading contributor to morbidity and mortality in the United States, with documented disparities in screening rates across racial lines. This study examined the intersection of race and social vulnerability in CRC screening rates. We examined 117,424 patients eligible for CRC screening in New York State. We assessed CRC screening among individuals aged 45-80 based on Healthcare Effectiveness Data and Information Set guidelines. We used Social Vulnerability Indices (SVIs) geocoded to each patient's census track. We employed log-binomial multivariate regression models with interaction terms to evaluate the effects of race and social vulnerability on CRC screening rates, while controlling for age, sex, marital status, and community type. Among 117,424 patients eligible for CRC screening, 75.2% of patients (n = 88,276) were effectively screened. Screening rates varied based on race (White 76.2%; Black 64.4%; P < 0.0001). CRC screening rates declined with increasing social vulnerability among both Black and White patients. Among patients in the most socially vulnerable groups, the adjusted rate of screening was 3.8%-8.4% lower for Black patients compared to White patients. In contrast, within the least socially vulnerable (most affluent) group, there was no statistical difference in the rate of CRC screening by race (adjusted risk ratio = 0.981; P = 0.201). The impact of social vulnerability was experienced disproportionately by Black patients. Among patients living in the most vulnerable census tracts, Black patients were significantly less likely to be screened for CRC compared to White patients facing similar social vulnerability. In contrast, we did not observe a difference in screening rates by race in the most affluent (least socially vulnerable) group.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"19427891261446802"},"PeriodicalIF":2.1,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147779271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rethinking Blood Pressure Quality Measurement: Accounting for Seasonal Variation in Value-Based Care. 重新思考血压质量测量：考虑基于价值的护理的季节变化。

IF 2.1 4区医学

Population Health Management Pub Date : 2026-04-25 DOI: 10.1177/19427891261445716

Jennifer Stephens, Debra Carter, Beth Careyva, Eric Gertner, Cathryn Kelly

{"title":"Rethinking Blood Pressure Quality Measurement: Accounting for Seasonal Variation in Value-Based Care.","authors":"Jennifer Stephens, Debra Carter, Beth Careyva, Eric Gertner, Cathryn Kelly","doi":"10.1177/19427891261445716","DOIUrl":"https://doi.org/10.1177/19427891261445716","url":null,"abstract":"Blood pressure (BP) control is a core quality metric in value-based care (VBC). The Healthcare Effectiveness Data and Information Set (HEDIS) Controlling High Blood Pressure (CBP) measure uses the final BP reading of the calendar year, a method that overlooks well-documented seasonal variation-BP declines in summer and rises in winter. We evaluated the impact of this pattern on measured performance in a large health system. We conducted a retrospective analysis of monthly BP control rates (July 2019 to December 2025) across the Jefferson Health-Lehigh ambulatory network, totaling 78 months and approximately 7.6 million patient-months. Summer (June to August) and winter (December to February) rates were compared using paired t-tests and ordinary least square regression with seasonal adjustment. Year-end performance was assessed using both the HEDIS final-reading (December rate) and a rolling Q4 average (October to December mean). Standard VBC quality improvement initiatives with Q4 intensification were in place. BP control rates were significantly higher in summer (75.2%; 95% confidence interval [CI]: 73.5%-77.0%) than winter (73.1%; 95% CI: 71.2%-75.1%), a 2.1-percentage-point difference (paired t = 5.13, P = 0.002). This pattern was consistent across all 7 years. Within-year peak-to-trough amplitude averaged 2.8 percentage points in nonpandemic years. The rolling Q4 average exceeded the December-only rate in all years, with differences of 0.06-0.59 percentage points, reclassifying 60-520 additional patients as controlled annually. Seasonal BP variation is robust and inadequately addressed by current quality measures. Multi-reading or seasonally adjusted methods would improve measurement accuracy and fairness. Engagement with NCQA and CMS to pilot redesigned measures is recommended.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"19427891261445716"},"PeriodicalIF":2.1,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147779324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Inequities in Prenatal Care for Socially and Medically Vulnerable Pregnancies in North Carolina. 北卡罗来纳州在社会和医学上脆弱的孕妇产前护理方面的不平等。

IF 2.1 4区医学

Population Health Management Pub Date : 2026-04-20 DOI: 10.1177/19427891261420042

Cynthia Williams, Charleata Battle, Wanyun Chou

{"title":"Inequities in Prenatal Care for Socially and Medically Vulnerable Pregnancies in North Carolina.","authors":"Cynthia Williams, Charleata Battle, Wanyun Chou","doi":"10.1177/19427891261420042","DOIUrl":"https://doi.org/10.1177/19427891261420042","url":null,"abstract":"To examine the structural and health-related risk factors associated with prenatal care (PNC) adequacy among women in North Carolina as measured by the Kotelchuck Prenatal Care Index, a retrospective cohort study was designed to utilize data from the 2017 to 2021 Pregnancy Risk Assessment Monitoring System. The analysis used the independent t-test, chi-square tests, and logistic regression modeling to examine study objectives. The study population comprises 286,835 women with documented live births and recorded Kotelchuck PNC Index scores; 77% received adequate PNC. Receiving adequate PNC was more primarily attributed to White women, married, privately insured, and educated women (P < 0.001). Risk factors such as prepregnancy body mass index (BMI), smoking, diabetes, hypertension, previous preterm birth, and infections significantly impacted adequate PNC, often favoring White women. Black and American Indian/Alaska Native (AI/AN) women had a lower likelihood (P < 0.001) of receiving adequate PNC across BMI categories. AI/AN women who smoked during pregnancy had lower odds of adequate PNC (P < 0.001). Black and AI/AN women with previous poor pregnancy outcomes and previous preterm birth had lower odds of adequate PNC (P < 0.05). Sociodemographic factors, health behaviors, and preexisting medical conditions contribute to pervasive inequities among women of color. Targeted interventions and evidence-informed policy reforms are essential to reducing disparities and improving maternal and neonatal health outcomes.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"19427891261420042"},"PeriodicalIF":2.1,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147723542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Theoretically Grounded Chronic Illness Model Integrating Medical- and Community-Based Social Service Providers. 整合医疗和社区社会服务提供者的理论基础慢性病模型。

IF 2.1 4区医学

Population Health Management Pub Date : 2026-04-12 DOI: 10.1177/19427891261437468

Jennifer Drost, Susan Fosnight, Michelle Hughes, Susan Hazelett, Brandi Chrzanowski, Joseph Marchiano, Michele Gareri, Denise Kropp, Kris Baughman, Margaret Sanders

{"title":"A Theoretically Grounded Chronic Illness Model Integrating Medical- and Community-Based Social Service Providers.","authors":"Jennifer Drost, Susan Fosnight, Michelle Hughes, Susan Hazelett, Brandi Chrzanowski, Joseph Marchiano, Michele Gareri, Denise Kropp, Kris Baughman, Margaret Sanders","doi":"10.1177/19427891261437468","DOIUrl":"https://doi.org/10.1177/19427891261437468","url":null,"abstract":"Traditional medical care accounts for 10% of health outcomes, whereas SDOH account for over 60%. Optimal care of older adults with chronic illnesses requires integration of medical and social service providers. Such partnerships remain uncommon. The authors describe a successful health system/Area Agency on Aging (AAA) integrated team model that meets weekly to discuss challenging community-dwelling older adults and generate care recommendations back to the primary care providers. As part of a quality improvement project, outcomes measured over 6 months during 1 year show a statistically significant decline in the number of important threats to independent living related to the 4Ms (ie, lower fall risk, fewer high-risk medication issues, less behavioral health concerns, and less frequent health care utilization). AAA care managers expressed high satisfaction with the team process and indicated that it helped them address important issues. This model is easily replicated and modifiable to differing local needs. If replicable in rigorously designed research studies, these results would argue for changes in Medicare and Medicaid reimbursement policies to support this interagency integrated model of collaborative care.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"19427891261437468"},"PeriodicalIF":2.1,"publicationDate":"2026-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147675788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pediatric Care Coordination and Oral Health Outcomes in the United States: A Cross-Sectional Analysis of 2022-23 National Survey of Children's Health. 美国儿科护理协调和口腔健康结果：2022-23年全国儿童健康调查的横断面分析

IF 2.1 4区医学

Population Health Management Pub Date : 2026-04-09 DOI: 10.1177/19427891261442063

McKing Izeiza Amedari, Thomas Dobbs, Michael Abimbola Alade, Victoria Gholar, Osayande Agbonlahor, Benjamin Walker

{"title":"Pediatric Care Coordination and Oral Health Outcomes in the United States: A Cross-Sectional Analysis of 2022-23 National Survey of Children's Health.","authors":"McKing Izeiza Amedari, Thomas Dobbs, Michael Abimbola Alade, Victoria Gholar, Osayande Agbonlahor, Benjamin Walker","doi":"10.1177/19427891261442063","DOIUrl":"https://doi.org/10.1177/19427891261442063","url":null,"abstract":"The association between pediatric care coordination (PCC) and the prevalence of oral health problems (OHP) among children and youths in the United States was investigated. Using data from the 2022 to 23 National Survey of Children's Health for participants ≤17 years, multivariable Poisson regression models were employed to estimate the association between effective PCC and OHP (the presence of ≥1 parent-reported case of dental caries, gum bleeding, or dental pain). The study estimated the population attributable risk (PAR) to quantify the proportion of potentially avoidable OHP with effective PCC. All models were weighted to account for the complex survey design and adjusted for sociodemographic, health insurance, and geographic covariates. The analytical sample comprised 56,287 participants, representing an estimated target population of 34 million children ≤17 years of age who needed PCC. After controlling for covariates, the difference in the prevalence of OHP between children who received effective PCC (13.1%) and those who did not (17.5%) was statistically significant (adjusted prevalence ratio: 1.33, 95% CI:1.22, 1.44). The PAR was 9.9%, indicating OHP was 9.9% more prevalent among children who lacked effective PCC. Not receiving needed effective PCC was associated with a greater burden of OHP among U.S. children and adolescents. This finding highlights the importance of intentional organization of health services among relevant stakeholders to support optimal oral health.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"19427891261442063"},"PeriodicalIF":2.1,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Chronic Care Management and Mortality Among Diabetic Patients with Multiple Chronic Conditions. 合并多种慢性疾病的糖尿病患者的慢性护理管理与死亡率

IF 2.1 4区医学

Population Health Management Pub Date : 2026-04-07 DOI: 10.1177/19427891261437477

Mariétou H Ouayogodé, Yingying Zheng

{"title":"Chronic Care Management and Mortality Among Diabetic Patients with Multiple Chronic Conditions.","authors":"Mariétou H Ouayogodé, Yingying Zheng","doi":"10.1177/19427891261437477","DOIUrl":"https://doi.org/10.1177/19427891261437477","url":null,"abstract":"In 2015, the Centers for Medicare and Medicaid Services started reimbursing chronic care management (CCM) services for patients with multiple chronic conditions. This study used 2015-2020 Medicare claims data from Illinois, Iowa, Minnesota, and Wisconsin and conducted a retrospective cohort study of 885,132 beneficiaries with an evaluation and management visit, following a diabetes diagnosis with other co-occurring chronic conditions. A competing-risk model was estimated to analyze factors associated with patients' receipt of their first CCM services and a Cox proportional hazard model was estimated to assess the risk of death post-CCM initiation. Diabetic patients with multiple chronic conditions had mean age of 70 years (SD = 10.3), 50.7% were female, and 81.3% were white. 1.0% (9,075 beneficiaries) had CCM claims. Excluding chronic conditions, variables associated with a higher likelihood of CCM initiation included age (sub-distribution hazard ratios [SHR] = 1.003 for each additional year, 95% CI:1.00-1.01), female (SHR = 1.10, 95%CI:1.05-1.15), Black (SHR = 1.27, 95% CI:1.19-1.36) or Hispanic (SHR = 1.40, 95% CI:1.23-1.58), receiving care at home (SHR = 5.00, 95% CI:4.55-5.51) or skilled nursing facilities (SHR = 1.60, 95% CI:1.48-1.73), being a non-Iowa resident, and getting a diabetes diagnosis post-2015. However, patients in non-urban areas were less likely to receive such services. No statistical difference was found in the likelihood of mortality with CCM initiation vs. non-CCM. After accounting for CCM initiation, variables associated with a higher likelihood of death included age, American Indian/Alaska Native, residing in non-urban areas, getting a diabetes diagnosis in 2020, and receiving care in non-outpatient settings. CCM remains largely underutilized among Medicare beneficiaries. Addressing barriers, including improving access in non-urban areas and managing chronic condition earlier, may enhance adoption and decrease the risk of death for patients with multimorbidity.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"19427891261437477"},"PeriodicalIF":2.1,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Application of Narrative Nursing Combined with Psychological Resilience Training in Patients and Their Families in Hospice Care. 叙事护理结合患者及家属心理弹性训练在临终关怀中的应用。

IF 2.1 4区医学

Population Health Management Pub Date : 2026-04-05 DOI: 10.1177/19427891261420084

Jiaojuan Ma, Hongyu Li

{"title":"Application of Narrative Nursing Combined with Psychological Resilience Training in Patients and Their Families in Hospice Care.","authors":"Jiaojuan Ma, Hongyu Li","doi":"10.1177/19427891261420084","DOIUrl":"https://doi.org/10.1177/19427891261420084","url":null,"abstract":"Terminal patients and their families face severe psychological distress-including anxiety, depression, caregiving stress, and grief-that exceeds the capacity of routine hospice care. While narrative nursing and psychological resilience training have shown individual efficacy, the synergistic effects of their combination remain unexamined. This study aimed to unravel the effects of narrative nursing combined with psychological resilience training in enhancing the psychological adaptation of patients and their families in hospice care. Seventy-four patients and their families receiving hospice care were allocated into an observation group (received an 8-week intervention of narrative nursing combined with psychological resilience training on top of routine hospice care) and a control group (received routine hospice care). Hospital Anxiety and Depression Scale (HADS) scores and Connor-Davidson Resilience Scale-10 (CD-RISC-10) scores of patients and their families before and after nursing were compared between the 2 groups. Psychological Distress Thermometer (PDT) and Pittsburgh Sleep Quality Index (PSQI) scores of patients before and after nursing were also compared. The modified hospice care satisfaction scale (based on the FAMCARE-2 scale) was applied to compare the nursing satisfaction of patients and their families after nursing. After nursing, the observation group demonstrated significantly greater reductions in HADS-A and HADS-D scores, more pronounced improvements in CD-RISC-10, PDT, and PSQI scores, as well as higher nursing satisfaction scores compared to the control group (all P < 0.05). The integration of narrative nursing with psychological resilience training in hospice care enhances the psychological adaptability of both patients and their families, while also contributing to improved sleep quality and greater satisfaction with care delivery.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"19427891261420084"},"PeriodicalIF":2.1,"publicationDate":"2026-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147623537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Knowledge, Symptom Awareness, and Referral Practices of Primary Care Providers in Early-Onset Colorectal Cancer. 早发性结直肠癌初级保健提供者的知识、症状意识和转诊实践。

IF 2.1 4区医学

Population Health Management Pub Date : 2026-04-01 Epub Date: 2026-01-13 DOI: 10.1177/19427891251411924

Julie S Townsend, Mary C Puckett, Sallyann M Coleman King, Djenaba A Joseph

{"title":"Knowledge, Symptom Awareness, and Referral Practices of Primary Care Providers in Early-Onset Colorectal Cancer.","authors":"Julie S Townsend, Mary C Puckett, Sallyann M Coleman King, Djenaba A Joseph","doi":"10.1177/19427891251411924","DOIUrl":"10.1177/19427891251411924","url":null,"abstract":"Colorectal cancer (CRC) incidence and death rates are increasing among people under age 50 in the United States. In addition to promoting on-time screening for average-risk adults starting at age 45, CRC signs and symptoms may need timely assessment by a health care provider to rule out other conditions and identify a diagnosis. The objective of this study was to examine primary care providers' (PCPs') awareness of CRC-related symptoms and their diagnostic approaches for patients under age 50 using the 2023 DocStyles panel survey. This survey included 1490 PCPs practicing in the United States. A descriptive analysis was conducted to examine symptom awareness and referral practices. Log binomial regression was used to examine predictors of greater symptom awareness. Symptom awareness of early-onset CRC was highest for changes in bowel habits (79%) and lowest for abdominal pain (43%). Fewer obstetricians/gynecologists and physician assistants were aware of CRC signs and symptoms. Most PCPs would complete a workup and assess patients for family history of cancer for patients presenting with rectal bleeding/bloody stools, iron deficiency anemia, or changes in bowel habits. Around 45% of PCPs would refer patients with rectal bleeding/bloody stools to diagnostic colonoscopy or offer a stool-based screening test. Some PCPs may benefit from additional training on signs and symptoms of early-onset CRC and evidence-based guidelines for symptom assessment. These findings indicate that many PCPs prefer to complete a medical workup and assess for family history of cancer as first steps, and most would not immediately refer patients to diagnostic colonoscopy.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":"29 2","pages":"94-102"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13060022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Feasibility of an Adaptive Food Insecurity Intervention for Patients with Uncontrolled Hypertension: A Pilot SMART. 适应性食物不安全干预对未控制高血压患者的可行性：一项试点SMART。

IF 2.1 4区医学

Population Health Management Pub Date : 2026-04-01 Epub Date: 2025-12-24 DOI: 10.1177/19427891251405879

Deepak Palakshappa, Selina Quinones, Adrianna L Elashker, Lakesha D Hodge, Nicole Caudill, Richa Bundy, Heather Martin, Keya Eaton, Sara Atwater, Gary E Rosenthal

{"title":"Feasibility of an Adaptive Food Insecurity Intervention for Patients with Uncontrolled Hypertension: A Pilot SMART.","authors":"Deepak Palakshappa, Selina Quinones, Adrianna L Elashker, Lakesha D Hodge, Nicole Caudill, Richa Bundy, Heather Martin, Keya Eaton, Sara Atwater, Gary E Rosenthal","doi":"10.1177/19427891251405879","DOIUrl":"10.1177/19427891251405879","url":null,"abstract":"Health systems are integrating interventions to assist patients with food insecurity; however, people need varying levels of support. Rather than using a single intervention, adaptively providing interventions may be a more effective approach. The authors conducted a pilot, sequential, multiple-assignment randomized trial to determine the feasibility of an adaptive food insecurity intervention. Adults with uncontrolled hypertension who reported food insecurity were randomized to one of two interventions for 3 months in Stage 1: information about community resources or community health worker (CHW) support. Participants who did not have ≥10 mmHg improvement in systolic blood pressure at 3 months were re-randomized to CHW support or the delivery of medically tailored meals (MTM) in Stage 2 for an additional 3 months. We evaluated the proportion who enrolled, completed follow-up, and had an improvement in blood pressure. Sixty of 61 (98.3%) eligible patients enrolled. Four withdrew, 46 of 56 (82.1%) completed the 3-month follow-up, and 40 of 56 (71.4%) completed the 6-month follow-up. Of 27 randomized to resource information, 15 (55.6%) did not have ≥10 mmHg improvement and were re-randomized. Of 29 randomized to CHW support, 14 (48.3%) were re-randomized. The adaptive intervention that provided CHW support in Stage 1 and additional CHW support in Stage 2 resulted in 46.7% of participants with ≥10 mmHg improvement in systolic blood pressure at 6 months. The adaptive intervention that provided CHW support in Stage 1 and MTM in Stage 2 resulted in 66.7% of participants with ≥10 mmHg improvement. This study found that an adaptive food insecurity intervention was feasible to utilize.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"75-84"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13022785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145865067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Identifying and Measuring Caregiver Burdens: A Scoping Review. 识别和测量照顾者负担：范围审查。

IF 2.1 4区医学

Population Health Management Pub Date : 2026-04-01 Epub Date: 2026-02-09 DOI: 10.1177/19427891251409802

Diana Poehler, Kristen Giombi, Ella Shenkar, Zohra Tayebali, Matthew Dempsey, Olga Khavjou

{"title":"Identifying and Measuring Caregiver Burdens: A Scoping Review.","authors":"Diana Poehler, Kristen Giombi, Ella Shenkar, Zohra Tayebali, Matthew Dempsey, Olga Khavjou","doi":"10.1177/19427891251409802","DOIUrl":"10.1177/19427891251409802","url":null,"abstract":"Unpaid caregiving is associated with significant burdens, including financial strain, time constraints, diminished quality of life, and elevated stress levels. Despite these challenges, existing literature on disease burdens devotes limited attention to caregiver experiences. The aim of this scoping literature review was to identify instruments used to measure caregiver burden to better inform future studies of caregiver costs. This study included articles that estimated the costs or burdens associated with unpaid caregiving to patients in the United States and used a survey or cohort study design to conduct primary or secondary quantitative data analysis. Across the 46 articles abstracted, 27 unique survey instruments were identified; 23 (89%) instruments were validated, 12 (46%) were publicly available, and 14 (54%) were designed for or validated among caregivers. Among studies included in this review, 18 (39%) studies designed their own questionnaires to assess caregiver burden. This review additionally identified six nonsurvey data sources, such as medical claims data, used to estimate caregiver costs. The heterogeneity across measurement tools limits comparability across studies. Standardized, validated, and accessible instruments are essential for understanding caregiver burdens and advancing research to improve outcomes for patients and their caregivers.","PeriodicalId":20396,"journal":{"name":"Population Health Management","volume":" ","pages":"130-143"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146143086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0