BREATHE: A Breathing Retraining School-Based Intervention for African-American Adolescents with Asthma
Dr. Sian Cotton, PhD led this study, funded in part by a Community Health Grant from the UC CCTST. This study was a school-based randomized clinical trial examining the feasibility and efficacy of a breathing retraining intervention as compared to education in African-American adolescents with asthma.
Comparing Subjective and Objective Health in Primary Care
Funded, and in partnership with Interact for Health and the United Way, and led by Drs. Nancy Elder, MD and Jeffrey Jacobson, PhD, this study explored how 500 family medicine patients assess their own health and how that assessment compares to assessments by the patients’ family physicians and to objective data from patient charts. In addition, the study is also qualitatively examining why people rate their health the way they do and what would need to change in order to improve their self-rated health status. Data from the 500 patients and their family physicians were collected in 2013, with data analysis occurring in 2014-current.
An experimental intervention for social anxiety and alcohol dependence
The Attention Modification Program (AMP) is a randomized controlled trial evaluating a 4-week computer-based intervention for individuals with co-occurring social anxiety and alcohol dependence. Dr. Joshua Magee was the UC site investigator on this study funded by the National Institute on Alcohol Abuse and Alcoholism of the NIH. AMP was designed to help community members develop healthy mental habits by refocusing their attention away from reminders of anxiety, alcohol or both anxiety and alcohol.
Effectiveness of Mobile Health Devices for patients with Severe Mental Illness
The utilization of mobile phones is a rapidly growing area of healthcare. The Ohio Colleges of Medicine Government Resource Center and the Medicaid Technical Assistance and Policy Program (MEDTAPP) contracted with Charles Doarn and Joshua Magee, PhD to study of the Effectiveness of Mobile Health Devices for Medicaid Recipients with Severe Mental Illness. This rapid turnaround project provided a comprehensive report on the current status of mobile phone application for individuals in Ohio with severe mental illness, and is leading further efforts in the state.
Hospice and Palliative Care Research
Palliative medicine is a medical specialty focused on improving the quality of life of people facing chronic, life-threatening illness. Emphasis is placed on pain and symptom management as well as communication and coordination of care. Two areas of inquiry form the center of our research in hospice and palliative care. Dr. Doug Smucker, MD led an AHRQ funded qualitative research project examining patient safety incidents in home hospice care, which resulted in a 2014 publication in the Journal of Palliative Medicine Journal of Palliative Medicine (PDF) The second focus area was examining the effect of an inpatient palliative care consult service on patient care outcomes in the acute care hospital.
Evaluation of a social media campaign to reduce emergency department visits
In partnership with the Health Collaborative of Greater Cincinnati (and funded by the Robert Wood Johnson Foundation), Matthew Tubb, MD, PhD and Nancy Elder, MD led an evaluation of a social media campaign called MakeTheRightCall, which encouraged people to avoid inappropriate emergency department visits by having and using a primary care physician. The evaluation included performing a return on investment calculation, partnering with Dr. Lenisa Chang from the UC College of Business. Data was collected in 2014, followed by analysis in 2015.
Hand hygiene and face touching in Family medicine offices
Funded by the American Academy of Family Physicians Foundation Grant Program, this project of the Cincinnati Area Research and Improvement Group (CARInG) practice based research network was led by Nancy Elder, MD and community physician Will Sawyer, MD. The project assessed how family physicians and their staffs practiced good hand hygiene and avoided touching their eyes, nose and mouth – important techniques to prevent the spread of respiratory infection. Participants also were surveyed on how they communicated with patients about preventing infections. This research published in the Journal of the American Board of Family Medicine in 2014.
Patterns of Relating Between Physicians and Medical Assistants
A team led by Nancy Elder, MD performed this AHRQ funded research to explore the physician-MA relationship and the effect of that relationship on team functioning in family medicine offices. MAs’ roles in these offices were determined by MA career motivations and physician-MA relationships. An ethnographic study elaborated these motivations and relationships within the model of relationship centered care. The study was published in the Annals of Family Medicine in 2014.
Diabetes Care in Primary Care: Quality and Determinants of Glycemic Control
Funded by the Rieveschl Foundation, and initiated by professor emeritus Dr. Robert Smith, this project recruited patients for 3 distinct studies from local primary care practices. Large amounts of data were collected including medications, comorbidities, lab results, lifestyle factors, and blood samples. Led by Matthew Tubb MD, PhD and Philip Diller MD, PhD, several division members continue work on this project. The data are revealing interesting findings in our population. Data analysis and manuscript development are in progress. One specific future goal is to investigate genetic predictors of response to oral diabetic drugs.