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    IDEAS for a healthy baby--reducing disparities in use of publicly reported quality data: study protocol for a randomized controlled trial

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    Trials_Goff_Ideas_1745_6215_14 ...
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    Authors
    Goff, Sarah L.
    Pekow, Penelope S.
    White, Katharine O.
    Lagu, Tara
    Mazor, Kathleen M.
    Lindenauer, Peter K.
    UMass Chan Affiliations
    Meyers Primary Care Institute
    Department of Medicine
    Document Type
    Journal Article
    Publication Date
    2013-08-07
    Keywords
    Adolescent
    Adult
    Child
    Child Health Services
    Child, Preschool
    Comprehension
    Female
    Health Knowledge, Attitudes, Practice
    Health Literacy
    Healthcare Disparities
    Humans
    Infant
    Infant, Newborn
    Internet
    Massachusetts
    Middle Aged
    Pamphlets
    Patient Education as Topic
    *Patient Navigation
    Patient Satisfaction
    Pediatrics
    Poverty
    Pregnancy
    Quality Indicators, Health Care
    *Research Design
    Urban Health Services
    Young Adult
    Publicly reported quality data
    Pediatric
    Patient navigator
    Pregnancy
    Intervention studies
    Randomized trials
    Epidemiology
    Health Information Technology
    Health Services Research
    Maternal and Child Health
    Women's Health
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    Abstract
    BACKGROUND: Publicly reported performance on quality measures is intended to enable patients to make more informed choices. Despite the growing availability of these reports, patients' use remains limited and disparities exist. Low health literacy and numeracy are two barriers that may contribute to these disparities. Patient navigators have helped patients overcome barriers such as these in other areas, such as cancer care and may prove useful for overcoming barriers to using publicly reported quality data. METHODS/DESIGN: The goals of this study are: to determine the efficacy of a patient navigator intervention to assist low-income pregnant women in the use of publicly available information about quality of care when choosing a pediatrician; to evaluate the relative importance of factors influencing women's choice of pediatric practices; to evaluate the effect of the intervention on patient engagement in management of their own and their child's health care; and to assess variation in efficacy of the intervention for sub-groups based on parity, age, and race/ethnicity. English speaking women ages 16 to 50 attending a prenatal clinic at a large urban medical center will be randomized to receive an in-person navigator intervention or an informational pamphlet control between 20 to 34 weeks of gestation. The intervention will include in-person guided use of the Massachusetts Health Quality Partners website, which reports pediatric practices' performance on quality measures and patient experience. The primary study outcomes will be the mean scores on a) clinical quality and b) patient experience measures. DISCUSSION: Successful completion of the study aims will yield important new knowledge about the value of guided website navigation as a strategy to increase the impact of publicly reported quality data and to reduce disparities in use of these data. TRIAL REGISTRATION: ClinicalTrials.gov #NCT01784575.
    Source
    Goff SL, Pekow PS, White KO, Lagu T, Mazor KM, Lindenauer PK. IDEAS for a healthy baby--reducing disparities in use of publicly reported quality data: study protocol for a randomized controlled trial. Trials. 2013 Aug 7;14:244. doi: 10.1186/1745-6215-14-244. Link to article on publisher's site
    DOI
    10.1186/1745-6215-14-244
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/30048
    PubMed ID
    23919671
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1186/1745-6215-14-244
    Scopus Count
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