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dc.contributor.authorGoff, Sarah L.
dc.contributor.authorPekow, Penelope S.
dc.contributor.authorWhite, Katharine O.
dc.contributor.authorLagu, Tara
dc.contributor.authorMazor, Kathleen M.
dc.contributor.authorLindenauer, Peter K.
dc.date2022-08-11T08:08:29.000
dc.date.accessioned2022-08-23T15:56:48Z
dc.date.available2022-08-23T15:56:48Z
dc.date.issued2013-08-07
dc.date.submitted2013-12-05
dc.identifier.citationGoff 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.<a href="http://dx.doi.org/10.1186/1745-6215-14-244" target="_blank"> Link to article on publisher's site</a>
dc.identifier.issn1745-6215 (Linking)
dc.identifier.doi10.1186/1745-6215-14-244
dc.identifier.pmid23919671
dc.identifier.urihttp://hdl.handle.net/20.500.14038/30048
dc.description.abstractBACKGROUND: 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.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=23919671&dopt=Abstract">Link to Article in PubMed</a>
dc.subjectAdolescent
dc.subjectAdult
dc.subjectChild
dc.subjectChild Health Services
dc.subjectChild, Preschool
dc.subjectComprehension
dc.subjectFemale
dc.subjectHealth Knowledge, Attitudes, Practice
dc.subjectHealth Literacy
dc.subjectHealthcare Disparities
dc.subjectHumans
dc.subjectInfant
dc.subjectInfant, Newborn
dc.subjectInternet
dc.subjectMassachusetts
dc.subjectMiddle Aged
dc.subjectPamphlets
dc.subjectPatient Education as Topic
dc.subject*Patient Navigation
dc.subjectPatient Satisfaction
dc.subjectPediatrics
dc.subjectPoverty
dc.subjectPregnancy
dc.subjectQuality Indicators, Health Care
dc.subject*Research Design
dc.subjectUrban Health Services
dc.subjectYoung Adult
dc.subjectPublicly reported quality data
dc.subjectPediatric
dc.subjectPatient navigator
dc.subjectPregnancy
dc.subjectIntervention studies
dc.subjectRandomized trials
dc.subjectEpidemiology
dc.subjectHealth Information Technology
dc.subjectHealth Services Research
dc.subjectMaternal and Child Health
dc.subjectWomen's Health
dc.titleIDEAS for a healthy baby--reducing disparities in use of publicly reported quality data: study protocol for a randomized controlled trial
dc.typeJournal Article
dc.source.journaltitleTrials
dc.source.volume14
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1282&amp;context=faculty_pubs&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/faculty_pubs/283
dc.identifier.contextkey4891942
refterms.dateFOA2022-08-23T15:56:48Z
html.description.abstract<p>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.</p> <p>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.</p> <p>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.</p> <p>TRIAL REGISTRATION: ClinicalTrials.gov #NCT01784575.</p>
dc.identifier.submissionpathfaculty_pubs/283
dc.contributor.departmentMeyers Primary Care Institute
dc.contributor.departmentDepartment of Medicine
dc.source.pages244


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