Last data update: Jun 03, 2024. (Total: 46935 publications since 2009)
Records 1-14 (of 14 Records) |
Query Trace: Matson Koffman D [original query] |
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The real-world foundation of adapting clinical guidelines for the digital age
Michaels M , Jakhmola P , Lubin IM , Fochtmann LJ , Casey DE Jr , Opelka FG , Skapik J , Larsen K , Tailor A , Matson-Koffman D . Am J Med Qual 2024 39 (2) 89-90 |
An integrated process for co-developing and implementing written and computable clinical practice guidelines
Matson-Koffman DM , Robinson SJ , Jakhmola P , Fochtmann LJ , Willett D , Lubin IM , Burton MM , Tailor A , Pitts DL , Casey DE Jr , Opelka FG , Mullins R , Elder R , Michaels M . Am J Med Qual 2023 38 S12-s34 The goal of this article is to describe an integrated parallel process for the co-development of written and computable clinical practice guidelines (CPGs) to accelerate adoption and increase the impact of guideline recommendations in clinical practice. From February 2018 through December 2021, interdisciplinary work groups were formed after an initial Kaizen event and using expert consensus and available literature, produced a 12-phase integrated process (IP). The IP includes activities, resources, and iterative feedback loops for developing, implementing, disseminating, communicating, and evaluating CPGs. The IP incorporates guideline standards and informatics practices and clarifies how informaticians, implementers, health communicators, evaluators, and clinicians can help guideline developers throughout the development and implementation cycle to effectively co-develop written and computable guidelines. More efficient processes are essential to create actionable CPGs, disseminate and communicate recommendations to clinical end users, and evaluate CPG performance. Pilot testing is underway to determine how this IP expedites the implementation of CPGs into clinical practice and improves guideline uptake and health outcomes. |
An evaluation framework for a novel process to codevelop written and computable guidelines
Tailor A , Robinson SJ , Matson-Koffman DM , Michaels M , Burton MM , Lubin IM . Am J Med Qual 2023 38 S35-s45 Clinical practice guidelines (CPGs) support individual and population health by translating new, evidence-based knowledge into recommendations for health practice. CPGs can be provided as computable, machine-readable guidelines that support the translation of recommendations into shareable, interoperable clinical decision support and other digital tools (eg, quality measures, case reports, care plans). Interdisciplinary collaboration among guideline developers and health information technology experts can facilitate the translation of written guidelines into computable ones. The benefits of interdisciplinary work include a focus on the needs of end-users who apply guidelines in practice through clinic decision support systems as part of the Centers for Disease Control and Prevention's (CDC's) Adapting Clinical Guidelines for the Digital Age (ACG) initiative, a group of interdisciplinary experts proposed a process to facilitate the codevelopment of written and computable CPGs, referred to as the "integrated process (IP)."1 This paper presents a framework for evaluating the IP based on a combination of vetted evaluation models and expert opinions. This framework combines 3 types of evaluations: process, product, and outcomes. These evaluations assess the value of interdisciplinary expert collaboration in carrying out the IP, the quality, usefulness, timeliness, and acceptance of the guideline, and the guideline's health impact, respectively. A case study is presented that illustrates application of the framework. |
Validity and reliability of the updated CDC Worksite Health ScoreCard
Roemer EC , Kent KB , Mummert A , McCleary K , Palmer JB , Lang JE , Matson-Koffman D , Goetzel RZ . J Occup Environ Med 2019 61 (9) 767-777 OBJECTIVE: To evaluate the reliability and validity of the updated 2019 CDC Worksite Health ScoreCard (CDC ScoreCard), which includes four new modules. METHODS: We pilot tested the updated instrument at 93 worksites, examining question response concurrence between two representatives from each worksite. We conducted cognitive interviews and site visits to evaluate face validity, and refined the instrument for public distribution. RESULTS: The mean question concurrence rate was 73.4%. Respondents reported the tool to be useful for assessing current workplace programs and planning future initiatives. On average, 43% of possible interventions included in the CDC ScoreCard were in place at the pilot sites. CONCLUSIONS: The updated CDC ScoreCard is a valid and reliable tool for assessing worksite health promotion policies, educational and lifestyle counseling programs, environmental supports, and health benefits. |
Supporting a culture of health in the workplace: A review of evidence-based elements
Flynn JP , Gascon G , Doyle S , Matson Koffman DM , Saringer C , Grossmeier J , Tivnan V , Terry P . Am J Health Promot 2018 32 (8) 890117118761887 OBJECTIVE: To identify and evaluate the evidence base for culture of health elements. DATA SOURCE: Multiple databases were systematically searched to identify research studies published between 1990 and 2015 on culture of health elements. STUDY INCLUSION AND EXCLUSION CRITERIA: Researchers included studies based on the following criteria: (1) conducted in a worksite setting; (2) applied and evaluated 1 or more culture of health elements; and (3) reported 1 or more health or safety factors. DATA EXTRACTION: Eleven researchers screened the identified studies with abstraction conducted by a primary and secondary reviewer. Of the 1023 articles identified, 10 research reviews and 95 standard studies were eligible and abstracted. DATA SYNTHESIS: Data synthesis focused on research approach and design as well as culture of health elements evaluated. RESULTS: The majority of published studies reviewed were identified as quantitative studies (62), whereas fewer were qualitative (27), research reviews (10), or other study approaches. Three of the most frequently studied culture of health elements were built environment (25), policies and procedures (28), and communications (27). Although all studies included a health or safety factor, not all reported a statistically significant outcome. CONCLUSIONS: A considerable number of cross-sectional studies demonstrated significant and salient correlations between culture of health elements and the health and safety of employees, but more research is needed to examine causality. |
Elements of a workplace culture of health, perceived organizational support for health, and lifestyle risk
Payne J , Cluff L , Lang J , Matson-Koffman D , Morgan-Lopez A . Am J Health Promot 2018 32 (7) 890117118758235 PURPOSE: We investigated the impact of elements of a workplace culture of health (COH) on employees' perceptions of employer support for health and lifestyle risk. DESIGN: We used 2013 and 2015 survey data from the National Healthy Worksite Program, a Centers for Disease Control and Prevention (CDC)-led initiative to help workplaces implement health-promoting interventions. SETTING: Forty-one employers completed the CDC Worksite Health Scorecard to document organizational changes. PARTICIPANTS: Eight hundred twenty-five employees provided data to evaluate changes in their health and attitudes. MEASURES: We defined elements of a COH as environmental, policy, and programmatic supports; leadership and coworker support; employee engagement (motivational interventions); and strategic communication. Outcomes included scores of employees' perceptions of employer support for health and lifestyle risk derived from self-reported physical activity, nutrition, and tobacco use. ANALYSIS: We estimated effects using multilevel regression models. RESULTS: At the employee level and across time, regression coefficients show positive associations between leadership support, coworker support, employee engagement, and perceived support for health ( P < .05). Coefficients suggest a marginally significant negative association between lifestyle risk and the presence of environmental and policy supports ( P < .10) and significant associations with leadership support in 2015 only ( P < .05). CONCLUSION: Relational elements of COH (leadership and coworker support) tend to be associated with perceived support for health, while workplace elements (environmental and policy supports) are more associated with lifestyle risk. Employers need to confront relational and workplace elements together to build a COH. |
The Centers for Disease Control and Prevention: Findings from The National Healthy Worksite Program
Lang J , Cluff L , Payne J , Matson-Koffman D , Hampton J . J Occup Environ Med 2017 59 (7) 631-641 OBJECTIVE: To evaluate employers' implementation of evidence-based interventions, and changes in employees' behaviors associated with participating in the national healthy worksite program (NHWP). METHODS: NHWP recruited 100 small and mid-sized employers and provided training and support for 18 months. Outcome measures were collected with an employer questionnaire, an employee survey, and biometric data at baseline and 18 months later. RESULTS: The 41 employers who completed the NHWP implemented significantly more evidence-based interventions and had more comprehensive worksite health promotion programs after participating. Employees made significant improvements in physical activity and nutritional behaviors, but did not significantly improve employee weight. CONCLUSIONS: Training and technical support can help small and mid-sized employers implement evidence-based health interventions to promote positive employee behavior changes. A longer follow up period may be needed to assess whether NHWP led to improvements in clinical outcomes. |
An overview of state policies supporting worksite health promotion programs
VanderVeur J , Gilchrist S , Matson-Koffman D . Am J Health Promot 2017 31 (3) 232-242 PURPOSE: Worksite health promotion (WHP) programs can reduce the occurrence of cardiovascular disease risk factors. State law can encourage employers and employer-provided insurance companies to offer comprehensive WHP programs. This research examines state law authorizing WHP programs. DESIGN: Quantitative content analysis. SETTING: Worksites or workplaces. SUBJECTS: United States (and the District of Columbia). INTERVENTION: State law in effect in 2013 authorizing WHP programs. MEASURES: Frequency and distribution of states with WHP laws. ANALYSIS: To determine the content of the laws for analysis and coding, we identified 18 policy elements, 12 from the Centers for Disease Control and Prevention's Worksite Health ScoreCard (HSC) and 6 additional supportive WHP strategies. We used these strategies as key words to search for laws authorizing WHP programs or select WHP elements. We calculated the number and type of WHP elements for each state with WHP laws and selected two case examples from states with comprehensive WHP laws. RESULTS: Twenty-four states authorized onsite WHP programs, 29 authorized WHP through employer-provided insurance plans, and 18 authorized both. Seven states had a comprehensive WHP strategy, addressing 8 or more of 12 HSC elements. The most common HSC elements were weight management, tobacco cessation, and physical activity. CONCLUSION: Most states had laws encouraging the adoption of WHP programs. Massachusetts and Maine are implementing comprehensive WHP laws but studies evaluating their health impact are needed. |
Collaborative drug therapy management: case studies of three community-based models of care
Snyder ME , Earl TR , Gilchrist S , Greenberg M , Heisler H , Revels M , Matson-Koffman D . Prev Chronic Dis 2015 12 E39 Collaborative drug therapy management agreements are a strategy for expanding the role of pharmacists in team-based care with other providers. However, these agreements have not been widely implemented. This study describes the features of existing provider-pharmacist collaborative drug therapy management practices and identifies the facilitators and barriers to implementing such services in community settings. We conducted in-depth, qualitative interviews in 2012 in a federally qualified health center, an independent pharmacy, and a retail pharmacy chain. Facilitators included 1) ensuring pharmacists were adequately trained; 2) obtaining stakeholder (eg, physician) buy-in; and 3) leveraging academic partners. Barriers included 1) lack of pharmacist compensation; 2) hesitation among providers to trust pharmacists; 3) lack of time and resources; and 4) existing informal collaborations that resulted in reduced interest in formal agreements. The models described in this study could be used to strengthen clinical-community linkages through team-based care, particularly for chronic disease prevention and management. |
The Centers for Disease Control and prevention worksite health ScoreCard
Matson Koffman DM . Am J Health Promot 2013 28 (2) Tahp6-7 The CDC HSC is designed to help employers assess the extent to which they have implemented evidence-based interventions for health promotion in their worksites that are aimed at preventing heart disease, stroke, and related chronic conditions among their employees.9 Originally, the HSC assisted employers in identify-ing gaps in their health promotion programs and in prioritizing high-impact strategies across 12 topics: (1) organizational supports, (2) tobacco control, (3) nutrition, (4) physical activity, (5) weight management, (6) stress management, (7) depression, (8) high blood pressure, (9) high cholesterol, (10) diabetes, (11) signs and symptoms of heart attack and stroke, and (12) emergency response to heart attack and stroke. In 2013, in an effort to broaden the tool beyond the prevention of chronic disease, four modules were added: lactation support, occupational health and safety, vaccine-preventable diseases, and community resources and partnerships. Thus, the current set of 16 topics makes the HSC a better tool for coordination and collaboration across multiple disciplines. Inter-ventions or strategies include policies, education and lifestyle coun-seling services, and environmental supports for health promotion. The HSC differs from other worksite assessment tools in several ways: (1) It addresses multiple health topics focused on chronic disease prevention, immunizations, and occupational safety and health, as well as the worksite’s health culture; (2) the questions are weighted according to current evidence in the literature; and (3) it has been tested for its validity and reliability. |
CDC resources, tools, and programs for health promotion in the worksite
Matson Koffman DM , Lang JE , Chosewood LC . Am J Health Promot 2013 28 (2) Tahp2-5 The Patient Protection and Affordable Care Act of 2010 (ACA, Public Law 111-148) elevates disease prevention to the level of a national priority and provides unprecedented opportunities for health promotion and disease prevention. The ACA established the National Prevention, Health Promotion, and Public Health Council, which has aligned more than a dozen federal agencies to develop a prevention and health promotion strategy for the country, and it created the Prevention and Public Health Fund (PPHF) to support a variety of public health initiatives, including evidence- and practice-based community and clinical prevention and wellness strategies. Furthermore, the ACA requires new health plans to cover recommended preventive services at no charge. In addition, it encourages the adoption of worksite health programs as a vehicle for improving the health of the employed population through programs such as the National Healthy Worksite Program, which is funded through the PPHF. The newly released final rules on incentives in employment-based wellness programs should further strengthen and increase the uptake of workplace interventions described within the act (http://www.hhs.gov/news/press/2013pres/05/20130529a.html).1 |
Clinical preventive services for patients at risk for cardiovascular disease, National Ambulatory Medical Care Survey, 2005-2006
Yoon PW , Tong X , Schmidt SM , Matson-Koffman D . Prev Chronic Dis 2011 8 (2) A43 INTRODUCTION: Clinical preventive services can detect diseases early, when they are most treatable, but these services may not be provided as recommended. Assessing the provision of services to patients at risk for cardiovascular disease (CVD) could help identify disparities and areas for improvement. METHODS: We used data on patient visits (n = 21,261) from the National Ambulatory Medical Care Survey, 2005-2006, and classified patients with hypertension, hyperlipidemia, obesity, or diabetes as being at risk for CVD. We assessed differences in the provision of preventive services offered to patients who were and who were not at risk for CVD. Further, for those at risk, we compared the demographic characteristics of those who had and who had not been offered services. RESULTS: Patients at risk for CVD received significantly more preventive services compared with those not at risk. For patients at risk for CVD, aspirin therapy was more likely to be recommended to those aged 65 years or older than those aged 45 to 64 years and to men than women. Cholesterol screening was more likely for men and was less likely for patients with Medicare/Medicaid or no insurance than for patients who were insured. Rates of counseling for diet and nutrition, weight reduction, and exercise were low overall, but younger patients received these services more than older patients did. CONCLUSION: Patients at risk for CVD are not all receiving the same level of preventive care, suggesting the need to clarify clinical practice guidelines and provide clinicians with education and support for more effective lifestyle counseling. |
A systematic review of selected interventions for worksite health promotion: The assessment of health risks with feedback
Soler RE , Leeks KD , Razi S , Hopkins DP , Griffith M , Aten A , Chattopadhyay SK , Smith SC , Habarta N , Goetzel RZ , Pronk NP , Richling DE , Bauer DR , Buchanan LR , Florence CS , Koonin L , MacLean D , Rosenthal A , Matson Koffman D , Grizzell JV , Walker AM , Task Force on Community Preventive Services . Am J Prev Med 2010 38 S237-62 BACKGROUND: Many health behaviors and physiologic indicators can be used to estimate one's likelihood of illness or premature death. Methods have been developed to assess this risk, most notably the use of a health-risk assessment or biometric screening tool. This report provides recommendations on the effectiveness of interventions that use an Assessment of Health Risks with Feedback (AHRF) when used alone or as part of a broader worksite health promotion program to improve the health of employees. EVIDENCE ACQUISITION: The Guide to Community Preventive Services' methods for systematic reviews were used to evaluate the effectiveness of AHRF when used alone and when used in combination with other intervention components. Effectiveness was assessed on the basis of changes in health behaviors and physiologic estimates, but was also informed by changes in risk estimates, healthcare service use, and worker productivity. EVIDENCE SYNTHESIS: The review team identified strong evidence of effectiveness of AHRF when used with health education with or without other intervention components for five outcomes. There is sufficient evidence of effectiveness for four additional outcomes assessed. There is insufficient evidence to determine effectiveness for others such as changes in body composition and fruit and vegetable intake. The team also found insufficient evidence to determine the effectiveness of AHRF when implemented alone. CONCLUSIONS: The results of these reviews indicate that AHRF is useful as a gateway intervention to a broader worksite health promotion program that includes health education lasting > or =1 hour or repeating multiple times during 1 year, and that may include an array of health promotion activities. These reviews form the basis of the recommendations by the Task Force on Community Preventive Services presented elsewhere in this supplement. |
A Community Health Advisor Program to reduce cardiovascular risk among rural African-American women
Cornell CE , Littleton MA , Greene PG , Pulley L , Brownstein JN , Sanderson BK , Stalker VG , Matson-Koffman D , Struempler B , Raczynski JM . Health Educ Res 2009 24 (4) 622-33 The Uniontown, Alabama Community Health Project trained and facilitated Community Health Advisors (CHAs) in conducting a theory-based intervention designed to reduce the risk for cardiovascular disease (CVD) among rural African-American women. The multiphased project included formative evaluation and community organization, CHA recruitment and training, community intervention and maintenance. Formative data collected to develop the training, intervention and evaluation methods and materials indicated the need for programs to increase knowledge, skills and resources for changing behaviors that increase the risk of CVD. CHAs worked in partnership with staff to develop, implement, evaluate and maintain strategies to reduce risk for CVD in women and to influence city officials, business owners and community coalitions to facilitate project activities. Process data documented sustained increases in social capital and community capacity to address health-related issues, as well as improvements in the community's physical infrastructure. This project is unique in that it documents that a comprehensive CHA-based intervention for CVD can facilitate wide-reaching changes in capacity to address health issues in a rural community that include improvements in community infrastructure and are sustained beyond the scope of the originally funded intervention. |
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