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REACH: Research Evidence-to-Action for Community Health

REACH: Research Evidence-to-Action for Community Health

 

Welcome to this free resource for sharing information about community and health care interventions that could work in your community and/or health care setting. We have created easy-to- understand research summaries of different studies and provided links to the full study materials, if you want more in-depth information. We hope you find this useful and invite you to share these resources and documents with colleagues and others.

These research summaries are provided by the REACH Dissemination Committee based on a full study created by others.

Project Collaborators of the REACH Dissemination Committee include key personnel and advisory panel members that represent the three largest health systems in Maine, The Maine Department of Health and Human Services, Maine Council on Aging, Community Care Partnership of Maine, and Maine Area Health Education Center.

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  • Behavioral Health Integration and Outcomes that Matter to Patients: A Longitudinal Mixed-Methods Observational Study by REACH Dissemination Committee, Maine, USA

    Behavioral Health Integration and Outcomes that Matter to Patients: A Longitudinal Mixed-Methods Observational Study

    REACH Dissemination Committee, Maine, USA

    The study team hypothesized that patients would have a better experience over time in clinics that had greater degrees of behavioral health integration.

  • Comparing Cognitive Behavioral Therapy (CBT) versus Yoga for Helping Older Adults Address High Levels of Worry by REACH Dissemination Committee, Maine, USA

    Comparing Cognitive Behavioral Therapy (CBT) versus Yoga for Helping Older Adults Address High Levels of Worry

    REACH Dissemination Committee, Maine, USA

    Some older adults have high levels of worry that cause them to feel restless, tired, or tense. Two ways to treat worry are Cognitive Behavior Therapy (CBT) and yoga.

  • Comparing Long-Term Outcomes of Two Collaborative Care Approaches for People with Depression by REACH Dissemination Committee, Maine, USA

    Comparing Long-Term Outcomes of Two Collaborative Care Approaches for People with Depression

    REACH Dissemination Committee, Maine, USA

    People with depression usually get treatment in healthcare settings, such as clinics. In communities with few resources, people may also get help in community settings such as social services agencies or churches. Collaborative care brings together healthcare and community programs to help people with depression.

  • Comparing Two Telehealth Approaches for Treating Psychiatric Disorders in Primary Care by REACH Dissemination Committee, Maine, USA

    Comparing Two Telehealth Approaches for Treating Psychiatric Disorders in Primary Care

    REACH Dissemination Committee, Maine, USA

    Federally Qualified Health Centers (FQHCs) are community clinics that provide primary care in rural and other underserved areas. FQHCs often don’t have enough mental health specialists to treat patients with complex mental health conditions.

  • Comparing Two Ways to Treat Serious Worry among Older Adults from Underserved, Racial or Ethnic Minority Communities by REACH Dissemination Committee, Maine, USA

    Comparing Two Ways to Treat Serious Worry among Older Adults from Underserved, Racial or Ethnic Minority Communities

    REACH Dissemination Committee, Maine, USA

    Compared with other older adults, those with serious worry are more likely to have poor physical health, and often have depression, sleep problems, and trouble thinking clearly.

  • Comparing Universal versus Targeted School Screenings for Depression among Teens by REACH Dissemination Committee, Maine, USA

    Comparing Universal versus Targeted School Screenings for Depression among Teens

    REACH Dissemination Committee, Maine, USA

    The US Preventive Services Task Force endorses universal adolescent major depressive disorder (MDD) screening in primary care; however, most adolescents lack preventive health care, resulting in worsening disparities in MDD screening and treatment.

  • Comparing Ways to Ask Patients about Sexual Orientation and Gender Identity in the Emergency Department (ED) by REACH Dissemination Committee, Maine, USA

    Comparing Ways to Ask Patients about Sexual Orientation and Gender Identity in the Emergency Department (ED)

    REACH Dissemination Committee, Maine, USA

    Sexual and gender minority patients report higher satisfaction and comfort with ED encounters when SO/GI is collected along with other demographic information via a nonverbal, written method during patient registration.

  • Does A Parent Peer Support Program Help Parents of Children Who Need Mental Health Services Support Their Child’s Care? by REACH Dissemination Committee, Maine, USA

    Does A Parent Peer Support Program Help Parents of Children Who Need Mental Health Services Support Their Child’s Care?

    REACH Dissemination Committee, Maine, USA

    The study aimed to assess the impact of a Family Navigator (FN) program developed to increase child behavioral therapy service utilization on parent and child outcomes.

  • Does a Peer-Led Program with Wellness Coaching Improve Wellness among People with Serious Mental Illness? by REACH Dissemination Committee

    Does a Peer-Led Program with Wellness Coaching Improve Wellness among People with Serious Mental Illness?

    REACH Dissemination Committee

    People with serious mental illness, or SMI, such as bipolar disorder or schizophrenia often also have long-term physical health problems.

  • Does a Program that Focuses on Lifestyle Changes Reduce Heart Disease Risk Factors in a Rural Community? by REACH Dissemination Committee, Maine, USA

    Does a Program that Focuses on Lifestyle Changes Reduce Heart Disease Risk Factors in a Rural Community?

    REACH Dissemination Committee, Maine, USA

    Interventions like HeartHealth—that focus on self-care of heart disease risk factors and that are driven by collaboration with the community of interest—are effective in medically underserved, socioeconomically distressed rural areas.

  • Does a Training Program for Mental Health Counselors Help Reduce Burnout and Improve Patient Care? by REACH Dissemination Committee, Maine, USA

    Does a Training Program for Mental Health Counselors Help Reduce Burnout and Improve Patient Care?

    REACH Dissemination Committee, Maine, USA

    To understand the patient and clinician experience of burnout in mental health clinicians.

  • Does a Video Chat Referral Process Help Families with Children Who Have Medicaid to Initiate Mental Health Care? by REACH Dissemination Committee, Maine, USA

    Does a Video Chat Referral Process Help Families with Children Who Have Medicaid to Initiate Mental Health Care?

    REACH Dissemination Committee, Maine, USA

    Many children with Medicaid and mental health concerns don’t get the care they need.

  • Does plain language guided by the RUAKI Indicator improve study participant confidence in their informed consent decision? by Sabrina Kurtz-Rossi, Ifechi Augusta Okonkwo, Ye Chen, Noe Duenas, Timothy Bilodeau, Alice Rushforth, and Andreas Klein

    Does plain language guided by the RUAKI Indicator improve study participant confidence in their informed consent decision?

    Sabrina Kurtz-Rossi, Ifechi Augusta Okonkwo, Ye Chen, Noe Duenas, Timothy Bilodeau, Alice Rushforth, and Andreas Klein

    Informed consent forms are hard to read and understand, but people need this information to make informed decisions about whether or not to participate in research.

  • Evaluating a Program to Lower Prescription Opioid Doses for Patients with Chronic Pain by REACH Dissemination Committee, Maine, USA

    Evaluating a Program to Lower Prescription Opioid Doses for Patients with Chronic Pain

    REACH Dissemination Committee, Maine, USA

    Patients who use opioids for a long time are at increased risk for addiction, care crashes, overdose, & injuries.

  • Evaluating a Training Program for Rural Doctors and Nursing Home Staff on Safe Medicine Use for Patients with Dementia and Nursing Home Residents by REACH Dissemination Committee, Maine, USA

    Evaluating a Training Program for Rural Doctors and Nursing Home Staff on Safe Medicine Use for Patients with Dementia and Nursing Home Residents

    REACH Dissemination Committee, Maine, USA

    Program goal: Reduce unnecessary use of certain medications without worsening symptoms

  • Examining Effects of State Policies to Monitor Mental Health Medicines for Children in Foster Care by REACH Dissemination Committee, Maine, USA

    Examining Effects of State Policies to Monitor Mental Health Medicines for Children in Foster Care

    REACH Dissemination Committee, Maine, USA

    Antipsychotics can have long-term risks but help treat conditions like schizophrenia.

  • Examining Health Outcomes for People Who Are Transgender by REACH Dissemination Committee, Maine, USA

    Examining Health Outcomes for People Who Are Transgender

    REACH Dissemination Committee, Maine, USA

    The Study of Transition, Outcomes, and Gender was initiated to assess morbidity among transgender people in general and after gender-affirming treatments.

  • Helping Patients with Mental Illness Engage in Their Transitional Care by REACH Dissemination Committee, Maine, USA

    Helping Patients with Mental Illness Engage in Their Transitional Care

    REACH Dissemination Committee, Maine, USA

    Effective transitional care can keep patients from going back to the hospital.

  • Improving Classroom Behaviors among Students with Symptoms of Autism Spectrum Disorder (ASD) or Attention Deficit Hyperactivity Disorder (ADHD) by REACH Dissemination Committee, Maine, USA

    Improving Classroom Behaviors among Students with Symptoms of Autism Spectrum Disorder (ASD) or Attention Deficit Hyperactivity Disorder (ADHD)

    REACH Dissemination Committee, Maine, USA

    The study aimed to compare the effectiveness of two school-based behavioral programs on improving executive functioning behaviors among students with symptoms of ADHD or ASD.

  • Is a Patient Navigation Program More Helpful than a Referral Program for Reducing Depression and Improving Quality of Life among Women Living in Neighborhoods with Few Resources? by REACH Dissemination Committee, Maine, USA

    Is a Patient Navigation Program More Helpful than a Referral Program for Reducing Depression and Improving Quality of Life among Women Living in Neighborhoods with Few Resources?

    REACH Dissemination Committee, Maine, USA

    The research team compared two programs designed to help women with feelings of depression who live in neighborhoods with few resources. Both programs lasted four months.

  • Peer-Navigator Support for Latinx Patients with Serious Mental Illness by REACH Dissemination Committee, Maine, USA

    Peer-Navigator Support for Latinx Patients with Serious Mental Illness

    REACH Dissemination Committee, Maine, USA

    People who have a serious mental illness (SMI), are at higher risk for other health problems.

  • Summary of: AI Diabetic Retinopathy Screening in a Primary Care Setting in Rural Maine by Rachel Heuer MD, Emma DayBranch MPH, Anastasia Tsomides DO, Jessica F. DiBiase MPH, Neil Korsen MD, and Brian Nolan MD

    Summary of: AI Diabetic Retinopathy Screening in a Primary Care Setting in Rural Maine

    Rachel Heuer MD, Emma DayBranch MPH, Anastasia Tsomides DO, Jessica F. DiBiase MPH, Neil Korsen MD, and Brian Nolan MD

    Diabetic retinopathy (DR) is the leading cause of blindness globally. Early diagnosis and treatment reduce the risk of vision loss by 98%.

    Study found @ "AI Diabetic Retinopathy Screening in a Primary Care Setting in Rural M" by Rachel Heuer, Emma DayBranch et al.

  • Summary of: Effect of a Quality Improvement Initiative on Procedural Abortion Pain and Anxiety Using a Standardized Patient-Focused Sedation Options Counseling Guide by Stephanie Small PhD, WHNP, ANP

    Summary of: Effect of a Quality Improvement Initiative on Procedural Abortion Pain and Anxiety Using a Standardized Patient-Focused Sedation Options Counseling Guide

    Stephanie Small PhD, WHNP, ANP

    Sedation decreases the discomfort of pain and anxiety during a procedure.

    Our quality improvement initiative using a standardized sedation options counseling guide to provide patient-focused counseling decreased pain, but not anxiety, during abortion procedures. This adjunct to established pain management options is a simple improvement on current practice.

  • Summary of: Reaching Structurally Vulnerable Populations Using Low-Barrier COVID-19 Testing Clinics Co-Created with Community Based Organizations by David Ngandu, Gloria Sclar, Ambia Ahmed, Sumayo A Awale, Caroline Fernandes, Joshua Goldstein, Hina Hashmi, Shruti Joshi, and et al.

    Summary of: Reaching Structurally Vulnerable Populations Using Low-Barrier COVID-19 Testing Clinics Co-Created with Community Based Organizations

    David Ngandu, Gloria Sclar, Ambia Ahmed, Sumayo A Awale, Caroline Fernandes, Joshua Goldstein, Hina Hashmi, Shruti Joshi, and et al.

    The COVID-19 pandemic disproportionately affected people from structurally vulnerable communities. There was a need to improve COVID-19 testing in these communities to reduce viral spread and connect to treatment.

    Study @ "Reaching Structurally Vulnerable Populations Using Low-Barrier COVID-1" by David Ngandu, Gloria D Sclar et al.

  • Summary of: Understanding the Role of Misinformation in COVID-19 Vaccine Hesitancy in a Rural State by Ann Marie Hess, Colin T. Waters, Elizabeth A. Jacobs, Kerri L. Barton, and Kathleen M. Fairfield

    Summary of: Understanding the Role of Misinformation in COVID-19 Vaccine Hesitancy in a Rural State

    Ann Marie Hess, Colin T. Waters, Elizabeth A. Jacobs, Kerri L. Barton, and Kathleen M. Fairfield

    Findings from this study regarding COVID-19 vaccine hesitancy and sources of trusted information are important for developing public health strategies to increase vaccination rates. Understanding the concerns of individuals as assessed in this study provides opportunities for trusted health professionals, friends and family to reinforce facts about the importance of being vaccinated.

    Study found @ "Understanding the Role of Misinformation in COVID-19 Vaccine Hesitancy" by Ann Marie Hess, Colin T. Waters et al.

  • Summary of: Why did some rural Mainers accept novel COVID-19 vaccines when rolled out in 2021, while others did not? by Michael Kohut PhD, Liz Scharnetzki, Joseph Pajka, Elizabeth Jacobs, and Kathleen Fairfield

    Summary of: Why did some rural Mainers accept novel COVID-19 vaccines when rolled out in 2021, while others did not?

    Michael Kohut PhD, Liz Scharnetzki, Joseph Pajka, Elizabeth Jacobs, and Kathleen Fairfield

    Many people, especially in rural areas of the United States, choose not to receive novel COVID-19 vaccinations despite public health recommendations.

    Understanding how people describe decisions to get vaccinated or not may help to address hesitancy.

    Study @ "Decisions about adopting novel COVID-19 vaccines among White adults in" by Michael Kohut PhD, Liz Scharnetzki et al.

  • Testing a Clinic-Based Program to Reduce Risky Behaviors among Teens by REACH Dissemination Committee, Maine, USA

    Testing a Clinic-Based Program to Reduce Risky Behaviors among Teens

    REACH Dissemination Committee, Maine, USA

    Risky behaviors, including eating poorly, not getting enough sleep or exercise, using drugs, and not wearing a helmet or seatbelt often emerge during the teen years.

  • Testing a Peer Support Program for Parents of Infants Going Home from the NICU by REACH Dissemination Committee, Maine, USA

    Testing a Peer Support Program for Parents of Infants Going Home from the NICU

    REACH Dissemination Committee, Maine, USA

    U.S. newborns requiring care in a neonatal intensive care unit (NICU) have an increased risk of long-term disability, and short-term or ongoing specialty care.

    Parents of these infants report increased anxiety and stress in the NICU and after discharge.

  • Testing a Standard Approach to Match Patients with Addiction on to Treatment Based on Their Needs by REACH Dissemination Committee, Maine, USA

    Testing a Standard Approach to Match Patients with Addiction on to Treatment Based on Their Needs

    REACH Dissemination Committee, Maine, USA

    The study suggests that use of the ASAM standard of care approach to match patients to treatment may result in improved retention in residential treatment and better patient information and shared decision-making about level of-care decisions.

  • Treating Chronic Pain Using Approaches Adapted for Patients with Limited Reading Skills by REACH Dissemination Committee, Maine, USA

    Treating Chronic Pain Using Approaches Adapted for Patients with Limited Reading Skills

    REACH Dissemination Committee, Maine, USA

    Patients with chronic pain may find some psychosocial interventions to be effective but for those with limited reading skills, it can be hard to understand and use these options.

  • Using a Transitional Care Program to Prepare Patients to Take Care of Themselves after Leaving the Hospital by REACH Dissemination Committee, Maine, USA

    Using a Transitional Care Program to Prepare Patients to Take Care of Themselves after Leaving the Hospital

    REACH Dissemination Committee, Maine, USA

    Some patients have difficulty caring for themselves after they return home from a hospital stay.

 
 
 

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