Improving patient self-management
A public school system renovated the athletic track at the system's only high school and promoted it as an attractive place to exercise, leading to increased use of the track by students, individual residents, and community groups, and to anecdotal reports of weight loss and improved cardiovascular health.
Nurses remotely monitor key indicators of end-stage renal disease patients and intervene as appropriate, leading to less inpatient and emergency department use and higher quality of life.
Individuals with depression and/or other mood disorders log and track their daily mood through a mobile phone application, leading to higher adherence than with paper-based tools, better treatment decisions, and positive feedback from patients and clinicians.
Trained health care providers educate patients who use tobacco about the state's free tobacco cessation phone counseling service (called a “quitline”) and then fax a referral form to quitline staff who proactively follow up with the patient; the program led to higher quit rates than among those simply informed about the quitline by their providers.
Individual and group support enhances the skills and knowledge of those caring for patients with dementia, leading to less caregiver burden and depression and fewer problem behaviors among patients.
A local foundation supports schools, churches, local governments, and employers in eight rural Mississippi counties in addressing the area's obesity epidemic through programs to promote access to healthy food and opportunities for physical activity, leading to anecdotal reports of improvements in health-related behaviors and outcomes.
Culturally appropriate videos provide first-person narratives of patients living with hypertension, leading to significant improvements in blood pressure among low-income, inner-city African Americans with previously uncontrolled hypertension.
A culturally appropriate, interactive decision aid placed at health fairs and in safety net clinics generates high levels of engagement among underserved Hispanic and Latino smokers, leading to well above-average quit rates.
A community-based program sends annual report cards to parents documenting their child's body mass index and fitness, offers healthier food options in school, and provides expanded physical education opportunities before, during, and after school, leading to improved fitness levels and modest reductions in obesity among participating students.
Using electronic templates, nurses and physicians provide a personalized report to patients at virtually every visit, with the goal of improving health-related behaviors; the program has contributed to a leveling off in the prevalence of overweight/obesity, above-average quit rates among smokers, better blood glucose control, and fewer racial disparities in chronic care.