Improving patient self-management

Innovations

School System Renovates High School Track and Promotes Its Availability to the Community, Leading to Increased Use by Students and Residents 08/10/11

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.

Daily Nurse Review of Key Health Indicators Reduces Inpatient and Emergency Department Use for Patients on Dialysis 08/04/11

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.

Mental Health Patients Track Moods Through Web Application, Generating Greater Adherence to Daily Tracking, Better Treatment Decisions, and High Satisfaction 07/25/11

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.

Tobacco Cessation "Quitline" Staff Proactively Call Patients Referred by Trained Providers, Leading to Greater Satisfaction With Services and Higher Quit Rates 07/20/11

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 Sessions Enhance Skills and Knowledge, Reduce Burden and Depression for Caregivers of Dementia Patients 07/14/11

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.

Foundation Supports Rural Stakeholders in Promoting Better Eating and Physical Activity, Leading to Anecdotal Reports of Improved Behaviors and Outcomes 07/11/11

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 Share Stories of Individuals With Hypertension, Leading to Improvements in Blood Pressure in Inner-City African Americans 07/08/11

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.

Culturally Appropriate, Interactive Decision Aid Yields High Quit Rates Among Underserved, Low-Literacy Latino and Hispanic Smokers 07/05/11

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.

Community-Based Effort to Promote Better Diet and Regular Exercise in Students Improves Fitness, Modestly Reduces Obesity 06/22/11

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.

Multispecialty Practice Uses Electronic Templates to Provide Customized Support at Every Visit, Contributing to Improved Patient Behaviors and Outcomes 06/03/11

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.

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