2024
Cost‐effectiveness of a primary care‐based Healthy Weight Clinic compared with usual care
Sharifi M, Fiechtner L, Barrett J, O'Connor G, Perkins M, Reiner J, Luo M, Taveras E, Gortmaker S. Cost‐effectiveness of a primary care‐based Healthy Weight Clinic compared with usual care. Obesity 2024, 32: 1734-1744. PMID: 39192764, PMCID: PMC11361715, DOI: 10.1002/oby.24111.Peer-Reviewed Original ResearchConceptsHealthy weight clinicHealth care sectorObesity prevalenceIntervention costsCare sectorReducing obesity disparitiesNational implementationHealth care costsObesity disparitiesUsual careBMI changeCare costsFQHCsCost-effectiveSocietal perspectiveWhite populationHealthHealthyObesityQALYEstimated costInterventionClinicChildrenGreater reductionsExternal Validation of an Electronic Phenotyping Algorithm Detecting Attention to High Body Mass Index in Pediatric Primary Care
Barron A, Fenick A, Maciejewski K, Turer C, Sharifi M. External Validation of an Electronic Phenotyping Algorithm Detecting Attention to High Body Mass Index in Pediatric Primary Care. Applied Clinical Informatics 2024, 15: 700-708. PMID: 39197473, PMCID: PMC11387092, DOI: 10.1055/s-0044-1787975.Peer-Reviewed Original ResearchMeSH KeywordsAlgorithmsBody Mass IndexChildComorbidityElectronic Health RecordsFemaleHumansMalePhenotypePrimary Health CareConceptsElectronic health recordsBody mass indexPediatric primary careElevated body mass indexWeight-related comorbiditiesPrimary carePediatric primary care practicesElectronic health record dataBody mass index categoriesMass indexImprove obesity managementPrimary care practicesWell-child visitsHigher body mass indexChart reviewLikelihood of classificationElectronic phenotyping algorithmsFree-text componentsClinician typeCare practicesHealth recordsClinician behaviorLaboratory ordersProgress notesObesity managementUser-Centered Framework for Implementation of Technology (UFIT): Development of an Integrated Framework for Designing Clinical Decision Support Tools Packaged With Tailored Implementation Strategies
Ray J, Finn E, Tyrrell H, Aloe C, Perrin E, Wood C, Miner D, Grout R, Michel J, Damschroder L, Sharifi M. User-Centered Framework for Implementation of Technology (UFIT): Development of an Integrated Framework for Designing Clinical Decision Support Tools Packaged With Tailored Implementation Strategies. Journal Of Medical Internet Research 2024, 26: e51952. PMID: 38771622, PMCID: PMC11150893, DOI: 10.2196/51952.Peer-Reviewed Original ResearchMeSH KeywordsChildDecision Support Systems, ClinicalElectronic Health RecordsHumansPrimary Health CareUser-Centered DesignConceptsClinical decision supportPrimary care cliniciansUser-centered designImplementation strategiesUser-centered frameworkCare cliniciansImplementation scienceElectronic health record-based clinical decision supportImpact of clinical decision supportImplement clinical decision supportEvidence-based CDSPediatric primary care cliniciansTailored implementation strategiesElectronic health recordsAdoption of evidenceWell-child visitsDecision supportDiverse group of stakeholdersObesity practicePrimary carePediatric overweightHealth recordsHealth systemSemistructured interviewsOverweight treatment
2023
A Mixed-Methods Analysis of a Special Supplemental Nutrition Program for Women, Infants, and Children and Primary Care Partnership to Promote Responsive Feeding for Infants in Group Well-Child Care
Budge M, Sharifi M, Maciejewski K, Diehl D, Paige M, Nogelo P, Rosenthal M, Fenick A. A Mixed-Methods Analysis of a Special Supplemental Nutrition Program for Women, Infants, and Children and Primary Care Partnership to Promote Responsive Feeding for Infants in Group Well-Child Care. Academic Pediatrics 2023, 23: 304-313. PMID: 36599376, DOI: 10.1016/j.acap.2022.12.017.Peer-Reviewed Original ResearchMeSH KeywordsBody WeightChildChild CareFeeding BehaviorFemaleFoodFood AssistanceHumansInfantPrimary Health CareConceptsIndividual well-child careSpecial Supplemental Nutrition ProgramWell-child careSupplemental Nutrition ProgramPrimary Care PartnershipsResponsive feedingNutrition ProgramCare partnershipsGroup well-child careElectronic health record dataHealth record dataResponsive feeding practicesHealthy foodsLow-income caregiversExperiences of caregiversHealthy eating practicesPrimary careInfant growthCare interventionsFeeding practicesHealthy eatingInfantsStructural barriersThematic saturationCaregivers
2020
Family-centeredness of childhood obesity interventions: psychometrics & outcomes of the family-centered care assessment tool
Simione M, Sharifi M, Gerber MW, Marshall R, Avalon E, Fiechtner L, Horan C, Orav EJ, Skelton J, Taveras EM. Family-centeredness of childhood obesity interventions: psychometrics & outcomes of the family-centered care assessment tool. Health And Quality Of Life Outcomes 2020, 18: 179. PMID: 32527270, PMCID: PMC7291578, DOI: 10.1186/s12955-020-01431-y.Peer-Reviewed Original ResearchConceptsChildhood obesity interventionsCare Assessment ToolBody mass indexPrimary careObesity interventionsParents of childrenHealth coachingFamily-centered care principlesPrimary care armPediatric weight managementFamily-centered careOne-year interventionFamily-centered approachImproved clinical decisionAssessment toolPsychometric propertiesCare armTool's psychometricsMass indexRandomized trialsMean ageWeight managementBetter outcomesCare principlesCoaching armDifferences in Frequency of Visits to Pediatric Primary Care Practices and Emergency Departments by Body Mass Index
Kovalerchik O, Powers E, Holland ML, Sharifi M, Langhan ML. Differences in Frequency of Visits to Pediatric Primary Care Practices and Emergency Departments by Body Mass Index. Academic Pediatrics 2020, 20: 532-539. PMID: 31904438, DOI: 10.1016/j.acap.2019.12.011.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentBody Mass IndexChildChild, PreschoolEmergency Service, HospitalHumansOverweightPrimary Health CareRetrospective StudiesConceptsPrimary care visitsCare visitsBMI percentile categoryED visitsNormal BMISevere obesityBMI categoriesIndex primary care visitPediatric primary care practicesBody mass index categoriesEmergency department visitsRisk of hospitalizationPediatric weight managementPrevalence of overweightBody mass indexHealth care utilizationNormal BMI rangeCare-seeking patternsPrimary care practicesChildren’s BMI categoryHealth care settingsRace/ethnicityElectronic health recordsImpact of stigmaIndex visit
2018
Rationale and design of the Clinic and Community Approaches to Healthy Weight Randomized Trial
Fiechtner L, Perkins M, Biggs V, Langhans N, Sharifi M, O'Connor G, Price S, Locascio J, Kuhlthau K, Kwass JA, Nelson C, Land T, Longjohn M, Lawson V, Hohman K, Taveras EM. Rationale and design of the Clinic and Community Approaches to Healthy Weight Randomized Trial. Contemporary Clinical Trials 2018, 67: 16-22. PMID: 29330083, PMCID: PMC5871582, DOI: 10.1016/j.cct.2018.01.002.Peer-Reviewed Original ResearchConceptsPediatric weight management programBody mass indexWeight management programLow-income childrenHealth Insurance ProgramChildhood obesityQualified health centersTwo-arm trialChildren's Health Insurance ProgramMass indexRandomized trialsHealthy weightPrimary careEligible childrenHealth centersMAIN OUTCOMEComparative effectivenessObesityPercent changeCommunity settingsClinicOne-yearTrialsManagement programCommunity approach
2017
Comparative Effectiveness of Clinical-Community Childhood Obesity Interventions: A Randomized Clinical Trial
Taveras EM, Marshall R, Sharifi M, Avalon E, Fiechtner L, Horan C, Gerber MW, Orav EJ, Price SN, Sequist T, Slater D. Comparative Effectiveness of Clinical-Community Childhood Obesity Interventions: A Randomized Clinical Trial. JAMA Pediatrics 2017, 171: e171325-e171325. PMID: 28586856, PMCID: PMC6075674, DOI: 10.1001/jamapediatrics.2017.1325.Peer-Reviewed Original ResearchConceptsHealth-related qualityChildren's health-related qualityBMI z-scoreBody mass indexFamily-centered outcomesBMI z-score unitsMean BMI z-scorePrimary careIntervention armPrimary care groupsZ-scoreZ-score unitsCare groupClinical trialsSex-specific BMI z-scoresChild BMI z-scoreChild body mass indexBaseline mean ageChildhood obesity interventionsHigh-quality clinical carePrimary care practicesCoaching groupOne-year changeSignificant differencesChildren ages 2
2015
Connect for Health: Design of a clinical-community childhood obesity intervention testing best practices of positive outliers
Taveras EM, Marshall R, Sharifi M, Avalon E, Fiechtner L, Horan C, Orav J, Price SN, Sequist T, Slater D. Connect for Health: Design of a clinical-community childhood obesity intervention testing best practices of positive outliers. Contemporary Clinical Trials 2015, 45: 287-295. PMID: 26427562, PMCID: PMC4753774, DOI: 10.1016/j.cct.2015.09.022.Peer-Reviewed Original ResearchConceptsBody mass indexObesity-related outcomesHealth coachesHealth StudyOne-year intervention periodHealth-related qualityChildhood obesity interventionsChild-reported outcomesAge-associated increaseParents/guardiansCommunity resourcesIntervention armMass indexYear old childrenCommunity-level resourcesObesity interventionsIntervention periodHealth coachingTwo-armPediatric carePediatric practiceSupport modalitiesHealth behaviorsControl groupVirtual visitsComparative Effectiveness of Childhood Obesity Interventions in Pediatric Primary Care: A Cluster-Randomized Clinical Trial
Taveras EM, Marshall R, Kleinman KP, Gillman MW, Hacker K, Horan CM, Smith RL, Price S, Sharifi M, Rifas-Shiman SL, Simon SR. Comparative Effectiveness of Childhood Obesity Interventions in Pediatric Primary Care: A Cluster-Randomized Clinical Trial. JAMA Pediatrics 2015, 169: 535-542. PMID: 25895016, DOI: 10.1001/jamapediatrics.2015.0182.Peer-Reviewed Original ResearchConceptsClinical decision supportQuality of carePediatric cliniciansChildhood obesityClinical trialsHEDIS measuresCoaching armInformation Set (HEDIS) performance measuresImproved body mass indexComputerized clinical decision supportMean patient ageUsual care armPhysical activity counselingBody mass indexHealthcare Effectiveness DataPrimary care settingPediatric primary careChildhood obesity interventionsPrimary care practicesFamily coachingAge-associated changesCare armRandomization armActivity counselingBehavior change