2024
External 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 ResearchConceptsElectronic 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 managementBetter Guidelines and Policies: AAP's Partnership for Policy Implementation.
Lehmann C, Adams W, Chaparro J, Fiks A, Grout R, Leu M, Mendonca E, Michel J, Okechukwu K, Salmon J, Sharifi M, Downs S. Better Guidelines and Policies: AAP's Partnership for Policy Implementation. Pediatrics 2024, 154 PMID: 38864111, DOI: 10.1542/peds.2023-061360.Peer-Reviewed Original ResearchConceptsElectronic health recordsAmerican Academy of PediatricsAcademy of PediatricsElectronic health record developmentQuality of clinical guidelinesImprove care qualityStandardize care deliveryPracticing cliniciansAmerican AcademyClinical practice guidelinesCare qualityCare deliveryHealth recordsPolicy implementationClinical guidelinesGuideline recommendationsPractice guidelinesPatient outcomesClinical recommendationsMedical societiesInformaticiansPediatricReduce variationGuidelinesPolicy statementsUser-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 ResearchConceptsClinical 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
Post-diagnosis weight trajectories and mortality among women with breast cancer
Puklin L, Li F, Cartmel B, Zhao J, Sanft T, Lisevick A, Winer E, Lustberg M, Spiegelman D, Sharifi M, Irwin M, Ferrucci L. Post-diagnosis weight trajectories and mortality among women with breast cancer. Npj Breast Cancer 2023, 9: 98. PMID: 38042922, PMCID: PMC10693588, DOI: 10.1038/s41523-023-00603-5.Peer-Reviewed Original ResearchBody mass indexBreast cancer diagnosisWeight changeCause mortalityClinical characteristicsWeight gainWeight lossBreast cancerWeight trajectoriesPost-diagnosis weight changeBreast cancer-specific mortalityCox proportional hazards modelModern treatment eraCancer-specific mortalityCancer diagnosisModerate weight lossModerate weight gainProportional hazards modelAdverse health outcomesElectronic health recordsTreatment eraBaseline characteristicsTumor RegistryMass indexWeight management
2020
Differences 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 ResearchConceptsPrimary 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
2019
A resident-led project to improve documentation of overweight and obesity in a primary care clinic
Wang’ondu R, Vitale R, Rosenblum H, Pinto-Taylor E, Grossman M, Sharifi M, Gielissen K, Doolittle B. A resident-led project to improve documentation of overweight and obesity in a primary care clinic. Journal Of Community Hospital Internal Medicine Perspectives 2019, 9: 377-383. PMID: 31723380, PMCID: PMC6830187, DOI: 10.1080/20009666.2019.1681056.Peer-Reviewed Original ResearchOW/OBDocumentation of overweightElectronic health recordsPrimary care clinicsCare clinicsHospital primary care clinicHealth information technology toolsDiagnosis of overweightPrevalence of overweightMulti-faceted interventionQuality improvement projectStudy-Act cyclesPre-intervention dataBMI calculationDocumentation ratesObesity diagnosisOverweightDeveloped interventionsObesityTeam-based QI projectsTests of changeHealth recordsQI projectPhysiciansDiagnosis
2018
Cost-Effectiveness of a Clinical Childhood Obesity Intervention
Sharifi M, Franz C, Horan C, Giles C, Long M, Ward Z, Resch S, Marshall R, Gortmaker S, Taveras E. Cost-Effectiveness of a Clinical Childhood Obesity Intervention. 2018, 136-152. DOI: 10.1542/9781610022781-cost.Peer-Reviewed Original ResearchPrimary care providersChildhood obesity interventionsBehaviour change supportObesity interventionsObesity prevalenceCare providersPopulation-level prevention strategiesPediatric primary care providersCluster-randomized trialElectronic decision supportMaintenance of effectsElectronic health recordsUsual careChildhood obesityBMI unitsPediatric practiceObesityPrevention strategiesFunctional EHRPopulation reachClinical interventionsIntervention effectsNational implementationIntervention costsHealth records
2017
Cost-Effectiveness of a Clinical Childhood Obesity Intervention
Sharifi M, Franz C, Horan CM, Giles CM, Long MW, Ward ZJ, Resch SC, Marshall R, Gortmaker SL, Taveras EM. Cost-Effectiveness of a Clinical Childhood Obesity Intervention. Pediatrics 2017, 140: e20162998. PMID: 29089403, PMCID: PMC5654390, DOI: 10.1542/peds.2016-2998.Peer-Reviewed Original ResearchConceptsPrimary care providersChildhood obesity interventionsBehaviour change supportObesity interventionsObesity prevalenceCare providersPopulation-level prevention strategiesPediatric primary care providersCluster-randomized trialElectronic decision supportMaintenance of effectsElectronic health recordsUsual careChildhood obesityBMI unitsPediatric practiceObesityPrevention strategiesFunctional EHRPopulation reachClinical interventionsIntervention effectsNational implementationIntervention costsHealth records
2016
The role of neighborhood characteristics and the built environment in understanding racial/ethnic disparities in childhood obesity
Sharifi M, Sequist TD, Rifas-Shiman SL, Melly SJ, Duncan DT, Horan CM, Smith RL, Marshall R, Taveras EM. The role of neighborhood characteristics and the built environment in understanding racial/ethnic disparities in childhood obesity. Preventive Medicine 2016, 91: 103-109. PMID: 27404577, PMCID: PMC5270384, DOI: 10.1016/j.ypmed.2016.07.009.Peer-Reviewed Original ResearchConceptsBody mass indexBMI z-scoreNeighborhood socioeconomic statusPhysical activity environmentsRace/ethnicityEthnic disparitiesSocioeconomic statusZ-scoreObesity disparitiesChild body mass indexBMI z-score changeChildhood obesity disparitiesChildhood obesity prevalenceZ-score changeMultivariable linear regressionActivity environmentsZ-score differencesElectronic health recordsMass indexChildhood obesityObesity prevalencePediatric practiceMAIN OUTCOMEChildren 4Geocoded addresses
2015
Engaging children in the development of obesity interventions: Exploring outcomes that matter most among obesity positive outliers
Sharifi M, Marshall G, Goldman RE, Cunningham C, Marshall R, Taveras EM. Engaging children in the development of obesity interventions: Exploring outcomes that matter most among obesity positive outliers. Patient Education And Counseling 2015, 98: 1393-1401. PMID: 26166630, PMCID: PMC4609258, DOI: 10.1016/j.pec.2015.06.007.Peer-Reviewed Original ResearchConceptsBody mass indexObesity interventionsHistory of obesityHeight/weight dataImmersion/crystallization approachChildren ages 6Electronic health recordsMass indexHealthy weightObesity managementFocus groupsLinear mixed effects modelsResidential addressesThematic saturationHealth recordsAge 6Mixed effects modelsBehaviour change initiationZip codesObesityChildrenGroup transcriptsEffects modelIterative meetingsFamily engagementFood Environments and Childhood Weight Status: Effects of Neighborhood Median Income
Fiechtner L, Sharifi M, Sequist T, Block J, Duncan DT, Melly SJ, Rifas-Shiman SL, Taveras EM. Food Environments and Childhood Weight Status: Effects of Neighborhood Median Income. Childhood Obesity 2015, 11: 260-268. PMID: 25923838, PMCID: PMC4559156, DOI: 10.1089/chi.2014.0139.Peer-Reviewed Original ResearchConceptsBMI z-scoreLower BMI z-scoreNeighborhood median incomeZ-scoreHigher BMI z-scoreAdverse effectsChildhood weight statusPotential effect modificationFood environmentFood establishmentsLow-income neighborhoodsFull-service restaurantsElectronic health recordsMedian incomePrimary outcomeMultivariable analysisPatient's residenceEffect modificationWeight statusHealth behaviorsHealth recordsFast foodConvenience storesStrong adverse effectsObesity
2014
Exploring Innovative Approaches and Patient-Centered Outcomes From Positive Outliers in Childhood Obesity
Sharifi M, Marshall G, Goldman R, Rifas-Shiman SL, Horan CM, Koziol R, Marshall R, Sequist TD, Taveras EM. Exploring Innovative Approaches and Patient-Centered Outcomes From Positive Outliers in Childhood Obesity. Academic Pediatrics 2014, 14: 646-655. PMID: 25439163, PMCID: PMC4322896, DOI: 10.1016/j.acap.2014.08.001.Peer-Reviewed Original ResearchConceptsBody mass indexChildhood obesityHeight/weight dataWell-child careImmersion/crystallization approachHealth care professionalsElectronic health recordsMassachusetts childrenExercise intoleranceMass indexSubsample of childrenObesity interventionsObesity preventionCare professionalsFocus groupsHigh-risk neighborhoodsFocus group transcriptsHealth behaviorsChild inactivityClinical settingThematic saturationOutlier familiesParent modelingHealth recordsAge 6Enhancing the Electronic Health Record to Increase Counseling and Quit-Line Referral for Parents Who Smoke
Sharifi M, Adams WG, Winickoff JP, Guo J, Reid M, Boynton-Jarrett R. Enhancing the Electronic Health Record to Increase Counseling and Quit-Line Referral for Parents Who Smoke. Academic Pediatrics 2014, 14: 478-484. PMID: 25169159, DOI: 10.1016/j.acap.2014.03.017.Peer-Reviewed Original ResearchMeSH KeywordsAdultAttitude of Health PersonnelChildChild, PreschoolCounselingCross-Sectional StudiesDecision Support TechniquesElectronic Health RecordsFemaleHotlinesHumansInfantInterrupted Time Series AnalysisLogistic ModelsMaleMass ScreeningParentsReferral and ConsultationSmokingSurveys and QuestionnairesTobacco Smoke PollutionConceptsWell-child visitsPositive screenUrban primary care settingElectronic health record (EHR) modificationsPrimary care settingPediatric primary carePre-post analysisBrief trainingElectronic health recordsQuit lineSmoking parentsClinic physiciansPrimary careEHR modificationsCare settingsMost cliniciansClinician trainingAssessment QuestionnaireReferralSubjective changesHealth recordsEHR dataGreater likelihoodCounselingIntervention