American Journal of Preventive Medicine
Volume 26, Issue 4 , Pages 344-355 , May 2004

Expanding developmental and behavioral services for newborns in primary care: Program design, delivery, and evaluation framework

  • Colleen E Huebner, PhD, MPH

      Affiliations

    • Maternal and Child Health Program, Department of Health Services (Huebner), University of Washington, Seattle, Washington, USA
    • ,
  • William E Barlow, PhD

      Affiliations

    • Department of Pediatrics (Johnston), University of Washington, Seattle, Washington, USA
    • ,
  • Lynda T Tyll, MS

      Affiliations

    • Department of Pediatrics (Johnston), University of Washington, Seattle, Washington, USA
    • ,
  • Brian D Johnston, MD, MPH

      Affiliations

    • Center for Health Studies (Barlow, Tyll, Thompson), Group Health Cooperative, Seattle, Washington, USA;
    • ,
  • Robert S Thompson, MD

      Affiliations

    • Department of Pediatrics (Johnston), University of Washington, Seattle, Washington, USA
    • Department of Preventive Care (Thompson), Group Health Cooperative, Seattle, Washington, USA
    • Corresponding Author InformationAddress correspondence and reprint requests to: Robert S. Thompson, MD, Group Health Cooperative, Department of Preventive Care, 1730 Minor Avenue, Suite 1600, Seattle WA 98101-1448, USA.

References 

  1. McLearn KT, Zuckerman B, Parker S, Yellowitz M, Kaplan-Sanoff M. Child development and pediatrics for the 21st century (The Healthy Steps approach). J Urban Health. 1998;75:704–722
  2. Lawrence PR, Magee T, Bernard A. Reshaping primary care (The Healthy Steps Initiative). J Pediatr Health Care. 2001;15:58–62
  3. Guyer B, Hughart N, Strobino D, Jones A, Scharfstein D. Assessing the impact of pediatric-based development services on infants, families, and clinicians (Challenges to evaluating the Healthy Steps Program). Pediatrics. 2000;105:E33
  4. Minkovitz C, Strobino D, Hughart N, Scharfstein D, Guyer B  Healthy Steps Evaluation Team . Early Effects of the Healthy Steps for Young Children Program. Arch Pediatr Adolesc Med. 2001;155:470–479
  5. Hugart N. Healthy Steps Evaluation Team. Healthy Steps Phase Three, Year Five–final report. Healthy Steps for Young Children Program National Evaluation. Baltimore MD: Women's and Children's Health Policy Center, Department of Population and Family Health Studies, Johns Hopkins Bloomberg School of Public Health, February 2002
  6. Minkovitz CS, Hughart N, Strobino D, et al.  A practice-based intervention to enhance quality of care in the first 3 years of life (The Healthy Steps for Young Children Program). JAMA. 2003;290:3081–3091
  7. Johnston BD, Huebner CE, Tyll LT, Barlow WE, Thompson RS. Expanding developmental and behavioral services for newborns in primary care: effects on parental well-being, practice and satisfaction. Am J Prev Med 2004;26:xx–xx
  8. Thompson RS, Lawrence DM, Huebner CE, Johnston BD. Expanding developmental and behavioral services for newborns in primary care: implications of the findings. Am J Prev Med 2004;26:xx–xx
  9. Huebner CE, Tyll L, Luallen J, Johnston BD, Thompson RS. PrePare (A program of enhanced prenatal services within health-maintenance organization settings). Health Educ Res. 2001;16:71–80
  10. Green L, Kreuter M. Application of Precede/Proceed in community settings. Health promotion planning: an educational and environmental approach. Mountain View CA: Mayfield Publishing, 1991
  11. Green LW, Kreuter MW. Health promotion planning: an educational and ecological approach. 3rd ed. Mountain View CA: Mayfield Publishing, 1999
  12. Basch CE. Focus group interview (An underutilized research technique for improving theory and practice in health education). Health Educ Q. 1987;14:411–448
  13. Ward VM, Bertrand JT, Brown LF. The comparability of focus group and survey results. Eval Rev. 1991;15:226–283
  14. Davis DA, Thomson MA, Oxman AD, Haynes RB. Evidence for the effectiveness of CME (A review of 50 randomized controlled trials). JAMA. 1992;268:1111–1117
  15. Davis DA, Thomson MA, Oxman AD, Haynes RB. Changing physician performance (A systematic review of the effect of continuing medical education strategies). JAMA. 1995;274:700–705
  16. Grol R. Beliefs and evidence in changing clinical practice. BMJ. 1997;315:418–421
  17. Haines A, Donald A. Making better use of research findings. BMJ. 1998;317:72–75
  18. Haynes B, Haines A. Barriers and bridges to evidence based clinical practice. BMJ. 1998;317:273–276
  19. RAND Corp. Evidence report and evidence-based recommendations: interventions that increase the utilization of Medicare-funded preventive services for persons age 65 and older. Baltimore MD: U.S. Department of Health and Human Services, Health Care Financing Administration, 1999. Publication No. HCFA-02151
  20. Becker MH. Factors affecting diffusion of innovations among health professionals. Am J Public Health. 1970;60:294–304
  21. Haynes RB, Davis DA, McKibbon A, Tugwell P. A critical appraisal of the efficacy of continuing medical education. JAMA. 1984;251:61–64
  22. Lomas J, Enkin M, Anderson GM, Hannah WJ, Vayda E, Singer J. Opinion leaders vs audit and feedback to implement practice guidelines (Delivery after previous Cesarean section). JAMA. 1991;265:2202–2207
  23. Wagner EH, Austin BT, Von Korff M. Organizing care for patients with chronic illness. Milbank Q. 1996;74:511–544
  24. Bero LA, Grilli R, Grimshaw JM, Harvey E, Oxman AD, Thomson MA. Closing the gap between research and practice (An overview of systematic reviews of interventions to promote the implementation of research findings. The Cochrane Effective Practice and Organization of Care Review Group). BMJ. 1998;317:465–468
  25. Berwick DM, Nolan TW. Physicians as leaders in improving health care (A new series in Annals of Internal Medicine). Ann Intern Med. 1998;128:289–292
  26. Thomson MA, Oxman AD, Davis DA, Haynes RB, Freemantle N, Harvey EL. Outreach visits to improve health professional practice and health care outcomes (Cochrane Review). In: The Cochrane Review, Issue 2. Oxford: Update Software. Updated quarterly. 1998
  27. Larson EB. Evidence-based medicine (Is translating evidence into practice a solution to the cost-quality challenges facing medicine?). Jt Comm J Qual Improv. 1999;25:480–485
  28. Thomson O'Brien MA, Oxman AD, Haynes RB, Davis DA, Freemantle N, Harvey EL. Local opinion leaders: effects on professional practice and health care outcomes (Cochrane Review). In: The Cochrane Library. Chichester UK: John Wiley & Sons, 2003: issue 4
  29. Stone EG, Morton SC, Hulscher ME, et al.  Interventions that increase use of adult immunization and cancer screening services (A meta-analysis). Ann Intern Med. 2002;136:641–651
  30. Wenrich JW, Mann FC, Morris WC, Reilly AJ. Informal educators for practicing physicians. J Med Educ. 1971;46:299–305
  31. Eisenberg JM. The use of ancillary services (A role for utilization review?). Med Care. 1982;20:849–861
  32. Stross JK, Hiss RG, Watts CM, Davis WK, Macdonald R. Continuing education in pulmonary disease for primary-care physicians. Am Rev Respir Dis. 1983;127:739–746
  33. Knowles MS. The adult learner (A neglected species). Houston TX: Gulf Publishing; 1984;
  34. Knowles MS. The adult learner (A neglected species. 4th ed). Houston TX: Gulf Publishing; 1990;
  35. Rich EC, Crowson TW, Connelly DP. Evidence for an informal clinical policy resulting in high use of a very low yield test. Am J Med. 1985;79:577–582
  36. Maiman LA, Becker MH, Liptak GS, Nazarian LF, Rounds KA. Improving pediatricians' compliance-enhancing practices. A randomized trial. Am J Dis Child. 1988;142:773–779
  37. Schmidt HG. Foundations of problem-based learning (Some explanatory notes). Med Educ. 1993;27:422–432
  38. Dolmans DH, Schmidt HG. What drives the student in problem-based learning?. Med Educ. 1994;28:372–380
  39. Katon W, Von Korff M, Lin E, et al.  Collaborative management to achieve treatment guidelines (Impact on depression in primary care). JAMA. 1995;273:1026–1031
  40. Oxman AD, Thomson MA, Davis DA, Haynes RB. No magic bullets (A systematic review of 102 trials of interventions to improve professional practice). Can Med Assoc J. 1995;153:1423–1431
  41. Slotnick HB, Raszkowski PR, Lichtenauer DF. Rethinking continuing medical education. J Cont Educ Health Prof. 1995;15:8–22
  42. Green ML, Ellis PJ. Impact of evidence-based medicine curriculum based on adult learning theory. J Gen Intern Med. 1997;12:742–750
  43. Boud D, Feletti G. The challenge of problem-based learning. 2nd ed. London England: Kogan Page; 1998;
  44. Carlile S, Barnet S, Sefton A, Uther J. Medical problem based learning supported by intranet technology (A natural student centered approach). Int J Med Inform. 1998;50:225–233
  45. Abrahamson S, Baron J, Elstein AS, et al.  Continuing medical education for life (Eight principles). Acad Med. 1999;74:1288–1294
  46. Davis D, O'Brien MA, Freemantle N, Wolf FM, Mazmanian P, Taylor-Vaisey A. Impact of formal continuing medical education (Do conferences, workshops, rounds, and other traditional continuing education activities change physician behavior or health care outcomes?). JAMA. 1999;282:867–874
  47. Pommerenke FA, Dietrich A. Improving and maintaining preventive services, part 1 (Applying the patient model). J Fam Pract. 1992;34:86–91
  48. Pommerenke FA, Dietrich A. Improving and maintaining preventive services, part 2 (Practical principles for primary care). J Fam Pract. 1992;34:92–97
  49. Berwick DM. Developing and testing changes in delivery of care. Ann Intern Med. 1998;128:651–656
  50. Nelson EC, Splaine ME, Batalden PB, Plume SK. Building measurement and data collection into medical practice. Ann Intern Med. 1998;128:460–466
  51. Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness. JAMA. 2002;228:1775–1779
  52. Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness (The chronic care model, part 2). JAMA. 2002;228:1909–1914
  53. Lane DS, Polednak AP, Burg MA. Effect of continuing medical education and cost reduction on physician compliance with mammography screening guidelines. J Fam Pract. 1991;33:359–368
  54. Savage B. Utility of clinical preventive services age-specific tables in the medical exam room. Presented at the 26th Annual USPHS Professional Association Conference, Atlanta GA, May 1991
  55. Thompson RS, Rivara FP, Thompson DC, et al.  Identification and management of domestic violence (A randomized trial). Am J Prev Med. 2000;19:253–263
  56. Schroeder SA, Kenders K, Cooper JK, Piemme TE. Use of laboratory tests and pharmaceuticals (Variation among physicians and effect of cost audit on subsequent use). JAMA. 1973;225:969–973
  57. Griner PF. Use of laboratory tests in a teaching hospital (Long-term trends: reduction in use and relative cost). Ann Intern Med. 1979;90:243–248
  58. Hillman RS, Helbig S, Howes S, Hayes J, Meyer DM, McArthur JR. The effect of an educational program on transfusion practices in a regional blood program. Transfusion. 1979;19:153–157
  59. Check WA. How to affect antibiotic prescribing practices. JAMA. 1980;244:2594–2595
  60. Young DW. An aid to reducing unnecessary investigations. BMJ. 1980;281:1610–1611
  61. Eisenberg JM, Williams SV. Cost containment and changing physicians' practice behavior (Can the fox learn to guard the chicken coop?). JAMA. 1981;246:2195–2201
  62. Myers LP, Schroeder SA. Physician use of services for the hospitalized patient (A review, with implications for cost containment). Milbank Q. 1981;59:481–507
  63. Rosser WW. Using the perception-reality gap to alter prescribing patterns. J Med Educ. 1983;58:728–732
  64. Thompson RS, Kirz HL, Gold RA. Changes in physician behavior and cost savings associated with organizational recommendations on the use of “routine” chest x-rays and multichannel blood tests. Prev Med. 1983;12:385–396
  65. Wong ET, McCarron MM, Shaw ST. Ordering of laboratory tests in a teaching hospital (Can it be improved?). JAMA. 1983;249:3076–3080
  66. Gehlbach SH, Wilkinson WE, Hammond WE, et al.  Improving drug prescribing in a primary care practice. Med Care. 1984;22:193–201
  67. Winickoff RN, Coltin KL, Morgan MM, Buxbaum RC, Barnett GO. Improving physician performance through peer comparison feedback. Med Care. 1984;22:527–533
  68. Marton K, Tul V, Sox HC. Modifying test-ordering behaviors in the outpatient medical clinic (A controlled trial of two educational interventions). Arch Intern Med. 1985;145:816–821
  69. McPhee SJ, Bird JA, Jenkins CNH, Fordham D. Promoting cancer screening (A randomized, controlled trial of three interventions). Arch Intern Med. 1989;149:1866–1872
  70. Nattinger AB, Panzer RJ, Janus J. Improving the utilization of screening mammography in primary care practices. Arch Intern Med. 1989;149:2087–2092
  71. Dalzell MD. Helping hands for HEDIS. Manag Care. 1998;7:34A–34H
  72. Dalzell MD. Physician, HEDIS (Health Employer Data and Information Set) thyself. Manag Care. 1999;8:54; ,57
  73. Eddy DM. Performance measurement (Problems and solutions). Health Aff (Millwood). 1998;17:7–25
  74. Gold MR, Siegel JE, Russell LB, Weinstein MC. Cost-effectiveness in health and medicine. New York: Oxford University Press; 1996;
  75. Drummond MF, O'Brien B, Stoddart GL, Torrance GW. Methods for the economic evaluation of health care programmes. 2nd ed. New York: Oxford University Press; 1999;
  76. Benedict M, Stacey H, Hou W, Hugart N. Healthy Steps Evaluation Team. Healthy Steps program of services in the first year of life: a summary of Healthy Step Specialists' contacts with families. Working Paper in Series, Vol 2, Number 2. Baltimore MD: Johns Hopkins Bloomberg School of Public Health, February 2000
  77. Thompson RS, Taplin SH, McAfee TA, Mandelson MT, Smith AE. Primary and secondary prevention services in clinical practice (Twenty years' experience in development, implementation, and evaluation). JAMA. 1995;273:1130–1135
  78. Thompson RS. What have HMOs learned about clinical prevention services? An examination of the experience at Group Health Cooperative of Puget Sound. Milbank Q. 1996;74:469–509
  79. Wagner EH, Austin BT, Von Korff M. Improving outcomes in chronic illness. Manag Care Q. 1996;4:12–25
  80. Wagner EH, Davis C, Schaefer J, Von Korff M, Austin B. A survey of leading chronic disease management programs (Are they consistent with the literature?). Manag Care Q. 1999;7:56–66
  81. Wagner EH, Glasgow RE, Davis C, et al.  Quality improvement in chronic illness care (A collaborative approach). Jt Comm J Qual Improv. 2001;27:63–80
  82. IOM Committee on the Training Needs of Health Professionals to Respond to Family Violence and Cohn F, Salmon ME, Stobo J, eds. A case of chronic neglect: the education and training of health professionals on family violence. Washington DC: National Press, 2002:125–40
  83. Gomby DS, Culross PL, Behrman RE. Home visiting (Recent program evaluations–analysis and recommendations). Future Child. 1999;9:4–26

PII: S0749-3797(04)00010-8

doi: 10.1016/j.amepre.2004.01.003

American Journal of Preventive Medicine
Volume 26, Issue 4 , Pages 344-355 , May 2004

Article Tools

* Image Usage & Resolution