Research Topics
| Paula LozanoSummaryAffiliation: University of Washington Country: USA Publications
Research Grants
| Collaborators
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Detail Information
Publications
Asthma medication use and disease burden in children in a primary care populationPaula Lozano
Center for Health Studies, Group Health Cooperative, 1730 Minor Ave, Suite 1600, Seattle, WA 98101, USA
Arch Pediatr Adolesc Med 157:81-8. 2003..Children with persistent asthma underuse controller medications and overuse relievers. A better understanding of the appropriateness of regimens, medication adherence, and adequacy of asthma control is needed...
A multisite randomized trial of the effects of physician education and organizational change in chronic-asthma care: health outcomes of the Pediatric Asthma Care Patient Outcomes Research Team II StudyPaula Lozano
Center for Health Studies, Group Health Cooperative, 1730 Minor Avenue, Seattle, WA 98101, USA
Arch Pediatr Adolesc Med 158:875-83. 2004..Traditional primary care practice change approaches have not led to full implementation of national asthma guidelines...
Anxiety and depressive disorders are associated with smoking in adolescents with asthmaTerry Bush
Center for Health Studies, Group Health Cooperative, Seattle, Washington 98101 1448, USA
J Adolesc Health 40:425-32. 2007....
The prevalence of DSM-IV anxiety and depressive disorders in youth with asthma compared with controlsWayne Katon
Department of Psychiatry, University of Washington School of Medicine, Seattle, Washington 98195 6560, USA
J Adolesc Health 41:455-63. 2007....
Agreement between parents and children regarding anxiety and depression diagnoses in children with asthmaCarol M Rockhill
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington 98195, USA
J Nerv Ment Dis 195:897-904. 2007..Children without behavioral problems and with less severe anxiety and depression were recognized significantly less often by their parents...
Quality of mental health care for youth with asthma and comorbid anxiety and depressionWayne J Katon
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington 98195 6560, USA
Med Care 44:1064-72. 2006....
Factors associated with detection and receipt of treatment for youth with depression and anxiety disordersLaura P Richardson
Departments of Pediatrics, University of Washington School of Medicine, Seattle, USA
Acad Pediatr 10:36-40. 2010..The purpose of this study was to examine the rate of recognition and management among an insured population and the factors associated with evidence of detection among youth...
The effect of comorbid anxiety and depressive disorders on health care utilization and costs among adolescents with asthmaLaura P Richardson
Department of Pediatrics, University of Washington School of Medicine, Box 354920, Seattle, WA 98115, USA
Gen Hosp Psychiatry 30:398-406. 2008..To assess whether youth with asthma and comorbid anxiety and depressive disorders have higher health care utilization and costs than youth with asthma alone...
Anxiety and depression screening for youth in a primary care populationWayne Katon
Departments of Psychiatry, University of Washington School of Medicine, Seattle, Washington 98195 6560, USA
Ambul Pediatr 8:182-8. 2008..This study tested the psychometric properties of 2 brief mental health screening questionnaires, the Mood and Feelings Questionnaire, short form, (MFQ-SF) and Childhood Anxiety Sensitivity Index (ASI), in a large sample of youth...
A multisite randomized trial of the effects of physician education and organizational change in chronic asthma care: cost-effectiveness analysis of the Pediatric Asthma Care Patient Outcomes Research Team II (PAC-PORT II)Sean D Sullivan
Pharmaceutical Outcomes Research and Policy Program and Department of Pediatrics, University of Washington, Seattle, WA 98195, USA
Arch Pediatr Adolesc Med 159:428-34. 2005....
Identifying high-risk asthma with utilization data: a revised HEDIS definitionAntonia V Bennett
Department of Health Services, University of Washington, Box 357660, Seattle, WA 98195 7660, USA
Am J Manag Care 14:450-6. 2008..To develop a definition of high-risk asthma that more precisely identifies patients needing case management than the 2006 Healthcare Effectiveness Data and Information Set (HEDIS) definition...
Asthma symptom burden: relationship to asthma severity and anxiety and depression symptomsLaura P Richardson
Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington 98115, USA
Pediatrics 118:1042-51. 2006..The purpose of this work was to examine the relationship between youth-reported asthma symptoms, presence of anxiety or depressive disorders, and objective measures of asthma severity among a population-based sample of youth with asthma...
Impact of anxiety and depression on functional impairment in adolescents with asthmaElizabeth McCauley
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA 98195, USA
Gen Hosp Psychiatry 29:214-22. 2007..This study aimed to assess the association of anxiety and depression with psychosocial and asthma-related functional impairment in a large-population-based sample of adolescents with asthma...
The effectiveness of the Olweus Bullying Prevention Program in public middle schools: a controlled trialNerissa S Bauer
Department of Pediatrics, Child Health Institute, University of Washington, Seattle, Washington, USA
J Adolesc Health 40:266-74. 2007..To examine the effectiveness of a widely disseminated bullying prevention program...
Variability in asthma care and services for low-income populations among practice sites in managed Medicaid systemsPaula Lozano
Center for Health Studies, Group Health Cooperative, Seattle, WA 98101, USA
Health Serv Res 38:1563-78. 2003..The lack of consistency within MCOs on many processes of care suggests that care may be driven more at the practice site level than the MCO level, which has implications for quality improvement efforts...
Toward family-centered inpatient medical care: the role of parents as participants in medical decisionsBeth A Tarini
University of Washington, Seattle, USA
J Pediatr 151:690-5, 695.e1. 2007..To determine parental participation in medical decision-making (MDM) during hospitalization and its association with parental self-efficacy and to explore other factors associated with participation...
Preschoolers' total daily screen time at home and by type of child carePooja S Tandon
Center for Child Health, Behavior, and Development, Seattle Children s Research Institute, Seattle, WA, USA
J Pediatr 158:297-300. 2011..To assess preschoolers' cumulative daily screen time, measure the contributions of the home and the child care setting to this total, and characterize children that are most at risk for excessive screen time...
Provocative questions in parochial sex education classes: higher incidence in younger studentsMegan Moreno
Adolescent Medicine, Child Health Institute, University of Washington, Seattle, Washington 98105, USA
J Pediatr Adolesc Gynecol 21:259-64. 2008..Examining teens' questions in sex education classes may provide insight into these attitudes and behaviors...
Hormone-containing hair product use in prepubertal childrenSu-Ting T Li
Child Health Institute, 146 N Canal St, Suite 300, Seattle, WA 98103-8552, USA
Arch Pediatr Adolesc Med 156:85-6. 2002
Baby care products: possible sources of infant phthalate exposureSheela Sathyanarayana
Department of Occupational and Environmental Health Sciences, Division of General Pediatrics, Child Health Institute, University of Washington, Building 296200, NE 74th St, Seattle, WA 98115 8160, USA
Pediatrics 121:e260-8. 2008..We investigated the relationship between phthalate metabolite concentrations in infant urine and maternal reported use of dermally applied infant care products...
An English-language clinic-based literacy program is effective for a multilingual populationMichael Silverstein
Robert Wood Johnson Clinical Scholars Program, University of Washington, Seattle, Washington 98195, USA
Pediatrics 109:E76-6. 2002..To assess the effectiveness of a clinic-based pediatric literacy intervention on a multilingual population...
Youth in foster care with adult mentors during adolescence have improved adult outcomesKym R Ahrens
Department of Pediatrics, University of Washington, Box 354920, Seattle, WA 98195 4920, USA
Pediatrics 121:e246-52. 2008..The goal of this study was to determine whether youth in foster care with natural mentors during adolescence have improved young adult outcomes...
Resource costs for asthma-related care among pediatric patients in managed careKarna Gendo
School of Pharmacy, University of Washington, Seattle, Washington, USA
Ann Allergy Asthma Immunol 91:251-7. 2003..Understanding the relationship between total costs of asthma-related care and morbidity can assist in designing the most cost-effective asthma care strategies to improve patient outcomes and minimize total costs...
Depressive symptoms, stress, and weight concerns among African American and European American low-income female smokersEvette J Ludman
Center for Health Studies, Group Health Cooperative, Seattle, Washington 98101, USA
Psychol Addict Behav 16:68-71. 2002....
Child obesity associated with social disadvantage of children's neighborhoodsH Mollie Greves Grow
University of Washington and Seattle Children s Research Institute, Seattle, WA 98101, USA
Soc Sci Med 71:584-91. 2010..S. urban county. These results contribute new information on relationships between broader social and economic context and child obesity risk using robust spatial analyses...
Randomized trial of teaching brief motivational interviewing to pediatric trainees to promote healthy behaviors in familiesPaula Lozano
Center for Child Health Behavior and Development, Seattle Childrens Research Institute, 1100 Olive Way, Seattle, WA 98101, USA
Arch Pediatr Adolesc Med 164:561-6. 2010..That pediatric resident trainees would demonstrate increased counseling skill following training in brief motivational interviewing (MI)...
The relationship of asthma and anxiety disordersWayne J Katon
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington 98195 6560, USA
Psychosom Med 66:349-55. 2004..Theoretical ideas regarding the relatively high comorbidity rates are presented along with a model describing putative interactions between anxiety disorders and asthma...
Childhood bullying involvement and exposure to intimate partner violenceNerissa S Bauer
Department of Pediatrics, Child Health Institute, University of Washington, Seattle, Washington 98115 8160, USA
Pediatrics 118:e235-42. 2006....
A comparison of self-report and direct observation of booster seat use in Latino familiesD Alex Quistberg
Department of Epidemiology, University of Washington, Seattle, Washington, USA
Inj Prev 16:225-9. 2010..To develop a reliable self-report tool for measuring child booster seat use among Latino families...
Maternal pesticide use and birth weight in the agricultural health studySheela Sathyanarayana
Department of Pediatrics, University of Washington, Seattle, Washington 98101, USA
J Agromedicine 15:127-36. 2010..Given the widespread exposure to pesticide products, additional evaluation of maternal pregnancy exposures at specific time windows and subsequent birth outcomes is warranted...
Pediatric-based smoking cessation intervention for low-income women: a randomized trialSusan J Curry
Center for Health Studies, Group Health Cooperative, University of Illinois at Chicago, 60607, USA
Arch Pediatr Adolesc Med 157:295-302. 2003..The pediatric clinic is a "teachable setting" in which to provide advice and assistance to parents who smoke...
Are performance measures based on automated medical records valid for physician/practice profiling of asthma care?Anne Fuhlbrigge
Channing Laboratory, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA
Med Care 46:620-6. 2008..The use of physician profiles in "pay for performance" initiatives depend on their reliability and accuracy...
Underuse of controller medications among Medicaid-insured children with asthmaJonathan A Finkelstein
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Ave, 6th Floor, Boston, MA 02215, USA
Arch Pediatr Adolesc Med 156:562-7. 2002..Although studies suggest low rates of controller use, little is known about predictors of underuse among low-income children in whom asthma morbidity is greatest...
Agreement between caregiver reported healthcare utilization and administrative data for children with asthmaTodd A Lee
Midwest Center for Health Services and Policy Research, Hines VA Hospital, Hines, IL 60141, USA
J Asthma 44:189-94. 2007....
Psychotropic medication use in a population of children who have attention-deficit/hyperactivity disorderJames Guevara
Division of General Pediatrics, Children s Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA
Pediatrics 109:733-9. 2002..The objectives of this study were to examine differences in nonstimulant psychotropic medication fills between children with and without identified ADHD and to assess associations with non-ADHD neurobehavioral disorders...
Racial/ethnic variation in asthma status and management practices among children in managed medicaidTracy A Lieu
Department of Ambulatory Care and Prevention, Harvard Pilgrim Health Care and Harvard Medical School, Boston, Massachusetts 02215, USA
Pediatrics 109:857-65. 2002....
Inadequate use of asthma medication in the United States: results of the asthma in America national population surveyRobert J Adams
Department of Medicine, University of Adelaide, The Queen Elizabeth Hospital Campus, Woodville, Australia
J Allergy Clin Immunol 110:58-64. 2002..Strategies to increase use of anti-inflammatory therapy among patients with asthma are needed. These might include methods to increase access to asthma care for minorities and the socioeconomically disadvantaged...
Clinical effectiveness research in managed-care systems: lessons from the Pediatric Asthma Care PORT. Patient Outcomes Research TeamJonathan A Finkelstein
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Health Serv Res 37:775-89. 2002..With attention to these delivery system issues, as well as the usual design features of randomized trials, we believe managed-care organizations can serve as important laboratories to test care improvement strategies...
The burden of asthma in the United States: level and distribution are dependent on interpretation of the national asthma education and prevention program guidelinesAnne L Fuhlbrigge
Channing Laboratory, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts 02115, USA
Am J Respir Crit Care Med 166:1044-9. 2002..Inquiry into recent day or nighttime symptoms alone underestimates the burden of asthma and may lead to inadequate treatment of asthma based on national guideline recommendations...
Misunderstanding of asthma controller medications: association with nonadherenceHarold J Farber
Department of Pediatrics, Kaiser Permanente Vallejo Medical Center, Vallejo, California 94589, USA
J Asthma 40:17-25. 2003..This study's aims are to 1) test the hypothesis that misunderstanding is associated with decreased adherence to its daily use and 2) identify factors associated with increased risk of misunderstanding...
Use of asthma medication dispensing patterns to predict risk of adverse health outcomes: a study of Medicaid-insured children in managed care programsHarold J Farber
Department of Pediatrics, Kaiser Permanente Medical Center, Vallejo, California 94589 2485, USA
Ann Allergy Asthma Immunol 92:319-28. 2004..Regular use of inhaled anti-inflammatory (AI) medication improves outcomes for children with persistent asthma...
Evaluation of asthma prescription measures and health system performance based on emergency department utilizationAnne Fuhlbrigge
Channing Laboratory, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts, USA
Med Care 42:465-71. 2004..Measures based on the use of either antiinflammatory and/or reliever medications have been used to evaluate clinical performance in asthma...
Validity of the HEDIS criteria to identify children with persistent asthma and sustained high utilizationAnne L Fuhlbrigge
Channing Laboratory, Brigham and Women s Hospital, Harvard Medical School, Boston, MA 02115, USA
Am J Manag Care 11:325-30. 2005....
Practice-level effects of interventions to improve asthma care in primary care settings: the Pediatric Asthma Care Patient Outcomes Research TeamJonathan A Finkelstein
Department of Ambulatory Care and Prevention, Harvard Medical School, Boston, MA, USA
Health Serv Res 40:1737-57. 2005..Benefits of practice-level interventions may accrue disproportionately to the subgroup of trial enrollees. The effect of such interventions may be less apparent at the level of practices or health plans...
Influenza vaccination among children with asthma in medicaid managed careSangeeth K Gnanasekaran
Center for Child Health Care Studies, Department of Ambulatory Care and Prevention, Harvard Pilgrim Health Care and Harvard Medical School, Boston, Massachusetts, USA
Ambul Pediatr 6:1-7. 2006..To describe influenza vaccination rates and identify risk factors for missing vaccination among children with asthma in managed Medicaid...
Cultural competence policies and other predictors of asthma care quality for Medicaid-insured childrenTracy A Lieu
Center for Child Health Care Studies, Department of Ambulatory Care and Prevention, Harvard Pilgrim Health Care and Harvard Medical School, Boston, Massachusetts 02215, USA
Pediatrics 114:e102-10. 2004..The objective of this study was to identify practice-site policies and features associated with quality of care for Medicaid-insured children with asthma...
Parent use of touchscreen computer kiosks for child health promotion in community settingsDarcy A Thompson
Department of Pediatrics, Johns Hopkins University, Baltimore, MD 21287, USA
Pediatrics 119:427-34. 2007..The goals were to evaluate the use of touchscreen computer kiosks, containing only child health-promoting information, in urban, low-income, community settings and to characterize the users of these kiosks...
Parent-reported environmental exposures and environmental control measures for children with asthmaJonathan A Finkelstein
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Ave, Sixth Floor, Boston, MA 02215, USA
Arch Pediatr Adolesc Med 156:258-64. 2002..Mounting evidence suggests that indoor allergens and irritants contribute to childhood asthma. National asthma guidelines highlight the importance of their reduction as part of comprehensive asthma treatment...
Research Grants
- RANDOMIZED TRIAL--COMPUTERIZED ASTHMA MANAGEMENT SYSTEMPaula Lozano; Fiscal Year: 2003..abstract_text> ..
- Asthma Management Support Training in PediatricsPaula Lozano; Fiscal Year: 2007..In addition, this novel project will advance the field by providing tools for training pediatricians in collaborative management. ..
