Research Topics
| Tom K HoustonSummaryAffiliation: University of Alabama at Birmingham Country: USA Publications
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Publications
Does delayed measurement affect patient reports of provider performance? Implications for performance measurement of medical assistance with tobacco cessation: a Dental PBRN studyThomas K Houston
Deep South Center on Effectiveness Research, a VA HSR and D REAP, Birmingham VA Medical Center, Birmingham, AL, USA
BMC Health Serv Res 8:100. 2008..Current standards, e.g. HEDIS, use delayed patient measures that may over or under-estimate overall performance...
Multiple measures of provider participation in Internet delivered interventionsThomas K Houston
Division of General Internal Medicine, School of Public Health, University of Alabama at Birmingham, Birmingham VA Medical Center 35294 3407, USA
Stud Health Technol Inform 129:1401-5. 2007..Participation assessment of internet-delivered interventions varies by the selection of measure and factor. Further research assessing the potential for these measures to predict intervention effectiveness is needed...
Active and passive smoking and development of glucose intolerance among young adults in a prospective cohort: CARDIA studyThomas K Houston
Deep South Center on Effectiveness Research, Birmingham Veterans Affairs Medical Center, Birmingham, AL, USA
BMJ 332:1064-9. 2006..To assess whether active and passive smokers are more likely than non-smokers to develop clinically relevant glucose intolerance or diabetes...
Implementing achievable benchmarks in preventive health: a controlled trial in residency educationThomas K Houston
Division of General Internal Medicine, University of Alabama at Birmingham School of Medicine, 35294, USA
Acad Med 81:608-16. 2006....
A tailored Internet-delivered intervention for smoking cessation designed to encourage social support and treatment seeking: usability testing and user tracingTom K Houston
Deep South Center of Effectiveness Research, A HSR and D REAP, Birmingham VA Medical Center, Birmingham, AL, USA
Inform Health Soc Care 33:5-19. 2008..038). Changing the rationale and context of Web-based health information using a motivational introduction can change user behavior...
Can residents accurately abstract their own charts?Thomas K Houston
University of Alabama at Birmingham, Birmingham, AL 35294, USA
Acad Med 84:391-5. 2009..To assess the accuracy of residents' record review, using trained abstractors as a gold standard comparison...
Internet delivered support for tobacco control in dental practice: randomized controlled trialThomas K Houston
Surgical and Medical Acute care and Advanced illness Research and Transition sciences SMAART Center, VA HSR and D REAP, Birmingham VA Medical Center, Birmingham, AL, USA
J Med Internet Res 10:e38. 2008..The dental visit is a unique opportunity for tobacco control. Despite evidence of effectiveness in dental settings, brief provider-delivered cessation advice is underutilized...
Differences in preventive health quality by residency year. Is seniority better?Lisa L Willett
Division of General Internal Medicine, Department of Medicine, University of Alabama, Birmingham, Alabama 35294 0012, USA
J Gen Intern Med 20:825-9. 2005..It is assumed that the performance of more senior residents is superior to that of interns, but this has not been assessed objectively...
Timely administration of prophylactic antibiotics for major surgical proceduresMary T Hawn
Deep South Center for Effectiveness Research, Birmingham Veterans Affairs Medical Center, Birmingham, AL 35294, USA
J Am Coll Surg 203:803-11. 2006..Nationwide quality improvement initiatives have focused on improving the proportion of patients who receive timely prophylactic antibiotics...
Do "most wired" hospitals deliver better care?Feliciano Yu
University of Alabama at Birmingham Center for Effectiveness Research and Evaluation, USA
Jt Comm J Qual Patient Saf 33:136-44. 2007....
Marketing to increase participation in a Web-based continuing medical education cultural competence curriculumCarlos A Estrada
Birmingham Veterans Affairs Medical Center, University of Alabama at Birmingham, Division of General Internal Medicine, 732 Faculty Office Tower, 510 20th Street South, Birmingham, AL 35294 3407, USA
J Contin Educ Health Prof 31:21-7. 2011..The purpose of this study was to compare the impact of 2 marketing strategies in the context of an online CME cultural competence curriculum (www.c-comp.org)...
Development and testing of a scale to assess physician attitudes about handheld computers with decision supportMidge N Ray
Department of Health Services Administration, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL 35294 3361, USA
J Am Med Inform Assoc 13:567-72. 2006..The authors developed and evaluated a rating scale, the Attitudes toward Handheld Decision Support Software Scale (H-DSS), to assess physician attitudes about handheld decision support systems...
Patterns of use of handheld clinical decision support tools in the clinical settingFeliciano Yu
UAB Center for Outcomes and Effectiveness Research and Education COERE, Birmingham, Alabama, USA
Med Decis Making 27:744-53. 2007..To assess the patterns of use of handheld clinical decision support tools by internal medicine residents in clinical settings...
Measuring resident physicians' performance of preventive care. Comparing chart review with patient surveyKatri P Palonen
The HSR and D Research Enhancement Award Program, Birmingham VA Medical Center, Birmingham, AL, USA
J Gen Intern Med 21:226-30. 2006..The Accreditation Council for Graduate Medical Education has suggested various methods for evaluation of practice-based learning and improvement competency, but data on implementation of these methods are limited...
Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trialEta S Berner
Department of Health Services Administration, University of Alabama at Birmingham, 1675 University Boulevard, Room 544, Birmingham, AL 35294 3361, USA
J Am Med Inform Assoc 13:171-9. 2006..To evaluate the effectiveness of a personal digital assistant (PDA)-based clinical decision support system (CDSS) on nonsteroidal anti-inflammatory drug (NSAID) prescribing safety in the outpatient setting...
Younger stroke survivors have reduced access to physician care and medications: National Health Interview Survey from years 1998 to 2002Deborah A Levine
Deep South Center on Effectiveness Research, Birmingham Veterans Affairs Medical Center, USA
Arch Neurol 64:37-42. 2007..Younger stroke survivors may have reduced access to physician care and medications because they are more frequently uninsured...
Delay in time to receipt of thrombolytic medication among Medicare patients with kidney diseaseBritt B Newsome
Division of Nephrology, Department of Medicine, Birmingham Veterans Affairs Medical Center, University of Alabama, Birmingham, AL, USA
Am J Kidney Dis 46:595-602. 2005..Our goal is to identify potential differences in thrombolytic medication delays and thrombolytic-associated bleeding events by severity of kidney disease...
Characteristics that predict physician participation in a Web-based CME activity: the MI-Plus studyMichael J Schoen
Division of Continuing Medical Education, University of Alabama at Birmingham, Birmingham, AL 35294 0019, USA
J Contin Educ Health Prof 29:246-53. 2009....
Hospital patient safety levels among healthcare's "most wired" institutionsFeliciano Yu
University of Alabama at Birmingham, School of Medicine and Medical Imformaticist, Children s Hospital of Alabama, USA
J Healthc Qual 32:16-23. 2010....
Do women residents delay childbearing due to perceived career threats?Lisa L Willett
Internal Medicine Residency Program, Division of General Internal Medicine, University of Alabama at Birmingham, Birmingham, Alabama 35291 0012, USA
Acad Med 85:640-6. 2010..To assess gender differences among residents regarding their plans to have children during residency and determine the most influential reasons for these differences...
Multiple uncontrolled conditions and blood pressure medication intensification: an observational studyAmanda H Salanitro
VA National Quality Scholars Program, Department of Veterans Affairs Medical Center, Birmingham, AL, USA
Implement Sci 5:55. 2010..We hypothesized that multiple uncontrolled cardiovascular risk factors would decrease blood pressure (BP) medication intensification among uncontrolled hypertensive patients...
Full implementation of computerized physician order entry and medication-related quality outcomes: a study of 3364 hospitalsFeliciano B Yu
Division of Emergency Medicine, Department of Pediatrics, University of Alabama at Birmingham, Children s Health System, 1600 7th Avenue South, Information Technology, Suite 200 14, Birmingham, AL 35233, USA
Am J Med Qual 24:278-86. 2009..Using a large sample of hospitals, our study found significant positive associations between specific objective quality indicators and CPOE implementation...
Is physician engagement with Web-based CME associated with patients' baseline hemoglobin A1c levels? The Rural Diabetes Online Care studyKatie Crenshaw
Division of Continuing Medical Education, University of Alabama at Birmingham, Birmingham, Alabama 35294 0019, USA
Acad Med 85:1511-7. 2010..To investigate the association between physician participants' levels of engagement in a Web-based educational intervention and their patients' baseline diabetes measures...
Physician and patient influences on provider performance: β-blockers in postmyocardial infarction management in the MI-Plus studyEllen Funkhouser
Division of Preventive Medicine, School of Medicine, University of Alabama Birmingham, 1717 11th Ave S, Birmingham, AL 35205, USA
Circ Cardiovasc Qual Outcomes 4:99-106. 2011..We assessed how variability in providing β-blockers to ambulatory postmyocardial infarction (MI) patients was influenced by physician and patient level characteristics...
The importance of measuring competency-based outcomes: standard evaluation measures are not surrogates for clinical performance of internal medicine residentsLisa L Willett
Department of Medicine, University of Alabama at Birmingham, 1530 Third Avenue South, Birmingham, AL 35294 0012, USA
Teach Learn Med 21:87-93. 2009..Despite recent emphasis on educational outcomes, program directors still rely on standard evaluation techniques such as tests of knowledge and subjective ratings...
Association of timely administration of prophylactic antibiotics for major surgical procedures and surgical site infectionMary T Hawn
Deep South Center for Effectiveness Research, Birmingham Veterans Affairs VA Medical Center, Birmingham, AL, USA
J Am Coll Surg 206:814-9; discussion 819-21. 2008..We performed an analysis of patients undergoing major surgical operations to determine if SIP-1 was associated with surgical site infection (SSI) rates in Department of Veterans Affairs (VA) hospitals...
Users of Internet health information: differences by health statusThomas K Houston
Division of General Internal Medicine, University of Alabama at Birmingham, USA
J Med Internet Res 4:E7. 2002..Millions of consumers have accessed health information online. However, little is known about their health status...
Patient smoking cessation advice by health care providers: the role of ethnicity, socioeconomic status, and healthThomas K Houston
Deep South Center for Effectiveness Research, Birmingham Veterans Affairs Medical Center, Alabama, USA
Am J Public Health 95:1056-61. 2005..We assessed differences by ethnicity in ever receiving advice from providers to quit smoking. We evaluated whether socioeconomic status and health status were moderators of the association...
Impact of patient feedback on residents' handheld computer use: a multi-site studyEta S Berner
University of Alabama at Birmingham, 1675 University Boulevard, Webb 544, Birmingham, AL 35294, USA
Medinfo 11:582-6. 2004..More understanding of the factors that influence behavior change and methods that will decrease barriers to the use of handhelds is needed..
Experiences of patients who were early adopters of electronic communication with their physician: satisfaction, benefits, and concernsThomas K Houston
Department of Medicine, University of Alabama at Birmingham, Ala 35294, USA
Am J Manag Care 10:601-8. 2004..To explore the experiences of patients who were early adopters of e-mail communication with their physicians...
Post-myocardial infarction smoking cessation counseling: associations with immediate and late mortality in older Medicare patientsThomas K Houston
Deep South Center on Effectiveness, a HSR and D Research Enhancement Award Program, Birmingham Veterans Affairs Medical Center, University of Alabama at Birmingham, 35294 3407, USA
Am J Med 118:269-75. 2005..To assess the difference in immediate (30 and 60 days after admission) and late (2-year) mortality between those who received inpatient post-myocardial infarction smoking cessation counseling and those who did not receive counseling...
Bioterrorism training in U.S. emergency medicine residencies: has it changed since 9/11?Philip Kevin Moye
Department of Emergency Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
Acad Emerg Med 14:221-7. 2007....
A primary care musculoskeletal clinic for residents: success and sustainabilityThomas K Houston
Department of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294, USA
J Gen Intern Med 19:524-9. 2004..Fifty-two injections were performed in MS clinic over the year, compared with one in HS clinic...
Instruments for evaluating education in evidence-based practice: a systematic reviewTerrence Shaneyfelt
Department of Medicine, University of Alabama School of Medicine, and Department of Veterans Affairs Medical Center, Birmingham, AL 35233, USA
JAMA 296:1116-27. 2006..Teaching of EBP should be evaluated and guided by evidence of its own effectiveness...
Faculty development needsThomas K Houston
University of Alabama at Birmingham School of Medicine, Birmingham, Alabama 35294 3407, USA
J Gen Intern Med 19:375-9. 2004....
Self-reported racial discrimination and substance use in the Coronary Artery Risk Development in Adults StudyLuisa N Borrell
Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY 10032, USA
Am J Epidemiol 166:1068-79. 2007..These associations were similarly positive in Whites but not significant. Substance use may be an unhealthy coping response to perceived unfair treatment for some individuals, regardless of their race/ethnicity...
Patient access to U.S. physicians who conduct internet or e-mail consultsChristopher N Sciamanna
Department of Health Policy, Jefferson Medical College, Philadelphia, PA 19107, USA
J Gen Intern Med 22:378-81. 2007..E-mail communication has the potential to improve communication between patients and doctors...
A national collaboration to disseminate skills for outpatient teaching in internal medicine: program description and preliminary evaluationJudith L Bowen
Division of General Internal Medicine and Geriatrics, Department of Medicine, Oregon Health and Science University School of Medicine, 3181 SW Sam Jackson Park Road, L 475, Portland, OR 97239 3098, USA
Acad Med 81:193-202. 2006..Partnerships were forged between academic leaders and community-based teachers...
Unmet needs of primary care patients in using the Internet for health-related activitiesChristopher N Sciamanna
Department of Community Health, Brown Medical School, The Miriam Hospital, Centers for Behavioral and Preventive Medicine, Providence, RI 02903, USA
J Med Internet Res 4:E19. 2002..Millions of people use the Internet as a source for health information yet little is understood about the use of the Internet for other health-related activities...
Doctors who are using e-mail with their patients: a qualitative explorationMadhavi R Patt
Johns Hopkins University, Baltimore, MD, USA
J Med Internet Res 5:e9. 2003....
Experiences of physicians who frequently use e-mail with patientsThomas K Houston
Department of Medicine, The Johns Hopkins University School of Medicine, Johns Hopkins University School of Hygiene and Public Health, Baltimore, MD 21205, USA
Health Commun 15:515-25. 2003..Increasing integration into practice to enhance time-saving aspects and improve patient education might lead to more sustained use of this promising communication tool...
Visit satisfaction and tailored health behavior communications in primary careChristopher N Sciamanna
Department of Community Health, The Miriam Hospital, Centers for Behavioral and Prev Med, Brown Medical School, Providence, Rhode Island 02903, USA
Am J Prev Med 26:426-30. 2004..Although studies suggest that computer-tailored health communications can help patients improve health behaviors, their effect on patient satisfaction, when used in healthcare settings, has yet to be examined...
Internet support groups for depression: a 1-year prospective cohort studyThomas K Houston
Department of Medicine, School of Hygiene and Public Health, Johns Hopkins University School of Medicine, 2024 East Monument Street, Baltimore, MD 21205, USA
Am J Psychiatry 159:2062-8. 2002..Internet depression support groups warrant continued research regarding supplementation of face-to-face depression care...
Teaching the teachers: national survey of faculty development in departments of medicine of U.S. teaching hospitalsJeanne M Clark
Department of Medicine, Welch Center for Prevention, Epidemiology, and Clinical Research, The Johns Hopkins University, 2024 Monument Street, Suite 2 600, Baltimore, MD 21205, USA
J Gen Intern Med 19:205-14. 2004..To determine the prevalence, topics, methods, and intensity of ongoing faculty development (FD) in teaching skills...
Beliefs and attitudes associated with the intention to not accept the diagnosis of depression among young adultsBenjamin W Van Voorhees
Department of Medicine, The University of Chicago, Chicago, IL 60637, USA
Ann Fam Med 3:38-46. 2005....
Attitudes and illness factors associated with low perceived need for depression treatment among young adultsBenjamin W Van Voorhees
Department of Medicine, Section of General Internal Medicine, The University of Chicago, 5841 South Maryland Avenue, MC 20007, Chicago, IL 60637, USA
Soc Psychiatry Psychiatr Epidemiol 41:746-54. 2006..We do not yet fully understand how low perceived need for treatment leads many young adults to not seek care for their depression...
Ethnicity and preferences for depression treatmentJane L Givens
Geriatrics Division, Boston University Medical Center, Boston, MA 02118, USA
Gen Hosp Psychiatry 29:182-91. 2007..The objective of this work was to describe ethnic differences in attitudes toward depression, depression treatment, stigma and preferences for depression treatment (counseling vs. medication)...
Sports ability in young men and the incidence of cardiovascular diseaseThomas K Houston
Medicine, The Johns Hopkins University School of Medicine and The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
Am J Med 112:689-95. 2002..Sustainability of activity should be considered when developing physical education programs for young adults...
