Research Topics
| Steven H WoolfSummaryAffiliation: Virginia Commonwealth University Country: USA Publications
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Publications
The power of prevention and what it requiresSteven H Woolf
Department of Family Medicine, Virginia Commonwealth University, 1200 E Broad St, Richmond, VA 23298, USA
JAMA 299:2437-9. 2008
The development of a web- and a print-based decision aid for prostate cancer screeningCaroline S Dorfman
Department of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC 20007 2401, USA
BMC Med Inform Decis Mak 10:12. 2010..We describe the development of two DAs, a booklet and an interactive website, each with a values clarification component and designed for use in diverse settings...- A practice-sponsored Web site to help patients pursue healthy behaviors: an ACORN studySteven H Woolf
Departments of Family Medicine, Epidemiology, and Community Health, Virginia Commonwealth University, Richmond, VA, USA corrected
Ann Fam Med 4:148-52. 2006..We tested whether patients are more likely to pursue healthy behaviors (eg, physical activity, smoking cessation) if referred to a tailored Web site that provides valuable information for behavior change... - Future health consequences of the current decline in US household incomeSteven H Woolf
Department of Family Medicine and Epidemiology and Community Health, Virginia Commonwealth University, West Hospital, Richmond, VA 23298-0251, USA
JAMA 298:1931-3. 2007 - A sense of priorities for the healthcare commonsSteven H Woolf
School of Medicine, Department of Family Medicine, Virginia Commonwealth University, Fairfax, Virginia, USA
Am J Prev Med 31:99-102. 2006..The crisis facing health care requires society to function as a community to use limited resources in ways that maximize the public good... - Society's choice: the tradeoff between efficacy and equity and the lives at stakeSteven H Woolf
Departments of Family Practice, Preventive Medicine and Community Health, Virginia Commonwealth University, Fairfax, Virginia, USA
Am J Prev Med 27:49-56. 2004..Adverse socioeconomic conditions-chief among the many causes of disparities-could be eased through bold socioeconomic reforms. Society has the resources to enable the disadvantaged to attain better health but pursues other priorities... - Giving everyone the health of the educated: an examination of whether social change would save more lives than medical advancesSteven H Woolf
Department of Family Medicine, Virginia Commonwealth University, Richmond, VA 23298 0251, USA
Am J Public Health 97:679-83. 2007..We examined whether correcting the social conditions that account for excess deaths among individuals with inadequate education might save more lives than medical advances (e.g., new drugs and devices)... - A string of mistakes: the importance of cascade analysis in describing, counting, and preventing medical errorsSteven H Woolf
Department of Family Medicine, Virginia Commonwealth University, Richmond, VA, USA
Ann Fam Med 2:317-26. 2004..We sought to determine whether cascade analysis is of value in clarifying the epidemiology and causes of errors and whether physician reports are sensitive to the impact of errors on patients... - The health impact of resolving racial disparities: an analysis of US mortality dataSteven H Woolf
Department of Family Medicine, Virginia Commonwealth University, 3712 Charles Stewart Dr, Fairfax, VA 22033, USA
Am J Public Health 94:2078-81. 2004..Medical advances averted 176,633 deaths, but equalizing the mortality rates of Whites and African Americans would have averted 886,202 deaths. Achieving equity may do more for health than perfecting the technology of care... - Unwanted control: how patients in the primary care setting decide about screening for prostate cancerSteven H Woolf
Department of Family Practice, Virginia Commonwealth University, 3712 Charles Stewart Drive, Fairfax, VA 22033, USA
Patient Educ Couns 56:116-24. 2005..Further research is needed to understand this phenomenon and to better accommodate patients' desire for shared decision-making... - Potential health and economic consequences of misplaced prioritiesSteven H Woolf
Department of Family Medicine, Virginia Commonwealth University, West Hospital, Richmond, VA 23298-0251, USA
JAMA 297:523-6. 2007 - The meaning of translational research and why it mattersSteven H Woolf
Department of Family Medicine, Virginia Commonwealth University, West Hospital, 1200 E Broad St, PO Box 980251, Richmond, VA 23298-0251, USA
JAMA 299:211-3. 2008 - Patient safety is not enough: targeting quality improvements to optimize the health of the populationSteven H Woolf
Department of Family Practice, Virginia Commonwealth University Medical Center, Richmond, Virginia 22033, USA
Ann Intern Med 140:33-6. 2004..The public's well-being requires policymakers to view the system as a whole and consider the potential effect on overall population health when prioritizing care improvements and system redesigns... - Putting it together: finding success in behavior change through integration of servicesSteven H Woolf
Department of Family Medicine, Virginia Commonwealth University, Richmond 22033, USA
Ann Fam Med 3:S20-7. 2005..The purpose of this analysis and commentary was to explore the rationale for an integrated approach, within and outside the office, to help patients pursue healthy behaviors... 
Where health disparities begin: the role of social and economic determinants--and why current policies may make matters worseSteven H Woolf
Department of Family Medicine at Virginia Commonwealth University, Richmond, VA, USA
Health Aff (Millwood) 30:1852-9. 2011..A shortsighted political focus on reducing spending in these areas could actually increase medical costs by magnifying disease burden and widening health disparities...- Citizen-centered health promotion: building collaborations to facilitate healthy livingSteven H Woolf
Department of Family Medicine and Center on Human Needs, Virginia Commonwealth University, Richmond, Virginia 23298 0251, USA
Am J Prev Med 40:S38-47. 2011.... - Avertable deaths associated with household income in VirginiaSteven H Woolf
VCU Center on Human Needs, Virginia Commonwealth University, Richmond, VA 23298 0251, USA
Am J Public Health 100:750-5. 2010..We estimated how many deaths would be averted if the entire population of Virginia experienced the mortality rates of the 5 most affluent counties or cities... - Promoting informed choice: transforming health care to dispense knowledge for decision makingSteven H Woolf
Department of Family Medicine, Virginia Commonwealth University, West Hospital, Richmond, Virginia 23298 0251, USA
Ann Intern Med 143:293-300. 2005..Today's health care system is unprepared for the convergence of these 2 burgeoning domains, and the need to address systemic deficiencies will grow more urgent over time... - Weighing the evidence to formulate dietary guidelinesSteven H Woolf
Family Medicine, Epidemiology and Community Health, Virginia Commonwealth University, Fairfax, Virginia 22033, USA
J Am Coll Nutr 25:277S-284S. 2006..A hallmark of evidence-based guidelines is making explicit the strength of recommendations and the quality of the evidence on which they are based. Grading systems are commonly used to rate the quality of the supporting evidence... - The rising prevalence of severe poverty in America: a growing threat to public healthSteven H Woolf
Department of Family Medicine, Virginia Commonwealth University, Richmond, Virginia 23298 0251, USA
Am J Prev Med 31:332-341. 2006..Of particular concern is whether severe poverty is increasing, a trend that would carry important public health implications... - An electronic linkage system for health behavior counseling effect on delivery of the 5A'sAlex H Krist
Department of Family Medicine, Virginia Commonwealth University, Richmond, Virginia 23298 0251, USA
Am J Prev Med 35:S350-8. 2008..A system that could increase referrals through an efficient collaborative partnership between community programs and clinicians could have major public health implications; such was the subject of this feasibility evaluation... - Patient costs as a barrier to intensive health behavior counselingAlex H Krist
Department of Family Medicine, Virginia Commonwealth University, Richmond, VA 23298 0251, USA
Am J Prev Med 38:344-8. 2010..Although intensive health behavior counseling has been demonstrated to help patients lose weight and quit smoking, many payers offer limited coverage for such counseling... - Patient reports of preventable problems and harms in primary health careAnton J Kuzel
Department of Family Medicine, Virginia Commonwealth University, Richmond, VA 23298, USA
Ann Fam Med 2:333-40. 2004..The principal aims of this study were to develop patient-focused typologies of medical errors and harms in primary care settings and to discern which medical errors and harms seem to be the most important... - Patient education on prostate cancer screening and involvement in decision makingAlex H Krist
Department of Family Medicine, Fairfax Family Practice Residency, Virginia Commonwealth University, Fairfax, VA 22033, USA
Ann Fam Med 5:112-9. 2007..Many clinicians lack resources to engage patients in shared decision making for prostate cancer screening. We sought to evaluate whether previsit educational decision aids facilitate shared decision making... - Patient weight counseling choices and outcomes following a primary care and community collaborative interventionDiane B Wilson
Department of Internal Medicine and Massey Cancer Center, Virginia Commonwealth University, Richmond, VA, USA
Patient Educ Couns 79:338-43. 2010..We tested a clinician-delivered intervention that utilized community resources for in-depth counseling for unhealthy behaviors including overweight... - Interactive preventive health record to enhance delivery of recommended care: a randomized trialAlex H Krist
Department of Family Medicine, Virginia Commonwealth University, Richmond, VA 23298 0251, USA
Ann Fam Med 10:312-9. 2012.... - How physicians approach prostate cancer screening before and after losing a lawsuitAlex H Krist
Department of Family Medicine, Fairfax Family Practice Residency, Virginia Commonwealth University, Fairfax, VA 22033, USA
Ann Fam Med 5:120-5. 2007..A natural experiment (a study assessing shared decision making under way at the practice that was sued) enabled us to evaluate whether physicians changed their prostate cancer screening behavior after the lawsuit... - Patient perceptions of how physicians communicate during prostate cancer screening discussions: a comparison of residents and facultyJ William Kerns
Department of Family Medicine, Virginia Commonwealth University, Virginia, USA
Fam Med 40:181-7. 2008..National organizations recommend shared decision making (SDM) in these discussions... - Bridging primary care practices and communities to promote healthy behaviorsRebecca S Etz
Department of Family Medicine, University of Medicine and Dentistry of New Jersey Robert Wood Johnson Medical School, Somerset, New Jersey 08873, USA
Am J Prev Med 35:S390-7. 2008..Primary care practices able to create linkages with community resources may be more successful at helping patients to make and sustain health behavior changes... - Effect on cessation counseling of documenting smoking status as a routine vital sign: an ACORN studyStephen F Rothemich
Department of Family Medicine, Virginia Commonwealth University, Richmond, VA 23298 0251, USA
Ann Fam Med 6:60-8. 2008..We examined whether the vital sign intervention influences patient-reported frequency and intensity of tobacco cessation counseling... - Promoting primary care smoking-cessation support with quitlines: the QuitLink Randomized Controlled TrialStephen F Rothemich
Department of Family Medicine, Virginia Commonwealth University, Richmond, 23298 0251, USA
Am J Prev Med 38:367-74. 2010..S. primary care practices, it is difficult to provide more than brief advice to quit in the course of routine work. Telephone quitlines can deliver effective intensive counseling, but few collaborate closely with clinicians... - Designing a patient-centered personal health record to promote preventive careAlex H Krist
Department of Family Medicine, Virginia Commonwealth University, Richmond, VA, USA
BMC Med Inform Decis Mak 11:73. 2011.... - The relative importance of patient-reported barriers to colorectal cancer screeningResa M Jones
Department of Epidemiology and Community Health, School of Medicine, Virginia Commonwealth University, Richmond, Virginia 23298 0212, USA
Am J Prev Med 38:499-507. 2010..Colorectal cancer (CRC) screening rates are suboptimal. The most important barriers identified by patients are poorly understood. A comprehensive assessment of barriers to all recommended modalities is needed... - It takes a partnership: the value of collaboration in developing and promoting a Web site for primary care patientsAlex H Krist
Department of Family Medicine, Virginia Commonwealth University, Fairfax, USA
Ann Fam Med 3:S47-9. 2005 - Patient-reported barriers to colorectal cancer screening: a mixed-methods analysisResa M Jones
Department of Epidemiology and Community Health, School of Medicine, Virginia Commonwealth University, Richmond, Virginia, USA
Am J Prev Med 38:508-16. 2010..Prior research has quantified how often patients encounter these challenges but has generally not revealed their complex perspective and experience with barriers... - The break-even point: when medical advances are less important than improving the fidelity with which they are deliveredSteven H Woolf
Department of Family Medicine, Virginia Commonwealth University, Fairfax, USA
Ann Fam Med 3:545-52. 2005..Health, economic, and moral arguments make the case for spending less on technological advances and more on improving systems for delivering care... - Title VII funding and physician practice in rural or low-income areasAlex H Krist
Department of Family Medicine, Virginia Commonwealth University, Richmond, VA, USA
J Rural Health 21:3-11. 2005..Whether Title VII funding enhances physician supply in underserved areas has not clearly been established... - Timing of repeat colonoscopy: disparity between guidelines and endoscopists' recommendationAlex H Krist
Department of Family Medicine, Virginia Commonwealth University, Richmond, USA
Am J Prev Med 33:471-8. 2007..The study objective was to examine whether endoscopists' recommendations for repeat colonoscopy, as communicated to primary care clinicians after the procedure, adhered to published guidelines... - Making the case for a qualitative study of medical errors in primary careAnton J Kuzel
Department of Family Practice, Virginia Commonwealth University, Richmond, Virginia, USA
Qual Health Res 13:743-80. 2003..The authors make explicit the anticipated concerns of reviewers more accustomed to quantitative research proposals and the arguments and strategies employed to address them... - Is discussion of colorectal cancer screening options associated with heightened patient confusion?Resa M Jones
Department of Epidemiology and Community Health, Virginia Commonwealth University, Richmond, VA 23298 0212, USA
Cancer Epidemiol Biomarkers Prev 19:2821-5. 2010..We examined whether patients reported confusion about the options and whether confusion was associated with socio-demographic characteristics, number of options discussed, and adherence... - One minute for prevention: the power of leveraging to fulfill the promise of health behavior counselingKurt C Stange
Department of Family Medicine, Epidemiology and Biostatistics Sociology, Case Western Reserve University, and the Ireland Comprehensive Cancer Center at University Hospitals of Cleveland, Ohio 44106, USA
Am J Prev Med 22:320-3. 2002 - Informed decision making: what is its role in cancer screening?Barbara K Rimer
Department of Health Behavior and Health Education, School of Public Health, Lineberger Comprehensive Cancer Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 7295, USA
Cancer 101:1214-28. 2004..More work is needed in this area as well. In addition, research is needed to learn how to incorporate IDM into ongoing clinical practice and to determine whether there are unintended negative consequences of IDM... - Screening for chlamydia infection: recommendations and rationale. U.S. Preventive Services Task ForceAlfred O Berg
US Preventive Forces Task Force, Agency for Healthcare Research and Quality, Rockville, MD 20852, USA
Am J Nurs 102:87-92; discussion 93. 2002 - Screening adults for type 2 diabetes: a review of the evidence for the U.S. Preventive Services Task ForceRussell Harris
Sheps Center for Health Services Research, 725 Airport Road, CB # 7590, Chapel Hill, NC 27599-2949, USA
Ann Intern Med 138:215-29. 2003..The magnitude of additional benefit of initiating tight glycemic control during the preclinical phase is uncertain but probably small... - The top priority: building a better system for tobacco-cessation counselingC Tracy Orleans
Robert Wood Johnson Foundation, Princeton, New Jersey 08543, USA
Am J Prev Med 31:103-6. 2006 - Shared decision making about screening and chemoprevention. a suggested approach from the U.S. Preventive Services Task ForceStacey L Sheridan
Division of General Medicine and Clinical Epidemiology, University of North Carolina, Chapel Hill, North Carolina, USA
Am J Prev Med 26:56-66. 2004.... - The liability of giving patients a choice: shared decision making and prostate cancerSteven H Woolf
Am Fam Physician 71:1871-2. 2005 - Inattention to the fidelity of health care delivery is costing livesSteven H Woolf
Am J Public Health 97:1732-3; author reply 1733. 2007 - What if we were equal? A comparison of the black-white mortality gap in 1960 and 2000David Satcher
National Center for Primary Care, Morehouse School of Medicine, Atlanta, Georgia, USA
Health Aff (Millwood) 24:459-64. 2005..In contrast, SMR improved in African American women. Using 2002 data, an estimated 83,570 excess deaths each year could be prevented in the United States if this black-white mortality gap could be eliminated... - Breast cancer screening: a summary of the evidence for the U.S. Preventive Services Task ForceLinda L Humphrey
Oregon Health and Science University and Portland Veterans Affairs Medical Center, Mailcode BICC, 3181 SW Sam Jackson Park Road, Portland, OR 97201-3098, USA
Ann Intern Med 137:347-60. 2002..Because these results incorporate several rounds of screening, the actual number of mammograms needed to prevent one death from breast cancer is higher. In addition, each screening has associated risks and costs... - Chemoprevention of breast cancer: a summary of the evidence for the U.S. Preventive Services Task ForceLinda S Kinsinger
Cecil G. Sheps Center for Health Services Research, Program on Prevention, CB# 7508, Wing D, Room 383, University of North Carolina School of Medicine, Chapel Hill, NC 27599-7508, USA
Ann Intern Med 137:59-69. 2002..The absolute risk reduction varies by risk factors for breast cancer, however, and must be balanced against the potential harms to judge the appropriateness of treatment for individual women... - Use of beryllium lymphocyte proliferation testing for screening of asymptomatic individuals: an evidence-based assessmentJonathan Borak
Department of Medicine, Yale School of Medicine, New Haven, Connecticut, USA
J Occup Environ Med 48:937-47. 2006..We reviewed published data describing use of beryllium lymphocyte proliferation testing (BeLPT) to determine the appropriateness of BeLPT for screening asymptomatic individuals... - A smarter strategy? Reflections on fecal DNA screening for colorectal cancerSteven H Woolf
N Engl J Med 351:2755-8. 2004 - Newborn hearing screening: recommendations and rationaleAlfred O Berg
Am J Nurs 102:83-9. 2002 - Strength of recommendation taxonomy (SORT): a patient-centered approach to grading evidence in the medical literatureMark H Ebell
Michigan State University College of Human Medicine, East Lansing, Michigan, USA
Am Fam Physician 69:548-56. 2004..Levels of evidence from 1 to 3 for individual studies also are defined. We hope that consistent use of this taxonomy will improve the ability of authors and readers to communicate about the translation of research into practice... - Screening for postmenopausal osteoporosis: a review of the evidence for the U.S. Preventive Services Task ForceHeidi D Nelson
Oregon Health and Science University, and Veterans Affairs Medical Center, Mail Code BICC 504, 3181 SW Sam Jackson Park Road, Portland, OR 97201, USA
Ann Intern Med 137:529-41. 2002..The role of risk factor assessment and different bone density techniques, frequency of screening, and identification of subgroups for which screening is most effective remain unclear... - Use of epoetin in patients with cancer: evidence-based clinical practice guidelines of the American Society of Clinical Oncology and the American Society of HematologyJ Douglas Rizzo
Medical College of Wisconsin, Milwaukee, WI 53226, USA
Blood 100:2303-20. 2002..Therefore, for anemic patients with hematologic malignancies it is recommended that physicians initiate conventional therapy and observe hematologic response before considering use of epoetin... - Use of epoetin in patients with cancer: evidence-based clinical practice guidelines of the American Society of Clinical Oncology and the American Society of HematologyJ Douglas Rizzo
Medical College of Wisconsin, Milwaukee, WI, USA
J Clin Oncol 20:4083-107. 2002..Therefore, for anemic patients with hematologic malignancies, it is recommended that physicians initiate conventional therapy and observe hematologic response before considering use of epoetin... - Strength of recommendation taxonomy (SORT): a patient-centered approach to grading evidence in the medical literatureMark H Ebell
Michigan State University College of Human Medicine, East Lansing, MI, USA
J Am Board Fam Pract 17:59-67. 2004..Levels of evidence from 1 to 3 for individual studies also are defined. We hope that consistent use of this taxonomy will improve the ability of authors and readers to communicate about the translation of research into practice... - External validity reporting in prevention researchKevin Patrick
Am J Prev Med 34:260-2. 2008 - Simplifying the language of evidence to improve patient care: Strength of recommendation taxonomy (SORT): a patient-centered approach to grading evidence in medical literatureMark H Ebell
Michigan State University College of Human Medicine, East Lansing, MI USA E mail
J Fam Pract 53:111-20. 2004.... - Health and economic benefits of reducing the number of students per classroom in US primary schoolsPeter Muennig
Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, NY 10032, USA
Am J Public Health 97:2020-7. 2007..We estimated the costs associated with reducing class sizes in kindergarten through grade 3 as well as the effects of small class sizes on selected outcomes such as quality-adjusted life-years and future earnings... - Do dietary guidelines explain the obesity epidemic?Steven H Woolf
Am J Prev Med 34:263-5; discussion 266. 2008
Research Grants
- Patient-Reported Barriers to Colorectal Cancer ScreeningSteven Woolf; Fiscal Year: 2006..Provider and patient focus groups will inform final interpretation of the barriers survey results. The study will provide essential data for prioritizing strategies to improve CRC screening rates. ..