April 29, 2017

Publications from the Department of Family Medicine: March - April 2017

A bi-monthly digest of research articles published by the faculty in the U-M Department of Family Medicine


Creating patient-centered medical homes with embedded care managers 



Jean M. Malouin, M.D.
Jean M. Malouin, M.D., M.P.H., lead author

Highlight:  "To the extent that physician and staff acceptance of the care manager role is important for achieving better patient out- comes, this study indicates the importance of embed- ded care management." 

Citation:  Malouin JM et al. Physician and Staff Acceptance of Care Managers in Primary Care Offices. J Am Board Fam Med March-April 2017 vol. 30 no. 2 140-149. doi: 10.3122/jabfm.2017.02.160246


Browse the latest research on population medicine for chronic conditions.



What Factors Influence a Patient’s Intent to Get Colorectal Cancer Screening?



Masahito Jimbo, M.D., Ph.D., M.P.H.
Jean M. Malouin, M.D., M.P.H., lead author

Author Quote:  “If you have high self-efficacy, you’re far more likely to intend to get screened,” Ruffin said. “It reflects knowledge experience, or understanding of the testing options. If you’re not sure how to do the test or get it done, you’re less likely to intend on getting it.”  Mack Ruffin IV, M.D., Chair of Community and Family Medicine at Penn State University and former associate chair of research in the U-M department of family medicine.

Citation:  Jimbo M et al. Correlates of Patient Intent and Preference on Colorectal Cancer Screening, American Journal of Preventive Medicine. 2017 April, 52(4):443–450. DOI: 10.1016/j.amepre.2016.11.026 


Browse the latest research on cancer and prevention screenings.

In-person and online wellness programs offer comparative health care cost savings 



image of dr. caroline richardson, distinguished mentor award
Alicia Cohen, M.D., senior author

Highlight: "If employers are seeking to reduce medical costs, then individual choice between a pedometer-based walking program and a commercial diet and weight loss–focused program may satisfy the diverse needs of a heterogeneous, insured adult population."  

Citation:  Zivin K, Sen A, Plegue MA, Maciejewski ML, Segar ML, AuYoung M, Miller EM, Janney CA, Zulman DM, Richardson CR. Comparative Effectiveness of Wellness Programs: Impact of Incentives on Healthcare Costs for Obese Enrollees. Am J Prev Med. March 2017, 52(3):347–352. DOI: 10.1016/j.amepre.2016.10.006

Browse the latest research on population medicine for chronic conditions.


 For Adolescents, Pre-Pregnancy BMI Directly Linked to Excess Pregnancy Weight Gain



Tammy Chang, MD, MPH, MS
Tammy Chang, M.D., M.P.H., M.S., lead author

Highlight:  "Bivariate 172 analysis found prepregnancy BMI to be the only factor significantly associated with weight gain category 180 173 (p-value=0.002), with overweight and obese individuals having higher probabilities of gaining more than 174 the recommended weight compared with other categories." 

Citation: Chang T, Moniz MH, Plegue MA, Sen A, Davis MM, Villamor E, Richardson CR. Characteristics of women age 15-24 at risk for excess weight gain during pregnancy.  PLoS ONE 12(3): e0173790. doi: 10.1371/journal.pone.0173790  


Browse the latest research on reproductive and women's health.

 Growing Body of Evidence Supports Use of Mind-Body Therapies During Breast Cancer Treatment



Author Quote:  "These clinical guidelines are key to helping oncology providers understand which integrative therapies to recommend to their patients."

Citation:  Greenlee H, Melissa J. DuPont-Reyes MJ, Balneaves LG, Carlson LE, Cohen MR, Deng G, Johnson JA, Mumber M, Seely D, Zick SM, Boyce LM, Tripathy D. Clinical practice guidelines on the evidence-based use of integrative therapies during and after breast cancer treatment. CA: A Cancer Journal for Clinicians, 2017; DOI: 10.3322/caac.21397


Browse the latest U-M family medicine research on integrative and complementary medicine.

U-M Family Medicine researchers dabble in VR in a new NIH-funded medical education venture


Demo video for MPathic-VR, a medical education training tool developed by U-M Family Medicine. A new RCT on the tool was published in April 2017 Patient Education and Counseling


photo of Dr. Michael Fetters
Michael D. Fetters, M.D., M.P.H., M.A., co-investigator

Author Quote:  "Medical learners have a great need for practical, innovative methods to help them master the complexities of health care communication and develop excellent communication skills — both verbal and nonverbal. Ours is the first-ever research showing that it can be done effectively with virtual reality."

Citation:  Kron, FW, Fetters MD, Scerbo MW. White CB, Lypson ML, Padilla MA, Gliva-McConvey GA, Belfore II LA, West T, Wallace AM, Guetterman TC, et al. Using a computer simulation for teaching communication skills: A blinded multisite mixed methods randomized controlled trial. Patient Education and Counseling. 2017 April, 100(4):748-759. DOI: 10.1016/j.pec.2016.10.024


Browse the latest U-M family medicine research on clinical informatics and technology.

Digital interventions for prediabetics seeking weight loss shown to be effective



Lorraine Buis, Ph.D.
Lorraine Buis, Ph.D., co-author

Author Quote  " Online approaches might be particularly valuable for companies that employ a workforce that is not geographically co-located.  Additionally, smaller businesses for whom the fixed cost required to support an in-person diabetes prevention program might be financially burdensome could direct at-risk employees to an online option at a much lower cost."  Senior author Caroline R. Richardson, M.D., the Dr. Max and Buena Lichter Research Professor of Family Medicine

Citation:  Bian RR, Piatt GA, Sen A, Plegue MA, De Michele ML, Hafez D, Czuhajewski CM, Buis LR, Kaufman N, Richardson CR. The Effect of Technology-Mediated Diabetes Prevention Interventions on Weight: A Meta-Analysis. J Med Internet Res 2017 March;19(3):e76 DOI: 10.2196/jmir.4709


Browse the latest research on clinical informatics and technology and population medicine for chronic conditions.





Bonus: Society of Teachers of Family Medicine (STFM) 2017 wrap-up 


Image of Drs. Eric Skye, Grant Greenberg, and Beth Kennedy Jones at STFM 2017
 Drs. Eric Skye, Grant Greenberg, and Beth Kennedy Jones at STFM 2017  via Twitter


Anna McEvoy, MD
Anna McEvoy, M.D., Co-Chief Resident, Class of 2017

Highlight:  Browse the many sessions and presentations led by U-M Family Medicine residents and faculty, including research poster sessions by Aleksandr Belakovskiy M.D.Julie Blaszczak, M.D.Leigh Morrison, M.D.Yujing Lin, M.D.Justin Oldfield, M.D.Katherine Hughey, M.D.Anna McEvoy, M.D., and Kristine L Cece, M.D., Ph.D.







>>Check out all 25 publications from March/April in our PubMed collection