Publications by authors named "Karen Ytterberg"

Objective: The Ages and Stages Questionnaire (ASQ) and Modified Checklist for Autism in Toddlers (M-CHAT) are commonly used screening tools for developmental delay and autism, respectively. This study aimed to evaluate the effectiveness of implementing 18-month developmental and autism screening by mail, with a standardized follow-up process for abnormal screen results.

Methods: Within a prospective cohort study design, parents of 892 children received by mail the 18-month ASQ and M-CHAT questionnaires between December 2008 and September 2009.

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Introduction: Secure messages on a patient portal allow patients to asynchronously communicate with their healthcare teams. Patients can use this mode of communication to transmit data such as home blood pressure (BP) measurements.

Materials And Methods: In this retrospective study, we examined 52,373 secure messages for content related to home BP monitoring.

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Introduction: Secure messages and electronic visits ("e-visits") through patient portals provide patients with alternatives to face-to-face appointments, telephone contact, letters, and e-mails. Limited information exists on how portal messaging impacts face-to-face visits in primary care.

Materials And Methods: We conducted a retrospective cohort study of 2,357 primary care patients who used electronic messaging (both secure messages and e-visits) on a patient portal.

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Article Synopsis
  • Telemedicine faces several barriers, including licensing and reimbursement issues, which are being tackled by the American Telemedicine Association at various levels.
  • Current quality measures for diabetes care in Minnesota overlook telemonitoring data, especially for blood pressure, as they do not count patient-reported measurements.
  • Advocacy is essential to include telemonitoring in quality measures, allowing it to contribute towards achieving health goals for patients, especially in managing diabetes.
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The purpose of this study was to test the Let's Go 5-2-1-0 program delivered through motivational interviewing by nurses with 4-18-year-old overweight children and parents in primary care (PC). A quasi-experimental design allocated 60 control families to standard clinical care (SCC) and 70 families to SCC plus the 5-2-1-0 intervention. Drop-out rates were 9 and 35% at 6 months and 25 and 41% at 12 months, respectively for control and intervention participants.

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Objective: To test whether well-child care visit anticipatory guidance can safely reduce emergency department (ED) visits.

Design: Retrospective analysis comparing an intervention site with control sites using a "difference-in-differences" regression model.

Setting: Primary care practices at the Mayo Clinic.

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