Second Quarter 2024

Welcome to the second quarter FCM Research Group Newsletter! It's been a productive few months filled with presentations and publications. We will be highlighting some of our student work this quarter. Thank you for taking the time to read about FCMRG.

New Publications

Two new papers were published this quarter. Click on the images to the right to view our work in BMJ Open and AJPM Focus.

Rockwell MS, Oyese EG, Singh E, Vinson M, Yim I, Turner JK, Epling JW. A Scoping Review of Interventions to De-implement Potentially Harmful Nonsteroidal Anti-inflammatory Drugs (NSAIDs) in Healthcare Settings. medRxiv [Preprint]. 2023 Jul 30:2023.07.29.23293362. doi: 10.1101/2023.07.29.23293362. Update in: BMJ Open. 2024 Apr 17;14(4):e078808. doi: 10.1136/bmjopen-2023-078808. PMID: 37546911; PMCID: PMC10402245.

Rockwell MS, Funk AJ, Huffstetler AN, Villalobos G, Britz JB, Webel B, Richards A, Epling JW, Sabo RT, Krist AH. Screening for Unhealthy Alcohol Use Among Patients With Multiple Chronic Conditions in Primary Care. AJPM Focus. 2024 May 7;3(4):100233. doi: 10.1016/j.focus.2024.100233. PMID: 38947491; PMCID: PMC11214170.

Conferences & Presentations

Practice-Based Research Network Conference (PBRN)

Leesburg, VA

A group from FCMRG traveled to Leesburg, VA in mid June to attend and present at the NAPCRG PBRN conference. We had four student posters* (Snigdha, Jamie, Jacob, and Brianna), one student oral presentation* (Matthew), and Dr. Rockwell presented on an AHRQ Cross-Grantee Panel about EvidenceNow: Managing Unhealthy Alcohol Use along with Gaby Villalobos from VCU (lead Practice Facilitator from the Virginia Team). Learn more about the Unhealthy Alcohol Use (UAU) study here:

Unhealthy Alcohol Use

EvidenceNOW: Managing Unhealthy Alcohol Use | Agency for Healthcare Research and Quality

Results — Unhealthy Alcohol Use

*see images

Left to Right: Snigdha Nandipati (VTCSOM), Emily Cox (FCMRG Research Coordinator), Jacob Blaukovitch (TBMH), Matthew Vinson (VTCSOM), Michelle Rockwell (Director of Research, FCMRG), Jamie Turner (TBMH)

Matthew Vinson presenting : A novel brief patient-facing educational video to reduce potentially harmful over-the- counter NSAID use
Snigdha Nandipati with poster presentation: Evaluation of a Low-Burden Multicomponent Intervention to De-Implement Low-Value Imaging for Acute Low-Back Pain
Jamie Turner with poster presentation: A Scoping Review of Interventions to Reduce Non-Guideline Concordant Opioid Prescribing for Acute Pain in Primary Care
Jacob Blaukovitch with poster presentation: Demographic Predictors of Low Value Care Decisions

Not pictured: Brianna's poster presentation on Evaluating the Interaction Between Sludge and Multiple Chronic Conditions on Treatment Burden in Colorectal Cancer Screening

AHRQ/NORC National Learning Collaborative

Dr. Rockwell and Gaby Villalobos, MSW (VCU, ACORN) presented about women and unhealthy alcohol use at the cross-grantee UAU Learning Collaborative in May.

Did you know that unhealthy alcohol use has increased disproportionately among women in the past 6 years? Excessive Alcohol Use and Risks to Women's Health | CDC

AcademyHealth Annual Research Meeting (ARM)

Dr. Rockwell, in collaboration with a team from UCLA, University of Michigan, and Milliman MedInsight, presented their work about the utilization of non-FDA-authorized COVID-19 pharmaceuticals at ARM in Baltimore, MD in June. Nearly $500 million in spending was associated with COVID-19-related use of ivermectin and hydroxychloroquine.

Society of Teachers of Family Medicine Conferences (STFM)

Los Angeles, California

Dr. Epling presented his work on Delay and Probability Discounting Behavior in Primary Care Clinicians and Association with Low Value Care and earned Paper of the Year. Congrats, Dr. Epling!

Society for General Internal Medicine Annual Meeting (SGIM)

Boston, MA

Dr. Rockwell presented Nationwide Utilization and Spending for Unproven COVID-19 PHarmaceuticals in Ambulatory Care Before and After FDA Authorization of COVID-19 Pharmaceuticals at SGIM and was a Hamolsky Finalist for her work. Congrats!

Ongoing Work - VTCSOM

VTCSOM Students

Brianna Chang, MS VTCSOM '27

evaluates the impact of multiple chronic conditions status on the relationship between “sludge” (a behavioral economics concept that describes administrative burdens and frictions, e.g., repetitive paperwork, cumbersome technology, long waits) and delayed or foregone colorectal cancer screenings

Matthew Vinson VTCSOM '26

leading research to evaluate the impact of an electronically-administered patient education video on chronic over-the-counter NSAID use in high-risk patients

Nancy Wu, MS VTCSOM '26

evaluates the implementation of a community health worker program for hypertension and type 2 diabetes management in primary care using the RE-AIM framework

Isaiah Yim VTCSOM '27

evaluates the longitudinal health impact of switching from chronic opioid therapy to chronic NSAID therapy in patients with chronic kidney disease

Staffing Updates

Summer Internship

Nate Lambert

Nate spent his second summer with the FCMRG and provided invaluable contributions to several of our ongoing projects. He contributed significantly to the progress of the Lifestyle Medicine Clinic evaluation by facilitating the distribution of the patient survey. He also helped Nancy with her evaluation of the implementation of a community health worker program. We are excited to be able to continue working with Nate while he returns to JMU for his final year of undergraduate studies.

Other Happenings

Dr. Rockwell was featured on AHRQ's website highlighting her time as a NCEPCR Research Fellow.

Jamie Turner, MPH, CHES (TBMH) and Jacob Blaukovitch (TBMH) were selected for the Virginia Rural Health Association board. Congratulations!

Screening for Unhealthy Alcohol Use among Patients with Multiple Chronic Conditions in Primary Care was featured in the Summer 2024 ACORN newsletter.

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