- Innovations in Medical Education
- Diabetes Management and Education
- Clinical Reasoning and Diagnostic Skills
- Diabetes Management and Research
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Radiology practices and education
- Diversity and Career in Medicine
- Patient-Provider Communication in Healthcare
- Chronic Disease Management Strategies
- Aging and Gerontology Research
- Trace Elements in Health
- Medical Education and Admissions
- Primary Care and Health Outcomes
- Hospital Admissions and Outcomes
- Empathy and Medical Education
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Interprofessional Education and Collaboration
- Health Policy Implementation Science
- Healthcare professionals’ stress and burnout
- Obesity and Health Practices
- Respiratory and Cough-Related Research
- Health and Well-being Studies
- Long-Term Effects of COVID-19
- Evaluation of Teaching Practices
- Simulation-Based Education in Healthcare
University of Michigan
2015-2024
Geriatric Research Education and Clinical Center
2003-2019
Ann Arbor VA Medical Center
2007-2019
Jensen Hughes (United States)
2019
Michigan Medicine
2000-2017
VA Ann Arbor Healthcare System
2003-2015
IQVIA (United Kingdom)
2014
Analysis Group (United States)
2012
Michigan United
2007-2012
Michigan Department of Education
2000-2011
OBJECTIVE The purpose of this study was to determine if participation in a patient empowerment program would result improved psychosocial self-efficacy and attitudes toward diabetes, as well reduction blood glucose levels. RESEARCH DESIGN AND METHODS This conducted randomized, wait-listed control group trial. intervention received six-session (one session per week) education program; the assigned wait-list. At end 6 weeks, completed program. Six weeks after program, both groups provided...
OBJECTIVE To examine the reliability and validity of a brief diabetes knowledge test. The test has two components: 14-item general 9-item insulin-use subscale. RESEARCH DESIGN AND METHODS Two populations completed In one population, patients received care in their community from avariety providers, while other population local health departments. Cronbach's coefficient was used to calculate scale for each sample. determine validity, patient group differences were examined. It hypothesized...
OBJECTIVE: The purpose of this study was to assess the validity, reliability, and utility Diabetes Empowerment Scale (DES), which is a measure diabetes-related psychosocial self-efficacy. RESEARCH DESIGN AND METHODS: In (n = 375), psychometric properties DES were calculated. To establish subscales compared with 2 previously validated Care Profile (DCP). Factor item analyses conducted develop that coherent, meaningful, had an acceptable coefficient alpha. RESULTS: resulted in 28-item (alpha...
The purpose of this study is to examine the reliability and validity revised Diabetes Knowledge Test (DKT2). original test was updated reflect current diabetes care education guidelines. has 2 components: a 14-item general 9-item insulin use subscale.Two samples were used evaluate DKT2. first came from an online survey company (Qualtrics, LCC) (n = 101) second University Michigan's (UofM) Registry 89). Cronbach's coefficient alpha calculate reliability. To validity, comparisons by type...
To determine the reliability and validity of Diabetes Care Profile (DCP), an instrument that assesses social psychological factors related to diabetes its treatment, two studies with separate populations methodologies were conducted In first study, DCP was administered to, physiologic measures collected from, individuals being cared for in a community setting (n = 440). second several previously validated scales receiving care at university medical center 352). Cronbach's alphas individual...
We have utilized an experimental model of human zinc deficiency for study cytokines production by TH1 and TH2 cells. Additionally, we determined ratios CD4+ to CD8+ CD45RA+ CD4+CD45RO+ cells percentages CD73+ T cytolytic in the subset. The data were collected during baseline, at end zinc-restricted period, following repletion. Our results showed that functions cells, as evidenced interferon-gamma, interleukin-2 (IL-2), tumor necrosis factor-alpha, decreased, whereas (production IL-4, IL-6,...
Background: Adults and children in the United States get two to six colds per year. Evidence that zinc is effective therapy for inconsistent. Objective: To test efficacy of acetate lozenges reducing duration symptoms common cold. Design: Randomized, double-blind, placebo-controlled trial. Setting: Detroit Medical Center, Detroit, Michigan. Patients: 50 ambulatory volunteers recruited within 24 hours developing Intervention: Participants took one lozenge containing 12.8 mg or placebo every 2...
OBJECTIVE This study was conducted to compare the Short Form 36 (SF-36) (a global measure of health-related quality life) and Diabetes Care Profile (DCP) diabetes-specific self-care diabetes-related in patients with NIDDM. RESEARCH DESIGN AND METHODS as part a larger initiated 1991 using randomly selected sample communities, physicians, diabetes located throughout Michigan. A total 255 NIDDM participated. The examined relationship between two measures variables, such glycosylated hemoglobin...
Abstract Aims To evaluate barriers to following dietary recommendations in patients with Type 2 diabetes. Methods We conducted focus groups and surveys urban suburban VA academic medical centres. For the written survey, a self‐administered questionnaire was mailed random sample of 446 groups, six diabetes (three urban, three suburban) were conducted, 6–12 participants each group. The explored across various types self‐management; we extracted all comments relevant that limited patients’...
Background The objectives of this curricular innovation project were to implement a flipped classroom curriculum for the gynaecologic oncology topics obstetrics and gynaecology medical student clerkship, evaluate satisfaction with change. Methods Four short online videos on endometrial hyperplasia, cervical dysplasia, evaluation an adnexal mass, ovarian cancer created, students instructed view them prior class-time active learning session. Learning Activity Management System (lams)...
Indwelling devices (eg, urinary catheters and feeding tubes) are often used in nursing homes (NHs). Inadequate care of residents with these contributes to high rates multidrug-resistant organisms (MDROs) device-related infections NHs.To test whether a multimodal targeted infection program (TIP) reduces the prevalence MDROs incident infections.Randomized clinical trial at 12 community-based NHs from May 2010 April 2013. Participants were high-risk NH catheters, tubes, or both.Multimodal,...
Competency-based education (CBE) has been widely cited as an educational framework for medical students and residents, provides a designing programmes that reflect four critical features: focus on outcomes, emphasis abilities, reduction of time-based training, promotion learner centredness. Each these features implications potential challenges implementing CBE.As experiment in CBE programme design implementation, the University Michigan Master Health Professions Education (UM-MHPE) degree...
This study examined medical students' interest in geriatrics: Are knowledge, positive attitudes, and prior experience with older adults associated an geriatric medicine?Entering University of Michigan students completed three surveys: the Revised Facts on Aging Quiz, California at Los Angeles Geriatric Attitudes Scale, Maxwell-Sullivan Scale. The were also asked questions about their medicine.The results indicate that incoming have minimal knowledge aging, moderately attitudes toward adults,...
Aim Although studies have examined medical students' ability to self-assess their performance, there are few longitudinal that document the stability of self-assessment accuracy over time. This study compares actual and estimated examination performance for three classes during first 3 years school. Methods Students assessed on classroom examinations objective structured clinical (OSCE) stations. Each was then contrasted with using idiographic (within-subject) methods define measures...
OBJECTIVE The objective of this study was to develop a third version the Diabetes Attitude Scale (DAS-3) that is congruent with current scientific knowledge about diabetes, has improved subscale internal reliability scores, and shorter than earlier versions instrument. RESEARCH DESIGN AND METHODS second DAS revised rewritten by panel diabetes experts, including patients, associated University Michigan Research Training Center. instrument sent physicians, nurses, dietitians, patients...
To examine the relationships among cognitive representations of diabetes, diabetes-specific health behaviors, and quality life using Leventhal Diefenbach's self-regulation model illness (Leventhal H, Diefenbach M: The active side cognition. In Mental Representation in Health Illness. SkeltonJA, Croyle RT, Eds. New York, Springer-Verlag, 1991, p. 247-272).This research involved secondary analysis a mailed survey completed by 296 adults (ages 20-90 years). Structural equation modeling was...
Zinc deficiency is a common nutritional problem in adult sickle-cell disease (SCD) patients. Hyperzincuria and increased requirement of zinc due to continued hemolysis SCD are probable bases for these affects adversely T-helper1 (TH1) functions cell mediated immunity interleukin (IL)-2 production decreased deficient subjects. We hypothesized that supplementation will improve function decrease incidence infections patients with SCD. tested this hypothesis 32 subjects who were divided three...
Insulin is the most effective drug available to achieve glycaemic goals in patients with type 2 diabetes. Yet, there reluctance among physicians, specifically primary care physicians (PCPs) USA, initiate insulin therapy these patients.To describe PCPs' attitudes about initiation of diabetes and identify areas which a clear lack consensus.Primary practicing seeing 10 or more per week, having > 3 years clinical practice were surveyed via an internet site. The survey was developed through...