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Articles 1 - 13 of 13
Full-Text Articles in Nursing
Literacy-Appropriate Educational Materials And Brief Counseling Improve Diabetes Self-Management, Andrea Wallace, H. Seligman, T. Davis, D. Schillinger, C. Arnold, B. Bryant-Shilliday, J. Freburger, D. Dewalt
Literacy-Appropriate Educational Materials And Brief Counseling Improve Diabetes Self-Management, Andrea Wallace, H. Seligman, T. Davis, D. Schillinger, C. Arnold, B. Bryant-Shilliday, J. Freburger, D. Dewalt
Andrea S. Wallace
OBJECTIVE: In this pilot study, we evaluated the impact of providing patients with a literacy-appropriate diabetes education guide accompanied by brief counseling designed for use in primary care. METHODS: We provided the Living with Diabetes guide and brief behavior change counseling to 250 English and Spanish speaking patients with type 2 diabetes. Counseling sessions using collaborative goal setting occurred at baseline and by telephone at 2 and 4 weeks. We measured patients' activation, self-efficacy, diabetes distress, knowledge, and self-care at baseline and 3-month follow-up. RESULTS: Statistically significant (p
Low Health Literacy: Overview, Assessment, And Steps Toward Providing High-Quality Diabetes Care, Andrea Wallace
Low Health Literacy: Overview, Assessment, And Steps Toward Providing High-Quality Diabetes Care, Andrea Wallace
Andrea S. Wallace
Approximately half of all Americans do not understand written and verbal health information well enough to take appropriate action. For chronic conditions requiring patients' ongoing self-management, limited literacy may be a powerful barrier to achieving optimal outcomes. Because low literacy is associated with a number of psychosocial variables that also act as barriers to self-management, health literacy experts recommend that efforts to alleviate the burden introduced by low literacy be addressed not only by developing means of increasing patients' understanding, but also by integrating such efforts into systems aiming to improve self-management support across the continuum of patient care. This …
Race, Care Seeking, And Utilization For Chronic Back And Neck Pain: Population Perspectives, T. Carey, J. Freburger, G. Holmes, A. Jackman, S. Knauer, Andrea Wallace, J. Darter
Race, Care Seeking, And Utilization For Chronic Back And Neck Pain: Population Perspectives, T. Carey, J. Freburger, G. Holmes, A. Jackman, S. Knauer, Andrea Wallace, J. Darter
Andrea S. Wallace
We analyzed a statewide survey of individuals with chronic back and neck pain to determine whether prevalence and care use varied by patient race or ethnicity. We conducted a telephone survey of a random sample of 5,357 North Carolina households in 2006. Adults with chronic (>3 months duration or >24 episodes of pain per year), impairing back or neck pain were identified and were asked to complete a survey about their health and care utilization. 837 respondents (620 white, 183 black, 34 Latino) reported chronic back or neck pain. Whites and blacks had similar rates of chronic back pain. …
Accessing Asthma Care: A Case Study Of Urban Children, Andrea Wallace
Accessing Asthma Care: A Case Study Of Urban Children, Andrea Wallace
Andrea S. Wallace
The purpose of this exploratory, descriptive study was to identify factors that facilitate or impede the use of health care resources by urban children with asthma. Using an embedded case study design, the study considered the issue of health care access for urban children with asthma by focusing on attributes that impede and facilitate these children's access to health care resources. Interview, demographic, survey, and medical records data were analyzed for 34 parent-child dyads accessing asthma care in one metropolitan health care system. Interview data from 14 health care professionals were also analyzed. These findings were then compared with utilization …
Improving Diabetes Self-Management Using Low-Literacy Educational Materials And Brief Counseling, Andrea Wallace, H. Seligman, T. Davis, D. Schillinger, C. Arnold, E. Shilliday, D. Dewalt
Improving Diabetes Self-Management Using Low-Literacy Educational Materials And Brief Counseling, Andrea Wallace, H. Seligman, T. Davis, D. Schillinger, C. Arnold, E. Shilliday, D. Dewalt
Andrea S. Wallace
Conference abstract. Society of General Internal Medicine, 30th Annual Meeting, Toronto,Ontario,Canada, April 25-28, 2007
Impoverished Children With Asthma: A Pilot Study Of Urban Healthcare Access, Andrea Wallace, J. Scott, M. Klinnert, M. Anderson
Impoverished Children With Asthma: A Pilot Study Of Urban Healthcare Access, Andrea Wallace, J. Scott, M. Klinnert, M. Anderson
Andrea S. Wallace
No abstract provided.
The Influence Of Literacy On Patient-Reported Experiences Of Diabetes Self-Management Support, Andrea Wallace, J. Carlson, R. Malone, J. Joyner, D. Dewalt
The Influence Of Literacy On Patient-Reported Experiences Of Diabetes Self-Management Support, Andrea Wallace, J. Carlson, R. Malone, J. Joyner, D. Dewalt
Andrea S. Wallace
Background: Variability in disease-related outcomes may relate to how patients experience self-management support in clinical settings. Objectives: The purpose of this study was to identify factors associated with experiences of self-management support during primary care encounters. Methods: A cross-sectional survey was conducted of 208 patients seen in a multidisciplinary diabetes program in an academic medicine clinic. Multiple regression analysis was used to test associations between patient-rated experiences of self-management support (Patient Assessment of Chronic Illness Care) and race, gender, insurance status, literacy, duration of diabetes, and intensity of care management. Results: The Patient Assessment of Chronic Illness Care ratings decreased …
Facilitating Behavior Change With Low-Literacy Patient Education Materials, H. Seligman, Andrea Wallace, D. Dewalt, D. Schillinger, C. Arnold, B. Shilliday, A. Delgadillo, N. Bengal, T. Davis
Facilitating Behavior Change With Low-Literacy Patient Education Materials, H. Seligman, Andrea Wallace, D. Dewalt, D. Schillinger, C. Arnold, B. Shilliday, A. Delgadillo, N. Bengal, T. Davis
Andrea S. Wallace
Objective: To describe a process for developing low-literacy health education materials that increase knowledge and activate patients toward healthier behaviors. Methods: We developed a theoretically informed process for developing educational materials. This process included convening a multidisciplinary creative team, soliciting stakeholder input, identifying key concepts to be communicated, mapping concepts to a behavioral theory, creating a supporting behavioral intervention, designing and refining materials, and assessing efficacy. Results: We describe the use of this process to develop a diabetes self-management guide. Conclusions: Developing low-literacy health education materials that will activate patients toward healthier behaviors requires attention to factors beyond reading level.
Successful School-Based Intervention For Inner-City Children With Persistent Asthma, M. Anderson, M. Freas, Andrea Wallace, A. Kempe, E. Gelfand, A. Liu
Successful School-Based Intervention For Inner-City Children With Persistent Asthma, M. Anderson, M. Freas, Andrea Wallace, A. Kempe, E. Gelfand, A. Liu
Andrea S. Wallace
Objective: Because children attend school daily, school-based interventions for children with persistent asthma could provide effective disease management for inner-city asthmatic children. The Kunsberg School in Denver, Colorado, enrolls children with chronic diseases, including asthma, into a daily program of school-based disease management. This study sought to determine the impact of the Kunsberg program on asthma utilization. Methods: Children attending Kunsberg (n = 18) who received primary care at Denver Health were compared with a group of matched control children who also received primary care at Denver Health, but did not attend Kunsberg (n = 36). Asthma-related utilization for an …
Comfortably Numb? Exploring Satisfaction With Chronic Back Pain Visits, Andrea Wallace, J. Freburger, J. Darter, A. Jackman, T. Carey
Comfortably Numb? Exploring Satisfaction With Chronic Back Pain Visits, Andrea Wallace, J. Freburger, J. Darter, A. Jackman, T. Carey
Andrea S. Wallace
BACKGROUND CONTEXT: Chronic back pain is a condition characterized by high rates of disability, health-care service use, and costs. PURPOSE: The purpose of this study was to identify factors associated with patients' satisfaction with their last health-care provider visit for chronic low back pain (LBP). STUDY DESIGN/SETTING: A cross-sectional, state-level, telephone survey was administered to patients with chronic LBP. PATIENT SAMPLE: The sample consisted of 624 individuals with chronic LBP who reported seeing a health-care provider in the previous year. OUTCOME MEASURES: Dependent variables included satisfaction with last visit for LBP and intent to seek care from additional providers. Independent …
Exercise Prescription For Chronic Back Or Neck Pain: Who Prescribes It? Who Gets It? What Is Prescribed?, J. Freburger, T. Carey, G. Holmes, Andrea Wallace, L. Castel, J. Darter, A. Jackman
Exercise Prescription For Chronic Back Or Neck Pain: Who Prescribes It? Who Gets It? What Is Prescribed?, J. Freburger, T. Carey, G. Holmes, Andrea Wallace, L. Castel, J. Darter, A. Jackman
Andrea S. Wallace
Objective. To describe exercise prescription in routine clinical practice for individuals with chronic back or neck pain because, although current practice guidelines promote exercise for chronic back and neck pain, little is known about exercise prescription in routine care. Methods. We conducted a computer-assisted telephone survey of a representative sample of individuals (n = 684) with chronic back or neck pain who saw a physician, chiropractor, and/or physical therapist (PT) in the past 12 months. Individuals were asked about whether they were prescribed exercise, the amount of supervision received, and the type, duration, and frequency of the prescribed exercise. Descriptive …
Goal Setting In Diabetes Self-Management: Taking The Baby Steps To Success, D. Dewalt, T. Davis, Andrea Wallace, H. Seligman, B. Bryant-Shilliday, C. Arnold, J. Freburger, D. Schillinger
Goal Setting In Diabetes Self-Management: Taking The Baby Steps To Success, D. Dewalt, T. Davis, Andrea Wallace, H. Seligman, B. Bryant-Shilliday, C. Arnold, J. Freburger, D. Schillinger
Andrea S. Wallace
Objective: To evaluate the usefulness of a diabetes self-management guide and a brief counseling intervention in helping patients set and achieve their behavioral goals. Methods: We conducted a quasi-experimental study using a one group pretest posttest design to assess the effectiveness of a goal setting intervention along with a self-management guide. English- and Spanish-speaking patients with diabetes had one in-person session and two telephone follow-up calls with a non-clinical provider over a 12-16-week period. At each call and at the end of the study, we assessed success in achieving behavioral goals and problem solving toward those goals. Satisfaction with the …
The Rising Prevalence Of Chronic Low Back Pain, J. Freburger, G. Holmes, R. Agans, A. Jackman, J. Darter, Andrea Wallace, L. Castel, W. Kalsbeek, T. Carey
The Rising Prevalence Of Chronic Low Back Pain, J. Freburger, G. Holmes, R. Agans, A. Jackman, J. Darter, Andrea Wallace, L. Castel, W. Kalsbeek, T. Carey
Andrea S. Wallace
Background: National or state-level estimates on trends in the prevalence of chronic low back pain (LBP) are lacking. The objective of this study was to determine whether the prevalence of chronic LBP and the demographic, health-related, and health care-seeking characteristics of individuals with the condition have changed over the last 14 years. Methods: A cross-sectional, telephone survey of a representative sample of North Carolina households was conducted in 1992 and repeated in 2006. A total of 4437 households were contacted in 1992 and 5357 households in 2006 to identify noninstitutionalized adults 21 years or older with chronic (> 3 months), …