Search PubMed⌕ Search

Biomedical subjects

Mayer B Davidson

Publications and source records attributed to Mayer B Davidson.

At least 19 recordsLinked to original sources
PubMed2006

Effective diabetes care by a registered nurse following treatment algorithms in a minority population.

OBJECTIVE: To compare usual care with nurse-directed care for patients with diabetes. STUDY DESIGN: Randomized before-after trial. METHODS: Diabetic patients were randomly selected for a diabetes managed care program (DMCP), in which a specially trained registered nurse, supervised by an endocrinologist, followed detailed treatment algorithms. Process and outcome measures during the year before DMCP entry were compared with those during the first year of DMCP enrollment. RESULTS: A total of 367 patients completed a full year in the DMCP. Data from the prior year were available for 331 patients. Among a subset of Latino patients, 95% earned less than 25,000 US dollars and 73% had an education of 6th grade or less. Process measures recommended by the American Diabetes Association (ADA) were met 98% of the time during the DMCP year compared with 54% of the time during the prior year (P <.001). Mean glycosylated hemoglobin (A1C) levels fell from 9.3% to 8.7% in the year before entry into the DMCP and to 7.0% by the end of the first DMCP year (P < .001). At DMCP entry, 28% met the ADA A1C goal of <7%; 60% did so at the end of the year. Fifty-one percent met the ADA low-density lipoprotein cholesterol goal at entry into the DMCP compared with 82% at the end of the year. CONCLUSION: A nurse making clinical decisions based on detailed treatment algorithms did a better job of achieving ADA-recommended process and outcome measures than physicians providing usual care.

Adult↗
PubMed2005

Thiazolidinediones.

Explore the source record for details and available documents.

Cholesterol, LDL↗
PubMed2005

Exenatide.

Explore the source record for details and available documents.

Diabetes Mellitus, Type 2↗
PubMed2005

Using focus groups of older African Americans and Latinos with diabetes to modify a self-care empowerment intervention.

OBJECTIVE: To make cultural and age-specific modifications to a self-care empowerment intervention. DESIGN: Focus groups with self-administered surveys. SETTING: Two public health diabetes and geriatrics clinic and two senior centers in and around South Los Angeles. PARTICIPANTS: African Americans and Latinos aged > or = 55 years with diabetes (N=79), and two groups of health educators (N=16). MAIN OUTCOME MEASURES: After describing the proposed intervention, the focus group facilitators asked participants: 1) whether the community of interest would be interested in the proposed empowerment intervention; 2) why or why not; and 3) how the intervention could be modified to better address the concerns of the study community of interest. All groups were audiotaped, transcribed, and (when appropriate) translated into English. Three independent investigators read all transcripts and completed standardized coding forms for each transcript. In addition, at the end of each focus group, all participants completed a self-administered written survey asking them to rate aspects of the proposed intervention. RESULTS: Older African Americans and Latinos endorsed the intervention but desired an expanded dietary educational component and identified disability as an important missing content area. Participants rejected the use of an audio learning tool and did not believe that matching group-facilitator sociodemographic characteristics was important as long as facilitators demonstrated cultural competency. CONCLUSIONS: These findings illustrate a model of participatory research in which researchers and community members work together to develop an empowerment intervention that will meet community needs and will have greater cultural appropriateness. Modifying the intervention in accordance with these findings should enhance the relevance and impact of the self-care intervention.

Black or African American↗