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Open AccessCRANIUM: a quasi-experimental study to improve metabolic screening and HIV testing in community mental health clinics compared to usual care
Individuals with serious mental illness often do not receive guideline-concordant metabolic screening and human immunodeficiency virus (HIV) testing, contributing to increased morbidity and premature mortality...
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Evaluating Natural Experiments that Impact the Diabetes Epidemic: an Introduction to the NEXT-D3 Network
Diabetes is an ongoing public health issue in the USA, and, despite progress, recent reports suggest acute and chronic diabetes complications are increasing.
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Accuracy of Primary Care Medical Home Designation in a Specialty Mental Health Clinic
To assess whether primary care medical homes (PCMHs) are accurately identified for patients receiving care in a specialty mental health clinic within an integrated public delivery system. This study reviewed t...
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Open AccessCollaborative research and actions on both sides of the US-Mexico border to counteract type 2 diabetes in people of Mexican origin
Type 2 Diabetes (T2D) is now a massive epidemic in both California and Mexico, with serious consequences for social and economic well-being. A large proportion of these populations share common ethnic backgrou...
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A Doctor is in the House: Stakeholder Focus Groups About Expanded Scope of Practice of Community Psychiatrists
We sought to understand stakeholder perspectives on barriers to metabolic screening for people with severe mental illness. We additionally assessed the feasibility of expanding psychiatrists’ scope of practice...
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Open AccessLanguage-concordant automated telephone queries to assess medication adherence in a diverse population: a cross-sectional analysis of convergent validity with pharmacy claims
Clinicians have difficulty accurately assessing medication non-adherence within chronic disease care settings. Health information technology (HIT) could offer novel tools to assess medication adherence in dive...
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Open AccessUtilization of the Behavior Change Wheel framework to develop a model to improve cardiometabolic screening for people with severe mental illness
Individuals with severe mental illness (e.g., schizophrenia, bipolar disorder) die 10–25 years earlier than the general population, primarily from premature cardiovascular disease (CVD). Contributing factors a...
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Open AccessMobilizing for a war on the home front against sugar-related morbidity and mortality
In Israel today, there are 420,200 Israelis diagnosed with diabetes, and every year, Israelis sustain thousands of diabetes-related deaths and tens of thousands of diabetes-related amputations. As such, in Isr...
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Police-Recorded Crime and Perceived Stress among Patients with Type 2 Diabetes: the Diabetes Study of Northern California (DISTANCE)
While stress has been linked to poor health outcomes, little is known about the impact of objective measures of neighborhood crime on stress in patients with chronic disease. Using the Kaiser Permanente Diabet...
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Open AccessQualitative analysis of programmatic initiatives to text patients with mobile devices in resource-limited health systems
Text messaging is an affordable, ubiquitous, and expanding mobile communication technology. However, safety net health systems in the United States that provide more care to uninsured and low-income patients m...
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Open AccessThe Kidney Awareness Registry and Education (KARE) study: protocol of a randomized controlled trial to enhance provider and patient engagement with chronic kidney disease
Chronic kidney disease (CKD) is common and is associated with excess mortality and morbidity. Better management could slow progression of disease, prevent metabolic complications, and reduce cardiovascular out...
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Open AccessCoordinated performance measurement and improvement efforts in California's safety net systems: early experience and lessons
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Open AccessSpatial pattern of body mass index among adults in the diabetes study of Northern California (DISTANCE)
The role that environmental factors, such as neighborhood socioeconomics, food, and physical environment, play in the risk of obesity and chronic diseases is not well quantified. Understanding how spatial dist...
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Open AccessThe design of a low literacy decision aid about rheumatoid arthritis medications developed in three languages for use during the clinical encounter
Shared decision-making in rheumatoid arthritis (RA) care is a priority among policy makers, clinicians and patients both nationally and internationally. Demands on patients to have basic knowledge of RA, treat...
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Open AccessSelf-reported recall and daily diary-recorded measures of weight monitoring adherence: associations with heart failure-related hospitalization
Weight monitoring is an important element of HF self-care, yet the most clinically meaningful way to evaluate weight monitoring adherence is uncertain. We conducted this study to evaluate the association of (1...
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Open AccessPoor knowledge of methotrexate associated with older age and limited English-language proficiency in a diverse rheumatoid arthritis cohort
Our objective was to determine rheumatoid arthritis (RA) patients’ understanding of methotrexate and assess whether knowledge varies by age, education, English language proficiency, or other disease-related fa...
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Open AccessQuasi-experimental trial of diabetes Self-Management Automated and Real-Time Telephonic Support (SMARTSteps) in a Medicaid managed care plan: study protocol
Health information technology can enhance self-management and quality of life for patients with chronic disease and overcome healthcare barriers for patients with limited English proficiency. After a randomize...
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Open AccessAccuracy of Physician Self-Report of Spanish Language Proficiency
As health systems strive to meet the needs of linguistically diverse patient populations, determining a physician’s non-English language proficiency is becoming increasingly important. However, brief, validate...
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Open AccessComparison of a one-time educational intervention to a teach-to-goal educational intervention for self-management of heart failure: design of a randomized controlled trial
Heart failure (HF) is common, costly and associated with significant morbidity and poor quality of life, particularly for patients with low socioeconomic status. Self-management training has been shown to redu...