Research Topics
| Michael CabanaSummaryAffiliation: University of California Country: USA Publications
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Publications
Selective provision of asthma self-management tools to familiesMichael D Cabana
University of California, San Francisco, San Francisco, CA 94118, USA
Pediatrics 121:e900-5. 2008..Providing asthma education in a primary care setting can be challenging because of time and resource constraints. The purpose of this work was to determine factors associated with the provision of different asthma self-management tools...
Racial and ethnic disparities in the quality of asthma careMichael D Cabana
Department of Pediatrics, University of California, San Francisco, 3333 California St, Suite 245, San Francisco, CA 94118, USA
Chest 132:810S-817S. 2007..Research needs at the patient/provider level include defining the content and methods for disseminating issues regarding cultural competency to health-care providers...
Recent developments in asthma educationMichael D Cabana
Department of Pediatrics, University of California, San Francisco, San Francisco, California, USA
Curr Opin Allergy Clin Immunol 11:132-6. 2011..Although the benefits and importance of asthma patient education are well documented, there are still many open questions regarding how to best provide asthma education. The following review highlights recent developments in this topic...
Examining the hygiene hypothesis: the Trial of Infant Probiotic SupplementationMichael D Cabana
Department of Pediatrics, University of California, San Francisco, CA 94118, USA
Paediatr Perinat Epidemiol 21:23-8. 2007....
Specialty differences in prescribing inhaled corticosteroids for childrenMichael D Cabana
Department of Pediatrics, University of California, San Francisco, California 94118, USA
Clin Pediatr (Phila) 46:698-705. 2007..43, 12.3) was associated with self-reported adherence. Interventions to improve prescribing of inhaled corticosteroids should include strategies to address issues specific to pediatricians and family physicians...
Impact of physician asthma care education on patient outcomesMichael D Cabana
Department of Pediatrics, University of Michigan Health System, Ann Arbor, Michigan, USA
Pediatrics 117:2149-57. 2006..We evaluated the effectiveness of a continuing medical education program, Physician Asthma Care Education, in improving pediatricians' asthma therapeutic and communication skills and patients' health care utilization for asthma...
Parental satisfaction and the ability to recall the physician's nameMinal R Patel
Center for Managing Chronic Disease, University of Michigan, Ann Arbor, USA
Clin Pediatr (Phila) 49:525-9. 2010....
The impact of parents' medication beliefs on asthma managementKelly M Conn
Department of Pediatrics, University of Rochester School of Medicine and Dentistry and the Golisano Children s Hospital at Strong, Rochester, New York 14642, USA
Pediatrics 120:e521-6. 2007..Previous studies suggest a relationship between parental beliefs about asthma medications and medication adherence. It is not clear how parents' positive and negative feelings about medications interact to influence medication adherence...
Infection control knowledge, attitudes, and practices among cystic fibrosis patients and their familiesYolanda Miroballi
Department of Pediatrics, Columbia University, New York, New York, USA
Pediatr Pulmonol 47:144-52. 2012..However, it is unclear how well the guidelines have been disseminated to patients and families, how well patients and families understand the principles of infection control, and what barriers they experience implementing the guidelines...
Pediatrician self-efficacy for counseling parents of asthmatic children to quit smokingMichael D Cabana
Child Health Evaluation and Research Unit, Division of General Pediatrics, University of Michigan Health System, Ann Arbor, Michigan 48109 0456, USA
Pediatrics 113:78-81. 2004..However, it is not clear which factors are associated with high physician self-efficacy for counseling, such as previous training in smoking-cessation counseling or number of years in pediatric practice...
Understanding of asthma management: Medicaid parents' perspectivesMelissa Valerio
Department of Health Behavior and Health Education, School of Public Health, University of Michigan Health System, Ann Arbor, MI 48109, USA
Chest 129:594-601. 2006..This article explores parental caregiver perspectives on barriers to asthma care in the Medicaid system...
'The apple doesn't fall far from the tree': the role of parents in chronic disease self-managementJoan K Orrell-Valente
Department of Pediatrics, University of California, San Francisco, California, USA
Curr Opin Pediatr 20:703-4. 2008..An increased focus on parental adherence will require an investment of time and effort that will pay dividends in the long term...
Asking the correct questions to assess asthma symptomsMichael D Cabana
Child Health Evaluation and Research (CHEAR) Unit, Division of General Pediatrics, University of Michigan Health System, Ann Arbor, Michigan 48109-0456, USA
Clin Pediatr (Phila) 44:319-25. 2005..A better approach is to use specific questions to determine the frequency of daytime or nighttime symptoms...
Outcomes associated with spirometry for pediatric asthma in a managed care organizationMichael Cabana
Division of General Pediatrics, Department of Pediatrics, University of California, San Francisco, 3333 California Street, Laurel Heights Bldg 245, San Francisco, California 94143 0503, USA
Pediatrics 118:e151-6. 2006..The National Heart, Lung and Blood Institute asthma guidelines recommend that children with asthma receive spirometry testing "at least every 1 to 2 years to assess the maintenance of airway function."..
Comfort of general internists and general pediatricians in providing care for young adults with chronic illnesses of childhoodMegumi J Okumura
Division of General Pediatrics, University of California, San Francisco, San Francisco, CA 94118, USA
J Gen Intern Med 23:1621-7. 2008..Little, however, is known about how comfortable physicians are caring for this population...
Effects of asthma education on children's use of acute care services: a meta-analysisJanet M Coffman
Institute for Health Policy Studies, University of California, 3333 California St, Suite 265, San Francisco, CA 94118, USA
Pediatrics 121:575-86. 2008..We conducted a meta-analysis to estimate the effects of pediatric asthma education on hospitalizations, emergency department visits, and urgent physician visits for asthma...
Association between outpatient follow-up and pediatric emergency department asthma visitsMichael D Cabana
Child Health Evaluation and Research Unit, Division of General Pediatrics, University of Michigan Health Care System, Ann Arbor, Michigan 48109 0456, USA
J Asthma 40:741-9. 2003..The National Heart, Lung, and Blood Institute (NHLBI) guidelines recommend that patients receive a follow-up outpatient asthma visit after being discharged from an emergency department (ED) for asthma...
At what age do children start taking daily asthma medicines on their own?Joan K Orrell-Valente
Department of Pediatrics, Philip Lee Institute of Health Policy Studies, University of California, Division of Adolescent Medicine, 3333 California St, LH 245, Box 0503, San Francisco, CA 94143 0503, USA
Pediatrics 122:e1186-92. 2008....
Parents' specific concerns about daily asthma medications for childrenJoan K Orrell-Valente
Department of Pediatrics, University of California San Francisco, CA, USA
J Asthma 44:385-90. 2007..07-2.40), nasal corticosteroids (OR = 1.70, 95% CI 1.21-2.38), and alternative therapies (OR = 1.84, 95% CI 1.32-2.56). Providers should be prepared to address a wide range of medication concerns, especially those related to side effects...
Pediatricians' perspectives on the impact of MRSA in primary care: a qualitative studyAdam L Hersh
Division of Pediatric Infectious Diseases, University of California, San Francisco, San Francisco, CA, USA
BMC Pediatr 9:27. 2009..It is unknown how this epidemic has impacted primary care pediatricians in terms of their practice patterns and barriers they face to providing recommended therapies...
Antibiotic selection for purulent skin and soft-tissue infections in ambulatory care: a decision-analytic approachAdam L Hersh
Division of Pediatric Infectious Diseases, University of California, San Francisco, CA, USA
Acad Pediatr 9:179-84. 2009..We sought to identify the antibiotic strategy with the highest probability of activity and to identify threshold values for epidemiologic variables including bacterial prevalence and antibiotic resistance...
Physician communication regarding cost when prescribing asthma medication to childrenMinal R Patel
Center for Managing Chronic Disease, University of Michigan, Ann Arbor, Michigan, USA
Clin Pediatr (Phila) 48:493-8. 2009..For every 10% increase in the number of privately insured patients, a physician was less likely to ask about cost (OR = 0.83; 95% CI = 0.74-0.94). Communication about medication costs should be included in childhood asthma management...
Decreasing frequency of asthma education in primary careAdam L Hersh
Division of General Pediatrics, Department of Pediatrics, University of California, San Francisco, California, USA
J Asthma 47:21-5. 2010..Our objective was to describe national trends in the provision of asthma education by primary care physicians in office settings...
Changes in prescribing of antiviral medications for influenza associated with new treatment guidelinesAdam L Hersh
Division of General Pediatrics, University of California, San Francisco, CA, USA
Am J Public Health 99:S362-4. 2009..Evaluating the effectiveness with which public health recommendations are translated into practice is important given the ongoing emergence of resistance to antiviral drugs and a novel H1N1 influenza virus...
Do school-based asthma education programs improve self-management and health outcomes?Janet M Coffman
Philip R Lee Institute for Health Policy Studies and Department of bFamily and Community Medicine, University of California, San Francisco, California 94118, USA
Pediatrics 124:729-42. 2009..Asthma self-management education is critical for high-quality asthma care for children. A number of studies have assessed the effectiveness of providing asthma education in schools to augment education provided by primary care providers...
Underdiagnosis of pediatric obesity during outpatient preventive care visitsAnisha I Patel
Department of Pediatrics, University of California, San Francisco, Calif 94118, USA
Acad Pediatr 10:405-9. 2010....
Physician views on barriers to primary care for young adults with childhood-onset chronic diseaseMegumi J Okumura
General Pediatrics and General Internal Medicine, University of California, San Francisco, 3333 California St, Suite 245, San Francisco, CA 94118, USA
Pediatrics 125:e748-54. 2010..The objective of this study was to describe primary care physicians' resources for and barriers to caring for young adults with childhood-onset chronic diseases...
Documentation of asthma severity in pediatric outpatient clinicsMichael D Cabana
Child Health Evaluation and Research (CHEAR) Unit, Division of General Pediatrics, University of Michigan Health System, Ann Arbor, MI 48109-0456, USA
Clin Pediatr (Phila) 42:121-5. 2003..Interventions to improve physician practice should continue to emphasize severity assessment...
Pediatric emergency departments are more likely than general emergency departments to treat asthma exacerbation with systemic corticosteroidsArpi Bekmezian
Department of Pediatrics, University of California, San Francisco, CA 94143 0110, USA
J Asthma 48:69-74. 2011....
Factors associated with prolonged emergency department length of stay for admitted childrenArpi Bekmezian
Department of Pediatrics, University of California, San Francisco, CA, USA
Pediatr Emerg Care 27:110-5. 2011..To estimate the prevalence of and to identify factors associated with prolonged emergency department length-of-stay (ED-LOS) for admitted children...
Vitamin D insufficiency and severe asthma exacerbations in Puerto Rican childrenJohn M Brehm
Division of Pediatric Pulmonary Medicine, Allergy and Immunology, Department of Pediatrics, Children s Hospital of Pittsburgh of UPMC, 4401 Penn Avenue, Pittsburgh, PA 15224, USA
Am J Respir Crit Care Med 186:140-6. 2012..Little is known about vitamin D and asthma in Puerto Ricans...
Pediatrician attitudes and practices regarding collaborative asthma educationMichael D Cabana
Department of Pediatrics, University of Michigan Health System, Ann Arbor, Michigan 48109-0456, USA
Clin Pediatr (Phila) 43:269-74. 2004....
Limits of the HEDIS criteria in determining asthma severity for childrenMichael D Cabana
Child Health Evaluation and Research Unit, Division of General Pediatrics, University of Michigan Health System, 6 D 19 NIB, Box 0456, 300 North Ingalls St, Ann Arbor, MI 48109 0456, USA
Pediatrics 114:1049-55. 2004..The objective of this study was to compare the assessment of asthma severity (persistent vs nonpersistent asthma) using the HEDIS criteria versus clinical criteria using National Heart, Lung, and Blood Institute (NHLBI) guidelines...
Variation in pediatric asthma quality improvement programs by managed care plansMichael D Cabana
Child Health Evaluation and Research Unit, Department of Pediatrics, University of Michigan Health Care System, Ann Arbo, MI 48109 0456, USA
Am J Med Qual 20:204-9. 2005..The variation in QI approaches by each of the managed care organizations suggests that there is a dearth of information on appropriate and cost-effective methods to improve pediatric asthma quality at the plan level...
Regional variation in ICU care for pediatric patients with asthmaSusan L Bratton
University of Utah School of Medicine, Department of Pediatrics, Salt Lake City, Utah, USA
J Pediatr 147:355-61. 2005..To determine adherence to guidelines for severe asthma care and evaluate regional variability in practice among pediatric intensive care units (PICU)...
Asthma educational seminar targeting Medicaid providersSusan L Bratton
Department of Pediatrics, University of Michigan Health System, Ann Arbor, Michigan, USA
Respir Care 51:49-55. 2006....
Factors associated with non-attendance at pediatric subspecialty asthma clinicsEsther Y Yoon
Division of General Pediatrics, University of Michigan, Ann Arbor, Michigan 48109 0456, USA
J Asthma 42:555-9. 2005..Children with Medicaid insurance are less likely to receive subspecialty asthma care than non-Medicaid patients. However, it is not clear if such disparities are due to non-attendance at scheduled visits by patients...
Coding for asthma patient education in the primary care settingMichael D Cabana
Department of Pediatrics, University of Michigan Health System, 6 D 19 NIB, Box 0456, 300 North Ingalls Street, Ann Arbor, Ml 48109 0456, USA
J Med Pract Manage 21:115-9. 2005..We review coding strategies that should be used when counseling and education are the main focus of the patient visit. We review additional procedures and techniques to make office flow, documentation, and coding proceed more smoothly...
Microbial manipulation of immune function for asthma prevention: inferences from clinical trialsJennifer Yoo
Division of Allergy and Immunology, Department of Medcine, University of California, San Francisco, 505 Parnassus Avenue, San Francisco, CA 94143 0130, USA
Proc Am Thorac Soc 4:277-82. 2007....
The unintended consequences of quality improvementNaomi S Bardach
Department of Pediatrics, University of California, San Francisco UCSF, San Francisco, California, USA
Curr Opin Pediatr 21:777-82. 2009..The focus on quality improvement has led to several types of initiatives in pediatric care; however, these programs may lead to potential unintended consequences...
What factors are important for pediatric residents' smoking cessation counseling of parents?Rachel Anne Barnes Dodge
Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA
Clin Pediatr (Phila) 47:237-43. 2008..Research should be done to evaluate if improving awareness of smoking cessation resources for parents improves pediatricians' confidence in asking about parental smoking and the likelihood of advising parents to quit smoking...
The clinician-patient partnership paradigm: outcomes associated with physician communication behaviorNoreen M Clark
Center for Managing Chronic Disease University of Michigan, Ann Arbor, MI 48109 2029, USA
Clin Pediatr (Phila) 47:49-57. 2008..To identify physician communication behaviors associated with perceptions of quality of care and predictive of positive patient outcomes...
Physician asthma education program improves outcomes for children of low-income familiesRandall Brown
Department of Pediatrics, University of Michigan Health Sciences, Ann Arbor, USA
Chest 126:369-74. 2004..CONCLUSIONS: The educational program for physicians improved asthma outcomes for their low-income patients. Provider interventions targeted to these high-risk patients may diminish hospital and emergency department asthma care...
Does continuity of care improve patient outcomes?Michael D Cabana
Child Health Evaluation and Research Unit, Division of General Pediatrics, University of Michigan Health System, 300 North Ingalls Street, Ann Arbor, MI 48109 0456, USA
J Fam Pract 53:974-80. 2004..We sought to determine the effect of sustained continuity of care (SCOC) on the quality of patient care...
Newborn hepatitis B vaccination policy in hospital nurseriesMichael D Cabana
Child Health Evaluation and Research Unit, Division of General Pediatrics, University of Michigan Health System, Ann Arbor, Michigan 48109 0456, USA
Pediatrics 109:E21. 2002..The objective of this study was to describe how hospital nurseries develop HBV policies and to describe the sources of information used for learning about national HBV recommendations...
Geographic variation of asthma quality measures within and between health plansKevin J Dombkowski
Child Health Evaluation and Research CHEAR Unit, Division of General Pediatrics, University of Michigan, Ann Arbor, Mich, USA
Am J Manag Care 11:765-72. 2005..To contrast health plan performance in treating pediatric asthma within and between different geographic regions...
FDA labeling status of pediatric medicationsEsther Y Yoon
Division of General Pediatrics, University of Michigan, Ann Arbor, MI 48109-0456, USA
Clin Pediatr (Phila) 45:75-7. 2006
Probiotics in primary care pediatricsMichael D Cabana
Department of Pediatrics and Communicable Diseases, University of Michigan Health System, Ann Arbor, MI, USA
Clin Pediatr (Phila) 45:405-10. 2006..This article reviews the proposed mechanisms of the beneficial effects of probiotics, potential uses of these organisms in pediatric care, and promising future directions for their application...
Implementing practice guidelines for depression: applying a new framework to an old problemMichael D Cabana
Division of General Pediatrics, The University of Michigan Medical Center, Ann Arbor, MI, USA
Gen Hosp Psychiatry 24:35-42. 2002..Since different physicians and practice settings may encounter a variety of barriers, multifaceted interventions that are not focused exclusively on the physician tend to be most effective...
Barriers to adherence to cystic fibrosis infection control guidelinesElizabeth Garber
Division of Infectious Diseases, Department of Pediatrics, Columbia University, New York, New York 10032, USA
Pediatr Pulmonol 43:900-7. 2008..We sought to assess potential barriers to adherence to these guidelines experienced by health care professionals (HCPs) caring for CF patients...
Improving physician adherence to cholesterol management guidelinesMichael D Cabana
Division of General Pediatrics, University of Michigan Health System, MI, USA
Manag Care 11:18-22. 2002
Parental management of asthma triggers within a child's environmentMichael D Cabana
Department of Pediatrics, University of Michigan Health System, Ann Arbor, MI 48109 0456, USA
J Allergy Clin Immunol 114:352-7. 2004..Control of environmental precipitants of asthma is an important component of self-management...
A randomized controlled trial to evaluate the effectiveness of a distance asthma learning program for pediatriciansTao T Le
Department of Pediatrics, University of Louisville, Louisville, Kentucky, USA
J Asthma 47:245-50. 2010..To assess provider acceptability of a distance learning program for pediatric asthma and pilot test its effects on physician knowledge, attitudes and treatment practices...
Challenges in asthma patient educationMichael D Cabana
Department of Pediatrics and Communicable Diseases, University of Michigan Health System, 6-D-19 NIB, Box 0456, 300 North Ingalls Street, Ann Arbor, MI 48109-0456, USA
J Allergy Clin Immunol 115:1225-7. 2005
Do the leading children's hospitals have quality web sites? A description of children's hospital web sitesTerry Kind
Department of Pediatrics, Children s National Medical Center, George Washington University School of Medicine and Health Sciences, Washington, DC, USA
J Med Internet Res 6:e20. 2004..Although leading children's hospitals are recognized as preeminent in the provision of health care to children, the quality of their Web sites has not been described...
Improving quality of care and promoting health care system change: The role of community-based coalitionsMarielena Lara
, UCLA Department of Pediatrics and RAND Health in Santa Monica, California, USA
Health Promot Pract 7:87S-95S. 2006..The collaborative and empowering processes that a coalition model encourages and the direct advocacy opportunity provided to the consumer appear to bring these forces into play...
Role of the gut microbiota in defining human healthKei E Fujimura
Colitis and Crohn s Disease Center, Gastroenterology Division, Department of Medicine, University of California, San Francisco, San Francisco, CA 94143, USA
Expert Rev Anti Infect Ther 8:435-54. 2010....
Physician adherence to preventive cardiology guidelines for womenMichael D Cabana
Division of General Pediatrics, University of Michigan Medical Center, Ann Arbor, Michigan 48109 0456, USA
Womens Health Issues 13:142-9. 2003....
Improving physician attendance at educational seminars sponsored by Managed Care OrganizationsMichael D Cabana
Department of Pediatrics, University of Michigan Health System, Ann Arbor, Mich 48109 0456, USA
Manag Care 13:49-51, 53-4, 56-7. 2004..To enhance primary care provider participation in a multi-faceted interactive asthma teaching program sponsored by managed care organizations...
Lactobacillus casei abundance is associated with profound shifts in the infant gut microbiomeMichael J Cox
Division of Gastroenterology, University of California San Francisco, San Francisco, California, United States of America
PLoS ONE 5:e8745. 2010....
The role of clinical practice guidelines in enhancing quality and reducing racial/ethnic disparities in paediatricsMichael D Cabana
Division of General Pediatrics, University of Michigan Medical Center, Ann Arbor 48109 0456, USA
Paediatr Respir Rev 3:52-8. 2002....
Improving care for asthmaMichael D Cabana
J Pediatr 147:411-2; author reply 412-3. 2005
Indices for continuity of care: a systematic review of the literatureSandra H Jee
University of Rochester, USA
Med Care Res Rev 63:158-88. 2006..No index takes into account the visit type. A unique index that reflects continuity in the physician patient relationship for pediatric and chronic disease populations is needed...
Guidelines for adolescent well care: is there consensus?Tracy K Richmond
Division of Adolescent Medicine, Children s Hospital Boston, Harvard Medical School, Boston, Massachusetts 02115, USA
Curr Opin Pediatr 18:365-70. 2006..This paper reviews recent clinical guidelines for adolescent well care put forth by seven national organizations. It compares the guidelines recommendation by recommendation in order to assess consistency between them...
Can an information prescription change parental attitudes and behaviors related to using the Internet for health information resources?Terry Kind
Arch Pediatr Adolesc Med 158:864-6. 2004
Assessment of asthma severity and asthma control in childrenBarbara P Yawn
Department of Research, Olmsted Medical Center, Rochester, Minnesota, USA
Pediatrics 118:322-9. 2006....
The importance of generalism in academic pediatricsMichael D Cabana
Curr Opin Pediatr 19:698-9. 2007
Variation in establishing a diagnosis of obesity in childrenIris R Mabry
Agency for Healthcare Quality, Rockville, MD 20850, USA
Clin Pediatr (Phila) 44:221-7. 2005..Future research should assess pediatricians' perceptions about obesity to better understand clinical practice patterns...
The results of a randomized controlled trial to evaluate the effect of Lactobacillus rhamnosusMegumi J Okumura
J Hum Nutr Diet 19:451; author reply 452. 2006
Probiotic and prebiotic influence beyond the intestinal tractIrene Lenoir Wijnkoop
Danone Research, RD 128, Palaiseau, France
Nutr Rev 65:469-89. 2007..These observations, among others, suggest a broader spectrum of influence than commonly considered for these unique substances...
Research Grants
- Enhancing Pediatric Asthma ManagementMichael Cabana; Fiscal Year: 2002..abstract_text> ..
- Trial of Infant Probiotic Exposure on Developing AsthmaMichael Cabana; Fiscal Year: 2007..We expect that when compared to controls, subjects receiving Lactobacillus will have decreased and delayed development of markers for asthma, and a greater likelihood of developing a Th1 phenotype. ..
- Enhancing Pediatric Asthma ManagementMichael Cabana; Fiscal Year: 2006..abstract_text> ..
