Darren A DeWalt

Summary

Affiliation: University of North Carolina
Country: USA

Publications

  1. ncbi request reprint Development and pilot testing of a disease management program for low literacy patients with heart failure
    Darren A DeWalt
    Robert Wood Johnson Clinical Scholars Program, Departments of Medicine and Pediatrics, University of North Carolina, 5034 Old Clinic Building, CB 7105, Chapel Hill, NC 27599, USA
    Patient Educ Couns 55:78-86. 2004
  2. pmc Multisite randomized trial of a single-session versus multisession literacy-sensitive self-care intervention for patients with heart failure
    Darren A DeWalt
    Division of General Internal Medicine, University of North Carolina School of Medicine, 5041 Old Clinic Bldg, CB 7110, Chapel Hill, NC 27599, USA
    Circulation 125:2854-62. 2012
  3. pmc Evaluation of item candidates: the PROMIS qualitative item review
    Darren A DeWalt
    Division of General Internal Medicine and the Cecil G Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, North Carolina, USA
    Med Care 45:S12-21. 2007
  4. ncbi request reprint Significance of Medicare and Medicaid programs for the practice of medicine
    Darren A DeWalt
    University of North Carolina School of Medicine, Department of Medicine, Chapel Hill 27599, USA
    Health Care Financ Rev 27:79-90. 2005
  5. doi request reprint Health literacy and child health outcomes: a systematic review of the literature
    Darren A DeWalt
    Cecil G Sheps Center for Health Services Research, Program on Health Literacy, University of North Carolina, Chapel Hill, NC 27599, USA
    Pediatrics 124:S265-74. 2009
  6. pmc Low parental literacy is associated with worse asthma care measures in children
    Darren A DeWalt
    Division of General Internal Medicine and the Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC 27599, USA
    Ambul Pediatr 7:25-31. 2007
  7. ncbi request reprint Literacy and its relationship with self-efficacy, trust, and participation in medical decision making
    Darren A DeWalt
    School of Medicine, Division of General Internal Medicine, University of North Carolina, Chapel Hill, NC 27599, USA
    Am J Health Behav 31:S27-35. 2007
  8. ncbi request reprint Low health literacy: epidemiology and interventions
    Darren A DeWalt
    Division of General Internal Medicine, University of North Carolina School of Medicine, Chapel Hill 27599 7110, USA
    N C Med J 68:327-30. 2007
  9. pmc A heart failure self-management program for patients of all literacy levels: a randomized, controlled trial [ISRCTN11535170]
    Darren A DeWalt
    Division of General Internal Medicine and Clinical Epidemiology, University of North Carolina School of Medicine, Chapel Hill, NC, USA
    BMC Health Serv Res 6:30. 2006
  10. doi request reprint Developing and testing the health literacy universal precautions toolkit
    Darren A DeWalt
    Cecil G Sheps Center for Health Services Research, Division of General Internal Medicine, University of North Carolina, Chapel Hill, NC 27599, USA
    Nurs Outlook 59:85-94. 2011

Research Grants

Detail Information

Publications55

  1. ncbi request reprint Development and pilot testing of a disease management program for low literacy patients with heart failure
    Darren A DeWalt
    Robert Wood Johnson Clinical Scholars Program, Departments of Medicine and Pediatrics, University of North Carolina, 5034 Old Clinic Building, CB 7105, Chapel Hill, NC 27599, USA
    Patient Educ Couns 55:78-86. 2004
    ..Development and pilot testing of a disease management program for low literacy patients with heart failure...
  2. pmc Multisite randomized trial of a single-session versus multisession literacy-sensitive self-care intervention for patients with heart failure
    Darren A DeWalt
    Division of General Internal Medicine, University of North Carolina School of Medicine, 5041 Old Clinic Bldg, CB 7110, Chapel Hill, NC 27599, USA
    Circulation 125:2854-62. 2012
    ..Self-care training can reduce hospitalization for heart failure (HF), and more intensive intervention may benefit more vulnerable patients, including those with low literacy...
  3. pmc Evaluation of item candidates: the PROMIS qualitative item review
    Darren A DeWalt
    Division of General Internal Medicine and the Cecil G Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, North Carolina, USA
    Med Care 45:S12-21. 2007
    ..Cognitive interviews were used to examine individual items. Items successfully screened through this process were sent to field testing and will be subjected to innovative scale construction procedures...
  4. ncbi request reprint Significance of Medicare and Medicaid programs for the practice of medicine
    Darren A DeWalt
    University of North Carolina School of Medicine, Department of Medicine, Chapel Hill 27599, USA
    Health Care Financ Rev 27:79-90. 2005
    ..We discuss the implications of the relationship between CMS and clinical medicine and how this relationship has changed over time. We conclude with thoughts about potential future efforts at CMS...
  5. doi request reprint Health literacy and child health outcomes: a systematic review of the literature
    Darren A DeWalt
    Cecil G Sheps Center for Health Services Research, Program on Health Literacy, University of North Carolina, Chapel Hill, NC 27599, USA
    Pediatrics 124:S265-74. 2009
    ..To review the relationship between parent and child literacy and child health outcomes and interventions designed to improve child health outcomes for children or parents with low literacy skills...
  6. pmc Low parental literacy is associated with worse asthma care measures in children
    Darren A DeWalt
    Division of General Internal Medicine and the Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC 27599, USA
    Ambul Pediatr 7:25-31. 2007
    ..To determine whether parental literacy is related to emergency department visits, hospitalizations, and days of school missed for children with asthma...
  7. ncbi request reprint Literacy and its relationship with self-efficacy, trust, and participation in medical decision making
    Darren A DeWalt
    School of Medicine, Division of General Internal Medicine, University of North Carolina, Chapel Hill, NC 27599, USA
    Am J Health Behav 31:S27-35. 2007
    ..To examine the relationship between literacy and trust, self-efficacy, and participation in medical decision making in adults with diabetes...
  8. ncbi request reprint Low health literacy: epidemiology and interventions
    Darren A DeWalt
    Division of General Internal Medicine, University of North Carolina School of Medicine, Chapel Hill 27599 7110, USA
    N C Med J 68:327-30. 2007
  9. pmc A heart failure self-management program for patients of all literacy levels: a randomized, controlled trial [ISRCTN11535170]
    Darren A DeWalt
    Division of General Internal Medicine and Clinical Epidemiology, University of North Carolina School of Medicine, Chapel Hill, NC, USA
    BMC Health Serv Res 6:30. 2006
    ..However, no programs have analyzed their usefulness for patients with low literacy. We compared the efficacy of a heart failure self-management program designed for patients with low literacy versus usual care...
  10. doi request reprint Developing and testing the health literacy universal precautions toolkit
    Darren A DeWalt
    Cecil G Sheps Center for Health Services Research, Division of General Internal Medicine, University of North Carolina, Chapel Hill, NC 27599, USA
    Nurs Outlook 59:85-94. 2011
    ..In sum, the HLUP Toolkit holds promise as a means of improving primary care for people with limited health literacy, but further testing is needed...
  11. pmc Literacy and health outcomes: a systematic review of the literature
    Darren A DeWalt
    RTI International University of North Carolina Evidence based Practice Center, Research Triangle Park, NC 27599, USA
    J Gen Intern Med 19:1228-39. 2004
    ..To review the relationship between literacy and health outcomes...
  12. doi request reprint Goal setting in diabetes self-management: taking the baby steps to success
    Darren A DeWalt
    Division of General Internal Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
    Patient Educ Couns 77:218-23. 2009
    ..To evaluate the usefulness of a diabetes self-management guide and a brief counseling intervention in helping patients set and achieve their behavioral goals...
  13. pmc Development of six PROMIS pediatrics proxy-report item banks
    Debra E Irwin
    Department of Epidemiology, University of North Carolina at Chapel Hill, NC 27599, USA
    Health Qual Life Outcomes 10:22. 2012
    ....
  14. pmc The effect of progressive, reinforcing telephone education and counseling versus brief educational intervention on knowledge, self-care behaviors and heart failure symptoms
    David W Baker
    Division of General Internal Medicine, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA
    J Card Fail 17:789-96. 2011
    ..The optimal strategy for promoting self-care for heart failure (HF) is unclear...
  15. pmc Low literacy is associated with increased risk of hospitalization and death among individuals with heart failure
    Jia Rong Wu
    School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 7460, USA
    J Gen Intern Med 28:1174-80. 2013
    ..Low literacy increases the risk for many adverse health outcomes, but the relationship between literacy and adverse outcomes in heart failure (HF) has not been well studied...
  16. pmc Predictors of opioid misuse in patients with chronic pain: a prospective cohort study
    Timothy J Ives
    Division of General Internal Medicine and Clinical Epidemiology, Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
    BMC Health Serv Res 6:46. 2006
    ..We conducted a prospective cohort study to determine the one-year incidence and predictors of opioid misuse among patients enrolled in a chronic pain disease management program within an academic internal medicine practice...
  17. pmc PROMIS Pediatric Peer Relationships Scale: development of a peer relationships item bank as part of social health measurement
    Darren A DeWalt
    Division of General Medicine and Clinical Epidemiology, Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill
    Health Psychol 32:1093-103. 2013
    ..This study's objective was to develop a measure of social health using item response theory as part of the Patient Reported Outcomes Measurement Information System (PROMIS)...
  18. ncbi request reprint Facilitating behavior change with low-literacy patient education materials
    Hilary K Seligman
    Division of General Internal Medicine, San Francisco General Hospital, University of California San Francisco, San Francisco, CA 94143, USA
    Am J Health Behav 31:S69-78. 2007
    ..To describe a process for developing low-literacy health education materials that increase knowledge and activate patients toward healthier behaviors...
  19. ncbi request reprint Influence of patient literacy on the effectiveness of a primary care-based diabetes disease management program
    Russell L Rothman
    Center for Health Services Research, Division of General Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tenn 37232 8300, USA
    JAMA 292:1711-6. 2004
    ..Low literacy is an important barrier for patients with diabetes, but interventions to address low literacy have not been well examined...
  20. pmc Comparison 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
    Darren A DeWalt
    Cecil G Sheps Center for Health Services Research, Division of General Internal Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
    BMC Health Serv Res 9:99. 2009
    ..This study compares a single session self-management HF training program against a multiple session training intervention and examines whether their effects differ by literacy level...
  21. pmc Sampling plan and patient characteristics of the PROMIS pediatrics large-scale survey
    Debra E Irwin
    Department of Epidemiology, University of North Carolina at Chapel Hill, CB 7294, Chapel Hill, NC 27599, USA
    Qual Life Res 19:585-94. 2010
    ..This paper describes a large-scale administration of the Patient-Reported Outcomes Measurement Information System (PROMIS) pediatric items to evaluate measurement characteristics...
  22. pmc An item response analysis of the pediatric PROMIS anxiety and depressive symptoms scales
    Debra E Irwin
    Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
    Qual Life Res 19:595-607. 2010
    ..The psychometric properties of the anxiety and depressive symptom item banks are described...
  23. pmc Construction of the eight-item patient-reported outcomes measurement information system pediatric physical function scales: built using item response theory
    Esi Morgan Dewitt
    Department of Pediatrics, Duke University Medical Center, Durham, NC, USA
    J Clin Epidemiol 64:794-804. 2011
    ..To create self-report physical function (PF) measures for children using modern psychometric methods for item analysis as part of patient-reported outcomes measurement information system (PROMIS)...
  24. pmc PROMIS Pediatric Anger Scale: an item response theory analysis
    Debra E Irwin
    Department of Epidemiology, CB 7295, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
    Qual Life Res 21:697-706. 2012
    ..The objective of the present study was to report on the psychometric properties of the PROMIS Pediatric Anger Scale...
  25. pmc Interventions to improve health outcomes for patients with low literacy. A systematic review
    Michael Pignone
    Division of General Internal Medicine and Cecil G Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC, USA
    J Gen Intern Med 20:185-92. 2005
    ..To perform a systematic review of interventions designed to improve health outcomes for persons with low literacy skills...
  26. ncbi request reprint A randomized trial of a primary care-based disease management program to improve cardiovascular risk factors and glycated hemoglobin levels in patients with diabetes
    Russell L Rothman
    Division of General Internal Medicine, Department of Medicine, Center for Health Services Research, Vanderbilt University Medical Center, Nashville, Tennessee 37232 8300, USA
    Am J Med 118:276-84. 2005
    ..To assess the efficacy of a pharmacist-led, primary care-based, disease management program to improve cardiovascular risk factors and glycated hemoglobin (A(1C)) levels in vulnerable patients with poorly controlled diabetes...
  27. ncbi request reprint Self-reported recall and daily diary-recorded measures of weight monitoring adherence: associations with heart failure-related hospitalization
    Christine D Jones
    Division of General Medicine and Clinical Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
    BMC Cardiovasc Disord 14:12. 2014
    ..We conducted this study to evaluate the association of (1) self-reported recall and (2) daily diary-recorded weight monitoring adherence with heart failure-related (HF-related) hospitalization...
  28. pmc Is adherence to weight monitoring or weight-based diuretic self-adjustment associated with fewer heart failure-related emergency department visits or hospitalizations?
    Christine D Jones
    Department of Social Medicine, University of North Carolina Chapel Hill, NC, USA
    J Card Fail 18:576-84. 2012
    ..We evaluated if adherence to weight monitoring and diuretic self-adjustment was associated with HF-related emergency department (ED) visits or hospitalizations...
  29. pmc A primary care, multi-disciplinary disease management program for opioid-treated patients with chronic non-cancer pain and a high burden of psychiatric comorbidity
    Paul R Chelminski
    Department of Medicine, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA
    BMC Health Serv Res 5:3. 2005
    ..Chronic non-cancer pain is a common problem that is often accompanied by psychiatric comorbidity and disability. The effectiveness of a multi-disciplinary pain management program was tested in a 3 month before and after trial...
  30. pmc Using the PedsQLâ„¢ 3.0 asthma module to obtain scores comparable with those of the PROMIS pediatric asthma impact scale (PAIS)
    David Thissen
    Department of Psychology, CB 3270, Davie Hall, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
    Qual Life Res 20:1497-505. 2011
    ..One advantage of PROMIS is the ability to link other scales to the PROMIS metric...
  31. ncbi request reprint Labor characteristics and program costs of a successful diabetes disease management program
    Russell L Rothman
    Division of General Internal Medicine and Public Health, Department of Medicine, Center for Health Services Research, Vanderbilt University Medical Center, Suite 6000, Medical Center East, Nashville, TN 37232 8300, USA
    Am J Manag Care 12:277-83. 2006
    ..Organizations have invested in disease management programs to improve quality and to reduce costs, but little is known about the labor characteristics and the program costs necessary to implement a program...
  32. ncbi request reprint Transitional care cut hospital readmissions for North Carolina Medicaid patients with complex chronic conditions
    Carlos T Jackson
    Community Care of North Carolina, Raleigh, NC, USA
    Health Aff (Millwood) 32:1407-15. 2013
    ..This study suggests that locally embedded, targeted care coordination interventions can effectively reduce hospitalizations for high-risk populations. ..
  33. pmc Leveling the field: addressing health disparities through diabetes disease management
    Richard O White
    Division of General Internal Medicine, Meharry Medical College, 1005 Dr DB Todd Jr Blvd, Nashville, TN 37208, USA
    Am J Manag Care 16:42-8. 2010
    ..To examine the relationships among patient characteristics, labor inputs, and improvement in glycosylated hemoglobin (A1C) level in a successful primary care-based diabetes disease management program (DDMP)...
  34. pmc Self-care confidence mediates the relationship between perceived social support and self-care maintenance in adults with heart failure
    Crystal W Cene
    Division of General Internal Medicine, University of North Carolina, Chapel Hill, NC 27599, USA
    J Card Fail 19:202-10. 2013
    ..We examined the association between perceived support and self-care behaviors and whether self-care confidence mediates these relationships...
  35. pmc The use of focus groups in the development of the PROMIS pediatrics item bank
    Tasanee R Walsh
    School of Social Work, University of North Carolina at Chapel Hill, Tate Turner Kuralt Bldg, CB 3550, 325 Pittsboro St, Chapel Hill, NC 27599 3550, USA
    Qual Life Res 17:725-35. 2008
    ..We used this information in the development of patient-reported outcome items for the Patient-Reported Outcomes Measurement Information System Pediatrics project...
  36. pmc A cross sectional study examining social desirability bias in caregiver reporting of children's oral health behaviors
    Lauren A Sanzone
    Department of Pediatric Dentistry, School of Dentistry, University of North Carolina, 228 Brauer Hall, Chapel Hill, NC, USA
    BMC Oral Health 13:24. 2013
    ..Our objectives were to compare caregivers' responses to traditional OHB items and newer SDB-modulating items, and to examine the association of caregiver literacy with OHBs...
  37. pmc Content validity in the PROMIS social-health domain: a qualitative analysis of focus-group data
    Liana D Castel
    Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 725 Martin Luther King Jr Blvd, CB 7590, Chapel Hill, NC 27599, USA
    Qual Life Res 17:737-49. 2008
    ..These data will inform the process of improving health-related quality-of-life measures...
  38. pmc Cognitive interviewing methodology in the development of a pediatric item bank: a patient reported outcomes measurement information system (PROMIS) study
    Debra E Irwin
    Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
    Health Qual Life Outcomes 7:3. 2009
    ..The primary objective of this study was to conduct cognitive interviews with children and adolescents to gain feedback on items measuring physical functioning, emotional health, social health, fatigue, pain, and asthma-specific symptoms...
  39. pmc Construction of the Pediatric Asthma Impact Scale (PAIS) for the Patient-Reported Outcomes Measurement Information System (PROMIS)
    Karin B Yeatts
    Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27510, USA Karin
    J Asthma 47:295-302. 2010
    ..PROMIS's main goal was to develop a set of item banks and computerized adaptive tests for the clinical research community. Asthma, as the most common chronic childhood disease, was chosen for a disease-specific pediatric item bank...
  40. pmc Clinic-based versus outsourced implementation of a diabetes health literacy intervention
    Michael S Wolf
    Health Literacy and Learning Program, Division of General Internal Medicine, Feinberg School of Medicine at Northwestern University, 750 N Lake Shore Drive, 10th Floor, Chicago, IL, 60611, USA
    J Gen Intern Med 29:59-67. 2014
    ..We compared two implementation approaches for a health literacy diabetes intervention designed for community health centers...
  41. pmc Item response theory detected differential item functioning between healthy and ill children in quality-of-life measures
    Michelle M Langer
    Thurstone Psychometric Laboratory, University of North Carolina, Davie Hall, CB 3270, Chapel Hill, NC 27599 3270, USA
    J Clin Epidemiol 61:268-76. 2008
    ..To demonstrate the value of item response theory (IRT) and differential item functioning (DIF) methods in examining a health-related quality-of-life measure in children and adolescents...
  42. pmc Development of a proxy-reported pulmonary outcome scale for preterm infants with bronchopulmonary dysplasia
    Sara E Massie
    School of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
    Health Qual Life Outcomes 9:55. 2011
    ....
  43. doi request reprint Assessing literacy in clinical and community settings: the patient perspective
    Barbara Ferguson
    University of North Carolina at Charlotte, Charlotte, North Carolina, USA
    J Health Commun 16:124-34. 2011
    ..Patients recognize the importance of literacy in their health care and most are comfortable with literacy assessments. An important minority, however, object to this practice...
  44. pmc Impact of caregiver literacy on children's oral health outcomes
    Elizabeth Miller
    Department of Pediatric Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
    Pediatrics 126:107-14. 2010
    ..The objective of this study was to examine the relationship of primary caregivers' literacy with children's oral health outcomes...
  45. pmc Development and validation of the Diabetes Numeracy Test (DNT)
    Mary Margaret Huizinga
    Division of General Internal Medicine and Public Health, Department of Medicine, Center for Health Services Research, Vanderbilt University Medical Center, Nashville, USA
    BMC Health Serv Res 8:96. 2008
    ..This paper describes the development and psychometric properties of the Diabetes Numeracy Test (DNT), the first scale to specifically measure numeracy skills used in diabetes...
  46. ncbi request reprint Association of numeracy and diabetes control
    Kerri Cavanaugh
    Vanderbilt University School of Medicine and Veterans Affairs Tennessee Valley Healthcare System, Nashville, Tennessee 37232, USA
    Ann Intern Med 148:737-46. 2008
    ..The influence of a patient's quantitative skills (numeracy) on the management of diabetes is only partially understood...
  47. ncbi request reprint Seleted data related to health literacy in North Carolina
    Paul A Buescher
    State Center for Health Statistics, NC Department of Health and Human Services, USA
    N C Med J 68:377-8. 2007
  48. pmc Quick assessment of literacy in primary care: the newest vital sign
    Barry D Weiss
    University of Arizona College of Medicine, Department of Family and Community Medicine, Tucson 85719, USA
    Ann Fam Med 3:514-22. 2005
    ..Our objective was to develop a quick and accurate screening test for limited literacy available in English and Spanish...
  49. pmc Literacy and health outcomes: is adherence the missing link?
    Michael P Pignone
    J Gen Intern Med 21:896-7. 2006
  50. pmc Use of patient flow analysis to improve patient visit efficiency by decreasing wait time in a primary care-based disease management programs for anticoagulation and chronic pain: a quality improvement study
    Nicholas M Potisek
    BMC Health Serv Res 7:8. 2007
    ..The purpose of the study is to test a method to improve patient visit efficiency...
  51. ncbi request reprint Parents with low literacy report higher quality of parent-provider relationships in a residency clinic
    Marjorie S Rosenthal
    Robert Wood Johnson Clinical Scholars Program and Division of General Pediatrics, Yale University School of Medicine, New Haven, CT 06520, USA
    Ambul Pediatr 7:51-5. 2007
    ..Literacy is one aspect of socioeconomic status. We hypothesized that low parental literacy would be associated with low-quality well-child care...
  52. ncbi request reprint The Spoken Knowledge in Low Literacy in Diabetes scale: a diabetes knowledge scale for vulnerable patients
    Russell L Rothman
    Center for Health Services Research, Vanderbilt University Medical Center, Nashville, Tenneessee 37232 8300, USA
    Diabetes Educ 31:215-24. 2005
    ..The purpose of this study was to develop and validate a new knowledge scale for patients with type 2 diabetes and poor literacy: the Spoken Knowledge in Low Literacy patients with Diabetes (SKILLD)...
  53. ncbi request reprint The role of literacy in health and health care
    Darren A DeWalt
    Am Fam Physician 72:387-8. 2005
  54. ncbi request reprint Health literacy and heart failure care in minority communities
    Michael P Pignone
    Ann Intern Med 146:312; author reply 312. 2007
  55. ncbi request reprint Reading is fundamental: the relationship between literacy and health
    Darren A DeWalt
    Arch Intern Med 165:1943-4. 2005

Research Grants2

  1. Health and Literacy in Child and Adult Assessment(RMI)
    Darren Dewalt; Fiscal Year: 2007
    ..abstract_text> ..