Darren A DeWalt

Summary

Affiliation: University of North Carolina
Country: USA

Publications

  1. ncbi 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. ncbi 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. ncbi 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
  4. ncbi 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
  5. ncbi 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
  6. ncbi 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
  7. ncbi 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
  8. ncbi 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
  9. ncbi 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
  10. ncbi 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

Research Grants

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

Detail Information

Publications48

  1. ncbi 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
    ..CONCLUSION: A heart failure disease management program designed specifically for patients with low literacy skills is acceptable and is associated with improvement in self-care behavior and heart failure related symptoms...
  2. ncbi 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. ncbi 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
  4. ncbi 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...
  5. ncbi 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...
  6. ncbi 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...
  7. ncbi 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...
  8. ncbi 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...
  9. ncbi 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...
  10. ncbi 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...
  11. ncbi 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...
  12. ncbi 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...
  13. ncbi 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. ncbi 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. ncbi 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...
  16. ncbi 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...
  17. ncbi 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...
  18. ncbi 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...
  19. ncbi 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...
  20. ncbi 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...
  21. ncbi 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)...
  22. ncbi 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...
  23. ncbi 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...
  24. ncbi 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...
  25. ncbi 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...
  26. ncbi 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...
  27. ncbi Using the PedsQL™ 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...
  28. ncbi 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...
  29. ncbi 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)...
  30. ncbi 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...
  31. ncbi 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...
  32. ncbi 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...
  33. ncbi 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...
  34. ncbi 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...
  35. ncbi 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...
  36. ncbi 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
    ....
  37. ncbi 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...
  38. ncbi 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...
  39. ncbi 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...
  40. ncbi 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...
  41. ncbi 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...
  42. ncbi 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
  43. ncbi 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
    ..CONCLUSION: Patient Flow Analysis is an effective technique to identify inefficiencies in the patient visit and efficiently collect patient flow data. Once inefficiencies are identified they can be improved through brief interventions...
  44. ncbi Literacy and health outcomes: is adherence the missing link?
    Michael P Pignone
    J Gen Intern Med 21:896-7. 2006
  45. ncbi The role of literacy in health and health care
    Darren A DeWalt
    Am Fam Physician 72:387-8. 2005
  46. ncbi 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)...
  47. ncbi Reading is fundamental: the relationship between literacy and health
    Darren A DeWalt
    Arch Intern Med 165:1943-4. 2005
  48. ncbi Health literacy and heart failure care in minority communities
    Michael P Pignone
    Ann Intern Med 146:312; author reply 312. 2007

Research Grants2

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