Research Topics
| MARY ELLEN HEISLERSummaryAffiliation: University of Michigan Country: USA Publications
Research Grants
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Detail Information
Publications
Randomized controlled effectiveness trial of reciprocal peer support in heart failureMichele Heisler
Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA
Circ Heart Fail 6:246-53. 2013..Peer support programs have led to improved outcomes among patients with other chronic conditions and may result in similar improvements for patients with HF...- Adults with cardiovascular disease who help others: a prospective study of health outcomesMichele Heisler
VA Center for Clinical Management Research, VA Ann Arbor Healthcare System, PO Box 130170, Ann Arbor, MI 48113 0170, USA
J Behav Med 36:199-211. 2013..Health care providers could play an important role exploring ways that patients with CVD can provide beneficial levels of assistance to others in their own social networks or communities, thereby possibly also improving their own health... - Improving blood pressure control through a clinical pharmacist outreach program in patients with diabetes mellitus in 2 high-performing health systems: the adherence and intensification of medications cluster randomized, controlled pragmatic trialMichele Heisler
VA Center for Clinical Management Research 152, 2215 Fuller Rd, PO Box 130170, Ann Arbor, MI 48113 0170, USA
Circulation 125:2863-72. 2012.... 
Patient strategies to cope with high prescription medication costs: who is cutting back on necessities, increasing debt, or underusing medications?Michele Heisler
Department of Veterans Affairs Center for Practice Management and Outcomes Research and Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA
J Behav Med 28:43-51. 2005....- "I help you, and you help me": facilitated telephone peer support among patients with diabetesMichele Heisler
Veterans Affairs Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor, MI 48113, USA
Diabetes Educ 31:869-79. 2005..The feasibility and acceptability of using an Interactive Voice Response (IVR)-based platform to facilitate peer support among older adults with diabetes was evaluated... - Mechanisms for racial and ethnic disparities in glycemic control in middle-aged and older Americans in the health and retirement studyMichele Heisler
Veterans Affairs Center for Practice Management and Outcome Research, Veterans Affairs Ann Arbor Healthcare Systems, MI 48113 0170, USA
Arch Intern Med 167:1853-60. 2007..Mechanisms for racial/ethnic disparities in glycemic control are poorly understood... - "I am not alone": the feasibility and acceptability of interactive voice response-facilitated telephone peer support among older adults with heart failureMichele Heisler
Veterans Affairs Center for Practice Management and Outcomes Research, Ann Arbor Healthcare System, Ann Arbor, MI 48113 0170, USA
Congest Heart Fail 13:149-57. 2007.... 
Study protocol: the Adherence and Intensification of Medications (AIM) study--a cluster randomized controlled effectiveness studyMichele Heisler
Veterans Affairs Center for Clinical Management Research, VA Ann Arbor Healthcare System 2215 Fuller Road, Ann Arbor, MI 48105, USA
Trials 11:95. 2010..Successful medication management requires an effective partnership between providers who initiate and increase doses of effective medications and patients who adhere to the regimen...- When more is not better: treatment intensification among hypertensive patients with poor medication adherenceMichele Heisler
Veterans Affairs Center for Practice Management and Outcomes Research, VA Ann Arbor Health System, Ann Arbor, MI, USA
Circulation 117:2884-92. 2008..We examined the prevalence of and relationship between patient adherence and provider treatment intensification... - Different models to mobilize peer support to improve diabetes self-management and clinical outcomes: evidence, logistics, evaluation considerations and needs for future researchMichele Heisler
Veterans Affairs Center for Clinical Practice Management Research, VA Ann Arbor Healthcare System, MI, USA
Fam Pract 27:i23-32. 2010.... - Physicians' participatory decision-making and quality of diabetes care processes and outcomes: results from the triad studyM Heisler
Veterans Affairs Center for Practice Management and Outcomes Research, VA Ann Arbor Health System, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA
Chronic Illn 5:165-76. 2009..We examined whether physicians' diabetes-specific treatment PDM preferences as well as their self-reported practices are associated with the quality of diabetes care their patients receive... - Participants' assessments of the effects of a community health worker intervention on their diabetes self-management and interactions with healthcare providersMichele Heisler
Veterans Affairs Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan 48113, USA
Am J Prev Med 37:S270-9. 2009.... - Hospitalizations and deaths among adults with cardiovascular disease who underuse medications because of cost: a longitudinal analysisMichele Heisler
Veterans Affairs Center for Clinical Practice Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI 48113 0170, USA
Med Care 48:87-94. 2010..Less is known about the extent to which such cost-related medication underuse is associated with increases in subsequent hospitalizations and deaths... - Diabetes control with reciprocal peer support versus nurse care management: a randomized trialMichele Heisler
University of Michigan and Ann Arbor Veterans Affairs Health Care System, Ann Arbor, Michigan 48113 0170, USA
Ann Intern Med 153:507-15. 2010..Resource barriers complicate diabetes care management. Support from peers may help patients manage their diabetes... - The relationship between knowledge of recent HbA1c values and diabetes care understanding and self-managementMichele Heisler
HSR and D Field Program, Veterans Affairs Center for Practice Management, VA Ann Arbor Healthcare System, P O Box 130170, 11H, Ann Arbor, MI 48113, USA
Diabetes Care 28:816-22. 2005.... - The relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-managementMichele Heisler
Veterans Affairs Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Mich, USA
J Gen Intern Med 17:243-52. 2002.... - When do patients and their physicians agree on diabetes treatment goals and strategies, and what difference does it make?Michele Heisler
Veterans Affairs Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor, MI 48113 0170, USA
J Gen Intern Med 18:893-902. 2003..However, this hypothesis has not been tested in actual encounters of patients with their own physicians... - The health effects of restricting prescription medication use because of costMichele Heisler
Veterans Affairs Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA
Med Care 42:626-34. 2004..Whether adults experience adverse health outcomes after having restricted medication use because of cost is not known... - How well do patients' assessments of their diabetes self-management correlate with actual glycemic control and receipt of recommended diabetes services?Michele Heisler
Veterans Affairs Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA
Diabetes Care 26:738-43. 2003..We explored these associations in a nationwide sample of Veterans' Affairs (VA) patients with diabetes... - Clinician identification of chronically ill patients who have problems paying for prescription medicationsMichele Heisler
Department of Veterans Affairs Center for Practice Management and Outcomes Research, Ann Arbor, Michigan 48113 0170, USA
Am J Med 116:753-8. 2004..We examined whether and how providers are identifying chronically ill adults who have potential problems paying for prescription medications... - Improving diabetes treatment quality in managed care organizations: some progress, many challengesMichele Heisler
Ann Arbor Veteran's Affairs Center for Practice Management and Outcomes Research and Division of General Internal Medicine, University of Michigan, Ann Arbor, USA
Am J Manag Care 10:115-7. 2004 - Medicaid managed care: are academic medical centers penalized by attracting patients with high-cost conditions?Michele Heisler
The Robert Wood Johnson Clinical Scholars Program, University of Michigan School of Medicine, Ann Arbor, Mich, USA
Am J Manag Care 9:19-29. 2003.... - Racial disparities in diabetes care processes, outcomes, and treatment intensityMichele Heisler
Veterans Affairs Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan 48113 0170, USA
Med Care 41:1221-32. 2003..However, the extent to which differences in medical care processes and treatment intensity contribute to poorer diabetes outcomes is unknown... - Cost-related nonadherence to medications among patients with diabetes and chronic pain: factors beyond financesJacob E Kurlander
University of Michigan Medical School, Ann Arbor, Michigan, USA
Diabetes Care 32:2143-8. 2009..This study examined how cost and noncost factors are associated with patterns of cost-related nonadherence to medications (CRN)... - Telephone-based mutual peer support for depression: a pilot studyJamie Travis
Department of Psychiatry, University of Michigan, Ann Arbor, Michigan, USA
Chronic Illn 6:183-91. 2010..To evaluate the acceptability, feasibility and depression-related outcomes of a telephone-based mutual peer support intervention for individuals with continued depressive symptoms in specialty mental health treatment... - Children's roles in parents' diabetes self-managementHelena H Laroche
Department of Internal Medicine, Division of General Medicine, University of Iowa, VA Medical Center, 601 Highway 6 West, Iowa City, IA 52246, USA
Am J Prev Med 37:S251-61. 2009..Family support is important in diabetes self-management. However, children as providers of support have received little attention. This study examines the role of children in their parents' diabetes self-management, diet, and exercise... - Chronic disease - related behaviors and health among African Americans and Hispanics in the REACH Detroit 2010 communities, Michigan, and the United StatesEdith C Kieffer
University of Michigan School of Social Work in Ann Arbor, Michigan, USA
Health Promot Pract 7:256S-64S. 2006..CONCLUSIONS: Surveillance of health behaviors in high-risk communities contributes to planning interventions and policies for reducing racial and ethnic disparities... - Strangers in a strange land: health care experiences for recent Latino immigrants in Midwest communitiesNurit Harari
University of Michigan, Ann Arbor, MI, USA
J Health Care Poor Underserved 19:1350-67. 2008..Although public health initiatives have been created to expand health care services to uninsured adults and children, little is known about whether and to what extent new immigrants benefit from such resources... - Multicenter cluster-randomized trial of a multifactorial intervention to improve antihypertensive medication adherence and blood pressure control among patients at high cardiovascular risk (the COM99 study)Manel Pladevall
Center for Health Services Research, Henry Ford Hospital, One Ford Place 3A, Detroit, MI, USA
Circulation 122:1183-91. 2010..This study assessed the effectiveness of a multifactorial intervention to improve both medication adherence and blood pressure control and to reduce cardiovascular events... - The development of a pilot training program for peer leaders in diabetes: process and contentTricia S Tang
University of Michigan, Department of Medical Education, Ann Arbor, MI, USA
Diabetes Educ 37:67-77. 2011..The goal of this study is to describe the process of developing a program that trains peers to facilitate an empowerment-based diabetes self-management support intervention... - The association of perceived abuse and discrimination after September 11, 2001, with psychological distress, level of happiness, and health status among Arab AmericansAasim I Padela
Department of Internal Medicine, University of Michigan, 6312 Medical Science Building I, 1150 W Medical Center Dr, Ann Arbor, MI 48109 5604, USA
Am J Public Health 100:284-91. 2010..We assessed the prevalence of perceived abuse and discrimination among Arab American adults after September 11, 2001, and associations between abuse or discrimination and psychological distress, level of happiness, and health status... - Experience and management of chronic pain among patients with other complex chronic conditionsAmy Butchart
Department of Veterans Affairs Health Services Research and Development Center of Excellence, VA Ann Arbor Healthcare System, Ann Arbor, MI 48113, USA
Clin J Pain 25:293-8. 2009..The purpose of this study was to examine the experience and management of chronic pain among adult patients with other complex chronic conditions, specifically diabetes and heart failure (HF)... - Problems paying out-of-pocket medication costs among older adults with diabetesJohn D Piette
Department of Veterans Affairs Center for Practice Management and Outcomes Research and Department of Internal Medicine and Michigan Diabetes Research and Training Center, University of Michigan, Ann Arbor, Michigan 48113 0170, USA
Diabetes Care 27:384-91. 2004..To identify problems faced by older adults with diabetes due to out-of-pocket medication costs... - Association between cognitive function and social support with glycemic control in adults with diabetes mellitusToru Okura
Divisions of Geriatric Medicine, Department of Internal Medicine, University of Michigan at Ann Arbor, Michigan Department of Veterans Affairs, Ann Arbor, Michigan, USA
J Am Geriatr Soc 57:1816-24. 2009..To examine whether cognitive impairment in adults with diabetes mellitus is associated with worse glycemic control and to assess whether level of social support for diabetes mellitus care modifies this relationship... - Family influences on self-management among functionally independent adults with diabetes or heart failure: do family members hinder as much as they help?Ann Marie Rosland
Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA
Chronic Illn 6:22-33. 2010..We then identified patient characteristics associated with family support and family barriers and how each was associated with self-management adherence... - Beliefs about prescription medications among patients with diabetes: variation across racial groups and influences on cost-related medication underuseJohn D Piette
Ann Arbor HSR and D Center of Excellence, P O Box 130170, Ann Arbor, MI 48113 0170, USA
J Health Care Poor Underserved 21:349-61. 2010..This study sought to understand differences across racial groups in diabetes patients' medication-related beliefs and adherence problems due to cost concerns... - Patient-provider concordance in the prioritization of health conditions among hypertensive diabetes patientsDonna M Zulman
Department of Veterans Affairs, Health Services Research and Development Center of Excellence, Ann Arbor, MI, USA
J Gen Intern Med 25:408-14. 2010..Many patients with diabetes have multiple other chronic conditions, but little is known about whether these patients and their primary care providers agree on the relative importance that they assign these comorbidities... - Dimensions of patient-provider communication and diabetes self-care in an ethnically diverse populationJohn D Piette
Center for Practice Management and Outcomes Research, VA Ann Arbor Health Care System, Ann Arbor, Mich 48113 0170, USA
J Gen Intern Med 18:624-33. 2003..However, the relative impact of general versus disease-specific communication on self-management is poorly understood, as are the determinants of these 2 communication dimensions... - When is social support important? The association of family support and professional support with specific diabetes self-management behaviorsAnn Marie Rosland
Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA
J Gen Intern Med 23:1992-9. 2008..Social support is associated with better diabetes self-management behavior (SMB), yet interventions to increase family and friend support (FF support) have had inconsistent effects on SMB... - Cost-related medication underuse: do patients with chronic illnesses tell their doctors?John D Piette
Department of Veterans Affairs Center for Practice Management and Outcomes Research, University of Michigan, Ann Arbor 48113 0170, USA
Arch Intern Med 164:1749-55. 2004..Although many chronically ill patients underuse prescription medications because of cost concerns, we know little about their discussions with clinicians about this issue... - Cost-related medication underuse among chronically ill adults: the treatments people forgo, how often, and who is at riskJohn D Piette
Center for Practice Management and Outcomes Research, VA Ann Arbor Health Care System, PO Box 130170, Ann Arbor, MI 48113 0170, USA
Am J Public Health 94:1782-7. 2004..We sought information about the cost-related underuse of medications-which medications are underused, by whom, and how often... - The relationship between older adults' knowledge of their drug coverage and medication cost problemsJohn D Piette
Department of Veterans Affairs Center for Practice Management and Outcomes Research, Ann Arbor, Michigan 48113, USA
J Am Geriatr Soc 54:91-6. 2006..To determine whether chronically ill patients have gaps in knowledge about their prescription drug coverage and establish the relationship between gaps and medication cost problems... - Medication characteristics beyond cost alone influence decisions to underuse pharmacotherapy in response to financial pressuresJohn D Piette
Department of Veterans Affairs Center for Practice Management and Outcomes Research, University of Michigan, Ann Arbor, MI 48113 0170, USA
J Clin Epidemiol 59:739-46. 2006..We also identified differences in cost-related underuse between symptom-relief medications (e.g., analgesics) and primarily "preventive" medications (e.g., antihypertensives)... - Diabetes-specific emotional distress among African Americans and Hispanics with type 2 diabetesMichael S Spencer
University of Michigan School of Social Work, USA
J Health Care Poor Underserved 17:88-105. 2006.... - The role of patient-physician trust in moderating medication nonadherence due to cost pressuresJohn D Piette
Center for Practice Management and Outcomes Research, Veterans Affairs Ann Arbor Health Care System, Ann Arbor, MI 48113 0170, USA
Arch Intern Med 165:1749-55. 2005..We examined the extent to which patients' trust in their physicians may moderate the impact of economic constraints and other risk factors for cost-related adherence problems... - Differential medication adherence among patients with schizophrenia and comorbid diabetes and hypertensionJohn D Piette
Health Services Research and Development, Department of Veterans Affairs, Ann Arbor, Michigan, USA
Psychiatr Serv 58:207-12. 2007..Medication adherence was examined among patients with schizophrenia and comorbid physical conditions for consistency across therapeutic classes... - Overcoming the influence of chronic pain on older patients' difficulty with recommended self-management activitiesSarah L Krein
VA HSR and D, VA Ann Arbor HCS, P O Box 130170, Ann Arbor, MI 48113 0170, USA
Gerontologist 47:61-8. 2007..We examined how chronic pain affects patients' difficulty with recommended self-management activities and the potential intervening role of self-efficacy (the level of confidence in one's own ability to perform a specific task)... - Glycemic self-monitoring and insurance coverageMichele Heisler
Ann Arbor VA Center for Practice Management and Outcomes Research and the Division of General Medicine, University of Michigan Health System, Ann Arbor 48113, USA
CMAJ 171:48-9. 2004 - Impact of patient financial incentives on participation and outcomes in a statin pill-splitting programHae Mi Choe
College of Pharmacy, University of Michigan, and the University of Michigan Hospitals and Health Centers, Ann Arbor, MI, USA
Am J Manag Care 13:298-304. 2007..To examine willingness to participate in a pill-splitting program and the impact of pill splitting on patients' adherence and lipid control... - Beyond comorbidity counts: how do comorbidity type and severity influence diabetes patients' treatment priorities and self-management?Eve A Kerr
VA HSR and D Center of Excellence, VA Ann Arbor Health Care System, Ann Arbor, MI, USA
J Gen Intern Med 22:1635-40. 2007..The majority of older adults have 2 or more chronic conditions and among patients with diabetes, 40% have at least three... - Racial and Ethnic Approaches to Community Health (REACH) Detroit partnership: improving diabetes-related outcomes among African American and Latino adultsJacqueline Two Feathers
Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, USA
Am J Public Health 95:1552-60. 2005..We sought to determine the effects of a community-based, culturally tailored diabetes lifestyle intervention on risk factors for diabetes complications among African Americans and Latinos with type 2 diabetes... - Problems due to medication costs among VA and non-VA patients with chronic illnessesJohn D Piette
Department of Veterans Affairs Center for Practice Management and Outcomes Research, Ann Arbor, MI 48113 0170, USA
Am J Manag Care 10:861-8. 2004.... - Does physician communication influence older patients' diabetes self-management and glycemic control? Results from the Health and Retirement Study (HRS)Michele Heisler
Veterans Affairs Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Michigan 48109, USA
J Gerontol A Biol Sci Med Sci 62:1435-42. 2007..We assessed the relative importance of two dimensions of physician communication-provision of information (PCOM) and participatory decision-making (PDM)-for older patients' diabetes self-management and glycemic control... - Improving heart failure self-management support by actively engaging out-of-home caregivers: results of a feasibility studyJohn D Piette
Department of Veterans Affairs, Ann Arbor VA HSR and D Center of Excellence, Ann Arbor, MI 48113, USA
Congest Heart Fail 14:12-8. 2008..At follow-up, 75% had made changes in their self-care as a result of the intervention. The CP program may extend the impact of HF telemonitoring beyond what care management programs can realistically deliver... - The effect of chronic pain on diabetes patients' self-managementSarah L Krein
Center for Practice Management and Outcomes Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan, USA
Diabetes Care 28:65-70. 2005..Many adults experience chronic pain, yet little is known about the consequences of such pain among individuals with diabetes. The purpose of this study was to examine whether and how chronic pain affects diabetes self-management... - A conceptually based approach to understanding chronically ill patients' responses to medication cost pressuresJohn D Piette
VA Healthcare System and University of Michigan, Ann Arbor, MI, USA
Soc Sci Med 62:846-57. 2006..The next generation of studies examining the consequences of prescription drug costs should expand our knowledge of the ways in which these co-factors influence patients' responses to medication cost pressures... - Family and friend participation in primary care visits of patients with diabetes or heart failure: patient and physician determinants and experiencesAnn Marie Rosland
Veterans Affairs Center for Clinical Management Research, VA Ann Arbor Health Care System, Ann Arbor, MI 48113 0170, USA
Med Care 49:37-45. 2011..Little is known about the current level of participation of family and friends in the physician visits of adults with chronic illnesses or how that participation affects the experience of patients and physicians... - Efficacy of peer support interventions for depression: a meta-analysisPaul N Pfeiffer
Health Services Research and Development, Department of Veterans Affairs, Ann Arbor, MI, USA
Gen Hosp Psychiatry 33:29-36. 2011..To assess the efficacy of peer support for reducing symptoms of depression... - Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand?Kirsten G Engel
Department of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA
Ann Emerg Med 53:454-461.e15. 2009..The objective of this study is to assess, at discharge, patients' comprehension of their ED care and instructions and their awareness of deficiencies in their comprehension... - When adults with diabetes attempt to drink less soda: resulting adult-child interactions and household changesHelena H Laroche
Division of General Medicine, Department of Internal Medicine, University of Iowa, Iowa City, IA, USA
J Natl Med Assoc 100:1004-11. 2008..To examine adult-child interactions related to soda consumption in families where 1 inner-city African-American or Latino adult with diabetes is attempting lifestyle changes... - What about the children? The experience of families involved in an adult-focused diabetes interventionHelena H Laroche
Division of General Medicine, Department of Internal Medicine, University of Iowa, VA Medical Center mailstop 152, Iowa City, IA 52246, USA
Public Health Nutr 11:427-36. 2008..Among adults with diabetes attempting to change their own diets, we explored how these adults approached providing food for their children and how their children reacted to dietary changes in the household... - Racial and ethnic disparities in the treatment of cerebrovascular diseases: importance to the practicing neurosurgeonSonia V Eden
Department of Neurosurgery, University of Michigan Health System, Ann Arbor, MI, USA
Neurocrit Care 9:55-73. 2008....
Research Grants
- Peer Support--Congestive Heart Failure Self-ManagementMARY ELLEN HEISLER; Fiscal Year: 2007..If found effective, this approach could be used to improve health outcomes among patients with other chronic conditions, such as depression, chronic pain, or diabetes. ..
- Peer Support--Congestive Heart Failure Self-ManagementMARY ELLEN HEISLER; Fiscal Year: 2009..If found effective, this approach could be used to improve health outcomes among patients with other chronic conditions, such as depression, chronic pain, or diabetes. ..
- Peer Support--Congestive Heart Failure Self-ManagementMARY ELLEN HEISLER; Fiscal Year: 2009..If found effective, this approach could be used to improve health outcomes among patients with other chronic conditions, such as depression, chronic pain, or diabetes. ..