D R Mehr

Summary

Affiliation: University of Missouri
Country: USA

Publications

  1. pmc Asymptomatic bacteriuria, antibiotic use, and suspected urinary tract infections in four nursing homes
    Charles D Phillips
    Texas A and M Health Science Center, 1266 TAMU, College Station, TX 77843, USA
    BMC Geriatr 12:73. 2012
  2. pmc Data management for prospective research studies using SAS software
    Robin L Kruse
    Department of Family and Community Medicine, University of Missouri School of Medicine, Columbia, MO 65212, USA
    BMC Med Res Methodol 8:61. 2008
  3. ncbi request reprint Mortality from lower respiratory infection in nursing home residents. A pilot prospective community-based study
    D R Mehr
    Department of Family and Community Medicine, Sinclair School of Nursing, University of Missouri Columbia 65212, USA
    J Fam Pract 47:298-304. 1998
  4. ncbi request reprint Lower respiratory infections in nursing home residents with dementia: a tale of two countries
    David R Mehr
    Department of Family and Community Medicine, University of Missouri Columbia, M228 Medical Sciences Building, 1 Hospital Drive, Columbia, MO 65212, USA
    Gerontologist 43:85-93. 2003
  5. ncbi request reprint Caring for people with pneumonia
    David R Mehr
    University of Missouri Columbia, USA
    Provider 29:33-6. 2003
  6. ncbi request reprint Primary prevention of disease of old age
    David R Mehr
    Department of Family and Community Medicine, University of Missouri Columbia, MA306 Medical Sciences Building, Columbia, MO 65212, USA
    Clin Geriatr Med 18:407-30. 2002
  7. ncbi request reprint Predicting mortality in nursing home residents with lower respiratory tract infection: The Missouri LRI Study
    D R Mehr
    Department of Family and Community Medicine, MA306 Medical Sciences Building, Columbia, MO 65212, USA
    JAMA 286:2427-36. 2001
  8. ncbi request reprint Clinical findings associated with radiographic pneumonia in nursing home residents
    D R Mehr
    Department of Family and Community Medicine, M228 Medical Sciences Bldg, University of Missouri Columbia, Columbia, MO 65212, USA
    J Fam Pract 50:931-7. 2001
  9. ncbi request reprint Setting thresholds for quality indicators derived from MDS data for nursing home quality improvement reports: an update
    M J Rantz
    Sinclair School of Nursing, University of Missouri Columbia MU, USA
    Jt Comm J Qual Improv 26:101-10. 2000
  10. ncbi request reprint The cost of treating pneumonia in the nursing home setting
    Robin L Kruse
    Department of Family and Community Medicine, University of Missouri Columbia, MO, USA
    J Am Med Dir Assoc 4:81-9. 2003

Research Grants

Detail Information

Publications43

  1. pmc Asymptomatic bacteriuria, antibiotic use, and suspected urinary tract infections in four nursing homes
    Charles D Phillips
    Texas A and M Health Science Center, 1266 TAMU, College Station, TX 77843, USA
    BMC Geriatr 12:73. 2012
    ..This research investigates factors associated with the use of antibiotics to treat asymptomatic bacteriuria (ASB) among nursing home residents...
  2. pmc Data management for prospective research studies using SAS software
    Robin L Kruse
    Department of Family and Community Medicine, University of Missouri School of Medicine, Columbia, MO 65212, USA
    BMC Med Res Methodol 8:61. 2008
    ..Maintaining data quality and integrity is important for research studies involving prospective data collection. Data must be entered, erroneous or missing data must be identified and corrected if possible, and an audit trail created...
  3. ncbi request reprint Mortality from lower respiratory infection in nursing home residents. A pilot prospective community-based study
    D R Mehr
    Department of Family and Community Medicine, Sinclair School of Nursing, University of Missouri Columbia 65212, USA
    J Fam Pract 47:298-304. 1998
    ..We sought to prospectively evaluate risk factors for mortality from LRI in community nursing home residents...
  4. ncbi request reprint Lower respiratory infections in nursing home residents with dementia: a tale of two countries
    David R Mehr
    Department of Family and Community Medicine, University of Missouri Columbia, M228 Medical Sciences Building, 1 Hospital Drive, Columbia, MO 65212, USA
    Gerontologist 43:85-93. 2003
    ..We compared treatment and mortality in U.S. and Dutch nursing home residents with lower respiratory infections (LRI), which are often the immediate cause of death in dementia...
  5. ncbi request reprint Caring for people with pneumonia
    David R Mehr
    University of Missouri Columbia, USA
    Provider 29:33-6. 2003
  6. ncbi request reprint Primary prevention of disease of old age
    David R Mehr
    Department of Family and Community Medicine, University of Missouri Columbia, MA306 Medical Sciences Building, Columbia, MO 65212, USA
    Clin Geriatr Med 18:407-30. 2002
    ..As we gain new knowledge about genetic and other risk factors, we may be able to more accurately and effectively target preventive services to maximize benefits and minimize harms in the population as a whole...
  7. ncbi request reprint Predicting mortality in nursing home residents with lower respiratory tract infection: The Missouri LRI Study
    D R Mehr
    Department of Family and Community Medicine, MA306 Medical Sciences Building, Columbia, MO 65212, USA
    JAMA 286:2427-36. 2001
    ..Treatment decisions may be aided by a clinical prediction rule that identifies residents at low and high risk of mortality...
  8. ncbi request reprint Clinical findings associated with radiographic pneumonia in nursing home residents
    D R Mehr
    Department of Family and Community Medicine, M228 Medical Sciences Bldg, University of Missouri Columbia, Columbia, MO 65212, USA
    J Fam Pract 50:931-7. 2001
    ..We sought to identify clinical findings (signs, symptoms, and simple laboratory studies) associated with radiographic pneumonia in sick nursing home residents...
  9. ncbi request reprint Setting thresholds for quality indicators derived from MDS data for nursing home quality improvement reports: an update
    M J Rantz
    Sinclair School of Nursing, University of Missouri Columbia MU, USA
    Jt Comm J Qual Improv 26:101-10. 2000
    ..Thresholds were now set for the revised MDS 2.0 two-page quarterly form and Resource Utilization Groups III (RUGS III) quarterly instrument...
  10. ncbi request reprint The cost of treating pneumonia in the nursing home setting
    Robin L Kruse
    Department of Family and Community Medicine, University of Missouri Columbia, MO, USA
    J Am Med Dir Assoc 4:81-9. 2003
    ..To determine the costs of treating pneumonia in the nursing home setting and explore what factors are most responsible for that cost with a view to reducing cost...
  11. ncbi request reprint Metabolic effects of interventions to increase exercise in adults with type 2 diabetes
    V S Conn
    School of Nursing, University of Missouri, Columbia, MO 65211, USA
    Diabetologia 50:913-21. 2007
    ....
  12. ncbi request reprint Why geriatrics? Academic geriatricians' perceptions of the positive, attractive aspects of geriatrics
    D D Cravens
    Department of Family and Community Medicine, University of Missouri Columbia
    Fam Med 32:34-41. 2000
    ..Although barriers to entering geriatrics practice have been identified, a review of the literature found few studies about why people choose to enter geriatrics...
  13. ncbi request reprint Home-based comprehensive assessment of rural elderly persons: the CARE project
    David D Cravens
    Department of Family and Community Medicine, University of Missouri Columbia School of Medicine, Columbia, MO 65212, USA
    J Rural Health 21:322-8. 2005
    ..We sought to develop and pilot a model of rural home-based CGA to determine whether successful urban models can be adapted to rural areas...
  14. ncbi request reprint Measuring pain presence and intensity in nursing home residents
    Wen Chieh Lin
    Department of Family and Community Medicine, University of Missouri Columbia, Columbia, MO 65212, USA
    J Am Med Dir Assoc 7:147-53. 2006
    ..To examine the extent of agreement between nursing home residents' (or their proxies') reports of pain presence and intensity as derived from an interview questionnaire and the Minimum Data Set (MDS) nearest to the interview date...
  15. ncbi request reprint Field testing, refinement, and psychometric evaluation of a new measure of nursing home care quality
    Marilyn J Rantz
    School of Nursing, University of Missouri, Columbia 65211, USA
    J Nurs Meas 14:129-48. 2006
    ..Generalizability Theory analyses revealed that dependability of scores can be improved by including a second site observer, or by revisiting a site. There is a small additional benefit from increasing observers or visits beyond two...
  16. pmc Field testing, refinement, and psychometric evaluation of a new measure of quality of care for assisted living
    Marilyn J Rantz
    Sinclair School of Nursing and Family and Community Medicine, School of Medicine, University Hospital, University of Missouri, Columbia, MO 65211, USA
    J Nurs Meas 16:16-30. 2008
    ..43 on a four-point scale). The OIQ-AL gives reliable and valid scores for researchers, and may be useful for consumers, providers, and others interested in measuring quality of care in assisted-living facilities...
  17. doi request reprint Using mortality risk scores for long-term prognosis of nursing home residents: caution is recommended
    Robin L Kruse
    Department of Family and Community Medicine, University of Missouri, Columbia, MO 65212, USA
    J Gerontol A Biol Sci Med Sci 65:1235-41. 2010
    ..We compared performance of four long-term mortality risk indices for nursing home residents-the Minimum Data Set Mortality Risk Index (MMRI), a recent revision to this index (MMRI-R), and the original and revised Flacker-Kiely models...
  18. doi request reprint Effect of weight-bearing activity on foot ulcer incidence in people with diabetic peripheral neuropathy: feet first randomized controlled trial
    Joseph W Lemaster
    Department of Family and Community Medicine, School of Medicine, University of Missouri, MA306 K Medical Science Building, DC032 00, Columbia, MO 65212, USA
    Phys Ther 88:1385-98. 2008
    ..Weight-bearing exercise has been contraindicated among people with diabetic peripheral neuropathy (DM+PN). However, recent cohort studies have suggested that daily weight-bearing activity is associated with lower risk for foot ulceration...
  19. pmc Interventions to increase physical activity among healthy adults: meta-analysis of outcomes
    Vicki S Conn
    University of Missouri School of Nursing, Columbia, MO, USA
    Am J Public Health 101:751-8. 2011
    ..We conducted a meta-analysis summarizing the effects of interventions designed to increase physical activity among healthy adults...
  20. doi request reprint Interventions to improve medication adherence among older adults: meta-analysis of adherence outcomes among randomized controlled trials
    Vicki S Conn
    RN, S317 Sinclair School of Nursing, University of Missouri, Columbia, MO 65211, USA
    Gerontologist 49:447-62. 2009
    ..This study investigated the effectiveness of interventions to improve medication adherence (MA) in older adults...
  21. ncbi request reprint Attending and resident physician perceptions of an EMR-generated rounding report for adult inpatient services
    Karl M Kochendorfer
    Department of Family and Community Medicine, University of Missouri, Columbia, MO 65212, USA
    Fam Med 42:343-9. 2010
    ..We created a completely electronic medical record (EMR)-generated rounding report for use during pre-rounding, team rounds, and sign-out/hand-offs. We hypothesized that this would reduce workloads...
  22. pmc Antibiotic treatment and survival of nursing home patients with lower respiratory tract infection: a cross-national analysis
    Robin L Kruse
    Department of Family and Community Medicine, University of Missouri Columbia, MO 65212, USA
    Ann Fam Med 3:422-9. 2005
    ....
  23. doi request reprint Physician recommendations for mammography in women aged 70 and older
    Julie M Kapp
    Department of Family and Community Medicine, University of Missouri, Columbia, Missouri, USA
    J Am Geriatr Soc 56:2100-6. 2008
    ..S. women aged 70 and older who reported a recent mammography recommendation and to identify whether factors suggesting limited life expectancy, such as comorbidities, are associated with a lower probability of a reported recommendation...
  24. ncbi request reprint Does hospitalization impact survival after lower respiratory infection in nursing home residents?
    Robin L Kruse
    Department of Family and Community Medicine, School of Medicine, University of Missouri Columbia, Columbia, Missouri 65212, USA
    Med Care 42:860-70. 2004
    ..Lower respiratory infection (LRI) is the leading cause of hospitalization for nursing home residents, but hospitalization is costly and may cause complications...
  25. ncbi request reprint Statewide strategy to improve quality of care in nursing facilities
    Marilyn J Rantz
    Sinclair School of Nursing, University of Missouri Columbia, Columbia, MO 65211, USA
    Gerontologist 43:248-58. 2003
    ..We describe the development of a statewide strategy to improve resident outcomes in nursing facilities, and we present some evaluative data from this strategy...
  26. ncbi request reprint Randomized trial of 2 interventions to increase older women's exercise
    Vicki S Conn
    School of Nursing, University of Missouri, Columbia, MO 65211, USA
    Am J Health Behav 27:380-8. 2003
    ..To test 2 interventions to increase older women's physical activity...
  27. ncbi request reprint Effect of do-not-resuscitate orders on hospitalization of nursing home residents evaluated for lower respiratory infections
    Steven C Zweig
    Department of Family and Community Medicine, University of Missouri Columbia School of Medicine, Columbia, Missouri 65212, USA
    J Am Geriatr Soc 52:51-8. 2004
    ....
  28. ncbi request reprint Stability and sensitivity of nursing home quality indicators
    Marilyn J Rantz
    Sinclair School of Nursing, School of Medicine, University of Missouri Columbia, Columbia, MO 65211, USA
    J Gerontol A Biol Sci Med Sci 59:79-82. 2004
  29. ncbi request reprint Nursing home quality, cost, staffing, and staff mix
    Marilyn J Rantz
    Sinclair School of Nursing, University of Missouri Columbia, Columbia, MO 65211, USA
    Gerontologist 44:24-38. 2004
    ..The purpose of this study was to describe the processes of care, organizational attributes, cost of care, staffing level, and staff mix in a sample of Missouri homes with good, average, and poor resident outcomes...
  30. ncbi request reprint Randomized clinical trial of a quality improvement intervention in nursing homes
    M J Rantz
    Sinclair School of Nursing, University of Missouri Columbia, Columbia, MO 65211, USA
    Gerontologist 41:525-38. 2001
    ....
  31. pmc Changes in the use of postacute care during the initial Medicare payment reforms
    Wen Chieh Lin
    Department of Family and Community Medicine, University of Missouri Columbia, M226 Medical Sciences Building, Columbia, MO 65212, USA
    Health Serv Res 41:1338-56. 2006
    ..To examine changes in postacute care (PAC) use during the initial Medicare payment reforms enacted by the Balanced Budget Act of 1997...
  32. ncbi request reprint Entrepreneurial program of research and service to improve nursing home care
    Marilyn J Rantz
    University of Missouri Columbia, USA
    West J Nurs Res 28:918-34. 2006
    ..Descriptions of the Quality Improvement Program for Missouri and the Aging in Place Project are detailed to illustrate real-world application of research to practice...
  33. ncbi request reprint Treatment strategy and risk of functional decline and mortality after nursing-home acquired lower respiratory tract infection: two prospective studies in residents with dementia
    Jenny T van der Steen
    Department of Nursing Home Medicine, EMGO Institute, VU University Medical Center, Amsterdam, The Netherlands
    Int J Geriatr Psychiatry 22:1013-9. 2007
    ..Few large prospective studies have been conducted...
  34. ncbi request reprint Comorbidity and 1-year mortality risks in nursing home residents
    Pieter T M van Dijk
    Institute for Research in Extramural Medicine, VU University Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands
    J Am Geriatr Soc 53:660-5. 2005
    ..To investigate the effect of chronic diseases and disease combinations on 1-year mortality in nursing home residents...
  35. ncbi request reprint Severe dementia and adverse outcomes of nursing home-acquired pneumonia: evidence for mediation by functional and pathophysiological decline
    Jenny T van der Steen
    Department of Nursing Home Medicine, Institute for Research in Extramural Medicine EMGO Institute, VU University Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands
    J Am Geriatr Soc 50:439-48. 2002
    ..To assess whether the severity of dementia is related to unfavorable outcomes of nursing home-acquired pneumonia and how this relationship is mediated...
  36. ncbi request reprint Predictors of short-term functional decline in survivors of nursing home-acquired lower respiratory tract infection
    Ellen F Binder
    Department of Internal Medicine, Washington University School of Medicine, St Louis, Missouri, USA
    J Gerontol A Biol Sci Med Sci 58:60-7. 2003
    ....
  37. ncbi request reprint Predictors of mortality for lower respiratory infections in nursing home residents with dementia were validated transnationally
    Jenny T van der Steen
    EMGO Institute, VU University Medical Center, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands
    J Clin Epidemiol 59:970-9. 2006
    ..Generalizability of clinical predictors for mortality from lower respiratory infection (LRI) in nursing home residents has not been assessed for residents with dementia...
  38. ncbi request reprint End-of-life decision making in nursing home residents with dementia and pneumonia: Dutch physicians' intentions regarding hastening death
    Jenny T van der Steen
    Institute for Research in Extramural Medicine EMGO Institute of the VU University Medical Center, Amsterdam, The Netherlands
    Alzheimer Dis Assoc Disord 19:148-55. 2005
    ..The results reflect the importance of explicit goals for medical interventions in patients with end-stage dementia where life-prolonging treatments may be seen as prolonging suffering...
  39. ncbi request reprint Defining severe dementia with the Minimum Data Set
    Jenny T van der Steen
    EMGO Institute of the VU University Medical Center, Amsterdam, The Netherlands
    Int J Geriatr Psychiatry 21:1099-106. 2006
    ..Accurately defining severe dementia is important for care and prognosis, but is not explicitly included in the Minimum Data Set (MDS)...
  40. ncbi request reprint Treatment of nursing home residents with dementia and lower respiratory tract infection in the United States and The Netherlands: an ocean apart
    Jenny T van der Steen
    Institute for Research in Extramural Medicine EMGO Institute, VU University Medical Center, Amsterdam, The Netherlands
    J Am Geriatr Soc 52:691-9. 2004
    ..To compare treatment of nursing home residents with dementia and lower respiratory tract infection (LRI) in Missouri and the Netherlands...
  41. ncbi request reprint Dementia, lower respiratory tract infection, and long-term mortality
    Jenny T van der Steen
    EMGO Institute of the VU University Medical Center, Amsterdam, The Netherlands
    J Am Med Dir Assoc 8:396-403. 2007
    ..To examine long-term mortality and its determinants in nursing home residents with dementia diagnosed with a lower respiratory tract infection (LRI)...
  42. ncbi request reprint Do findings of high mortality from pneumonia in the elderly make it the old man's friend?
    Jenny T van der Steen
    Arch Intern Med 164:224-5; author reply 225. 2004
  43. ncbi request reprint New guideline for the treatment of dementia: is there really anything new?
    Alan M Adelman
    Am Fam Physician 77:1080-1. 2008

Research Grants3

  1. LRI AS A TERMINAL EVENT IN US AND DUTCH NURSING HOMES
    David Mehr; Fiscal Year: 2001
    ..This may help to inform national debate on appropriate care at the end of life. ..
  2. Using HIT to Improve Ambulatory Chronic Disease Care
    David Mehr; Fiscal Year: 2007
    ..To improve the quality of care for patients with chronic illnesses, the proposed project will use new health information technology that includes specific strategies for managing chronic diseases. ..