Linda M. Siminerio

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D iabetes self-management education (DSME) is a critical element of care for all people with diabetes and is necessary in order to improve patient outcomes. The National Standards for DSME are designed to define quality diabetes self-management education and to assist diabetes educators in a variety of settings to provide evidence-based education. Because(More)
OBJECTIVE To determine whether using the chronic care model (CCM) in an underserved community leads to improved clinical and behavioral outcomes for people with diabetes. RESEARCH DESIGN AND METHODS This multilevel, cluster-design, randomized controlled trial examined the effectiveness of a CCM-based intervention in an underserved urban community. Eleven(More)
BACKGROUND The Diabetes Prevention Program (DPP) demonstrated that lifestyle intervention reduces risk for type 2 diabetes and the metabolic syndrome. A universal framework for translation of multiple aspects of the DPP intervention, including training, support, and evaluation is needed to enhance treatment fidelity in a variety of settings. PURPOSE This(More)
OBJECTIVE To examine the relation of adolescent and parent responsibility distribution for diabetes self-care to psychological and physical health. METHODS We interviewed children (mean age 12 years) annually for 3 years and asked parents to complete a questionnaire. Both reported how diabetes self-care was distributed in the family. Amount of(More)
PURPOSE The purpose of this pilot study was to determine the impact of implementing elements of the chronic care model (CCM; decision support, self-management, and delivery system redesign) on providers' diabetes care practices and patient outcomes in a rural practice setting. METHODS In this pilot study, 104 patients with type 2 diabetes and 6 providers(More)
OBJECTIVE To employ a risk and resistance framework to examine changes in metabolic control over early to middle adolescence. METHODS We interviewed 70 girls and 62 boys (mean age 12 years) annually for 4 years. Risk and resistance factors, including demographics, disease-related variables, self-care behavior, and psychosocial variables were assessed.(More)
D iabetes is one of the most common chronic diseases of childhood (1). There are 186,300 individuals 20 years of age with diabetes in the U.S. Based on 2002–2003 data, the rate of new type 1 diabetes cases was 19.0 per 100,000 children and of type 2 diabetes was 5.3 per 100,000 (2). The majority of these young people attend school and/or some type of day(More)
D IABETES ISACHRONICDISEASE that requires a person with diabetes to make a multitude of daily self-management decisions and to perform complex care activities. Diabetes self-management education and support (DSME/S) provides the foundation to help people with diabetes to navigate these decisions and activities and has been shown to improve health outcomes.(More)
The University of Pittsburgh Medical Center (UPMC) has implemented a personal health record grounded in the Chronic Care Model, UPMC HealthTrak, to assist patients with diabetes self-management. UPMC HealthTrak is based in the physician office and connects the patient, physician, and electronic medical record (EMR). Its functionalities include secure,(More)
OBJECTIVE To re-examine the relation of blood glucose monitoring to glycemic control among adolescents with type 1 diabetes and to evaluate the relation of demographic, behavioral, and psychosocial characteristics of adolescents who monitor more and less frequently. RESEARCH DESIGN AND METHODS Participants were 132 adolescents with type 1 diabetes(More)