BACKGROUND Provider-patient language discordance is related to worse quality care for limited English proficient (LEP) patients who speak Spanish. However, little is known about language barriers among LEP Asian-American patients. OBJECTIVE We examined the effects of language discordance on the degree of health education and the quality of interpersonal… (More)
BACKGROUND To assess how current policy trends may affect the use of counseling for depression, we examined the variation in the use of counseling and usual clinician counseling style for depression across specialty sectors (psychiatry, psychology, and general medicine) and reimbursement type (fee-for-service or prepaid). METHODS Three types of… (More)
OBJECTIVE To assess the longitudinal health-related quality of life (HRQL) of children receiving hematopoietic stem cell transplantation (HSCT). METHODS Mothers (N = 160) of HSCT recipients aged 5-20 at six US transplant centers completed the Child Health Ratings Inventories (CHRIs), the Disease Impairment Inventory (DSII)-HSCT module, and the Short Form… (More)
OBJECTIVE To examine racial/ethnic differences in the prevalence of depressive symptoms and in provider recognition of depression among Latino, Asian, and non-Hispanic white patients with type 2 diabetes. RESEARCH DESIGN AND METHODS Patients (n = 1,209) with type 2 diabetes were recruited from five university-affiliated primary care clinics for an… (More)
BACKGROUND Heart failure is a prevalent health problem associated with costly hospital readmissions. Transitional care programs have been shown to reduce readmissions but are costly to implement. Evidence regarding the effectiveness of telemonitoring in managing the care of this chronic condition is mixed. The objective of this randomized controlled… (More)
To improve menopausal counseling, we developed a computer-generated personalized menopause decision support aid (DSA) and measured its impact in a randomized, controlled trial. Results suggest that this DSA may help women make informed decisions about menopausal therapy, change their risk perceptions, and motivate behavioral change.
This study examined the relationship between perceived (stated) levels of function and the measured (observed) performance in squatting and stair climbing activities of 20 patients with chronic low back pain (CLBP) and 20 healthy volunteers. Subjects were asked through an interview to self-assess their ability to comfortably perform stair climbing and… (More)