Positions/Employment 9/98-8/00 Graduate Research Assistant, University of North Texas Health Science Center, Fort Worth, TX 9/00-2/04 Postdoctoral Fellow, UT Southwestern Medical Center, Division of Hypertension, Dallas, TX 2/04-6/04 Assistant Instructor, UT Southwestern Medical Center, Dept. Health Care Sciences, Dallas, TX 6/04-8/05 Assistant Professor, UT Southwestern Medical Center, Dept. H...

In a sample of 43 Dutch infants and toddlers (mean age = 1.7 years), the quality of care at day-care centers was assessed and compared with similar quality ratings in other European and North American countries. It was hypothesized that formal characteristics of care settings and caregivers as well as attunement between caregivers and parents would be associated with quality of care. Quality of...

BACKGROUND The chiropractic profession has been well established in Denmark for several decades with state authorization, partial reimbursement by the state and a formal academic education. Biennial systematic data collections among all chiropractors and clinics have been performed since 2010 in order to provide exact information on the profession to The Danish Chiropractic Association (DCA). I...

BACKGROUND Loneliness is widespread among older adults, in particular among those who are chronically ill and functionally limited. The aims of the paper are: (i) to examine the extent to which users of day care centers experience loneliness compared to their peers who are non-users; and (ii) to explore the relationships between length of use and frequency of weekly attendance at day care cente...

Community baby showers have provided education and free portable cribs to promote safe sleep for high-risk infants. We evaluated knowledge gained at these showers and the effectiveness of holding baby showers at a primary care clinic as an alternative to traditional community venues. Participants at the community venue were more likely to exhibit risk factors associated with unsafe sleep and to...

OBJECTIVE To investigate the effect on immunization levels of retrospective written feedback to residents regarding missed immunization opportunities. DESIGN Randomized trial with control group. SETTING Pediatric resident continuity clinic in an urban hospital-based primary care clinic. PARTICIPANTS Thirty-two postgraduate level 2 and postgraduate level 3 pediatric residents. INTERVENTI...

INTRODUCTION Diet and activity counseling is recommended during all well child visits to promote optimal health and prevent childhood obesity. The objective of this study was to determine the effectiveness of a novel Wellness Action Plan aimed at: 1) improving parent recall of diet and activity plans made during routine well child visits 2) increasing adherence with plans, and 3) enhancing pare...

OBJECTIVE Shared decision-making has been advocated as a useful model for patient management. In developing Asian countries such as Malaysia, there is a common belief that patients prefer a passive role in clinical consultation. As such, the objective of this study was to determine Malaysian patients' role preference in decision-making and the associated factors. DESIGN A cross-sectional stud...

As HIV treatment is scaled-up in resource-poor settings, the timely identification of persons with HIV infection remains an important challenge. Most people with HIV are unaware of their status, and those who are often present late in the course of their illness. Free-standing voluntary counseling and testing sites often have poor uptake of testing. We aimed to evaluate a 'provider-initiated' H...

INTRODUCTION In the traditional model of care, an annual visit was dedicated to the task of assessing and delivering preventive care. With the move away from annual physicals, primary care physicians are addressing preventive services at every clinic visit often aided by electronic clinical decision support (CDS) systems. METHODS We conducted a case study of a visit-driven CDS system in use a...