Browsing by Author "Eimicke, Joseph P"
Now showing 1 - 6 of 6
Results Per Page
Sort Options
- ItemAmbulatory pulse pressure and progression of urinary albumin excretion in older patients with type 2 diabetes mellitus.(2006-07-21) Palmas, Walter; Moran, Andrew; Pickering, Thomas; Eimicke, Joseph P; Teresi, Jeanne; Schwartz, Joseph E; Field, Lesley; Weinstock, Ruth S; Shea, StevenWe studied whether ambulatory blood pressure monitoring added to office blood pressure in predicting progression of urine albumin excretion over 2 years of follow up in a multiethnic cohort of older people with type 2 diabetes mellitus Participants in the Informatics for Diabetes Education and Telemedicine study underwent a baseline evaluation that included office and 24 hour ambulatory blood pressure measurement and a spot urine measurement of albumin to creatinine ratio ACR Measurements of albumin to creatinine ratio were repeated 1 and 2 years later In bivariate analyses ambulatory 24 hour pulse pressure was the blood pressure variable most strongly associated with follow up ACR Repeated measures mixed linear models n 1040 were built adjusting for baseline ACR ratio clustered randomization time to follow up and multiple covariates When both were entered into the model ambulatory 24 hour pulse pressure and office pulse pressure were independently associated with follow up ACR beta SE 0 010 0 002 P Under 0 001 and 0 004 0 001 P 0 002 respectively Cox proportional hazards models examined associations with progression of albuminuria in 954 participants without macroalbuminuria at baseline adjusting for all of the covariates independently associated with follow up ACR in mixed linear models Ambulatory 24 hour pulse pressure but not office pulse pressure was independently associated with progression of albuminuria P 0 015 and 0 052 respectively The adjusted hazards ratio 95 CI per each 10 mm Hg increment in ambulatory pulse pressure was 1 23 1 04 to 1 42 In conclusion ambulatory pulse pressure may provide additional information to predict progression of albuminuria in elderly diabetic subjects above and beyond office blood pressure
- ItemDepression and glycemic control in elderly ethnically diverse patients with diabetes: the IDEATel project.(2006-03-28) Trief, Paula M; Morin, Philip C; Izquierdo, Roberto; Teresi, Jeanne; Eimicke, Joseph P; Goland, Robin; Starren, Justin; Shea, Steven; Weinstock, Ruth SThe purpose of the study was to investigate the effect of comorbid depression on glycemic control and on response to a telemedicine case management intervention for elderly ethnically diverse diabetic patients
- ItemGlycemic control and health disparities in older ethnically diverse underserved adults with diabetes: five-year results from the Informatics for Diabetes Education and Telemedicine (IDEATel) study.(2011-01-28) Weinstock, Ruth S; Teresi, Jeanne A; Goland, Robin; Izquierdo, Roberto; Palmas, Walter; Eimicke, Joseph P; Ebner, Susana; Shea, Steven; ,The Informatics for Diabetes Education and Telemedicine IDEATel project randomized ethnically diverse underserved older adults with diabetes to a telemedicine intervention or usual care Intervention participants had lower A1C levels over 5 years New analyses were performed to help better understand this difference
- ItemHealth care utilization and self-care behaviors of Medicare beneficiaries with diabetes: comparison of national and ethnically diverse underserved populations.(2011-02-15) Remler, Dahlia K; Teresi, Jeanne A; Weinstock, Ruth S; Ramirez, Mildred; Eimicke, Joseph P; Silver, Stephanie; Shea, StevenCaring for persons with diabetes is expensive and this burden is increasing Little is known about service use behaviors and self care of older individuals with diabetes who live in underserved communities Information about self care informal care and service utilization in urban largely Latino n 695 and rural mostly white n 819 Medicare beneficiaries with diabetes living in federally designated medically underserved areas was collected using computer aided telephone interviews as part of the baseline assessment in the Informatics and Diabetes Education and Telemedicine IDEATel Project Where items were comparable service use was compared with that of a nationally representative group of Medicare beneficiaries with diabetes using data from the Medical Expenditure Panel Survey Compared to nationally representative groups the underserved groups reported worse general health but similar health care service use with the exception of home care However compared to the underserved rural group the underserved largely minority urban group reported worse general health P Under 0 0001 more inpatient nights P 0 003 emergency room visits P Under 0 001 and home health care P Under 0 001 spent more time on self care and had more difficulty with housework meal preparation and personal care Differences in service use between urban and rural groups within the underserved group substantially exceeded differences between the underserved and nationally representative groups These findings address a gap in knowledge about older ethnically diverse individuals with diabetes living in medically underserved areas This profile of disparate service use and health care practices among urban minority and rural majority underserved adults with diabetes can assist in the planning of future interventions
- ItemPsychosocial outcomes of telemedicine case management for elderly patients with diabetes: the randomized IDEATel trial.(2007-04-30) Trief, Paula M; Teresi, Jeanne A; Izquierdo, Roberto; Morin, Philip C; Goland, Robin; Field, Leslie; Eimicke, Joseph P; Brittain, Rebecca; Starren, Justin; Shea, Steven; Weinstock, Ruth S
- ItemRecruitment and enrollment of rural and urban medically underserved elderly into a randomized trial of telemedicine case management for diabetes care.(2006-10-17) Palmas, Walter; Teresi, Jeanne; Morin, Philip; Wolff, L Thomas; Field, Lesley; Eimicke, Joseph P; Capps, Linnea; Prigollini, Alejandro; Orbe, Irma; Weinstock, Ruth S; Shea, StevenOur goal was to identify reasons for enrollment or refusal to participate in a randomized trial of telemedicine case management of diabetes We performed a prospective survey of participants and non participants during recruitment for the Informatics for Diabetes Education and Telemedicine IDEATel study a randomized trial of telemedicine case management of diabetes mellitus in medically underserved elderly There were two recruitment areas urban New York City and rural upstate New York A Participant Questionnaire PQ was administered at the baseline IDEATel visit and a Non Participant Questionnaire NPQ was administered during the recruitment telephone call Both questionnaires listed possible responses subjects could choose more than one response or give their own Of 1 660 IDEATel participants 99 7 completed the PQ Most frequent reason for participation was the belief that the technology could help them 52 and 42 of urban and rural respondents respectively Of the 2 231 subjects refusing participation 28 answered the NPQ 90 of respondents were from rural area Most frequent reasons not to participate in the rural area were being too busy 23 and discomfort with the technology 22 and in the urban area the belief that the technology could not help them 71 discomfort with it 52 and not liking to participate in studies 52 In multivariate analysis rural respondents only knowing how to use a computer was an independent predictor of participation p Under 0 001 In conclusion perceptions and beliefs regarding technology including the expectation to benefit from it played an important role in the decision to participate