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  1. Book ; Online ; E-Book: Behavioral Diabetes

    Delamater, Alan M. / Marrero, David G.

    Social Ecological Perspectives for Pediatric and Adult Populations

    2020  

    Abstract: This book presents an up-to-date review of behavioral factors in diabetes management across the lifespan: an update on medical management, epidemiology, and prognosis, and utilize an ecological framework to address various aspects of diabetes management ... ...

    Author's details edited by Alan M. Delamater, David G. Marrero
    Abstract This book presents an up-to-date review of behavioral factors in diabetes management across the lifespan: an update on medical management, epidemiology, and prognosis, and utilize an ecological framework to address various aspects of diabetes management for children and adults on the individual, social, community and medical system, and policy levels. The individual level examines biobehavioral and neuroendocrine factors for their role in the etiology of diabetes, as well as various demographic factors involved in health disparities, and specific psychological issues including distress and quality of life, depression and anxiety, eating disorders, and intervention approaches. Zooming out, the social level addresses the role of social support and family influences as well as group and family interventions to promote more effective diabetes management. The community level addresses medical system factors including the patient-physician relationship and transition programs, as well as community and school-based prevention programs. Finally, chapters also address how the policy level impacts diabetes management considering the role of health care, insurance, and school and workplace policy. Topics featured in this book include: Neuroendocrine and biobehavioral influences on diabetes Eating disorders in individuals with diabetes Family influences and family therapies for children and adults with diabetes Depression and anxiety in children and adults with diabetes Behavioral Diabetes is a must-have resource for researchers, graduate students and fellows, as well as clinicians, therapists, and other practitioners involved in diabetes management across the lifespan. A secondary audience comprises individuals working in the community and policy levels, including but not limited to health care and medical systems administrators, as well as school and workplace policymakers. “This book is a comprehensive overview of the extremely important topic of behavioral diabetes. The issues encompassed in this book have evolved greatly over the last few decades and the editors have done a spectacular job in having the key experts on each of the many topics review the literature while at the same time keeping it practical for both clinicians and researchers.” --Irl B. Hirsch, MD, University of Washington, Seattle.
    Keywords Health psychology ; Health Psychology
    Subject code 616.4620019
    Language English
    Size 1 online resource (522 pages) :, illustrations
    Edition 1st ed. 2020.
    Publisher Springer International Publishing ; Imprint: Springer
    Publishing place Cham
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    ISBN 3-030-33286-1 ; 3-030-33284-5 ; 978-3-030-33286-0 ; 978-3-030-33284-6
    DOI 10.1007/978-3-030-33286-0
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article: An Article in Two Parts: My Dinners With Richard

    Marrero, David G

    Diabetes spectrum : a publication of the American Diabetes Association

    2022  Volume 35, Issue 2, Page(s) 252–256

    Abstract: Editor's note: ...

    Abstract Editor's note:
    Language English
    Publishing date 2022-05-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2211544-4
    ISSN 1040-9165
    ISSN 1040-9165
    DOI 10.2337/ds22-0011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Evaluation of a Technology to Support a Translational Diabetes Prevention Intervention.

    Marrero, David G

    Diabetes care

    2016  Volume 39, Issue 8, Page(s) 1307–1308

    Language English
    Publishing date 2016-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 441231-x
    ISSN 1935-5548 ; 0149-5992
    ISSN (online) 1935-5548
    ISSN 0149-5992
    DOI 10.2337/dci16-0001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: A vicious cycle: employment challenges associated with diabetes foot ulcers in an economically marginalized Southwest US sample.

    Palmer, Kelly N B / Crocker, Rebecca M / Marrero, David G / Tan, Tze-Woei

    Frontiers in clinical diabetes and healthcare

    2023  Volume 4, Page(s) 1027578

    Abstract: Aim: To describe patients' reported employment challenges associated with diabetic foot ulcers (DFUs).: Methods: Fifteen patients from under-resourced communities in Southern Arizona, with a history of DFUs and/or amputations, were recruited from a ... ...

    Abstract Aim: To describe patients' reported employment challenges associated with diabetic foot ulcers (DFUs).
    Methods: Fifteen patients from under-resourced communities in Southern Arizona, with a history of DFUs and/or amputations, were recruited from a tertiary referral center from June 2020 to February 2021. Participants consented to an audio-recorded semi-structured phone interview. Interviews were transcribed and thematically analyzed using the Dedoose data analysis platform.
    Results: Participants shared a common theme around the cyclic challenges of DFU prevention/management and employment. Those employed in manual labor-intensive jobs or jobs requiring them to be on their feet for long durations of time believed working conditions contributed to the development of their DFUs. Patients reported work incapacity due to declines in mobility and the need to offload for DFU management. Many expressed frustration and emotional distress related to these challenges noting that DFUs resulted in lower remuneration as medical expenses increased. Consequently, loss of income and/or medical insurance often hindered participants' ability to manage DFUs and subsequent complications.
    Conclusion: These data illuminate the vicious cycle of DFU and employment challenges that must be addressed through patient-centered prevention strategies. Healthcare providers should consider a person's contextual factors such as employment type to tailor treatment approaches. Employers should establish inclusive policies that support patients with DFUs returning to work through flexible working hours and adapted work tasks as needed. Policymakers can also mitigate employment challenges by implementing social programs that provide resources for employees who are unable to return to work in their former capacity.
    Language English
    Publishing date 2023-04-14
    Publishing country Switzerland
    Document type Journal Article
    ISSN 2673-6616
    ISSN (online) 2673-6616
    DOI 10.3389/fcdhc.2023.1027578
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Uncovering heterogeneous cardiometabolic risk profiles in US adults: the role of social and behavioral determinants of health.

    Ding, Qinglan / Lu, Yuan / Herrin, Jeph / Zhang, Tianyi / Marrero, David G

    BMJ open diabetes research & care

    2023  Volume 11, Issue 5

    Abstract: Introduction: Social and behavioral determinants of health (SBDH) have been linked to diabetes risk, but their role in explaining variations in cardiometabolic risk across race/ethnicity in US adults is unclear. This study aimed to classify adults into ... ...

    Abstract Introduction: Social and behavioral determinants of health (SBDH) have been linked to diabetes risk, but their role in explaining variations in cardiometabolic risk across race/ethnicity in US adults is unclear. This study aimed to classify adults into distinct cardiometabolic risk subgroups using SBDH and clinically measured metabolic risk factors, while comparing their associations with undiagnosed diabetes and pre-diabetes by race/ethnicity.
    Research design and methods: We analyzed data from 38,476 US adults without prior diabetes diagnosis from the National Health and Nutrition Examination Survey (NHANES) 1999-2018. The k-prototypes clustering algorithm was used to identify subgroups based on 16 SBDH and 13 metabolic risk factors. Each participant was classified as having no diabetes, pre-diabetes or undiagnosed diabetes using contemporaneous laboratory data. Logistic regression was used to assess associations between subgroups and diabetes status, focusing on differences by race/ethnicity.
    Results: Three subgroups were identified: cluster 1, primarily middle-aged adults with high rates of smoking, alcohol use, short sleep duration, and low diet quality; cluster 2, mostly young non-white adults with low income, low health insurance coverage, and limited healthcare access; and cluster 3, mostly older males who were the least physically active, but with high insurance coverage and healthcare access. Compared with cluster 2, adjusted ORs (95% CI) for undiagnosed diabetes were 14.9 (10.9, 20.2) in cluster 3 and 3.7 (2.8, 4.8) in cluster 1. Clusters 1 and 3 (vs cluster 2) had high odds of pre-diabetes, with ORs of 1.8 (1.6, 1.9) and 2.1 (1.8, 2.4), respectively. Race/ethnicity was found to modify the relationship between identified subgroups and pre-diabetes risk.
    Conclusions: Self-reported SBDH combined with metabolic factors can be used to classify adults into subgroups with distinct cardiometabolic risk profiles. This approach may help identify individuals who would benefit from screening for diabetes and pre-diabetes and potentially suggest effective prevention strategies.
    MeSH term(s) Male ; Middle Aged ; Humans ; Adult ; Prediabetic State ; Nutrition Surveys ; Risk Factors ; Alcohol Drinking ; Cardiovascular Diseases/epidemiology ; Cardiovascular Diseases/etiology
    Language English
    Publishing date 2023-09-09
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2732918-5
    ISSN 2052-4897 ; 2052-4897
    ISSN (online) 2052-4897
    ISSN 2052-4897
    DOI 10.1136/bmjdrc-2023-003558
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Diabetes Care and Research: What Should Be the Next Frontier?

    Marrero, David G

    Diabetes spectrum : a publication of the American Diabetes Association

    2015  Volume 29, Issue 1, Page(s) 54–57

    Abstract: Editor's note: This article is adapted from the address of the American Diabetes Association (ADA) President, Health Care and Education, given in June 2015 at the Association's 75th Scientific Sessions in Boston, Mass. A webcast of this speech is ... ...

    Abstract Editor's note: This article is adapted from the address of the American Diabetes Association (ADA) President, Health Care and Education, given in June 2015 at the Association's 75th Scientific Sessions in Boston, Mass. A webcast of this speech is available for viewing at the ADA website (http://professional.diabetes.org/webcasts).
    Language English
    Publishing date 2015-11-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2211544-4
    ISSN 1040-9165
    ISSN 1040-9165
    DOI 10.2337/diaspect.29.1.54
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Optimizing Postpartum Care in Rural Communities: Insights from Women in Arizona and Implications for Policy.

    Okechukwu, Abidemi / Magrath, Priscilla / Alaofe, Halimatou / Farland, Leslie V / Abraham, Ivo / Marrero, David G / Celaya, Martin / Ehiri, John

    Maternal and child health journal

    2024  

    Abstract: Objectives: Optimal postpartum care promotes healthcare utilization and outcomes. This qualitative study investigated the experiences and perceived needs for postpartum care among women in rural communities in Arizona, United States.: Methods: We ... ...

    Abstract Objectives: Optimal postpartum care promotes healthcare utilization and outcomes. This qualitative study investigated the experiences and perceived needs for postpartum care among women in rural communities in Arizona, United States.
    Methods: We conducted in-depth interviews with thirty childbearing women and analyzed the transcripts using reflexive thematic analysis to gauge their experiences, needs, and factors affecting postpartum healthcare utilization.
    Results: Experiences during childbirth and multiple structural factors, including transportation, childcare services, financial constraints, and social support, played crucial roles in postpartum care utilization for childbearing people in rural communities. Access to comprehensive health information and community-level support systems were perceived as critical for optimizing postpartum care and utilization.
    Conclusions for practice: This study provides valuable insights for policymakers, healthcare providers, and community stakeholders in enhancing postpartum care services for individuals in rural communities in the United States.
    Language English
    Publishing date 2024-02-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1339905-6
    ISSN 1573-6628 ; 1092-7875
    ISSN (online) 1573-6628
    ISSN 1092-7875
    DOI 10.1007/s10995-023-03889-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Extended Medicaid coverage will improve access but insufficient to enhance postpartum care utilization: a secondary analysis of the 2016-2019 Arizona Medicaid claims.

    Okechukwu, Abidemi / Abraham, Ivo / Okechukwu, Chinedu / Magrath, Priscilla / Marrero, David G / Farland, Leslie V / Alaofe, Halimatou

    Frontiers in public health

    2024  Volume 11, Page(s) 1281574

    Abstract: Introduction: Postpartum Medicaid eligibility extensions may increase access to healthcare for low-income women. However, its implications for healthcare utilization are unknown.: Methods: We analyzed the linked-infant birth certificate and claims ... ...

    Abstract Introduction: Postpartum Medicaid eligibility extensions may increase access to healthcare for low-income women. However, its implications for healthcare utilization are unknown.
    Methods: We analyzed the linked-infant birth certificate and claims data of women whose childbirths were paid for by Medicaid between 2016 and 2019 in Arizona, United States. We evaluated associations between postpartum care visits and Medicaid insurance type and assessed effect modification by the delivery route and type of residence.
    Results: Women with pregnancy-related Medicaid insurance were less likely to attend postpartum visits, with an adjusted odds ratio (aOR) of 0.70 and a 95% confidence interval (CI) of 0.66 to 0.74 than those with continuous Medicaid insurance. Younger age, rural residence [aOR 0.83, CI 0.78, 0.88], vaginal delivery route [aOR 0.11, CI 0.10, 0.12], and the absence of complications during/after childbirth [aOR 0.58, CI 0.49, 0.70] were associated with the absence of postpartum care visit. Low-income women who lost their pregnancy-related Medicaid coverage after 60 days in Arizona experienced lower rates of postpartum care utilization.
    Discussion: Interventions to improve postpartum utilization should be considered beyond extending postpartum Medicaid coverage for low-income women.
    MeSH term(s) United States ; Infant ; Pregnancy ; Humans ; Female ; Arizona ; Medicaid ; Postnatal Care ; Postpartum Period ; Insurance
    Language English
    Publishing date 2024-01-08
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2023.1281574
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: The patient's perspective of diabetic foot ulceration: A phenomenological exploration of causes, detection and care seeking.

    Crocker, Rebecca M / Tan, Tze-Woei / Palmer, Kelly N B / Marrero, David G

    Journal of advanced nursing

    2022  Volume 78, Issue 8, Page(s) 2482–2494

    Abstract: Aims: Diabetic foot ulceration can contribute to lowered life expectancy and quality of life for people with diabetes, and yet, scant attention has been given to improving preventive and educational measures. This article uses a phenomenological ... ...

    Abstract Aims: Diabetic foot ulceration can contribute to lowered life expectancy and quality of life for people with diabetes, and yet, scant attention has been given to improving preventive and educational measures. This article uses a phenomenological approach to explore individuals' lived experiences of diabetic foot ulcerations to explore factors that can be harnessed to achieve improved outcomes.
    Design: This was a qualitative study using semi-structured interviews grounded in a phenomenological framework to explore how patients perceive and understand their foot problems.
    Methods: Study participants were recruited from February 2020 to February 2021 from a tertiary referral centre that treats foot problems in persons with diabetes. A total of 15 Hispanic, Native American and White patients participated in the study. We conducted in-depth semi-structured interviews which were audio recorded with the participant's consent. Interview data were transcribed and analysed with Dedoose data management software.
    Results: Analysis revealed findings in two primary domains: (1) how patients perceive foot ulceration, with themes around limited understandings of foot ulceration, close sensory observation of foot problems and barriers to ulcer perception and (2) how patients experience the timing of foot ulceration, with themes on how time perceptions shifted as foot problems became more serious, which correlated closely to how patients responded to their foot problems.
    Conclusion: Despite the close sensory observation of their feet, people with diabetes face an array of barriers to recognizing and understanding the implications of diabetic foot ulceration, which can lead to delayed care seeking. Nurses can play a critical role in promoting patient education and improving patient self-management of foot ulcers.
    Impact: This phenomenological study offers important lessons to guide nurses and other providers in enhancing patient self-management of DFUs and improving care outcomes by expanding an understanding of DFU early warning signs, the imperative to seek medical care quickly, and addressing possible barriers.
    MeSH term(s) Diabetes Mellitus ; Diabetic Foot/therapy ; Humans ; Patient Acceptance of Health Care ; Qualitative Research ; Quality of Life ; Ulcer
    Language English
    Publishing date 2022-03-14
    Publishing country England
    Document type Journal Article
    ZDB-ID 197634-5
    ISSN 1365-2648 ; 0309-2402
    ISSN (online) 1365-2648
    ISSN 0309-2402
    DOI 10.1111/jan.15192
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Genetic Testing for Type 2 Diabetes in High-Risk Children: the Case for Primordial Prevention

    Wessel, Jennifer / Marrero, David G

    Research Ideas and Outcomes. 2017 Sept. 04, v. 3

    2017  

    Abstract: Extensive research now demonstrates that lifestyle modification can significantly lower risk of developing type 2 diabetes (T2D) in high-risk adults. In children, the evidence for lifestyle modification is not as robust, but the rapidly rising rate of ... ...

    Abstract Extensive research now demonstrates that lifestyle modification can significantly lower risk of developing type 2 diabetes (T2D) in high-risk adults. In children, the evidence for lifestyle modification is not as robust, but the rapidly rising rate of obesity in children coupled with the substantial difficulty in changing behaviors later in life illuminates the need to implement prevention efforts early in the life course of children. Genetic data can now be used early in the life course to identify children at high-risk of developing T2D before traditional clinical measures can detect the presence of prediabetes; a metabolic condition associated with obesity that significantly increases risk for developing T2D. Such early detection of risk may enable the promotion of “primordial prevention” in which parents implement behavior change for their at risk children. Young children with genetic risk are a novel target population. Here we review the literature on genetic testing for prevention as it relates to chronic diseases and specifically use T2D as a model. We discuss the history of primordial prevention, the need for primordial prevention of T2D and the role genetic testing has in primordial prevention of high-risk families.
    Keywords behavior change ; lifestyle ; models ; noninsulin-dependent diabetes mellitus ; research ; risk
    Language English
    Dates of publication 2017-0904
    Publishing place Pensoft Publishers
    Document type Article
    ZDB-ID 2833254-4
    ISSN 2367-7163
    ISSN 2367-7163
    DOI 10.3897/rio.3.e20695
    Database NAL-Catalogue (AGRICOLA)

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