Publications and Presentations

Publications

The Chronic Care Model and Exercise Discussions during Primary Care Diabetes Encounters
Patel NK, Parchman ML.
J Am Board Fam Med 2011 Jan-Feb; 24:26-31.
To study the relationship between the Chronic Care Model (CCM) score in the clinic and time spent by the physicians discussing exercise during encounters with diabetic patients. (PDF 01)

Reciprocal Learning and Chronic Care Model Implementation in Primary Care:  Results from a new Scale of Learning in Primary Care
Leykum LK, Palmer R, Lanham H, Jordan M, McDaniel RR, Noel PH, Parchman ML.
BMC Health Services Research 2011; 11:44:1-7.
Related to the belief that learning among clinic group members is a particularly important attribute of a primary care clinic that has not yet been well-studied in a health care literature, but may be related to the ability of primary care practices to improve the care they deliver.

Participatory Decision Making, Patient Activation, Medication Adherence, and Intermediate Clinical Outcomes in Type 2 Diabetes:  A STARNet Study
Parchman ML, Zeber JE, Palmer RF.
Ann Fam Med 2010 Sep-Oct; 8:410-417.
Participatory decision making (PDM) is associated with improved diabetes control.  We examine a causal model linking PDM to improved clinical outcomes that included patient activation and medication adherence.

Cardiovascular Disease in Type-2 Diabetes:  Attributable Risk due to Modifiable Risk Factors
Zeber JE, Parchman ML.
Can Fam Physician 2010; 56:e301-307
To examine the common clinical and behavioral factors that contribute to cardiovascular disease (CVD) risk (ie, attributable risk) among those with type-2 diabetes.

Dynamical Differences in Patient Encounters Involving Uncontrolled Diabetes in Which Treatment was and was not Altered
Katerndahl D, Parchman ML.
J Eval Clin Pract 2010 Feb; 16:211-219.
To compare dynamics of encounters with and without a hypoglycemic medication change for patients with poorly controlled diabetes.

Facilitating Patient Self-Management Through Telephony and Web Technologies in Seasonal Influenza
Nagykaldi Z, Calmbach WL, Dealleaume L, Temte J, Mold J, Ryan JG.
Inform Prim Care 2010; 18:9-16.
To develop and test information technology implementations that could assist patients with influenza self-management in primary care settings.

Organizational Factors Associated with Self-Management Behaviors in Diabetes in Primary Care Clinics.
Kaissi AA, Parchman ML.
Diabetes Educator 2009; 35;843-50.
To examine the relationship between organizational characteristics as measured by the chronic care model (CCM) and patient self-management behaviors among patients with type-2 diabetes.

Communication Competence, Self-Care Behaviors and Glucose Control in Patients with Type-2 Diabetes.
Parchman ML, Flannagan D, Ferrer RL, Matamoras M.
Patient Educ Couns 2009; 77:50-59.
To examine the relationship between physician communication competence and A1c control among Hispanics and non-Hispanics seen in primary care practices.

Risk Factors for Methicillin-resistant Staphylococcal Aureus Skin and Soft Tissue Infections Presenting to Primary Care Clinics:  A STARNet Study
Parchman ML, Muñoz A.
J Am Board Fam Med 2009 Jul-Aug; 22(4):375-9.
To examine skin and soft tissue infections presenting at 4 primary care clinics and assess if historical risk factors and examination findings were associated with a positive methicillin-resistant Staphylococcus aureus (MRSA) culture.

Are Elements of the Chronic Care Model Associated with Cardiovascular Risk Factor Control in Type-2 Diabetes?
Parchman ML, Kaissi AA.
Jt Comm J Qual Patient Saf 2009 Mar; 35(3):133-8.
To evaluate the relationship between control of cardiovascular (CV) risk factors, patient self-care behaviors, and the presence of chronic care model (CCM) components across multiple primary care clinic settings.

A Group Randomized Trial of a Complexity-based Organizational Intervention to Improve Risk Factors for Diabetes Complications in Primary Care Settings:  Study Protocol.
Parchman ML, Pugh JA, Culler SD, Noel PH, Arar NH, Romero RL, Palmer RF.
Implementation Science 2008; 3:15.
To evaluate the effectiveness and sustainability of practice facilitation (PF) to improve risk factor control in patients with type-2 diabetes across a variety of primary care settings, assess the implementation of the chronic care model (CCM) in response to the intervention and to examine the relationship between communication within the practice team and the implementation of the CCM and to determine the cost of the intervention both from the perspective of the organization conducting the PF intervention and from the perspective of the primary care practice.

Competing Demands or Clinical Inertia:  The Case of the Elevated A1c
Parchman ML, Pugh JA, Romero RL, Bower SK.
Ann Fam Med 2007; 5:196-201.
To examine the contribution of competing demands to changes in hypoglycemic medications and to return appointment intervals for patients with type-2 diabetes and an elevated glycosylated hemoglobin (A1c) level.

Glucose Control, Self-Care Behaviors and the Presence of the Chronic Care Model in Primary Care Clinics
Parchman ML, Pugh JA, Wang CP, Romero RL.
Diabetes Care 2007; 45:1129-34.
To examine the relationship between A1c and the extent to which care delivered to patients with type-2 diabetes in primary care clinics is consistent with the chronic care model (CCM), after controlling for self-care behaviors.

Risk of Coronary Artery Disease in Type-2 Diabetes and Delivery of Care Consistent with the Chronic Care Model:  A STARNet Study
Parchman ML, Zeber JE, Romero RL, Pugh JA.
Medical Care 2007; 45:1129-34.
To examine the relationship between coronary heart disease (CHD) risk attributable to modifiable risk factors among patients with type-2 diabetes and whether care delivered in primary care settings is consistent with the chronic care model (CCM).

Assessing Chronic Illness Care for Diabetes in Primary Care Clinics
Kaissi AA, Parchman ML.
Jt Comm J Qual Patient Saf 2006; 32(6):318-323.
The Chronic Illness Care model suggests that six structural dimensions of primary care teams are important in improving the quality of diabetes care.  A study was conducted to assess the degree to which these dimensions are implemented in primary care practices and to examine their relationship with selected quality of care process measures for type-2 diabetes.

Encounters by Patients with Type-2 Diabetes – Complex and Demanding:  An Observational Study
Parchman ML, Romero RL, Pugh JA.
Ann Fam Med 2006; 4(1):40-45.
To examine the relationships between quality of diabetes care delivered, the type and length of encounter, and time to the next follow-up encounter.

Patients’ Advise to Physicians about Intervening in Family Conflict
Burge SK, Schneider FD, Ivy L, Catala S.
Ann Fam Med 2005; 3(3):248-254.
Understanding patients’ views about physician interventions with family violence and conflict.

Association between Self-Monitoring of Blood Glucose and Glycemic Control in Patients with Type-2 Diabetes Mellitus
Wen L, Parchman ML, Linn WD, Lee S.
Am J Health Syst Pharm 2004; 61(22):2401-2405.
The relationship between the self-monitoring blood glucose (SMBG) and glycemic control in patients with type-2 diabetes mellitus in a Veterans Affairs (VA) medical center.

Family Support and Diet Barriers Among Older Hispanic Adults with Type-2 Diabetes
Wen LK, Parchman ML, Shepherd MD.
Fam Med 2004; 36(6):423-430.
To examine the role of the family in overcoming barriers to diet self-care among older Hispanic patients with diabetes.

Barriers to and Benefits of Leisure Time Physical Activity in the Elderly:  Differences across Cultures
Dergance JM, Calmbach WL, Dhanda R, Miles TP, Hazuda HP, Mouton CP.
J Am Geriatr Soc 2003; 51(6):863-868.
The comparison of ethnic differences in attitudes toward barriers and benefits of leisure-time physical activity (LTPA) in sedentary elderly Mexican (MAs) and European Americans (EA).

Continuity and Quality of Care in Type-2 Diabetes:  A Residency Research Network of South Texas Study
Parchman ML, Burge SK.
J Fam Pract 2002; 51(7):619-624.
The investigation into the relationship between continuity of care and the quality of care received by patients with type-2 diabetes mellitus.

Barriers and Benefits to Leisure-time Physical Activity among Older Mexican Americans
Mouton CP, Calmbach WL, Dhanda R, Espino DV, Hazuda H.
Arch Fam Med 2000; 9(9):892-897.
To identify the perceived barriers to and benefits of leisure-time physical activity among older Mexican Americans (MA) and European Americans (EA).

Diagnosing Panic Attacks in Chest Pain Patients
Katerndahl DA.
Strategic Medicine 1998; 2(1):12-17.
Describing ways to avoid inappropriate tests and ineffective treatment on patients who present with chest pain who may be suffering from panic attacks in a family physician’s office setting.

Prevalence and Recognition of Panic States in STARNet Patients Presenting with Chest Pain
Katerndahl DA, Trammell C.
J Fam Pract 1997; 45(1):54-63.
The documentation of the prevalence of panic states in patients presenting with chest pain in primary care settings, and determination of the recognition rate of panic states by family physicians as well as the assessment of the impact of lack of recognition on interventions and costs.

Presentations

7th Annual National Agency for Healthcare Research & Quality PBRN Research Conference (Bethesda, MD)
June 22-24, 2011
Poster Presentations:
Lessons Learned from Creating a Clinical Informatics Collaborative:  A STARNet Study
Is there Room for a Team Approach in the Patient Centered Medical Home?  A STARNet Study
Patient Recruitment for Colorectal Cancer Screening in South Texas:  Lessons Learned

STARNet Spring Membership Meeting (San Antonio, TX)
March 31, 2011
Oral Presentations:
Is there Room for a Team Approach to Primary Care?  Preliminary Results of a STARNet Study
by Michael L. Parchman, MD, MPH, PBRN Initiative Director & Senior Advisor for Primary Care, AHRQ
Issues in Office-based Treatment and Prevention of Obesity in Youth
by Daniel E. Hale, MD, Professor of Pediatrics, UT Health Science Center at San Antonio

2nd Annual Practice Based Research Network Convocation (San Antonio, TX)
October 15-16, 2010
Poster Presentations:
ASPREE:  ASPirin in Reducing Events in the Elderly
Beta-testing of the Medical Office Survey on Patient Safety (SOPS)
CA-MRSA:  Resistance and Treatment in a South Texas Ambulatory Research Network
Randomized Controlled Trail of Tailored Interactive Multimedia to Reduce Colon-Rectal Cancer Screening Disparities

6th Annual National Agency for Healthcare Research & Quality PBRN Research Conference (Bethesda, MD)
June 16-18, 2010
Poster Presentations:
Development of a PBRN Logic Model for Evaluation and Planning

STARNet Annual Spring Membership Meeting
April 8, 2010
Oral Presentation:
The Patient-Centered Medical Home:  A STARNet Research Agenda
by Michael L. Parchman, MD, MPH, STARNet Director, UT Health Science Center at San Antonio