Patient-centered group diabetes care: a practice innovation.

The purpose of this project was to evaluate the efficacy of group diabetes care for an underserved population using a patient-centered approach with the inclusion of interactive diabetes self-management education. In place of the traditional office visit, patients attended three group visits. Improvements in diabetes knowledge and patient-perceived self-efficacy resulted.

Primigravid and multigravid women: prenatal perspectives.

A paucity of prenatal data is available concerning prenatal experiences of primigravid women compared with those of multigravid women. Therefore, the objectives of this study were twofold: to compare prenatal personal (demographic and other descriptive elements, including self-esteem) and psychosocial variables (maternal-fetal attachment, marital satisfaction) and to describe perceived pregnancy experiences for both primigravid and multigravid women. Both quantitative and qualitative data were collected using a descriptive mixed-methods design.

Maternal perspectives on postpartum return to the workplace.

Objective: To describe maternal perceptions about postpartum return to the workplace.

Design And Setting: The research framework was McCubbin and McCubbin's Resiliency Model of Family Stress, Adjustment, and Adaptation. Employed, postpartum women, who resided in six different states, were recruited from day care and primary care settings to participate in this descriptive study.

Preventing pediatric obesity: assessment and management in the primary care setting.

Purpose: To review the literature on and discuss the role of the primary care provider in assessing and managing overweight children before they become obese.

Data Sources: Selected research, national guidelines and recommendations, and the professional experience of the authors.

Conclusions: The focus of primary care involves early detection and family interventions that are designed for lifestyle modifications, specifically for improved nutrition and an increase in regular physical activity, to achieve optimal child health.