David M Levine
Biographic Data
| ID | 139924 |
|---|---|
| NAME | David M Levine |
| GIVEN NAMES | David M |
| FAMILY NAME | Levine |
| SIGNATURE | LEVINE D M |
| AFFILIATIONS | Johns Hopkins University |
| ORCID | 0000-0002-4337-9896 |
| VERIFIED | Yes |
| TOTAL WORKS | 31 |
| TOTAL CITATIONS | 78 |
| AUTHOR COUNT | 31 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1976 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 5 |
Hospital Care at Home for Adults Living in Rural Settings
PURPOSE: Describe the perceptions of patients receiving rural home hospital (RHH) care. METHODS: This is a qualitative evaluation of a randomized controlled trial comparing RHH (intervention) versus brick-and-mortar (BAM) care (control) in three rural sites in the United States and Canada between February 23, 2022, and January 17, 2024. Participants include acutely ill patients who received RHH. RHH programs provided patients with twice-daily nur…
Rural Perceptions of Acute Care at Home
PURPOSE: Hospital-level care at home in urban areas delivers low-cost, high-quality care. Few have attempted to deliver home hospital care in a rural environment, where traditional hospitals are often less equipped to deliver high-quality care. Little is known about rural clinicians' and patients' perceptions regarding rural home hospital care and how the urban model might be adapted to fit rural circumstances. METHODS: We conducted semistructure…
The Differential Role of Vitamin D in Type 2 Diabetes Management and Control in Minority Populations
Reaching for Health Equity and Social Justice in Baltimore
Cardiovascular health disparities persist despite decades of recognition and the availability of evidence-based clinical and public health interventions. Racial and ethnic minorities and adults in urban and low-income communities are high-risk groups for uncontrolled hypertension (HTN), a major contributor to cardiovascular health disparities, in part due to inequitable social structures and economic systems that negatively impact daily environme…
Community Health Workers Versus Nurses as Counselors or Case Managers in a Self-Help Diabetes Management Program
Objectives. To confirm the effectiveness of community health workers’ involvement as counselors or case managers in a self-help diabetes management program in 2009 to 2014. Methods. Our open-label, randomized controlled trial determined the effectiveness of a self-help intervention among Korean Americans aged 35 to 80 years in the Baltimore-Washington metropolitan area with uncontrolled type 2 diabetes. We measured and analyzed physiological and …
The association between nutrition transition score and measures of obesity
BACKGROUND: Studies suggest that US Latinos have a higher prevalence of obesity than White Americans. However, obesity may differ by pre-immigration factors and Latinos' cultural representations of ideal body image. This paper explores whether country of origin's stage in the nutrition transition is related to Latino immigrants' BMI category and self-perception of weight. METHODS: Primary data originated from a cross-sectional questionnaire of La…
It's Like Big Mama's House”
The family environment plays an important role in influencing children's dietary behaviors. Traditionally, African American extended family members play a key role in child socialization. We examine the role of extended families in how children are socialized to adopt dietary norms. We conducted in-depth, semi-structured interviews with 24 individuals across eight family units to elicit information regarding the influences of culture and families…
Adapting Hypertension Self-Management Interventions to Enhance Their Sustained Effectiveness Among Urban African Americans
African Americans suffer disproportionately poor hypertension control despite the availability of efficacious interventions. Using principles of community-based participatory research and implementation science, we adapted established hypertension self-management interventions to enhance interventions' cultural relevance and potential for sustained effectiveness among urban African Americans. We obtained input from patients and their family membe…
Creating a Transdisciplinary Research Center to Reduce Cardiovascular Health Disparities in Baltimore, Maryland
Cardiovascular disease (CVD) disparities continue to have a negative impact on African Americans in the United States, largely because of uncontrolled hypertension. Despite the availability of evidence-based interventions, their use has not been translated into clinical and public health practice. The Johns Hopkins Center to Eliminate Cardiovascular Health Disparities is a new transdisciplinary research program with a stated goal to lower the imp…
Improving Medical Education and Patient Care Through Community-Academic Health Center Partnerships
Progress in Community Health Partnerships: Research, Education, and Action - Volume 2, Issue 1, Spring 2008
Training Community Health Workers as Diabetes Educators for Urban African Americans
Core training in research intervention policies, procedures, and protocols, combined with an extended participatory training, led to effective preparation of laypersons to serve as CHWs
A Vision for Progress in Community Health Partnerships
Community-based participatory research (CBPR) is an increasingly used approach for conducting research to improve community health. Using Rogers' diffusion of innovations theory as a framework, it follows that future adoption of CBPR will occur if academic and community partners perceive CBPR to have greater relative advantage, compatibility, trialability, and observability, and less complexity than other research approaches. We propose that arti…
The Sociobiologic Integrative Model (SBIM)
The Impact of International Medical Graduate Status on Primary Care Physicians’ Choice of Specialist
BACKGROUND: Approximately one fourth of practicing physicians in the United States graduated from medical schools in other countries. It is unknown how the role of international medical graduate status affects physician decision-making. OBJECTIVE: The objective of this study was to determine whether a primary care physicians' knowledge of a specialist's international medical graduate status affects his or her decision to refer patients to that sp…
Identification of patient attitudes and preferences regarding treatment of depression
Tolerance for ambiguity among medical students
Recognition of Information and Coordination of Ambulatory Care by Medical Residents
Barker, L Randol MD; Starfield, Barbara MD; Gross, Richard J. MD; Kern, David E. MD; Levine, David M. MD; Fishelman, Patricia MA Author Information
Awareness, use, and impact of the 1984 Joint National Committee consensus report on high blood pressure
A random sample of Maryland physicians stratified by practice specialty (family, general, internal medicine, cardiology, and nephrology) was surveyed before and one year after dissemination of the 1984 Report of the Third Joint National Committee on the Detection, Evaluation, and Treatment of High Blood Pressure (The JNC III Report). Fourty-four per cent of the total eligible sample responded to both questionnaires. One year after publication, 62…
Using the Emergency Department as a Screening Site for High Blood Pressure
This study describes the development and testing of a high blood pressure protocol for use in emergency departments (ED) to enhance detection of those patients appropriate for subsequent referral. The protocol involves two serial blood pressure measurements and a patient interview to determine: 1) previous history of high blood pressure (HBP), 2) treatment in past year for HBP, and 3) usual source of medical care. The accuracy of patient reportin…
Smoking behavior and attitudes toward smoking among hospital nurses
We examined smoking prevalence, smoking behavior, and attitudes toward smoking in hospitals in 1,380 respondents among 1,719 registered nurses in a large urban teaching hospital. In this group, current prevalence of smoking in hospital nurses (22 per cent) was less than women in the general population (29 per cent). Smoking nurses were more likely than nonsmokers to hold attitudes which potentially reduce their efficacy in helping patients to sto…
Concurrent and Predictive Validity of a Self-reported Measure of Medication Adherence
Adherence to the medical regimen continues to rank as a major clinical problem in the management of patients with essential hypertension, as in other conditions treated with drugs and life-style modification. This article reviews the psychometric properties and tests the concurrent and predictive validity of a structured four-item self-reported adherence measure (alpha reliability = 0.61), which can be easily integrated into the medical visit. It…
Validation of a decision model for triaging hypertensive patients to alternate health education interventions
Physicians' beliefs about the importance of 25 health promoting behaviors
A mail survey of 1,040 primary care physicians in Maryland examined their beliefs about the importance of 25 behaviors for promoting the health of the average person. Physician consensus existed across specialties in rating most health behaviors as very important and few as very unimportant. Eliminating smoking was most important and taking vitamin supplements least important
Five-year blood pressure control and mortality following health education for hypertensive patients
Three health education interventions for urban poor hypertensive patients were introduced sequentially in a randomized factorial design: 1) an exit interview to increase understanding of and compliance with the prescribed regimen; 2) a home visit to encourage a family member to provide support for the patient's regimen; and 3) invitations to small group sessions to increase the patient's confidence and ability to manage his/her problem. Previous …
Author's Response to Kirscht and to Tuthill, et al
Author's Response to Kirscht and to Tuthill, et al Affiliation Donald E. Morisky, David M. Levine, Lawrence W. Green, Sam Shapiro, R. Patterson Russell, and Craig R. Smith CopyRight https://doi.org/10.2105/AJPH.73.11.1330-b Published Online: October 07, 2011
Five-year blood pressure control and mortality following health education for hypertensive patients
Three health education interventions for urban poor hypertensive patients were introduced sequentially in a randomized factorial design: 1) an exit interview to increase understanding of and compliance with the prescribed regimen; 2) a home visit to encourage a family member to provide support for the patient's regimen; and 3) invitations to small group sessions to increase the patient's confidence and ability to manage his/her problem. Previous …
Tolerance for ambiguity among medical students
A Vision for Progress in Community Health Partnerships
Community-based participatory research (CBPR) is an increasingly used approach for conducting research to improve community health. Using Rogers' diffusion of innovations theory as a framework, it follows that future adoption of CBPR will occur if academic and community partners perceive CBPR to have greater relative advantage, compatibility, trialability, and observability, and less complexity than other research approaches. We propose that arti…
Physicians' beliefs about the importance of 25 health promoting behaviors
A mail survey of 1,040 primary care physicians in Maryland examined their beliefs about the importance of 25 behaviors for promoting the health of the average person. Physician consensus existed across specialties in rating most health behaviors as very important and few as very unimportant. Eliminating smoking was most important and taking vitamin supplements least important
Cognitive Mapping of a Folk Taxonomy of Mexican Pottery
A folk taxonomy of cooking pottery from Puebla, Mexico, is derived from potters, according to a method described here. Making no assumptions about the taxonomy, the potters' raw data are subjected to a multivariate analysis. The resulting cognitive mapping reveals an inherent structure that can be interpreted in two dimensions, and attributed to two factors: open/closed pottery types, and multiple/nonmultiple ears. These factors are found to be a…
The Sociobiologic Integrative Model (SBIM)
Training Community Health Workers as Diabetes Educators for Urban African Americans
Core training in research intervention policies, procedures, and protocols, combined with an extended participatory training, led to effective preparation of laypersons to serve as CHWs
Smoking behavior and attitudes toward smoking among hospital nurses
We examined smoking prevalence, smoking behavior, and attitudes toward smoking in hospitals in 1,380 respondents among 1,719 registered nurses in a large urban teaching hospital. In this group, current prevalence of smoking in hospital nurses (22 per cent) was less than women in the general population (29 per cent). Smoking nurses were more likely than nonsmokers to hold attitudes which potentially reduce their efficacy in helping patients to sto…
Awareness, use, and impact of the 1984 Joint National Committee consensus report on high blood pressure
A random sample of Maryland physicians stratified by practice specialty (family, general, internal medicine, cardiology, and nephrology) was surveyed before and one year after dissemination of the 1984 Report of the Third Joint National Committee on the Detection, Evaluation, and Treatment of High Blood Pressure (The JNC III Report). Fourty-four per cent of the total eligible sample responded to both questionnaires. One year after publication, 62…
Validation of a decision model for triaging hypertensive patients to alternate health education interventions
Sex Differences in Response to a Blocked Career Pathway Among Unaccepted Medical School Applicants
Sex differences in career aspirations and behavior following unsuccessful application to medical school are examined. Findings from a 1972 national study indicate that, despite similar academic qualifications and initial career aspirations, women are less persistent than men in reapplying to medical school, more likely than men to lower their educational aspirations following rejection, and less likely than men to enroll in doctoral degree progra…
The Role of New Health Practitioners in a Prepaid Group Practice
Changes in the distribution of ambulatory care between physicians and new health practitioners (NHP) are examined in the pediatric and adult medicine departments of a prepaid group practice program. The study covers a three-year period during which NHP were extensively introduced to provide a broad range of ambulatory care. The source of data is a routine data information system that utilizes an encounter form to capture a minimal data set on eve…
The Role of New Health Practitioners in a Prepaid Group Practice
Practice patterns and patient-reported outcomes of care are compared in detail for ten physicians and 12 new health practitioners delivering ambulatory care in two departments of a prepaid group practice, the Columbia Medical Plan (CMP). All providers completed questionnaires for a 50 per cent random sample of patients seen during a two-week period. Patients completed questionnaires prior to receiving care and were interviewed one week and one mo…
Unaccepted Applicants to Medical School as a Health Resource
The career decisions of national samples of male and female unaccepted applicants to the 1971-72 entering U.S. medical school class are studied in order to determine whether the increasing number of unaccepted applicants is a potential manpower pool for alternative health occupations. The dominant response to rejection among respondents is reapplication to medical school in subsequent years, and the principal determinant of reapplication is recei…
Multivariate Analysis Of The Visual Information Processing Of Numbers
This paper applies nonmetric multidimensional scaling and hierarchical clustering procedures to a confusion matrix of numbers. Two dimensions were interpreted "straight versus curved" and "locus of curvature," while four major clusters of numbers were developed. The results are applied to information processing as possible evidence of hierarchical structure in the pattern recognition of visual inputs
Cognitive Mapping of a Folk Taxonomy of Mexican Pottery
A folk taxonomy of cooking pottery from Puebla, Mexico, is derived from potters, according to a method described here. Making no assumptions about the taxonomy, the potters' raw data are subjected to a multivariate analysis. The resulting cognitive mapping reveals an inherent structure that can be interpreted in two dimensions, and attributed to two factors: open/closed pottery types, and multiple/nonmultiple ears. These factors are found to be a…
Five-year blood pressure control and mortality following health education for hypertensive patients
Three health education interventions for urban poor hypertensive patients were introduced sequentially in a randomized factorial design: 1) an exit interview to increase understanding of and compliance with the prescribed regimen; 2) a home visit to encourage a family member to provide support for the patient's regimen; and 3) invitations to small group sessions to increase the patient's confidence and ability to manage his/her problem. Previous …
Author's Response to Kirscht and to Tuthill, et al
Author's Response to Kirscht and to Tuthill, et al Affiliation Donald E. Morisky, David M. Levine, Lawrence W. Green, Sam Shapiro, R. Patterson Russell, and Craig R. Smith CopyRight https://doi.org/10.2105/AJPH.73.11.1330-b Published Online: October 07, 2011
Physicians' beliefs about the importance of 25 health promoting behaviors
A mail survey of 1,040 primary care physicians in Maryland examined their beliefs about the importance of 25 behaviors for promoting the health of the average person. Physician consensus existed across specialties in rating most health behaviors as very important and few as very unimportant. Eliminating smoking was most important and taking vitamin supplements least important
Smoking behavior and attitudes toward smoking among hospital nurses
We examined smoking prevalence, smoking behavior, and attitudes toward smoking in hospitals in 1,380 respondents among 1,719 registered nurses in a large urban teaching hospital. In this group, current prevalence of smoking in hospital nurses (22 per cent) was less than women in the general population (29 per cent). Smoking nurses were more likely than nonsmokers to hold attitudes which potentially reduce their efficacy in helping patients to sto…
Concurrent and Predictive Validity of a Self-reported Measure of Medication Adherence
Adherence to the medical regimen continues to rank as a major clinical problem in the management of patients with essential hypertension, as in other conditions treated with drugs and life-style modification. This article reviews the psychometric properties and tests the concurrent and predictive validity of a structured four-item self-reported adherence measure (alpha reliability = 0.61), which can be easily integrated into the medical visit. It…
Validation of a decision model for triaging hypertensive patients to alternate health education interventions
Using the Emergency Department as a Screening Site for High Blood Pressure
This study describes the development and testing of a high blood pressure protocol for use in emergency departments (ED) to enhance detection of those patients appropriate for subsequent referral. The protocol involves two serial blood pressure measurements and a patient interview to determine: 1) previous history of high blood pressure (HBP), 2) treatment in past year for HBP, and 3) usual source of medical care. The accuracy of patient reportin…
Awareness, use, and impact of the 1984 Joint National Committee consensus report on high blood pressure
A random sample of Maryland physicians stratified by practice specialty (family, general, internal medicine, cardiology, and nephrology) was surveyed before and one year after dissemination of the 1984 Report of the Third Joint National Committee on the Detection, Evaluation, and Treatment of High Blood Pressure (The JNC III Report). Fourty-four per cent of the total eligible sample responded to both questionnaires. One year after publication, 62…
Recognition of Information and Coordination of Ambulatory Care by Medical Residents
Barker, L Randol MD; Starfield, Barbara MD; Gross, Richard J. MD; Kern, David E. MD; Levine, David M. MD; Fishelman, Patricia MA Author Information
Tolerance for ambiguity among medical students
Identification of patient attitudes and preferences regarding treatment of depression
The Impact of International Medical Graduate Status on Primary Care Physicians’ Choice of Specialist
BACKGROUND: Approximately one fourth of practicing physicians in the United States graduated from medical schools in other countries. It is unknown how the role of international medical graduate status affects physician decision-making. OBJECTIVE: The objective of this study was to determine whether a primary care physicians' knowledge of a specialist's international medical graduate status affects his or her decision to refer patients to that sp…
Training Community Health Workers as Diabetes Educators for Urban African Americans
Core training in research intervention policies, procedures, and protocols, combined with an extended participatory training, led to effective preparation of laypersons to serve as CHWs
A Vision for Progress in Community Health Partnerships
Community-based participatory research (CBPR) is an increasingly used approach for conducting research to improve community health. Using Rogers' diffusion of innovations theory as a framework, it follows that future adoption of CBPR will occur if academic and community partners perceive CBPR to have greater relative advantage, compatibility, trialability, and observability, and less complexity than other research approaches. We propose that arti…
The Sociobiologic Integrative Model (SBIM)
Improving Medical Education and Patient Care Through Community-Academic Health Center Partnerships
Progress in Community Health Partnerships: Research, Education, and Action - Volume 2, Issue 1, Spring 2008
Creating a Transdisciplinary Research Center to Reduce Cardiovascular Health Disparities in Baltimore, Maryland
Cardiovascular disease (CVD) disparities continue to have a negative impact on African Americans in the United States, largely because of uncontrolled hypertension. Despite the availability of evidence-based interventions, their use has not been translated into clinical and public health practice. The Johns Hopkins Center to Eliminate Cardiovascular Health Disparities is a new transdisciplinary research program with a stated goal to lower the imp…
The association between nutrition transition score and measures of obesity
BACKGROUND: Studies suggest that US Latinos have a higher prevalence of obesity than White Americans. However, obesity may differ by pre-immigration factors and Latinos' cultural representations of ideal body image. This paper explores whether country of origin's stage in the nutrition transition is related to Latino immigrants' BMI category and self-perception of weight. METHODS: Primary data originated from a cross-sectional questionnaire of La…
It's Like Big Mama's House”
The family environment plays an important role in influencing children's dietary behaviors. Traditionally, African American extended family members play a key role in child socialization. We examine the role of extended families in how children are socialized to adopt dietary norms. We conducted in-depth, semi-structured interviews with 24 individuals across eight family units to elicit information regarding the influences of culture and families…
Medicine (27 works) · Family medicine (13 works) · Nursing (11 works) · Psychology (10 works) · Gerontology (8 works) · Public health (8 works) · Health care (7 works) · Internal Medicine (7 works) · Medical education (7 works) · Sociology (7 works)