This project studies the expression of rheumatic diseases in an underserved, largely ethnic minority community in the Washington, DC metropolitan area. Through the NIAMS Community Health Center, subjects with rheumatic complaints are evaluated and provide researchers with first-hand experience in understanding barriers to care. This project has supported research on cultural differences in understanding standardized self-report outcome assessment tools, determination of clinically important improvements in rheumatoid arthritis, use of complementary and alternative medicine in patients with rheumatic symptoms, acceptability of yoga as a treatment for arthritis by minority individuals, understanding of the research process and informed consent among ethnic minorities, and validation in Spanish and English of a rheumatoid arthritis case-finding questionnaire for use in epidemiological studies. In addition, researchers have examined interventions to improve the referral process between primary care providers and subspecialists.

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National Institute of Arthritis and Musculoskeletal and Skin Diseases
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Sansbury, Brittany; Dasgupta, Abhijit; Guthrie, Lori et al. (2014) Time perspective and medication adherence among individuals with hypertension or diabetes mellitus. Patient Educ Couns 95:104-10
Middleton, Kimberly R; Ward, Michael M; Haaz, Steffany et al. (2013) A pilot study of yoga as self-care for arthritis in minority communities. Health Qual Life Outcomes 11:55
Ward, Michael M (2010) Medicare reimbursement and the use of biologic agents: incentives, access, the public good, and optimal care. Arthritis Care Res (Hoboken) 62:293-5
Potter, Jeffrey; Odutola, Jennifer; Gonzales, Christian Amurrio et al. (2008) Validation of English and Spanish-language versions of a screening questionnaire for rheumatoid arthritis in an underserved community. J Rheumatol 35:1545-9