SOM Faculty Profile : Denise L Orwig

Denise L Orwig Ph.D.

Academic Title: Assistant Professor

Primary Appointment: Epidemiology and Preventive Medicine

dorwig@epi.umaryland.edu

Location: Howard Hall 203

Phone: (410) 706-8951

Phone: (410) 706-2406

Fax: (410) 706-4433

Personal History

EDUCATION

1989: University of Pittsburgh, Pittsburgh, PA, B.S., Psychology/Business

1993: The Johns Hopkins University, Baltimore, MD, M.S., Applied Behavioral Science

1998: The Pennsylvania State University, University Park, Pennsylvania , Ph.D., Biobehavioral Health; Minor: Gerontology

POST GRADUATE EDUCATION and TRAINING

2000 - 2003: Postdoctoral Fellowship in Primary Care, Division of Gerontology, Department of Epidemiology and Preventive Medicine, The University of Maryland School of Medicine, Baltimore, MD.

EMPLOYMENT HISTORY

1992-1994: Training Specialist and Software Application Specialist for The Johns Hopkins University School of Medicine’s Office of Clinical Practice.

1998-1999: Coordinator for the Baltimore Hip Studies, University of Maryland School of Medicine, Department of Epidemiology and Preventive Medicine, Division of Gerontology.

1999-2000: Research Associate Faculty, University of Maryland School of Medicine, Department of Epidemiology and Preventive Medicine, Division of Gerontology.

2000-present: Associate Director of the Baltimore Hip Studies, University of Maryland School of Medicine, Department of Epidemiology and Preventive Medicine, Division of Gerontology.

2000-present: Assistant Professor, University of Maryland School of Medicine, Department of Epidemiology and Preventive Medicine, Division of Gerontology.

RESEARCH TRAINING

1994-1997: Research Assistant for the Medicine, Health and Aging Project in the Department of Biobehavioral Health, The Pennsylvania State University, University Park, PA.

1997 -1998: Predoctoral Fellow in Adult Development and Aging, Department of Biobehavioral Health and the Gerontology Center, The Pennsylvania State University, University Park, PA.

2001-2004: Junior Faculty, University of Maryland Claude D. Pepper Older Americans Independence Center, University of Maryland School of Medicine, Baltimore, MD.

Research Interests

Dr. Orwig is trained in biobehavioral health and gerontology specializing in research with frail older adults and has additional training in pharmacoepidemiology. For the past 8 years, Dr. Orwig has served as Associate Director of the Baltimore Hip Studies (BHS) (Dr. Jay Magaziner, Director), a research program dedicated to optimizing recovery from hip fracture in the elderly. Her expertise is in the areas of hip fracture recovery, intervention trials, and research methods for studying frail older populations longitudinally. Dr. Orwig has particular interest in conducting performance measures with frail older adults, recruitment and retention issues, developing interventions to maximize recovery post-hip fracture, translating interventions into the community, and improving treatment of osteoporosis after a hip fracture. Over the course of several large NIA-funded studies, Dr. Orwig has gained extensive experience in working with patients in the acute care setting and following them over time. She and her team in the Baltimore Hip Studies have established collaborative relationships with key medical personnel in 25 hospitals in the greater Baltimore area, Washington D.C., and southern Pennsylvania. In the field of pharmacoepidemiology, Dr. Orwig is interested in medication management issues of older adults. She developed an instrument, Medication Management Instrument for Deficiencies in the Elderly (MedMaIDE), to assess older adult’s ability to self-medicate safely in the community. This instrument is unique since it can be used by non-medically trained people (e.g., caregivers) to identify deficiencies of an older adult.

Patents, Inventions, Copyrights:

2002: Trademark for the MedMaIDE (76/423,110), an instrument for people with no medical background to assess medication management deficiencies in the elderly.
2002: Copyright of the Medication Management Instrument for Deficiencies in the Elderly (MedMaIDE) and the MedMaIDE User’s Manual (Txu1-038-253).

Publications

Book Chapters

Orwig D, Martin LG, Brandt N. "Social, Behavioral, and Economic Aspects of Medication Use in Older Adults" In N.M. Rickels, A.I. Wertheimer, and M. Smith (eds). Social and Behavioral Aspects of Pharmaceutical Care, Second Edition. Binghamtom, NY: The Haworth Press, Inc., in press.

Journal Articles (Peer Review)

Dellasega C, Orwig DL, Lenz E, Ahern FM. The post-discharge course of rural and urban elderly cardiac patients. Journal of Gerontology: Medical Sciences. 1999; 54A(10): M514.

Resnick B, Zimmerman SI, Orwig D, Furstenberg A-L., Magaziner J. Outcome expectations for exercise scale: utility and psychometrics. Journal of Gerontology: Social Sciences. 2000; 55B (6): S352.

Resnick B, Orwig D, Zimmerman SI, Furstenberg A-L., Magaziner J. Model testing for reliability and validity of the outcome expectations for exercise scale. Nursing Research. 2001; 50(5): 293-299.

Resnick B, Nahm E, Orwig D, Zimmerman SI, Magaziner J. Measurement of activity in older adults: Reliability and validity of the Step Activity Monitor. Journal of Nursing Measurement. 2001; 9(3): 275-290.

Resnick B, Orwig D, Magaziner J, Wynne C. The effect of social support on exercise behavior in older adults. Clinical Nursing Research. 2002; 11(1): 52-70.

Resnick B, Magaziner J, Orwig D, Zimmerman SI. Evaluating the components of the Exercise Plus Program: Rationale, theory, and implementation. Health Education Research. 2002; 17(5):648-658.

Resnick B, Wehren L, Orwig D, Magaziner J. Testing the Reliability and Validity of the Self-Efficacy and Outcome Expectations for Osteoporosis Medication Adherence Scales. Orthopedic Nursing. 2003; 22(2): 139-147.

Magaziner J, Fredman L, Hawkes W, Hebel JR, Zimmerman S, Orwig DL, Wehren L. Changes in functional status attributable to hip fracture: A comparison of hip fracture patients to community-dwelling aged. American Journal of Epidemiology. 2003; 157(11): 1023-1031.

Resnick B, Concha B, Burgess J, Fine ML, West L, Baylor K, Poquette L, Nahm E, Custis-Buie V, Werner M, Orwig D, Magaziner J. Recruitment of older women: Lessons learned from the Baltimore Hip Studies. Nursing Research. 2003; 52(4):270-273.

Wehren L, Hawkes W, Hebel JR, Orwig D, Zimmerman SI, Fox KM, Yu-Yahiro J, Magaziner J. Predictors of bone loss after hip fracture. Osteoporosis International. 2003; 15: 125-131.

Wehren L, Hawkes W, Orwig D, Hebel JR, Zimmerman SI, Magaziner J. Gender differences in mortality following hip fracture. Journal of Bone and Mineral Research. 2003; 18(12): 2231-2237.

Paulose-Ram R, Jonas BS, Orwig D, Safran M. Prescription psychotropic medication use among the US adult population: Results from the third National Health and Nutrition Examination Survey (NHANESIII). Journal of Clinical Epidemiology. 2004; 57(3): 309-317.

Briesacher B, Kamal-Bahl S, Hochberg M, Orwig D, Kahler KH. Three-tiered co-payment drug coverage and use of non-steroidal anti-inflammatory drugs. Archives of Internal Medicine. 2004; 164: 1679-1684.

Bellg AJ, Borrelli B, Resnick B, Hecht J, Minicucci D, Ory M, Ogedegbe G, Orwig D, Ernst D, Czajkowski S. Enhancing Treatment Fidelity in Health Behavior Change Studies: Best Practices and Recommendations from the Behavior Change Consortium. Health Psychology. 2004; 23(5): 443-456.

Resnick B, Orwig D, Wehren L, Hawkes W, Hebel JR, Fontaine K, Zimmerman S, Magaziner J. Health-Related Quality of Life: Is it a good indicator of function post-THR? Rehabilitation Nursing. 2005; 30 (2): 46-67.

Resnick B, Inguito P, Orwig D, Yahiro J, Hawkes W, Werner M, Zimmerman S, Magaziner J. Treatment fidelity in behavior change research: A case example. Nursing Research. 2005; 54(2):139-143.

Resnick B, Bellg B, Borrelli B, DeFrancesco C, Breger R, Hecht J, Sharp D, Levesque C, Orwig D, Ernst D, Ogedegbe G, Czajkowski S. Examples of implementation and evaluation of treatment fidelity in the BCC Studies: Where we are and where we need to go. Annals of Behavioral Medicine. 2005; 29 (suppl): 46-54.

Wehren L, Hawkes WG, Hebel JR, Orwig DL, Magaziner J. Bone mineral density, soft tissue body composition, strength, and functioning after hip fracture. Journal of Gerontology: Medical Sciences. 2005; 60A (1): 80-84.

Resnick B, Orwig D, Wehren L, Zimmerman S, Simpson M, Magaziner J. The Exercise Plus Program for older women post hip fracture: Participant perspectives. The Gerontologist. 2005; 45(4): 539-544.

Borrelli B, Sepinwall D, Ernst D, Bellg AJ, Czajkowski S, Breger R, DeFrancesco C, Levesque C, Minicucci DS, Ogedegbe O, Resnick B, Orwig D. A new tool to assess treatment fidelity and evaluation of treatment fidelity across ten years of health behavior research. Journal of Consulting and Clinical Psychology. 2006; 73(5); 852-860.

Briesacher B, Orwig D, Seton M, Omar M, Kahler KH. Treatment costs of Paget’s disease and disease burden. Bone. 2006;38: 731-737.

Resnick B, Orwig D, Zimmerman S, Hawkes W, Golden J, Werner-Bronzert M, Magaziner J. Testing of the SEE and OEE post-hip fracture. Western Journal of Nursing Research. 2006; 28(5): 586-601.

Zuckerman IH, Langenberg P, Baumgarten M, Orwig D, Byrns PJ, Simoni-Wastila L, Magaziner J. Inappropriate drug use and risk of transition to nursing homes among community-dwelling older adults. Medical Care. 2006; 44(8): 722-730.

Hawkes WG, Wehren L, Orwig D, Hebel JR, Magaziner J. Gender differences in functioning after hip fracture. J Gerontol A Biol Sci Med Sci. 2006; 61(5):495-499.

Streeten EA, Mohamed A, Orwig D, Sack P, Shuldiner A. Medical-Orthopedic team improves osteoporosis treatment of inpatient fracture patients. Journal of Bone and Joint Surgery. 2006; 88: 1968-1974.

Orwig D, Brandt N, Gruber-Baldini A. Medication management assessment for older adults in the community. The Gerontologist. 2006; 46(5): 661-668.

Magaziner J, Wehren L, Hawkes WG, Orwig D, Hebel JR, Fredman L, Stone K, Zimmerman S, Hochberg M. Women with hip fracture have a greater rate of decline in bone mineral density than expected: Another significant consequence of a common geriatric problem. Osteoporosis International. 2006;17: 971-977.

Orwig, D. Chan, J., Magaziner, J. Hip fracture and its consequences: Differences between men and women. Orthopedic Clinics of North America. 2006; 37: 611-622.

Resnick B, Orwig D, Hawkes W, Shardell M, Terrin M, Golden J, Werner M, Zimmerman S, Magaziner J. Relationship between psychosocial state and exercise behavior of older women two months post-hip fracture. Rehabilitation Nursing. 2007; 32(4):139-149.

Resnick B, Shaughnessy M, Macko R, Michael K, Whitall J, Nahm E-S, Orwig D. Reliability and validity of the short self-efficacy and short outcome expectation for exercise. International Journal of Therapy and Rehabilitation. 2007;14(3):110-117.

Resnick B, Orwig D, Yu-Yahiro J, Hawkes W, Shardell M, Hebel JR, Zimmerman S, Golden J, Werner M, Magaziner J. Testing the effectiveness of the exercise plus program in older women post-hip fracture. Annals of Behavioral Medicine. 2007; 34(1): 67-76.

Paulose-Ram R, Safran M, Jonas B, Gu Q, Orwig D. Trends in psychotropic medication use among US adults. Pharmacoepidemiology and Drug Safety. 2007; 16(5): 560-70.

Resnick B, Orwig D, Hawkes W, Magaziner J. Factors that influence exercise activity among women post-hip fracture participating in the exercise plus program. Clinical Interventions in Aging. 2007; 2(3):413-427.

Resnick B, D’Adamo C, Shardell M, Orwig D, Hawkes W, Hebel JR, Golden J, Magaziner J, Zimmerman S, Yu-Yahiro J. Adherence to an exercise intervention among older women post hip fracture. Journal of Clinical Sport Psychology. 2008; 2(1): 41-56.

Resnick B, Michael K, Shaughnessy M, Nahm E-S, Kopunek S, Sorkin J, Orwig D, Goldberg A, Macko R. Inflated perceptions of physical activity after stroke: Pairing self-report with physiologic measures. Journal of Physical Activity & Health. 2008; 5(2): 308-318. [PMID: 18382039]

Lenze EJ, Shardell M, Ferrell RE, Orwig D, Yu-Yahiro J, Hawkes W, Fredman L, Miller R, Magaziner J. Association of serotonin-1A and 2A receptor promoter polymorphisms with depressive symptoms and functional recovery in elderly persons after hip fracture. Journal of Affective Disorders 2008; Mar 10; [PMID: 18334271]

Ryder PT, Wolpert B, Orwig D, Carter-Pokras O, Black SA. Complementary and alternative medicine (CAM) use among older urban African Americans: Individual and neighborhood associations. Journal of the National Medical Association 2008; 100(10): 1186-1192.

Casado BL, Resnick B, Zimmerman S, Nahm E-S, Orwig D, Macmillan K, Magaziner J. Social support for exercise by experts in older women post hip fracture. Journal of Women and Aging, in press.

Blanchette C., Simoni-Wastila, L., Shaya, F., Orwig, D., Noel J., Stuart, B. Healthcare utilization in elderly cardiac patients with depression and the impact of antidepressant utilization. American Journal of Health-System Pharmacy, in press.

Resnick, B., Jung, D. Y., Orwig, D. Reliability and validity of the single item fear of falling questionnaire, (under review).

Baumgarten M, Margolis D, Orwig D, Shardell M, Hawkes W, Langenberg P, Palmer MH, Sterling R, Jones PS, McArdle P, Kinosian B, Rich S, Magaziner S. Pressure ulcers in elderly hip fracture patients across the continuum of care, (under review).

Yu-Yahiro, J., Resnick, B., Orwig, D., Hicks, G., Magaziner, J. Design and implementation of home-based exercise program post-hip fracture: The Baltimore Hip Studies Experience, (under review).

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