Posts (120)

9 hours ago · From Concept to Application: The Impact of a Community-Wide Intervention to Improve the Delivery of Preventive Services to Children

Abstract

Objective. To improve health outcomes of children, the US Maternal and Child Health Bureau has recommended more effective organization of preventive services within primary care practices and more coordination between practices and community-based agencies. However, applying these recommendations in communities is challenging because they require both more complex systems of care delivery within organizations and more complex interactions between them. To improve the way that preventive health care services are organized and delivered in 1 community, we designed, implemented, and assessed the impact of a health care system-level approach, which involved addressing multiple care delivery processes, at multiple levels in the community, the practice, and the family. Our objective was to improve the processes of preventive services delivery to all children in a defined geographic community, with particular attention to health outcomes for low-income mothers and infants.

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Fri, Dec 7 3:58pm · Bridging the Gap After Physical Therapy: Clinical-Community Linkages With Older Adult Physical Activity Programs

Abstract

Background and Objectives

Many barriers exist to older adult participation in physical activity, despite known benefits. Referrals from physical therapists (PTs) through clinical–community linkages offer novel, promising opportunities to increase older adult engagement in appropriate community-based physical activity programs. We assessed the capacity of PTs to participate in such linkages.

Research Design and Methods

We collected qualitative data using semistructured phone interviews (n = 30) with PTs across 14 states. We conducted thematic analysis using a priori themes based on the 2008 Bridging Model of Etz and colleagues: capacity to assess patient risk, ability to provide brief counseling, capacity and ability to refer, and awareness of community resources.

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Fri, Nov 30 11:05am · Evaluating a Media Strategy to Provide Health Messages to Medically Underserved Populations

Abstract

For nearly every category of chronic disease, blacks with African American ancestry (AAs) bear a disproportionate disease burden in comparison to their non-Hispanic white (NHW) counterparts. The purpose of this study was to evaluate perceptions of a radio-based health communication strategy, geared towards AA adults and the medically underserved. The radio broadcast, titled “Closing the Gap in Healthcare, Inc. (CGHI),” is delivered by a well-known AA male physician in South Carolina. The mission of CGHI is to decrease health disparities in a four-county area of the South Carolina coastal region, defined as the “Lowcountry,” by providing evidence-based health information to a broad community audience via radio broadcast messaging. To evaluate the impact of the CGHI, investigators conducted 12 focus groups (FGs) with community members from the broadcast coverage area to evaluate responses to FG questions based on 11 attributes of effective health communication. Potential FG participants were identified/recruitd via a South Carolina-based marketing firm. The FGs conducted in the Sea Islands were culturally and racially homogenous. The investigators developed a FG interview guide. Before each FG started, the informed consent process was administered to each participant. Each two-hour FG was digitally recorded.

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Fri, Nov 9 2:27pm · The in's and out's of science outreach: assessment of an engaging new program

Abstract

Many professors are interested in providing science outreach to local K–12 students, but may not have the time or resources needed to create an engaging presentation. The American Physiological Society supports outreach initiatives through programs such as the Physiology Understanding (PhUn) Week. Building on these activities, it was desired to create and assess an immersive and engaging Outreach Program in a disadvantaged K–12 student population. Three distinct modules were created on cardiovascular physiology, respiratory physiology, and oral health. All resources for these modules underwent peer review and publication, allowing other professors to easily execute their own outreach programming. The outreach modules were presented to 288 students in 3rd, 5th, 6th, and 7th grade classes. Implementation of the modules resulted in significant increases in student content knowledge, ranging from 32 to 57% improvement (P < 0.001, dependent t-test), with an average increase of 46%. K–12 science teachers reported that the program was at an appropriate educational level, increased students’ enthusiasm for science, and increased students’ exposure to science careers.

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Mon, Oct 29 11:29am · Building Bridges for Asthma Care Program: A School-Centered Program Connecting Schools, Families, and Community Health-Care Providers

Asthma imposes tremendous burden on children, families, and society. Successful management requires coordinated care among children, families, health providers, and schools. Building Bridges for Asthma Care Program, a school-centered program to coordinate care for successful asthma management, was developed, implemented, and evaluated. The program consists of five steps: (1) identify students with asthma; (2) assess asthma risk/control; (3) engage the family and student at risk; (4) provide case management and care coordination, including engagement of health-care providers; and (5) prepare for next school year. Implementation occurred in 28 schools from two large urban school districts in Colorado and Connecticut. Significant improvements were noted in the proportions of students with completed School Asthma Care Plans, a quick-relief inhaler at school, Home Asthma Action/Treatment Plans and inhaler technique (p < .01 for all variables). Building Bridges for Asthma Care was successfully implemented extending asthma care to at-risk children with asthma through engagement of schools, health providers, and families.

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Fri, Oct 5 3:53pm · CTSA Program Researchers Partner with Barbershops to Cut High Blood Pressure

When is a haircut more than a haircut? When it’s also the first step to cutting high blood pressure.

Black men are more likely to die from complications of high blood pressure than any other group in the U.S. To tackle this disparity, researchers from the Smidt Heart Institute at Cedars-Sinai and the University of California, Los Angeles (UCLA), are pairing pharmacists with barbershops to offer high blood pressure care for customers. The results from a recent study published in the New England Journal of Medicine (link is external) show this approach can dramatically lower blood pressure.

“If we could expand and maintain this kind of blood pressure reduction for years, it would prevent an enormous number of strokes and heart attacks,” said Ronald Victor, M.D., a cardiologist and the director of the Hypertension Center in the Smidt Heart Institute. Victor led the six-month study with other investigators at UCLA’s Clinical and Translational Science Institute (CTSI), an NCATS Clinical and Translational Science Awards (CTSA) Program hub.

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Fri, Sep 28 11:42am · Soccer Field Wars: Latino Neighbors Win a Fight to Play

Omar Gonzalez and many of his neighbors love playing nightly pick-up soccer games on the fields at Harriet Tubman Elementary School in the Columbia Heights neighborhood in Washington, D.C.

Gonzalez never expected to get kicked off the field.

But that’s what happened one night when a local sports league, which had mostly white players in uniforms, showed a permit they had paid to use the fields. They asked the neighbors to stop their game and leave.

Gonzalez and his neighbors were confused. No one had ever used a permit to play there on weeknights.

So they started a battle to allow open and fair usage of the fields.

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Fri, Sep 28 11:26am · School Gardens in the United States: Current Barriers to Integration and Sustainability

Objectives. To elucidate details about the barriers (time, funding, staffing, and space) to integrating and sustaining school gardens.

Methods. A total of 99 school gardeners from 15 states participated in an online survey in June 2017. The 29-item survey contained qualitative and quantitative items that we analyzed using descriptive statistics and inductive content analysis.

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