to view the program - Society for Public Health Education

to view the program - Society for Public Health Education to view the program - Society for Public Health Education

01.02.2014 Views

Poster Abstracts 1. Spotlight on SOPHE Chapters Crystal Owensby, MS, CHES, Speaker, SOPHE House of Delegates, SOPHE Chapters SOPHE’s 19 chapters represent some 2,000 health educators residing in more than 30 states and regions of the United States, western Canada, and northern Mexico. Since the first chapter (San Francisco Bay Area - now Northern California) was recognized in 1962, chapters have expanded to provide vital services through networking, continuing education, advocacy, leadership development, community service, awards, and partnerships with state/local public and private agencies. SOPHE chapters must meet certain requirements for National SOPHE recognition, but maintain their own independent governing boards, member dues, programs and benefits structure. Many attract and serve a vibrant student population and other scholarships and mentoring programs. Find out how you can become involved and grow personally and professionally by being involved in your local SOPHE chapter. 2. *The KidneyMobile: On the Road to Healthy Living Nicole Sisen, MS, National Kidney Foundation of Illinois; Kate O’Connor, National Kidney Foundation of Illinois, Nancy LePain, APN-BC, KidneyMobile Background: 23.6 million people have diabetes with 5.7 million (or 25%) of these individuals undiagnosed. Even more alarming is that 57 million people in the US have pre-diabetes and still more are at risk of complications such as blindness, amputation and of kidney disease. In Illinois, the National Kidney Foundation estimates that there are approximately 960,000 individuals with chronic kidney disease (CKD), most of whom are unaware of their condition. 68% of CKD cases are caused by untreated and/or undiagnosed diabetes. It is estimated that at least 40% of kidney patients are diagnosed with CKD in emergency rooms with kidney failure and several co-morbid conditions, such as hypertension, cardiovascular disease, and anemia and bone disease. Intervention In 2005, the National Kidney Foundation of Illinois introduced the KidneyMobile® screening and educational and referral program to the residents of Chicago and surrounding areas of Illinois. The Kidneymobile is a community-based health screening program targeting individuals 18 years and older with/without diabetes, hypertension, or family history of kidney disease, diabetes, or hypertension. Screenings are targeted at individuals at great risk for chronic kidney disease. Site selections focused on high-risk individuals and rural communities with limited access to care and/or underserved areas. Each participant completes a short health-related questionnaire, participates in the screening and has a private consultation with the nurse practitioner. Postscreening; follow-up is conducted through phone surveys in Spanish and English to capture data on implementation of recommendations and follow-up care or treatment where education and consultation is provided. Objectives: The overall goal of the KidneyMobile is to impact primary, secondary, and tertiary diabetes prevention outcomes by conducting community-based screening and education program throughout the state of Illinois. The KidneyMobile® Program is composed of the following components: (a) conducting community based KidneyMobile screenings to identify individuals with possible unidentified hypertension, diabetes, and/or kidney disease; (b) provide immediate individual consultation from a health care provider regarding the screening results; (c) provide written educational materials on diabetes/kidney disease/hypertension; (d) increase access with health care providers through referrals and community resources; (f ) followup with those with abnormal screening results to support linkage with needed medical care. Evaluation The NKFI seeks to establish the KidneyMobile as a valid resource for participants, their families and those interested in learning more and taking steps toward preventing the onset of hypertension, diabetes and chronic kidney disease (CKD) through KidneyMobile® Program this is evaluated for process and formative evaluation methods through tracking, surveys and follow-up with participants and partners. Results The KidneyMobile® screening and educational program identifies unknown cases of kidney disease and diabetes, provides education and facilitates access to health care among underserved and high risk populations in Illinois. More than 23,000 individuals have participated in a screening. Of those identified, more than 74% of participants screened had one or more abnormal result indicating high blood pressure, diabetes and/or kidney disease, where 29% tested with a critically high result and referred for followup care and/or treatment. Nearly 90% of participants with critical results have been contacted through phone or survey for follow-up post screening. 3. Developing Public Health Capacity in Kazakhstan Altyn Aringazina, MD, PhD, Columbia University; John Allegrante, PhD, Columbia University Over the last decade, a series of important government initiatives in the Republic of Kazakhstan have sought to build public health capacity as one of the cornerstones of state policy to revitalize and strengthen the public health system and improve population health. Healthy People Kazakhstan outlines the development and delivery of public health services for 2011–2015 and has established quantifiable epidemiologic targets in order to address a wide range of population health problems and disparities in rapidly changing society. Achieving many of the targets will require increased capacity of the public health system’s health promotion workforce and developing practice standards that are consistent with the core competencies envisioned by the 42 SOPHE-NACDD 2011 Joint Academy and Midyear Scientific Meeting

Galway Consensus Conference and those of the International Union for Health Promotion and Education CompHP Project. This presentation will describe efforts now under way to meet the challenges of developing health promotion capacity in Kazakhstan and modernizing its public health workforce as part of broader public health policy, systems, and environmental change. The presentation will provide: 1) an overview of the demographic and epidemiologic profile of Kazakhstan; 2) the results from a population-based survey of public attitudes (N = 4,497) toward the health improvement process and opinions about the health care system in Kazakhstan, including respondent views on health-related social capital and critical issues in the development of intersectoral approaches; and 3) the results and an eight-dimension spidergram from a health promotion capacity mapping exercise. The results suggest that policy makers and public health specialists should work out new vision concerning understanding health promotion issues in the country to develop competency-based standards for professional practice. Implications of these findings for developing health promotion capacity and public health workforce competence in Kazakhstan will be discussed. 4. *The New Mexico Colorectal Cancer White Paper: Development and Future Plans Noell Stone, MPH, Department of Family and Community Medicine, University of New Mexico Health Sciences Center; Richard Hoffman, MD, MPH, University of New Mexico Health Sciences Center; Christine Brown, MS, NM Department of Health Comprehensive Cancer Program; Beth Pinkerton, Comprehensive Cancer Program Background: The New Mexico Cancer Council is a collaborative effort of diverse public and private partners working together to combat cancer in the state. The Council first targeted colorectal cancer (CRC) as a priority area in 2009 and commissioned the CRC White Paper Report to provide an overview of the current status of CRC in New Mexico. The report is intended to serve as a comprehensive overview of relevant colorectal cancer issues for New Mexicans, including a description of colorectal cancer epidemiology, risk factors, screening tests, treatments, costs, survivorship, programs, and policy recommendations. Partnerships: This is a university-communityagency collaboration engaged in a participatory research policy study to examine CRC in New Mexico. Partnerships include the NM Cancer Council, the CRC workgroup, the New Mexico Department of Health Comprehensive Cancer Control Program, the University of New Mexico Cancer Center Division Of Population Sciences, among others. Theoretical Framework, Methods and Proposed Interventions: A socio-ecologic framework guided our investigations. We used the following methods: review of the medical literature, analysis of tumor registry and screening data, key informant interviews and stakeholder meetings. The information presented in the report is intended to be an intermediate step with the intention to ultimately inform systems change and policy decisions by the state legislature, healthcare systems, and stakeholder advocacy groups for allocating resources to colorectal cancer screening, surveillance, and treatment programs in the state. Implications: The systematic exploration of multi-level influences on CRC policy in New Mexico is particularly relevant in an era of changing health care priorities and allocation of resources due to impending health care reform. We used a combination of participatory approaches and traditional public health research methods to integrate and link the descriptive epidemiology of CRC and the multi-faceted environment in which policy and practice are evolving. 5. Baby Steps to Success: Utilizing the Chronic Disease Self- Management Program with Caregivers of Children with Sickle Cell Disease Lisa Shook, MA, CHES, Cincinnati Children’s Hospital - Sickle Cell Center; Gwendolyn D. Brown, BA, University of Cincinnati Sickle cell disease (SCD) is an inherited, lifelong chronic disease, that affects the red blood cells. SCD is typically diagnosed at birth through newborn screening. Raising a child with SCD impacts the entire family. Learning self-efficacy and self-management tools, using evidence-based techniques, has been shown to lead to better health outcomes and improved quality of life in adults with chronic illnesses. The Stanford University Chronic Disease Self-Management Program (CDSMP) has been utilized primarily with adults living with chronic illnesses. Our innovative program targeted caregivers of children with SCD. Caregivers participated in a 6-week pilot CDSMP program. The curriculum included communicating with health professionals; coping with difficult emotions; and creating a health behavior action plan. The pilot group consisted of 10 caregivers (ages 19 – 69 years old). The caregivers’ children ranged in age from 9 months – 16 years old. Six participants attended all 6 sessions, and 4 parents missed 1 session due to illness and/or scheduling conflicts. Evaluation data showed 100% of participants would recommend the program to other parents. Posttests revealed chronic disease self-management knowledge increased 15% after the program. Follow-up surveys at 6 months and 1 year postprogram show caregivers still utilize the self-management techniques with their children. A second group of caregivers recently completed the program, and a third is beginning in January 2011. Interventions aimed at increasing self-efficacy and self-management may help caregivers of young children provide better care to their children. These types of interventions may also improve caregivers’ disease knowledge and motivation to adhere with clinic visits and treatment recommendations, which leads to better disease management and outcomes for the child with SCD. *Denotes Poster Promenade SOPHE-NACDD 2011 Joint Academy and Midyear Scientific Meeting 43

Galway Consensus Conference and those of <strong>the</strong> International Union<br />

<strong>for</strong> <strong>Health</strong> Promotion and <strong>Education</strong> CompHP Project. This presentation<br />

will describe ef<strong>for</strong>ts now under way <strong>to</strong> meet <strong>the</strong> challenges of<br />

developing health promotion capacity in Kazakhstan and modernizing<br />

its public health work<strong>for</strong>ce as part of broader public health policy, systems,<br />

and environmental change. The presentation will provide: 1) an<br />

over<strong>view</strong> of <strong>the</strong> demographic and epidemiologic profile of Kazakhstan;<br />

2) <strong>the</strong> results from a population-based survey of public attitudes (N<br />

= 4,497) <strong>to</strong>ward <strong>the</strong> health improvement process and opinions about<br />

<strong>the</strong> health care system in Kazakhstan, including respondent <strong>view</strong>s on<br />

health-related social capital and critical issues in <strong>the</strong> development of<br />

intersec<strong>to</strong>ral approaches; and 3) <strong>the</strong> results and an eight-dimension<br />

spidergram from a health promotion capacity mapping exercise. The<br />

results suggest that policy makers and public health specialists should<br />

work out new vision concerning understanding health promotion<br />

issues in <strong>the</strong> country <strong>to</strong> develop competency-based standards <strong>for</strong><br />

professional practice. Implications of <strong>the</strong>se findings <strong>for</strong> developing<br />

health promotion capacity and public health work<strong>for</strong>ce competence in<br />

Kazakhstan will be discussed.<br />

4. *The New Mexico Colorectal Cancer White Paper:<br />

Development and Future Plans<br />

Noell S<strong>to</strong>ne, MPH, Department of Family and Community Medicine,<br />

University of New Mexico <strong>Health</strong> Sciences Center; Richard Hoffman,<br />

MD, MPH, University of New Mexico <strong>Health</strong> Sciences Center;<br />

Christine Brown, MS, NM Department of <strong>Health</strong> Comprehensive<br />

Cancer Program; Beth Pinker<strong>to</strong>n, Comprehensive Cancer Program<br />

Background: The New Mexico Cancer Council is a collaborative<br />

ef<strong>for</strong>t of diverse public and private partners working <strong>to</strong>ge<strong>the</strong>r <strong>to</strong><br />

combat cancer in <strong>the</strong> state. The Council first targeted colorectal cancer<br />

(CRC) as a priority area in 2009 and commissioned <strong>the</strong> CRC White<br />

Paper Report <strong>to</strong> provide an over<strong>view</strong> of <strong>the</strong> current status of CRC<br />

in New Mexico. The report is intended <strong>to</strong> serve as a comprehensive<br />

over<strong>view</strong> of relevant colorectal cancer issues <strong>for</strong> New Mexicans,<br />

including a description of colorectal cancer epidemiology, risk fac<strong>to</strong>rs,<br />

screening tests, treatments, costs, survivorship, <strong>program</strong>s, and policy<br />

recommendations. Partnerships: This is a university-communityagency<br />

collaboration engaged in a participa<strong>to</strong>ry research policy study<br />

<strong>to</strong> examine CRC in New Mexico. Partnerships include <strong>the</strong> NM<br />

Cancer Council, <strong>the</strong> CRC workgroup, <strong>the</strong> New Mexico Department<br />

of <strong>Health</strong> Comprehensive Cancer Control Program, <strong>the</strong> University of<br />

New Mexico Cancer Center Division Of Population Sciences, among<br />

o<strong>the</strong>rs. Theoretical Framework, Methods and Proposed Interventions:<br />

A socio-ecologic framework guided our investigations. We used <strong>the</strong><br />

following methods: re<strong>view</strong> of <strong>the</strong> medical literature, analysis of tumor<br />

registry and screening data, key in<strong>for</strong>mant inter<strong>view</strong>s and stakeholder<br />

meetings. The in<strong>for</strong>mation presented in <strong>the</strong> report is intended <strong>to</strong> be<br />

an intermediate step with <strong>the</strong> intention <strong>to</strong> ultimately in<strong>for</strong>m systems<br />

change and policy decisions by <strong>the</strong> state legislature, healthcare systems,<br />

and stakeholder advocacy groups <strong>for</strong> allocating resources <strong>to</strong> colorectal<br />

cancer screening, surveillance, and treatment <strong>program</strong>s in <strong>the</strong> state.<br />

Implications: The systematic exploration of multi-level influences on<br />

CRC policy in New Mexico is particularly relevant in an era of changing<br />

health care priorities and allocation of resources due <strong>to</strong> impending<br />

health care re<strong>for</strong>m. We used a combination of participa<strong>to</strong>ry approaches<br />

and traditional public health research methods <strong>to</strong> integrate and link<br />

<strong>the</strong> descriptive epidemiology of CRC and <strong>the</strong> multi-faceted environment<br />

in which policy and practice are evolving.<br />

5. Baby Steps <strong>to</strong> Success: Utilizing <strong>the</strong> Chronic Disease Self-<br />

Management Program with Caregivers of Children with Sickle<br />

Cell Disease<br />

Lisa Shook, MA, CHES, Cincinnati Children’s Hospital - Sickle Cell<br />

Center; Gwendolyn D. Brown, BA, University of Cincinnati<br />

Sickle cell disease (SCD) is an inherited, lifelong chronic disease,<br />

that affects <strong>the</strong> red blood cells. SCD is typically diagnosed at birth<br />

through newborn screening. Raising a child with SCD impacts <strong>the</strong><br />

entire family. Learning self-efficacy and self-management <strong>to</strong>ols, using<br />

evidence-based techniques, has been shown <strong>to</strong> lead <strong>to</strong> better health<br />

outcomes and improved quality of life in adults with chronic illnesses.<br />

The Stan<strong>for</strong>d University Chronic Disease Self-Management Program<br />

(CDSMP) has been utilized primarily with adults living with chronic<br />

illnesses. Our innovative <strong>program</strong> targeted caregivers of children with<br />

SCD. Caregivers participated in a 6-week pilot CDSMP <strong>program</strong>. The<br />

curriculum included communicating with health professionals; coping<br />

with difficult emotions; and creating a health behavior action plan.<br />

The pilot group consisted of 10 caregivers (ages 19 – 69 years old). The<br />

caregivers’ children ranged in age from 9 months – 16 years old. Six<br />

participants attended all 6 sessions, and 4 parents missed 1 session due<br />

<strong>to</strong> illness and/or scheduling conflicts. Evaluation data showed 100%<br />

of participants would recommend <strong>the</strong> <strong>program</strong> <strong>to</strong> o<strong>the</strong>r parents. Posttests<br />

revealed chronic disease self-management knowledge increased<br />

15% after <strong>the</strong> <strong>program</strong>. Follow-up surveys at 6 months and 1 year post<strong>program</strong><br />

show caregivers still utilize <strong>the</strong> self-management techniques<br />

with <strong>the</strong>ir children. A second group of caregivers recently completed<br />

<strong>the</strong> <strong>program</strong>, and a third is beginning in January 2011. Interventions<br />

aimed at increasing self-efficacy and self-management may help caregivers<br />

of young children provide better care <strong>to</strong> <strong>the</strong>ir children. These<br />

types of interventions may also improve caregivers’ disease knowledge<br />

and motivation <strong>to</strong> adhere with clinic visits and treatment recommendations,<br />

which leads <strong>to</strong> better disease management and outcomes <strong>for</strong><br />

<strong>the</strong> child with SCD.<br />

*Denotes Poster Promenade<br />

SOPHE-NACDD 2011 Joint Academy and Midyear Scientific Meeting 43

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