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

in schools and Tribal council members inviting further discussion about sacred vs. commercial tobacco use. Ms. Delavan will describe the methods for obtaining community input when developing the project, tools needed, the benefits to the state and Tribal tobacco control programs, evaluation methods, lessons learned, and the unexpected results of the project. She will share the resulting photo essays and next steps. This project was implemented in three Tribal areas in Idaho. 12. Nutritional habits among youth in a U.S.-Mexico border community: Assessing and responding to neighborhood level data Luisa Esquivel, University of Texas at El Paso, Hispanic Health Disparities Research Center; Jose Guevara, BS, The University of Texas at El Paso; Holly Mata, MS, PhD (c), University of Texas at El Paso; Joe Tomaka, PhD, The University of Texas at El Paso Health disparities in the U.S.-Mexico border region are the focus of significant research and health promotion efforts. As part of a project to reduce smoking prevalence and susceptibility among Hispanic youth in neighborhoods with low educational attainment and high poverty rates, we collected data on nutritional habits and exercise frequency in addition to smoking related data. More than half of Hispanic 9th graders in Texas do not get the recommended amount of physical activity (compared to 36% of non-Hispanic Whites [NHW’s] ),and 35% are considered overweight or obese compared with 19% of NHW. Communities located on the U.S.-Mexico border have even higher rates of obesity compared with non-border communities. According to Social Ecological Theory, health promotion intervention efforts are most effective when implemented through multiple levels (individual, relationship, community, organizational, and social/public policy). Our project was designed to reach youth who are most at risk for unhealthy behaviors in community settings, and highlights the potential for additional levels of intervention. As part of our ongoing research into the efficacy of the smoking prevention intervention program, all participants answered questions similar to several key indicators assessed in the national Youth Risk Behavior Survey. We compare our data collected in specific neighborhoods in the border region with state-level data collected in school settings. As expected, in our sample soda consumption was negatively correlated with exercise frequency and positively associated with average daily time spent watching TV or playing video games. Less than 10% of participants reported eating more than 7 servings of fruit in an average week. Relationships between self-reported degree of affiliation with Mexican culture and nutritional habits are explored, as are relationships between smoking susceptibility and nutritional habits. We describe our intervention and the feedback from participants regarding their perceptions of the relevance of the USDA food pyramid to themselves and their families. Suggestions for multifaceted interventions through community youth programs tailored for youth and families are offered, as are strategies for improved neighborhood access to recreation and healthy foods based on our experience and collaboration with key community partners. 13. Health Care Providers’ prescribing authority during emergencies: challenges for the management of chronic mental health conditions Lainie Rutkow, JD, PhD, MPH, Johns Hopkins Bloomberg School of Public Health; Jon Vernick, JD, MPH, Johns Hopkins Bloomberg School of Public Health; Lawrence Wissow, MD, MPH, Johns Hopkins Bloomberg School of Public Health; Christopher Kaufman , MHS, Johns Hopkins Bloomberg School of Public Health; James Hodge, JD, LLM; Sandra Day O’Connor College of Law, Arizona State University Background: Lessons learned from recent natural and man-made disasters have led to heightened preparedness efforts at the local, state, and national levels. However, some individuals may find it difficult or impossible to access mental health services (e.g., therapeutic interventions; prescription of psychotropic medications) during and immediately after emergencies. Therefore, access to legally authorized prescribers, during and after emergencies, is critical for individuals with chronic mental health needs. Theoretical framework: This research relies upon a modified version of the health competence model, which suggests that the legal environment influences both initial health outcomes and sustainable health outcomes. Hypothesis: The legal environment presents barriers to the timely prescription of medications for chronic mental health conditions during and after emergencies. Methods: We used legal research methods to identify and analyze relevant laws, regulations, and judicial opinions at the federal, state, and local levels. This research was supplemented with a systematic search of the “gray” literature to identify pertinent guidelines and other materials. Results: Laws can prevent individuals with chronic mental health needs from receiving needed prescription medications during and after emergencies. Licensure laws for providers and regulations that govern controlled substances may impede the prescription of psychotropic medications. To facilitate the treatment of those with chronic mental health needs during and after emergencies, existing laws may be altered by emergency laws and policies. But, these emergency laws, too, may unintentionally impede the prescription of psychotropic medications to those with chronic mental health conditions. Conclusion: Laws and regulations impose important and complex requirements that may obstruct the prescription of needed psychotropic medications. Our findings indicate that some aspects of the legal environment should be altered to improve the care of those with chronic mental health needs during and after emergencies. Implications for practice: We developed multiple recommendations to alter the legal and policy environment to improve the care of individuals with chronic mental 46 SOPHE-NACDD 2011 Joint Academy and Midyear Scientific Meeting

health conditions during and after emergencies. For example, we recommend clarifying or, in some cases, modifying the prescribing authority of licensed mental health care providers during emergencies. In addition, we recommend the updating or expansion of current laws and policies that may unintentionally prevent individuals with chronic mental health needs from receiving needed prescription medications during and after emergencies. We discuss the implications of these and additional recommendations to facilitate the management of chronic mental health conditions during and after emergencies. 14. *Developing and Evaluating Interactive Spanish Pain Classes for Cancer Patients to ensure Understanding Lina Mayorga, MPH, CHES, City of Hope; An interactive Spanish Pain Class was developed for cancer patients. The objectives of the class were to educate patients on how to describe and identify their pain and how to communicate their pain to their health care team. The need for a Spanish Pain class was identified via a bi-lingual “Educational, Problem-Solving and Support Groups” needs assessment conducted amongst new patients at a cancer center. A three part series was offered, using a mixed method approach used to evaluate effectiveness and knowledge gained. Quantitative and qualitative data was collected at the end of the class and a one week follow-up phone call with patients to see if they applied any of the skills gained during the class. Five interactive components were added throughout the class to ensure patients understanding and learning. Education was provided on how to interpret and use the pain scale (Faces versus ten point likert scale), creating a pain diary and medication list, and how to read medication bottles and warnings. A Bingo game was used as a way for patients was conducted to demonstrate the skills gained during the class, and for educators to re-address objectives or provide clarification. Data collected demonstrated that patients were more comfortable using the pain scale with faces to describe their pain, and to visually see what exactly a “5” was on a scale. Patients also stated that the class provided them with tools and resources to take more of an active role in their care and managing their pain. 15. HIV/AIDS Prevention Addressing the Conundrum of Consistent Condom Use in sub-Saharan Africa through Community-Based Social Marketing Model Mahamud Ahmed, MS, University of Texas at El Paso, College of Health Sciences HIV/AIDS Prevention—Addressing the Conundrum of Consistent Condom Use in sub-Saharan Africa through Community-Based Social Marketing Model Abstract Background: Consistent condom use is a linchpin for preventing the spread of HIV/AIDS in Africa. Despite reports of availability of condoms in many African countries, the spread of HIV/AIDS infection remains largely unabated and consistent condom use has all but become a theoretical possibility. In sub-Saharan Africa, consistent condom use is constrained by a myriad of social, structural, cultural, and economic factors. Programs of condom social marketing in Africa appeared to have only modest impact in reducing the spread of HIV/AIDS. This paper addresses the determinants of condom use in Africa and provides an overview of the impact of condom social marketing in Africa. Specifically, the potential use of community-based social marketing approach that augments and integrates community knowledge, skills, and resources to increase the use of condoms in preventing the spread of HIV/AIDS in Africa is discussed. Theory: Community-based prevention marketing approach (CBPM) is “a community-directed social change process that applies marketing theories and techniques to the design, implementation, and evaluation of health promotion and disease prevention programs” (Bryant, Brown, McDermott, et al., 2007). The CBPM developed by Florida Prevention Research Center, University of South Florida, combines community engagement theories and social marketing concepts to direct health behavior change that appears to have important implication for increasing the use of condoms in preventing HIV/AIDS in Africa. Methods: A systematic literature research was conducted in major databases including CINHAL, EBSCO, DOAJ, MEDLINE & PubMed using key words: condom social marketing, Africa, HIV/AIDS prevention, and community-based social marketing. Implication for policy or practice: Based on this review, although social marketing of condoms plays a valuable role in the fight against the spread of HIV/AIDS in Africa, its apparent full potential to help curb generalized epidemic is not realized. With a growing recognition of a need to complement the traditional social marketing strategy in HIV/AIDS prevention, the community-based social marketing approach that integrates community knowledge, skills, and resources to increase the use of condoms in preventing the spread of HIV/ AIDS should be more fully employed to augment the social marketing approach. 16. *Diabetes and Diet: Evaluation of Online Health Materials for Older Adults and Implications for Health Education Savannah Pierson, MPH (c), New Mexico State University; Aisha Kudura, BA, New Mexico State University; Yvonne Schwarz, RD, Fred Hutchinson Cancer Research Center; Rebecca Palacios, PhD, New Mexico State University; Marian Neuhouser , PhD, RD University of Washington Background and Purpose: Many popular weight-loss diets today have suggested that frequent eating, or grazing, might be beneficial for weight loss. However, chronic exposure to glucose and insulin through frequent eating may put individuals at risk for metabolic disorders and other chronic disease yet few studies have examined the effects *Denotes Poster Promenade SOPHE-NACDD 2011 Joint Academy and Midyear Scientific Meeting 47

health conditions during and after emergencies. For example, we<br />

recommend clarifying or, in some cases, modifying <strong>the</strong> prescribing<br />

authority of licensed mental health care providers during emergencies.<br />

In addition, we recommend <strong>the</strong> updating or expansion of current laws<br />

and policies that may unintentionally prevent individuals with chronic<br />

mental health needs from receiving needed prescription medications<br />

during and after emergencies. We discuss <strong>the</strong> implications of <strong>the</strong>se and<br />

additional recommendations <strong>to</strong> facilitate <strong>the</strong> management of chronic<br />

mental health conditions during and after emergencies.<br />

14. *Developing and Evaluating Interactive Spanish Pain Classes<br />

<strong>for</strong> Cancer Patients <strong>to</strong> ensure Understanding<br />

Lina Mayorga, MPH, CHES, City of Hope;<br />

An interactive Spanish Pain Class was developed <strong>for</strong> cancer patients.<br />

The objectives of <strong>the</strong> class were <strong>to</strong> educate patients on how <strong>to</strong> describe<br />

and identify <strong>the</strong>ir pain and how <strong>to</strong> communicate <strong>the</strong>ir pain <strong>to</strong> <strong>the</strong>ir<br />

health care team. The need <strong>for</strong> a Spanish Pain class was identified via a<br />

bi-lingual “<strong>Education</strong>al, Problem-Solving and Support Groups” needs<br />

assessment conducted amongst new patients at a cancer center. A three<br />

part series was offered, using a mixed method approach used <strong>to</strong> evaluate<br />

effectiveness and knowledge gained. Quantitative and qualitative<br />

data was collected at <strong>the</strong> end of <strong>the</strong> class and a one week follow-up<br />

phone call with patients <strong>to</strong> see if <strong>the</strong>y applied any of <strong>the</strong> skills gained<br />

during <strong>the</strong> class. Five interactive components were added throughout<br />

<strong>the</strong> class <strong>to</strong> ensure patients understanding and learning. <strong>Education</strong><br />

was provided on how <strong>to</strong> interpret and use <strong>the</strong> pain scale (Faces versus<br />

ten point likert scale), creating a pain diary and medication list, and<br />

how <strong>to</strong> read medication bottles and warnings. A Bingo game was used<br />

as a way <strong>for</strong> patients was conducted <strong>to</strong> demonstrate <strong>the</strong> skills gained<br />

during <strong>the</strong> class, and <strong>for</strong> educa<strong>to</strong>rs <strong>to</strong> re-address objectives or provide<br />

clarification. Data collected demonstrated that patients were more<br />

com<strong>for</strong>table using <strong>the</strong> pain scale with faces <strong>to</strong> describe <strong>the</strong>ir pain, and<br />

<strong>to</strong> visually see what exactly a “5” was on a scale. Patients also stated that<br />

<strong>the</strong> class provided <strong>the</strong>m with <strong>to</strong>ols and resources <strong>to</strong> take more of an<br />

active role in <strong>the</strong>ir care and managing <strong>the</strong>ir pain.<br />

15. HIV/AIDS Prevention Addressing <strong>the</strong> Conundrum of<br />

Consistent Condom Use in sub-Saharan Africa through<br />

Community-Based Social Marketing Model<br />

Mahamud Ahmed, MS, University of Texas at El Paso,<br />

College of <strong>Health</strong> Sciences<br />

HIV/AIDS Prevention—Addressing <strong>the</strong> Conundrum of Consistent<br />

Condom Use in sub-Saharan Africa through Community-Based<br />

Social Marketing Model Abstract Background: Consistent condom<br />

use is a linchpin <strong>for</strong> preventing <strong>the</strong> spread of HIV/AIDS in Africa.<br />

Despite reports of availability of condoms in many African countries,<br />

<strong>the</strong> spread of HIV/AIDS infection remains largely unabated and<br />

consistent condom use has all but become a <strong>the</strong>oretical possibility.<br />

In sub-Saharan Africa, consistent condom use is constrained by a<br />

myriad of social, structural, cultural, and economic fac<strong>to</strong>rs. Programs<br />

of condom social marketing in Africa appeared <strong>to</strong> have only modest<br />

impact in reducing <strong>the</strong> spread of HIV/AIDS. This paper addresses<br />

<strong>the</strong> determinants of condom use in Africa and provides an over<strong>view</strong><br />

of <strong>the</strong> impact of condom social marketing in Africa. Specifically, <strong>the</strong><br />

potential use of community-based social marketing approach that<br />

augments and integrates community knowledge, skills, and resources<br />

<strong>to</strong> increase <strong>the</strong> use of condoms in preventing <strong>the</strong> spread of HIV/AIDS<br />

in Africa is discussed. Theory: Community-based prevention marketing<br />

approach (CBPM) is “a community-directed social change process<br />

that applies marketing <strong>the</strong>ories and techniques <strong>to</strong> <strong>the</strong> design, implementation,<br />

and evaluation of health promotion and disease prevention<br />

<strong>program</strong>s” (Bryant, Brown, McDermott, et al., 2007). The CBPM<br />

developed by Florida Prevention Research Center, University of South<br />

Florida, combines community engagement <strong>the</strong>ories and social marketing<br />

concepts <strong>to</strong> direct health behavior change that appears <strong>to</strong> have<br />

important implication <strong>for</strong> increasing <strong>the</strong> use of condoms in preventing<br />

HIV/AIDS in Africa. Methods: A systematic literature research was<br />

conducted in major databases including CINHAL, EBSCO, DOAJ,<br />

MEDLINE & PubMed using key words: condom social marketing,<br />

Africa, HIV/AIDS prevention, and community-based social marketing.<br />

Implication <strong>for</strong> policy or practice: Based on this re<strong>view</strong>, although<br />

social marketing of condoms plays a valuable role in <strong>the</strong> fight against<br />

<strong>the</strong> spread of HIV/AIDS in Africa, its apparent full potential <strong>to</strong> help<br />

curb generalized epidemic is not realized. With a growing recognition<br />

of a need <strong>to</strong> complement <strong>the</strong> traditional social marketing strategy<br />

in HIV/AIDS prevention, <strong>the</strong> community-based social marketing<br />

approach that integrates community knowledge, skills, and resources<br />

<strong>to</strong> increase <strong>the</strong> use of condoms in preventing <strong>the</strong> spread of HIV/<br />

AIDS should be more fully employed <strong>to</strong> augment <strong>the</strong> social marketing<br />

approach.<br />

16. *Diabetes and Diet: Evaluation of Online <strong>Health</strong> Materials <strong>for</strong><br />

Older Adults and Implications <strong>for</strong> <strong>Health</strong> <strong>Education</strong><br />

Savannah Pierson, MPH (c), New Mexico State University; Aisha<br />

Kudura, BA, New Mexico State University; Yvonne Schwarz, RD,<br />

Fred Hutchinson Cancer Research Center; Rebecca Palacios, PhD,<br />

New Mexico State University; Marian Neuhouser , PhD, RD<br />

University of Washing<strong>to</strong>n<br />

Background and Purpose: Many popular weight-loss diets <strong>to</strong>day have<br />

suggested that frequent eating, or grazing, might be beneficial <strong>for</strong><br />

weight loss. However, chronic exposure <strong>to</strong> glucose and insulin through<br />

frequent eating may put individuals at risk <strong>for</strong> metabolic disorders<br />

and o<strong>the</strong>r chronic disease yet few studies have examined <strong>the</strong> effects<br />

*Denotes Poster Promenade<br />

SOPHE-NACDD 2011 Joint Academy and Midyear Scientific Meeting 47

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!