healthy people 2020 - Society for Public Health Education

✯ Conference Abstracts ✯
friday | november 5
to diabetes among Latino immigrants in rural southeast Georgia. LaRED
utilizes bilingual, bicultural outreach workers who provide culturally and
linguistically appropriate non-medical case management, diabetes education,
and support services. Over the last 3 years, they have provided these
services to over 200 clients.
objectives: The program objectives include the provision of regular
home visits by a diabetes educator and registered nurse, tailored one-onone
and group educational opportunities, and support services such as
interpretation during healthcare provider visits.
evaluation: Though a variety of strategies such as collection of HgA1c
data, outreach worker administered pre/post knowledge assessments,
telephone interviews, and observational data have been developed to
reliably collect data, challenges have persisted when working with lowincome
clients who have limited literacy skills.
results: To date, over 80% of the clients have demonstrated improvements
in self-management of their health condition (e.g., taking their
medication, regularly eating meals), with 58.3% reducing their HgA1c
levels. Clients have also reported other changes in health behaviors (e.g.,
eating more fruits and vegetables, drinking more water). Purpose: The
purpose of this presentation is to 1) describe the intensive case management
and education strategies being implemented in the program, 2)
highlight the results from the program, and 3) discuss challenges and
lessons learned related to implementation and evaluation.
concurrent sessions b
fri / nov 5 / 1:15 am – 2:30 pm
concurrent session b1
Room: Nat Hill
reach and recovery: strategies and interventions
for high risk adolescents
Mental Health and Substance Abuse Prevention
for Male Adolescence Detainees.
Kisha Holden, PhD, Associate Director, Community Voices: Healthcare
for the Underserved, Assistant Professor, Department of Psychiatry and
Behvaioral Sciences, Satcher Health Leadership Institute, Morehouse School
of Medicine; William Moore, MPH Candidate, Graduate Research Assistant,
Community Voices: Healthcare for the Underserved, Satcher Health Leadership
Institute, Morehouse School of Medicine; Tyrone Bell, MPH, Graduate
Research Assistant, Community Voices: Healthcare for the Underserved, Assistant
Professor, Department of Psychiatry and Behvaioral Sciences, Satcher
Health Leadership Institute, Morehouse School of Medicine; Carlos Mahaffery,
PharmD, MPH Candidate, Graduate Research Assistant, Community
Voices: Healthcare for the Underserved, Satcher Health Leadership Institute,
Morehouse School of Medicine
Each year tens of thousands of adolescents enter juvenile detention centers,
systems of juvenile correction and treatment programs in the United
States. Georgia ranks 10th in the nation with regard to the number
of juveniles detained, incarcerated, or placed in residential facilities. The
majority of these individuals are African American males. This program
seeks to test the feasibility of an 9 session culturally tailored psychoeducational
intervention for 50 African American males’ ages 15-17
years old that reside in a youth detention center in the Georgia area. The
program is designed to improve participant’s psychological well-being,
decrease depressive symptoms, positively modify attitudes and decisionmaking
skills relative to alcohol and drug-use, and increase self-efficacy
to avoid violent conflicts with the ultimate goal of reducing recidivism.
The intervention will be evaluated using a longitudinal design measuring
participant’s pre- and post-intervention outcomes. Analyses will be
carried out through use of SPSS 17.0. In addition to descriptive statistics,
repeated measures t-test for non-independent samples will be used
to determine differences between pre and post intervention findings.
Preliminary findings indicate that the intervention is useful for the target
population; however, data analyses are currently underway and will be
available at the time of presentation. Results will be discussed in terms of
clinical application for mental and public health professionals working
in juvenile and /or criminal justice settings; and findings will add to the
depth of research in this area of study.
Building Health Equity on the U.S./Mexico Border: Innovative
Strategies to Reduce Alcohol Consumption and Related
Consequences in Adolescents.
Sharon Thompson, PhD, MPH, CHES, Department of Public Health
Sciences, The University of Texas at El Paso; Holly Mata, MS, LSC, College of
Health Sciences, The University of Texas at El Paso; Joe Tomaka, PhD,
College of Health Sciences, The University of Texas at El Paso
Recent studies have identified risk and protective factors related to
alcohol consumption and related problems among youth in a large
metropolitan community on the U.S./Mexico border. Awareness of the
heterogeneity of Hispanic culture and the unique cultural convergence
characteristic of the border region coupled with an asset-building and
culturally relevant theoretical foundation may improve efforts to reduce
risky alcohol consumption among youth in the border region. Three of
the ten poorest counties in the United States are on the Texas/Mexico
border. Of particular concern are educational inequalities which are
salient in this region. In this regard, innovative partnerships between
academic institutions and communities may facilitate both educational
retention at the secondary level, and increase access to relevant health
promotion programs. Building health equity by reducing risky alcohol
consumption and related consequences among border youth is the
focus of this presentation. The need for alcohol risk reduction programs
for secondary school students in the border region based, in part, on
successful implementation of such a program in the same population at
the university level is highlighted. Using data from the college level intervention
combined with alcohol use data from the local high schools, an
innovative, outcome-based program to reduce risky alcohol consumption
rates among adolescents living in the U.S./Mexico border region
is explored. Changes in drinking outcome measures were examined
from assessment to six month follow-up. Results indicated that alcohol
consumption and alcohol-related problems declined significantly. In
accordance with the spirit of motivational interviewing, communications
are non-judgmental, non-critical, and non-confrontational in
nature. This type of intervention is designed to encourage youth to make
positive choices and increase readiness to change rather than chastise
them for poor choices. Although any alcohol use among adolescents is
problematic, the high rates of use and consequences in the border region
mandate the provision of innovative strategies including harm reduction
approaches, as opposed to abstinence-based programs exclusively,
to reduce the burden of alcohol problems among middle and secondary
school students. “Communitizing” health education helps build partnerships,
increases perceived competency among health education students,
and results in increased knowledge and positive behavioral intentions
among priority populations. Accordingly, translational approaches that
build on the success of the alcohol risk reduction program highlighted in
this paper by extending the program to younger cohorts are an innovative
response to a chronic and unrelenting public health issue.
sophe conference ✯ november 4-6, 2010 21