healthy people 2020 - Society for Public Health Education

healthy people 2020 - Society for Public Health Education healthy people 2020 - Society for Public Health Education

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✯ Conference Abstracts ✯ friday | november 5 current sessions b3 Room: Colorado E-F community & population health: challenges for a new decade Changing Expectations: Advancing the Community Role in Translational Research. Alexandra Lightfoot, EdM, EdD, UNC Center for Health Promotion and Disease Prevention; Christina Hardy, MPH, UNC Center for Health Promotion and Disease Prevention background: Despite strides in medical advances and treatment, few of the Healthy People 2010 objectives have been realized. To address 2020’s goals of achieving health equity, eliminating disparities, and improving the health of all population groups calls for innovative multi sector strategies. This session highlights an initiative to enhance equity and effectiveness in translational research and transform the way communities and academic investigators work together to investigate persistent health challenges and design and evaluate effective solutions. theoretical basis There is a growing recognition that translational research benefits from community involvement at the outset. Community-based participatory research (CBPR) has shown substantial promise for building new and creative partnership approaches to tackle some of the most intractable public health problems at all levels of the socioecologic model. The last decade has seen growing support for CBPR and increased demand for skills, knowledge, training and strategies to enhance community members’ equitable participation in research addressing the needs of their communities. Objectives The NC Translational and Clinical Sciences Institute (TraCS) and the UNC Center for Health Promotion and Disease Prevention (HPDP) received ARRA funding to launch Community Leadership and Reciprocal Development (CLRD): Advancing Community-Engaged Research at Two CTSA Institutions in collaboration with Vanderbilt’s Institute for Clinical and Translational Research (VICTR). The goal of the pilot is to expand and accelerate both institutions’ capacity to advance translational research, by 1) drawing on the expertise of community partners working with our respective institutions, and, 2) initiating a cross-institution partnership to share expertise, develop resources, and disseminate new knowledge and approaches. intervention This session will examine three aspects of UNC’s CLRD model: 1) creation of a new position at the university for a community partner experienced in CBPR, a “Community Research Fellow,” who coleads project activities; 2) recruitment of a pool of “community experts,” seasoned community leaders with CBPR expertise, who provide training and technical assistance to advance the adoption and implementation of CBPR among community-academic partnership teams; and 3) facilitated guidance sessions, or charrettes, for partnerships who express interest in using CBPR approaches. evaluation measures/results: We are using Glasgow’s RE-AIM framework to evaluate the translatability and potential impact of our efforts to build capacity for CBPR while developing robust and fairlycompensated consultancies for community partners. Early indications suggest that our model provides a valuable resource in the development of effective, rigorous and mutually beneficial research approaches for communities and academic investigators. Social Determinants of Health. Sally Lin, PhD; Dana Brimmer, PhD, Centers for Disease Control and Prevention; Kerri Timmerman, MPH, Senior Research Assistant at the Chronic Diseases Branch, Centers for Disease Control and Prevention; William Reeves, MD, Senior Advisor in the Public Health Surveillance Program Office at CDC Abstract: background: Social determinants of health are increasingly recognized as important factors in public health research; particularly sense of community (SOC) in community-based participatory research. However, few studies have examined the associations between SOC and barriers to healthcare utilization (HU), which is pivotal in communitybased unwellness prevention. Theoretical Framework: Healthcare access and utilization are functions of the need for good health and health-related socio-demographic factors. We used the conceptual framework of McMillan & Chavis to measure sense of community regarding its impact on how communities function. hypothesis: We hypothesized that people with lower SOC will be more likely to report barriers to HU. methods: The sample consisted of 750 participants in a populationbased study on unwellness in Georgia between November 2007 and August 2009. A self-administered questionnaire included healthcare and SOC measures: Membership, Influence, Reinforcement of Needs, and Shared Emotional Connection. Multiple logistic analysis was used to estimate the relationship between SOC and barriers to HU, controlling for other socio-demographic influences, including insurance coverage and self-reported health status. The significance level was set at 0.05. results: Most of the 750 participants were women (75%), White (75%), married (67%), urban/rural residents (83%) and their mean age was 47.6. Thirty-four percent reported barriers to HU. Participants who had barriers to HU had significantly lower SOC scores than those who did not. Higher SOC scores were associated with increased age and marriage, but were not statistically significantly associated with sex, race, and residential area. All SOC domains but Reinforcement of Needs were positively associated with years of residence. When examining the association with unhealthy days, Influence and Reinforcement of Needs were negatively associated with physically unhealthy and poor or fair health. In addition to these two SOC subscales, Membership was also associated with mentally unhealthy days and days for limited usual activities. After adjusting age, marital status, insurance coverage and unhealthy days, Membership remained a significant protective factor for having barriers to healthcare utilization (OR= 0.79, 95% CI= 0.66 – 0.92). conclusions: Higher Membership reduces the risk of having barriers to HU. Activities to increase sense of community in younger, non-married, and new residents are potential interventions in promoting a healthier community. Implications for Practice: Community quality needs to be considered in public health efforts to reduce barriers to healthcare utilization and preventive healthcare in unwell community-dwellings. Health Disparities Curriculum: Involving Students in Public Health Advocacy (High School Students). Nell Curran, BA, Stanford University, Youth Science Program/San Jose State University Healthy People 2010 includes the elimination of health disparities as one of two major goals for the decade. In response to this public health priority, the needs of the local community, and requests from teachers and students, the Stanford Medical Youth Science Program partnered with Overfelt High School in East San Jose, CA to develop an innovative 24 sophe conference ✯ november 4-6, 2010

✯ Conference Abstracts ✯ friday | november 5 Health Disparities Curriculum. Adapted from an evaluated heart-disease curriculum, this new and highly participatory curriculum is designed to educate students that the health of an individual is embedded within a broader social context; show students how the health of a community is shaped by resources (goods and services) and policies, which when distributed unequally can create health disparities; and empower students to address health disparities by advocating for change in their communities. The ten curriculum lessons are divided into three units: 1) introduction to public health and health disparities 2) community inventory (asset mapping) and 3) public health advocacy. The curriculum is rooted in educational theory, aligns with state education standards, and can be implemented by instructors with minimal training. Lessons may be taught independently or comprehensively and are adaptable to multiple settings (e.g. intact classrooms or after school clubs). Activities are low cost and not reliant on technology. Using baseline and post-intervention surveys as well as focus groups, the curriculum is being evaluated with 60 low-income, predominately Latino high school sophomores. Dissemination plans include expanding the curriculum within the existing partner school and ten schools in the district as well as posting it to the program’s website. The Stanford Medical Youth Science Program’s Health Disparities Curriculum has great potential to leverage the power of high school students to enact change within communities thus reducing health disparities. The Adaption and Implementation of Evidence-Based Asthma Interventions to Address Asthma Morbidity in Post Katrina New Orleans. Eleanor Thornton, MS, CHES, AE-C, President and CEO, Visionary Consulting Partners, LLC. background: Children residing in post-Katrina New Orleans experienced an overwhelming disruption of quality of life, psychosocial stressors, limited access to care and exposure to numerous environmental hazards. These factors greatly elevated their risk for asthma morbidity and required an aggressive multi-prong approach utilizing evidenced-based asthma interventions and engaging public-private partners including federal and local government agencies, academic institutions, and a private foundation. The challenges and uniqueness of the community environment required collaborative, flexible and realistic strategies modeled after evidenced based programs to effectively address the needs of the population. The objective of this study was to implement and evaluate a novel asthma counselor intervention in a post-natural disaster setting. methods: 182 children 4-12 years of age with moderate-severe asthma were enrolled in an observational study, Head-Off Environmental Asthma in Louisiana study (HEAL) and were followed for one year in a hybrid asthma counselor intervention. Key components proven effective in reducing asthma morbidity in children from the evidenced based National Cooperative Inner-City Asthma Study and the Inner City Asthma environmental intervention were combined, adapted and implemented. The Intervention was based on the child’s clinical and environmental risk profile and included a minimum of two tailored individualized asthma counseling sessions with a home visit, a minimum of 2 telephone contacts and environmental supplies to assist with remediation of environmental exposures. The multidisciplinary intervention team was comprised of and conducted by nontraditional asthma counselors such as certified health education specialists with the assistance of community health workers that were trained in asthma management and identification of barriers and strategies to address issues impeding appropriate asthma management. implication of research results for enhanced practice: Preliminary analysis of the intervention suggests a strong effect. The post Katrina environment presented an ideal environment to test the hybrid asthma counseling intervention. The intervention can serve as an excellent resource or roadmap for replication in communities/systems facing similar emergent needs in reducing asthma morbidity. current sessions b4 Room: Colorado G-H a health educator’s call to action: emergency preparedness and response CDC’s Challenges and Successes in Providing Public Health Information During the Deepwater Horizon Oil Spill. Daniel L. Holcomb, ATSDR, Senior Environmental Health Scientist, Emergency Response Coordinator, U.S. Centers for Disease Control and Prevention This presentation will describe the challenges and lessons learned from the U.S. Centers for Disease Control and Prevention’s (CDC) response to the Deepwater Horizon oil rig explosion and subsequent oil spill. The author will describe how the CDC coordinated with other federal and private agencies to assist local and state public health officials in delivering vital public information during this technological disaster. The author will also describe the various methods of communication that CDC employed during this response. Lessons learned through experience regarding communicating in disasters will be covered in this presentation. Pandemic Preparedness and Response: The New Jersey Experience. Suzanne Miro, MPH, CHES, New Jersey Department of Health & Senior Services This presentation will give a brief overview of pandemic preparedness efforts conducted in New Jersey prior to the emergence of the 2009-2010 H1N1 pandemic including public health planning and public education. As the H1N1 event unfolded, attention turned to mass distribution of actionable information to the public as well as health care providers and public health officials. Given the evolving nature of the pandemic, the communications response was fought with challenges and lessons learned. SNAPS: Community Demographic Profiles in a Snap Through an Interactive Situational Awareness Tool. Gail Williams, MPH, CHES, Centers for Disease Control and Prevention/ Division of Emergency Operations SNAPS is an interactive online tool linked to a public satellite-based mapping tool (Bing) overlaid with census information. SNAPS was developed to allow the Community Health Outreach and Education team of the CDC’s Division of Emergency Operations (DEO)branch to quickly collect important demographic and resource information of affected communities. When emergency strikes in the United States, SNAPS information is used to determine communication needs for area residents as well as potential sources of emergency resources such as hospitals and shelters, where vulnerable populations such as the elderly or non-English speaking residents may be located and potential evacuation locations such as colleges or universities. SNAPS combines new electronic technology with census data in order to access quick snapshots of demographic makeup. SNAPS format allows for quick assembly of reports detailing specific community assets. Initially developed by CDC DEO Community Outreach and Education Team for use during emergency activations, it quickly became clear that SNAPS could greatly benefit those in the general public not just for emergency assessment but for initial community needs assessments and asset mapping. Appropriate for those in emergency preparedness as well as general health educators, this session will introduce participants to the SNAPS tool, and demonstrate its applicability in emergency and community needs assessments. sophe conference ✯ november 4-6, 2010 25

✯ Conference Abstracts ✯<br />

friday | november 5<br />

<strong>Health</strong> Disparities Curriculum. Adapted from an evaluated heart-disease<br />

curriculum, this new and highly participatory curriculum is designed<br />

to educate students that the health of an individual is embedded within<br />

a broader social context; show students how the health of a community<br />

is shaped by resources (goods and services) and policies, which when<br />

distributed unequally can create health disparities; and empower students<br />

to address health disparities by advocating <strong>for</strong> change in their communities.<br />

The ten curriculum lessons are divided into three units: 1) introduction<br />

to public health and health disparities 2) community inventory<br />

(asset mapping) and 3) public health advocacy. The curriculum is rooted<br />

in educational theory, aligns with state education standards, and can be<br />

implemented by instructors with minimal training. Lessons may be taught<br />

independently or comprehensively and are adaptable to multiple settings<br />

(e.g. intact classrooms or after school clubs). Activities are low cost and not<br />

reliant on technology. Using baseline and post-intervention surveys as well<br />

as focus groups, the curriculum is being evaluated with 60 low-income,<br />

predominately Latino high school sophomores. Dissemination plans<br />

include expanding the curriculum within the existing partner school and<br />

ten schools in the district as well as posting it to the program’s website. The<br />

Stan<strong>for</strong>d Medical Youth Science Program’s <strong>Health</strong> Disparities Curriculum<br />

has great potential to leverage the power of high school students to enact<br />

change within communities thus reducing health disparities.<br />

The Adaption and Implementation of Evidence-Based<br />

Asthma Interventions to Address Asthma Morbidity in<br />

Post Katrina New Orleans.<br />

Eleanor Thornton, MS, CHES, AE-C, President and CEO,<br />

Visionary Consulting Partners, LLC.<br />

background: Children residing in post-Katrina New Orleans experienced<br />

an overwhelming disruption of quality of life, psychosocial<br />

stressors, limited access to care and exposure to numerous environmental<br />

hazards. These factors greatly elevated their risk <strong>for</strong> asthma morbidity and<br />

required an aggressive multi-prong approach utilizing evidenced-based<br />

asthma interventions and engaging public-private partners including<br />

federal and local government agencies, academic institutions, and a private<br />

foundation. The challenges and uniqueness of the community environment<br />

required collaborative, flexible and realistic strategies modeled after<br />

evidenced based programs to effectively address the needs of the population.<br />

The objective of this study was to implement and evaluate a novel<br />

asthma counselor intervention in a post-natural disaster setting.<br />

methods: 182 children 4-12 years of age with moderate-severe asthma<br />

were enrolled in an observational study, Head-Off Environmental<br />

Asthma in Louisiana study (HEAL) and were followed <strong>for</strong> one year in a<br />

hybrid asthma counselor intervention. Key components proven effective<br />

in reducing asthma morbidity in children from the evidenced based<br />

National Cooperative Inner-City Asthma Study and the Inner City<br />

Asthma environmental intervention were combined, adapted and<br />

implemented. The Intervention was based on the child’s clinical and<br />

environmental risk profile and included a minimum of two tailored<br />

individualized asthma counseling sessions with a home visit, a minimum<br />

of 2 telephone contacts and environmental supplies to assist with remediation<br />

of environmental exposures. The multidisciplinary intervention<br />

team was comprised of and conducted by nontraditional asthma counselors<br />

such as certified health education specialists with the assistance<br />

of community health workers that were trained in asthma management<br />

and identification of barriers and strategies to address issues impeding<br />

appropriate asthma management.<br />

implication of research results <strong>for</strong> enhanced practice:<br />

Preliminary analysis of the intervention suggests a strong effect. The post<br />

Katrina environment presented an ideal environment to test the hybrid<br />

asthma counseling intervention. The intervention can serve as an excellent<br />

resource or roadmap <strong>for</strong> replication in communities/systems facing<br />

similar emergent needs in reducing asthma morbidity.<br />

current sessions b4<br />

Room: Colorado G-H<br />

a health educator’s call to action:<br />

emergency preparedness and response<br />

CDC’s Challenges and Successes in Providing <strong>Public</strong> <strong>Health</strong><br />

In<strong>for</strong>mation During the Deepwater Horizon Oil Spill.<br />

Daniel L. Holcomb, ATSDR, Senior Environmental <strong>Health</strong> Scientist, Emergency<br />

Response Coordinator, U.S. Centers <strong>for</strong> Disease Control and Prevention<br />

This presentation will describe the challenges and lessons learned from the<br />

U.S. Centers <strong>for</strong> Disease Control and Prevention’s (CDC) response to the<br />

Deepwater Horizon oil rig explosion and subsequent oil spill. The author<br />

will describe how the CDC coordinated with other federal and private<br />

agencies to assist local and state public health officials in delivering vital<br />

public in<strong>for</strong>mation during this technological disaster. The author will also<br />

describe the various methods of communication that CDC employed during<br />

this response. Lessons learned through experience regarding communicating<br />

in disasters will be covered in this presentation.<br />

Pandemic Preparedness and Response: The New Jersey Experience.<br />

Suzanne Miro, MPH, CHES, New Jersey Department of <strong>Health</strong> & Senior Services<br />

This presentation will give a brief overview of pandemic preparedness<br />

ef<strong>for</strong>ts conducted in New Jersey prior to the emergence of the 2009-2010<br />

H1N1 pandemic including public health planning and public education.<br />

As the H1N1 event unfolded, attention turned to mass distribution of<br />

actionable in<strong>for</strong>mation to the public as well as health care providers and<br />

public health officials. Given the evolving nature of the pandemic, the<br />

communications response was fought with challenges and lessons learned.<br />

SNAPS: Community Demographic Profiles in a Snap Through<br />

an Interactive Situational Awareness Tool.<br />

Gail Williams, MPH, CHES, Centers <strong>for</strong> Disease Control and Prevention/<br />

Division of Emergency Operations<br />

SNAPS is an interactive online tool linked to a public satellite-based<br />

mapping tool (Bing) overlaid with census in<strong>for</strong>mation. SNAPS was<br />

developed to allow the Community <strong>Health</strong> Outreach and <strong>Education</strong><br />

team of the CDC’s Division of Emergency Operations (DEO)branch<br />

to quickly collect important demographic and resource in<strong>for</strong>mation of<br />

affected communities. When emergency strikes in the United States,<br />

SNAPS in<strong>for</strong>mation is used to determine communication needs <strong>for</strong> area<br />

residents as well as potential sources of emergency resources such as<br />

hospitals and shelters, where vulnerable populations such as the elderly<br />

or non-English speaking residents may be located and potential evacuation<br />

locations such as colleges or universities. SNAPS combines new<br />

electronic technology with census data in order to access quick snapshots<br />

of demographic makeup. SNAPS <strong>for</strong>mat allows <strong>for</strong> quick assembly<br />

of reports detailing specific community assets. Initially developed by<br />

CDC DEO Community Outreach and <strong>Education</strong> Team <strong>for</strong> use during<br />

emergency activations, it quickly became clear that SNAPS could greatly<br />

benefit those in the general public not just <strong>for</strong> emergency assessment but<br />

<strong>for</strong> initial community needs assessments and asset mapping. Appropriate<br />

<strong>for</strong> those in emergency preparedness as well as general health educators,<br />

this session will introduce participants to the SNAPS tool, and demonstrate<br />

its applicability in emergency and community needs assessments.<br />

sophe conference ✯ november 4-6, 2010 25

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