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healthy people 2020 - Society for Public Health Education

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✯ Conference Abstracts ✯<br />

saturday | november 6<br />

in stores and schools, unsafe street crossings and sidewalks, and the need<br />

to redevelop certain areas to encourage safe recreation and active living.<br />

The involvement of policy leaders in the project combined with several<br />

dissemination activities has contributed to healthier food offerings in<br />

schools and restaurants, city planning ef<strong>for</strong>ts that emphasize walkability<br />

and access to <strong>healthy</strong> food, and the promotion of youth markets selling<br />

fresh produce. Photovoice is typically used as an advocacy tool to engage<br />

both community residents and political leaders in policy and environmental<br />

solutions to public health issues. We are piloting an innovative<br />

way to apply Photovoice as a qualitative evaluation method, which<br />

includes asking members of community collaboratives to participate in<br />

a second round of photographs and captions to document changes to<br />

their community environment, reflect on the potential impact of those<br />

changes and plan <strong>for</strong> future advocacy ef<strong>for</strong>ts. This presentation will also<br />

describe the experience of using Photovoice as an evaluation tool in<br />

three low income, largely minority communities in Northern Cali<strong>for</strong>nia,<br />

presenting results (photographs and captions) and lessons learned.<br />

Using Photovoice to Explore <strong>Health</strong> Concerns in Female<br />

Asian-Indian College Students Women<br />

Cheryl Cooper, PhD, RN, The University of Texas at Tyler; Susan Yarbrough,<br />

PhD, RN, Associate professor and Assistant Dean, College of Nursing and<br />

<strong>Health</strong> Sciences The University of Texas at Tyler<br />

For the 2008/09 academic year, the number of international students<br />

attending colleges in the United States increased by 8%, to an all-time<br />

high of 671,616. India remains the leading place of origin <strong>for</strong> the eighth<br />

consecutive year. For individuals, especially young adults, leaving home<br />

can have a significant effect on health as a result of the many physical and<br />

psychological stressor associated with the immigration process (Jeemon,<br />

2009, Sharma, 2002). As the diversity on college campuses grows, the need<br />

<strong>for</strong> culturally appropriate health education and care also increases. Little is<br />

known specifically, about young Indian woman immigrants and the issues<br />

that may affect their health and wellness after immigrating to the United<br />

States This qualitative descriptive study was conducted as part of a larger<br />

culture and health project, at a public university in east Texas,during the<br />

fall of 2009. The sample participants were 10 female Asian Indian students<br />

enrolled in full-time graduate study. The qualitative research method, photovoice<br />

was used, in conjunction with traditional focus group methodology,<br />

to explore the participants’ general health related beliefs and attitudes,<br />

their perceptions about the ways in which the immigration experience<br />

has affected their health and well being, the ways they promote personal<br />

health and deal with illness, and the major sources of stress in their daily<br />

lives. The study was conducted in two sessions, held two weeks apart. Only<br />

preliminary results are available at this time, but we plan to have completed<br />

a full data analysis in time <strong>for</strong> presentation at the November SOPHE<br />

conference. Themes that emerged from this preliminary analysis in<br />

session one include the following:health is perceived as a “life in balance”,<br />

with an emphasis on eating the “right” foods and using the appropriate<br />

remedies(often herbal) to treat and prevent illness; illness is perceived as<br />

a consequence of not doing the “right” things, and/or of disharmony or<br />

disconnection with nature; there is an emphasis on maintaining connection<br />

with family (in India), as the source of most emotional support and<br />

as health advisors; one source of stress was frustration with local health<br />

services, <strong>for</strong> example, lengthy assessments <strong>for</strong> “simple” problems. Session<br />

two themes included the following: Participant photographs reflected the<br />

centrality of religion in daily life, the connection with the natural world,<br />

the loneliness of so much empty space, as compared with their homeland,<br />

and the stress related to meeting academic expectations of professors and<br />

of family back home.<br />

Ethical Dilemmas of Digital Storytelling as a Method <strong>for</strong><br />

Community <strong>Health</strong> <strong>Education</strong> Research and Practice<br />

Aline Gubrium, PhD, University of Massachusetts Amherst School of<br />

<strong>Public</strong> <strong>Health</strong> and <strong>Health</strong> Sciences; Amy Hill, MA, Silence<br />

Speaks Digital Storytelling<br />

Based on a community-based participatory research (CBPR) framework,<br />

digital storytelling may be used to investigate individual, group, or sociocultural<br />

understandings of various health issues, while also increasing<br />

participant input in community health projects. Digital stories are three to<br />

five-minute visual narratives that synthesize images, video, audio recordings<br />

of voice and music, and text to create compelling stories. In this paper<br />

we briefly trace the process of producing a digital story and the various<br />

applications of digital storytelling as a method <strong>for</strong> public health education<br />

research and practice. We then present a case study of a pilot project using<br />

digital storytelling as a research method and review ethical tensions that<br />

arose over the course of project implementation. In particular, we review<br />

issues of presentation and self-representation in the digital storytelling<br />

process, related especially to per<strong>for</strong>mative qualities of story production<br />

and the audience <strong>for</strong> the story, the process of digital storytelling itself and<br />

how a research angle may run contrary to participatory intents of the<br />

process, and issues of privacy and consent in the production process. We<br />

then analyze the ethics of access to the digital story artifact/outcome—in<br />

relation to the release of digital stories and which audiences can/should<br />

have access to the story, how the stories are displayed, and how the release<br />

and display of the stories interfaces with issues of consent. Finally, we end<br />

by looking at the repercussions of using digital storytelling as a method of<br />

inquiry in community health education research—focusing especially on<br />

IRB concerns, publication of materials, ethical issues that may be encountered<br />

during analysis of visual materials, and conflicting agendas that may<br />

arise between research and intervention applications<br />

plenary session iii<br />

sat/ nov 6 / 10:00 am – 10:45 am / Room: Colorado E-F<br />

Elizabeth Fries <strong>Health</strong> <strong>Education</strong> Award & Lecture –<br />

Conquering Cancer in the 21st Century<br />

John Seffrin, PhD, American Cancer <strong>Society</strong><br />

The Elizabeth Fries <strong>Health</strong> <strong>Education</strong> Award is <strong>for</strong> a health educator who<br />

has made a substantial contribution to advancing the field of health education<br />

or health promotion through research, program development, or<br />

program delivery. The award is given annually by the James F. and Sarah<br />

T. Fries Foundation in memory of their daughter, Dr. Elizabeth A. Fries<br />

who was Professor of Psychology at Virginia Commonwealth University<br />

and co-director of the Cancer Outreach Program. Elizabeth died in 2005<br />

of complications from breast cancer chemotherapy at the age of 42. This<br />

year’s award honors John Seffrin, CEO of the American Cancer <strong>Society</strong>,<br />

the world’s largest voluntary health organization fighting cancer.<br />

Dr. Seffrin’s presentation will address the growing burden of cancer and<br />

other non-communicable diseases globally. He will discuss the role of<br />

health education in promoting cancer control in the United States and<br />

how we can apply this knowledge in low and middle income countries<br />

to avert future illness and death. Dr. Seffrin will identify several timely<br />

opportunities <strong>for</strong> health educators to participate in the prevention and<br />

control of cancer and other non-communicable diseases by prioritizing<br />

these issues on the global health agenda.<br />

38<br />

sophe conference ✯ november 4-6, 2010

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