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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thursday – saturday | november 4-6 ✯ Poster Abstracts ✯ independent variable for its potential to increase the model’s predictive power. The present study represents the first attempt to investigate the sleep behaviors of college students using the TpB. As well, it is one of the first to employ the recently developed Sleep Hygiene Index. methods: A cross-sectional survey design will be utilized in this investigation. A random sample of 197 full-time undergraduate students will be surveyed. In arriving at the sample size, an alpha of 0.05, a power of 0.80, and a population correlation coefficient of 0.20 were considered. A qualitative elicitation study was conducted to determine the population’s salient behavioral, normative and control beliefs. Validation of the instrument will be overseen by a panel of six experts. The instrumentation process will include Cronbach’s alpha for internal consistency, test-retest, and confirmatory factor analysis for construct validity. The maximum likelihood method will be used for confirmatory factor analysis and the criteria of Eigen value over 1 and factor loadings over 0.40 will guide confirmatory factor analysis. Stepwise multiple regression will be used to model the TpB predictors of sleep behavior. results: The results of this study will provide a theoretical framework for predicting the sleep behaviors of undergraduate college students. Findings from the SHI will aid in identifying behaviors amendable to modification in the study population. conclusions: The results of this investigation will prove beneficial in the development of interventions that promote the adoption of healthy sleep patterns among undergraduate college student populations. 14. Hispanic and Epilepsy: Exploring Health Behavior and Finding the Solution Mitsue Colin, MD, MPH, Quality of Life, Program and Research Department, Epilepsy Foundation Today more than 3 million people in the United States have epilepsy, 400,000 of whom are Hispanic. In an effort to reach out to this specific group and change their health behavior and attitude about epilepsy, the Hispanic Outreach Program was developed by the Epilepsy Foundation in collaboration with an expert group of affiliates, Professional Advisory Board members, health care professionals and the Hispanic Council. The overall goal of the program is to 1) to provide education in recognition of demonstrated signals and symptoms associated with seizures 2) to increase awareness emphasizing knowledge of epilepsy in the Hispanic community 3) to increase skill and self sufficiency of our affiliates to provide competent outreach services and support for their local Hispanic communities. Through its network of local affiliates, the Epilepsy Foundation continuously works in identifying innovative and effective approaches for targeted outreach to the Hispanics Community regarding epilepsy and seizures. Successful evaluation components and lessons learned from the Hispanic Outreach program marketing campaigns, educational outreach activities, and related program initiatives nationwide, will be shared through this presentation in order to encourage replication of efforts, especially for specific disease entities experienced within targeted, minority populations. At the end of this session, participants will be able to: 1. Understand in depth the Hispanic community’s cultural beliefs and attitudes regarding epilepsy 2. Know the basic facts about epilepsy including treatment and first aid 3. Replicate major strategies used by the Epilepsy Foundation to outreach to the Hispanic community regarding epilepsy. 46 sophe conference ✯ november 4-6, 2010 15. The Capstone Experience: Preparing Students for the profession and the CHES Exam Mary V. Brown, PhD, CHES, Utah Valley University The purpose of this poster is to share with other academicians how Utah Valley University has been successful in developing a professional preparation class as part of the bachelor’s degree curriculum in community health and to review the outcomes of this relatively young program. In an effort to “scale new heights”, the Capstone experience has been added to the curriculum of the Community Health Education degree offered at Utah Valley University. In August of 2005, the Utah Board of Regents approved the Bachelor of Science degree in Community Health at Utah Valley University. In spring of 2006, three students graduated with the degree. The following year (2007), six students who had registered to take the Certified Health Education Specialist exam formed a small study group to help prepare for the exam. Eighty three percent of those students successfully passed the exam. While the pass rate was higher than the national average, we felt that there was more we could do for our students. In an effort to improve the curriculum of the community health degree, the HLTH 4700 Capstone course was developed to help participants make the transition from student to health professional. Approximately half of the three credit semester course is devoted to CHES preparation, while the other half of the course is devoted to professional development (resume writing, mock interviews, developing a professional portfolio). This appears to be a successful improvement to the program, as the 14 students who took the CHES exam in 2009 all passed with a score 10 points higher than the national average. This session is intended to share creative ideas how academicians can apply successful strategies in a Capstone experience preparing students for the CHES exam as well as for the health education profession. The curriculum for the course will be reviewed and, participants will discuss ways in which all department faculty can take ownership of the CHES preparation process. 16. Improving Patient Education Through Use of Electronic Media Jean DuRussel-Weston, BSN, RN, MPH, CHES, University of Michigan Historically, patient education at the University of Michigan Health System (UMHS), a 930 bed teaching hospital has been decentralized and overseen by a multidisciplinary committee. In 2009, a needs assessment of patient education practice and available resources was commissioned to identify areas of excellence as well as opportunities for improvement. The Patient Education (PE) Needs Assessment, implemented by School of Public Health students, includes survey and focus group data from over 1,500 physicians and clinical staff (approximately 10% of staff). Relevant findings include that 44% of respondents use current online resources from the patient education website, but are not confident in the quality of these materials with an average rating of 6.8 on a 10 point scale. Collaboration among departments is low with 72% of departments creating their own materials but only 32% sharing them with other departments and committees. 45% of respondents could not identify who was responsible for patient education. In a system as large as UMHS, it is important to maintain the balance between individual departmental autonomy and centralized institutional support and standardization. Based on the needs assessment, the Strategic Plan for improving patient education focuses on several key areas of improvement, namely improved resources, access, and collaboration. Action steps for realizing the vision of PE at UMHS involve: 1) Strengthening the Health System’s PE leadership core; 2) Expanding clinical staff ’s ownership/ involvement in PE; 3) Increasing access to standardized and credible PE materials; 4) Increasing PE resource sharing/collaboration across departments;

✯ Poster Abstracts ✯ thursday – saturday | november 4-6 5) Increasing clinical staff ’s patient education skills and knowledge of online resources. To increase system-wide communication and collaboration several unique strategies have been employed. This presentation will highlight the strategies to achieve step three and four of the strategic plan. These include development and implementation of the UMHS Clearinghouse, a shared database which provides a single access point to all patient education materials authored by UMHS staff and faculty. It links to written and audiovisual materials that can be accessed by all staff for patient education use. Another strategy is linking our six health education resource centers, which are geographically dispersed across campus into an integrated library system so that patients and staff can access information from any location. In addition, the UMHS PE website was redesigned to improve navigation, provide support for staff to obtain updated materials, access training to maximize their knowledge of current PE technology and assist staff to produce quality materials. 17. Developing a Culturally and Linguistically Appropriate Stroke Knowledge Assessment Tool: The Importance of Community Partnership Lesli Skolarus, MD, University of Michigan, Department of Neurology, Jillian Murphy, MPH, University of Michigan, Sarah Bailey, PhD, Bridges into the Future, Sophronia Fowlkes, PhD, Bridges into the Future, Marc Zimmerman, PhD, University of Michigan background: Stroke is a leading cause of morbidity and mortality in the United States. African Americans experience nearly twice as many strokes as European Americans. Effective acute stroke treatments are underutilized primarily because patients do not arrive to the hospital in time. Calling 911 decreases delays in getting to a hospital, resulting in increased opportunities for acute stroke treatment. theoretical framework: The Theory of Planned Behavior (TPB) proposes that behavioral attitude, subjective norms, and perceived behavioral control all influence behavioral intention, the predominant determinant of behavior itself. This project explores how beliefs, attitudes, and intentions are associated with calling (or not calling) 911 during acute stroke. hypothesis: A causal chain of beliefs, attitudes, and intentions drive the decision to call 911 for acute stroke among African Americans in Flint, Michigan. Methods: We established a collaborative partnership with an African American faith-based community organization in Flint, MI - Bridges Into the Future. Flint has a population of 105,000 and is predominately African American. Over 25% of the population lives below the poverty line. Community based participatory research principles helped us identify attitudes, beliefs, and intentions of African American adults and youth with regard to calling 911 for acute stroke. We used an iterative process that included feedback from members of the focus population to pilot test and select final items of the study. results: Outcome expectations heavily influenced individual attitudes, as many believed effective acute stroke treatments do not exist. Subjective norms seem extremely important – the power of word-of-mouth was emphasized by many individuals, and beliefs about social standards and motivation to comply were often mentioned in the context of family and church. Finally, distrust of medicine, and lack of knowledge about stroke warning signs are also salient factors in the decision to call 911 for acute stroke. Members of the partnership collaborated to assimilate these behavioral constructs into a culturally sensitive needs assessment survey, which was tailored to the community based on linguistic, cultural and religious appropriateness. conclusion: Community based participatory research is an effective method to develop a needs assessment survey and behavior change theory relevant to that community. implications for practice: A behavioral intervention that is faithbased, guided by the TPB, utilizes existing social networks and is culturally relevant may increase 911 calls and consequently improve stroke outcomes for African Americans living in Flint, Michigan. 18. EPA Air Quality Index Values of Smoke-Free Venues after Smoking Ordinances Nancy Johnson, BS, CHES, Truman State University - Campus-Community Alliances for Smoke-free Environments; Justin McDermott, Truman State University; Samantha Goode, Truman State University Secondhand smoke, also known as environmental tobacco smoke (ETS) contains a variety of toxic or carcinogenic chemicals. ETS is classified as a Group A carcinogen, mixtures associated with causing cancer. Those close in distance to smokers risk inhaling substances emitted from the cigarettes which may possibly increase their risk for future health complications. Influenced by the known risk factors of second hand smoke and the studies done on smoke-free ordinances, the researchers had successfully passed legislation to enforce all bars, restaurants, parks, and public amusements in a small Midwestern town of population 17,000 to be smoke-free as of July 2007. An air quality study using air quality monitors was preformed to insure the businesses were complying with the new smoking ordinance. It was hypothesized that not all public venues were enforcing the city smoking ordinance. Between March 1, 2009 and July 20, 2009, air quality was assessed in six restaurants, three bars, and a bowling alley. Within the test group, all ten businesses allowed smoking prior to the ban. Testing occurred when business was at its peak hours for a period of one hour per business. A TSI SidePak AM510 Personal Aerosol Monitor was used to sample and record the levels of respirable suspended particles (RSPs) (particles small enough that one can breathe in) in the air at each testing site in order to test the air quality index. All ten venues tested were within the United States Environmental Protection Agency (US EPA) Good Air Quality Index value, as the average Particulate Matter (PM2.5) of all venues was 5.73 g/m3(range: 4.39 - 7.45g/m3). An air quality index of less than or equal to 15 PM2.5 g/ m3 is within the US EPA Good Air quality Index range. Averages of twenty-four people were within each venue at the time of testing. Every venue tested was following the city smoking ordinance by not allowing any smoking within their indoor space and were therefore protecting their patrons from the dangers of secondhand smoke by keeping their air quality within the EPA Good air quality index range. It is recommended that health educators participate in air quality index testing in smoking and non-smoking venues as US EPA Air Quality Index values can be used to convince leaders that secondhand smoke is a real problem within inside venues. 19. Evaluating The Jackson Road Map To Health Equity Farmers’ Market Patrons’ Satisfaction and Engagement In Positive Health Behaviors David Brown, EdD, MA, CHES, Department of Behavioral and Environmental Health, Jackson State University; Beneta Burt, MPPA, Director, Jackson Road Map To Health Equity; Modupe AinaAkinpelu, MD, MPH, Doctoral Candidate, Jackson State University Department of Behavioral and Environmental Health background: The Jackson Road Map for Health Equity maintains a farmers’ market in the metropolitan Jackson Mississippi Area. This Kellogg Foundation funded project was designed to improve the Jackson inner-city citizens’ access to and consumption of reasonably priced, high quality fresh fruits and vegetables. The farmers’ market addresses Nutri- sophe conference ✯ november 4-6, 2010 47

thursday – saturday | november 4-6<br />

✯ Poster Abstracts ✯<br />

independent variable <strong>for</strong> its potential to increase the model’s predictive<br />

power. The present study represents the first attempt to investigate the<br />

sleep behaviors of college students using the TpB. As well, it is one of<br />

the first to employ the recently developed Sleep Hygiene Index.<br />

methods: A cross-sectional survey design will be utilized in this<br />

investigation. A random sample of 197 full-time undergraduate students<br />

will be surveyed. In arriving at the sample size, an alpha of 0.05,<br />

a power of 0.80, and a population correlation coefficient of 0.20 were<br />

considered. A qualitative elicitation study was conducted to determine<br />

the population’s salient behavioral, normative and control beliefs.<br />

Validation of the instrument will be overseen by a panel of six experts.<br />

The instrumentation process will include Cronbach’s alpha <strong>for</strong> internal<br />

consistency, test-retest, and confirmatory factor analysis <strong>for</strong> construct<br />

validity. The maximum likelihood method will be used <strong>for</strong> confirmatory<br />

factor analysis and the criteria of Eigen value over 1 and factor<br />

loadings over 0.40 will guide confirmatory factor analysis. Stepwise<br />

multiple regression will be used to model the TpB predictors of sleep<br />

behavior.<br />

results: The results of this study will provide a theoretical framework<br />

<strong>for</strong> predicting the sleep behaviors of undergraduate college students.<br />

Findings from the SHI will aid in identifying behaviors amendable to<br />

modification in the study population.<br />

conclusions: The results of this investigation will prove beneficial in<br />

the development of interventions that promote the adoption of <strong>healthy</strong><br />

sleep patterns among undergraduate college student populations.<br />

14. Hispanic and Epilepsy: Exploring <strong>Health</strong> Behavior<br />

and Finding the Solution<br />

Mitsue Colin, MD, MPH, Quality of Life, Program and Research<br />

Department, Epilepsy Foundation<br />

Today more than 3 million <strong>people</strong> in the United States have epilepsy,<br />

400,000 of whom are Hispanic. In an ef<strong>for</strong>t to reach out to this specific<br />

group and change their health behavior and attitude about epilepsy, the<br />

Hispanic Outreach Program was developed by the Epilepsy Foundation<br />

in collaboration with an expert group of affiliates, Professional Advisory<br />

Board members, health care professionals and the Hispanic Council. The<br />

overall goal of the program is to 1) to provide education in recognition<br />

of demonstrated signals and symptoms associated with seizures 2) to<br />

increase awareness emphasizing knowledge of epilepsy in the Hispanic<br />

community 3) to increase skill and self sufficiency of our affiliates to<br />

provide competent outreach services and support <strong>for</strong> their local Hispanic<br />

communities. Through its network of local affiliates, the Epilepsy<br />

Foundation continuously works in identifying innovative and effective<br />

approaches <strong>for</strong> targeted outreach to the Hispanics Community regarding<br />

epilepsy and seizures. Successful evaluation components and lessons<br />

learned from the Hispanic Outreach program marketing campaigns,<br />

educational outreach activities, and related program initiatives nationwide,<br />

will be shared through this presentation in order to encourage<br />

replication of ef<strong>for</strong>ts, especially <strong>for</strong> specific disease entities experienced<br />

within targeted, minority populations. At the end of this session, participants<br />

will be able to: 1. Understand in depth the Hispanic community’s<br />

cultural beliefs and attitudes regarding epilepsy 2. Know the basic<br />

facts about epilepsy including treatment and first aid 3. Replicate major<br />

strategies used by the Epilepsy Foundation to outreach to the Hispanic<br />

community regarding epilepsy.<br />

46<br />

sophe conference ✯ november 4-6, 2010<br />

15. The Capstone Experience: Preparing Students <strong>for</strong><br />

the profession and the CHES Exam<br />

Mary V. Brown, PhD, CHES, Utah Valley University<br />

The purpose of this poster is to share with other academicians how Utah<br />

Valley University has been successful in developing a professional preparation<br />

class as part of the bachelor’s degree curriculum in community<br />

health and to review the outcomes of this relatively young program. In<br />

an ef<strong>for</strong>t to “scale new heights”, the Capstone experience has been added<br />

to the curriculum of the Community <strong>Health</strong> <strong>Education</strong> degree offered<br />

at Utah Valley University. In August of 2005, the Utah Board of Regents<br />

approved the Bachelor of Science degree in Community <strong>Health</strong> at Utah<br />

Valley University. In spring of 2006, three students graduated with the<br />

degree. The following year (2007), six students who had registered to<br />

take the Certified <strong>Health</strong> <strong>Education</strong> Specialist exam <strong>for</strong>med a small study<br />

group to help prepare <strong>for</strong> the exam. Eighty three percent of those students<br />

successfully passed the exam. While the pass rate was higher than the<br />

national average, we felt that there was more we could do <strong>for</strong> our students.<br />

In an ef<strong>for</strong>t to improve the curriculum of the community health degree,<br />

the HLTH 4700 Capstone course was developed to help participants make<br />

the transition from student to health professional. Approximately half of<br />

the three credit semester course is devoted to CHES preparation, while the<br />

other half of the course is devoted to professional development (resume<br />

writing, mock interviews, developing a professional portfolio). This appears<br />

to be a successful improvement to the program, as the 14 students<br />

who took the CHES exam in 2009 all passed with a score 10 points higher<br />

than the national average. This session is intended to share creative ideas<br />

how academicians can apply successful strategies in a Capstone experience<br />

preparing students <strong>for</strong> the CHES exam as well as <strong>for</strong> the health education<br />

profession. The curriculum <strong>for</strong> the course will be reviewed and, participants<br />

will discuss ways in which all department faculty can take ownership<br />

of the CHES preparation process.<br />

16. Improving Patient <strong>Education</strong> Through Use<br />

of Electronic Media<br />

Jean DuRussel-Weston, BSN, RN, MPH, CHES, University of Michigan<br />

Historically, patient education at the University of Michigan <strong>Health</strong><br />

System (UMHS), a 930 bed teaching hospital has been decentralized and<br />

overseen by a multidisciplinary committee. In 2009, a needs assessment<br />

of patient education practice and available resources was commissioned<br />

to identify areas of excellence as well as opportunities <strong>for</strong> improvement.<br />

The Patient <strong>Education</strong> (PE) Needs Assessment, implemented by School<br />

of <strong>Public</strong> <strong>Health</strong> students, includes survey and focus group data from<br />

over 1,500 physicians and clinical staff (approximately 10% of staff).<br />

Relevant findings include that 44% of respondents use current online<br />

resources from the patient education website, but are not confident in<br />

the quality of these materials with an average rating of 6.8 on a 10 point<br />

scale. Collaboration among departments is low with 72% of departments<br />

creating their own materials but only 32% sharing them with other departments<br />

and committees. 45% of respondents could not identify who<br />

was responsible <strong>for</strong> patient education. In a system as large as UMHS, it<br />

is important to maintain the balance between individual departmental<br />

autonomy and centralized institutional support and standardization.<br />

Based on the needs assessment, the Strategic Plan <strong>for</strong> improving<br />

patient education focuses on several key areas of improvement, namely<br />

improved resources, access, and collaboration. Action steps <strong>for</strong> realizing<br />

the vision of PE at UMHS involve: 1) Strengthening the <strong>Health</strong> System’s<br />

PE leadership core; 2) Expanding clinical staff ’s ownership/ involvement<br />

in PE; 3) Increasing access to standardized and credible PE materials;<br />

4) Increasing PE resource sharing/collaboration across departments;

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