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healthy people 2020 - Society for Public Health Education

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✯ Poster Abstracts ✯<br />

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

5) Increasing clinical staff ’s patient education skills and knowledge of<br />

online resources. To increase system-wide communication and collaboration<br />

several unique strategies have been employed. This presentation<br />

will highlight the strategies to achieve step three and four of the strategic<br />

plan. These include development and implementation of the UMHS<br />

Clearinghouse, a shared database which provides a single access point<br />

to all patient education materials authored by UMHS staff and faculty.<br />

It links to written and audiovisual materials that can be accessed by all<br />

staff <strong>for</strong> patient education use. Another strategy is linking our six health<br />

education resource centers, which are geographically dispersed across<br />

campus into an integrated library system so that patients and staff can<br />

access in<strong>for</strong>mation from any location. In addition, the UMHS PE website<br />

was redesigned to improve navigation, provide support <strong>for</strong> staff to obtain<br />

updated materials, access training to maximize their knowledge of current<br />

PE technology and assist staff to produce quality materials.<br />

17. Developing a Culturally and Linguistically Appropriate Stroke<br />

Knowledge Assessment Tool: The Importance of<br />

Community Partnership<br />

Lesli Skolarus, MD, University of Michigan, Department of<br />

Neurology, Jillian Murphy, MPH, University of Michigan, Sarah Bailey,<br />

PhD, Bridges into the Future, Sophronia Fowlkes, PhD, Bridges into the<br />

Future, Marc Zimmerman, PhD, University of Michigan<br />

background: Stroke is a leading cause of morbidity and mortality in<br />

the United States. African Americans experience nearly twice as many<br />

strokes as European Americans. Effective acute stroke treatments are<br />

underutilized primarily because patients do not arrive to the hospital in<br />

time. Calling 911 decreases delays in getting to a hospital, resulting in<br />

increased opportunities <strong>for</strong> acute stroke treatment. theoretical<br />

framework: The Theory of Planned Behavior (TPB) proposes that behavioral<br />

attitude, subjective norms, and perceived behavioral control all<br />

influence behavioral intention, the predominant determinant of behavior<br />

itself. This project explores how beliefs, attitudes, and intentions are<br />

associated with calling (or not calling) 911 during acute stroke.<br />

hypothesis: A causal chain of beliefs, attitudes, and intentions drive<br />

the decision to call 911 <strong>for</strong> acute stroke among African Americans in<br />

Flint, Michigan. Methods: We established a collaborative partnership<br />

with an African American faith-based community organization in Flint,<br />

MI - Bridges Into the Future. Flint has a population of 105,000 and is<br />

predominately African American. Over 25% of the population lives below<br />

the poverty line. Community based participatory research principles<br />

helped us identify attitudes, beliefs, and intentions of African American<br />

adults and youth with regard to calling 911 <strong>for</strong> acute stroke. We used<br />

an iterative process that included feedback from members of the focus<br />

population to pilot test and select final items of the study.<br />

results: Outcome expectations heavily influenced individual attitudes,<br />

as many believed effective acute stroke treatments do not exist. Subjective<br />

norms seem extremely important – the power of word-of-mouth<br />

was emphasized by many individuals, and beliefs about social standards<br />

and motivation to comply were often mentioned in the context of family<br />

and church. Finally, distrust of medicine, and lack of knowledge about<br />

stroke warning signs are also salient factors in the decision to call 911 <strong>for</strong><br />

acute stroke. Members of the partnership collaborated to assimilate these<br />

behavioral constructs into a culturally sensitive needs assessment survey,<br />

which was tailored to the community based on linguistic, cultural and<br />

religious appropriateness. conclusion: Community based participatory<br />

research is an effective method to develop a needs assessment survey<br />

and behavior change theory relevant to that community.<br />

implications <strong>for</strong> practice: A behavioral intervention that is faithbased,<br />

guided by the TPB, utilizes existing social networks and is culturally<br />

relevant may increase 911 calls and consequently improve stroke<br />

outcomes <strong>for</strong> African Americans living in Flint, Michigan.<br />

18. EPA Air Quality Index Values of Smoke-Free Venues after<br />

Smoking Ordinances<br />

Nancy Johnson, BS, CHES, Truman State University - Campus-Community<br />

Alliances <strong>for</strong> Smoke-free Environments; Justin McDermott, Truman<br />

State University; Samantha Goode, Truman State University<br />

Secondhand smoke, also known as environmental tobacco smoke (ETS)<br />

contains a variety of toxic or carcinogenic chemicals. ETS is classified as<br />

a Group A carcinogen, mixtures associated with causing cancer. Those<br />

close in distance to smokers risk inhaling substances emitted from the<br />

cigarettes which may possibly increase their risk <strong>for</strong> future health complications.<br />

Influenced by the known risk factors of second hand smoke<br />

and the studies done on smoke-free ordinances, the researchers had<br />

successfully passed legislation to en<strong>for</strong>ce all bars, restaurants, parks, and<br />

public amusements in a small Midwestern town of population 17,000 to<br />

be smoke-free as of July 2007. An air quality study using air quality monitors<br />

was pre<strong>for</strong>med to insure the businesses were complying with the<br />

new smoking ordinance. It was hypothesized that not all public venues<br />

were en<strong>for</strong>cing the city smoking ordinance. Between March 1, 2009 and<br />

July 20, 2009, air quality was assessed in six restaurants, three bars, and a<br />

bowling alley. Within the test group, all ten businesses allowed smoking<br />

prior to the ban. Testing occurred when business was at its peak hours<br />

<strong>for</strong> a period of one hour per business. A TSI SidePak AM510 Personal<br />

Aerosol Monitor was used to sample and record the levels of respirable<br />

suspended particles (RSPs) (particles small enough that one can breathe<br />

in) in the air at each testing site in order to test the air quality index. All<br />

ten venues tested were within the United States Environmental Protection<br />

Agency (US EPA) Good Air Quality Index value, as the average<br />

Particulate Matter (PM2.5) of all venues was 5.73 g/m3(range: 4.39<br />

- 7.45g/m3). An air quality index of less than or equal to 15 PM2.5 g/<br />

m3 is within the US EPA Good Air quality Index range. Averages of<br />

twenty-four <strong>people</strong> were within each venue at the time of testing. Every<br />

venue tested was following the city smoking ordinance by not allowing<br />

any smoking within their indoor space and were there<strong>for</strong>e protecting<br />

their patrons from the dangers of secondhand smoke by keeping their air<br />

quality within the EPA Good air quality index range. It is recommended<br />

that health educators participate in air quality index testing in smoking<br />

and non-smoking venues as US EPA Air Quality Index values can be<br />

used to convince leaders that secondhand smoke is a real problem within<br />

inside venues.<br />

19. Evaluating The Jackson Road Map To <strong>Health</strong><br />

Equity Farmers’ Market Patrons’ Satisfaction and Engagement<br />

In Positive <strong>Health</strong> Behaviors<br />

David Brown, EdD, MA, CHES, Department of Behavioral and Environmental<br />

<strong>Health</strong>, Jackson State University; Beneta Burt, MPPA, Director,<br />

Jackson Road Map To <strong>Health</strong> Equity; Modupe AinaAkinpelu, MD, MPH,<br />

Doctoral Candidate, Jackson State University Department of Behavioral<br />

and Environmental <strong>Health</strong><br />

background: The Jackson Road Map <strong>for</strong> <strong>Health</strong> Equity maintains a<br />

farmers’ market in the metropolitan Jackson Mississippi Area. This Kellogg<br />

Foundation funded project was designed to improve the Jackson<br />

inner-city citizens’ access to and consumption of reasonably priced, high<br />

quality fresh fruits and vegetables. The farmers’ market addresses Nutri-<br />

sophe conference ✯ november 4-6, 2010 47

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