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Download - Society for Public Health Education

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Poster Abstractscan increase provider, parent and community knowledge onthe importance of preconception and interconception healthin an ef<strong>for</strong>t to reduce adverse pregnancy outcomes.Methods:Funding was provided to 13 states to create public awarenesscampaigns by integrating reproductive health messages intoexisting health promotion campaigns. Formative research inthe <strong>for</strong>m of focus groups was used to obtain in<strong>for</strong>mation fromtarget audiences on parenting, pregnancy, and knowledgeof pre/interconception health. Logic models were createdshowing expected outcomes of each initiative. Each stateconducted separate evaluations on the effectiveness of usingsocial media and non-traditional campaign techniques (e.g.,social media, PhotoNovella, Digital storytelling, etc.) to increaseawareness of these topics as well. Results: Preliminary resultsof the campaigns indicate: poor understanding of the term“preconception health” prior to start of campaigns; positivereception of social media tools (e.g., Facebook, Twitter, andMySpace) as a discussion <strong>for</strong>um <strong>for</strong> topic areas; and importanceof male involvement in discussion. The major limitationsof the study include: absence of a cross-site evaluation tocompare results from focus groups and techniques used<strong>for</strong> campaigns and variations in the level funding providedto each state which may have limited the type of campaignone could implement. Conclusions: Preconception andinterconception health are still considered new topics withinthe maternal and child health discussion <strong>for</strong>um. More workis needed to create a clear understanding of these concepts<strong>for</strong> consumers and to gain increase acceptance in focusingon preconception health among providers. Implications:Data gathered through campaigns provide a strong case<strong>for</strong> moving toward comprehensive systems of care with alife-course focus and create policies which allow healthcareproviders to be compensated <strong>for</strong> providing services duringthe preconception period <strong>for</strong> both men and women.10. *The Effectiveness of Alcohol Policiesin 4-Year <strong>Public</strong> UniversitiesGayle Walter, PhD, MPH, University of DubuqueA problem facing American universities is heavy drinkingby the student body which results in unintentional injuriesand deaths, illegal offenses, sexual assault, altercations, andacademic demise. The relationship between the type ofalcohol policy enacted on campus and alcohol consumptionamong undergraduate students attending 4-year publicuniversities in the Midwestern U.S. was investigated. Thesocial ecological model provided the theoretical foundation<strong>for</strong> this study. The social ecological model is the acceptedmodel <strong>for</strong> heavy drinking on college campuses because itcaptures a broader view of behavior and development inrelation to college students and heavy drinking. A randomsample of students from universities that have policies in placeallowing the sale and use of alcohol in approved locationswas compared to samples of students in universities thathave policies in place prohibiting the sale and use of alcoholon campus. The Core Alcohol and Drug Survey was used toquantify drinking behaviors among students. Multiple logisticregression analysis was used to test the hypothesis that heavydrinking is associated with alcohol policy while adjusting<strong>for</strong> the effects of student characteristics. The type of policyin place (wet or dry) was not significant against the odds ofheavy drinking (p = .323) after controlling <strong>for</strong> age, gender,* Denotes Poster Promenadeethnicity, participation in sports, and participation in Greekorganizations. Gender, age, and participation in sports wereassociated with heavy drinking while participation in Greekorganizations was not. This study provides insight into therelationship of alcohol policy type to heavy drinking. Sincethe results of the study demonstrate that alcohol policy aloneis not effective in reducing the number of students who drinkheavily, an environmental management model is necessary.The five environmental strategies include (a) promoting social,recreational, and public service opportunities to the studentsthat do not include alcohol; (b) <strong>for</strong>ming a social and academicenvironment that encourages and supports healthy behavior;(c) limiting the accessibility of alcohol both off and on campus;(d) restricting the marketing and promotion of alcohol oncampus and during sports-related events. The community canalso support this endeavor by eliminating alcohol promotionsthat include low-priced drink specials and (e) developing anden<strong>for</strong>cing alcohol policies on campus and local, state, andfederal laws. It also may be beneficial to create an alcoholintervention program targeted to high-risk groups rather thanone universal program encompassing the entire student body.11. *Hospital to Home (H2H): Perfecting Transitionsthrough a Multidisciplinary Approach.Jean Gould, BS, Maine<strong>Health</strong>; Mary McDonough, BSN,Maine Medical Partners; Kelly Lemery, BSN, Maine MedicalPartners; Ann Skelton, MD, Maine Medical CenterPurpose: The transition from hospital to home is one of themost problem-prone and costly aspects of medical care in theU.S., costing the Centers <strong>for</strong> Medicaid and Medicare servicesmore than 102.6 billion dollars. With the <strong>Health</strong>care re<strong>for</strong>mact incorporating pending changes to the reimbursement<strong>for</strong> 30-day readmissions structure, the Patient Protection andAf<strong>for</strong>dable Care Act (PPACA) statute will begin to penalizehospitals and integrated delivery systems with higher thanexpected readmission rates. The challenging reasons <strong>for</strong>readmission rates have been linked to; misunderstandingmedicines, diagnosis and reason <strong>for</strong> admission. Additionally,lack of education around managing health problems furthercomplicates patient understanding. Based on the existingdata and the huge financial impact affecting the structure ofthe U.S. health care paying systems, Maine Medical Center’sFamily Medicine practice and the Maine<strong>Health</strong> system lookedat how patient education, shared decision making and healthcare provider resources can be used more effectively toimplement system change at the local level. Method: Using amultidisciplinary approach FMC created the Hospital to Home(H2H) concept and team using current resources already withinthe practice. The team is comprised of a social worker, healtheducator, RNs, medical office assistants, residents, attendingphysicians, pharmacist, care manager and translators. Patientsare scheduled to attend the H2H visit the Wednesday afterdischarge. During the visit the patients can speak with anymember of the team. The annual cost of the H2H programis $30,212. Annual gross revenue from H2H visits, based on 4patients, is $30,368 (or $584 per week). Annual cost savingsfrom reduced readmissions is $193,200 Conclusion: Thegoal of the H2H team is to help any patient who has beendischarged from the hospital under Maine Medical Center’sFamily Practice services to better understand their healthissues and medications. This program was created to provideSOPHE 62nd Annual Meeting45

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