Poster Abstracts50and strength training. Exercise intensity was recorded dailyfrom 6-20 (20 = the highest) using Borg’s Scale of PerceivedExertion after the exercise program. A physician prescribeddiet was recorded daily. Daily weight was measured andrecorded in pounds on a balanced scale and analyzed usingthe Metropolitan Life Table. Morning and evening pain levelswere recorded from 1-10 (10 = severe) using the Numeric PainRating Scale. The results of the program were that averageweekly pain levels were consistently reduced with the morningpain levels reduced 3.5 points (5.8 to 2.3) and the eveninglevels reduced 2 points (3.7 to 1.7) from the first to the lastweek of the program. The recommended diet and exerciseprogram was strictly adhered to according to the code sheet.The exercise intensity levels ranged from 12-14 daily andwere consistent. Weight was reduced 10 lbs (137 lbs.-127 lbs)to an “average” weight category. The conclusion is that theprogram reduced female endometriosis pain <strong>for</strong> this casestudy. The findings suggest that an effective diet, exercise, andweight control program may reduce female endometriosispain <strong>for</strong> other females. Practice implications indicate thatfurther research is recommended with more participants.23. A Multi-Level Approach to Improving InhaledCorticosteroid Compliance in PediatricPatients with Persistent AsthmaMargaret Sanders, MSEd, AE-C, Center <strong>for</strong> Minority <strong>Health</strong> &Heath Disparities Research and <strong>Education</strong>, College of Pharmacy,Xavier University; Claire Hayes, MPH, CHES, AE-C, Center <strong>for</strong>Minority <strong>Health</strong> & Heath Disparities Research and <strong>Education</strong>,College of Pharmacy, Xavier University; Leonard Jack, Jr., PhD,MSc, Center <strong>for</strong> Minority <strong>Health</strong> & <strong>Health</strong> Disparities Researchand <strong>Education</strong>, College of Pharmacy, Xavier University,Kristi Isaac Rapp, PharmD, AE-C, Division of Clinical andAdministrative Sciences, College of Pharmacy, Xavier UniversityBackground: Recently the National Asthma and PreventionProgram (NAEPP) released the Guidelines ImplementationPanel (GIP) Report to help overcome barriers in implementingthe Expert Panel Report 3 (EPR-3) –Guidelines <strong>for</strong> theDiagnosis and Management of Asthma. The first GIP messagerecommends use of inhaled corticosteroids (ICS) in the longterm treatment of persistent asthma. Despite evidence tosupport the importance of ICS in achieving asthma control,compliance remains an ongoing issue. Behavioral changeis more apt to occur when health education messages aredelivered through a multi-level intervention.TheoreticalFramework: The social ecological model is used to plan multilevelinterventions to increase ICS compliance <strong>for</strong> pediatricasthma patients.Hypothesis: ICS compliance in pediatricpatients with persistent asthma can increase through a multilevelapproach by engaging stakeholders at the interpersonal,organizational, community and policy level in adopting theGIP recommendations on ICS compliance.Methods: Thepresenter, a certified asthma educator, will discuss how healtheducators can develop tailored educational interventionsthat address barriers to compliance across multiple levelsincluding: the health systems level (e.g., changes in asthmastanding orders, the electronic health system, provider trainingto adopt clinical guidelines); community level (community/school asthma coalitions, health fairs, and during asthmaawareness month); and policy level (e.g., statewide asthmainitiatives, advocating <strong>for</strong> asthma education reimbursement).SOPHE 62nd Annual MeetingWhile interventions at multiple levels will be discussed, aprimary focus of this poster presentation will be to addressthe importance of identifying patient and family healthbeliefs, cultural beliefs, myths and misconceptions aroundICS medication. This will aid health educators in identifyingboth intentional and non-intentional reasons (e.g., awarenessand readiness) <strong>for</strong> non-compliance. The presenter willdescribe how the potential use of 6-8 psychosocial-relatedquestions presented to patients and caregivers at initialpatient visit and post-intervention can be an effective tool toassess and develop a tailored asthma education interventionto target awareness, readiness, and behavioral changetoward ICS compliance.Results: The presenter will sharein<strong>for</strong>mation on how the use of psychosocial questions canhelp shape the development of a tailored asthma educationintervention <strong>for</strong> each patient/caregiver (family). Additionally,the presenter will discuss how a tailored asthma educationintervention and other health systems approaches can helplead to better compliance of ICS use, thus improving asthmamanagement and clinical outcomes. Conclusions andImplications <strong>for</strong> Practice: Adoption of this model creates anopportunity to build a more competent work<strong>for</strong>ce to supportpatient and family’s asthma self management behaviors.24. Creating <strong>Health</strong>y Food Partnerships withinNative American Powwows by ChangingSystems through Innovative ApproachesValarie Jernigan, PhD, University of Oklahoma/NC-SOPHE;Robert Rinck, MPH, San Jose State University-<strong>Health</strong> Science;Carol Wahpepah, BA, Inter-Tribal Friendship House; BonneyHartley, MSocSci, Program Manager, Seva FoundationBackground: Powwows are large gatherings <strong>for</strong> NativeAmericans to celebrate their culture through music, dance,drumming, but also is a place <strong>for</strong> vendors to sell traditional/modern cuisine. Un<strong>for</strong>tunately, much of the food sold ishigh in fat/sugar as well as deep-fried and not the healthiestchoices <strong>for</strong> diabetics or those prone to diabetes Objectives:1) Intertribal Friendship House (IFH), Northern Cali<strong>for</strong>niaSOPHE, and Seva Foundation partnered to develop/implementa pilot intervention to change food policy within Bay AreaNative American community powwow settings. 2) Partnerwith planning committees of local Bay Area powwow heldto identify/promote healthy and Indigenous traditional foodchoices provided by vendors at powwows and create healthyfood labeling systems. 3) Have Native participants identify andchoose healthier eating alternatives in festival environments.Abstract: Poster will reflect a socio-ecological approachin working partnerships with powwow committee, andidentifying potential vendors <strong>for</strong> participation in the project.Partnership will develop/adapt existing site-specific survey toadminister to all powwow vendors detailing what type of foodsthey serve on their menus and prices. From surveys, usingCommunity Based Participatory Research perspective, we willassess what vendors are willing to participate and want to dosome modifications in what they serve. We will review vendorsurveys and compile list of healthy menu options <strong>for</strong> vendorsthat includes traditional Indigenous recipes. The partnershipwill present suggested menu modifications to powwowvendors, that reflect healthy food preparation but not as anextra cost to vendors. The partnership will demonstrate howminor changes in food preparation can be a healthier choice.
Poster AbstractsIFH interns will label participating vendors menus using IFHlogo, which will mean a healthier eating choice. Vendorsparticipating in project will be highlighted by powwow MC andtheir foods will be regularly announced/promoted throughoutduration of powwow. Interns will administer pre/post-testsurveys at participating vendor sites during powwow to assessefficacy and consumer response to healthier food labeling. Thepartnership evaluator will analyze point-of-purchase surveysand present findings to partnership. The methods that resultedin changes to menus will be identified/compiled by projectconsultant into a healthy nutrition tool kit <strong>for</strong> disseminationto other powwow committees in Bay Area and elsewhere.Poster will be based: IFH/Seva’s statistical data tracking vendorparticipation/community participation. Participatory researchconsisting of survey interviewing. Studying/incorporatingrelevant and current health literature vis-à-vis the program.25. e<strong>Health</strong> Literacy of Adolescents is Associatedwith Their <strong>Health</strong> Promotion LifestyleLiling Liao, PhD, Department of <strong>Health</strong> Managementat I-Shou University; I-Ju Lai, PhD, Departmentof Medical Nutrition at I-Shou UniversityBackground: WHO has defined health literacy in 1998 andadvocated the importance of the need to consider healthliteracy in disseminating health in<strong>for</strong>mation in media. TheInternet offers a variety of communication channels whichhave the potential to improve the effectiveness and efficiencyof health education. However, many teens report that theylack the skills to adequately engage online health resourceseffectively. The gap between the electronic health resourcesavailable and consumers’ skills <strong>for</strong> using them is possiblydue to the lack of e<strong>Health</strong> literacy. There<strong>for</strong>e, it is of interestto evaluate the status of e<strong>Health</strong> literacy of adolescentsand to investigate the relation between e<strong>Health</strong> literacyand health promotion lifestyle.Theoretical framework: Thestudy is based on e<strong>Health</strong> literacy lily model developed byNorman et al. (2006). Hypothesis: The status of adolescents’e<strong>Health</strong> literacy in Taiwan can predict their health promotionlifestyle significantly.Methods: The instruments used in thisstudy were e<strong>Health</strong> Literacy Scale and Adolescent <strong>Health</strong>Promotion Scale. Subjects of the cross-sectional study wereeighth grade students of three schools distributed in North,Central, and South area in Taiwan, respectively. Purposivesampling and cluster sampling methods were used to selectstudy subjects. A total of 639 students were selected in thisstudy, and 599 effective questionnaires were retrieved. Theresponse rate is 93.74%. Descriptive statistics, and correlationand regression models were used to analyze data.Results:This study finds that e<strong>Health</strong> literacy significantly correlatesto health promotion lifestyle and accounts <strong>for</strong> 16.7% (p
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