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Download - Society for Public Health Education

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Poster Abstracts5227. The Network Dynamics of ImprovingSchool-based <strong>Health</strong> <strong>Education</strong>Sarah Davis Redman, MPAff, University of Illinois- Chicago,Michael Fagen, PhD, MPH, University of Illinois- ChicagoAdolescents ages 15-19 have the highest rate of sexuallytransmitted infections in the United States (CDC, 2008). Asthis age group spends most of its time in school, access tohigh quality sexuality education in the classroom is critical. InIllinois, not all schools have health education curricula, andonly one in three sex education teachers are <strong>for</strong>mally trainedto provide this in<strong>for</strong>mation (Lindau, 2008). Because schoolhealth policies are made at the local level, one of the bestways to improve access to school-based health educationis to garner support <strong>for</strong> new initiatives and policies in localcommunities. However, this requires diverse, dedicatedstakeholders, including school district officials, schooladministrators and teachers, and local health department staffto <strong>for</strong>m their own network <strong>for</strong> change. Exploring the role ofnetworks in creating local change, this poster will examinethe network dynamics of one community in northwest Illinoisattempting to improve health education in its K-12 schooldistrict. This work has included changing their sexualityeducation policy from an abstinence-only to a comprehensivecurriculum, revising physical education and health curriculato align with learning standards, and ensuring that the highschool health education curriculum is an extension, and nota replication, of the middle school curriculum. Using bothqualitative and quantitative methods, this research examineshow the network <strong>for</strong>med, the relationships between thestakeholders involved in the work, and the extent to whichthese relationships have helped or hindered their success atchanging policy, creating and implementing a health programplan, and evaluating their health curriculum implementation.Qualitative data collected via stakeholder interviews andobservations provide much of the context regarding howthe network was <strong>for</strong>med and how the relationships betweenstakeholders continue to evolve, while quantitative findingsfrom a stakeholder survey were used to create a visual pictureof the network dynamics and characterize the network as awhole. Preliminary results suggest that this network may havebeen successful in part because it <strong>for</strong>med organically and hasdiverse stakeholders with a strong understanding of studentneeds, local politics and community values. Also, becauseprofessionals from different fields often have divergentpriorities, having stakeholders who have previous successfulworking relationships has helped to build trust across thenetwork. Understanding network dynamics has the potentialto improve how community stakeholders mobilize around anynumber of health problems facing schools including sexualactivity, childhood obesity, substance use, and violence.28. Planning and Integrating an Effective <strong>Health</strong><strong>Education</strong> Program <strong>for</strong> Low Income Older AdultsAkilah Cadet, MPH, Curry Senior Center, San FranciscoDepartment of <strong>Public</strong> <strong>Health</strong> Community ClinicWhen we think of the health status of older adults, we oftenthink, fall prevention, medication management, and chronicillness; but rarely do we think of primary prevention. Olderadults want to live longer, happier, and healthier lives. Howcan community providers and clinics use health educationstrategies to design primary prevention programs to enhanceSOPHE 62nd Annual Meetingand improve the lives of older adults? For 40 years, CurrySenior Center (CSC) has been providing primary medicalcare, substance abuse services, coordinated mental health,case management, congregate meals, community programs,and housing <strong>for</strong> seniors. CSC is the only geriatric communityclinic providing care to over 1,300 low income, uninsured/underinsured older adults. In the spring of 2010, the CSC,a San Francisco Department of <strong>Public</strong> <strong>Health</strong> primary careclinic, located in the Tenderloin District in San Francisco,CA; created their first <strong>Health</strong> <strong>Education</strong> program focused onprimary prevention and management of chronic conditions<strong>for</strong> seniors. This program is now fully integrated into theservices provided by the center. Theoretical basis: The purposeof the presentation is to share the success and challengesof developing a plan to implement and integrate a newhealth education program into the provision of servicesof an urban community clinic <strong>for</strong> low income seniors withmultiple chronic conditions. Objectives By the end of thesession, the participant will: Learn three skills <strong>for</strong> developing,implementing, and integrating a health education programin an urban primary clinic; Identify at least three to fiveprimary and secondary health education services <strong>for</strong> lowincome seniors that address multiple chronic conditions.Interventions: As a result of effective program planning andcollaboration, the Curry Senior Center now provides healtheducation services in the following capacities: Individualized,medical provider referred appointments with healtheducation staff to address chronic health conditions including,smoking cessation. Cultural and linguistic patient educationmaterials and resources available electronically and by hardcopy <strong>for</strong> all patients and staff. <strong>Health</strong> education workshopson prevention and/or maintenance of chronic diseases;including the Chronic Disease Self Management Program (6week workshop designed by Stan<strong>for</strong>d University). Results:The <strong>Health</strong> <strong>Education</strong> program at Curry Senior Center wasdeveloped through strong collaborations and support fromcommunity members, community based organizations, SanFrancisco General Hospital, the Community <strong>Health</strong> Networkand the San Francisco Department of <strong>Public</strong> <strong>Health</strong>. As a resultof these collaborations the <strong>Health</strong> <strong>Education</strong> program is fullyintegrated into the services provided by Curry Senior Center.29. Developing a <strong>Public</strong> <strong>Health</strong> <strong>Education</strong>Campaign to Help Restaurant Patrons ApplyMenu Labeling In<strong>for</strong>mation in Choosing<strong>Health</strong>ier Food Items at Chain RestaurantsGloria Kim, MPH, Los Angeles County Department of <strong>Public</strong><strong>Health</strong>; David Geffen School of Medicine at UCLA; PatriciaCummings, MPH, Los Angeles County Department of <strong>Public</strong><strong>Health</strong>; UCLA School of <strong>Public</strong> <strong>Health</strong>; Brenda Robles, MPH,RENEW LA County; Tony Kuo, MD, MSHS, Office of Senior<strong>Health</strong> and Research & Evaluation, Los Angeles CountyDepartment of <strong>Public</strong> <strong>Health</strong>; Department of FamilyMedicine; David Geffen School of Medicine at UCLABackground: Americans have increased the number of mealsconsumed away from home over the past 25 years. Given therecent adoption of the state (Cali<strong>for</strong>nia Senate Bill 1420) andfederal menu labeling requirements (Patient Protection andAf<strong>for</strong>dable Care Act of 2010), there is a growing need <strong>for</strong> apublic health education campaign that prepares consumersto use labeling in<strong>for</strong>mation to choose healthier food items

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