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Poster Abstracts54self-sampling device. Results indicate that the vast majorityof participants (97.4%) were either comfortable or verycomfortable using the cervical self-sampler at home and most(99.4%) would recommend it to friends or family members.A large proportion (78.7%) of participants would prefer touse the self-sampler at home as opposed to the in-clinictest (82.6%). The facilitation of this project through the CHWnetwork helped overcome many of the barriers involvedwith accessing preventive cancer screening, including thegeneral distrust of the formal healthcare system. In addition,the high level of acceptability indicates that self-samplinghas the potential to serve as a feasible alternative to thePap smear for HPV detection, and is an efficient and costeffectivemethod of screening women in resource-poorregions or when cultural barriers exist to the use of traditionalsampling methods. This data may inform future large-scaleinitiatives to address the high cervical cancer rates in Haitiutilizing the CHW network and the self-sampling device.33. Analysis of Cost of Substance Abuse andAlcohol on the Criminal Justice System for theState of Utah: Implications for AdvocacyCameron Lister, BS(c), Department of Health Science,Brigham Young University, Carl Hanson, PhD, MCHES,Master of Public Health Program, Brigham Young University,Gordon Lindsay, PhD, Department of Health Science,Brigham Young University, Kye Nordfelt, MPA, UtahCounty Health Department, Substance Abuse DivisionIn 2009 30.2 million Americans reported driving under theinfluence, and rates of marijuana use among teenagers roseduring the last year. Utah is not exempt from dangers posedby substance abuse – being well above the national averagefor prescription drug abuse. In 2007 West Virginia conductedan analysis of the cost of substance abuse for their stateusing several datasets, and their findings were compiled in aPCG Funding Analysis. Currently Utah has no compiled datashowing the cost of substance abuse for the state, and needfor economic evidence to fuel advocacy efforts in Utah led tothe compilation of this research. The theoretical basis lies in‘value theory.’ Since determining financial burden of substanceabuse can be considered a cost-of-illness (COI) analysis,calculating this cost is an interpretation of the market as wellas an integral tool used to evaluate policy. The main objectiveof this analysis is to illustrate an economic justification foradvocacy efforts for the state of Utah. Secondary objectivespoint towards cost benefit analysis of using increased taxrevenue to further expand and fund existing programs to helpoffset the financial burden of substance abuse in Utah. Factsheets will be compiled from data collected and presentedfirst to UCHD, and then to policy makers. Purpose for factsheets is centered on providing basis, and foundation foradvocacy efforts. For evaluating methods of data collectionthe PCG Funding Analysis was used as a guide in compilingdata for Utah. Foundational datasets used were the sameas those integrated into the cost analysis for West Virginia,as well as methods of calculation. Preliminary results showdramatic differences between current alcohol tax revenue,and financial burden on the state. For law enforcement alone,$104,820,314 was spent in 2010 for arrests associated withalcohol, and another $64,932,510 was spent for drug arrests.The beer tax for the year 2010 totaled $7,725,000 in revenue,SOPHE 62nd Annual Meetingmaking the impact of alcohol for the criminal justice systemalready more than 14 times greater than current revenue. Inaddition to methods modeled after West Virginia, separatedata from the Bureau of Justice Statistics on reportedrates of substance abuse among inmates will be used toillustrate additional potential costs. Data collected will bepresented in a Google Motion Chart for the most effectivemethod of comparison of the two different cost models.34. Structured Interviews with ParentsRegarding Immunization Communicationand Text Message RemindersAngelia Paschal, PhD, Med, Mississippi University for Women,Carolyn Ahlers-Schmidt, PhD, University of Kansas School ofMedicine-Wichita, Amy Chesser, PhD, University of Kansas Schoolof Medicine-Wichita, Traci Hart, PhD, Wichita State UniversityINTRODUCTION: Is critical that children are vaccinated as earlyas possible in order to avoid vaccine preventable diseases(Pati et al., 2010). Reminders can help parents understandcomplicated immunization schedules. Considering theincreased use of technology as a strategy to increaseimmunization coverage, especially with mobile phone textmessage reminders (Ahlers-Schmidt, Chesser, Hart, et al., 2010;Kharbanda, Stockwell, Fox, & Rickert, 2009), it is importantto investigate how parents perceive such communicationforms as compared to more traditional means, such as faceto-face,telephone, and appointment card reminders. Suchefforts might lead to improved interventions. PURPOSE:The purpose of this study was to examine the perceptionsof parents regarding immunization text message reminders.Specifically, the study explored: the most prevalent forms ofcommunication about immunization information; satisfactionlevels with these communication modes; preference for typeof information received; and perceived barriers and benefitsto using a novel form of communication – text messaging.METHODS: Parents from two pediatric group practice clinicsparticipated in an IRB-approved study consisting of structuredinterviews. User-centered design techniques including a cardsort were also performed to identify optimal text messagecontent. The shortened form of the Test of FunctionalHealth Literacy for Adults (S-TOFHLA) (Baker et al., 1999) wasadministered. ANALYSIS: SPSS 17.0 was used to analyzesome of the data: frequencies and percents were reported forcategorical data, while means and standard deviations werereported for continuous data. Content analysis was performedon the open-ended item responses.RESULTS: Fifty parentsparticipated. Regarding current communication with theirchild’s physician, all (100%) engaged in face-to-face contactat the appointments and 74% reported communication viatelephone. Although several reported receiving mailers fromtheir child’s physician, no parent reported e-mail or textmessage communication. Parents indicated less satisfactionwith telephone than face-to-face communication. Ninety-eightpercent were interested in receiving immunization remindersby text message, and 100% were willing to receive generalappointment reminders. Twice the benefits to receivingtext messages were reported compared to barriers. Mostdrawbacks identified could be applied to any cell phonecommunication; comments specific to text messaging centeredon cost if parents did not have unlimited texting. Preferredcontent of text-messages was consistent with previous studies
Poster Abstracts(Ahlers-Schmidt, et al., 2010; Kharbanda, et al., 2009); idealcontent was described as short, simple and personalized.CONCLUSION: These findings contribute to the timely andbeneficial use of translational immunization research toaddress adherence to childhood immunization schedules35. Teen Health Spa: Promoting HealthyBehavior Change in Adolescent GirlsMary Casagrande, MPH (c), San Jose State UniversityThe Teen Health Spa is a unique program that was developedto reach culturally diverse adolescent girls in underservedcommunities. With a lack of knowledge, resources, andstrongly influenced by their peers and the media, adolescentgirls are not always able to engage in healthy behavior. Byproviding education and hands on experience that focuses ontheir present concerns of appearance and peer acceptance,the Teen Health Spa empowers girls to make positivebehavior change in an effort to prevent obesity and chronicdisease. The Teen Health Spa utilizes spa-like activities toprovide nutrition education. For example, while relaxingwith homemade cucumber masks, participants discuss howthe vitamins in fruits and vegetables benefit their skin, whileapplying oatmeal facials, they learn about the importance ofeating breakfast. Each “beauty” activity is infused with specifichealth, nutrition and physical activity information. Usingbehavior change theory, participants create an individualizedaction plan outlining their personal goals and strategies forimproving eating habits and exercise. The Teen Health Spaprogram was created over ten years ago by Lydia Guzman,MPH, RD, to address the lack of nutrition education programsthat incorporate teen culture as well as behavior change indiverse, low-income communities. Through the years, theprogram has been adapted, streamlined and improved.Each year the program has had positive evaluations fromthe participants. Previous results demonstrated statisticallysignificant increases in fruit and vegetable consumption anddecrease in sugary beverage consumption. Over 85% ofparticipants reported at least one positive behavior change.The program has demonstrated potential to be an effectiveintervention and could be utilized beyond the scope ofSan Mateo County. Up until present time, a majority of theprogram’s concept, methodology, and strategies existedprimarily in the institutional knowledge of the creator and ahandful of trained staff members. To the creator’s knowledge,no other program of its kind exists. The curriculum hasnow been compiled, organized, packaged and prepared fordistribution. It includes an implementation guide, handouts,cultural adaptations, and suggested modifications toaccommodate a variety of logistics. With the Teen Health Spacurriculum piloted and in a shareable format, the programcan be disseminated to reach a wider audience of adolescentgirls. Given the growing trend of obesity in adolescents,this program, more than ever, is needed to provide anurturing environment for adolescent girls to make positivebehavior change to prevent obesity and chronic disease.36. Infusing a Community Health Theme into a PublicMiddle and High School Through Systems ChangeKaren Denard Goldman, PhD, MS, MAT, MCHES,Long Island UniversityOf the 1,700 public schools in New York City serving 1.1million students, 13 have health themes – typically healthcareer exploration and promotion. In 2005, the CommunityHealth Academy of the Heights (CHAH) was establishedwith a unique mission: to provide students with gradeappropriatecommunity health knowledge, skills, andexperiences to help them foster a healthy community wherethey live and study. This would to be done by infusing acommunity health theme into the school’s culture, curricula,extracurricular activities, built-environments, and operations.This presentation is the story of the successes, challenges,and lessons learned from the most recent phase of themulti-disciplinary, multi-faceted public health educationtranslational collaboration to infuse a community health themeinto academic, administrative, support, and other systemswithin CHAH which is located in the heart of the Dominicancommunity in Washington Heights, New York City. Based ondiffusion of innovation theory, a series of system changes wereintroduced using fiat, professional development activities,organizational retreats, technical assistance, and more. Thispresentation will include a brief overview of the NYC publicschool system, the mission and vision of CHAH, the roleof the outside consultant, the sequence of system changestrategies used, the initiative’s impact to date, and next steps.* Denotes Poster PromenadeSOPHE 62nd Annual Meeting55
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