Medicine and Health Sciences Commons^™

Cues To Cervical Cancer Screening Among U.S.-Hispanic Women, Arelis Moore De Peralta, Bonnie Holaday, Ida Mikisa Hadoto

Arelis Moore de Peralta

Introduction: Hispanic women’s cervical cancer rates are disproportionately high. Cues to cervical cancer screening (Cues to Action) are strategies to activate the decision-making process to get screened for cervical cancer. This study used the health belief model to examine which cues prompt Hispanic women to undergo cervical cancer screening and how perceptions could be potentiated by cues to cervical cancer screening.

Method: A cross-sectional survey was conducted among Hispanic women 18 to 65 years old (n = 220). Generalized linear modeling was used.

Results: Spanish media and reminders by mother and doctors were relevant cues. Generalized linear modeling showed …

Recommendations For The Evaluation Of Cross-System Care Coordination From The Va State-Of-The-Art Working Group On Va/Non-Va Care, Kristin M. Mattocks, Kristin Cunningham, A. Rani Elwy, Erin P. Finley, Clinton Greenstone, Michelle A. Mengeling, Steven D. Pizer, Megan E. Vanneman, Michael Weiner, Lori A. Bastian

Kristin M. Mattocks

In response to widespread concerns regarding Veterans' access to VA care, Congress enacted the Veterans Access, Choice and Accountability Act of 2014, which required VA to establish the Veterans Choice Program (VCP). Since the inception of VCP, more than two million Veterans have received care from community providers, representing approximately 25% of Veterans enrolled in VA care. However, expanded access to non-VA care has created challenges in care coordination between VA and community health systems. In March 2018, the VA Health Services Research and Development Service hosted a VA State of the Art conference (SOTA) focused on care coordination. The …

Improving Care Coordination For Veterans Within Va And Across Healthcare Systems, Kristina M. Cordasco, Denise M. Hynes, Kristin M. Mattocks, Lori A. Bastian, Hayden B. Bosworth, David Atkins

Kristin M. Mattocks

The VA faces a plethora of care coordination challenges. Many Veterans have multiple conditions and providers, and many get a portion of their care in the community, a number that will only grow as recent legislation expands options for private care. These challenges have spawned new VA initiatives for redesigning care to meet them, described in this supplement in an editorial by Hosenfeld and colleagues. The VA Health Services Research and Development (HSR&D) service, in partnership with VA’s Office of Primary Care, and Office of Community Care, sponsored a State of the Art (SOTA) conference with the goals of (a) …

Understanding Maternity Care Coordination For Women Veterans Using An Integrated Care Model Approach, Kristin M. Mattocks, Aimee Kroll-Desrosiers, Rebecca L. Kinney, Sara Singer

Kristin M. Mattocks

BACKGROUND: An increasing number of women veterans are using VA maternity benefits for their pregnancies. However, because the VA does not offer obstetrical care, women must seek maternity care from non-VA providers. The growing number of women using non-VA care has increased the importance of understanding how this care is integrated with ongoing VA medical and mental health services and how perceptions of care integration impact healthcare utilization. Therefore, we sought to understand these relationships among a sample of postpartum veterans utilizing VA maternity benefits.

METHODS: We fielded a modified version of the Patient Perceptions of Integrated Care survey among …

Street Fights: Corporate Social Responsibility And A Dragway's Attempt To Reduce Illegal Street Racing, Amanda E. Greene, Andy Dotterweich, Gary Lhotsky, Jason Davis

Amanda E. Greene

This study sought to explore a professional sport venue’s use of Corporate social responsibility (CSR) to promote positive social change, by addressing illegal street racing, through events designed for community participation. This study specifically looked at public dragracing events, titled “Street Fights,” held at a professional dragway. The purpose of this study was to 1) examine drivers’ awareness of the event’s social responsibility initiatives with Street Fight events and 2) determine if these initiatives are promoting behavioral changes in drivers. Drivers at Street Fight events were surveyed (n=77, 60% response rate) on their levels of awareness of the venue’s social …

Delays In Antiretroviral Therapy Initiation Among Hiv-Positive Individuals: Results Of The Positive Living With Hiv Study, Krishna C. Poudel, David R. Buchanan, Kalpana Poudel-Tandukar

Krishna C. Poudel

Background: Lack of early initiation of antiretroviral therapy (ART) remains a major health concern due to increased risk of premature mortality and further HIV transmission. This study explored CD4+ cell count monitoring in relation to delays in ART initiation among HIV-positive individuals in the Kathmandu Valley, Nepal, where ART coverage was only 23.7% in 2011.

Design: We recruited a total of 87 ART-naïve, HIV-positive individuals aged 18 to 60 years through the networks of five non-government organizations working with HIV-positive individuals. We collected data on the history of ART initiation, CD4+ cell count monitoring, socio-demographic variables, perceived family …

Using Benefits Based Models To Manage Sport Performance Enhancement Groups, Anna Swisher, Andy R. Dotterweich, Sterlynn Clendenin, Mauro Palmero, Amy E. Greene, Joseph T. Abbott, Heather Habbott, Jana Hollins

Andy R. Dotterweich

No abstract provided.

Street Fights: Corporate Social Responsibility And A Dragway's Attempt To Reduce Illegal Street Racing, Amanda E. Greene, Andy Dotterweich, Gary Lhotsky, Jason Davis

Andy R. Dotterweich

This study sought to explore a professional sport venue’s use of Corporate social responsibility (CSR) to promote positive social change, by addressing illegal street racing, through events designed for community participation. This study specifically looked at public dragracing events, titled “Street Fights,” held at a professional dragway. The purpose of this study was to 1) examine drivers’ awareness of the event’s social responsibility initiatives with Street Fight events and 2) determine if these initiatives are promoting behavioral changes in drivers. Drivers at Street Fight events were surveyed (n=77, 60% response rate) on their levels of awareness of the venue’s social …

Hormone And Adpokine Alterations Across Eleven Weeks Of Training In Division I Collegiate Throwers: An Exploratory Study, W. Guy Hornsby, Christian R. Carter, Guy Gregory Haff, Micheal R. Ramsey, Andy R. Dotterweich, N. Travis Triplett, Charles A. Stuart, Margaret E. Stone, Michael H. Stone

Andy R. Dotterweich

Conceptually, it is important to understand the underlying physiological mechanisms of any training program model. This understanding aids the coach/sport scientist in making better choices in manipulating variables in formulating the training model. These underlying mechanisms can be associated with training variable manipulation and fatigue management aspects as well as the overall health of the athlete. Hormone and cytokine concentrations can be linked to alterations resulting from the manipulation of training variables and to subsequent alterations in performance (Haff et al., 2008; Ishigaki et al., 2005; Jurimae et al., 2010; Stone et al., 2007). For example, alterations in the testosterone: …

Lightning Safety: How Is It Conducted At Niaaa Member High Schools?, Mauro Palmero, Andy R. Dotterweich, Gary Lhotsky, Joseph Walker

Andy R. Dotterweich

The purposes of this study were to explore the current scenario of interscholastic athletics in regards to the existence and enforcement of lightning safety policies applied to athletic outdoor activities, and to identify the common practices related to lightning safety currently utilized. The results showed that 87.2% of the respondents (N=804) have lightning safety policies. However, only 90.3% of the respondents who have lightning safety policies actually enforce them. It seems that during practices coaches are most commonly responsible for making the decision to stop/resume activity, and that during games athletic directors are most commonly making the call. However, almost …

Challenges, Changes, And Opportunities In Ngb Coach Education From 2003-2015, Anna Swisher, Andy R. Dotterweich

Andy R. Dotterweich

No abstract provided.

A Survey Of Social Media: Perceived Effectiveness In Marketing Among Individual Nascar Tracks, Amanda E. Greene, Andy Dotterweich, Mauro Palmero, Don Good

Andy R. Dotterweich

The purpose of this study was to examine the use of and attitudes toward social networking as a tool for use by NASCAR speedways and to gauge track perceptions on the effectiveness of social media as a marketing tool. Individual NASCAR tracks were surveyed (n=22, 84.6% response) to explore current track social media practices and the potential impact of social networking sites on NASCAR marketing and consumer relations. Results found that individual tracks as well as the two major ownership groups highly agreed about issues concerning the use of social media to increase sales and to develop fan bases. However, …

Hospital Mergers And Public Accountability: Tennessee And Virginia Employ A Certificate Of Public Advantage, Erin C. Fuse Brown

Erin C. Fuse Brown

No abstract provided.

Massachusetts Medicaid Members That Smoked In 2008: Characteristics Associated With Smoking Status In 2014, Alexis D. Henry, John Gettens, Judith A. Savageau, Doris Cullen, Anna Landau

Judith A. Savageau

The smoking rate among non-elderly Medicaid enrollees is more than double the rate for those privately insured; smoking-related conditions account for 15% of Medicaid expenditures. Under state health reform, Massachusetts Medicaid (MassHealth) made tobacco cessation treatment available beginning in 2006. We used surveys conducted in 2008 and 2014 to examine changes in smoking abstinence rates among MassHealth members identified as smokers and to identify factors associated with being a former smoker. Members previously identified as smokers were surveyed by mail or phone; 2008 and 2014 samples included 3,116 and 2,971 members, respectively. Surveys collected demographic and health information, asked members …

Food Justice Youth Development: Using Photovoice To Study Urban School Food Systems, Krista Harper, Catherine Sands, Diego Angarita, Molly Totman, Monica Maitin, Jonell Sostre Rosado, Jazmin Colon, Nick Alger

Catherine Sands

Physical Screening And Testing: From Purpose To Research To Application, Rob Orr

Rob Marc Orr

Session Objectives:

•Discuss the purposes of different physical assessments

•Designing measures useful for assessing tactical personnel

•Applying assessments in the field

Musculoskeletal Fitness As A Predictor Of Injury During Police Academy Training: A Retrospective Cohort Study, Rob Orr, Matthew Stewart, Rodney P. Pope, Michael Stierli, Ben Hinton

Rob Marc Orr

Introduction:

• Tactical training institutions (like those for military, law enforcement and firefighting) often implement intensive training regimes to adequately prepare their candidates (Bullock et al. 2010)

• Recruit training physical fitness assessment items are performed to determine baseline fitness of each recruit

• Previous research has investigated fitness measures as a positive injury predictor among tactical recruits during basic training (Bedno et al., 2013; Knapik et al., 2001; O’connor et al., 2011; Rosendal, et al., 2003)

• However protocols generally include aerobic fitness as part of the process with predominantly military recruit populations (Lisman, et al. 2013: Knapik et …

A Detailed Analysis Of Serious Personal Injuries Suffered By Full Time And Part Time Soldiers, Rodney P. Pope, Adam Norman, Ben Schram, Rob M. Orr

Rob Marc Orr

No abstract provided.

The Relationship Between Quality Improvement And Health Information Technology Use In Local Health Departments, Kendra Johnson, Kim K. Nguyen, Shimin Zheng, Robin P. Pendley

Shimin Zheng

This research examined if there is a relationship between engagement in quality improvement (QI) and health information technology (HIT) for local health departments (LHDs) controlling for workforce, finance, population, and governance structure. This was a cross-sectional study that analyzed data obtained from the Core questions and Module 1 in the NACCHO 2010 Profile of LHDs. Descriptive statistics, bivariate analyses, and logistic regression analyses were conducted. Findings suggest that LHD engagement in QI has a relationship with utilization of HIT including electronic health records, practice management systems, and electronic syndromic surveillance systems. This study provides baseline information about the HIT use …

Injuries Associated With Sport Participation Amongst Australian Army Personnel, Ben Schram, Rodney Pope, Rob Orr

Ben Schram

Abstract published in the Journal of Military and Veteran’s Health, 24(4), p. 29.

Injuries Associated With Sport Participation Amongst Australian Army Personnel, Ben Schram, Rodney Pope, Rob Orr

Rob Marc Orr

Abstract published in the Journal of Military and Veteran’s Health, 24(4), p. 29.

Injuries Associated With Sport Participation Amongst Australian Army Personnel, Ben Schram, Rodney Pope, Rob Orr

Rodney P Pope

Abstract published in the Journal of Military and Veteran’s Health, 24(4), p. 29.

Profiling Work Health And Safety Incidents And Injuries In Australian Army Personnel: An Investigation Of Injuries And Other Incidents Suffered By Army Reserve Personnel, Rob Marc Orr, Rodney Pope, Ben Schram, Dylan Macdonald, Wayne Hing

Ben Schram

The Army reserve soldier is an integral part of overall Army capability and functioning. Although only becoming full-time when participating in training exercises or when called on for operations, these personnel are generally expected to perform at a level commensurate with full-time soldiers of the same rank and trade. Due to their transitions between civilian and military employments, they are typically exposed to less chronic military physical conditioning than their full-time counterparts. This reduced chronic conditioning, but requirement to perform the same tasks at the same level as full-time soldiers, may leave the reserve soldier at a higher risk of …

Profiling Work Health And Safety Incidents And Injuries In Australian Army Personnel: An Investigation Of Injuries And Other Incidents Suffered By Army Reserve Personnel, Rob Marc Orr, Rodney Pope, Ben Schram, Dylan Macdonald, Wayne Hing

Wayne Hing

The Army reserve soldier is an integral part of overall Army capability and functioning. Although only becoming full-time when participating in training exercises or when called on for operations, these personnel are generally expected to perform at a level commensurate with full-time soldiers of the same rank and trade. Due to their transitions between civilian and military employments, they are typically exposed to less chronic military physical conditioning than their full-time counterparts. This reduced chronic conditioning, but requirement to perform the same tasks at the same level as full-time soldiers, may leave the reserve soldier at a higher risk of …

Training For Tactical Operations In Tropical Environments: Challenges, Risks, & Strategies For Risk Management, Rodney Pope, Rob Orr, Anthony Walker, Shane D. Irving, Ralph P. Jones, Richard J. Gorey, Scott D. Gayton, Joseph Knapik

Rob Marc Orr

Tactical operators, encompassing military, law enforcement, fire and other emergency personnel, can be found in all climatic zones. These tactical operators may be deployed at short notice to tropical environments, often with limited time to acclimatise if based in more temperate zones. They are then expected to undertake arduous tactical tasks, often repeatedly and for extended periods in the tropical area. These demands combine with harsh environments, personal protective equipment (PPE), tactical loads, threats to life, and responsibility for the safety and survival of others to place immense physical and mental stresses on tactical operators. Managing the resulting risks is …

The Promises And Realities Of Evidence-Based Practices: Perceptions From Assessment Personnel, Jessica A. Rueter, Cynthia G. Simpson

Jessica Rueter

Assessment personnel are those individuals who work in the capacity of evaluation of students with disabilities, including, but not limited to, educational diagnosticians, educational examiners, psychometrists, and instructional specialists. These professionals are responsible for identifying strengths and weaknesses and for providing teachers with evidence-based recommendations that can be implemented in the classroom to improve performance of students with learning deficits. This qualitative study examines 19 educational diagnosticians’ perceptions related to the barriers and supports that impacted their ability to provide evidence-based recommendations for students who are learning disabled. Three categories of barriers to issuing successful evidence-based recommendations emerged as a …

Addressing The Ethical, Legal, And Social Issues Raised By Voting By Persons With Dementia, Jason H. Karlawish, Richard J. Bonnie, Paul S. Appelbaum, Constantine Lyketsos, Bryan James, David Knopman, Christopher Patusky, Rosalie A. Kane, Pamela S. Karlan

Bryan G Kane MD

This article addresses an emerging policy problem in the United States participation in the electoral process by citizens with dementia. At present, health care professionals, family caregivers, and long-term care staff lack adequate guidance to decide whether individuals with dementia should be precluded from or assisted in casting a ballot. Voting by persons with dementia raises a series of important questions about the autonomy of individuals with dementia, the integrity of the electoral process, and the prevention of fraud. Three subsidiary issues warrant special attention: development of a method to assess capacity to vote; identification of appropriate kinds of assistance …

Self-Reported Load Carriage Injuries In Australian Regular Army Soldiers, Rob Orr, Rodney Pope, Julia Coyle, Venerina Johnston

Rob Marc Orr

Access abstract in the Conference Abstract E-book, page 115

Geographic Variation In The Implementation Of Public Health Services: Organizational, Economic, And Network Determinants, Glen P. Mays

Glen Mays

An expanding body of research-tested public health interventions exist to prevent disease and injury and promote health on a population-wide basis, such as those profiled in the CDC’s Guide to Community Prevention Services, but adoption and implementation of these strategies vary widely across states and communities. Public health services are delivered through diffuse constellations of governmental agencies and their private-sector and community-based counterparts using implementation mechanisms that are poorly understood. The studies in this panel examine how organizational, economic, and inter-organizational network characteristics influence the implementation of public health services across states and communities.

Inter-Organizational Network Effects On Public Health Service Implementation, Outcomes, And Disparities Across U.S. Communities, Glen P. Mays

Glen Mays

Background: The Affordable Care Act created new incentives for hospitals, insurers, public health agencies, and others to contribute to disease prevention and health promotion activities, potentially changing inter-organizational relationships and expanding implementation of strategies that improve population health. This study uses data from the 1998-2014 National Longitudinal Survey of Public Health Systems to examine: (1) the extent and nature of change in inter-organizational contributions to public health activities; (2) whether network changes attenuate or exacerbate disparities in public health implementation across communities; and (3) how network changes affect preventable mortality and resource use.Methods: We follow a longitudinal cohort of 360 …