Medicine and Health Sciences Commons^™

Objective Benefits, Participant Perceptions And Retention Rates Of A New Zealand Community-Based, Older-Adult Exercise Programme, Justin Keogh, John Rice, Denise Taylor, Andrew Kilding

Justin Keogh

INTRODUCTION: Most exercise studies for older adults have been university- or hospital-based. Little is known about the benefits and factors influencing long-term participation in community-based exercise programmes, especially in New Zealand. AIM: To quantify the objective benefits, participant perceptions and retention rates of a New Zealand community-based exercise programme for adults (60 years or older). METHODS: Study 1 involved assessing the benefits of 12 weeks’ training on a convenience sample of 62 older adults commencing the never2old Active Ageing programme. Study 2 assessed the perceptions of 150 current participants on a variety of programme components that could act as barriers …

Access To Hospital Interpreter Services For Limited English Proficient Patients In New Jersey: A Statewide Evaluation, Glenn Flores, Sylvia Torres, Linda Holmes, Debbie Salas-Lopez, Mara Youdelman, Sandra Tomany-Korman

Debbie Salas-Lopez MD, MPH

CONTEXT/OBJECTIVES: We surveyed New Jersey (NJ) hospitals to assess current language services and identify policy recommendations on meeting limited English proficiency (LEP) patients' needs.

METHODS: Survey with 37 questions regarding hospital/patient features, interpreter services, and resources/policies needed to provide quality interpreter services.

RESULTS: Sixty-seven hospitals responded (55% response rate). Most NJ hospitals have no interpreter services department, 80% provide no staff training on working with interpreters, 31% lack multilingual signs, and 19% offer no written translation services. Only 3% of hospitals have full-time interpreters, a ratio of 1 interpreter:240,748 LEP NJ residents. Most hospitals stated third-party reimbursement for interpreters would …

"…Is It Normal To Be This Sore?": Using An Online Forum To Investigate Barriers To Physical Activity., Tammy Toscos, Sunny Consolvo, David Mcdonald

Tammy R Toscos

The importance of regular physical activity to overall health has been well established, yet U.S. adults are leading increasingly sedentary lives. Research suggests that lowering perceived barriers to physical activity is a critical part of interventions that encourage physical activity. In this paper, we describe the top five barriers—two of which have not been reported as principle barriers in the literature—that emerged from our systematic qualitative coding of an online forum used to support a three month healthy lifestyle intervention. Based on our analysis, we identify design considerations for technologies that encourage and support physical activity. Understanding the needs of …

Public Health Marketing: Is It Good And Is It Good For Everyone?, Stephen Holden, Damian Cox

Damian Cox

We define public health marketing broadly as the use of marketing tools (segmentation, targeting, position­ing, and the four Ps) to encourage behaviour change that will deliver the social good defined as public health. We explore the ethical challenges and risks that confront public health and social marketers. In particular, we note that public health marketers with a self-defined goal of delivering a social good face two major ethical challenges: the first is establishing the ethicality of the social good itself; the second is distributing the social good in an ethically defensible way. In particular, we draw attention to the central …

Communicating With Parents And Children About Screening Results, Tammy Hoffmann, Rae Thomas, Chris Del Mar

Rae Thomas

Conducting a screening program is one thing, communicating the results to individuals is another altogether. We believe effective communication to to be the nexus of health decision-making. How you convey screening choices and results to parents, teachers, and children may have both positive and negative consequences to parental and teacher perceptions of the child's behavior, expectations of his/her future development, and the child's view of themselves. In this chapter, we address the challenges and necessity of informed consent, the importance of understanding the implications of false positive and false negative results, and the potential consequences of communcating screening results. We …

Probiotics: Achieving A Better Regulatory Fit, Diane E. Hoffmann, Claire M. Fraser, Francis Palumbo, Jacques Ravel, Virginia Rowthorn, Jack Schwartz

Virginia Rowthorn

In 2007, the National Institutes of Health (NIH) launched the Human Microbiome Project (HMP), a $150 million initiative to characterize the microbial communities found at several different sites on the human body and to analyze the role of these microbes in human health and disease. Many lines of research have demonstrated the significant role of the microbiota in human physiology. The microbiota is involved, for example, in the healthy development of the immune system, prevention of infection from pathogenic or opportunistic microbes, and maintenance of intestinal barrier function. The HMP findings are helping us understand the role and variation of …

Which Lipid Measurement Should We Monitor? An Analysis Of The Lipid Study, Paul Glasziou, Les Irwig, Adrienne Kirby, Andrew Tonkin, R J. Simes

Paul Glasziou

Objectives: To evaluate the optimal lipid to measure in monitoring patients, we assessed three factors that influence the choice of monitoring tests: (1) clinical validity; (2) responsiveness to therapy changes and (3) the size of the long-term ‘signal-to-noise’ ratio. Design: Longitudinal analyses of repeated lipid measurement over 5 years. Setting: Subsidiary analysis of a Long-Term Intervention with Pravastatin in Ischaemic Disease (LIPID) study—a clinical trial in Australia, New Zealand and Finland. Participants: 9014 patients aged 31–75 years with previous acute coronary syndromes. Interventions: Patients were randomly assigned to 40 mg daily pravastatin or placebo. Primary and secondary outcome measures: We …

Probiotics: Finding The Right Regulatory Balance, Diane E. Hoffmann, Claire M. Fraser-Liggett, Frank B. Palumbo, Jacques Ravel, Karen H. Rothenberg, Virginia Rowthorn

Virginia Rowthorn

Some products marketed as drugs should be excused from Phase I trials, but safety and efficacy claims for dietary supplements should be more tightly regulated.

Health Claims And Food Advertising: Comparison Of Marketing And Nutrition Experts' Ratings Of Magazine Advertisements, Sandra C. Jones, Peter Williams, Linda C. Tapsell, Kelly L. Andrews

Peter Williams

To determine the nature and differences in expert opinion from the fields of nutrition and marketing on the use of health claims in the 30 most frequently appearing Australian magazine food advertisements, a survey was conducted with 28 nutritionists and 21 marketing experts in Australia and New Zealand. The experts assessed the advertisements with respect to the accuracy of the nutrition claims, the tactics and intentions of the advertising strategy and the accessibility of the nutrition information to lay consumers. Of 28 advertisements where a claim was identified, for only one did more than 90% believe the claim to be …

Changing Health Paradigms - Can The Concepts Of Wellness And Wellbeing Build Bridges In Dietary Counselling?, A T. Mcmahon, L Tapsell, P Williams

Peter Williams

Abstract of poster that presented at the 20th International Congress of Nutrition, Granada, September 2013.

Evaluating The Effects Of The Lunchtime Enjoyment Activity And Play (Leap) School Playground Intervention On Children’S Quality Of Life, Enjoyment And Participation In Physical Activity, Brendon P. Hyndman, Amanda Benson, Shahid Ullah, Amanda Telford

Dr Brendon P Hyndman

Background: An emerging public health strategy is to enhance children’s opportunities to be physically active during school break periods. The aim of this study was to evaluate the effects of the Lunchtime Enjoyment Activity and Play (LEAP) school playground intervention on primary school children’s quality of life (QOL), enjoyment and participation in physical activity (PA). Methods: This study consisted of a movable/recycled materials intervention that included baseline, a 7-week post-test and an 8-month follow-up data collection phase. Children within an intervention school (n = 123) and a matched control school (n = 152) aged 5-to-12-years-old were recruited for the study. …

Healthcare Access And Health Outcomes In Southern Nevada, Shawn Gerstenberger

Shawn Gerstenberger

No abstract provided.