Community Health and Preventive Medicine Commons^™

Integrating Stages Of Change Models To Cast New Vision On Interventions To Improve Global Retinoblastoma And Childhood Cancer Outcomes, Meaghann S. Weaver, Christina L. Heminger, Catherine G. Lam

Prevention and Community Health Faculty Publications

Background: Retinoblastoma, the most common intraocular tumor globally, represents a curable cancer when diagnosed early and treated promptly. Delay to diagnosis, lag time prior to treatment initiation, and abandonment of treatment including upfront treatment refusal, represent stark causes of high retinoblastoma mortality rates in low- and middle- income settings, particularly regions in Africa. While a health delivery-based approach has been a historic focus of retinoblastoma treatments globally and is essential to quality care, this is necessary but not adequate. Retinoblastoma is a compelling disease model to illustrate the potential insights afforded in theory-informed approaches to improve outcomes that integrate public …

Differences In The Delivery Of Health Education To Patients With Chronic Disease By Provider Type, 2005-2009, Tamara S. Ritsema, Jeffrey Bingenheimer, Patty Scholting, James F. Cawley

Prevention and Community Health Faculty Publications

Introduction
Health education provided to patients can reduce mortality and morbidity of chronic disease. Although some studies describe the provision of health education by physicians, few studies have examined how physicians, physician assistants, and nurse practitioners differ in the provision of health education. The objective of our study was to evaluate the rate of health education provision by physicians, physician assistants, and nurse practitioners/certified midwives.

Methods
We analyzed 5 years of data (2005–2009) from the outpatient department subset of the National Hospital Ambulatory Medical Care Survey. We abstracted data on 136,432 adult patient visits for the following chronic conditions: asthma, …

Faith And Hiv Prevention: The Conceptual Framing Of Hiv Prevention Among Pentecostal Botswana Teenagers, Elias Mpofu, Fidelis Nkomazana, Jabulani A. Muchado, Lovemore Togarasei, Jeffrey Bingenheimer

Prevention and Community Health Faculty Publications

Background

There is a huge interest by faith-based organizations (FBOs) in sub-Saharan Africa and elsewhere in HIV prevention interventions that build on the religious aspects of being. Successful partnerships between the public health services and FBOs will require a better understanding of the conceptual framing of HIV prevention by FBOS to access for prevention intervention, those concepts the churches of various denominations and their members would support or endorse. This study investigated the conceptual framing of HIV prevention among church youths in Botswana; - a country with one of the highest HIV prevalence in the world.

Method

Participants were 213 …

Effect Of A Liver Cancer Education Program On Hepatitis B Screening Among Asian Americans In The Baltimore-Washington Metropolitan Area, 2009-2010, Hee-Soon Juon, Sunmin Lee, Carol Strong, Rajiv N. Rimal, Gregory D. Kirk, Janice Bowie

Prevention and Community Health Faculty Publications

Introduction
Asian Americans have the highest incidence of hepatocellular carcinoma (HCC), the major form of primary liver cancer, of all ethnic groups in the United States. Chronic hepatitis B virus (HBV) infection is the most common cause of HCC, and as many as 1 in 10 foreign-born Asian Americans are chronically infected with HBV. We tested the effectiveness of a culturally tailored liver cancer education program for increasing screening for HBV among Chinese, Korean, and Vietnamese Americans residing in the Baltimore–Washington metropolitan area, from November 2009 through June 2010.

Methods
We used a cluster randomized controlled trial to recruit volunteer …

Developing A Dissemination Model To Improve Intervention Reach Among West Virginia Youth Smokers, Kimberly Horn, Traci Jarrett, Andrew Anesett-Rothermel, Nancy O'Hara Tompkins, Geri Dino

Prevention and Community Health Faculty Publications

The Not-On-Tobacco program is an evidence-based teen smoking cessation program adopted by the American Lung Association (ALA). Although widely disseminated nationally via ALA Master Trainers, in recent years, adoption and implementation of the N-O-T program in West Virginia has slowed. West Virginia, unfortunately, has one of the highest smoking rates in the US. Although it is a goal of public health science, dissemination of evidence-based interventions is woefully understudied. The present manuscript reviews a theoretical model of dissemination of the Not-On-Tobacco program in West Virginia. Based on social marketing, diffusion of innovations, and social cognitive theories, the nine-phase model incorporates …

Healthy Kids Out Of School: Using Mixed Methods To Develop Principles For Promoting Healthy Eating And Physical Activity In Out-Of-School Settings In The United States., Sarah A. Sliwa, Shanti Sharma, William H. Dietz, Peter R. Dolan, Miriam E. Nelson, Molly B. Newman, Maya Rockeymoore, Christina D. Economos

Prevention and Community Health Faculty Publications

INTRODUCTION:

Widespread practices supporting availability of healthful foods, beverages, and physical activity in out-of-school-time (OST) settings would further obesity prevention efforts. The objective of this article was to describe principles to guide policy development in support of healthy eating and physical activity practices in out-of-school settings to promote obesity prevention.

METHODS:

The Institute of Medicine's L.E.A.D. framework (Locate Evidence, Evaluate it, Assemble it, and Inform Decisions) was used to identify practices relevant to children's healthful eating in most OST settings: 1) locate and evaluate information from a national survey of children's perceptions of healthful-food access; published research, reports, policies and …