Sociology Commons^™

Examining Racial & Ethnic Disparities In The Reach Of The Medicare Shared Savings Program, Lindsey Arneson

Capstone Experience

It is important to understand the quality of health care for racial and ethnic minorities covered under the largest U.S. government-run insurance program, Medicare, because the demographics of the U.S. are becoming older and more diverse. A new value-based program under Medicare is the Shared Savings Program (MSSP), which creates incentives to improve care quality and health outcomes for Medicare beneficiaries with a specific focus on increasing the provision of preventive care services. This capstone project aims to understand the representation of racial/ethnic minority Medicare beneficiaries, namely African Americans/Blacks and Hispanics/Latinxs, that receive care from providers or facilities (i.e., Accountable …

Improving Access To Mental Health Care With Nurse Practitioners, Jessica Whelan

Dissertations

Problem: Over 40% of those with mental illness are untreated since the supply of psychiatrists does not meet the demand. The psychiatric mental health nurse practitioner (PMHNP) may be an adjunct in providing those services. The purpose of this quality assurance study was to evaluate outcomes of care between a PMHNP and a psychiatrist (medical doctor [MD]).

Methods: An observational, descriptive design with a retrospective medical record review of adult patients over a six-month period in a suburban, Midwestern, privately owned psychiatric practice.

Results: A total of 787 individual patients encountered at least one visit (N=787) although 3,679 …

Healthy Older Adults’ Motivation And Knowledge Related To Food And Meals, Kai Victor Hansen

The Qualitative Report

The population over 60 years old is growing rapidly in Norway and in many other countries, and researchers often focus on elderly people and various diseases. This article examines the healthy elderly who are active in their daily lives to understand their motivation and knowledge about food and meals. The method used was CurroCus® group interviews, or fast focus groups. Nine CurroCus® groups were conducted, lasting for 37 to 56 minutes (average = 45 minutes). Altogether, 76 persons participated, ranging in age from 60 to 87 years; participants were predominantly female (>80%). The article discusses two areas: motivation and …

Prevalence And Correlates Of Diagnosed And Undiagnosed Hypertension In The Indigenous Kuna Population Of Panamá, Daniel R. Hanna, Rebekah J. Walker, Brittany L. Smalls, Jennifer A. Campbell, Aprill Z. Dawson, Leonard E. Egede

Center for Health Services Research Faculty Publications

Background: To determine the prevalence of hypertension and investigate sociodemographic correlates in an indigenous Kuna community living on the San Blas islands of Panama.

Methods: Data was collected from adults using a paper-based survey using a cross sectional study design. Blood pressure was measured, and hypertension defined at two cut-points: 130/80 mmHg and 140/90 mmHg. Individuals with undiagnosed hypertension had a blood pressure measurement that indicated hypertension, however, the individual had not been told by a doctor they had hypertension. Whereas individuals with diagnosed hypertension had been told by a healthcare provider that they had hypertension. Univariate tests compared diagnosed …

Clinic Exploration Of Care Processes To Promote Colorectal Cancer Screening In Rural Accountable Care Organization Clinics: A Qualitative Case Study, Sarbinaz Bekmuratova, Jungyoon Kim, Hongmei Wang, Lufei Young, Daniel J. Schober, Li-Wu Chen

The Qualitative Report

It is essential to have an effective care process to promote colorectal cancer (CRC) screening particularly in rural areas. Primary care health care providers may have a significant impact on improving CRC screening rates among rural residents through systematic screening processes in their clinics. In this qualitative study, we aimed to explore the whole clinic processes of recommending and referring CRC screening in the rural accountable care organization (ACO) primary care clinics. We collected qualitative data through 21 semi-structured in-depth interviews with healthcare providers in rural primary care ACO clinics in Nebraska. We audio recorded and transcribed the interviews and …

Racial/Ethnic Differences In Multimorbidity Development And Chronic Disease Accumulation For Middle-Aged Adults, Ana R. Quiñones, Anda Botoseneanu, Sheila Markwardt, Corey L. Nagel, Jason T. Newsom, David A. Dorr, Heather G. Allore

Psychology Faculty Publications and Presentations

Multimorbidity–having two or more coexisting chronic conditions–is highly prevalent, costly, and disabling to older adults. Questions remain regarding chronic diseases accumulation over time and whether this differs by racial and ethnic background. Answering this knowledge gap, this study identifies differences in rates of chronic disease accumulation and multimorbidity development among non-Hispanic white, non-Hispanic black, and Hispanic study participants starting in middle-age and followed up to 16 years.

We analyzed data from the Health and Retirement Study (HRS), a biennial, ongoing, publicly- available, longitudinal nationally-representative study of middle-aged and older adults in the United States. We assessed the change in chronic …

God, I Hope This Part Of My Life Is Over: A Focused Ethnography Of A Correctional Youth Facility’S Therapeutic Climate, Eric Meyer

Theses & Dissertations

Although all prisons have the same goal of isolating offenders from society, the precise strategies used vary from one jurisdiction to the next. Some prisons use means of punishment to gain inmate compliance. Other prisons concentrate their limited resources on rehabilitation. Contained within the following pages are details of a focused ethnography that was completed in a state correctional youth facility that housed males between the ages of 15 and 21 years, all of whom were convicted of violent crimes. This study had the objective of exploring the climate of therapy in this correctional youth facility where rehabilitative programs were …

Increasing Low-Income Residents’ Access To Fresh Produce Through A Local Mobile Pantry, Laura Wasson

Human Nutrition and Hospitality Management Undergraduate Honors Theses

Seeds that Feed (STF) is a mobile food pantry located in Fayetteville, Arkansas. STF receives produce from local farmers to distribute to residents in low-income housing sites throughout Northwest Arkansas. According to Feeding America, food insecurity affected 14.3% Washington County, Arkansas’ population in 2016. The purpose of this study was to determine if STF’s model is an effective way to increase individuals’ access to fresh fruits and vegetables and increase their potential to meet the United States Department of Agriculture’s Food Patterns (USDA-FP) for to fruit and vegetable consumption. Twenty-three participants from three sites completed the study. A survey was …

Innovation And Equity In Public Health Research : Testing Arts-Based Methods For Trauma-Informed, Culturally-Responsive Inquiry., Tasha Golden

Electronic Theses and Dissertations

As the field of Public Health has shifted from a biomedical paradigm to a social ecological approach, focusing on health equity and social determinants of health, it has increasingly acknowledged the roles of culture and trauma in health outcomes. The field has responded by modifying some research practices, but continues to prioritize conventional methodologies—with few options designed to foreground trauma- and cultural-responsiveness. Unfortunately, to the extent that conventional approaches require health to be defined, communicated, or valued according to dominant norms, they risk perpetuating inequities. Health equity therefore requires the development of research methodologies that increase inclusivity and access, elicit …

Nutrient And Food Group Intakes Of Low-Income Pregnant Women By Race/Ethnicity, Alla M. Hill, Danielle L. Nunnery Phd, Rdn, Ldn, Alice Ammerman Drph, Jigna M. Dharod Phd

Journal of Health Disparities Research and Practice

In an exploratory study, a convenience sample of 148 pregnant women was recruited from a WIC clinic in the southeast region of the U.S. to: 1) Examine and compare daily nutrient and food group intakes of WIC pregnant women to national guidelines, and; 2) Determine racial/ethnic differences in nutrient and food group intakes among WIC pregnant women. Women were selected for the study if they were: ≥ 18 y, in 2^nd trimester of pregnancy, and if they spoke English or Spanish as a first language. Upon recruitment, participants were interviewed to collect information on their socio-demographics, including race/ethnicity. Additionally, …

Exploring Mobility Help-Seeking Behavior Among People With Physical Disabilities: A Case Study Of Jaipur Foot, Alex Podell

Independent Study Project (ISP) Collection

It is estimated that as many as 90 million people living in India experience some sort of disability (The World Bank, 2007). As India’s population keeps growing and aging, not only will the medical aspects, but also the societal impacts of disability need to be brought to the forefront of discussion, developmental strategy, and policy implementation. This study sought to analyze factors influencing the process of seeking help from formal and informal sources for people with physical disabilities. Data was collected from 10 people with physical disabilities receiving a variety of mobility aids from the NGO, Bhagwan Mahaveer Viklang Sahayata …

Ecological Determinants Of Respiratory Health: Examining Associations Between Asthma Emergency Department Visits, Diesel Particulate Matter, And Public Parks And Open Space In Los Angeles, California, Jason A. Douglas, Reginald S. Archer, Serena E. Alexander

Health Sciences and Kinesiology Faculty Articles

Los Angeles County (LAC) low-income communities of color experience uneven asthma rates, evidenced by asthma emergency department visits (AEDV). This has partly been attributed to inequitable exposure to diesel particulate matter (DPM). Promisingly, public parks and open space (PPOS) contribute to DPM mitigation. However, low-income communities of color with limited access to PPOS may be deprived of associated public health benefits. Therefore, this novel study investigates the AEDV, DPM, PPOS nexus to address this public health dilemma and inform public policy in at-risk communities. Optimized Hotspot Analysis was used to examine geographic clustering of AEDVs, DPM, and PPOS at the …

At-Risk Ems Employees- A Model Of Assessment And Intervention.Pdf, Ron J. Hammond, Kate Miller

Ron J. Hammond

Financial Barriers And Utilization Of Medical Services In Prison: An Examination Of Co-Payments, Personal Assets, And Individual Characteristics, Brian R. Wyant Phd, Holly M. Harner

Journal for Evidence-based Practice in Correctional Health

Although research has found that requiring incarcerated individuals to pay fees for medical service decreases use, there are still important unanswered questions about this association: 1) Is the copayment fee a barrier to those seeking medical attention? 2) If so, what individual factors are associated with viewing the copayments as the reason to avoid seeing a medical professional? Using 2012 survey data collected from 45 incarcerated persons housed in a maximum security prison on the East Coast, it was discovered that over 70% of the men surveyed reported avoiding medical services at least once in the past three months due …

What Are The Risk Factors Of Social Isolation And Loneliness, Sheridan Centre For Elder Research

What are the Risk Factors of Social Isolation and Loneliness

This educational PowerPoint presentation is intended to be used as a training resource and can be reviewed individually or as part of a group training session. It will allow you and your staff to review the risk factors that contribute to social isolation and loneliness, and learn about why/how immigration can be a risk factor for social isolation/loneliness. This training module will also encourage you to consider and discuss which risk factors might affect the older adults you work with and consider solutions.

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder …

Tip Sheet - Staying Socially Connected (Gujarati), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …

The Role Of Faith Communities In Improving Supports To Reduce Loneliness And Social Isolation In Immigrants 65+, Reshma Banu, Sirena Liladrie, Behije Noka

The Role of Faith Communities in Improving Supports to Reduce Loneliness and Social Isolation in Immigrants 65+

This report titled “The Role of Faith Communities in Improving Supports to Reduce Loneliness and Social Isolation in Immigrants 65+” connects survey findings with the importance of offering programs and services through faith groups and makes recommendations for creative collaborations with them in strengthening the community’s response to unmet needs of older immigrants.

Author Bios: Reshma Banu is a graduate from the Social Service Worker Program – Immigration and Settlement Stream at Sheridan College. Sirena Liladrie is a professor in the Social Service Worker Program at Sheridan College and Principle Investigator of the project. Behije Noka is a graduate of …

Tip Sheet - Staying Socially Connected (Punjabi), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …

Tip Sheet - Staying Socially Connected (Polish), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …

Tip Sheet - Staying Socially Connected (Arabic), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …

Tip Sheet - Staying Socially Connected (Spanish), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …

Tip Sheet - Staying Socially Connected (Traditional Chinese), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …

Tip Sheet - Staying Socially Connected (Urdu), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …

Tip Sheet - Staying Socially Connected (Simplified Chinese), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …

Tip Sheet - Staying Socially Connected (Hindi), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …

Tip Sheet - Staying Socially Connected (Italian), Sheridan Centre For Elder Research

Tip Sheet

This handout for older adults includes a list of research-informed tips that an older adult can use to engage socially in a variety of ways.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring strategies …

Coping With Loneliness - A Resource For Older Adults (Polish), Sheridan Centre For Elder Research

Coping with Loneliness – A Resource for Older Adults

Coping with Loneliness – A Resource for Older Adults is a reflection tool that includes prompts and activities to help a lonely older adult consider their feelings and come up with potential solutions by taking stock of their feelings, strengths and supports. This resource can be completed by an older adult individually, with the assistance of others, or in a group setting.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre …

Understanding Social Isolation And Loneliness, Sheridan Centre For Elder Research

Understanding Social Isolation and Loneliness

This educational PowerPoint presentation is intended to be used as a training resource and can be reviewed individually or as part of a group training session. This training module covers the concepts of social isolation and loneliness, how they differ and how they interact, and includes concepts and models that contribute to an understanding of how social isolation and loneliness impact older immigrants. This resource will also encourage you to discuss how this all relates back to your organization.

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, …

Intervention Best Practices, Sheridan Centre For Elder Research

Intervention Best Practices

The Intervention Best Practices resource summarizes some of the best practices being used in programs and initiatives designed to address social isolation and/or loneliness. The various case studies included display innovative thinking and ideas from around the world. This resource can be used to inform program planning and implementation.

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre for Elder Research in Oakville ON, Canada. The Toolkit is part of a research project titled “Building Connected Communities: improving Community Supports to Reduce Loneliness and Social Isolation in Immigrants 65+”. The research focused on exploring …

Coping With Loneliness – A Resource For Older Adults, Sheridan Centre For Elder Research

Coping with Loneliness – A Resource for Older Adults

Coping with Loneliness – A Resource for Older Adults is a reflection tool that includes prompts and activities to help a lonely older adult consider their feelings and come up with potential solutions by taking stock of their feelings, strengths and supports. This resource can be completed by an older adult individually, with the assistance of others, or in a group setting.

This document is available in the following languages: English, Arabic, Chinese (Traditional and Simplified), Gujarati, Hindi, Italian, Polish, Portuguese, Punjabi, Spanish, Tagalog, Urdu

This resource is included in the Social Isolation and Loneliness Toolkit, created by the Centre …