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Refugee-Centered Medical Home:A New Approach To Care At The University Of Louisville Global Health Center, Rahel Bosson, Ruth M. Carrico, Anupama Raghuram, Paula Peyrani, William A. Mattingly, Rebecca Ford, Stephen P. Furmanek, Julio A. Ramirez 2017 University of Louisville

Refugee-Centered Medical Home:A New Approach To Care At The University Of Louisville Global Health Center, Rahel Bosson, Ruth M. Carrico, Anupama Raghuram, Paula Peyrani, William A. Mattingly, Rebecca Ford, Stephen P. Furmanek, Julio A. Ramirez

Journal of Refugee & Global Health

Background: Refugees arrive to the United States with a full spectrum of health conditions, many of which require case management and focused healthcare resources. Experiences at the University of Louisville demonstrated a need to explore the medical home concept for provision of refugee care. Using experiences of the Global Health Center, this project sought to operational and programmatic processes involved in conceptualizing then implementing a refugee-centered medical home (RCMH) at the University of Louisville.

Methods: Evaluation of care provided for refugees was divided into four basic activities including: 1) identification of core areas of service for the RCMH; 2) assessment ...


Evaluating Mental Health In Cuban Refugees: The Role Of The Refugee Health Screener-15, Rahel Bosson, Victoria A. Schlaudt, Monnica T. Williams, Ruth M. Carrico, Adriana Peña, Julio A. Ramirez, Jonathan Kanter 2017 University of Louisville

Evaluating Mental Health In Cuban Refugees: The Role Of The Refugee Health Screener-15, Rahel Bosson, Victoria A. Schlaudt, Monnica T. Williams, Ruth M. Carrico, Adriana Peña, Julio A. Ramirez, Jonathan Kanter

Journal of Refugee & Global Health

The Refugee Health Screener-15 (RHS-15) is widely used in refugee populations, but the psychometric properties have not been evaluated in Cuban refugees and entrants. The current study explored results from the Spanish version of the RHS-15 in a sample of 53 Cuban entrants and refugees, and of these, 17.6% screened positive for a mental health concern. Analyses suggested that a positive screening was significantly related to symptoms of anxiety, depression, and PTSD; however, it was not associated with demographic variables such as gender, mode of transport, or the number of countries through which a refugee traveled before arriving in ...


Health Profiles Of Newly Arriving Refugees In Kentucky, 2016: Data From The University Of Louisville Global Health Program, Ruth M. Carrico, Timothy L. Wiemken, Rahel Bosson, William A. Mattingly, Rebecca Ford, Sarah Van Heiden, Stanley Kotey, Julio A. Ramirez 2017 University of Louisville

Health Profiles Of Newly Arriving Refugees In Kentucky, 2016: Data From The University Of Louisville Global Health Program, Ruth M. Carrico, Timothy L. Wiemken, Rahel Bosson, William A. Mattingly, Rebecca Ford, Sarah Van Heiden, Stanley Kotey, Julio A. Ramirez

Journal of Refugee & Global Health

Objectives: Refugees resettling in the United States bring with them a number of health conditions, the majority chronic. These health conditions may impact their ability to be successful with disease self-management and employment, and to acclimate and thrive in their new communities. Knowledge of health conditions present in individual refugee populations can be of benefit to healthcare providers in the community and public health. The objective of this manuscript is to describe the state of health among refugees newly arriving in the US and resettling in Kentucky during 2016.

Methods: Using data from the domestic health screens, immunization clinics, and ...


Food Insecurity And Its Impact On Health Status Among Homeless Individuals: An Integrative Literature Review, Jacqueline Munyasya 2017 DePaul University

Food Insecurity And Its Impact On Health Status Among Homeless Individuals: An Integrative Literature Review, Jacqueline Munyasya

Grace Peterson Nursing Research Colloquium

FOOD INSECURITY AND ITS IMPACT ON HEALTH STATUS AMONG HOMELESS INDIVIDUALS:

AN INTEGRATIVE REVIEW

Jacqueline Munyasya

Faculty Sponsor: Dr. Shannon Simonovich

Background: Food insecurity is a serious problem in the United States and the number of people affected by food insecurity in the United States has risen dramatically in recent years. The homeless population is disproportionately affected. The combination of homelessness and food insecurity is a problem has the combined effect that is extremely costly to the public and the overall health of the population. As nurses, we will encounter these populations and treat them in both community and acute ...


Effective Methods For Domestic Violence Screening In The Emergency Department, Megan Bryan 2017 DePaul University

Effective Methods For Domestic Violence Screening In The Emergency Department, Megan Bryan

Grace Peterson Nursing Research Colloquium

Abstract

Background: The CDC reports that one in four women and one in ten men will experience some form of domestic violence in their lifetime that will have either a short-term or long-term impact on their well-being. Often the first place these victims are seen where they can receive help is the emergency department. Objectives: The goal of this systematic integrative literature review was to explore existing literature on domestic violence screening methods used in the emergency department and determine which methods prove most effective. Concurrently, this review examined the barriers to effective domestic violence screening and how nursing education ...


Community-Based Asthma Intervention Programs And Their Impact On Childhood Health Outcomes And Burdens On The Healthcare System, Danika Ng 2017 The University of San Francisco

Community-Based Asthma Intervention Programs And Their Impact On Childhood Health Outcomes And Burdens On The Healthcare System, Danika Ng

Master's Projects and Capstones

Since 1997, asthma prevalence rates have increased by 3% annually, leading to a current rate of 18.4 million adults and 6.2 million children with asthma, high hospitalization and emergency department visit rates, and an overall healthcare spending of 50 billion dollars. However, this increase in prevalence is disproportionately impacting children. Asthma is the third leading cause for hospitalization in children, have higher proportions of children being hospitalized with asthma symptoms, and have higher rates of asthma attacks. Recent literature shows that perceived lack of adequate education in areas such as medication adherence, medical device usage, asthma trigger avoidance ...


Advancing Learning Health Systems Through Embedded Research: The 23rd Annual Conference Of The Health Care Systems Research Network, Harold S. Luft, Ming Tai-Seale, Sarah M. Greene 2017 University of California, San Francisco

Advancing Learning Health Systems Through Embedded Research: The 23rd Annual Conference Of The Health Care Systems Research Network, Harold S. Luft, Ming Tai-Seale, Sarah M. Greene

Journal of Patient-Centered Research and Reviews

The 23rd annual conference of the Health Care Systems Research Network (HCSRN, formerly the HMO Research Network) was held in San Diego, California, March 21–23, 2017, attracting 387 attendees. As a consortium of 20 research organizations embedded in or affiliated with large health care delivery organizations, the HCSRN has held annual research conferences since 1994. The overall aim of the conferences is to bring researchers, project staff, research funders and other stakeholders together to share latest scientific findings and foster new research ideas and collaborations. The 2017 conference was hosted by the Palo Alto Medical Foundation Research Institute.

Each ...


Adapting A Physical Activity Intervention For Youth In A Rural Area: A Case Study, Moya L. Alfonso, Gavin T. Colquitt, Ashley D. Walker, Akrati Gupta 2017 Georgia Southern Universtiy

Adapting A Physical Activity Intervention For Youth In A Rural Area: A Case Study, Moya L. Alfonso, Gavin T. Colquitt, Ashley D. Walker, Akrati Gupta

Moya L. Alfonso

Background: Physical activity offers children and youth many well-documented positive effects on health. The present study adapted a community-based prevention marketing campaign (CBPM), VERBTM Summer Scorecard (VSS) to promote physical activity among minority youth in rural, southeast Georgia. The purpose of this paper is to describe the adaptation process, emphasizing methods used and lessons learned.

Methods: A qualitative study design was used to identify social marketing concepts that informed program adaptation, including two focus groups with 12 children and two focus groups with 14 parents. Qualitative thematic data analysis was used to analyze formative research. The adapted program was implemented ...


Experiences Of Students In Recovery On A Rural College Campus: Social Identity And Stigma, Alison Scott, Ashton Anderson, Kristen Harper, Moya L. Alfonso 2017 College of William and Mary

Experiences Of Students In Recovery On A Rural College Campus: Social Identity And Stigma, Alison Scott, Ashton Anderson, Kristen Harper, Moya L. Alfonso

Moya L. Alfonso

A growing number of college (postsecondary) students are in recovery from addiction to drugs or alcohol. In this article, we discuss the experiences of students returning to a university campus after long-term addiction treatment. We also explore the role of a Collegiate Recovery Program (CRP) in providing support, and in helping the students develop post-addiction identities that will sustain them. To do so, we draw on Goffman’s ideas related to stigma, as well as conceptualizations of identity reconstruction as a practiced, lived experience. Students interviewed faced a double bind; they sought to escape the stigmatized identity of “addict,” but ...


Do Economic Conditions And In-Kind Benefits Make Needy Patients Bond Together? Insights From Cross-Section Data On Clusters Of Co-Located Patients In Vietnam, Quan-Hoang Vuong, Ha Nguyen 2017 Universite Libre de Bruxelles

Do Economic Conditions And In-Kind Benefits Make Needy Patients Bond Together? Insights From Cross-Section Data On Clusters Of Co-Located Patients In Vietnam, Quan-Hoang Vuong, Ha Nguyen

Quan-Hoang Vuong

Introduction: The phenomenon of desperate patients living together in voluntary co-location clusters has been emerging over the past decade in Vietnam. Patients seek to share facilities, reduce costs and rely on one another for support to make life safer and less miserable. There has not been much research on these clusters and patients' bonding to their community.
Methods: The study uses a cross-section data set containing 336 observations from four patients’ co-location clusters, collected from 2015 Q4 to 2016 Q1. The analysis employs the baseline category logits model for dichotomous variable, and reports logistic regression results. The main hypothesis is ...


Assessment Of The Campus Food Environment Using Components Of The Healthy Campus Environmental Audit, Candace Sorden 2017 University of Nebraska-Lincoln

Assessment Of The Campus Food Environment Using Components Of The Healthy Campus Environmental Audit, Candace Sorden

Nutrition & Health Sciences Dissertations & Theses

The objective was to assess whether the food environment at the University of Nebraska-Lincoln (UNL) campuses supports healthy eating behaviors using components of the Healthy Campus Environmental Audit (vending, dining, and convenience store audits). Secondary aims were to compare the UNL food environment to other college campuses and explore whether there are existing health promotion and obesity prevention initiatives, programs, pledges and/or policies at UNL.

Research team members accessed a secure online website to review training materials prepared by Syracuse University. Evaluators did audit practice trials to meet inter-rater reliability score standards (>80%). audits were conducted at designated sites ...


Racial Differences In Neighborhood Perceptions And Their Influences On Physical Activity Among Urban Older Women, Wenjun Li, Elizabeth Procter-Gray, Gretchen A. Youssef, Scott E. Crouter, Jie Cheng, Kristen Brown, Linda C. Churchill, Anthony Clarke, Judith K. Ockene, Michelle F. Magee 2017 University of Massachusetts Medical School

Racial Differences In Neighborhood Perceptions And Their Influences On Physical Activity Among Urban Older Women, Wenjun Li, Elizabeth Procter-Gray, Gretchen A. Youssef, Scott E. Crouter, Jie Cheng, Kristen Brown, Linda C. Churchill, Anthony Clarke, Judith K. Ockene, Michelle F. Magee

Judith K. Ockene

Background: Proper levels of physical activity (PA) are important to healthy aging. Little is known about racial differences in influences of neighborhood perceptions (NP) on PA and use of neighborhood resources among community-dwelling older women.

Materials and methods: In 2014 and 2015, 49 white and 44 black women of age 65 and older living in Washington, DC were queried about their PA, NP, use of neighborhood resources and sociodemographic characteristics. They wore an accelerometer and a Global Positioning System device concurrently for 7 consecutive days. Data were analyzed by race.

Results: Compared to Whites, Blacks had lower NP scores (71 ...


Racial Differences In Neighborhood Perceptions And Their Influences On Physical Activity Among Urban Older Women, Wenjun Li, Elizabeth Procter-Gray, Gretchen A. Youssef, Scott E. Crouter, Jie Cheng, Kristen Brown, Linda C. Churchill, Anthony Clarke, Judith K. Ockene, Michelle F. Magee 2017 University of Massachusetts Medical School

Racial Differences In Neighborhood Perceptions And Their Influences On Physical Activity Among Urban Older Women, Wenjun Li, Elizabeth Procter-Gray, Gretchen A. Youssef, Scott E. Crouter, Jie Cheng, Kristen Brown, Linda C. Churchill, Anthony Clarke, Judith K. Ockene, Michelle F. Magee

Wenjun Li

Background: Proper levels of physical activity (PA) are important to healthy aging. Little is known about racial differences in influences of neighborhood perceptions (NP) on PA and use of neighborhood resources among community-dwelling older women. Materials and methods: In 2014 and 2015, 49 white and 44 black women of age 65 and older living in Washington, DC were queried about their PA, NP, use of neighborhood resources and sociodemographic characteristics. They wore an accelerometer and a Global Positioning System device concurrently for 7 consecutive days. Data were analyzed by race. Results: Compared to Whites, Blacks had lower NP scores (71 ...


The Feasibility Of Incentivizing Participation In An Online Social Network Weight Loss Program, Sherry L. Pagoto, Molly E. Waring, Effie Olendzki, Jessica L. Oleski, Christine N. May, Martinus M. Evans 2017 University of Massachusetts Medical School

The Feasibility Of Incentivizing Participation In An Online Social Network Weight Loss Program, Sherry L. Pagoto, Molly E. Waring, Effie Olendzki, Jessica L. Oleski, Christine N. May, Martinus M. Evans

Molly E. Waring

Engagement in online social network-delivered weight loss interventions is a predictor of weight loss. Incentivizing engagement in a subset of participants may increase group engagement and subsequent weight loss. In a pilot feasibility trial, 56 adults with obesity were randomized to two Facebook-delivered weight loss interventions, one had 10% users incentivized to engage daily and the other did not. We compared conditions on engagement and weight loss, and then compared incentivized users and natural high engagers on weight loss. Participants were 46.3 (SD: 10.3) years and 89% female. The incentivized user condition had greater total engagement (p=0 ...


The Role Of Attitude, Control And Intention To Explain Fruit And Vegetable Intake Among Racial/Ethnic Minority Women With Low Socioeconomic Status, Michele DeBiasse, Deborah J. Bowen, Sherry L. Pagoto, Joseph M. Massaro, N. Istfan, Lisa M. Quintiliani 2017 Boston University

The Role Of Attitude, Control And Intention To Explain Fruit And Vegetable Intake Among Racial/Ethnic Minority Women With Low Socioeconomic Status, Michele Debiasse, Deborah J. Bowen, Sherry L. Pagoto, Joseph M. Massaro, N. Istfan, Lisa M. Quintiliani

Sherry L. Pagoto

Objective: Fruit and Vegetable (FV) intake-a modifiable risk factor for chronic diseases-is lower among racial/ethnic minorities and low Socio- Economic Status (SES) groups when compared to other populations. The Theory of Planned Behavior (TPB) is one theoretical model studied to explain and influence individual health behaviors, including FV intake, in middle class populations, but not exclusively in diverse, low SES groups. This cross-sectional study evaluated the utility of select TPB variables to explain intention to consume and intake of FV in this population.

Design: Demographics, BMI, select TPB variables, and FV intake were measured via survey. Bivariate analyses were ...


Slipbuddy: A Mobile Health Intervention To Prevent Overeating, Bengisu Tulu, Carolina Ruiz, Joshua Allard, Joseph Acheson, Andrew Busch, Andrew Roskusku, Gage Heeringa, Victor Jaskula, Jessica Oleski, Sherry L. Pagoto 2017 Worcester Polytechnic Institute

Slipbuddy: A Mobile Health Intervention To Prevent Overeating, Bengisu Tulu, Carolina Ruiz, Joshua Allard, Joseph Acheson, Andrew Busch, Andrew Roskusku, Gage Heeringa, Victor Jaskula, Jessica Oleski, Sherry L. Pagoto

Sherry L. Pagoto

Obesity is one of the top health issues around the globe. Rapid adoption of smartphones presents an opportunity for delivering technology-based interventions that are designed to tackle behaviors that contribute to weight gain. Research shows that the vast majority of weight loss apps in the market place do not go beyond deploying tracking based strategies that are burdensome to the users. In this study, we present a new mobile app and an intervention system called SlipBuddy that puts less burden on users and implements stimulus control strategy to help users lose weight. We describe the SlipBuddy system in detail and ...


Optimizing Heart Failure Outcomes Through Diet: A Review, Farley B. Neasman III 2017 Marshall University Cardiology

Optimizing Heart Failure Outcomes Through Diet: A Review, Farley B. Neasman Iii

Marshall Journal of Medicine

Heart failure is a growing epidemic that will add significant monetary and human costs to an already overtaxed health-care system. Though promising new medications have recently been approved, this complex condition is largely preventable through aggressive risk factor modification, with diet being shown to have a greater effect than exercise. An underrated component of a healthy diet is the simple addition of nuts – the anti-inflammatory fatty acids, healthy proteins, and general availability have been shown to improve survival and reduce the primary risk factors contributing to heart failure, making the addition of nuts and legumes to the diet an attractive ...


Adaptation Of Community Health Worker-Delivered Behavioral Activation For Torture Survivors In Kurdistan, Iraq, J. F. Magidson, C. W. Lejuez, T. Kamal, E. J. Blevins, L. K. Murray, J. K. Bass, P. Bolton, Sherry L. Pagoto 2017 Harvard Medical School

Adaptation Of Community Health Worker-Delivered Behavioral Activation For Torture Survivors In Kurdistan, Iraq, J. F. Magidson, C. W. Lejuez, T. Kamal, E. J. Blevins, L. K. Murray, J. K. Bass, P. Bolton, Sherry L. Pagoto

Sherry L. Pagoto

BACKGROUND: Growing evidence supports the use of Western therapies for the treatment of depression, trauma, and stress delivered by community health workers (CHWs) in conflict-affected, resource-limited countries. A recent randomized controlled trial (Bolton et al. 2014a) supported the efficacy of two CHW-delivered interventions, cognitive processing therapy (CPT) and brief behavioral activation treatment for depression (BATD), for reducing depressive symptoms and functional impairment among torture survivors in the Kurdish region of Iraq. METHODS: This study describes the adaptation of the CHW-delivered BATD approach delivered in this trial (Bolton et al.2014a), informed by the Assessment-Decision-Administration-Production-Topical experts-Integration-Training-Testing (ADAPT-ITT) framework for intervention adaptation ...


Navigating To Health: Evaluation Of A Community Health Center Patient Navigation Program, Monica L. Wang, Leah Gallivan, Stephenie C. Lemon, Amy Borg, Jose Ramirez, Brenda Figueroa, Antonia McGuire, Milagros C. Rosal 2017 Boston University School of Public Health

Navigating To Health: Evaluation Of A Community Health Center Patient Navigation Program, Monica L. Wang, Leah Gallivan, Stephenie C. Lemon, Amy Borg, Jose Ramirez, Brenda Figueroa, Antonia Mcguire, Milagros C. Rosal

Milagros C. Rosal

Patient Navigators are trained, lay health care workers who guide patients in overcoming barriers to health care access and utilization. Little evidence exists regarding reach and impact of Patient Navigators for chronic disease management. This study evaluated a Patient Navigator program aimed at optimizing health care utilization among ethnically diverse patients with diabetes and/or hypertension at a community health center (CHC). Trained Patient Navigators contacted eligible patients who had not seen a primary care provider (PCP) for > /= 6 months. Outcomes included number of patients reached by Patient Navigators and seen by PCPs after Patient Navigator contact. Distributions and frequencies ...


Creating The First Indoor Tan-Free Skin Smart College Campus, Jessica S. Mounessa, Sherry L. Pagoto, Katie Baker, John Antonishak, Robert P. Dellavalle 2017 University of Colorado

Creating The First Indoor Tan-Free Skin Smart College Campus, Jessica S. Mounessa, Sherry L. Pagoto, Katie Baker, John Antonishak, Robert P. Dellavalle

Sherry L. Pagoto

Given the prevalence and risk associated with indoor tanning among college students, university campuses constitute a prime target for skin cancer prevention. This report identifies the successes and challenges faced in promoting a campus-wide tan-free policy through the National Council on Skin Cancer Prevention (NCSCP) Indoor Tan-Free Skin Smart Campus Initiative. Beginning in February 2016, we communicated with university faculty or staff members who have participated in skin cancer prevention via education, clinical care, or research at 20 universities regarding the steps to adopt the tan-free policy. One campus, East Tennessee State University (ETSU), successfully fulfilled all criteria and implemented ...


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