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Barriers That Restrict Health Care Access For The Deaf Community And Interventions For Improved Patient Quality Care, Jacqueline Meraz 2019 DePaul University

Barriers That Restrict Health Care Access For The Deaf Community And Interventions For Improved Patient Quality Care, Jacqueline Meraz

Grace Peterson Nursing Research Colloquium

Background: Deaf patients have lower levels of health literacy, given less health prevention, more likely to engage in harmful behaviors, and had higher rates of health disparities compared to the hearing population. Deaf people avoid healthcare because of their distrust of healthcare providers, and their previous negative experiences regarding communication issues. Barriers that restrict health care and proposed interventions were studied regarding the deaf patient population to account for these disparities.

Objectives: The purpose of this literature review is to identify barriers that deaf patients face when seeking healthcare and was framed using the Cultural Care Theory.

Method: An integrative ...


Dataset: Provider Advice On Physical Activity And Nutrition In Twin Pregnancies, Kara Whitaker 2019 University of Iowa

Dataset: Provider Advice On Physical Activity And Nutrition In Twin Pregnancies, Kara Whitaker

Research Data

No abstract provided.


Perspectives Of Health Educators And Interviewers In A Randomized Controlled Trial Of A Postpartum Diabetes Prevention Program For Latinas: A Qualitative Assessment, Aline Gubrium, Denise Leckenby, Megan Ward Harvey, Bess H. Marcus, Milagros C. Rosal, Lisa Chasan-Taber 2019 University of Massachusetts Amherst

Perspectives Of Health Educators And Interviewers In A Randomized Controlled Trial Of A Postpartum Diabetes Prevention Program For Latinas: A Qualitative Assessment, Aline Gubrium, Denise Leckenby, Megan Ward Harvey, Bess H. Marcus, Milagros C. Rosal, Lisa Chasan-Taber

Open Access Articles

BACKGROUND: Lifestyle interventions regularly rely on study staff to implement the intervention and collect outcomes data directly from study participants. This study describes the experiences of project staff in two randomized controlled trials of a postpartum lifestyle intervention to reduce risk factors for type 2 diabetes in Latinas. Latinas are the fastest growing minority group in the U.S. and have the highest rates of type 2 diabetes after a diagnosis of gestational diabetes mellitus. The challenges of implementing lifestyle interventions for postpartum women have been poorly documented.

METHODS: A qualitative focus group was conducted with eight staff members (five ...


Environmental Health Sciences In A Translational Research Framework: More Than Benches And Bedsides, Joel D. Kaufman, Cynthia L. Curl 2019 University of Washington

Environmental Health Sciences In A Translational Research Framework: More Than Benches And Bedsides, Joel D. Kaufman, Cynthia L. Curl

Cynthia L. Curl

Background: Environmental health scientists may find it challenging to fit the structure of the questions addressed in their discipline into the prevailing paradigm for translational research.

Objective: We aim to frame the translational science paradigm to address the stages of scientific discovery, knowledge acquisition, policy development, and evaluation in a manner relevant to the environmental health sciences. Our intention is to characterize differences between environmental health sciences and clinical medicine, and to orient this effort towards public health goals.

Discussion: Translational research is usually understood to have evolved from the bench-to-bedside framework by which basic science transitions to clinical treatment ...


Methodology Of An Exercise Intervention Program Using Social Incentives And Gamification For Obese Children, Yue Fang, Yunsheng Ma, Dandan Mo, Shunxing Zhang, Mi Xiang, Zhiruo Zhang 2019 Shanghai Jiao Tong University

Methodology Of An Exercise Intervention Program Using Social Incentives And Gamification For Obese Children, Yue Fang, Yunsheng Ma, Dandan Mo, Shunxing Zhang, Mi Xiang, Zhiruo Zhang

Open Access Articles

BACKGROUND: Traditional exercise [supervised exercise (SE)] intervention has been proved to be one of the most effective ways to improve metabolic health. However, most exercise interventions were on a high-cost and small scale, moreover lacking of the long-term effect due to low engagement. On the other hand, it was noteworthy that gamification and social incentives were promising strategies to increase engagement and sustain exercise interventions effects; as well as mobile technologies such as WeChat also can provide an appropriate platform to deploy interventions on a broader, low-cost scale. Thus, we aim to develop a novel exercise intervention ('SandG exercise intervention ...


Design And Methods Of The Healthy Kids And Families Study: A Parent-Focused Community Health Worker-Delivered Childhood Obesity Prevention Intervention, Amy Borg, Christina F. Haughton, Mullen Sawyer, Stephenie C. Lemon, Kevin J. Kane, Lori Pbert, Wenjun Li, Milagros C. Rosal 2019 University of Massachusetts Medical School

Design And Methods Of The Healthy Kids And Families Study: A Parent-Focused Community Health Worker-Delivered Childhood Obesity Prevention Intervention, Amy Borg, Christina F. Haughton, Mullen Sawyer, Stephenie C. Lemon, Kevin J. Kane, Lori Pbert, Wenjun Li, Milagros C. Rosal

Open Access Articles

Background: One third of U.S. children and two thirds of adults are overweight or obese. Interventions to prevent obesity and thus avert threats to public health are needed. This paper describes the design and methods of the Healthy Kids and Families study, which tested the effect of a parent-focused community health worker (CHW)-delivered lifestyle intervention to prevent childhood obesity.

Methods: Participants were English or Spanish-speaking parent-child dyads (n = 247) from nine elementary schools (grades K-6) located in racial/ethnically diverse low-income communities in Worcester, Massachusetts. Using a quasi-experimental design with the school as the level of allocation, the ...


Nebraska Prevention Center For Alcohol And Drug Abuse — Bibliography Of Publications, Michelle R. Maas, Ian Newman 2019 University of Nebraska-Lincoln

Nebraska Prevention Center For Alcohol And Drug Abuse — Bibliography Of Publications, Michelle R. Maas, Ian Newman

Educational Psychology Papers and Publications

Approximately 85 citations, with links, of published reseach papers by personnel of the Nebraska Prevention Center for Alcohol and Drug Abuse, 1970-2019.


We Are Constantly Expected To Disregard Ourselves And Our Personal Needs: Addressing The Daily Stressors Of Private Emergency Medical Services, Erich Jimenez Bonilla 2019 California State University - San Bernardino

We Are Constantly Expected To Disregard Ourselves And Our Personal Needs: Addressing The Daily Stressors Of Private Emergency Medical Services, Erich Jimenez Bonilla

Electronic Theses, Projects, and Dissertations

ABSTRACT

Background Private Emergency Medical Services serve a vital role in the community, as such they are subject to job related stress. Currently, there is a limited amount of research related to the stressors related to the job.

Objective The purpose of this study was to define the type of daily stressors faced by Private EMS personnel and investigate how they impact their Sense of Coherence.

Study Design A mixed methods approach was used in this study to obtain the necessary data. Semi-structured one-on-one interviews were conducted with current employees of an EMS agency that provides 911 service in their ...


Testing An Implementation Strategy Bundle On Adoption And Sustainability Of Evidence To Optimize Physical Function In Community-Dwelling Disabled And Older Adults In A Medicaid Waiver: A Multi-Site Pragmatic Hybrid Type Iii Protocol, Sandra L. Spoelstra, Monica Schueller, Alla Sikorskii 2019 Grand Valley State University

Testing An Implementation Strategy Bundle On Adoption And Sustainability Of Evidence To Optimize Physical Function In Community-Dwelling Disabled And Older Adults In A Medicaid Waiver: A Multi-Site Pragmatic Hybrid Type Iii Protocol, Sandra L. Spoelstra, Monica Schueller, Alla Sikorskii

Funded Articles

Background: In partnership with a state Medicaid home and community-based waiver program, this study tests implementation strategies for adoption and sustainability of an evidence-based intervention to support disabled and older adults who have difficulty with physical function and daily living tasks. A multi-level implementation strategy bundle will be directed at relationship, coalition, and team building; readiness to implement, leadership, and clinician attitude toward evidence assessments; intervention and facilitation training; interdisciplinary coordination; facilitation; and audit and feedback to support practice change.

Methods: Knowledge-to-Action model underpins this 2-arm, 3-year pragmatic mixed method randomized hybrid type III trial in 18 waiver program sites ...


Opioid Overdose Deaths And Potentially Inappropriate Opioid Prescribing Practices (Pip): A Spatial Epidemiological Study, Thomas J. Stopka, Harsha Amaravadi, Anna R. Kaplan, Rachel Hoh, Dana Bernson, Kenneth K.H. Chui, Thomas Land, Alexander Y. Walley, Marc R. LaRochelle, Adam J. Rose 2019 Tufts University

Opioid Overdose Deaths And Potentially Inappropriate Opioid Prescribing Practices (Pip): A Spatial Epidemiological Study, Thomas J. Stopka, Harsha Amaravadi, Anna R. Kaplan, Rachel Hoh, Dana Bernson, Kenneth K.H. Chui, Thomas Land, Alexander Y. Walley, Marc R. Larochelle, Adam J. Rose

Open Access Articles

INTRODUCTION: Opioid overdose deaths quintupled in Massachusetts between 2000 and 2016. Potentially inappropriate opioid prescribing practices (PIP) are associated with increases in overdoses. The purpose of this study was to conduct spatial epidemiological analyses of novel comprehensively linked data to identify overdose and PIP hotspots.

METHODS: Sixteen administrative datasets, including prescription monitoring, medical claims, vital statistics, and medical examiner data, covering >98% of Massachusetts residents between 2011-2015, were linked in 2017 to better investigate the opioid epidemic. PIP was defined by six measures: > /=100 morphine milligram equivalents (MMEs), co-prescription of benzodiazepines and opioids, cash purchases of opioid prescriptions, opioid prescriptions ...


Optimism May Moderate Screening Mammogram Frequency In Medicare: A Longitudinal Study, Ana M. Progovac, Mary Pettinger, Julie M. Donohue, Chung-Chou H. Joyce Chang, Karen A. Matthews, Elizabeth B. Habermann, Lewis H. Kuller, Milagros C. Rosal, Wenjun Li, Lorena Garcia, Hilary A. Tindle 2019 Harvard Medical School

Optimism May Moderate Screening Mammogram Frequency In Medicare: A Longitudinal Study, Ana M. Progovac, Mary Pettinger, Julie M. Donohue, Chung-Chou H. Joyce Chang, Karen A. Matthews, Elizabeth B. Habermann, Lewis H. Kuller, Milagros C. Rosal, Wenjun Li, Lorena Garcia, Hilary A. Tindle

Open Access Articles

Higher trait optimism and/or lower cynical hostility are associated with healthier behaviors and lower risk of morbidity and mortality, yet their association with health care utilization has been understudied. Whether these psychological attitudes are associated with breast cancer screening behavior is unknown. To assess the association of optimism and cynical hostility with screening mammography in older women and whether sociodemographic factors acted as mediators of these relationships, we used Women's Health Initiative (WHI) observational cohort survey data linked to Medicare claims. The sample includes WHI participants without history of breast cancer who were enrolled in Medicare Parts A ...


Pneumococcal Epidemiology Among Us Adults Hospitalized For Community-Acquired Pneumonia, Raul E. Isturiz, Julio Ramirez, Wesley H. Self, Carlos G. Grijalva, Francis L. Counselman, Gregory A. Volturo, Luis Ostrosky-Zeichner, Paula Peyrani, Richard G. Wunderink, Robert Sherwin, J. Scott Overcash, Senen Pena Oliva, Thomas File, Timothy L. Wiemken, John M. McLaughlin, Michael W. Pride, Sharon Gray, Ronika Alexander, Kimbal D. Ford, Qin Jiang, Luis Jodar 2019 Pfizer, Inc.

Pneumococcal Epidemiology Among Us Adults Hospitalized For Community-Acquired Pneumonia, Raul E. Isturiz, Julio Ramirez, Wesley H. Self, Carlos G. Grijalva, Francis L. Counselman, Gregory A. Volturo, Luis Ostrosky-Zeichner, Paula Peyrani, Richard G. Wunderink, Robert Sherwin, J. Scott Overcash, Senen Pena Oliva, Thomas File, Timothy L. Wiemken, John M. Mclaughlin, Michael W. Pride, Sharon Gray, Ronika Alexander, Kimbal D. Ford, Qin Jiang, Luis Jodar

Open Access Articles

BACKGROUND: Few studies have measured the burden of adult pneumococcal disease after the introduction of 13-valent pneumococcal conjugate vaccine (PCV13) into the US infant vaccination schedule. Further, most data regarding pneumococcal serotypes are derived from invasive pneumococcal disease (IPD), which represents only a fraction of all adult pneumococcal disease burden. Understanding which pneumococcal serotypes cause pneumonia in adults is critical for informing current immunization policy. The objective of this study was to measure the proportion of radiographically-confirmed (CXR+) community-acquired pneumonia (CAP) caused by PCV13 serotypes in hospitalized US adults.

METHODS: This observational, prospective surveillance study recruited hospitalized adults aged > /=18years ...


The Effects Of A Low-Glycemic Index Diabetes Management Program On Weight, Body Mass Index, Triglycerides, Cholesterol And Hemoglobin A1c Values, Morgan Williston 2019 Louisiana Tech University

The Effects Of A Low-Glycemic Index Diabetes Management Program On Weight, Body Mass Index, Triglycerides, Cholesterol And Hemoglobin A1c Values, Morgan Williston

Master's Theses

The purpose of this study was to evaluate effects of a low-glycemic index diet on weight, body mass index (BMI), triglycerides, cholesterol levels, and hemoglobin A1c

(HbA1c) following participation in a 12-hour outpatient diabetes self- management education (DSME) program. This DSME program is unique as it

focuses on a low-glycemic index diet rather than the traditional carbohydrate consistent diet to control blood glucose levels. Health outcomes obtained post participation were compared to baseline data. Participants were 283 individuals with type 2 diabetes including 94 (33%) men and 189 (67%) women, with a mean baseline HbA1c of 8.7 ±2.2 ...


Building Financial Management Capacity For Community Ownership Of Development Initiatives In Rural Zambia, Viviane Sakanga, Parker S. Chastain, Kathleen L. McGlasson, Jeanette L. Kaiser, Misheck Bwalya, Melvin Mwansa, Kaluba Mataka, David Kalaba, Nancy Scott, Taryn Vian 2019 Right to Care Zambia

Building Financial Management Capacity For Community Ownership Of Development Initiatives In Rural Zambia, Viviane Sakanga, Parker S. Chastain, Kathleen L. Mcglasson, Jeanette L. Kaiser, Misheck Bwalya, Melvin Mwansa, Kaluba Mataka, David Kalaba, Nancy Scott, Taryn Vian

Nursing and Health Professions Faculty Research and Publications

Background: Building financial management capacity is increasingly important in low- and middle-income countries to help communities take ownership of development activities. Yet, many community members lack financial knowledge and skills.

Methods: As part of a larger health intervention, we designed and conducted financial management training for 83 members from 10 community groups in rural Zambia. Change scores between pre- and post-tests on financial knowledge were calculated and multivariate linear regression models run. Qualitative feedback was elicited.

Results: The training significantly improved knowledge of financial concepts. Participants with some or more than some secondary education had greater improvements in knowledge (by ...


Analysis Of A Universal Depression Screening Workflow At An Integrated Healthcare Center, Arthur Roehr 2019 University of San Diego

Analysis Of A Universal Depression Screening Workflow At An Integrated Healthcare Center, Arthur Roehr

Doctor of Nursing Practice Final Manuscripts

Purpose: Evaluation of an evidence-based protocol that measures the effectiveness of universal depression screening at an integrated healthcare center. At risk patients are those who complete a patient health questionnaire (phq-9) and score ≥ 10 when presenting for a primary care visit. A score of ≥ 10 prompts further evaluation by the primary care provider (PCP) prior to behavioral health care management (BHCM) referral.

Background: In 2016, 16.2 million adults aged 18 or older in the U.S. experienced a major depressive episode (MDE). 65.3% of those received some form of treatment from a healthcare professional (therapy and/or medication ...


Promoting Resilience In Economically Disadvantaged Adolescents Through School-Based Expressive Arts Groups, Bailey Knox 2019 Lesley University

Promoting Resilience In Economically Disadvantaged Adolescents Through School-Based Expressive Arts Groups, Bailey Knox

Expressive Therapies Capstone Theses

Since 2013, the majority of students served by the public school system in the United States have been considered “low-income” by the federal government. The stressors associated with low socioeconomic status significantly increase risk for social, emotional and behavioral challenges at all age levels, but can be particularly damaging to adolescents coping with heightened stress levels related to the intense multi-dimensional changes that define this developmental period. As the correlation between economic disadvantage and negative socio-emotional and academic outcomes is increasingly evidenced, schools have begun to recognize their responsibility for providing preventative mental health care to high-risk students. Over the ...


A Literature Review Of Nature-Based Expressive Arts Therapy For Bereaved Children, Wendy Dalton 2019 Lesley University

A Literature Review Of Nature-Based Expressive Arts Therapy For Bereaved Children, Wendy Dalton

Expressive Therapies Capstone Theses

There is a need for increased visibility of child bereavement to expand research in and accessibility of developmentally appropriate supports, which views the child holistically and within their biopsychosocial context. Worden’s (1996) formative work with child bereavement resulting in the "tasks" of child bereavement was the first and most recent study of its scale and kind. This marked an affirming of grief as normative response to death and occurring throughout the developmental lifespan. This work also highlights the need for additional inquiry to expand and deepen understanding of child bereavement. A growing body of research suggests that ecotherapy and ...


“Do I Need Exercise?” A Qualitative Study On Factors Affecting Leisure-Time Physical Activity In India, Shalini Garg, V Raman Kutty 2019 SCTIMST

“Do I Need Exercise?” A Qualitative Study On Factors Affecting Leisure-Time Physical Activity In India, Shalini Garg, V Raman Kutty

The Qualitative Report

Physical activity can reduce the risk of premature mortality from various chronic diseases. Previous research in Kerala, India indicates several barriers which can impact physical activity levels. Perceptions about the importance of health-promoting physical activity were examined among adults in Kerala and various facilitators, motivators and barriers to physical activity were identified using focus group discussions and interviews with key informants. At present, the attitude of people and health professionals is that physical activity has to be taken up when diagnosed with a disease (obesity, diabetes) and advised by a health professional. Men were more likely to start exercising after ...


Addressing Stroke Patient And Family Reasons For Not Calling 911, Maygret Ramirez, Rodney Bedgio, Virginia Ramos, Ivis Gonzalez, Yaima Miro Gonzalez, Amy Starosciak, Daniel D'Amour, Jayme Strauss, Felipe De Los Rios La Rosa 2019 Baptist Hospital of Miami

Addressing Stroke Patient And Family Reasons For Not Calling 911, Maygret Ramirez, Rodney Bedgio, Virginia Ramos, Ivis Gonzalez, Yaima Miro Gonzalez, Amy Starosciak, Daniel D'Amour, Jayme Strauss, Felipe De Los Rios La Rosa

Amy K. Starosciak

No abstract provided.


Influence Of Racial Disparity And Socioeconomic Status On Infant Mortality Among Blacks In Kalamazoo And Wayne Counties In Michigan, Carla Smart-White, Padma P. Tadi Uppala, Jean Cadet, Dixon Anjejo, Sherine Brown-Fraser 2019 Andrews University

Influence Of Racial Disparity And Socioeconomic Status On Infant Mortality Among Blacks In Kalamazoo And Wayne Counties In Michigan, Carla Smart-White, Padma P. Tadi Uppala, Jean Cadet, Dixon Anjejo, Sherine Brown-Fraser

Adventist Human-Subject Researchers Association

The purpose of the study was to examine the trends of infant mortality after the Infant Reduction Initiative that began in 2014-2015 in Kalamazoo and Wayne Counties to determine if racial disparities contribute to infant mortality. Despite decreased trends in infant mortality, racial disparities continued to exist with the highest rates among Black infants.


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