Community Health Commons^™

A Culture That Fosters Concussions: Does Increased Education Lead To More Accurate Reporting Of Concussions?, Michael Heptig

PCOM Psychology Dissertations

With over 1.7 million incidents reported annually, concussion has become the most common class of traumatic brain injury (TBI) in the United States (Bazarian, Zhu, Blyth, Borrino, & Zhong, 2012). As staggering a statistic as this may be, many believe it fails to represent the true number of concussions because the non-reporting of symptoms has been commonplace among athletes (Khurana & Kaye, 2012; Williamson & Goodman, 2006). The aim of this study was to determine those factors that influence the reporting of concussion symptoms. Specific variables that were examined include the amount of concussion education provided (determined by requisite amount …

Low Self-Esteem Leads To Depression Among Elderly: Case Study Of Nursing Home, Savera Aziz Ali, Nadir Suhail, Sumera Aziz Ali

School of Nursing & Midwifery

Background: Self-esteem is defined as “how we value our self”; it affects our trust and relationships in every part of life. Person with low self-esteem may feel powerless and incompetent about himself/herself. Moreover, low self-esteem operates as a risk factor for depression, which is most common disorder among elderly people both in developed and developing countries, causing multiple behavioral changes as well as may increase the chances of depression and suicide among the elderly people. Objective: The objective of this case study was to understand the problems faced by elderly people in the nursing home and to relate the self-esteem …

Short Message Service (Sms) Reminders And Real-Time Adherence Monitoring Improve Antiretroviral Therapy Adherence In Rural Uganda, Jessica E. Haberer, Angella Musimenta, Esther Atukunda, Nicholas Musinguzi, Monique A. Wyatt, Norma C. Ware, David Bangsberg

OHSU-PSU School of Public Health Faculty Publications and Presentations

Objective: To explore the effects of four types of short message service (SMS) plus realtime adherence monitoring on antiretroviral therapy (ART) adherence: daily reminders, weekly reminders, reminders triggered after a late or missed dose (delivered to patients), and notifications triggered by sustained adherence lapses (delivered to patient-nominated social supporters).

Design: Pilot randomized controlled trial.

Methods: Sixty-three individuals initiating ART received a real-time adherence monitor and were randomized (1 : 1 : 1): (1) Scheduled SMS reminders (daily for 1 month, weekly for 2 months), then SMS reminders triggered by a late or missed dose (no monitoring signal within 2 h …

Family Aided Community Treatment For The Treatment Of Early Psychosis: A Proof Of Concept Study, Ryan P. Melton, Cass Dykeman

Regional Research Institute for Human Services

Major psychotic disorders are one of the leading causes of disability worldwide. If these conditions are identified early and treatment promptly implemented, the prognosis is improved. This study examined the impact of a yearlong family aided community treatment (FACT) intervention upon psychiatric symptoms. Psychiatric symptom scores improved with the FACT intervention. Improved training on early recognition for mental health clinicians, implementation of a specific treatment model in community settings and policy around treatment funding allocation are implications of this study.

Los Riesgos Sobre La Salud De Los Trabajadores Inmigrantes Bolivianos En Los Talleres Textiles En La Ciudad Autónoma Buenos Aires: Las Experiencias De Los Trabajadores De La Cooperativa La Alameda / The Health Risks Of Bolivian Immigrant Workers In Textile Workshops In The Autonomous City Of Buenos Aires: The Experiences Of Workers At Cooperative La Alameda, Marian Gardner

Independent Study Project (ISP) Collection

Los bolivianos inmigran a Argentina para escapar de la falta de oportunidades laborales y de la pobreza. Sin embargo, una vez en Argentina, su inserción laboral es precaria e informal, principalmente, son contratados en los talleres textiles clandestinos. En éstos , donde la mayoría de ellos también vive, se ven reducidos a condiciones de servidumbre, explotación y son sometidos a condiciones de semi esclavitud, como lo demuestran las 14 a 18 horas de trabajo que realizan los siete días de la semana por sólo alrededor de $ 1300 a $ 3000 pesos argentinos por mes. Además, las condiciones laborales suponen …

Missoula’S Homeless Children: Effects Of Homelessness On Mental, Emotional And Social Health, Sarah L. Shapiro

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Missoula’s Homeless Children: Effects of Homelessness on Mental, Emotional and Social Health

The mental, emotional, and social health of children are greatly affected by being homeless. Being homeless as a child could effect a person’s coping skills and lead to mental health issues that increase the likelihood of substance abuse , suicide attempts, or adult homelessness. The purpose of this research project is to explore the negative effects of homelessness on Missoula children, and to identify services that could be useful in combating those effects. Methods for this project, included two data collection strategies. First, a literature review was completed …

Development And Evaluation Of A Peer-To-Peer Intervention To Increase Self-Management Among Adult In-Center Hemodialysis Patients, Jennifer J. St Clair Russell

Theses and Dissertations

Background: Peer-to-peer (P2P) support programs have the potential to assist ESRD patients in managing their disease and improve outcomes. Yet, there is little research examining P2P programs’ impact on psychosocial outcomes and disease management behaviors.

Methods: A 4-month P2P mentoring intervention was designed and piloted in a facility serving 249 in-center hemodialysis patients in Lynchburg, Virginia. Preceded by a social marketing effort, which included a program naming contest and participant recruitment, the intervention included: (1) mentor training, (2) pairing of mentees and mentors, (3) kick-off social mixers, (4) ongoing meetings between mentees and mentors, (5) mentor training booster, and (6) …

794 Evaluating Disability In Adult Burn Injury Patients Treated At A Tertiary-Care Burn Unit In Karachi, Pakistan: A Longitudinal Study Using Who Disability Assessment Schedule Ii, Nukhba Zia, Asim Durrani, Safia Awan, Madiha Hashmi, Mazhar Nizam, Asad Latif

Department of Anaesthesia

Background: Disability after burn injury is not assessed in the context of Pakistan. This study assesses disability among adult burn injury patients presenting to a burn unit in Karachi, Pakistan.
Methods: This longitudinal study was conducted at a burn centre is Karachi, Pakistan. Adult patients(>18 years) who were discharge after 24-hour admission were enrolled from August 2014–March 2015. Baseline assessment before discharge and follow-up at 2,6 and 12 weeks after discharge via telephone was done using 12-item WHODAS 2.0 (5 -point likert-scale; 1 = none; 2 = mild; 3 = moderate; 4 = severe; and 5 = extreme) related …

A Cross-Sectional Study On Patients' Access To Healthcare In A Developing Nation, Pawan Bhandari

All Graduate Theses, Dissertations, and Other Capstone Projects

The objective of this research study was to gauge the current status of patients' access to health care services in a developing nation or least-developed country (as defined by the World Bank and United Nations), Nepal. Many patients are not privileged to have a hospital at a close proximity in Nepal. They are also forced to travel and wait for long hours due to their inability to pay for services offered by private healthcare institutions. A survey questionnaire was developed to get a snapshot of how long patients travel to get to a public hospital for an outpatient service. The …

Design And Commissioning Of A Community Scale Solar Powered Membrane-Based Water Purification System In Haiti, Shavin Pinto, Yung Wong, Kyle Fennesy, Yan Tang, Marc Compere

Publications

This paper presents the design and commissioning of a solar powered water purification system at the Ryan Epps Home for Children (REHC) in Michaud, Haiti. This system supplies clean drinking water to the 200 children who live and go to school at REHC and also to the community in the form of a micro-business. This micro-business is the mechanism for income generation for sustainable system operation. The purifier uses a three stage filtration system with a disc-type sediment filter, a 0.1 micron ultrafiltration membrane, and an ultraviolet light for disinfection. The backwash cycle extends the life of the ultrafiltration membrane …

Frequency Of Birth Defects And Its Relationship To Parents Having Interfamily Marriages At A Tertiary Care Hospital, Tufail Soomro, Shiyam Sunder Tikmani

Community Health Sciences

Background: Inter family cousin marriages carries a risk of increased birth defects. The exact contribution of interfamily to birth defects risk is controversial. The aims of this study were to determine the frequency of birth defects in in relation to interfamily or outside family marriages.
Methods: This cross sectional study was conducted in the Civil hospital Sukkur from 9th November 2013 to 13th December 2015. Mothers giving birth to babies married in interfamily or outside family with their consent obtained were included in the study. Mothers not giving consent for study and having any known major illnesses were excluded from …

Byrd, Maya Dangerfield

Capstones

In April 2015, William Byrd Wilkins or ‘Byrd’, 50, a theatre and television actor, was diagnosed with pancreatic cancer. In August, his friends crowd-funded an all expense paid trip to New York for Byrd who wasundergoing chemotherapy in his rural hometown of Louisburg, North Carolina. Originally described as ‘an opportunity to reconnect’ the trip soon developed into a ‘living funeral’ as Byrd and his friends grappled with Byrd’s terminal prognosis. As he visited his favorite New York haunts and met with friends, Byrd wrestled with the decision to end his chemotherapy upon his return home.

Hawai‘I’S Caring Communities Initiative: Mobilizing Rural And Ethnic Minority Communities For Youth Suicide Prevention, Jane J. Chung-Do, Deborah A. Goebert, Kris Bifulco, Tasha Tydingco, Antonia Alvarez, Davis Rehuher, Jeanelle Sugimoto-Matsuda, Bridget Arume, Pohai Wilcox

Journal of Health Disparities Research and Practice

Youth suicide is a serious, yet preventable, public health concern for ethnic minorities and rural communities. This paper describes the youth leadership model utilized by Hawai‘i’s Caring Communities Initiative (HCCI) and provides reflections on the important factors for success in implementing a youth and community advocacy project for youth suicide prevention. HCCI partnered with six youth and community organizations who serve ethnic minority and rural communities across the State of Hawai‘i to train youth leaders and community members in suicide prevention, in order to develop community awareness activities that are grounded in each community’s strengths and needs. The work of …

Advocacy In Action: A Framework For Implementation Of The American Counselors Association Advocacy Competencies On A Local Level, Jeffrey M. Lown

Educational Specialist, 2009-2019

Despite calls from within the professional field and external forces, counselors have faced ongoing challenges in their efforts to be effective advocates for their clients and themselves. A review of the literature reveals that throughout the history of the profession, prominent figures have called on counselors to assume advocacy roles, and that some initiatives have been successful in fostering lasting change. However, as counselors and their clients’ needs continue to evolve, so too must strategies to address these needs be reevaluated and new initiatives put into place.

In this paper, I have outlined a committee structure and agenda that seeks …

Staff Education: Nutrition Education In The Intellectually /Developmentally Disabled Community, Claire C. Bradley-Davalos Msn Rn

Master's Projects and Capstones

The objective of my project is to develop staff education regarding a nutrition initiative developed to address the 44% obesity rate among clients in our care. My target population is direct care staff working in the Intellectually/Developmentally Disabled (IDD) community, and high functioning clients who live independently in the community. The staff knowledge was tested pre- and post-education to demonstrate knowledge retained. Staff are required to get a score of 80 or better to pass. Test results are interpreted to see which content areas need further teaching or clarification. Initial results indicate that four areas of education need to be …

Correction Of Verication Bias Using Log-Linear Models For A Single Binaryscale Diagnostic Tests, Haresh Rochani, Hani M. Samawi, Robert L. Vogel, Jingjing Yin

Biostatistics: Faculty Publications

In diagnostic medicine, the test that determines the true disease status without an error is referred to as the gold standard. Even when a gold standard exists, it is extremely difficult to verify each patient due to the issues of costeffectiveness and invasive nature of the procedures. In practice some of the patients with test results are not selected for verification of the disease status which results in verification bias for diagnostic tests. The ability of the diagnostic test to correctly identify the patients with and without the disease can be evaluated by measures such as sensitivity, specificity and predictive …

The Hidden Epidemic: Mental Health Epidemiology In Post-Conflict Populations And Implications For Conflict Transformation Practices, Jennifer Sato

Capstone Collection

This capstone explores the ramifications of unmitigated mental health illness in conflict populations, paying special attention to refugees and migrants. The intersection between conflict and mental health is explored and analyzed in order to highlight the implications of the findings and to make recommendations to both metal health and conflict transformation practitioners. This capstone depends predominately on secondary resources and personal interviews and is informed by my own practicum experience at a refugee health center. The need to improve mental health outcomes in order to pursue conflict transformation and peace building is a key focus and is supported by the …

From Fatalism To Mitigation: A Conceptual Framework For Mitigating Fetal Programming Of Chronic Disease By Maternal Obesity, Janne Boone-Heinonen, Lynne C. Messer, Stephen P. Fortmann, Lawrence Wallack, Kent L. Thornburg

Community Health Faculty Publications and Presentations

Prenatal development is recognized as a critical period in the etiology of obesity and cardiometabolic disease. Potential strategies to reduce maternal obesity-induced risk later in life have been largely overlooked. In this paper, we first propose a conceptual framework for the role of public health and preventive medicine in mitigating the effects of fetal programming. Second, we review a small but growing body of research (through August 2015) that examines interactive effects of maternal obesity and two public health foci – diet and physical activity – in the offspring. Results of the review support the hypothesis that diet and physical …

Monitoring For Adverse Events Post Marketing Approval Of Drugs, Karl E. Peace, Macaulay Okwuokenye

Biostatistics: Faculty Publications

This brief communication provides information to those developing monitoring plans for serious adverse events (SAE’s) following regulatory approval of a new drug. In addition, we (1) illustrate how many patients would need to be treated in order to have high confidence of seeing at least 1 pre-specified SAE, (2) show that absence of proof of a SAE is not proof of absence of that SAE, and (3) identify statistical methodology that could be used for formal statistical monitoring of SAE’s.

Predictive Factors Of Patient Satisfaction With Pharmacy Services In South Korea: A Cross-Sectional Study Of National Level Data, Sunkyung Lee, Onyeka P. Godwin, Kyungah Kim, Euni Lee

Pharmacy Faculty Articles and Research

Objectives
Patient satisfaction has emerged as a prerequisite to improving patients’ health behaviors leading to better health care outcomes. This study was to identify predictive determinants for patient satisfaction with pharmacy services using national-level data.

Methods
A cross-sectional evaluation was conducted using 2008 Korean National Health and Nutrition Examination Survey (KNHANES) data. To assess the predictive factors for patient satisfaction with pharmacy services, an ordinal logistic regression model was conducted adjusting for patient characteristics, clinical comorbidities, and perception of health.

Results
A total of 9,744 people, a representative sample of 48.2 million Koreans, participated in the 2008 KNHANES, of whom …

The Impact Of Antenatal Care On Maternal Mental Health In Rural Maharashtra, Cameron Barker

India: Public Health, Policy Advocacy, and Community

This study seeks to understand the major mental health concerns experienced by pregnant women and recent mothers in rural villages in Maharashtra and how these concerns are impacted by different elements of holistic antenatal and postnatal care. The risk factors that may lead to poor maternal mental health are strongly tied to social factors and vary from community to community. Unfortunately, in most developing countries mental health takes a back seat to other health issues deemed more pressing. This is especially true for female specific illnesses, given that the overall health of women and girl children is often neglected. The …

Does Mode Of Contact With Different Types Of Social Relationships Predict Depression In Older Adults? Evidence From A Nationally Representative Survey, Alan R. Teo, Hwajung Choi, Sarah B. Andrea, Marica Valenstein, Jason T. Newsom, Steven K. Dobscha, Kara Zivin

Community Health Faculty Publications and Presentations

OBJECTIVES: To determine associations between use of three different modes of social contact (in person, telephone, written or e-mail), contact with different types of people, and risk of depressive symptoms in a nationally representative, longitudinal sample of older adults.

DESIGN: Population-based observational cohort.

SETTING: Urban and suburban communities throughout the contiguous United States.

PARTICIPANTS: Individuals aged 50 and older who participated in the Health and Retirement Survey between 2004 and 2010 (N = 11,065).

MEASUREMENTS: Frequency of participant use of the three modes of social contact with children, other family members, and friends at baseline were used to predict depressive …

What Job Can You Get Without A Diploma? Gender Discrimination Against Relapsed Ex-Sex Workers, Resna Anggria Putri, Johanna Debora Imelda

Jurnal Ilmu Kesejahteraan Sosial

This study aims at describing the subordination and marginalization of ex-commercial sex workers in Indramayu District. This qualitative research was conducted through in-depth interview and observation on 5 (five) interesting case studies whose data, then, was triangulated to ensure the valid-ity and reliability of the data. The results of the study showed that there were gender discrimination in the form of subordination and marginalization in education and employment which are applied at different periods, i.e.: before and after they worked as prostitutes. Hence, it is then caused them relapse working as prostitutes without any other opportunity to get more normative …

Dinamika Program Penanggulangan Hiv Dan Aids Di Komunitas (Studi Kasus : Proses Persiapan Dan Implementasi Community Organizer Di Jakarta Utara), Edi Sugiarto, Sari Viciawati Machdum

Jurnal Ilmu Kesejahteraan Sosial

This research about community organizing heterogeneous in a geographic region on the issue of HIV and AIDS. The study was conducted for the prevention of HIV and AIDS has been made to key populations, individual and group (at the micro level). Research with qualitative approach and descriptive methods have found that it is not easy to organize geographic community with interven-tions on the mezzo level on the issue of HIV & AIDS with peculiarities in it. Community Organizer recruited not suitably qualified so the impact on their work. The role played not yet fully reflect the work processes at the …

Pemasaran Sosial Sebagai Upaya Meningkatkan Praktek Pemberian Asi Esklusif Bagi Ibu Hamil : (Studi Deskriptif Pada Pelaksanaan Program Kelompok Pendukung Ibu Kelurahan Rawa Buaya, Jakarta Barat), Amalia Reza Intani, Getar Hati

Jurnal Ilmu Kesejahteraan Sosial

This study aims to explain the social marketing of Mother Support Group Program in Rawa Buaya as the way to improve breast feeding practice for pregnant mothers and to describe the obstacle of the program. The qualitative data were collected by conducting in-depth interview and direct observation. Based on the result of this study, social marketing of Mother Support Group Program has done various social marketing steps and it is one of the way to achieve the change of pregnant mother’s behavior in order to implement breast feeding practice for the further life. This social marketing is implemented with education …

Expanding Access To Naloxone In Maine: Opportunities And Barriers, Kate E. Richardson

Muskie School Capstones and Dissertations

The Centers for Disease Control and Prevention have declared prescription drug abuse a national epidemic (Office of National Drug Control Policy, 2014). In addition to strategies designed to prevent opioid abuse and misuse, many public health officials, policy makers, healthcare providers and harm reduction task forces seek to increase access to naloxone, a prescription drug known to reverse the effects of an opioid overdose. This report provides an overview of the barriers and opportunities for the state of Maine to expand access to the opioid antagonist, naloxone, in an effort to reduce fatal opioid drug overdose rates.

Pelatihan Terapi Autis Metode Applied Behavior Analysis (Aba) (Studi Kasus Pada Proses Pelatihan Terapi Autis Di Lembaga Pemasyarakatan Kelas 1 Tangerang, Nofri Julimet, Sofyan Cholid

Jurnal Ilmu Kesejahteraan Sosial

Applied behavior analysis was a method of healing autistic that have not known by the Indonesian. Meanwhile, ABA was effective and efficient in reducing the behavior of disruptive which shown in autistic. Then, the benefit of ABA was taught in a systematic, structured, and measurable. This the-sis descrubed the training process of autism therapy that carried out in prison class 1 Tangerang, the instructor was inmates X. This research used qualitative approach by using depth-interview to the informants that consist of instructor, prison officers, and trainee. The is training including the three steps. Those were pre training, whils training, and …

Modal Sosial Yang Di Miliki Anggota Kelompok Kerja (Pokja) Perilaku Hidup Bersih Dan Sehat (Phbs) Dalam Upaya Penerapan Perilaku Hidup Bersih Dan Sehat : (Studi Deskriptif Di Sekolah Menengah Pertama Negeri 107 Jakarta), Annisa Sherliany, Wisni Bantarti

Jurnal Ilmu Kesejahteraan Sosial

The purpose of this research to describe the social capital that is owned by the working group members of PHBS of SMP Negeri 107 Jakarta in an effort to implement a clean and healthy living behavior. This research uses a qualitative approach and is a descriptive research through data collection techniques in-depth interviews, observation, and literature study. The results of this research shows that social capital is owned by members of the working group of PHBS of SMP Negeri 107 Jakarta can support its success in an effort to implement clean and healthy living behavior.

The Beast Inside Your Head: A Look At Mental Health Issues In Samoa, Brandon Nelson

Independent Study Project (ISP) Collection

Mental illness remains a very controversial and prevalent problem for the entire world, especially the Pacific. This study examines some prevalent mental health issues and looks at how suicide, youth, alcohol, and prison correlate with mental health issues and illness in Samoa. It also looks at the Mental Health Unit (MHU) at National Hospital and programs implemented to help Samoans suffering within the four areas of mental health researched. Quantitative data from international organizations, government bureaus, and surveys, helps describe the current status of mental health issues in Samoa. One hundred twenty four surveys (124) were distributed about mental health …

Social And Behavioral Implications Of National Collegiate Athletic Association Sickle Cell Trait Screening: The Athletes' Perspective, Raymona H. Lawrence, Alison Scott, Carlton Haywood Jr., Kayin Robinson, Mondi Mason

Community Health: Faculty Publications

Background: In August 2010, the National Collegiate Athletic Association (NCAA) implemented a policy mandating sickle cell trait (SCT) testing for all Division I collegiate athletes. Subsequently, all Division II-III athletes were also compelled to undergo SCT testing. This decision has met with controversy among healthcare providers, researchers, and sickle cell advocates. However, there is little information concerning the athletes’ perspective of this policy. The purpose of this paper is to report the findings of a qualitative study that explored college athletes’ perceptions of sickle cell trait SCT, NCAA policies on SCT testing, and potential implications of SCT screening.

Methods: …