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Full-Text Articles in Community Health and Preventive Medicine

Living Well With A Disability: An Update, Tom Seekins Ph.D., University Of Montana Rural Institute Feb 2004

Living Well With A Disability: An Update, Tom Seekins Ph.D., University Of Montana Rural Institute

Health and Wellness

As many as one of every five Americans has a disability or chronic health condition. In rural areas, that proportion (23%) is even higher. As the U.S. population ages, the numbers of people with disability and chronic conditions will predictably increase, which accounts for a growing national interest in the health and wellness of individuals with disabilities. While composing about 20% of the population, individuals with disabilities account for nearly half of all medical expenditures.

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Marketing Health Promotion For People With Disabilities, Craig Ravesloot Ph.D., University Of Montana Rural Institute Aug 2003

Marketing Health Promotion For People With Disabilities, Craig Ravesloot Ph.D., University Of Montana Rural Institute

Health and Wellness

Healthy People 2010 is the blueprint for improving the health and well being of all Americans. Its overall focus is to decrease health risks and to increase the proportion of people engaging in healthy behaviors. For the first time, Healthy People includes a chapter on the health of people with disabilities. Chapter Six specifically addresses secondary conditions as a public health concern. Secondary conditions are medical and psycho-social conditions people often experience following the onset of disabilities or chronic illnesses. Our research suggests people with disabilities annually experience 14 secondary conditions that limit their health and independence.

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Marketing Health Promotion For People With Disabilities, Craig Ravesloot Ph.D., University Of Montana Rural Institute Aug 2003

Marketing Health Promotion For People With Disabilities, Craig Ravesloot Ph.D., University Of Montana Rural Institute

Health and Wellness

Healthy People 2010 is the blueprint for improving the health and well being of all Americans. Its overall focus is to decrease health risks and to increase the proportion of people engaging in healthy behaviors. For the first time, Healthy People includes a chapter on the health of people with disabilities. Chapter Six specifically addresses secondary conditions as a public health concern. Secondary conditions are medical and psycho-social conditions people often experience following the onset of disabilities or chronic illnesses. Our research suggests people with disabilities annually experience 14 secondary conditions that limit their health and independence.

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Barriers And Best Practices: Marketing Health Promotion For People With Disabilities, Craig Ravesloot Ph.D., University Of Montana Rural Institute Aug 2003

Barriers And Best Practices: Marketing Health Promotion For People With Disabilities, Craig Ravesloot Ph.D., University Of Montana Rural Institute

Health and Wellness

Health promotion for people with disabilities attracts a diverse audience: people with disabilities themselves, policymakers, service providers and others. This Guideline discusses our research on effective strategies for marketing and promoting RTC: Rural’s two health promotion programs: Living Well with a Disability (an eight-week workshop) and the New Directions physical activity program. It also describes the barriers people with disabilities anticipate when they consider participating in a health promotion program. If marketing strategies address these barriers, more people with disabilities may participate in health promotion activities. Secondary conditions are the medical and psycho-social conditions people with disabilities often experience following …

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A Cost-Effectiveness Analysis Of A Community-Based Health Promotion Intervention For Adults With Mobility Impairments: Living Well With A Disability, Craig Ravesloot Ph.D., Tom Seekins Ph.D., Catherine Ipsen M.A., Steve Seninger Ph.D., Colleen Murphy-Southwick Ph.D., Lisa Brennan M.L.S., Rita K. Fjeld M.A., Glen W. White Ph.D., Ann Branstetter Ph.D., Vivian Chapman M.A., Amanda Jay M.A., James A. Bovaird M.A., Janet Marquis Ph.D., University Of Montana Rural Institute Mar 2003

A Cost-Effectiveness Analysis Of A Community-Based Health Promotion Intervention For Adults With Mobility Impairments: Living Well With A Disability, Craig Ravesloot Ph.D., Tom Seekins Ph.D., Catherine Ipsen M.A., Steve Seninger Ph.D., Colleen Murphy-Southwick Ph.D., Lisa Brennan M.L.S., Rita K. Fjeld M.A., Glen W. White Ph.D., Ann Branstetter Ph.D., Vivian Chapman M.A., Amanda Jay M.A., James A. Bovaird M.A., Janet Marquis Ph.D., University Of Montana Rural Institute

Health and Wellness

This document reports on research conducted by the University of Montana and the University of Kansas for the Office of Disability and Health at the Centers for Disease Control and Prevention. The research project, conducted between August 1,1997 and July 31, 2001, was conducted in four separate but related studies. The research was conducted in eight States. We contracted with nine centers for independent living (CIL) to conduct 34 Living Well with a Disability health promotion workshops and to collect outcome measures. These programs included 246 individuals. In the first study, we evaluated the effectiveness and cost outcomes of the …

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Direct Service Staff Turnover In Supported Living Arrangements: Preliminary Results And Observations, Steve Seninger Ph.D., Meg A. Traci Ph.D., University Of Montana Rural Institute Rural Institute Jul 2002

Direct Service Staff Turnover In Supported Living Arrangements: Preliminary Results And Observations, Steve Seninger Ph.D., Meg A. Traci Ph.D., University Of Montana Rural Institute Rural Institute

Health and Wellness

High turnover rates mean that community providers of services to individuals with developmental disabilities may be replacing almost their entire direct service workforces each year. This instability imposes significant costs on each provider for recruiting, screening, and training replacement workers. It also adversely affects the quality of care provided to individuals served by community providers. Although the relationship requires further study, caregiver continuity appears to be an important factor in the health of an individual with developmental disabilities. The following observations are based on completed Corporation Questionnaires from seven Montana developmental disabilities service providers.

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Nutrition And Disability, Kathleen Humphries, Meg Traci, Tom Seekins Ph.D., Joyce Brusin, University Of Montana Rural Institute Mar 2002

Nutrition And Disability, Kathleen Humphries, Meg Traci, Tom Seekins Ph.D., Joyce Brusin, University Of Montana Rural Institute

Health and Wellness

A disability often can be complicated by additional medical, psychological, or environmental problems. Under an emerging framework of health promotion for persons with disabilities, these additional health problems are referred to as secondary conditions (Brandt & Pope, 1997; Marge, 1988; Pope & Tarlov, 1991). Until recently, it was common to conceptualize these ailments as symptomatic of the primary disability; however, it is now presumed that because these conditions can be prevented or managed, they are secondary conditions distinct from the primary disability. Although information on secondary conditions experienced by people with developmental disabilities is limited, the literature does contain descriptions …

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Health Status Of Adult Montanans In Supported And Semi-Independent Living Arrangements, Meg A. Traci Ph.D., Sarah Geurts B.S., Tom Seekins Ph.D., Rebecca Burke M.S., Kathleen Humphries, Lisa Brennan M.L.S., University Of Montana Rural Institute Jun 2001

Health Status Of Adult Montanans In Supported And Semi-Independent Living Arrangements, Meg A. Traci Ph.D., Sarah Geurts B.S., Tom Seekins Ph.D., Rebecca Burke M.S., Kathleen Humphries, Lisa Brennan M.L.S., University Of Montana Rural Institute

Health and Wellness

This study reports on the prevalence and severity of secondary conditions in adults with developmental disabilities living in 33 Montana counties. "Secondary conditions" are additional health problems acquired by an individual with a disability. Although the personal, social, and financial costs of these secondary conditions are extraordinarily high, they are frequently preventable. Ten of the top twelve secondary conditions reported by survey respondents involved issues that can be addressed by wellness activities or lifestyle management. In particular, survey ratings of “Communication,” “Weight,” and “Physical Fitness” problems suggest that these areas may contribute to other problems. Efforts to improve communication skills, …

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Living Well Could Save $31 Million Annually, Craig Ravesloot Ph.D., Catherine Ipsen, Tom Seekins Ph.D., University Of Montana Rural Institute Jun 2001

Living Well Could Save $31 Million Annually, Craig Ravesloot Ph.D., Catherine Ipsen, Tom Seekins Ph.D., University Of Montana Rural Institute

Health and Wellness

Behavior change can improve health status for many adults. Further, for adults with chronic illness and permanent injuries, a growing body of literature identifies health promotion as both effective in improving health and cost-effective compared to treatment alternatives. Yet third-party payers (Medicaid, Medicare, and private insurance) typically do not reimburse health promotion interventions. This is a problem for many individuals with disabilities who have significant health care costs and cannot pay for health promotion programs. For more than a decade, the Office on Disability and Health at the Centers for Disease Control and Prevention has supported research culminating in the …

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Readiness For Health Promotion, Colleen Murphy-Southwick Ph.D., Tom Seekins Ph.D., University Of Montana Rural Institute Rural Institute Sep 2000

Readiness For Health Promotion, Colleen Murphy-Southwick Ph.D., Tom Seekins Ph.D., University Of Montana Rural Institute Rural Institute

Health and Wellness

There is growing interest in health promotion, wellness, and the prevention of secondary conditions among people with disabilities. In rural areas where there is limited access to health care providers knowledgeable about disability, managing one’s own health and wellness and using strategies to prevent secondary conditions may be particularly important (Offner, Seekins & Clark, 1992; Seekins, 1992; Center for Disability Policy and Research, 1995; Seekins, Clay & Ravesloot, 1994; Seekins, et al., 1999).

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Rural Managed Care And Disability: A National Perspective, Colleen Murphy-Southwick Ph.D., Tom Seekins Ph.D., University Of Montana Rural Institute Rural Institute Mar 2000

Rural Managed Care And Disability: A National Perspective, Colleen Murphy-Southwick Ph.D., Tom Seekins Ph.D., University Of Montana Rural Institute Rural Institute

Health and Wellness

Rural access to health care has historically been a concern in the United States. In the late 1980s and early 1990s, lower rural reimbursements for the same services provided in urban areas contributed to a substantial decline in the number of rural hospitals and health care providers. Rural Americans with and without disabilities experienced the negative consequences of those changes. The rapid introduction of managed care is producing explosive changes in the marginal, aging, rural medical care services sector. Managed care policies directly affect both access to medical services by people with disabilities and the economic infrastructure of small rural …

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Rural Managed Care And Disability: Emerging Issues From Preliminary Interviews And Case Studies, Colleen Murphy-Southwick Ph.D., Tom Seekins Ph.D., University Of Montana Rural Institute Rural Institute Mar 2000

Rural Managed Care And Disability: Emerging Issues From Preliminary Interviews And Case Studies, Colleen Murphy-Southwick Ph.D., Tom Seekins Ph.D., University Of Montana Rural Institute Rural Institute

Health and Wellness

Since the 1980s, rural access to health care information, resources and services has become increasingly problematic. The shift toward managed care complicates the picture. While some argue that managed care will devastate rural health services due to sparsely populated areas’ high costs and low profit margins, others suggest that market forces will make the health care system more efficient and re-distribute resources now concentrated in urban areas toward rural areas. Managed care is penetrating public programs

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Attributional Style And Disability Outcome, Craig Ravesloot Ph.D., Quincy-Robyn Young, Tom Seekins Ph.D., Ann Szalda-Petree Ph.D., University Of Montana Rural Institute Jan 2000

Attributional Style And Disability Outcome, Craig Ravesloot Ph.D., Quincy-Robyn Young, Tom Seekins Ph.D., Ann Szalda-Petree Ph.D., University Of Montana Rural Institute

Health and Wellness

Disability is both a very personal and social issue. In 1999, The World Health Organization (WHO) published their latest revisions to the ICIDH-2. This document includes the latest conceptual developments in understanding the structure and process of disabling conditions. The document highlights that disability outcome occurs within a dynamic system characterized by the impairment itself, environmental and personal factors (World Health Organization, 1999).

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Turnover Of Personal Assistants And The Incidence Of Injury Among Adults With Developmental Disabilities, Meg A. Traci Ph.D., Ann Szalda-Petree Ph.D., Steve Seninger Ph.D., University Of Montana Rural Institute May 1999

Turnover Of Personal Assistants And The Incidence Of Injury Among Adults With Developmental Disabilities, Meg A. Traci Ph.D., Ann Szalda-Petree Ph.D., Steve Seninger Ph.D., University Of Montana Rural Institute

Health and Wellness

Relatively little is known about the incidence and prevalence of injuries and other secondary conditions experienced by adults with developmental disabilities. Understanding the risk factors for secondary conditions and strategies for their prevention is important to people with disabilities, rehabilitation providers, and public health agencies. Many secondary condition prevention strategies require direct involvement of the individual with a disability. However, the nature of some disabling conditions requires help from an intermediary facilitator, frequently known as a “Personal Care Attendant” (PCA) or a “Personal Assistant” (PA).

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Health And Wellness Among Adults With Developmental Disabilities, Ann Szalda-Petree Ph.D., Meg A. Traci Ph.D., University Of Montana Rural Institute Rural Institute Oct 1998

Health And Wellness Among Adults With Developmental Disabilities, Ann Szalda-Petree Ph.D., Meg A. Traci Ph.D., University Of Montana Rural Institute Rural Institute

Health and Wellness

In 1988, the National Council on Disability published Toward Independence, which identified the prevention of secondary conditions and health promotion for people with disabilities as a major national goal. During the last ten years this goal has grown in importance, with U.S. service corporations and agencies, researchers, policy makers, and even private industry acknowledging its wisdow. An entire section of Healthy People 2010, the nation’s blueprint for promoting the health of the entire population, addresses disability and health. Previous editions in the series contained no explicit sections on disability. Now, disability has its own section, with 12 specific objectives and …

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Rural Health & Disability, Tom Seekins Ph.D., University Of Montana Rural Institute Jan 1996

Rural Health & Disability, Tom Seekins Ph.D., University Of Montana Rural Institute

Health and Wellness

The health of many people with disabilities living in rural areas is not as good as one might expert. While people with disabilities can lead healthy and independent lives, they often lack access to health care providers who understand their needs, and lack access to services that would support their efforts to live independently.

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Prevalence And Disability Outcome Of Secondary Conditions Experienced By Adults With Disabilities Living In A Rural State: Validation Of A Surveillance Instrument, Tom Seekins Ph.D., Craig Ravesloot Ph.D., Kaye Norris Ph.D., University Of Montana Rural Institute Jan 1995

Prevalence And Disability Outcome Of Secondary Conditions Experienced By Adults With Disabilities Living In A Rural State: Validation Of A Surveillance Instrument, Tom Seekins Ph.D., Craig Ravesloot Ph.D., Kaye Norris Ph.D., University Of Montana Rural Institute

Health and Wellness

Objectives. People with disabilities can lead healthy lives but may be at risk for secondary conditions. This study investigated prevalence rates and disability outcome of secondary conditions using the Secondary Conditions Surveillance Instrument (SCSI). The reliability and validity of the SCSI for measuring self-reported limitation due to secondary conditions was also investigated. Methods. Three-hundred-fifty-four handicapped parking permit holders and 22 non-disabled undergraduate students completed the SCSI. Eighteen people with spinal cords injuries completed the SCSI twice approximately 3 years apart. Results. Respondents reported experiencing an average of 14 secondary conditions during the past year with 73% experiencing more than 10 …

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Management Of Swallowing Disorders: A Program For Professionals Working In Rural Areas, Kathleen D. Sims Mcsd/Ccc-Slp, Sue Reinsel-Garcia Otr/L, Kathy M. Love Ma/Ccc-Slp, Elizabeth Kohler Ed.D., O.T.R., University Of Montana Rural Institute Jan 1990

Management Of Swallowing Disorders: A Program For Professionals Working In Rural Areas, Kathleen D. Sims Mcsd/Ccc-Slp, Sue Reinsel-Garcia Otr/L, Kathy M. Love Ma/Ccc-Slp, Elizabeth Kohler Ed.D., O.T.R., University Of Montana Rural Institute

Health and Wellness

Research indicates that 74% of all nursing home patients experience eating difficulties sometime during their stay (Trupe, Siebens, & Siebens, 1984). Additionally, 59% of patients suffering from stroke experience some degree of dysphagia and aspiration difficulties (Echelard, Thoppil, & Melvin 1984). A significant number of the high risk dysphagia patients described above suffer from life threatening aspiration pneumonia. Consequently the management of swallowing disorders (Dysphagia) is of critical concern to hospital and nursing home personnel. Patients specficially at risk for dysphagia, according to recent studies, include those with head injury, stroke (CVA), and cerebral palsy. Also, patients experiencing cancer of …

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