Diverse, Culturally-Based Community Organizations and Researchers Collaborating for Improved Health: An interactive discussion on how communities can work successfully with researchers
11th Annual Health Services Research Conference - Partnering for Better Health: Bringing Utah's Patient Voices to Research
Hosted By: Community Faces of Utah
Description: Interactive panel discussion on what community members want research to focus on and how researchers and communities can successfully work together.
Presentation given on December 2nd, 2016 at UNC Chapel Hill's Gilling's School of Global Public Health about one of my practicum deliverables completed for Counter Tools, a non-profit organization in Carrboro, North Carolina, during the summer of 2016.
Addressing Health Care's Blindside in Albuquerque's South Side: Logic Model W...Practical Playbook
The Practical Playbook
National Meeting 2016
www.practicalplaybook.org
Bringing Public Health and Primary Care Together: The Practical Playbook National Meeting was at the Hyatt Regency in Bethesda, MD, May 22 - 24, 2016. The meeting was a milestone event towards advancing robust collaborations that improve population health. Key stakeholders from across sectors – representing professional associations, community organizations, government agencies and academic institutions – and across the country came together at the National Meeting to help catalyze a national movement, accelerate collaborations by fostering skill development, and connect with like-minded individuals and organizations to facilitate the exchange of ideas to drive population health improvement.
The National Meeting was also a significant source of tools and resources to advance collaboration. These tools and resources are available below and include:
Session presentations and materials
Poster session content
Photos from the National Meeting
The conversation started at the National Meeting is continuing in a LinkedIn Group "Working Together for Population Health" and Twitter. Use #PPBMeeting to provide feedback on the National Meeting.
The Practical Playbook was developed by the de Beaumont Foundation, the Duke University School of Medicine Department of Community and Family Medicine, the Centers for Disease Control and Prevention (CDC), and the Health Resources & Services Administration (HRSA).
Matt Hackworth, Director of External Relations at IMA World Health discusses how IMA engages faith leaders and community-based leaders to educate people about HIV in Malawi at the CCIH 2018 Conference.
Presentation given on December 2nd, 2016 at UNC Chapel Hill's Gilling's School of Global Public Health about one of my practicum deliverables completed for Counter Tools, a non-profit organization in Carrboro, North Carolina, during the summer of 2016.
Addressing Health Care's Blindside in Albuquerque's South Side: Logic Model W...Practical Playbook
The Practical Playbook
National Meeting 2016
www.practicalplaybook.org
Bringing Public Health and Primary Care Together: The Practical Playbook National Meeting was at the Hyatt Regency in Bethesda, MD, May 22 - 24, 2016. The meeting was a milestone event towards advancing robust collaborations that improve population health. Key stakeholders from across sectors – representing professional associations, community organizations, government agencies and academic institutions – and across the country came together at the National Meeting to help catalyze a national movement, accelerate collaborations by fostering skill development, and connect with like-minded individuals and organizations to facilitate the exchange of ideas to drive population health improvement.
The National Meeting was also a significant source of tools and resources to advance collaboration. These tools and resources are available below and include:
Session presentations and materials
Poster session content
Photos from the National Meeting
The conversation started at the National Meeting is continuing in a LinkedIn Group "Working Together for Population Health" and Twitter. Use #PPBMeeting to provide feedback on the National Meeting.
The Practical Playbook was developed by the de Beaumont Foundation, the Duke University School of Medicine Department of Community and Family Medicine, the Centers for Disease Control and Prevention (CDC), and the Health Resources & Services Administration (HRSA).
Matt Hackworth, Director of External Relations at IMA World Health discusses how IMA engages faith leaders and community-based leaders to educate people about HIV in Malawi at the CCIH 2018 Conference.
Sustaining quality approaches for locally embedded community health services ...REACHOUTCONSORTIUMSLIDES
This presentation was given at the Bridging the Quality Gap - Strengthening Quality Improvement in Community Health Services Symposium which was held in September 2016
Reducing Disparities in Diabetes Care: From Data to DoingEmily Wittenhagen
It’s no secret that for those in historically underserved populations, daily management of health conditions poses unique challenges. In this webinar, we will look at these challenges through the lens of health equity and social determinants of health with a focus on diabetes, a hugely prevalent disease that is widely known to disproportionately affect underserved populations. Presenter Lisa Packard, who has spent years focused on health inequities and diabetes, will share how diabetes patients can take charge of their health through community-based workshops teaching positive self-management techniques. She will also go over how healthcare professionals can help support these individuals, foster the linkages between communities and clinics/health systems, and find or implement these kinds of trainings – particularly the evidence-backed Diabetes Self-Management Program (DSMP) workshops. Lisa will also review the evidence behind the Diabetes Prevention Program (DPP) and quality improvement opportunities that can be identified using Medicare claims data. This webinar is appropriate for front-line clinicians, patient safety and quality improvement professionals, and anyone involved or interested in making strides in health disparities and/or diabetes work.
Marta Pirzadeh, MPH, Senior Technical Officer for the Research Utilization Unit, FHI360 discusses how to engage faith groups in family planning promotion for healthier mothers and babies and shares experiences partnering with church entities in Uganda.
In August 2013, USAID supported the Second Annual Round Table on Governance for Health in Low- and Middle-Income Countries (LMICs). The purpose of the round table was to bring thought leaders together to discuss how good governance enables and facilitates better health system performance and outcomes
Join us for a summary of key conclusions from the round table followed by a discussion about new insights into principles and practices of smart governance in the health systems of LMICs.
Sustaining quality approaches for locally embedded community health services ...REACHOUTCONSORTIUMSLIDES
This presentation was given at the Bridging the Quality Gap - Strengthening Quality Improvement in Community Health Services Symposium which was held in September 2016
Reducing Disparities in Diabetes Care: From Data to DoingEmily Wittenhagen
It’s no secret that for those in historically underserved populations, daily management of health conditions poses unique challenges. In this webinar, we will look at these challenges through the lens of health equity and social determinants of health with a focus on diabetes, a hugely prevalent disease that is widely known to disproportionately affect underserved populations. Presenter Lisa Packard, who has spent years focused on health inequities and diabetes, will share how diabetes patients can take charge of their health through community-based workshops teaching positive self-management techniques. She will also go over how healthcare professionals can help support these individuals, foster the linkages between communities and clinics/health systems, and find or implement these kinds of trainings – particularly the evidence-backed Diabetes Self-Management Program (DSMP) workshops. Lisa will also review the evidence behind the Diabetes Prevention Program (DPP) and quality improvement opportunities that can be identified using Medicare claims data. This webinar is appropriate for front-line clinicians, patient safety and quality improvement professionals, and anyone involved or interested in making strides in health disparities and/or diabetes work.
Marta Pirzadeh, MPH, Senior Technical Officer for the Research Utilization Unit, FHI360 discusses how to engage faith groups in family planning promotion for healthier mothers and babies and shares experiences partnering with church entities in Uganda.
In August 2013, USAID supported the Second Annual Round Table on Governance for Health in Low- and Middle-Income Countries (LMICs). The purpose of the round table was to bring thought leaders together to discuss how good governance enables and facilitates better health system performance and outcomes
Join us for a summary of key conclusions from the round table followed by a discussion about new insights into principles and practices of smart governance in the health systems of LMICs.
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EOA2016: LiveHealthy2020 a Foundation for TransformationPIHCSnohomish
During the 2nd breakout session at Edge of Amazing, LiveHealthy2020 Signatories came together to share results from the initiatives first year, unveiled online tools and maps and took a look ahead into 2017.
Allen Cheadle, Center for Community Health and Evaluation
Kathy Harvey, Puget Sound Kidney Centers
George Kosovich, Verdant Health Commission
Andrea Weiler, YMCA of Snohomish County
Health Datapalooza IV: June 3rd-4th, 2013
APPS EXPO LIVE DEMOS
Tuesday June 4, 2013 • 1:30pm - 5:00pm
Location: Ambassador Ballroom
Healthy Communities Institute’s web-based platform, the Healthy Communities Network (HCN),
is available for any community in the United States. The system pulls health data from national,
state, and local sources, and provides dashboards and interactive GIS maps as a front end to
help all stakeholders understand complex health data and see community “risk profiles.” Data
is continuously updated. Promising practices are linked to help people find evidence-based
interventions. HCI’s technology is an end-to-end solution for improving community health and
supports hospitals, health departments and coalitions with IRS 990 requirements, Public Health
Accreditation (PHAB), CHIP, SHIP, MAPP and Collective Impact planning.
Explore the measures and metrics that aided the Snohomish County Health Leadership Coalition, in their search of a Strategic Focus and how the LiveHealthy2020 initiative came to be. Consider the ways that Snohomish County can work together and measure their success of a Countywide scale.
Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter.
Population and Public Health Branch of Saskatoon Health Region deployed improvement methods to develop a comprehensive strategy to improve outcomes for small children ages 0 to 5. The Early Years Health and Development Strategy (EYHDS) team comprised of 5 front line staff and an improvement consultant worked intensively over three months (Feb, Mar, and April, 2012) to Define, Measure and Analyze the opportunity for improvement and generated 25 recommendations. The result was a set of related recommendations for health planners, governments and community organizations. The presentation will demonstrate how improvement methods can be used effectively in community based health promotion areas of health care.
Better Health
Mary Smillie; Dr. Julie Kryzanowski, Saskatoon Health Region
Presentation slides from the Hunter Institute's recent Youth Mental Health: Engaging Schools and Families event with professor Mark Weist. For more info visit www.himh.org.au
Innovations in Integrating Quality of Life Elements - 2020Jodi Rudick
Presented by Teresa Penbrooke, PhD, MAOM, CPRE Founder of GreenPlay, GP RED
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Understanding Culture, Faith and Diversity in Patient Care Management
Salt Lake Interfaith Roundtable
This session will explore the experiences of three members in our community with differing cultures, ethnicity and faith beliefs when seeking and receiving healthcare assistance. Discussion will include but not be limited to, applying for and receiving insurance coverage, making appointments, language and interpreter services, respect for cultural norms, understanding of medication regimes, follow up direction, and general courtesies extended when receiving care. Audience questions and participation is encouraged.
Presented at the 11th Annual HSR/ PCOR Conference: Partnering for Better Health: Bringing Utah's Patient Voices to Research 2016
Customizing End of Life Care: Believing the Bereaved
Antigone Kithas
Rachel Jaggi
Lisa Howell
Anna Beck
Presented at the 11th Annual HSR/ PCOR Conference: Partnering for Better Health: Bringing Utah's Patient Voices to Research 2016
VA Patients Perceptions Regarding Pragmatic Trials
Charlene Weir RN, PhD
Jorie Butler PhD
Bryan Gibson DPT, PhD
University of Utah
Presented at the 11th Annual HSR/ PCOR Conference: Partnering for Better Health: Bringing Utah's Patient Voices to Research 2016
A Community Centered Approach to the Development of a Comparative Effectiveness Research Question
Bryan Gibson DPT, PhD
Elisa Amador
Ana Sanchez Birkhead PhD
Nancy Allen APRN, PhD
University of Utah
Presented at the 11th Annual HSR/ PCOR Conference: Partnering for Better Health: Bringing Utah's Patient Voices to Research 2016
Patient and Caregiver Perspectives During Transitions of Surgical Care
Benjamin Brooke MD, PhD
Stacey L Slager MS
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University of Utah
Presented at the 11th Annual HSR/ PCOR Conference: Partnering for Better Health: Bringing Utah's Patient Voices to Research 2016
Calculation of a Surrogate Measure of Deprivation for use with Patient Centered Care Delivery
Brad Stephenson
Andrew J Knighton PhD, CPA
Lucy Savitz PhD, MBA
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Presented at the 11th Annual HSR/ PCOR Conference: Partnering for Better Health: Bringing Utah's Patient Voices to Research 2016
Quality Lowers Cost: The Cost Effectiveness of a Multicenter Treatment Bundle for Severe Sepsis and Septic Shock By: Lydia Dong MD, MS; Intermountain Healthcare - Intensive Medicine Clinical Programs
Presented at the 11th Annual HSR/ PCOR Conference: Partnering for Better Health: Bringing Utah's Patient Voices to Research 2016
Bringing Researchers, Families/ Patients, and Providers Together to Improve Asthma Care.
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Presented at the 11th Annual HSR/ PCOR Conference: Partnering for Better Health: Bringing Utah's Patient Voices to Research 2016
Patient Centered Outcomes Research: Perspectives from Patients, Providers, Health Care Systems, and Researchers
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The HER Salt Lake Community Engagement Studio Experience. By: HER Salt Lake Contraceptive Initiative; Division of Family Planning, University of Utah; Jessica Sanders (Presenter); David Turok
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The 10th Annual Utah Health Services Research Conference: A High-Quality Electronic Health Record and EDW: Tools to Eliminate Health Disparities. By: Carrie L. Byington, H.A. and Edna Benning Presidential Professor of Pediatrics Director, Utah Center for Clinical and Translational Science AVP Faculty and Academic Affairs, Health Sciences
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The 10th Annual Utah Health Services Research Conference: Clinical and Economic Impact of a Pharmacist-Led Diabetes Collaborative Drug Therapy Management Program in a Medicaid ACO Setting. By: Eman Biltaji; C McAdam Marx; M. Yoo; B. Jennings; J. Leiser - University of Utah College of Pharmacy
Health Services Research Conference: March 16, 2015
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Health Services Research Conference: March 16, 2015
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The 10th Annual Utah Health Services Research Conference: Recommendations for Transparent Reporting of Data Quality Assessment Results for Observational Healthcare Data By: Lucy A Savitz, Ph.D., MBA
Health Services Research Conference: March 16, 2015
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The 10th Annual Utah Health Services Research Conference: Iterative Development of Sepsis Detection Algorithms for the Emergency Department. By: Peter Haug - Intermountain Healthcare
Health Services Research Conference: March 16, 2015
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The 10th Annual Utah Health Services Research Conference: Gaps in Insurance Coverage for Pediatric Cancer Patients with Acute Lymphoblastic Leukemia. By: Rochelle Smits-Seemann, Ms; Aimee O. Hersh, MD; Mark N. Fluchel, MS; Kenneth M. Boucher, PhD; Anne C. Krichhoff, MPH, PhD
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More from Utah's Annual Health Services Research Conference (20)
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
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Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
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Health Education on prevention of hypertensionRadhika kulvi
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CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
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Diverse, Culturally-Based Community Organizations and Researchers Collaborating for Improved Health: An interactive discussion on how communities can work successfully with researchers
1. Diverse Culturally-Based Community Organizations and Researchers
Collaborating for Improved Health: An interactive discussion on how
Communities can Work Successfully with Researchers
A Community-Based Partnership to Reduce Health Disparities and
Promote Wellness in Diverse Women:
The Coalition for a Healthier Community (CHC) for Utah Women and Girls (UWAG)
on behalf of Community Faces of Utah and the Coalition
2. CHC- UWAG Partners
• Community Faces of Utah
– Best of Africa
– Calvary Baptist Church
– Hispanic Health Care Task Force
– Urban Indian Center
– National Tongan American Society
– University of Utah (C/E Team of the CCTS)
– Utah Department of Health
• University of Utah (COEWH and UWHC)
• Utah State University Extension Agents
3. Funding
• HHS Office on Women’s Health (OWH)
• Phase I: 1-year of funding for needs assessment and
planning
• Phase II: 5-years of funding for implementation and
evaluation of evidence-based intervention
4. Our intervention
• Community Wellness coaching program
– Co-developed by UWAG team, CFU leaders, CCTS
using CBPR and Individualized goal setting
– Motivational Interviewing: with individual goal
setting
– Practical strategies for healthy eating and active
living
– Group activities developed by each CFU
community
– Thinking holistically
• Coaches recruited by each community
– English, Spanish, Kirundi-speaking
5. OUR STUDY DESIGN
• Randomized Trial
– Participants recruited and coached by wellness
coaches from their own communities
• Is a COMMUNITY WELLNESS COACHING approach more
effective in decreasing obesity risk factors when
administered with monthly (high intensity) vs. 4 times per
year (low intensity) contacts?
• If so, does the improvement warrant the additional costs?
6. Implementation
• Questionnaire and protocols developed
• REDCap database developed
– 3 languages
– Coaching prompts
• CFU community leaders recruited community members to serve as coaches
• Coaches trained by UWAG staff
– HIPAA, CITI
– Wellness coaching
– Data collection
– REDCap
7. Data Collection
• Community Wellness Coaches collect study
data
– Relationship building is key!
• Interview questions about:
– Health knowledge and behaviors
– Perceived benefits and barriers
– Social Support
– Mental health
• Blood pressure, BMI, waist-to hip ratio
measured
• Goals set and progress tracked
8. STUDY PROGRESS
• Goals: 400 women enrolled in the program: 80
per community
– Completed Baseline Interviews: 500
– Completed 4-Month Interviews: 351
– Completed 8-Month Interviews: 308
– Completed 12-Month Interviews: 239
• Findings at 12 months: 70% successful (or
very successful with goals
• 8 months: improvement in depression
prevalence
10. 14%
20% 22%
0%
10%
20%
30%
40%
50%
60%
70%
Lost 5% or more of baseline weight
Changes in Weight between
Baseline and Follow-Up:
1 in 5 women lost 5% of baseline weight by 12 months!
Baseline to 4 Months Baseline to 8 Months Baseline to 12 Months
11. Examples of Cost Effectiveness Ratio for
Physical Activity Intervention Programs
Study Cost-Effectiveness Ratio
Reger (2002) $14,286
Lombard (1995) $27,373
Linenger (1991) $28,548
UWAG $29,146
Jeffery (1998) $29,759
Kriska (1986) $39,690
Knowler (1992) $46,914
Young (1996) $68,557
Source: Roux et al., 2008
12. LESSONS LEARNED
• Takes time to build relationships
(5 year grant)
• Bidirectional learning in everything we
do
• Put your ego aside
• Work together to solve problems
• Need face to face, phone—don’t rely
on email
• Information must go back to
community
• Collaborate on presentations, posters,
publications
13.
14. Thanks TO:
• Best of Africa
– Valentine Mukundente, Esperance Rugamwa
• Calvary Baptist Church
– Pastor France A. Davis, Doriena Lee, Patricia
Otiede, Cathy Wolfsfeld
• Hispanic Health Care Task
Force
– Sylvia Rickard; Dee Dee Labato, Jeannette
Villalta, Natalie Gutierrezs, Ana Sanchez-
Birkhead
• National Tongan American
Society
– Fahina Tavake-Pasi, Ivoni Nash, Edris Netzler
Aiono, Se Toki
• Urban Indian Center
– Ed Napia, Penelope Pinnecoose
• Utah Department of Health
– Brenda Ralls
– Kathryn Rowley
– Kalynn Fillion
• University of Utah
– Kathleen Digre—Co-PI
– Sara Simonson – Co-PI
– Leanne Johnston
– Patricia Eisenman
– Normal Waitzman
– Cathleen Zick
– Iris Buder
– Janet Shaw
– Michael Varner
– Jenny Hoggard
– Grant Sunada, Jamie Prevedel, Julia Webber
• CCTS
– Heather Coulter
– Stephen Alder
– Louisa Stark
– Bernie LaSalle