1
|
Noel NL, Abrams J, Mudafort ER, Babu A, Forbes E, Hill L, Hill CC, Valbrun TG, Osian N, Wise LA, Kuohung W. Study protocol for the implementation of Centering Patients with Fibroids, a novel group education and empowerment program for patients with symptomatic uterine fibroids. Reprod Health 2024; 21:41. [PMID: 38561795 PMCID: PMC10983732 DOI: 10.1186/s12978-024-01777-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2024] [Accepted: 03/16/2024] [Indexed: 04/04/2024] Open
Abstract
BACKGROUND Black women and people with uteri have utilized collectivistic and relational practices to improve health outcomes in the face of medical racism and discrimination for decades. However, there remains a need for interventions to improve outcomes of uterine fibroids, a condition that disproportionately impacts Black people with uteri. Leveraging personalized approaches alongside evidence that demonstrates the positive impact of social and peer support on health outcomes, we adapted from CenteringPregnancy, an evidence based group prenatal care intervention, for the education and empowerment of patients with uterine fibroids. METHODS The present report provides an overview of the study design and planned implementation of CPWF in cohorts at Boston Medical Center and Emory University / Grady Memorial Hospital. After receiving training from the Centering Healthcare Institute (CHI), we adapted the 10-session CenteringPregnancy curriculum to an 8-session hybrid group intervention called Centering Patients with Fibroids (CPWF). The study began in 2022 with planned recruitment of six cohorts of 10-12 participants at each institution. We will conduct a mixed methods evaluation of the program using validated survey tools and qualitative methods, including focus groups and 1:1 interviews. DISCUSSION To date, we have successfully recruited 4 cohorts at Boston Medical Center and are actively implementing BMC Cohort 5 and the first cohort at Emory University / Grady Memorial Hospital. Evaluation of the program is forthcoming.
Collapse
Affiliation(s)
- Nyia L Noel
- Department of Obstetrics & Gynecology, Chobanian and Avedisian School of Medicine, Boston University, Boston Medical Center, Boston, MA, USA.
| | - Jasmine Abrams
- Yale School of Public Health, Yale University, New Haven, CT, USA
| | - Estefania Rivera Mudafort
- Department of Obstetrics & Gynecology, Chobanian and Avedisian School of Medicine, Boston University, Boston Medical Center, Boston, MA, USA
| | - Anagha Babu
- Yale School of Public Health, Yale University, New Haven, CT, USA
| | - Emma Forbes
- Department of Obstetrics & Gynecology, Chobanian and Avedisian School of Medicine, Boston University, Boston Medical Center, Boston, MA, USA
| | | | - Cherie C Hill
- Department of Obstetrics and Gynecology, Emory University School of Medicine, Atlanta, GA, USA
| | | | - Nkem Osian
- The White Dress Project, Atlanta, GA, USA
| | - Lauren A Wise
- Department of Epidemiology, Boston University School of Public Health, Boston, MA, USA
| | - Wendy Kuohung
- Department of Obstetrics & Gynecology, Chobanian and Avedisian School of Medicine, Boston University, Boston Medical Center, Boston, MA, USA
| |
Collapse
|
2
|
Culyba AJ, Fleegler EW, Pratt AH, Lee LK. Violence Prevention in Pediatrics: Advocacy and Legislation. Pediatr Clin North Am 2023; 70:1225-1238. [PMID: 37865442 DOI: 10.1016/j.pcl.2023.06.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2023]
Abstract
Given the complexities of youth violence prevention and longstanding violence inequities, advocacy by pediatric clinicians provides a critical voice to represent youth at multiple levels to address the myriad contributors and effects of youth violence. Institutional, community, state, and federal programs, policies, and legislation are required to support a public health approach to the amelioration of youth violence. This article focuses on the role of pediatric clinicians in advocating for youth and families, promoting change within clinical and hospital systems, partnering with communities to advance evidence-informed prevention and intervention, and legislative advocacy to advance violence prevention policy, research, and practice.
Collapse
Affiliation(s)
- Alison J Culyba
- Division of Adolescent and Young Adult Medicine, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, 120 Lytton Avenue, Suite 302, Pittsburgh, PA 15217, USA.
| | - Eric W Fleegler
- Division of Emergency Medicine, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA
| | - Abdullah H Pratt
- Section of Emergency Medicine, The University of Chicago Medical Center, 5841 South Maryland Avenue, Chicago, IL 60637, USA
| | - Lois K Lee
- Division of Emergency Medicine, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA
| |
Collapse
|
3
|
Klein S, Eaton KP, Bodnar BE, Keller SC, Helgerson P, Parsons AS. Transforming Health Care from Volume to Value: Leveraging Care Coordination Across the Continuum. Am J Med 2023; 136:985-990. [PMID: 37481020 DOI: 10.1016/j.amjmed.2023.06.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Revised: 06/26/2023] [Accepted: 06/26/2023] [Indexed: 07/24/2023]
Affiliation(s)
- Sharon Klein
- Department of Medicine, New York University Langone Health, New York
| | - Kevin P Eaton
- Department of Medicine, New York University Langone Health, Brooklyn
| | - Benjamin E Bodnar
- Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Md
| | - Sara C Keller
- Department of Medicine, Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, Md
| | - Paul Helgerson
- Department of Medicine, University of Virginia School of Medicine, Charlottesville
| | - Andrew S Parsons
- Department of Medicine, University of Virginia School of Medicine, Charlottesville.
| |
Collapse
|
4
|
Abstract
This article brings together several disparate frameworks to help outline a needed shift in pediatric practice to ensure child health equity. That shift involves moving from a commitment to equal care delivery to an explicit commitment to equitable health outcomes. The frameworks describe (1) the distinct domains of child health where inequity can be expressed, (2) the shortfalls of equal care delivery in meeting that promise, (3) a coherent typology of the barriers that drive health inequity and (4) a characterization of interventions as downstream, midstream, and upstream in nature.
Collapse
Affiliation(s)
- Robert S Kahn
- University of Cincinnati, Michael Fisher Child Health Equity Center, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229-3026, USA.
| | - Tina L Cheng
- University of Cincinnati, Cincinnati Children's Research Foundation, Cincinnati Children's Hospital Medical Center, Michael Fisher Child Health Equity Center, 3333 Burnet Avenue MLC 3106, Cincinnati, OH 45229-3026, USA
| | - Monica J Mitchell
- Division of Behavioral Medicine and Clinical Psychology, University of Cincinnati; Community Relations, Center for Clinical and Translational Science and Training, Community Engagement, Michael Fisher Child Health Equity Center, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue MLC 3015, Cincinnati, OH 45229-3026, USA
| |
Collapse
|
5
|
Bassler JR, Cagle I, Crear D, Kay ES, Long DM, Mugavero MJ, Nassel AF, Ostrenga L, Parman M, Preg S, Wang X, Batey DS, Rana A, Levitan EB. Development and implementation of a distributed data network between an academic institution and state health departments to investigate variation in time to HIV viral suppression in the Deep South. BMC Public Health 2023; 23:937. [PMID: 37226199 DOI: 10.1186/s12889-023-15924-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Accepted: 05/18/2023] [Indexed: 05/26/2023] Open
Abstract
BACKGROUND Achieving early and sustained viral suppression (VS) following diagnosis of HIV infection is critical to improving outcomes for persons with HIV (PWH). The Deep South of the United States (US) is a region that is disproportionately impacted by the domestic HIV epidemic. Time to VS, defined as time from diagnosis to initial VS, is substantially longer in the South than other regions of the US. We describe the development and implementation of a distributed data network between an academic institution and state health departments to investigate variation in time to VS in the Deep South. METHODS Representatives of state health departments, the Centers for Disease Control and Prevention (CDC), and the academic partner met to establish core objectives and procedures at the beginning of the project. Importantly, this project used the CDC-developed Enhanced HIV/AIDS Reporting System (eHARS) through a distributed data network model that maintained the confidentiality and integrity of the data. Software programs to build datasets and calculate time to VS were written by the academic partner and shared with each public health partner. To develop spatial elements of the eHARS data, health departments geocoded residential addresses of each newly diagnosed individual in eHARS between 2012-2019, supported by the academic partner. Health departments conducted all analyses within their own systems. Aggregate results were combined across states using meta-analysis techniques. Additionally, we created a synthetic eHARS data set for code development and testing. RESULTS The collaborative structure and distributed data network have allowed us to refine the study questions and analytic plans to conduct investigations into variation in time to VS for both research and public health practice. Additionally, a synthetic eHARS data set has been created and is publicly available for researchers and public health practitioners. CONCLUSIONS These efforts have leveraged the practice expertise and surveillance data within state health departments and the analytic and methodologic expertise of the academic partner. This study could serve as an illustrative example of effective collaboration between academic institutions and public health agencies and provides resources to facilitate future use of the US HIV surveillance system for research and public health practice.
Collapse
Affiliation(s)
- John R Bassler
- Department of Biostatistics, University of Alabama at Birmingham, Birmingham, AL, USA.
| | - Izza Cagle
- Office of HIV Prevention and Care, Alabama Department of Public Health, Montgomery, AL, USA
| | - Danita Crear
- Vaccine-Preventable Diseases and Immunization Program, Tennessee Department of Health, Union City, TN, USA
| | - Emma S Kay
- Magic City Research Institute, Birmingham AIDS Outreach, Birmingham, AL, USA
| | - Dustin M Long
- Department of Biostatistics, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Michael J Mugavero
- Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Ariann F Nassel
- University of Alabama at Birmingham, Lister Hill Center for Health Policy, Birmingham, AL, USA
| | | | - Mariel Parman
- Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Summer Preg
- Office of HIV Prevention and Care, Alabama Department of Public Health, Montgomery, AL, USA
| | - Xueyuan Wang
- STD/HIV Office, Mississippi State Department of Health, Jackson, MS, USA
| | - D Scott Batey
- School of Social Work, Tulane University, New Orleans, LA, USA
| | - Aadia Rana
- Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Emily B Levitan
- Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, USA
| |
Collapse
|
6
|
Wine O, McNeil D, Kromm SK, Foss K, Caine V, Clarke D, Day N, Johnson DW, Rittenbach K, Wood S, Hicks M. The Alberta Neonatal Abstinence Syndrome Mother-Baby Care ImprovEmeNT (NASCENT) program: protocol for a stepped wedge cluster randomized trial of a hospital-level Neonatal Abstinence Syndrome rooming-in intervention. BMC Health Serv Res 2023; 23:448. [PMID: 37149626 PMCID: PMC10164330 DOI: 10.1186/s12913-023-09440-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2023] [Accepted: 04/24/2023] [Indexed: 05/08/2023] Open
Abstract
BACKGROUND Neonatal Abstinence Syndrome (NAS), a problem common in newborns exposed to substances in-utero, is an emerging health concern. In traditional models of care, infants with NAS are routinely separated from their mothers and admitted to the Neonatal Intensive Care Unit (NICU) with long, expensive length of stay (LOS). Research shows a rooming-in approach (keeping mothers and infants together in hospital) with referral support is a safe and effective model of care in managing NAS. The model's key components are facilitating 24-h care by mothers on post-partum or pediatric units with support for breastfeeding, transition home, and access to Opioid Dependency Programs (ODP). This study will implement the rooming-in approach at eight hospitals across one Canadian Province; support practice and culture shift; identify and test the essential elements for effective implementation; and assess the implementation's impact/outcomes. METHODS A stepped wedge cluster randomized trial will be used to evaluate the implementation of an evidence-based rooming-in approach in the postpartum period for infants born to mothers who report opioid use during pregnancy. Baseline data will be collected and compared to post-implementation data. Six-month assessment of maternal and child health and an economic evaluation of cost savings will be conducted. Additionally, barriers and facilitators of the rooming-in model of care within the unique context of each site and across sites will be explored pre-, during, and post-implementation using theory-informed surveys, interviews, and focus groups with care teams and parents. A formative evaluation will examine the complex contextual factors and conditions that influence readiness and sustainability and inform the design of tailored interventions to facilitate capacity building for effective implementation. DISCUSSION The primary expected outcome is reduced NICU LOS. Secondary expected outcomes include decreased rates of pharmacological management of NAS and child apprehension, increased maternal ODP participation, and improved 6-month outcomes for mothers and infants. Moreover, the NASCENT program will generate the detailed, multi-site evidence needed to accelerate the uptake, scale, and spread of this evidence-based intervention throughout Alberta, leading to more appropriate and effective care and use of healthcare resources. TRIAL REGISTRATION ClinicalTrials.gov, NCT0522662. Registered February 4th, 2022.
Collapse
Affiliation(s)
- Osnat Wine
- Department of Pediatrics, Division of Neonatal-Perinatal Care, College of Health Sciences, Faculty of Medicine & Dentistry, University of Alberta, Edmonton Clinic Health Academy, 11405-87 Ave., Edmonton, AB, T6G 1C9, Canada
- Maternal Newborn Child & Youth Strategic Clinical Network, Alberta Health Services, Calgary, Canada
| | - Deborah McNeil
- Maternal Newborn Child & Youth Strategic Clinical Network, Alberta Health Services, Calgary, Canada
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
| | - Seija K Kromm
- Maternal Newborn Child & Youth Strategic Clinical Network, Alberta Health Services, Calgary, Canada
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
| | - Karen Foss
- Stollery, Edmonton, Alberta Health Services, Edmonton, AB, Canada
| | - Vera Caine
- University of Victoria, Victoria, BC, Canada
| | - Denise Clarke
- Stollery, Edmonton, Alberta Health Services, Edmonton, AB, Canada
| | | | - David W Johnson
- Departments of Pediatrics, Emergency Medicine and Physiology and Pharmacology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
| | | | - Stephen Wood
- Department of Obstetrics & Gynecology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
| | - Matt Hicks
- Department of Pediatrics, Division of Neonatal-Perinatal Care, College of Health Sciences, Faculty of Medicine & Dentistry, University of Alberta, Edmonton Clinic Health Academy, 11405-87 Ave., Edmonton, AB, T6G 1C9, Canada.
| |
Collapse
|
7
|
Walker DM, Garner JA, Hefner JL, Headings A, Jonas DE, Clark A, Bose-Brill S, Nawaz S, Seiber E, McAlearney AS, Brock G, Zhao S, Reopell L, Coovert N, Shrodes JC, Spees C, Sieck CJ, Di Tosto G, DePuccio M, Williams A, Hoseus J, Baker C, Brown MM, Joseph JJ. Rationale and design of the linking education, produce provision, and community referrals to improve diabetes care (LINK) study. Contemp Clin Trials 2023; 130:107212. [PMID: 37121390 DOI: 10.1016/j.cct.2023.107212] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2023] [Revised: 04/21/2023] [Accepted: 04/27/2023] [Indexed: 05/02/2023]
Abstract
BACKGROUND Individuals with type 2 diabetes (T2D) experiencing food insecurity may have other non-medical, health-related social needs (e.g., transportation, housing instability) that decrease their ability to attain T2D control and impact other health outcomes. METHODS A pragmatic randomized controlled trial (pRCT) to test the effect of produce provision, diabetes and culinary skills training and education, and social needs screening, navigation, and resolution, on hemoglobin A1c (A1c) levels in individuals with T2D (A1c ≥7.5%) experiencing food insecurity; a cost-effectiveness evaluation of the interventions that comprise the pRCT; and a process evaluation to understand the contextual factors that impact the uptake, effectiveness, and sustainability of the interventions. SETTING Ambulatory care clinics (e.g., family medicine, general internal medicine, endocrinology) affiliated with an academic medical center in an urban environment in the Midwest. DESIGN 2 × 2 factorial design. INTERVENTIONS Cooking Matters for Diabetes is a 6-week diabetes and culinary education intervention. The Health Impact Ohio Central Ohio Pathways Hub intervention is a community health worker model designed to evaluate and address participants' social needs. All participants will receive referral to the Mid-Ohio Farmacy to provide weekly access to fresh produce. OUTCOMES Primary outcome of the pRCT is change in A1c at 3 months; secondary outcomes include A1c at 6 months, and diabetes self-efficacy, food insecurity, and diet quality at 3 and 6 months. DISCUSSION Food insecurity, unmet social needs, diabetes education and self-efficacy are critical issues that must be addressed to improve T2D treatment, care, and health equity. CLINICALTRIALS gov: NCT05472441.
Collapse
Affiliation(s)
- Daniel M Walker
- The Ohio State University College of Medicine, Columbus, OH, United States of America.
| | - Jennifer A Garner
- The School of Health and Rehabilitation Sciences, The Ohio State University College of Medicine, Columbus, OH, United States of America; The John Glenn College of Public Affairs, The Ohio State University, Columbus, OH, United States of America
| | - Jennifer L Hefner
- The Ohio State University College of Public Health, Columbus, OH, United States of America
| | - Amy Headings
- The Mid-Ohio Food Collective, Columbus, OH, United States of America
| | - Daniel E Jonas
- The Ohio State University College of Medicine, Columbus, OH, United States of America
| | - Aaron Clark
- The Ohio State University College of Medicine, Columbus, OH, United States of America
| | - Seuli Bose-Brill
- The Ohio State University College of Medicine, Columbus, OH, United States of America
| | - Saira Nawaz
- The Ohio State University College of Public Health, Columbus, OH, United States of America
| | - Eric Seiber
- The Ohio State University College of Public Health, Columbus, OH, United States of America
| | - Ann Scheck McAlearney
- The Ohio State University College of Medicine, Columbus, OH, United States of America
| | - Guy Brock
- The Ohio State University College of Medicine, Columbus, OH, United States of America
| | - Songzhu Zhao
- The Ohio State University College of Medicine, Columbus, OH, United States of America
| | - Luiza Reopell
- The Ohio State University College of Medicine, Columbus, OH, United States of America
| | - Nicolette Coovert
- The Ohio State University College of Medicine, Columbus, OH, United States of America
| | - Jennifer C Shrodes
- The Ohio State University College of Medicine, Columbus, OH, United States of America
| | - Colleen Spees
- The Ohio State University College of Medicine, Columbus, OH, United States of America; The School of Health and Rehabilitation Sciences, The Ohio State University College of Medicine, Columbus, OH, United States of America
| | - Cynthia J Sieck
- Dayton Children's Hospital Center for Health Equity, Dayton, OH, United States of America
| | - Gennaro Di Tosto
- The Ohio State University College of Medicine, Columbus, OH, United States of America
| | - Matthew DePuccio
- The Ohio State University College of Medicine, Columbus, OH, United States of America
| | - Amaris Williams
- The Ohio State University College of Medicine, Columbus, OH, United States of America
| | - Jenelle Hoseus
- Health Impact Ohio, Columbus, OH, United States of America
| | - Carrie Baker
- Health Impact Ohio, Columbus, OH, United States of America
| | | | - Joshua J Joseph
- The Ohio State University College of Medicine, Columbus, OH, United States of America
| |
Collapse
|
8
|
Jenkins C. ASOC Osuntokun Award Lecture 2022: Partnership for stroke prevention and treatment in Africa: Qualitative research processes and findings. J Stroke Cerebrovasc Dis 2023; 32:107060. [PMID: 36870865 DOI: 10.1016/j.jstrokecerebrovasdis.2023.107060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Revised: 02/17/2023] [Accepted: 02/20/2023] [Indexed: 03/06/2023] Open
Abstract
BACKGROUND/OBJECTIVES Africa has one of the highest rates of stroke and stroke deaths in the world. The burden of stroke is increasing with a 3-year mortality rate of up to 84%. Stroke disproportionately affects the young and middle-aged population contributing to morbidity and mortality affecting families, communities, health systems, and economic progress. My objectives of the 2022 Osuntokun Award Lecture at the African Stroke Organization Conference were to explore our qualitative research findings from our communities and to propose future qualitative methods for improving stroke outcomes in Africa. METHODS Qualitative research processes and findings related to stroke prevention, treatment/ongoing care, recovery, and knowledge and attitudes influencing ethical, legal and social implications related to stroke neuro-biobanking were explored. For each qualitative study, methods were developed by the research team including: (1) plans to implement aims and ethics review; (2) guides and detailed steps for implementation; (3) training for team; (4) pilot testing, data collection, transport, transcription, storage; (5) data analysis and manuscript development. RESULTS The research focused on genetics, genomics and phenomics of stroke and more recently on exploring the ethical, legal, and social implications of stroke neuro-biobanking. All included a qualitative component to obtain input and guidance from the community. As in quantitative research, questions were developed by the research team, reviewed for clarity by a small group of community members, and 1,289 community members (ages 22-85) participated in the focus groups and key informant interviews from 2014 through 2022. Answers to questions were diverse with some knowledgeable about the science of stroke prevention and treatment, but many had ideas about prevention and causes of stroke that were not supported by science and many reported using traditional healers for treatment and religious beliefs preventing brain biobanking. CONCLUSIONS In addition to our current qualitative research related to stroke in Africa and beyond, we must form research partnerships with communities that not only answer researchers' and community members' questions but identify and implement ways to prevent stroke and improve stroke outcomes.
Collapse
Affiliation(s)
- Carolyn Jenkins
- Professor Emerita and Ann Darlington Edwards Endowed Chair, Associate Dean for Research (retired) College of Nursing, Medical University of South Carolina, 1019 Casseque Province, Mount Pleasant, Charleston, SC 29464, USA.
| |
Collapse
|
9
|
Irvin R, Venkataramani M, Galiatsatos P, Hitchcock JD, Hemphill N, Dearey M, Bigelow BF, Cooper LA, Molello NE, O'Conor KJ, Page KR, Golden SH. A Path Forward: COVID-19 Vaccine Equity Community Education and Outreach Initiative. Health Secur 2023; 21:85-94. [PMID: 36791317 PMCID: PMC10079247 DOI: 10.1089/hs.2022.0096] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Revised: 10/28/2022] [Accepted: 11/29/2022] [Indexed: 02/17/2023] Open
Abstract
COVID-19 vaccines offer hope to end the COVID-19 pandemic. In this article, we document key lessons learned as we continue to confront COVID-19 variants and work to adapt our vaccine outreach strategies to best serve our community. In the fall of 2020, the Office of Diversity, Inclusion and Health Equity at Johns Hopkins Medicine, in collaboration with the Office of Government and Community Affairs for Johns Hopkins University and Medicine, established the COVID-19 Vaccine Equity Community Education and Outreach Initiative in partnership with faith and community leaders, local and state government representatives, and community-based organizations. Working with community and government partnerships established before COVID-19 enabled our team to quickly build infrastructure focused on COVID-19 vaccine education and equity. These partnerships resulted in the development and implementation of web-based educational content, major culturally adapted media campaigns (reaching more than 200,000 individuals), community and faith education outreach, youth-focused initiatives, and equity-focused mobile vaccine clinics. The community mobile vaccine clinics vaccinated over 3,000 people in the first 3 months. Of these, 90% identified as persons of color who have been disproportionately impacted during the COVID-19 pandemic. Academic-government-community partnerships are vital to ensure health equity. Community partnerships, education events, and open dialogues were conducted between the community and medical faculty. Using nontraditional multicultural media venues enabled us to reach many community members and facilitated informed decisionmaking. Additionally, an equitable COVID-19 vaccine policy requires attention to vaccine access as well as access to sound educational information. Our initiative has been thoughtful about using various types of vaccination sites, mobile vaccine units, and flexible hours of operation.
Collapse
Affiliation(s)
- Risha Irvin
- Risha Irvin, MD, MPH, is Associate Vice Chair for Diversity, Equity, and Inclusion, Department of Medicine; and Associate Professor, Division of Infectious Diseases; Johns Hopkins University School of Medicine, Baltimore, MD
| | - Maya Venkataramani
- Maya Venkataramani, MD, MPH, is an Assistant Professor, Division of General Internal Medicine of Medicine and Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD
| | - Panagis Galiatsatos
- Panagis Galiatsatos, MD, MHS, is Co-Director, Medicine for the Greater Good, and an Assistant Professor, Division of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD
| | - Jeanne D. Hitchcock
- Jeanne D. Hitchcock, JD, is Special Advisor to the Vice President for Local Government, Community, and Corporate Affairs; Johns Hopkins Local Government and Community Affairs, Johns Hopkins University and Medicine, Baltimore, MD
| | - Nondie Hemphill
- Nondie Hemphill, JD, is Associate Director, Johns Hopkins Local Government and Community Affairs, Johns Hopkins University and Medicine, Baltimore, MD
| | - Margaret Dearey
- Margaret Dearey, MHS, is a Research Program Coordinator, Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, MD
| | - Benjamin F. Bigelow
- Benjamin F. Bigelow is Director, COVID-19 Mobile Vaccine Team, Johns Hopkins Health System, Baltimore, MD
| | - Lisa A. Cooper
- Lisa A. Cooper, MD, MPH, is a Bloomberg Distinguished Professor, Equity in Health and Healthcare, Department of Health, Behavior, and Society; Director, Johns Hopkins Center for Health Equity; and Director, Johns Hopkins Urban Health Institute; all at the Johns Hopkins Bloomberg School of Public Health. She is also the James F. Fries Professor of Medicine, Division of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD
| | - Nancy Edwards Molello
- Nancy Edwards Molello, MSB, is Program Director, Operations and Strategic Initiatives, Johns Hopkins Center for Health Equity, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
| | - Katie J. O'Conor
- Katie J O'Conor, MD, is Faculty and Chief Diversity Officer, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD
| | - Kathleen R. Page
- Kathleen R. Page, MD, is an Associate Professor, Division of Infectious Diseases, and Co-Director, Center for Salud/Health and Opportunities for Latinos, Johns Hopkins University School of Medicine, Baltimore, MD
| | - Sherita H. Golden
- Sherita H. Golden, MD, MHS, is Vice President and Chief Diversity Officer, Johns Hopkins Medicine; and Hugh P. McCormick Family Professor of Endocrinology and Metabolism, Johns Hopkins Division of Endocrinology, Diabetes, and Metabolism, Johns Hopkins University School of Medicine, Baltimore, MD
| |
Collapse
|
10
|
Pulliam K, Gardner D, Edmunds P, Moody S, Aldridge N, Lyons S, Jenkins T, Kotagal M, Brown RL, Falcone RA. Partnering with high-risk communities to successfully reduce pediatric injury over time. J Pediatr Surg 2022:S0022-3468(22)00777-1. [PMID: 36670000 DOI: 10.1016/j.jpedsurg.2022.12.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2022] [Revised: 12/01/2022] [Accepted: 12/12/2022] [Indexed: 12/23/2022]
Abstract
PURPOSE Injury is the leading cause of childhood morbidity and mortality. Injury prevention (IP) initiatives are often created in isolation from the communities most affected. We hypothesized that the use of a comprehensive approach to injury prevention through community partnerships will result in a measurable reduction in pediatric injuries. METHODS The IP program at our free-standing level 1 pediatric trauma center developed partnerships within eight targeted high-risk communities. IP coordinators and community partners implemented programs driven by community-specific injury data and community input. Programs focused on home, bike, playground, pedestrian, and child passenger safety. Program components included in-home education with free safety equipment and installation; free bike helmet fittings and distribution; community playground builds; and car seat classes with education, free car seat distribution and installation. Using trauma registry data, we compared injuries rates in targeted communities with non-intervention communities county-wide over an eight-year period. RESULTS Between 2012 and 2019, nearly 4000 families received home safety equipment and education through community partnerships. Approximately 2000 bike helmets, 900 car/booster seats, in addition to safety messages and education were provided across the intervention communities. Over this 8-year time period, the injury rates significantly decreased by 28.4%, across the eight targeted high-risk communities, compared to a 10.9% reduction in non-intervention communities across the county. CONCLUSIONS Effective injury prevention can be achieved through partnerships, working in solidarity with community members to address actual areas of concern to them. Sharing data, seeking ongoing community input, continuously reviewing learnings, and implementing identified changes are crucial to the success of such partnerships. LEVEL OF EVIDENCE Level III.
Collapse
Affiliation(s)
- Kasiemobi Pulliam
- Department of Surgery, University of Cincinnati College of Medicine, 3230 Eden Avenue, Cincinnati 45267, OH, USA.
| | - Dawne Gardner
- Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center 3333 Burnet Avenue, Cincinnati 45229, OH, USA
| | - Patrick Edmunds
- Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center 3333 Burnet Avenue, Cincinnati 45229, OH, USA
| | - Suzanne Moody
- Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center 3333 Burnet Avenue, Cincinnati 45229, OH, USA
| | - Nichole Aldridge
- Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center 3333 Burnet Avenue, Cincinnati 45229, OH, USA
| | - Stephanie Lyons
- Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center 3333 Burnet Avenue, Cincinnati 45229, OH, USA
| | - Todd Jenkins
- Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center 3333 Burnet Avenue, Cincinnati 45229, OH, USA
| | - Meera Kotagal
- Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center 3333 Burnet Avenue, Cincinnati 45229, OH, USA
| | - Rebeccah L Brown
- Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center 3333 Burnet Avenue, Cincinnati 45229, OH, USA
| | - Richard A Falcone
- Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center 3333 Burnet Avenue, Cincinnati 45229, OH, USA
| |
Collapse
|
11
|
Shi M, Stey A, Tatebe LC. Recognizing and Breaking the Cycle of Trauma and Violence Among Resettled Refugees. Curr Trauma Rep 2021;:1-9. [PMID: 34804764 DOI: 10.1007/s40719-021-00217-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/21/2021] [Indexed: 10/25/2022]
Abstract
Purpose of Review The number of refugees across the globe continues to grow, leaving a large proportion of the global population in a vulnerable state of health. However, the number of robust clinical interventions has not kept apace. This paper provides a general review of literature on the trauma and violence that refugees face, the impact on health outcomes, and some of the promising models for clinical intervention. Recent Findings Refugees experience a cycle of trauma, violence, and distress that begins before migration and continues during migration and after resettlement. It has been challenging to develop robust clinical interventions due to the cumulative and cyclic effects of trauma, as well as the unique experiences of trauma that each refugee community and each refugee individual faces. Summary Trauma-informed care is a critical component of health care. Developing stronger guidelines for trauma-informed care will help clinicians better provide inclusive and equitable care for refugee patients.
Collapse
|
12
|
Kiles TM, Patel K, Aghagoli A, Spivey CA, Chisholm-Burns M, Hohmeier KC. A community-based partnership collaborative practice agreement project to disseminate and implement evidence-based practices in community pharmacy. Curr Pharm Teach Learn 2021; 13:1522-1528. [PMID: 34799069 DOI: 10.1016/j.cptl.2021.09.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/25/2020] [Revised: 06/02/2021] [Accepted: 09/14/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND AND PURPOSE The objective of this study is to explore the impact of an educational intervention including (1) collaborative practice agreement (CPA)-focused lecture and (2) a student project in partnership with a community-based pharmacy on dissemination and implementation of CPAs in community pharmacy practice. EDUCATIONAL ACTIVITY AND SETTING A CPA-focused classroom lecture and related project were given to five sequential years of second-year pharmacy students enrolled in a community pharmacy elective course. Community pharmacist feedback provided at the completion of the project was compared to present-day data collected via telephone survey. Responses for each survey question were summarized using frequencies, and chi-square analysis was conducted to assess the association between pharmacist perceptions at the time of the project vs. the present day. FINDINGS Forty-seven projects representing 47 unique CPAs were completed over five sequential years of the course. The most commonly targeted disease states by CPAs were influenza/streptococcus pharyngitis (25.5%), therapeutic interchange (6.4%), oral contraceptives (6.4%), and tobacco cessation (6.4%). Pharmacists noted that students facilitated their progress toward CPA implementation by serving as a means for CPA law education (23.4%) and by saving time in CPA development (12.8%). SUMMARY This study demonstrated that a student project partnering with a local community pharmacy improved knowledge dissemination but did not have any direct impact on implementation of CPAs in a community pharmacy. However, students may have a role in dissemination and implementation of evidence-based practices, such as CPAs, when appropriately matched to setting-specific implementation barriers.
Collapse
Affiliation(s)
- Tyler M Kiles
- University of Tennessee Health Science Center (UTHSC), College of Pharmacy, 881 Madison Ave., Suite 581, Memphis, TN 38163, United States.
| | - Komal Patel
- University of Tennessee Health Science Center (UTHSC), College of Pharmacy, 881 Madison Ave., Suite 581, Memphis, TN 38163, United States.
| | - Amir Aghagoli
- University of Tennessee Health Science Center (UTHSC), College of Pharmacy, 881 Madison Ave., Suite 581, Memphis, TN 38163, United States.
| | - Christina A Spivey
- UTHSC, College of Pharmacy, 881 Madison Ave., Suite 258, Memphis, TN 38163, United States
| | - Marie Chisholm-Burns
- College of Pharmacy, Surgery, College of Medicine, UTHSC, 881 Madison Ave., Ste. 264, Memphis, TN 38163, United States
| | - Kenneth C Hohmeier
- Community Affairs, PGY1 Community Pharmacy Residency Program, UTHSC, 301 S. Perimeter Park Dr., Suite 220, Nashville, TN 37211, United States.
| |
Collapse
|
13
|
Hall MB, Winterbauer NL, Klinger C, Tucker-McLaughlin M, Rafferty A, Greene G, Dodson S. The Creation of a Program of Engagement and Outreach for COVID-19 Among African Americans Through Community-Academic Partnerships. J Community Health 2021. [PMID: 34057689 DOI: 10.1007/s10900-021-01008-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/25/2021] [Indexed: 12/04/2022]
Abstract
The COVID-19 pandemic has disproportionately affected racial and ethnic minority groups in the U.S. Over a 7-week period in late 2020, with funding from the NC Office of Minority Health and Health Disparities, the West Greenville Health Council (WGHC), a community-academic, non-profit partnership, engaged and activated a 27-member organizational partnership network for COVID-19 health communication and personal protective equipment (PPE) distribution in African American communities in Eastern North Carolina. Outreach included: local production and dissemination of 10 culturally relevant safety videos, 10 risk, prevention, and safety postcard messages, 3 virtual forums, and PPE kit distribution via the network and their distribution venues. Communication mediums included social media posts (i.e., Facebook and YouTube), network email distribution lists, and postcards distributed along with PPE kits. Outreach activities were evaluated via an online survey, reach of social media posts, and PPE distribution. Working through the organizational network, the WGHC reached a combined total of 30,310 community members with educational materials. Forty-four outreach events were held during this period and over 8000 PPE kits were distributed. The online survey, distributed through the network, yielded more than 400 completed questionnaires. This tool was used to gain insights on community perceptions of COVID-19 safety barriers and media messages. The activation of the network as an approach for rapid response to an emerging public health crisis greatly expanded the reach of the WGHC. The WGHC is working to institutionalize the network to address future emerging health threats, as well as the dissemination of health information more generally.
Collapse
|
14
|
Schmotzer G, Kohlbry P, Strehlow K, Rist E, Bales K, Foe M, Yasmashita R, Yu J. Development of a community outreach project: An interprofessional partnership for thalassemia families guided by nursing students. Nurse Educ Pract 2021; 53:103075. [PMID: 33991967 DOI: 10.1016/j.nepr.2021.103075] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2020] [Revised: 02/26/2021] [Accepted: 04/27/2021] [Indexed: 11/18/2022]
Abstract
Children with chronic illnesses have improved physiological and psychosocial outcomes when they are able to identify and converse with others who experience the same challenges. Support groups are one way to enhance this interaction. To facilitate this process, student nurses worked with an interprofessional healthcare team, thalassemia patients, and their families to determine their support needs. The purpose of this article is to describe the innovative development and outcomes of the Thalassemia Patient Support Project, a community engagement partnership. This partnership provided a unique educational clinical experience for nursing students where they had an opportunity to help develop a support group and a pediatric to adult transitional care program. The outcomes could be used as a guide for community nursing education, in US and international settings.
Collapse
Affiliation(s)
- Geri Schmotzer
- California State University, San Marcos, School of Nursing, University Hall, 333 S. Twin Oaks Valley Rd, San Marcos, CA 92096-0001, USA.
| | - Pamela Kohlbry
- California State University, San Marcos, School of Nursing, University Hall, 333 S. Twin Oaks Valley Rd, San Marcos, CA 92096-0001, USA; CSU Shiley Institute for Palliative Care, USA
| | - Kyle Strehlow
- California State University, San Marcos, School of Nursing, University Hall, 333 S. Twin Oaks Valley Rd, San Marcos, CA 92096-0001, USA
| | - Elizabeth Rist
- California State University, San Marcos, School of Nursing, University Hall, 333 S. Twin Oaks Valley Rd, San Marcos, CA 92096-0001, USA
| | - Kaitlyn Bales
- California State University, San Marcos, School of Nursing, University Hall, 333 S. Twin Oaks Valley Rd, San Marcos, CA 92096-0001, USA
| | - Meghan Foe
- Benioff Children's Hospital Oakland, University of California San Francisco, USA
| | - Robert Yasmashita
- Benioff Children's Hospital Oakland, University of California San Francisco, USA
| | - Jennifer Yu
- Rady Children's Hospital San Diego and University of California San Diego, USA
| |
Collapse
|
15
|
Gopalan G, Bunger AC, Powell BJ. Skills for Developing and Maintaining Community-Partnerships for Dissemination and Implementation Research in Children's Behavioral Health: Implications for Research Infrastructure and Training of Early Career Investigators. Adm Policy Ment Health 2021; 47:227-243. [PMID: 30863918 DOI: 10.1007/s10488-019-00930-5] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
By engaging with community partners, dissemination and implementation scholars can enhance research relevance and translation. We illustrate the skills needed for developing and maintaining community partnerships by presenting two case studies of partnerships between early-career investigators and child welfare systems to implement mental health interventions. The cases represent two models of partnership (investigator-led and agency-led), highlighting the value and difficulty of conducting community-engaged implementation research. The experiences described feature strategies for building and managing relationships, navigating rules and regulations, adaptation, and securing resources. We offer suggestions for improving training and research infrastructures to support community-engaged implementation scholars.
Collapse
Affiliation(s)
- Geetha Gopalan
- Silberman School of Social Work, Hunter College, City University of New York, 2180 3rd Avenue, New York, NY, 10035, USA.
| | - Alicia C Bunger
- College of Social Work, The Ohio State University, Columbus, OH, USA
| | - Byron J Powell
- Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| |
Collapse
|
16
|
Merry SP, Havyer RD, McCoy RG, Elrashidi MY, Fischer PR. How can physicians advise faith communities during the COVID-19 pandemic? Travel Med Infect Dis 2020; 38:101762. [PMID: 32497766 PMCID: PMC7263240 DOI: 10.1016/j.tmaid.2020.101762] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Revised: 05/14/2020] [Accepted: 05/29/2020] [Indexed: 11/15/2022]
Affiliation(s)
- Stephen P Merry
- Department of Family Medicine, Mayo Clinic, 200 First Street, Rochester, MN, 55905, USA.
| | - Rachel D Havyer
- Division of Community Internal Medicine, Mayo Clinic, 200 First Street, Rochester, MN, 55905, USA.
| | - Rozalina G McCoy
- Division of Community Internal Medicine, Mayo Clinic, 200 First Street, Rochester, MN, 55905, USA.
| | - Muhamad Y Elrashidi
- Division of Community Internal Medicine, Mayo Clinic, 200 First Street, Rochester, MN, 55905, USA.
| | - Philip R Fischer
- Department of Pediatric and Adolescent Medicine, Mayo Clinic, 200 First Street, Rochester, MN, 55905, USA.
| |
Collapse
|
17
|
Minor BC, Dashner J, Espín Tello SM, Bollinger R, Keglovits M, Stowe J, Campbell M, Stark SL. Development and implementation of a community-based research network. J Clin Transl Sci 2020; 4:508-14. [PMID: 33948227 DOI: 10.1017/cts.2020.45] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
Abstract
Introduction: People aging with long-term physical disabilities (PAwLTPD), meaning individuals with onset of disability from birth through midlife, often require long-term support services (LTSS) to remain independence. The LTSS system is fragmented into aging and disability organizations with little communication between them. In addition, there are currently no evidence-based LTSS-type programs listed on the Administration for Community Living website that have been demonstrated to be effective for PAwLTPD. Because of these gaps, we have developed a community-based research network (CBRN), drawing on the practice-based research network model (PBRN), to bring together aging and disability organizations to address the lack of evidence-based programs for PAwLTPD. Materials and Methods: Community-based organizations serving PAwLTPD across the state of Missouri were recruited to join the CBRN. A formative process evaluation of the network was conducted after a year to evaluate the effectiveness of the network. Results: Nine community-based organizations across the state of Missouri joined the CBRN. CBRN members include three centers for independent living (CILs), three area agencies on aging (AAAs), one CIL/AAA hybrid, one non-CIL disability organization, and one non-AAA aging organization. To date, we have held seven meetings, provided educational opportunities for CBRN members, and launched an inaugural research study within the CBRN. Formative evaluation data indicate that CBRN members feel that participation in the CBRN is beneficial. Conclusion: The PBRN model appears to be a feasible framework for use with community-based organizations to facilitate communication between agencies and to support research aimed at addressing the needs of PAwLTPD.
Collapse
|
18
|
Garney WR, Patterson MS, Garcia K, Muraleetharan D, McLeroy K. Interorganizational network findings from a nationwide cardiovascular disease prevention initiative. Eval Program Plann 2020; 79:101771. [PMID: 31869623 DOI: 10.1016/j.evalprogplan.2019.101771] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/09/2019] [Revised: 09/21/2019] [Accepted: 12/14/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVES To use network analysis in order to evaluate the effectiveness of interorganizational networks in implementing policy, systems, and environmental interventions for cardiovascular disease prevention throughout the United States. METHODS Evaluators conducted an interorganizational network (ION) survey to examine information sharing and joint planning within organizational relationships in 15 community-based cardiovascular disease prevention partnership networks. Density and betweenness centrality scores at the node- and network-level were calculated for each partnership network using UCINET© network analysis software. Common data patterns were then extracted using a multiple case study format. RESULTS Network density scores ranged from 0.50 to 1.00 (M = 0.84, SD = 0.14) for information sharing and 0.43-1.00 (M = 0.77, SD = 0.15) for joint planning. Centralization indices ranged from 0.00 to 0.11 (M = 0.04, SD = 0.03), and 0.00-0.17 (M = 0.06, SD = 0.05), respectively. Overall, 73.33 % of communities were successful in meeting their partnership goals. CONCLUSIONS When planning and implementing interorganizational networks, high betweenness centrality and more hierarchically structured networks were identified as the most salient partnership characteristics to programmatic success. The network findings were triangulated with previously published qualitative data to provide context. These findings provide valuable insight on how national networks can be designed and leveraged to implement systematic community health projects.
Collapse
Affiliation(s)
- Whitney R Garney
- Texas A&M University, College of Education and Human Development, Department of Health and Kinesiology, MS 4243, College Station, TX 77843-4243, USA.
| | - Megan S Patterson
- Texas A&M University, College of Education and Human Development, Department of Health and Kinesiology, MS 4243, College Station, TX 77843-4243, USA.
| | - Kristen Garcia
- Texas A&M University, College of Education and Human Development, Department of Health and Kinesiology, MS 4243, College Station, TX 77843-4243, USA.
| | - Daenuka Muraleetharan
- Texas A&M University, College of Education and Human Development, Department of Health and Kinesiology, MS 4243, College Station, TX 77843-4243, USA.
| | - Kenneth McLeroy
- Texas A&M University, Health Science Center, School of Public Health, MS 1266, College Station, TX 77843-1266, USA.
| |
Collapse
|
19
|
Morton JL, Weierbach FM, Sutter R, Livsey K, Goehner E, Liesveld J, Goldschmidt MK. New education models for preparing pre-licensure students for community-based practice. J Prof Nurs 2019; 35:491-498. [PMID: 31857060 DOI: 10.1016/j.profnurs.2019.05.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2018] [Revised: 04/29/2019] [Accepted: 05/14/2019] [Indexed: 11/30/2022]
Affiliation(s)
| | | | | | - Kae Livsey
- Western Carolina University, United States of America
| | | | | | | |
Collapse
|
20
|
Kuo AK, Summers NM, Vohra S, Kahn RS, Bibbins-Domingo K. The Promise of Precision Population Health: Reducing Health Disparities Through a Community Partnership Framework. Adv Pediatr 2019; 66:1-13. [PMID: 31230687 DOI: 10.1016/j.yapd.2019.03.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
|
21
|
Radcliff E, Hale N, Browder J, Cartledge C. Building Community Partnerships: Using Social Network Analysis to Strengthen Service Networks Supporting a South Carolina Program for Pregnant and Parenting Teens. J Community Health 2019; 43:273-279. [PMID: 28864948 DOI: 10.1007/s10900-017-0417-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
In 2013, South Carolina implemented a multi-year program providing support services for pregnant and parenting teens. Local lead sites were responsible for coordinating service delivery in partnership with other multidisciplinary community-based organizations. We used social network theory and analyses (SNA) to examine changes in partnerships over time. Using two-stage purposeful sampling, we identified three lead sites and their self-reported community partners. We administered two web-based surveys grounded in social network theory that included questions about partnership relationships and organizational characteristics. We calculated selected whole-network measures (size, cohesion, equity, diversity). Following the Year 1 surveys, we reviewed our findings with the lead sites and suggested opportunities to strengthen their respective partnerships. Following the Year 3 surveys, we observed changes across the networks. Survey response rates were 91.5% (43/47) in Year 1 and 68.2% (45/66) in Year 3. By Year 3, the average network size increased from 15.6 to 20.3 organizations. By Year 3, one lead site doubled its measure of network cohesion (connectedness); another lead site doubled in size (capacity). A third lead site, highly dense in Year 1, increased in size but decreased in cohesion by Year 3. Innovative use of SNA findings can help community partnerships identify gaps in capacity or services and organizations needed to fulfill program aims. SNA findings can also improve partnership function by identifying opportunities to improve connectedness or reduce redundancies in program work. The ability of lead sites to strategically reconfigure partnerships can be important to program success and sustainability.
Collapse
Affiliation(s)
- Elizabeth Radcliff
- Department of Health Services Policy and Management, Arnold School of Public Health, South Carolina Rural Health Research Center, University of South Carolina, 220 Stonebridge Drive, Suite 204, Columbia, SC, 29210, USA.
| | - Nathan Hale
- Department of Health Services Management and Policy, College of Public Health, East Tennessee State University, Johnson City, TN, USA
| | - Jennifer Browder
- Department of Health Services Policy and Management, Arnold School of Public Health, South Carolina Rural Health Research Center, University of South Carolina, 220 Stonebridge Drive, Suite 204, Columbia, SC, 29210, USA
| | - Claudia Cartledge
- Department of Health Services Policy and Management, Arnold School of Public Health, South Carolina Rural Health Research Center, University of South Carolina, 220 Stonebridge Drive, Suite 204, Columbia, SC, 29210, USA
| |
Collapse
|
22
|
Derose KP, Williams MV, Branch CA, Flórez KR, Hawes-Dawson J, Mata MA, Oden CW, Wong EC. A Community-Partnered Approach to Developing Church-Based Interventions to Reduce Health Disparities Among African-Americans and Latinos. J Racial Ethn Health Disparities 2018; 6:254-264. [PMID: 30120736 DOI: 10.1007/s40615-018-0520-z] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2018] [Revised: 08/01/2018] [Accepted: 08/07/2018] [Indexed: 10/28/2022]
Abstract
Faith and public health partnerships offer promise to addressing health disparities, but examples that incorporate African-Americans and Latino congregations are lacking. Here we present results from developing a multi-ethnic, multi-denominational faith and public health partnership to address health disparities through community-based participatory research (CBPR), focusing on several key issues: (1) the multi-layered governance structure and activities to establish the partnership and identify initial health priority (obesity), (2) characteristics of the congregations recruited to partnership (n = 66), and (3) the lessons learned from participating congregations' past work on obesity that informed the development of a multi-level, multi-component, church-based intervention. Having diverse staff with deep ties in the faith community, both among researchers and the primary community partner agency, was key to recruiting African-American and Latino churches. Involvement by local health department and community health clinic personnel provided technical expertise and support regarding health data and clinical resources. Selecting a health issue-obesity-that affected all subgroups (e.g., African-Americans and Latinos, women and men, children and adults) garnered high enthusiasm among partners, as did including some innovative aspects such as a text/e-mail messaging component and a community mapping exercise to identify issues for advocacy. Funding that allowed for an extensive community engagement and planning process was key to successfully implementing a CBPR approach. Building partnerships through which multiple CBPR initiatives can be done offers efficiencies and sustainability in terms of programmatic activities, though long-term infrastructure grants, institutional support, and non-research funding from local foundations and health systems are likely needed.
Collapse
Affiliation(s)
| | | | - Cheryl A Branch
- Los Angeles Metropolitan Churches, Los Angeles, CA, 90011, USA
| | - Karen R Flórez
- CUNY Graduate School of Public Health and Health Policy, New York, NY, 10027, USA
| | | | | | | | - Eunice C Wong
- RAND Corporation, 1776 Main St., Santa Monica, CA, 90401, USA
| |
Collapse
|
23
|
Hsiao YL, Bass EB, Wu AW, Richardson MB, Deutschendorf A, Brotman DJ, Bellantoni M, Howell EE, Everett A, Hickman D, Purnell L, Zollinger R, Sylvester C, Lyketsos CG, Dunbar L, Berkowitz SA. Implementation of a comprehensive program to improve coordination of care in an urban academic health care system. J Health Organ Manag 2018; 32:638-657. [PMID: 30175678 DOI: 10.1108/jhom-09-2017-0228] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Purpose Academic healthcare systems face great challenges in coordinating services across a continuum of care that spans hospital, community providers, home and chronic care facilities. The Johns Hopkins Community Health Partnership (J-CHiP) was created to improve coordination of acute, sub-acute and ambulatory care for patients, and improve the health of high-risk patients in surrounding neighborhoods. The paper aims to discuss this issue. Design/methodology/approach J-CHiP targeted adults admitted to the Johns Hopkins Hospital and Johns Hopkins Bayview Medical Center, patients discharged to participating skilled nursing facilities (SNFs), and high-risk Medicare and Medicaid patients receiving primary care in eight nearby outpatient sites. The primary drivers of the program were redesigned acute care delivery, seamless transitions of care and deployment of community care teams. Findings Acute care interventions included risk screening, multidisciplinary care planning, pharmacist-driven medication management, patient/family education, communication with next provider and care coordination protocols for common conditions. Transition interventions included post-discharge health plans, hand-offs and follow-up with primary care providers, Transition Guides, a patient access line and collaboration with SNFs. Community interventions involved forming multidisciplinary care coordination teams, integrated behavioral care and new partnerships with community-based organizations. Originality/value This paper offers a detailed description of the design and implementation of a complex program to improve care coordination for high-risk patients in an urban setting. The case studies feature findings from each intervention that promoted patient engagement, strengthened collaboration with community-based organizations and improved coordination of care.
Collapse
Affiliation(s)
- Ya Luan Hsiao
- Johns Hopkins University Bloomberg School of Public Health , Baltimore, Maryland, USA
| | - Eric B Bass
- Johns Hopkins University Bloomberg School of Public Health and Johns Hopkins University School of Medicine , Baltimore, Maryland, USA
| | - Albert W Wu
- Johns Hopkins University Bloomberg School of Public Health and Johns Hopkins University School of Medicine , Baltimore, Maryland, USA
| | | | | | - Daniel J Brotman
- Johns Hopkins University School of Medicine , Baltimore, Maryland, USA
| | | | - Eric E Howell
- Johns Hopkins University School of Medicine , Baltimore, Maryland, USA
| | - Anita Everett
- Johns Hopkins University School of Medicine , Baltimore, Maryland, USA
| | - Debra Hickman
- Sisters Together and Reaching, Baltimore, Maryland, USA
| | - Leon Purnell
- Men and Families Center, Baltimore, Maryland, USA
| | | | | | | | - Linda Dunbar
- Johns Hopkins HealthCare LLC, Baltimore, Maryland, USA
| | - Scott A Berkowitz
- Johns Hopkins University School of Medicine , Baltimore, Maryland, USA
| |
Collapse
|
24
|
Tsai J, Middleton M, Retkin R, Johnson C, Kenneally K, Sherman S, Rosenheck RA. Partnerships Between Health Care and Legal Providers in the Veterans Health Administration. Psychiatr Serv 2017; 68:321-323. [PMID: 27903138 DOI: 10.1176/appi.ps.201600486] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Medical-legal partnerships (MLPs) represent an innovative service model in which lawyers are integrated into health care teams to address diverse legal problems that affect vulnerable populations. The Veterans Health Administration (VHA) operates the largest safety-net health care system in the country and serves many low-income and disabled veterans who could benefit from MLP services. In this column, the authors describe the development and operations of MLPs at four VHA medical centers that serve veterans who are homeless or who have serious mental illness. The authors also briefly report on the characteristics of 700 veterans served by these MLPs from 2014 to 2016. MLPs can fit within the interdisciplinary, comprehensive system of care provided by VHA, and they offer opportunities to expand VHA-community partnerships to address social determinants of health.
Collapse
Affiliation(s)
- Jack Tsai
- Dr. Tsai and Dr. Rosenheck are with the Veterans Affairs (VA) New England Mental Illness Research, Education and Clinical Center, West Haven, Connecticut, and the Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut (e-mail: ). Ms. Middleton and Ms. Johnson are with the Connecticut Veterans Legal Center, West Haven, Connecticut. Ms. Retkin is with the New York Legal Assistance Group, New York City, where Mr. Kenneally was affiliated when this work was done. Mr. Kenneally is currently with the Social Security Administration, Jersey City, New York. Dr. Sherman is with the VA New York Harbor Healthcare System and the Department of Population Health, New York University School of Medicine, New York City. Debra A. Pinals, M.D., and Marcia Valenstein, M.D., M.S., are editors of this column
| | - Margaret Middleton
- Dr. Tsai and Dr. Rosenheck are with the Veterans Affairs (VA) New England Mental Illness Research, Education and Clinical Center, West Haven, Connecticut, and the Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut (e-mail: ). Ms. Middleton and Ms. Johnson are with the Connecticut Veterans Legal Center, West Haven, Connecticut. Ms. Retkin is with the New York Legal Assistance Group, New York City, where Mr. Kenneally was affiliated when this work was done. Mr. Kenneally is currently with the Social Security Administration, Jersey City, New York. Dr. Sherman is with the VA New York Harbor Healthcare System and the Department of Population Health, New York University School of Medicine, New York City. Debra A. Pinals, M.D., and Marcia Valenstein, M.D., M.S., are editors of this column
| | - Randye Retkin
- Dr. Tsai and Dr. Rosenheck are with the Veterans Affairs (VA) New England Mental Illness Research, Education and Clinical Center, West Haven, Connecticut, and the Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut (e-mail: ). Ms. Middleton and Ms. Johnson are with the Connecticut Veterans Legal Center, West Haven, Connecticut. Ms. Retkin is with the New York Legal Assistance Group, New York City, where Mr. Kenneally was affiliated when this work was done. Mr. Kenneally is currently with the Social Security Administration, Jersey City, New York. Dr. Sherman is with the VA New York Harbor Healthcare System and the Department of Population Health, New York University School of Medicine, New York City. Debra A. Pinals, M.D., and Marcia Valenstein, M.D., M.S., are editors of this column
| | - Cindy Johnson
- Dr. Tsai and Dr. Rosenheck are with the Veterans Affairs (VA) New England Mental Illness Research, Education and Clinical Center, West Haven, Connecticut, and the Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut (e-mail: ). Ms. Middleton and Ms. Johnson are with the Connecticut Veterans Legal Center, West Haven, Connecticut. Ms. Retkin is with the New York Legal Assistance Group, New York City, where Mr. Kenneally was affiliated when this work was done. Mr. Kenneally is currently with the Social Security Administration, Jersey City, New York. Dr. Sherman is with the VA New York Harbor Healthcare System and the Department of Population Health, New York University School of Medicine, New York City. Debra A. Pinals, M.D., and Marcia Valenstein, M.D., M.S., are editors of this column
| | - Kevin Kenneally
- Dr. Tsai and Dr. Rosenheck are with the Veterans Affairs (VA) New England Mental Illness Research, Education and Clinical Center, West Haven, Connecticut, and the Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut (e-mail: ). Ms. Middleton and Ms. Johnson are with the Connecticut Veterans Legal Center, West Haven, Connecticut. Ms. Retkin is with the New York Legal Assistance Group, New York City, where Mr. Kenneally was affiliated when this work was done. Mr. Kenneally is currently with the Social Security Administration, Jersey City, New York. Dr. Sherman is with the VA New York Harbor Healthcare System and the Department of Population Health, New York University School of Medicine, New York City. Debra A. Pinals, M.D., and Marcia Valenstein, M.D., M.S., are editors of this column
| | - Scott Sherman
- Dr. Tsai and Dr. Rosenheck are with the Veterans Affairs (VA) New England Mental Illness Research, Education and Clinical Center, West Haven, Connecticut, and the Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut (e-mail: ). Ms. Middleton and Ms. Johnson are with the Connecticut Veterans Legal Center, West Haven, Connecticut. Ms. Retkin is with the New York Legal Assistance Group, New York City, where Mr. Kenneally was affiliated when this work was done. Mr. Kenneally is currently with the Social Security Administration, Jersey City, New York. Dr. Sherman is with the VA New York Harbor Healthcare System and the Department of Population Health, New York University School of Medicine, New York City. Debra A. Pinals, M.D., and Marcia Valenstein, M.D., M.S., are editors of this column
| | - Robert A Rosenheck
- Dr. Tsai and Dr. Rosenheck are with the Veterans Affairs (VA) New England Mental Illness Research, Education and Clinical Center, West Haven, Connecticut, and the Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut (e-mail: ). Ms. Middleton and Ms. Johnson are with the Connecticut Veterans Legal Center, West Haven, Connecticut. Ms. Retkin is with the New York Legal Assistance Group, New York City, where Mr. Kenneally was affiliated when this work was done. Mr. Kenneally is currently with the Social Security Administration, Jersey City, New York. Dr. Sherman is with the VA New York Harbor Healthcare System and the Department of Population Health, New York University School of Medicine, New York City. Debra A. Pinals, M.D., and Marcia Valenstein, M.D., M.S., are editors of this column
| |
Collapse
|
25
|
Tevendale HD, Fuller TR, House LD, Dee DL, Koumans EH. Implementation of Community-Wide Teen Pregnancy Prevention Initiatives: Focus on Partnerships. J Adolesc Health 2017; 60:S7-S8. [PMID: 28235439 DOI: 10.1016/j.jadohealth.2016.12.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/17/2016] [Accepted: 12/18/2016] [Indexed: 10/20/2022]
Abstract
Seeking to reduce teen pregnancy and births in communities with rates above the national average, the Centers for Disease Control and Prevention, in partnership with the U.S. Department of Health and Human Services Office of Adolescent Health Teen Pregnancy Prevention Program, developed a joint funding opportunity through which grantees worked to implement and test an approach involving community-wide teen pregnancy prevention initiatives. Once these projects had been in the field for 2.5 years, Centers for Disease Control and Prevention staff developed plans for a supplemental issue of the Journal of Adolescent Health to present findings from and lessons learned during implementation of the community-wide initiatives. When the articles included in the supplemental issue are considered together, common themes emerge, particularly those related to initiating, building, and maintaining strong partnerships. Themes seen across articles include the importance of (1) sharing local data with partners to advance initiative implementation, (2) defining partner roles from the beginning of the initiatives, (3) developing teams that include community partners to provide direction to the initiatives, and (4) addressing challenges to maintaining strong partnerships including partner staff turnover and delays in implementation.
Collapse
Affiliation(s)
- Heather D Tevendale
- Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
| | - Taleria R Fuller
- Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - L Duane House
- Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Deborah L Dee
- Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Emilia H Koumans
- Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
| |
Collapse
|
26
|
Pickard KE, Kilgore AN, Ingersoll BR. Using Community Partnerships to Better Understand the Barriers to Using an Evidence-Based, Parent-Mediated Intervention for Autism Spectrum Disorder in a Medicaid System. Am J Community Psychol 2016; 57:391-403. [PMID: 27216766 DOI: 10.1002/ajcp.12050] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Service use disparities have been noted to impede under-resourced families' ability to access high-quality services for their child with autism spectrum disorder (ASD). These disparities are particularly relevant for parent-mediated interventions and may suggest a lack of fit between these interventions and the needs of under-resourced community settings. This study used Roger's Diffusion of Innovations theory to guide community partnerships aimed at understanding the perceived compatibility, complexity, and relative advantage of using an evidence-based, parent-mediated intervention (Project ImPACT) within a Medicaid system. Three focus groups were conducted with 16 Medicaid-eligible parents, and three focus groups were conducted with 16 ASD providers operating within a Medicaid system. Across all groups, parents and providers reported general interest in using Project ImPACT. However, primary themes emerged regarding the need to (a) reduce the complexity of written materials; (b) allow for a more flexible program delivery; (c) ensure a strong parent-therapist alliance; (d) involve the extended family; and (e) help families practice the intervention within their preexisting routines. Results are discussed as they relate to the design and fit of evidence-based, parent-mediated interventions for under-resourced community settings.
Collapse
Affiliation(s)
| | - Amanda N Kilgore
- Department of Psychology, Michigan State University, East Lansing, MI, USA
| | - Brooke R Ingersoll
- Department of Psychology, Michigan State University, East Lansing, MI, USA
| |
Collapse
|
27
|
Brookman-Frazee L, Stahmer A, Stadnick N, Chlebowski C, Herschell A, Garland AF. Characterizing the Use of Research- Community Partnerships in Studies of Evidence-Based Interventions in Children's Community Services. Adm Policy Ment Health 2016; 43:93-104. [PMID: 25578512 PMCID: PMC4500757 DOI: 10.1007/s10488-014-0622-9] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
This study characterized the use of research community partnerships (RCPs) to tailor evidence-based intervention, training, and implementation models for delivery across different childhood problems and service contexts using a survey completed by project principal investigators and community partners. To build on previous RCP research and to explicate the tacit knowledge gained through collaborative efforts, the following were examined: (1) characteristics of studies using RCP models; (2) RCP functioning, processes, and products; (3) processes of tailoring evidence-based practices for community implementation; and (4) perceptions of the benefits and challenges of collaborating with community providers and consumers. Results indicated that researchers were solely or jointly involved in the formation of almost all of the RCPs; interpersonal and operational processes were perceived as primary challenges; community partners' roles included greater involvement in implementation and participant recruitment than more traditional research activities; and the partnership process was perceived to increase the relevance and "fit" of interventions and research.
Collapse
Affiliation(s)
- Lauren Brookman-Frazee
- Department of Psychiatry, University of California, San Diego, Child and Adolescent Services Research Center, 3020 Children's Way (MC 5033), San Diego, CA, 92123, USA.
| | - Aubyn Stahmer
- Department of Psychiatry and Behavioral Sciences, M.I.N.D. Institute, U.C. Davis Medical Center, Sacramento, CA, USA
| | - Nicole Stadnick
- Department of Psychiatry, University of California, San Diego, Child and Adolescent Services Research Center, 3020 Children's Way (MC 5033), San Diego, CA, 92123, USA
| | - Colby Chlebowski
- Department of Psychiatry, University of California, San Diego, Child and Adolescent Services Research Center, 3020 Children's Way (MC 5033), San Diego, CA, 92123, USA
| | - Amy Herschell
- University of Pittsburgh School of Medicine, Western Psychiatric Institute & Clinic, Pittsburgh, PA, USA
| | | |
Collapse
|
28
|
Abstract
Today, more than ever, occupational therapists are engaged in close partnerships with community organizations and community settings such as service agencies, refugee and immigrant enclaves, and faith-based organizations, to name a few, for the purpose of engaging in scholarship of practice. However, we know little about the views of community partners regarding the development and sustainability of university-community partnerships. The purpose of this article is twofold: First, we will describe a pilot study in which we gathered qualitative data from community partners engaged in scholarship of practice with faculty and students, regarding their views about benefits of partnerships, challenges, and characteristics of sustainable partnerships. Second, based on this pilot study and extensive experience of the authors, we propose a revised version of a partnerships model available in the literature. We illustrate the model through examples of the authors' collective experiences developing and sustaining successful university-community partnerships.
Collapse
Affiliation(s)
- Yolanda Suarez-Balcazar
- a 1 Department of Occupational Therapy , University of Illinois at Chicago , Chicago , IL , USA
| | - Mansha Parven Mirza
- a 1 Department of Occupational Therapy , University of Illinois at Chicago , Chicago , IL , USA
| | | |
Collapse
|
29
|
Lehna C, Janes EG, Rengers S, Graviss J, Scrivener D, Knabel T, Carver E, Myers J. Community partnership to promote home fire safety in children with special needs. Burns 2014; 40:1179-84. [PMID: 24439932 DOI: 10.1016/j.burns.2013.12.019] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2013] [Revised: 12/19/2013] [Accepted: 12/20/2013] [Indexed: 10/25/2022]
Abstract
BACKGROUND Parents of children with special needs are vigilant as their child may have difficulty independently escaping a burning home. The purpose of this study was to evaluate if providing home fire safety information via a digital video disc (DVD) increases families' knowledge, behavior and ability regarding home fire safety. METHODS A school based classroom intervention (using a home fire safety DVD) was provided to parents (n=40) of children with and without special needs to improve home fire safety knowledge, behavior and ability. In addition, parents seen at the Kentucky Commission for Children with Special Health Care Needs clinics (n=47) received the same intervention in cohorts of 1-2 children. For both groups, knowledge, and behavior were measured before and after intervention. Repeated measures ANOVA were used to test for differences between groups and over time. Significance was set at p<0.05. RESULTS No difference in scores between pre- and post-test scores existed between groups (with special needs vs. without special needs, or classroom vs. individualized instruction). However, some differences were noted for some individual survey questions during post-hoc comparisons. Having a smoke alarm in the home (90% vs. 95%, p=0.029) and having a smoke alarm outside of where everyone sleeps (75% vs. 95%, p=0.005) increased over time and was retained. Having a fire escape plan increased at post intervention (58% vs. 79%, p=0.033), but returned to pre levels at follow-up (58%). Perceived knowledge (7.7 vs. 9.3, p<0.001) and ability (8.7 vs. 9.1, p=0.069) increased over time. IMPLICATION FOR PRACTICE Parents of children with special needs had a significant increase in knowledge and behavior over those parents of children without special needs. They also perceived having a high fire safety ability. Many of the post-test questions/behaviors (e.g., capable of exiting home during a fire, etc.) were reported at 100%. The intervention was well received, but may not necessarily be needed. Focus for home fire safety may need to look at younger children and smaller families. Parents of special needs children may have had frequent interaction with health care professionals.
Collapse
Affiliation(s)
- Carlee Lehna
- University of Louisville, School of Nursing, United States.
| | - Erika G Janes
- Safe Kids Worldwide, Office of Child Advocacy, Kosair Children's Hospital, United States.
| | - Sharon Rengers
- Safe Kids Worldwide, Office of Child Advocacy, Kosair Children's Hospital, United States.
| | | | | | - Tom Knabel
- Churchill Park School, Jefferson County Public Schools (Kentucky), United States.
| | | | - John Myers
- University of Louisville, School of Medicine, Department of Pediatrics, United States.
| |
Collapse
|