An Academic-Practice Model to Improve the Health of Underserved Neighborhoods
The Interprofessional Care Access Network is an innovative model for academic-practice partnership providing care coordination for vulnerable and underserved clients and populations in identified neighborhoods. Interprofessional student teams, including health professions students from nursing, medicine, pharmacy, and dentistry, collaborate with community service organizations and primary care clinics to address social determinants of health identified as barriers to achieving health care outcomes and Triple Aim goals. Teams are supervised by a nursing faculty in residence and address issues such as housing, health insuran...
Source: Family and Community Health - March 5, 2015 Category: Primary Care Tags: Original Articles Source Type: research
Playgroups Offering Health and Well-being Support for Families: A Systematic Review
This systematic review explores the health and well-being outcomes that families experience as a result of their participation in playgroups that provide health and well-being services. A systematic review of peer-reviewed literature resulted in 12 articles for inclusion. A meta-synthesis method, using reciprocal translation, was implemented to synthesize findings. Findings suggest that programs support children's social development, transition to school, and overall health. For parents, programs provide targeted social and health support, and knowledge sharing and learning opportunities. Future research in this area will ...
Source: Family and Community Health - March 5, 2015 Category: Primary Care Tags: Original Articles Source Type: research
Neighborhood Social Environment and Patterns of Adherence to Oral Hypoglycemic Agents Among Patients With Type 2 Diabetes Mellitus
This study examined whether neighborhood social environment was related to patterns of adherence to oral hypoglycemic agents among primary care patients with type 2 diabetes mellitus. Residents in neighborhoods with high social affluence, high residential stability, and high neighborhood advantage, compared to residents in neighborhoods with one or no high features present, were significantly more likely to have an adherent pattern compared to a nonadherent pattern. Neighborhood social environment may influence patterns of adherence. Reliance on a multilevel contextual framework, extending beyond the individual, to promote...
Source: Family and Community Health - March 5, 2015 Category: Primary Care Tags: Original Articles Source Type: research
The Experience of Primary Care Providers With an Integrated Mental Health Care Program in Safety-Net Clinics
Primary care providers participating in a statewide implementation of an integrated mental health care program for “safety-net” patients in primary care clinics were surveyed to elicit their experiences and level of satisfaction. Quantitative analyses were performed to identify respondent characteristics and satisfaction with the program. Qualitative analyses were done to identify common themes in response to the question “How could psychiatric consultation [in the program] be improved?” Primary care providers were generally satisfied with the integrated mental health care program and raised several concerns that s...
Source: Family and Community Health - March 5, 2015 Category: Primary Care Tags: Original Articles Source Type: research
Understanding Low-Income African American Women's Expectations, Preferences, and Priorities in Prenatal Care
Discussions were audiorecorded, transcribed, and coded by trained reviewers. Friends/family and baby's health were the top attendance motivators. Greatest barriers were insurance, transportation, and ambivalence. Facilitators included transportation services, social support, and resource education. In a “perfect system,” women wanted continuity of care, personal connection, and caring/respect from providers. Relationship-centered maternity care models may mitigate disparities. Group prenatal care may provide the continuity and support system desired. (Source: Family and Community Health)
Source: Family and Community Health - March 5, 2015 Category: Primary Care Tags: Original Articles Source Type: research
Resident Health Advocates in Public Housing Family Developments
Translation of research to practice often needs intermediaries to help the process occur. Our Prevention Research Center has identified a total of 89 residents of public housing in the last 11 years who have been working in the Resident Health Advocate (RHA) program to engage residents in improving their own and other residents' health status by becoming trained in skills needed by community health workers. Future directions include training for teens to become Teen RHAs and further integration of our RHA program with changes in the health care system and in the roles of community health workers in general. (Source: Family...
Source: Family and Community Health - March 5, 2015 Category: Primary Care Tags: Original Articles Source Type: research
Given and Chosen: Youth-Led Research on Family-Supported Conversations About Sexuality
The Youth Leadership Council supported by the Illinois Caucus for Adolescent Health completed a Community-Based Participatory Research study to assess the perceived barriers and benefits to conversations about sex and sexuality between youth and their given and chosen families. This mixed-methods research project defines given families as the family youths are born into or live at home with, and chosen families as those youths choose to surround themselves with such as friends or mentors. The Youth Leadership Council found that youths discuss sex and sexuality with both given and chosen families, but a majority felt that t...
Source: Family and Community Health - November 27, 2014 Category: Primary Care Tags: Original Articles Source Type: research
Engaging Youth in Bullying Prevention Through Community-Based Participatory Research
This article expands understanding of CBPR with youth by describing and evaluating the outcomes of a project that engaged fifth-grade students at 3 schools in bullying-focused CBPR. Results suggest that the project was associated with decreases in fear of bullying and increases in peer and teacher intervention to stop bullying. We conclude with implications for the engagement of elementary school-aged youth in CBPR to address bullying and other youth issues. (Source: Family and Community Health)
Source: Family and Community Health - November 27, 2014 Category: Primary Care Tags: Original Articles Source Type: research
Applying Community-Based Participatory Research to Better Understand and Improve Kinship Care Practices: Insights From the Democratic Republic of Congo, Nigeria, and Sierra Leone
This article reflects on the experiences of Save the Children in implementing a multicountry community-based participatory research program to increase understanding of kinship care in the Democratic Republic of Congo, Nigeria, and Sierra Leone. The article discusses challenges faced and lessons learned and highlights how the research process enabled action and advocacy initiatives at different levels—leading to an increase in support and policy attention for children living in kinship care. (Source: Family and Community Health)
Source: Family and Community Health - November 27, 2014 Category: Primary Care Tags: Original Articles Source Type: research
Achieving a Shared Vision for Girls' Health in a Low-Income Community
In response to a lack of information related to girls' health in a low-income community, an initiative was developed to create a community-wide vision for girls' health. A forum was conducted following a photovoice project to generate sustainable action steps. Forty-four participants attended the forum. Key action steps included decreasing barriers to participation in girls' programs, offering leadership roles and interpersonal communication skills for girls in the community, and engaging girls in community organizations. Integral to the forum's success were the initial photos, which provided a bridge from understanding th...
Source: Family and Community Health - November 27, 2014 Category: Primary Care Tags: Original Articles Source Type: research
Developing a Community-Based Participatory Research Model to Engage Transition Age Youth Using Mental Health Service in Research
We describe the development of the project, creation of the research team, training, the design and conduct of the study, and challenges faced. The methods developed successfully provided support for the meaningful participation of TAY in the project. (Source: Family and Community Health)
Source: Family and Community Health - November 27, 2014 Category: Primary Care Tags: Original Articles Source Type: research
Nourishing a Partnership to Improve Middle School Lunch Options: A Community-Based Participatory Research Project
This article describes a university-community partnership in which students at a low-income middle school worked to improve the quality of the cafeteria food provided to the 986 students eligible for free and reduced price lunches. The project led to menu changes, improved communication between youth, school administrators, and district staff, and enabled youth to enact school improvements that were beneficial for their health. (Source: Family and Community Health)
Source: Family and Community Health - November 27, 2014 Category: Primary Care Tags: Original Articles Source Type: research
Partnering With Youth to Map Their Neighborhood Environments: A Multilayered GIS Approach
We describe a multilayered approach for gaining local knowledge of neighborhood environments that engages youths as coresearchers and active knowledge producers. By integrating geographic information systems with environmental audits, an interactive focus group, and sketch mapping, the approach provides a place-based understanding of physical activity resources from the situated experience of youths. Youths report safety and a lack of recreational resources as inhibiting physical activity. Maps reflecting youth perceptions aid policy makers in making place-based improvements for youth neighborhood environments. (Source: Fa...
Source: Family and Community Health - November 27, 2014 Category: Primary Care Tags: Original Articles Source Type: research
Using Community-Based Participatory Research to Identify Health Issues for Cambodian American Youth
This article describes the development of a health survey with Cambodian American youth using community-based participatory research (and illustrates how youth can actively engage in research to inform change in health-related programs and policies. (Source: Family and Community Health)
Source: Family and Community Health - November 27, 2014 Category: Primary Care Tags: Original Articles Source Type: research
Picture This!: Using Participatory Photo Mapping With Hispanic Girls
Hispanic girls are burdened with high levels of obesity and are less active than the general adolescent population, highlighting the need for creative strategies developed with community input to improve physical activity behaviors. Involving girls, parents, and the community in the intervention planning process may improve uptake and maintenance of physical activity. The purpose of this article was to describe how we engaged adolescent girls as partners in community-based intervention planning research. We begin with an overview of the research project and then describe how we used Participatory Photo Mapping to engage gi...
Source: Family and Community Health - November 27, 2014 Category: Primary Care Tags: Original Articles Source Type: research
