Browsing by Subject "community health"

Now showing 1 - 6 of 6
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    Health Matters: Reframing Design in Community Health Interventions
    (Office of the Vice Chancellor for Research, 2014-04-11) Hong, Youngbok; Sanematsu, Helen; Cole, Lisa; Zollinger, Terrell
    Garden on the Go, a signature obesity prevention effort, is Indiana University Health's year round mobile produce delivery program, providing fresh, affordable produce to Indianapolis neighborhoods in need. As the mobile nature of the service is well aligned with context based approaches in Service Design, the design researchers perceived potentials to reconfigure the Garden on the Go service as well as to reframe a health care service model from institution to people based. In partnership with the Garden on the Go community outreach team and the Fairbanks School of Public Health at Indiana University, design researchers from Herron School of Art and Design initiated the "Health Matters" study in 2013. The ultimate objective of the study aims to define 1. How individuals in underserved communities define health and 2. How interventions should be created and deployed to provide appropriate programing that addresses community-centered needs. The project is currently at the recruitment stage, we expect to release final research outcomes in the fall of 2014. This presentation, specifically focusing on the interdisciplinary research process, will address the role of the design researcher/ service designer in interdisciplinary settings and discuss the methodology of intervention design from the disciplinary perspective
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    Increasing Hispanic/Latinx Healthcare Workforce via Academic Medicine-Community Health Partnership
    (2021-06-15) Sotto-Santiago, Sylk; Sevilla-Martir, Javier
    As the Hispanic/Latino/x community grows exponentially and Hispanic/Latino/x physicians in academic medicine continue to be underrepresented, engagement in the community as learners and providers is needed to ensure a multiplying effort. In this article, the authors introduce a successful academic medicine-community health partnership to increase the Hispanic/Latinx healthcare workforce in Indiana and key curricular initiatives with proven outcomes in increasing the healthcare workforce serving this sector of the population.
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    A mixed-methods evaluation using effectiveness perception surveys, social network analysis, and county-level health statistics: A pilot study of eight rural Indiana community health coalitions
    (Elsevier, 2019-12) Ken-Opurum, Jennifer; Lynch, Krystal; Vandergraff, Donna; Miller, Douglas K.; Savaiano, Dennis A.; Surgery, School of Medicine
    Community health coalitions (CHCs) are a promising approach for addressing disparities in rural health statistics. However, their effectiveness has been variable, and evaluation methods have been insufficient and inconsistent. Thus, we propose a mixed-methods evaluation framework and discuss pilot study findings. CHCs in our pilot study partnered with Purdue Extension. Extension links communities and land grant universities, providing programming and support for community-engaged research. We conducted social network analysis and effectiveness perception surveys in CHCs in 8 rural Indiana counties during summer 2017 and accessed county-level health statistics from 2015-16. We compared calculated variables (i.e., effectiveness survey k-means clusters, network measures, health status/outcomes) using Pearson’s correlations. CHC members’ positive perceptions of their leadership and functioning correlated with interconnectedness in their partnership networks, while more centralized partnership networks correlated with CHC members reporting problems in their coalitions. CHCs with highly rated leadership and functioning developed in counties with poor infant/maternal health and opioid outcomes. Likewise, CHCs reporting fewer problems for participation developed in counties with poor infant/maternal health, poor opioid outcomes, and more people without healthcare coverage. This pilot study provides a framework for iterative CHC evaluation. As the evidence grows, we will make recommendations for best practices that optimize CHC partnerships to improve local health in rural areas.
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    Neighborhood Conditions and Psychosocial Outcomes Among Middle-Aged African Americans: A Cross-sectional Analysis
    (Sage, 2017-04) Tabet, Maya; Sanders, Erin A.; Schootman, Mario; Chang, Jen Jen; Wolinsky, Fredric D.; Malmstrom, Theodore K.; Miller, Douglas K.; Medicine, School of Medicine
    Objective: We examined associations between observed neighborhood conditions (good/adverse) and psychosocial outcomes (stress, depressive symptoms, resilience, and sense of control) among middle-aged and older African Americans. Methods: The sample included 455 middle-aged and older African Americans examined in Wave 10 of the African American Health (AAH) study. Linear regression was adjusted for attrition, self-selection into neighborhoods, and potential confounders, and stratified by the duration at current address (<5 vs ≥5 years) because of its hypothesized role as an effect modifier. Results: Among individuals who lived at their current address for ≥5 years, residing in neighborhoods with adverse versus good conditions was associated with significantly less stress (standardized β = −0.18; P = .002) and depressive symptoms (standardized β = −0.12; P = .048). Among those who lived at their current address for <5 years, residing in neighborhoods with adverse versus good conditions was not significantly associated with stress (standardized β = 0.18; P = .305) or depressive symptoms (standardized β = 0.36; P = .080). Conclusion: Neighborhood conditions appear to have significant, complex associations with psychosocial factors among middle-aged and older African Americans. This holds important policy implications, especially since adverse neighborhood conditions may still result in adverse physical health outcomes in individuals with >5 years at current residence despite being associated with better psychosocial outcomes.
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    Reaching underserved people during the pandemic
    (MA Healthcare Limited, 2022-05-02) Taylor, Jennifer; Behrens, Sandra; Donahue, Ronald; Family Medicine, School of Medicine
    Background: As the COVID-19 crisis evolved, many emergency medical technicians (EMTs) and community paramedics (CPs) were already positioned to engage with both the community and the health system. Aim: This project, based in Indiana, USA, aimed to provide resources for EMTs and CPs to build knowledge and skills necessary to use promising practices related to COVID-19 and provide culturally competent care using telehealth to improve access to care for underserved populations during the pandemic. Methods: Between May 2020 and April 2021, EMT and CP participants completed a retrospective pre-test and post-test assessing self-efficacy around best practices related to COVID-19 and culturally competent care using telehealth. Findings: Forty-nine EMTs and CPs completed the project and results demonstrate a significant (P<0.05) improvement in self-reported level of preparedness to demonstrate best practices related to COVID-19 culturally competent care using telehealth. Conclusion: The project identified a potentially effective strategy for increasing practitioner self-efficacy, resulting in a more effective system for caring for vulnerable individuals during a pandemic.
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    Resident Assistant secondary trauma and burnout associated with student nonsuicidal self-injury
    (Taylor & Francis online, 2019-03-25) McCarthy, Katherine M.
    Objective: To determine whether or not encountering students struggling with nonsuicidal self-injury (NSSI) put Resident Assistants (RAs) at greater risk of burnout or secondary traumatic stress. Participants: 155 RAs at three Midwest public university campuses between March and April 2016. Methods: RAs participated in an anonymous online survey that collected demographics, information on RAs’ experiences and thoughts related to their work, RAs’ exposure to NSSI struggle of a resident, and measurements of compassion satisfaction, burnout, and secondary traumatic stress. Results: RAs who encountered resident NSSI demonstrated significantly higher levels of burnout and secondary traumatic stress than RAs who did not encounter resident NSSI. Conclusion: College student struggle with NSSI can significantly affect the people around them. Residence life administration and college counseling centers should provide training, support, and supervision to RAs in a way that addresses and reduces the RAs’ potential distress.