Browsing by Subject "community-based"

Now showing 1 - 4 of 4
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    Comparing Narrative-Informed Occupational Therapy in Adult Outpatient Mental Health to Treatment as Usual: A Quasi-Experimental Feasibility Study with Preliminary Treatment Outcomes
    (Taylor & Francis, 2021) Wasmuth, Sally; Wilburn, Victoria G.; Hamm, Jay A.; Chase, Anthony; Occupational Therapy, School of Health and Human Sciences
    This paper describes implementation of narrative-informed occupation-based service delivery in outpatient community mental health that addresses (1) the need for outcome data on occupational therapy in this setting, (2) an ongoing mental health provider shortage, and (3) a need for innovative approaches to supporting mental health. We found a significant improvement from baseline to post-intervention in occupational participation. Dose of occupational therapy was significantly related to improvements in roles, habits, values, long-term goals, social environment, and readiness for change. This study supports future, larger effectiveness studies of narrative-informed occupation-based intervention delivered by occupational therapists in outpatient community mental health.
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    Cultural Relevance of the Transtheoretical Model in Activity Promotion: Mexican-American Women’s use of the Process of Change
    (Digital Scholarship@UNLV, 2017) Benitez, Tanya J.; Tasevska, Natasha; Coe, Kathryn; Keller, Coleen; Social and Behavioral Sciences, School of Public Health
    Hispanic women in the U.S. have disproportionately high rates of obesity and health disparities related to insufficient physical activity (PA). While the Transtheoretical Model (TTM) is one of the most commonly used behavioral theories in interventions promoting PA, there is a lack of evidence to support the cultural relevance of theoretical constructs for increasing PA in Hispanic women. To learn about Hispanic women’s use and interpretation of the construct Processes of Change (POC) for increasing PA, we conducted focus groups with overweight/obese Mexican/Mexican-American females (N=13) ages 27-40 years. Major themes centered on the importance of children and family caretaking, social support, and PA to promote weight loss. Participants identified strategies they use to enact the POC for increasing PA such as retos (challenges), exercise as an alternative to eating, and clothing as a reward/reminder for PA. This study examined culture-specific factors used by Mexican-American women for becoming more physically active as they correspond to the theoretical constructs of the TTM. We showed that the POC examined in our study are culturally relevant and enacted by Mexican- American women for increasing PA, and are poised to be deployed in culturally appropriate PA promotion and weight loss interventions.
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    Feasibility of Implementing Community Partnerships to Provide Diabetes Prevention Services to Youth
    (Springer, 2019-02) Pike, Julie M.; Yazel-Smith, Lisa; Haberlin, Kathryn M.; Hannon, Tamara S.; Pediatrics, School of Medicine
    Type 2 diabetes (T2D) in youth has increased as a result of the obesity epidemic. Diabetes prevention programming is needed for youth, at risk for T2D, and their families. However, there is a lack of diabetes prevention services for this population. There is evidence for the benefit of lifestyle modification for decreasing diabetes risk, however there are barriers for youth to access these services in a traditional clinical setting. Our Youth Diabetes Prevention Clinic (YDPC) created partnerships within the community to increase access to diabetes prevention services for at risk youth. YDPC personnel approached community organizations who had the expertise and capacity to partner in needed areas. These partnerships allowed for the development and facilitation of a community-based diabetes prevention group. Youth and their families participated in a 12 week diabetes prevention group. We measured attendance and participant satisfaction with the program. Families attended an average of 5.1 sessions from January to October 2016. Participant satisfaction was collected five times. Physical activity was rated as “awesome” or “good” by 88% of the respondents. The nutrition activities were rated as “awesome” or “good” by 97% of respondents. Physicians and families express a desire for diabetes prevention services, however barriers make it difficult for families to fully participate. Creating partnerships within the community allows for increased access to diabetes prevention services for high-risk, underserved families.
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    Implementing Infant Safe Sleep Education to Improve Parental Self-Efficacy in Rural Indiana: A Doctoral Capstone Report
    (2022-08) Parks, Mary C.; Albright, Megan; Department of Occupational Therapy, School of Health and Human Sciences; Zarate, Monica
    Research indicates that poor self-efficacy can negatively impact successful engagement in the occupation of parenting. In addition to hurting parents’ sense of competence, a lack of preparedness and knowledge can also be dangerous, as evidenced by the nearly 3,500 infant deaths which occur in the United States annually from mostly preventable sleep-related causes. Due to a variety of factors, members of minority and rural communities often have more difficulty accessing resources such as health- and parenting-related education. Because of this, the author chose to design and implement a doctoral capstone project in Clinton County, IN, a rural community with a large Hispanic/Latino immigrant population. The project centered on the creation of accessible, culturally sensitive educational resources on safe sleep and SIDS prevention to increase awareness of safe sleep practices and improve the self-efficacy of Hispanic and Latino parents in Clinton County. A brief educational presentation, along with pre- and post-surveys were created and delivered in partnership with a local organization to 15 Hispanic and one Caucasian community member. The survey results indicated a clear increase in participants’ knowledge and understanding of safe sleep and SIDS prevention practices, along with their confidence in their own abilities to keep infants safe during sleep. These results are indicative that increased access to culturally sensitive educational resources for minority members of rural communities is both necessary and beneficial for increasing the self-efficacy and success of parents within these communities.