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Item Center for Health Economics Research(Office of the Vice Chancellor for Research, 2012-04-13) Royalty, Anne BeesonThe Center for Health Economics Research (CHER) was established by the IU School of Liberal Arts at IUPUI in response to the pressing need for research on health, health care, and health insurance. The Center brings together researchers across the campus and the state with interests in any area of health and health care which can be informed by economics or with implications for economic outcomes. CHER researchers have a diverse set of interests and expertise, ranging from health insurance and health care cost growth to competition in health care markets to health-related quality of life. The Center also plays a local role in linking IUPUI to the community through shared interests in health care and research partnerships in collaboration with medical, business and government entities. In addition, the CHER is linked to and supportive of the Economics Ph.D. program with a specialization in Health Economics. This poster will present an overview of Center researchers, their research, and the upcoming Midwest Health Economics Conference to be hosted by CHER, the Department of Economics, the School of Liberal Arts, and IUPUI.Item Community Health Information Resource Guide: Volume 1 - Data(The Polis Center at IUPUI, 2011-06) Comer, Karen F; Derr, Michelle; Seyffarth, Chris; Thomaskutty, Champ; Kandris, Sharon; Ritchey, MatthewThis resource guide contains useful information for those who would like to use data to assess the health status of an Indiana community. Targeted users include local organizations such as county health departments and community health coalitions. Being able to access and use relevant data and information resources is a common hurdle for those interested in assessing and advancing community health. As a result of this need and at the request of the Community Advisory Council of the Community Health Engagement Program, we developed this resource guide to assist individuals, organizations, and coalitions in Indiana in identifying appropriate resources that guide their community health research and evaluation activities. The term “data” is used in this volume in reference to both data and information sources. While data consist of raw facts and figures, information is formed by analyzing the data and applying knowledge to it so that the findings are more meaningful and valuable to the community. The benefit of using data is that you can often manipulate it for your specific purposes. The benefit of using information sources is that the work of generating meaning from the data might already have been done, while a potential downside is that the available sources might not answer your specific questions. There are diverse sources of data that can be used as a basis for community health evaluation and decision making. Those looking to use data must consider multiple factors before determining the appropriate data to seek and use.Item Endorsement, Prior Action, and Language: Modeling Trusted Advice in Computerized Clinical Alerts(ACM, 2016-05) Chattopadhyay, Debaleena; Duke, Jon; Bolchini, Davide; Human-Centered Computing, School of Informatics and ComputingThe safe prescribing of medications via computerized physician order entry routinely relies on clinical alerts. Alert compliance, however, remains surprisingly low, with up to 95% often ignored. Prior approaches, such as improving presentational factors in alert design, had limited success, mainly due to physicians' lack of trust in computerized advice. While designing trustworthy alert is key, actionable design principles to embody elements of trust in alerts remain little explored. To mitigate this gap, we introduce a model to guide the design of trust-based clinical alerts-based on what physicians value when trusting advice from peers in clinical activities. We discuss three key dimensions to craft trusted alerts: using colleagues' endorsement, foregrounding physicians' prior actions, and adopting a suitable language. We exemplify our approach with emerging alert designs from our ongoing research with physicians and contribute to the current debate on how to design effective alerts to improve patient safety.Item Envisioning health equity for American Indian/Alaska Natives: a unique HIT opportunity(Oxford, 2019) Cullen, Theresa; Flowers, Jan; Sequist, Thomas D.; Hays, Howard; Biondich, Paul; Laing, Maia Z.; Medicine, School of MedicineThe Indian Health Service provides care to remote and under-resourced communities in the United States. American Indian/Alaska Native patients have some of the highest morbidity and mortality among any ethnic group in the United States. Starting in the 1980s, the IHS implemented the Resource and Patient Management System health information technology (HIT) platform to improve efficiency and quality to address these disparities. The IHS is currently assessing the Resource and Patient Management System to ensure that changing health information needs are met. HIT assessments have traditionally focused on cost, reimbursement opportunities, infrastructure, required or desired functionality, and the ability to meet provider needs. Little information exists on frameworks that assess HIT legacy systems to determine solutions for an integrated rural healthcare system whose end goal is health equity. This search for a next-generation HIT solution for a historically underserved population presents a unique opportunity to envision and redefine HIT that supports health equity as its core mission.Item IN-D Link(Office of the Vice Chancellor for Research, 2012-04-13) Norton, KelliIncreasing evidence shows that persons with diabetes can significantly improve their health by modest changes in their lifestyle, particularly those aimed at increasing their physical activity and reducing their weight.IN-D Link is a pilot program at the IU School of Medicine Diabetes Translational Research Center that aims to streamline the process of connecting people with type 2 diabetes to community wellness resources. IN-D link has nearly 800 resources drawn from Marion, Madison, Hamilton and Hancock counties. The resources are organized by location, cost and type to guide people to better nutrition, physical activity, support services and other resources that can improve the quality of life for those with type 2 diabetes. IN-D Link is a free service and can help physicians save time while providing the most current resource information to patients.Item Infrastructure, Separation, and Inequality: The Streets of Indianapolis Between 1890 and 1930(2008) Reichard, Ruth Diane; Coleman, Annie Gilbert; Barrows, Robert G.; Kelly, Jason M.Between 1890 and 1930 in the city of Indianapolis, people in charge made certain decisions regarding infrastructure—the character and condition of streets and sidewalks, the provision of sewer services and garbage collection, the location of the city’s dump, and the placement of the city’s sewage treatment plant—that resulted in long-term health and safety consequences. In Indianapolis, as in most modern American cities, some neighborhoods are less healthy for their inhabitants than others. The least healthy neighborhoods—those with the highest rates of cancer, for example—are situated on the city’s southwest side. The southwest side of Indianapolis is also the location of the landfill, the sewage treatment plant, and much heavy industry. The entire city is at the mercy of an ill-designed sewer system, a system that taxpayers are spending millions annually to repair. The years from 1890 to 1930 saw the genesis of this state of affairs. In the city of Indianapolis since 1890, infrastructure has separated people from nature and from each other on two levels: its operational level, wherein it was an objective entity that performed according to its design, and its subjective level, where it operated as a social and hygienic barrier. Streets, curbs, sewers, and sidewalks are useful and necessary elements of public health and safety. We both want and need these elements to ensure our separation from things that are dangerous, such as speeding cars and contaminated water. When government officials exercise power to declare what parts of the city street are accessible to whom, or which neighborhoods will have a wastewater treatment plant, a landfill, or heavy industry nearby, infrastructure can work to separate people.Item Interactive Communication Technology and Processing of Behavioral Health Change Messages(2005-06) McCracken-Stratton, Renee Marie; McDaniel, Anna M.Consumer processing of interactive communication technology (ICT) messages is an understudied area. It is incumbent upon the Informatics community to partner with various health content and population domain experts to design healthcare information products that increase reach, improve awareness, and meet consumer needs. This research is a secondary analysis of a larger study to develop and pilot test an interactive, multimedia computer program as an adjunct to usual clinical care in an effort to reduce smoking in low-income rural Indiana communities. The objective of this research was to measure the degree of consumer processing of health behavioral change messages delivered by ICT. The sample size for this research was 30 subjects. Degree of consumer message processing was high (mean processing score=80.5, SD=6.837). Instruments to assess the number of actionable cessation responses (ACRs) and cognitive changes were completed at the 3-month follow-up. A relationship was observed between degree of message processing and making a quit attempt (rbis=.384, p=.044). Knowledge scores improved over baseline measures (t=3.123, p=.004). These results suggest that ICT is feasible for promoting the processing of cessation messages and increasing consideration of ACRs in low-income rural Indiana populations.Item Medical Racism and Black Health Activism in Indianapolis and Beyond: Learning Modules for Health Professionals(2024) Nelson, ElizabethThis set of modules, designed for health care professionals, focuses on the history of health disparities in the United States, with a special focus on Indianapolis. Health disparities between different racial and ethnic groups have been documented since the 1800s. Anti-Black racism has played a central role in the making of modern medicine in the US; Dr. Martin Luther King Jr., considered discrimination in medicine to be the most “shocking and inhuman” form of racism. Civil Rights activists and Black health care professionals have led efforts to minimize health disparities, in Indianapolis and beyond, over many decades. But there is more work to be done. As we build toward a more equitable future, we would be wise to inform ourselves of this past.Item The POWER of a Healthier Tomorrow(Office of the Vice Chancellor for Research, 2010-04-09) Cupp, HeatherThe Pediatric OverWeight Education and Research Program aims to improve the health of obese children (ages 2-18) and decrease the risks associated with obesity through a high quality, multilevel and multidiscipline clinical program. Through the clinic and outreach in the community the POWER Program works to foster research in the area of pediatric obesity.Item Promotion of Health and Fitness Programming Using an Occupation-Based Approach: A Doctoral Capstone Project(2023-05-01) Feldman, Anna; Chase, Tony; Department of Occupational Therapy, School of Health and Human Sciences; Tilley, VickiThere is an abundance of health and fitness programming that has been developed. However, considerations need to be made in order to meet the needs of the individual accessing programming. For individuals with intellectual disabilities, factors such as poor health, limited accessibility, lack of modifications, and other barriers are common and can impact engagement in healthy lifestyles. Special Olympics North Carolina (SONC) is one organization that aims to be inclusive and promote health and fitness among this population. While the organization offers various opportunities to participate in health-related activities, enhancements can be made in order to increase accessibility, engagement, and participation from athletes of all ability levels. SONC Health partnered with the Indiana University capstone student to address a gap found in current programming. The ultimate purpose of the project was to create and implement sustainable and impactful resources that incorporated health and fitness education as well as occupation to increase accessibility and engagement. Project materials acted as a virtual supplement to a specific program previously developed by the site. Results collected through multiple surveys demonstrated positive outcomes related to the achievement of project goals as well as suggested possible directions for future site endeavors.