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So far Steven Rowe has created 72 blog entries.

Non-reimbursable Workload in Pediatric Diabetes Care – the Providers’ Perspective

An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available as a PDF download.

Authors:

Ksenia N. Tonyushkina, MD
Nicholas Koran
Ines Guttmann-Bauman, MD

Objective:

In this study, we quantified the amount of time that pediatric diabetes care providers spend in non-reimbursable activities and evaluated the predictors related to clinic structure and educational and behavioral care diabetes support.

Methods:

We distributed an anonymous electronic survey via email to Pediatric Endocrine Society (PES) members and requested information about their practice and about non-reimbursable time spent during an average week not on call.

Results:

A total of 96 diabetes providers completed the survey. Most providers spent 1-2 hours a day on non-billable activities and 60% of them worked on weekends. Providers from medium sized programs and those without fellowships saw more patients than providers from small and large programs and those with fellowships. The same groups had the least assistance from certified diabetes care and education specialists (CDCES) and social workers. Providers from practices allowing CDCES to review blood glucose data and adjust insulin spent significantly less time on this activity themselves.

Conclusions:

We call for the development of new reimbursement models, noting increasing demands of technology, need for longitudinal care between visits and ensuring sustainability and equity of pediatric diabetes care.

Source: Health Behavior and Policy Review, Volume 9, Number 3, May 2022, pp. 839-845(7)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.9.3.1

2022-06-11T16:14:01-06:00June 11th, 2022|Chronic Conditions, Clinicians, Healthcare Delivery|

Weight Perception and Weight Control Behavior among Florida High School Students

An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available as a PDF download.

Authors:

Deana A. Hildebrand, PhD, RD
Jeremy Humphrey, MS
Lindsi Lemons, MPH

Objective:

Actions adopted by adolescents to control their weight are motivated by their body weight perception. In this study, we aimed to investigate the association between body weight perception and weight control behavior among Florida public high school students.

Methods:

We analyzed data from the 2015 Florida Youth Risk Behavior Survey (N = 3798). We used chi-square test to detect group differences among survey respondents and multivariate logistic regression to assess the association between weight perception and weight control behavior.

Results:

Most survey respondents adopted healthy actions such as exercise and diet, 75.3% and 55.0%, respectively, and few used unhealthy ones as weight control means, such as fasting, use of diet products, and purging, 15.6%, 7.3%, and 6.5% respectively. Compared to respondents who considered themselves as having the right weight, there were higher odds of engaging in healthy activities only in respondents who considered themselves as being overweight while there were higher odds of engaging in unhealthy actions in respondents perceiving themselves as underweight and in those viewing themselves as overweight.

Conclusions:

High school health education courses should include modules educating students on the importance of having accurate knowledge about body weight and adopting a healthy weight control behavior.

Source: Health Behavior and Policy Review, Volume 9, Number 2, March 2022, pp. 815-827(13)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.9.2.8

2022-04-11T11:30:35-06:00April 11th, 2022|Health Policy, Lifestyle, School Health|

Beliefs Underlying US Adults’ Intention to Stay Home during the COVID-19 Pandemic

An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available as a PDF download.

Authors:

Christopher Owens, PhD, MPH Twitter
Kristina Hunter-Mullis, MS
Jonathan T. Macy, PhD, MPH
Stephanie Dickinson, MS
Susan E. Middlestadt, PhD

Objective:

In this study, we estimated the relative contribution of 4 Reasoned Action Approach (RAA) belief determinants in explaining intention to stay home during the COVID-19 pandemic.

Methods:

Data were obtained from a survey of a nationally representative sample of US adults (N = 942) conducted April 10-20, 2020 (about one-month after initial stay-at-home orders were implemented) using a probability-based Internet household panel (Ipsos KnowledgePanel). Multiple regression analysis tested the association between attitude, injunctive norm, descriptive norm, and self-efficacy and intention to stay home for the next month while controlling for demographic factors. We tested for a moderating effect of worker status on the relationships between the 4 RAA beliefs and intention.

Results:

Instrumental attitude, injunctive norm, descriptive norm, and self-efficacy demonstrated statistically significant independent associations with intention to stay home. Self-efficacy showed the highest independent association. However, this relation was modified by an interaction between self-efficacy and worker status, revealing that self-efficacy is particularly important for essential workers.

Conclusions:

These findings suggest that public health strategies to increase individuals’ intention to stay home and encourage adherence to stay- at-home policies should focus on enhancing self-efficacy with communication and policy supports. To be most effective, interventions should be targeted based on worker status.

Source: Health Behavior and Policy Review, Volume 9, Number 2, March 2022, pp. 828-838(11)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.9.2.9

2022-03-30T22:11:26-06:00March 30th, 2022|COVID19, Health Beliefs|

Non-profit Coordinated School Health Program Achieves Student Outcomes in Both Beginning and Experienced Schools

An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available as a PDF download.

Authors:

Deana A. Hildebrand, PhD, RD
Jeremy Humphrey, MS
Lindsi Lemons, MPH

Objective:

The purpose of this study was to determine the efficacy of an ongoing health promotion program to sustain student outcomes over an extended period, and to determine if student outcomes are affected by the schools’ duration of program participation.

Methods:

The repeat- measures study used secondary data from Healthy Schools Oklahoma for School Years 2016-2019. FITNESSGRAM® assessed changes in student fitness levels (N = 12,219); an electronic health survey assessed changes in knowledge and behaviors (N = 6840). McNemar tests examined change in the proportion of students reaching the healthy fitness zone (HFZ) for 6 FITNESSGRAM® tests, and the proportion of students with accurate knowledge or meeting dietary and physical activity recommendations. Poisson regression tested for change in student outcomes based on duration of program participation.

Results:

The proportion of students reaching HFZ increased for 5 of 6 fitness tests (p ≤ .004) and with accurate nutrition and physical education knowledge (p ≤ .009). We found statistically significant main effects for outcomes (p ≤ .016) and duration (p ≤ .030); there was no effect for the interaction.

Conclusions:

Students achieved similar gains in outcomes regardless of the schools’ duration of program participation.

Source: Health Behavior and Policy Review, Volume 9, Number 2, March 2022, pp. 765-775(11)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.9.2.4

2022-03-30T22:10:15-06:00March 30th, 2022|Nutrition, Physical Activity, School Health|

American Women’s Perceptions of Pandemic Policies and Regulations

An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available as a PDF download.

Authors:

Christine G. Cardinal, JD, MPH
Jennifer A. Bunn, PhD
Isaac Schley, MPH
Daphne S. Fulton, DrPH
Rosanne Keathley, PhD

Objective:

We surveyed 287 American women from April 2020 until the November 2020 presidential election to evaluate their primary news source, beliefs on the constitutionality of mask-wearing and stay-at-home orders, government’s ability to implement public health orders, and political affiliation.

Methods:

Qualtrics surveys were distributed on social media. Using a chi-square test of independence, we evaluated differences by age groups, ethnicity, and education.

Results:

Age, ethnicity, and education were all statistically related to beliefs about public health initiatives.

Conclusions:

These results can help tailor public health interventions, policies, and laws focused on compliance with public health initiatives aimed at reducing the spread of the virus.

Source: Health Behavior and Policy Review, Volume 9, Number 2, March 2022, pp. 751-764(14)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.9.2.3

2022-03-30T22:09:07-06:00March 30th, 2022|COVID19, Health Policy, Women's Health|

Evaluating School Profiles to Determine Risk for Teen Suicide

An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available as a PDF download.

Authors:

Nancy Eigel-Miller, MS
Lisa M. Vaughn, PhD
Michael Topmiller, PhD
Olga Semanova, MS
Jonelle Prideaux, BA
Kamali Bouvay, MD
Cheryl Hilvert, MA, LPCC
Erica Page, PhD

Objective:

In this study, we examined characteristics and school contexts to identify profiles of schools at highest risk for suicide in Cincinnati, Ohio and the surrounding geographic area.

Methods:

We conducted a retrospective cohort study supplemented by context analysis. Adolescent data included total psychiatric-related pediatric emergency department encounters, psychiatric-related inpatient admissions, and suicide encounters/admissions aggregated to school level. School factors included type, size, geographic location, academic rigor, existence of a mental health partner, and culture of suicide prevention efforts at the school.

Results:

Using a k-means cluster analysis, 173 schools were sorted into 4 distinct clusters based on based on patient data linked to schools. A context analysis of the 25 highest risk schools revealed general patterns of low academic achievement measures, limited mental health partnership, and poor suicide prevention ratings.

Conclusions:

These findings suggest that schools which already reflect limited access to resources are the same ones disparately at higher risk for suicide in our geographic area. The variation of at- risk suicidality factors across schools suggests the need for tailored suicide prevention interventions specific to school characteristics and context.

Source: Health Behavior and Policy Review, Volume 9, Number 2, March 2022, pp. 738-750(13)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.9.2.2

2022-03-30T22:07:38-06:00March 30th, 2022|Adolescents, Mental Health|

Using Digital Platforms in Schools for Prevention and Health Promotion: A Scoping Review

An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available as a PDF download.

Authors:

Christian Dagenais, PhD
Michelle Proulx, PhD
Esther Mc Sween-Cadieux, PhD

Objective:

Digital platforms for prevention and health promotion (PHP) are now, more than ever, available for use by school professionals, including teachers. However, little is known about what motivates them to use such platforms. A scoping review (ScR) was conducted to identify conditions that promote use by school professionals, including teachers, of PHP digital platforms at schools.

Methods:

For our ScR, we accessed ERIC, Sociological Abstracts, MEDLINE, PubMed, and Web of Science databases (period 2000-2018) in 3 sectors: education, health, online technologies. For each study, we prepared and validated a summary sheet. Contents dealing with conditions for use were subjected to open coding, grouped into categories, and synthesized.

Results:

Of the 3639 articles captured, 17 studies were selected. Five conditions emerged: (1) ensuring that the digital platform becomes a reference for PHP activity in schools; (2) that the resources needed for its uptake are mobilized; (3) that it is user-friendly; (4) that the digital platform engages the participation of everyone involved; and (5) that it is linked to existing programs in the school.

Conclusions:

These results can guide the activities deployed in schools for optimal implementation of PHP programs from digital platforms.

Source: Health Behavior and Policy Review, Volume 9, Number 2, March 2022, pp. 719-737(19)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.9.2.1

2022-04-05T11:22:21-06:00March 30th, 2022|School Health, Technology Use|

Associations among Eating Habits, Health Conditions, and Education Level in North Dakota Adults

Free to read and download for a limited time.
The full article is available as a PDF download.

Authors:

Amir Alakaam, PhD, RDN, LDN, MBChB
Madeline Lett, MPH, BSN
Hailey Puckett, MPH
Katherine Kite, BSPS

Objective:

Many socioeconomic factors can influence the consumption of a nutritious diet. To uncover factors influencing nutrition habits in North Dakota, we implemented a community-based nutrition education program.

Methods:

The program consisted of 6 educational sessions at a farmer’s market in North Dakota. We collected data through a questionnaire to assess individuals’ demographic information, health conditions, fruit and vegetable intake, and nutrition knowledge (N = 290). We analyzed the data using descriptive, chi-square, and one-way ANOVA analysis.

Results:

Overall, 37% of participants had a 4-year college degree, 20% had a master’s degree, 18% had a high school degree, and 17% had a 2-year or vocational degree. The chi-square analysis indicated a statistically significant correlation between education level and health condition (p = .010) and average total fruit and vegetable intake (p = .020). Participants with a higher level of education had fewer chronic disease diagnoses and ate more fruits and vegetables. The one-way ANOVA indicated a statistically significant relationship between education and nutrition knowledge (p < .001).

Conclusions:

Individuals with higher nutrition knowledge may have healthier eating habits and better health outcomes. Future nutrition education programs are needed to improve health equity and the population’s overall eating habits.

Source: Health Behavior and Policy Review, Volume 9, Number 1, January 2022, pp. 636-644(9)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.9.1.2

2022-02-02T11:18:21-07:00February 1st, 2022|Free, Healthy People 2030|

College-level Personal Health Courses: A Perspective for Improving Their Relevance and Reducing Health Disparities in the US

An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available as a PDF download.

Authors:

Philip Jacobs, PhD
Arvi Ohinmaa

Objective:

In this paper, we explore how the relevance of college-level personal health courses could be enhanced and how these courses could be leveraged for improving student health and providing access to information useful in reducing health disparities and improving overall health in adulthood.

Methods:

We examine and interpret literature on college student health and the content and delivery of personal health courses.

Results:

College-level personal health courses occur in many different academic units and through numerous delivery modes. College students’ ability to access and use health information may be a social determinant of health later in life. Whereas specific course content varies, it underperforms in relevance to students’ lives. Specific areas needing improvement are mental health, interpersonal relationships, food selection and preparation on a budget, harm reduction with respect to alcohol use, and other areas that currently receive insufficient attention.

Conclusions:

Personal health courses may have the potential to reduce health disparities if access to college and relevant health-related information can be operationalized better. Motivated by the impact on collegiate life by the COVID-19 pandemic, we recommend research that leads to reform of college-level personal health courses responsive to student interests and delivery mechanisms that enhance motivation to learn, and result in reduced susceptibility to chronic diseases and improved adult health and quality of life.

Source: Health Behavior and Policy Review, Volume 9, Number 1, January 2022, pp. 645-659(15)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.9.1.3

2022-02-04T11:27:25-07:00February 1st, 2022|College Health, Health Education, Healthy People 2030|

Messaging Considerations in Teen Pregnancy and Sexually Transmitted Infection Prevention

An Open Access article published in the Health Behavior and Policy Review Journal.
The full article is available as a PDF download.

Authors:

Kayla Knopp, PhD
Galena Rhoades, PhD
Lisa Rue, PhD
Michael Floren, PhD
Kiley Floren, MPH

Objective:

Teen pregnancy and sexually transmitted infection (STI) prevention are top public health goals. Despite decades of research, programs to prevent adverse sexual health outcomes among adolescents show limited effectiveness in broad dissemination. In the current study, we aimed to identify understudied factors that may impact effectiveness of teen pregnancy and STI prevention (TPP) programs, with goals of informing innovation in program development and outlining future research priorities.

Methods:

A panel of experts in TPP programs generated a list of understudied constructs in evaluation research, distilled to 3 considerations regarding messaging: single versus multiple messages, adverse effects of safety messages, and sociocultural context. We conducted an exploratory search of published literature in health promotion fields targeted toward messaging strategies, and we synthesized information from relevant empirical and review papers.

Results:

Limited evidence was found suggesting multiple messages or adverse message impacts are likely to impair TPP program effectiveness overall, although both may emerge in certain contexts and populations. In contrast, considerable evidence highlighted the importance of cultural context and individual differences.

Conclusions:

Effective TPP program messaging should be consistent, tailored, and systemic. Future research should evaluate these messaging strategies to determine whether they may enhance program impacts.

Source: Health Behavior and Policy Review, Volume 8, Number 6, November 2021, pp. 596-608(13)
Publisher: Paris Scholar Publishing Ltd.
DOI: https://doi.org/10.14485/HBPR.8.6.10

2022-01-02T10:11:54-07:00January 2nd, 2022|Pregnancy, Sexual Health|
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