healthy people 2020 - Society for Public Health Education

Transcription

healthy people 2020:
Scaling New Heights
society for public health education ! 61st annual meeting
ng
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n ovem be r 4- 6 , 2010 ! de nve r , co lor a do ]
[
f i n a l p r o gr am ]
! 2009-10 sophe board of trustees !
president: diane allensworth, phd
president-elect: dan perales, drph, mph
treasurer: mary cheryl nacionales, mph, mba
secretary: suzanne miro, mph, ches
immediate past president: kathryn meier, mph, ches
trustee / 2010 midyear meeting: kelli mccormack-brown, phd, ches
trustee / 2010 annual meeting: david driscoll, phd, mph, ma
trustee / 2011 midyear meeting: sharon thompson, phd, ches
trustee / 2011 annual meeting: eva doyle, phd, msed, ches
trustee / advocacy & resolutions: robert strack, phd, mba
trustee / ethics & research: andrea gielen, scd
trustee / membership & leadership: sarah olson, mph, ches
trustee / professional development & continuing education: randall cottrell, ded, ches
trustee / professional preparation: carol azar, mph
trustee / publications & communications: michelle kegler, drph
student trustee: melinda j. ikces, phd
trustee / house of delegates: melanie stopponi, mpa, ches
trustee / house of delegates: kay deaner, med, rn, ches
trustee / house of delegates: crystal owensby, ms, ches
trustee / house of delegates: karen spiller
!""congratulations to the 2010-11 board !
president: dan perales, drph, mph
president-elect: robert s. gold, phd, drph, faahb
secretary: suzanne miro, mph, ches
treasurer: mary cheryl nacionales, mph, mba
immediate past president: diane allensworth, phd
trustee / 2012 midyear meeting: karen spiller
trustee / 2012 annual meeting: kelly bishop, ma, ches, fasha
trustee / 2011 midyear meeting: sharon thompson, phd, ches
trustee / 2011 annual meeting: eva doyle, phd, msed, ches
trustee / advocacy & resolutions: robert strack, phd, mba
trustee / ethics & research: andrea gielen, scd
trustee / membership & leadership: sarah olson, mph, ches
trustee / publications & communications: jesus ramirez-valles, phd
trustee / professional development & continuing education: cam escoffery, phd, mph, ches
student trustee: rachael dombrowski, mph
trustee / house of delegates: melanie stopponi, mpa, ches
trustee / house of delegates: crystal owensby, ms, ches
trustee/house of delegate: heather alberda, ba
trustee / house of delegates: rhonda payne, mph
!""sophe staff !
chief executive officer: m. elaine auld, mph, ches
assistant chief executive officer: michael dickey, mph, ches
senior project director: margaret a. procaccino, ma, ches
senior project director: rosemarie matulionis, msph
health equity director: nicolette warren, ms, ches
project director: laura boyle, mipp, mph, ches
project manager: meaghan c. mchugh, mph
health policy associate: sarah leonard, bs, ches
editorial manager / project coordinator: laura j. drouillard, ba
editorial manager/project coordinator: amanda schnitzer, bs
administrative assistant: saundra flegler
thanks to our outgoing board members!
healthy people 2020:
Scaling New Heights
society for public health education
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novembe r 4-6, 2010
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61st annual meeting
de nve r marriott city ce nte r hote l
de nve r, colorado
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]
Conference Overview
Welcome to the Society for Public Health Education’s (SOPHE) 61st Annual Meeting, “Healthy People 2020: Scaling New Heights” in
Denver, Colorado. Public health professionals working in disease prevention and health promotion have much to celebrate and still more to discover.
At the conclusion of the Healthy People (HP) 2010 decade, we should pause to take stock of our achievements and learn from our challenges.
At this conference, plenary speakers and presenters will share progress and discovery in disease prevention and health promotion,
discuss goals and expectations for the next decade, and describe innovative strategies for achieving those objectives.
During this meeting, SOPHE will conclude its 60th Anniversary year and launch a new strategic plan for the years ahead!
conference objectives
This 1 ½ -day conference will enable you to:
• Celebrate the contributions of health education and health
promotion to achieving Healthy People 2010 objectives.
• Address how community-based participatory research, community
engagement, and capacity building strengthened the effectiveness,
sustainability, and transferability of community interventions to
reduce chronic disease.
•Draw on lessons learned to achieve Healthy People 2020
objectives at the international, national, state, territorial, tribal,
and community levels.
• Foster innovations in health communication and education, science
translation, pedagogy, policy, and community interventions across
health outcomes and determinants and involving multisectoral,
multidisciplinary and participatory approaches.
conference
supporters
SOPHE is grateful to the following conference supporters.
table of contents
platinum
Conference Overview
1
Plenary Speaker Snapshots
2
2010 Award Winners
3
Annual Meeting Highlights 6
Detailed Schedule
7
Be sure to visit them in the Resource Roomthroughout the conference.
Sage Publications
gold
Centers for Disease Control & Prevention
National Commission on Health Education Credentialing
silver
James F. & Sarah T. Fries Foundation
bronze
Indiana University
SurveyMonkey
Wiley/Jossey Bass
diamond
Center for Plain Language
Colorado SOPHE
FDA Office of Women’s Health
GNP Specialties, Inc.
Healthy Lifestyle Choices
IZZE Sparkling Juice
Jil Applegate
Larabars
Routledge Journals
Springer Publishing Company
Young Driver Research Initiative,
The Children’s Hospital of Philadelphia
university
DePaul University
San Jose State University
University of Illinois – Chicago
University of Minnesota, Population Center
Conference Abstracts
13
Poster Presentations
40
Poster Abstracts
42
Poster Promenade
60
Schedule at a Glance
61
Hotel Floor Plan
67
planning committee members
2010 Annual Meeting Trustee: David Driscoll, PhD, MPH
Diane Allensworth
Christina Bacca
Jennifer Conner
Kristina Davis
Kathy DeBarr
Eva Doyle
Amilya (Nikkie) Ellis
Bridget Gaglio
Sherry Grover
Jenné Johns
Sondra Manske
Mondi Mason
Nancy Nix
Barbara Ozaeta
Michele L. Pettit
Rob Simmons
Yewande A. Sofolahan
Karen Spiller
Melannie Stopponi
Nanette Wong
& the entire SOPHE Staff
s o p h e co n f e r e n c e
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Selected Plenary Speaker Snapshots
diane allensworth, phd
Diane Allensworth is SOPHE’s 2009-10 President and is a
Senior Advisor within the Office of Policy at the Centers for
Disease Control and Prevention. Since joining CDC in 1997,
she has applied her expertise in children’s health and school
health in CDC’s Division of Adolescent & School Health,
Division of Partnerships and Strategic Alliances, and the
Division of Nutrition and Physical Activity where she recently completed a 120-day detail to assist First Lady Michelle
Obama’s Let’s Move! Campaign. Dr. Allensworth is former
Executive Director of the American School Health Association
and professor emeritus at Kent State University. A passionate
child health advocate, she served as a Peace Corps volunteer
and received SOPHE’s Open Society Award for her commitment to social justice in 2008. In 2010, she co-edited SOPHE’s
first textbook, Health Promotion Programs.
w. doug evans, phd
Doug Evans is currently serving a 4-year appointment
(2007-2011) as a member of the Secretary of Health and
Human Service’s National Advisory Committee on Health
Promotion and Disease Prevention (Healthy People 2020).
Dr. Evans is Director of Public Health Communication and
Marketing, and Professor in the Department of Prevention
and Community Health and the Department of Global
Health at The George Washington University (GWU).
Dr. Evans has built his public health career on an insight the
private sector has long understood - marketing and communication matter. A research psychologist, his work focuses
on two key areas: (1) building the evidence base to establish
the effectiveness of marketing and message strategies in
promoting healthy behaviors; and (2) expanding the use of
effective commercial marketing strategies to public health,
especially to reach socially and economically disadvantaged
populations. Dr. Evans is also an expert panel member for
the health marketing and health communication review of
the Guide to Community Preventive Services.
lawrence w. green, drph
Larry Green retired from CDC in 2004, as Distinguished
Fellow-Visiting Scientist. He served as Director of CDC’s World
Health Organization Collaborating Center on Global Tobacco
Control, and later as Acting Director of the Office on Smoking
and Health. In the Public Health Practice Program Office, he
served as the Director of CDC’s Office of Science and Extramural Research and as Associate Director for Prevention Research
and Academic Partnerships. Dr. Green has broad experience
in health education, prevention, and community interventions
for health promotion and risk reduction. He served as the first
Director of the U.S. Office of Health Information and Health
Promotion in the Office of the Assistant Secretary for Health
under the Carter Administration, and as Vice President of the
Kaiser Family Foundation. A former SOPHE President and
Distinguished Fellow, he has been on the public health faculties
at Berkeley, Johns Hopkins, Harvard, Texas and Emory. He
currently serves on the editorial boards of the American Journal
of Preventive Medicine, Health Education & Behavior, Health
Education Research, Theory and Practice, the American Journal
of Health Behavior and 11 other journals.
shiriki kumanyika, phd, mph
Shiriki Kumanyika is Vice-Chair of the Secretary’s Advisory
Committee on National Health Promotion and Disease Prevention Objectives for 2020. Among her many academic appointments, Dr. Kumanyika is the Senior Advisor to the Center for
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Public Health Initiatives, Professor of Epidemiology,
Associate Dean for Health Promotion and Disease Prevention, and Senior Fellow of the Institute on Aging at the University of Pennsylvania. Dr. Kumanyika has a unique interdisciplinary background that integrates epidemiology, nutrition,
minority health, and women’s health issues with a focus on
prevention. Her research addresses the role of nutritional
factors in the primary and secondary prevention of chronic
diseases, with a particular focus on obesity and related health
problems such as hypertension and diabetes.
james michael mcginnis, md, mpp
Michael McGinnis is Senior Scholar at the Institute of
Medicine, as well as Executive Director of its Roundtable
on Evidence-Based Medicine. Prior to joining the Institute
of Medicine, Dr. McGinnis was Senior Vice President and
Director of the Health Group and scholar-in-residence at the
National Academy of Sciences in Washington, D.C. Previously, he held appointments throughout the Carter, Reagan,
Bush and Clinton Administrations (1977-1995), as Deputy
Assistant Secretary for Health and Assistant Surgeon General
in the Department of Health and Human Services, responsible for coordinating policies in disease prevention and health
promotion. During his government service, Dr. McGinnis
was principal architect of the Healthy People process to set national health goals and objectives; the formation of the HHS
Nutrition Policy Board and development of the HHS/USDA
Dietary Guidelines for Americans; and the creation of the U.S.
Preventive Services Task Force, which produced the Guide to
Clinical Preventive Services.
john seffrin, phd
John Seffrin has been CEO of the American Cancer Society
since 1992. During his tenure, Dr. Seffrin has made his
organization’s voice heard in legislatures around the country
and in forums worldwide. He spearheaded the creation of the
Society’s nonprofit, nonpartisan advocacy affiliate, the American Cancer Society Cancer Action Network and is a past
president of the Geneva-headquartered International Union
Against Cancer. He currently serves on the Advisory Committee to the Director of the US Centers for Disease Control
and Prevention, a Secretary-level appointment. A SOPHE
Distinguished Fellow, Dr. Seffrin is a contributing author to
more than one dozen books and has written more than 100
articles and other publications. Dr. Seffrin is the 2010
Elizabeth Fries Health Education Award Winner, a $25,000
prize, and will deliver his address on Saturday, November 6.
rear admiral penelope slade-sawyer, pt, msw
Penelope Slade-Sawyer is Deputy Assistant Secretary for
Health, Disease Prevention and Health Promotion where
she directs the Office of Disease Prevention and Health
Promotion (ODPHP), Office of Public Health and Science
(OPHS) in the U.S. Department of Health and Human
Services (HHS). RADM Slade-Sawyer is a Commissioned
Corps Officer in the U.S. Public Health Service. She is a
senior health advisor to the Assistant Secretary for Health
and to the Secretary of HHS. RADM Slade-Sawyer leads
the ODPHP in coordinating three key initiatives for HHS:
Healthy People 2010; the Dietary Guidelines for Americans;
and the 2008 Physical Activity Guidelines for Americans.
As Director of the Office of Disease Prevention and Health
Promotion, RADM Slade-Sawyer has primary Federal leadership responsibility for Healthy People 2020, Healthfinder,
The National Health Information Center, and The National
Health Information Infrastructure.
✯
2010 SOPHE Awards
✯
Join us in congratulating these outstanding individuals throughout the conference and during
SOPHE’s Gala Awards Celebration on Saturday evening, November 6.
✯ distinguished fellow award ✯
This award is the highest recognition given by the Society and honors
members who have made significant and lasting contributions to
SOPHE and the health education field.
Jim McKenzie, PHD, MPH, CHES
James “Jim” McKenzie is a Professor Emeritus of Physiology
and Health Science at Ball State University, where he started
as chairperson in 1989. In his 15 years at Ball State he distinguished himself on campus through his excellent teaching,
quality publications, and outstanding service. Dr. McKenzie’s
expertise focuses on areas of program planning and evaluation,
community health, and patient education.
Dr. McKenzie has made significant and lasting contributions to the
profession of health education. Over the span of his 30 year career, he has
authored numerous textbooks including: An Introduction to Community
Health; Principles and Foundations of Health Promotion & Education; and
Planning, Implementing and Evaluating Health Promotion Programs. In
addition, Dr. McKenzie has contributed chapters to several other books,
and has authored close to 50 peer-reviewed articles addressing professional
preparation, credentialing, and the accreditation of academic health education programs. He has held leadership positions in several national and state
professional associations including Indiana SOPHE Delegate from 2004-06;
Co-chair of the SOPHE/AAHE Baccalaureate Approval Committee since
2007; and coordinator of the Division Board of Certification for the National
Commission for Health Education Credentialing since 2009. Dr. McKenzie
is a reviewer for nine health education journals, including Health Promotion
Practice, and has been recognized with more than a dozen awards for his
teaching, research and service to the profession.
David Sleet, PHD, FASHA
Dr. David Sleet is the Associate Director of Science for the
Division of Unintentional Injury Prevention at CDC, where
he plans and manages research programs and provides
direction to a national injury control program. He is also
Professor Emeritus at San Diego State University, Adjunct
Professor at Curtin University in Australia and on the teaching faculty of
the School of Public Health at Emory University in Atlanta. He has spent
most of his professional career in academia and government service,
conducting research and teaching in public health and health psychology.
He was a research psychologist at the U.S. Department of Transportation in Washington, D.C., and a visiting research fellow at the University
of Western Australia in Perth, where he directed a research unit on road
injury prevention and worked in the Washington State Health Department
to develop a statewide approach to injury prevention.
Dr. Sleet’s contributions to the field include more than 90 published
books, monographs, and chapters, as well as 130 peer-reviewed journal
articles related to injury prevention, health promotion, disease prevention, and community health. In 1999, he was awarded the Mayhew
Derryberry Award from the American Public Health Association for his
contributions to theory and practice in public health, and in 2001, he
received the U.S. Department of Health and Human Services Secretary’s
Award for Distinguished Service for his research on blood alcohol levels
and driving, which led to a new national standard. Dr. Sleet’s collaborative research spans the globe including special projects in Australia,
Belgium, and Finland.
Marc Zimmerman, PHD
For the past 13 years, Dr. Zimmerman has served as the Editor-inChief of Health Education & Behavior, one of the most frequently
cited journals in the field. He is a highly regarded researcher that has
published over 100 peer-reviewed articles, covering a variety
of public health topics. Dr. Zimmerman’s primary research interests
include the application and development of empowerment theory and the study
of adolescent health and resiliency. His research has consistently focused on individual and community health risk and community-based research methods.
Dr. Zimmerman has served for more than ten years as Chair of the Department of Health Behavior and Health Education at the University of Michigan School of Public Health, where he has mentored scores of students to
become leaders in the field. He is also the editor of Youth and Society, and
directs the Prevention Research Center of Michigan (PRC/MI), a CDCfunded center that focuses on both policy and community-based initiatives
and projects. In 2010, Dr. Zimmerman, received the Distinguished Contribution to Theory and Research Award from the Society for Community
Research and Action of the American Psychological Association.
✯ honorary fellow award ✯
The SOPHE Honorary Fellow Award is SOPHE’s highest recognition to a
non-member who has made significant and lasting contributions to health
education and public health.
David S. Sobel, MD, MPH
David Sobel is Director of Patient Education and Health Promotion for The Permanente Medical Group, Inc. and Kaiser Permanente’s Northern California Region. A primary care physician, he
also led the national initiative on Patient-Centered Care for Kaiser
Permanente’s Care Management Institute, which is dedicated to
synthesizing knowledge about superior clinical approaches to ensure the highest quality care delivered to Kaiser Permanente members. He serves on the
Northern California Region Contributions Committee, which provides funding
and technical support for low-income and safety-net populations, community
organizations, and community health initiatives.
Dr. Sobel has dedicated his career to research and teaching in the area
of medical self-care, patient education, preventive medicine, behavioral
medicine, and psychosocial factors in health. He is coauthor of seven books
including Living a Healthy Life with Chronic Conditions, The Healing Brain,
Healthy Pleasures, and Mind & Body Health Handbook. He also served as an
invited delegate to the World Health Organization (WHO) Congress that
generated the Ottawa Charter on Health Promotion.
After receiving a bachelor’s degree in psychology at the University of Michigan,
Dr. Sobel pursued his medical training at the University of California San
Francisco with a medical internship at Presbyterian Hospital-Pacific Medical
Center in San Francisco. He also completed a master’s degree in Public Health
and a residency program in General Preventive Medicine at the School of
Public Health, University of California, Berkeley.
Dr. Sobel has received many awards, including the 2001 national Healthtrac
Foundation Health Education Award*, which is given to a health educator
who has made a substantial contribution to advancing the field of health
education or health promotion through research, program development, or
program delivery. He also won the James A.Vohs Award for Quality: Chronic
Disease Self-Management Program Multi-Region in 2002 and the TPMG Exceptional Contribution Award in 2005 for creating, developing, and disseminating health education programs that support Kaiser Permanente members
throughout the continuum of care.
*Award renamed the Elizabeth Fries Health Education Award, and is now given
annually by the James F. and Sara T. Fries Foundation.
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2010 SOPHE Awards
✯ open society award ✯
This award recognizes an individual or group who embodies and
promotes an Open Society through research, practice, and/or teaching.
Stephen B. Thomas, PHD, FAAHB
Stephen Thomas is one of the nation’s leading advocates in
the effort to eliminate health disparities. He is currently the
Director of the Center for Health Equity at the University of
Maryland’s School of Public Health. Prior to this position,
Dr. Thomas was the director of the Center for Minority
Health and the Philip Hallen Professor of Community
Health and Social Justice at the University of Pittsburgh’s Graduate
School of Public Health (GSPH). Under Dr. Thomas’s leadership, the
Center implemented community-based interventions that range from
the development of culturally tailored health communication materials
designed to address an individual’s risk behaviors to using mass media
to advocate for policy change. In 2005, Dr. Thomas received the David
Satcher Award from the Directors of Health Promotion and Education
for demonstrating leadership in reducing health disparities that have
resulted in the improvement of health promotion and health education
programs at the state and local levels.
Additionally, Dr. Thomas served for seven years as an associate professor in the Department of Behavioral Sciences and Health Education at
Atlanta’s Emory University. While there, he founded and became director
of the Institute for Minority Health Research at the Rollins School of
Public Health. Dr. Thomas was also a visiting scientist from 1996 to 1998
at The National Center for HIV/AIDS, STD and TB Prevention, Centers
for Disease Control and Prevention in Atlanta. He also has held faculty
positions at several universities, including the University of Maryland,
where he was co-founder and director of the Minority Health Research
Laboratory; Southern Illinois University; and the University of North
Carolina. Dr. Thomas received his bachelor’s degree from Ohio State
University and earned his doctorate in community health education
from Southern Illinois University in Carbondale.
✯ 2010 sarah mazelis best paper of the year ✯
This paper recognizes author(s) whose peer-reviewed article has been
published in SOPHE’s journal Health Promotion Practice in the last year
and has significant contributions to advancing the practice of health education and health promotion programs, policy, or professional preparation.
Settings for Health Promotion: An Analytic Framework to Guide Intervention Design and Implementation by Blake Poland, Gene Krupa, and
Douglas McCall; Health Promotion Practice, October 2009, 10(4): 505-516.
✯ 2010 lawrence w. green best paper of the year ✯
This paper recognizes author(s) whose peer-reviewed article has been published in SOPHE’s journal Health Education & Behavior in the last year
and has made significant contributions to understanding health education,
health status, and strategies to improve social and behavioral health.
TBA
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✯ 2009-2010 sophe/cdc fellows ✯
2009-10 sophe/cdc child & adolescent student fellowship
This fellowship recognizes, assists, and trains graduate students working
on projects in child and adolescent health from the perspective of health
education or the behavioral sciences. The recognition represents the
culmination of their year-long work.
Jagdish Khubchandani, PhD (c), MD, MPH, CHES
Jagdish Khubchandani is an Assistant Professor of Community Health Education at the Ball State University. He earned
his Medical Degree from India, Masters in Public Health from
Western Kentucky University, and a PhD in health education
from the University of Toledo. His research interests are in the
area of clinical epidemiology, youth violence, health related outcomes of
intimate partner violence in adolescence, and the roles of school personnel
in preventing youth violence.
Laura L. Colbert, MPH
Laura Colbert recently graduated from Emory University with
a Master of Public Health Degree. As the SOPHE Fellow for
Child, Adolescent, and School Health, Laura developed and
piloted a curriculum for middle school students, to be used in
an after-school or summer camp setting. She hopes to implement this curriculum in the Atlanta Public School system in the current
school year. In addition to school wellness programming and curricula,
Laura is interested in health literacy and increased access to care.
2009-10 sophe/cdc injury prevention student fellowship
This fellowship program recognizes, assists, and trains graduate students
working on injury prevention projects from the perspective of health
education or behavioral sciences. The recognition represents the culmination of their year-long work.
Catherine J. Vladutiu, PhD, (c), MPH
Catherine Vladutiu is a doctoral candidate in the Department
of Epidemiology at the University of North Carolina Gillings
School of Global Public Health. Ms. Vladutiu received a Master
of Public Health degree in Maternal and Child Health Epidemiology at the University of Rochester School of Medicine &
Dentistry in New York. Much of her research has focused on
maternal and child health and injury prevention. In particular, Ms. Vladutiu
is interested in the intersection between perinatal health and injury
epidemiology. Her current research examines adverse maternal and fetal
outcomes resulting from trauma during pregnancy.
Dorian Lamas, PhD (c), MA
Dorian Lamas is a doctoral student in Clinical-Community
Psychology at the University of South Carolina. He received
his Master of Arts degree in Clinical Psychology from East
Tennessee State University. His research focuses on suicidal
behaviors and alcohol use and abuse in adolescents and
young adults.
✯
2010 SOPHE Awards
✯ 2009-10 sophe/atsdr environmental
health fellowship ✯
This fellowship recognizes, assists, and trains graduate students working
on projects in environmental health education, environmental justice, or
emergency preparedness from the perspective of health education or the
behavioral sciences. The recognition represents the culmination of their
year-long work.
Tina Yuen, PharmaD, MCP (c), MPH
Tina Yuen is a first year student in the Masters of City Planning Program within the Department of City and Regional
Planning at UC Berkeley. She recently graduated with her
MPH, also from UC Berkeley. She is interested in place-based
determinants of environmental health inequities. Her research
and professional interests revolve around understanding disproportionate
environmental exposures and health disparities and working toward policy
solutions that incorporate a framework of vulnerability, cumulative impacts,
and precautionary approaches into land use decisions.
Brittany Morey, MPH (c)
Brittany Morey is currently completing her MPH in Community Health Sciences at the UCLA School of Public Health.
For the past year, she has been working with the Los Angeles
County Department of Public Health Childhood Lead Poisoning Prevention Program and the faith-based organization,
Kingdom Causes, to conduct Healthy Homes and Lead Poisoning Prevention Workshops in the cities of Alhambra and Monterey Park, California.
The goal of the Healthy Homes Workshops is to prevent childhood disease
and injury caused by environmental hazards in the home.
✯ vivian drenckhahn student
scholarship award ✯
This Student Scholarship provides support to both undergraduate &
graduate level full time students in their pursuit of educational &
professional development in health education.
Pragati Gole, MD, MPH (c)
Pragati Gole is a Master of Public Health candidate at
Western Kentucky University. Dr. Gole currently works
with the WIC (Women, Infant and Child) Clinic at the
Barren River District Health Department in Bowling
Green, Kentucky where she focuses on the demands for
comprehensive and culturally sensitive health education methods and
materials specifically regarding fruit and vegetable consumption. She is
also the graduate assistant to the health education program coordinator
in the department of public health at Western Kentucky University.
Sherry Stephens-Gibson, MPH, CHES, DRPH (c)
Sherry Stephens-Gibson is a Doctoratal of Public Health
candidate at Jackson State University, where she also received
her Master’s of Public Health degree. She is currently the
graduate assistant to the Department of Behavioral and
Environmental Health at Jackson State University, where she
assists with planning and implementation of research projects in addition
to other office duties. Ms. Stephens-Gibson serves as Treasurer for Delta
SOPHE and has been selected as President-Elect for 2011.
✯
✯ 2010 annual meeting student
scholarship recipients ✯
SOPHE is proud to award four support scholarships to enable the
following students to attend this year’s meeting. The scholarships are
provided through SOPHE’s “Campaign for the 21st Century” fund.
• Rochelle Breyman, San Jose State University
• Nolan Heath, University of North Carolina – Wilmington
• Marieke Jackson, New Mexico State University
• Yewande Sofolahan, Pennsylvania State University
✯ presidential citations ✯
This recognition, given by the SOPHE President, honors individual(s)
who have made significant contributions toward the Society’s programs
and initiatives.
This citation recognizes an individual for her commitment and hard work
as editorial manager of Health Education & Behavior.
Teresa D. Vogel, University of Michigan
These citations honor authors of SOPHE’s first textbook, “Health Promotion
Programs: From Theory to Practice,” for their contributions to this
landmark publication:
• Neyal J. Ammary-Risch, MPH, CHES
• M. Elaine Auld, MPH, CHES
• Kelly Bishop, MA, CHES, FASHA
• Jean M. Breny Bontempi, PhD, MPH
• Kelli McCormack Brown, PhD, CHES
• Frances D. Butterfoss, PhD, MSEd
• Huey-Shys Chen, PhD, RN, CHES
• W. William Chen, PhD, CHES
• Sara L. Cole, PhD, MA, CHES
• Katherine Crosson, MPH, CHES
• Joseph A. Drake, MPH, PhD
• Michael C. Fagen, PhD, MPH
• Carl I. Fertman, PhD, MBA, CHES
• Andy Fourney, DrPH
• Regina A. Galer-Unti, PhD, CHES
•Cezanne Garcia, MPH
• Melissa Grim, PhD
• Jim Grizzell, MBA, MA, CHES
• Tyra Gross, MPH
• Michael T. Hatcher, DrPH
• Leonard Jack, Jr., PhD, MSc, CHES
• Camara Phyllis Jones, MD, MPH, PhD
• Laura Linnan, ScD
• Sara Lynch, BS
• Edward Mamary, DrPH, MS
• Francisco Soto Mas, MD, MPH, PhD
• Carlen McLin, MPH, DrPH
• Angela D. Mickalide, PhD, CHES
• Barbara MkNelly, MS
• Kimbery L. Peabody, PhD
• Daniel Perales, DrPH, MPH
• James H. Price, PhD, MPH
• Regina McCoy Pulliam, MPH
• Kathleen M. Roe, DrPH, MPH
• Jiunn-Jye Sheu, MSPH, PhD
• David A. Sleet, PhD, FASHA
• Karen I. Spiller
• Marlene K. Tappe, PhD, CHES
• Louise Villejo, MPH, CHES
• Britney Ward, MPH
• Jennifer Wieland MPH, MCP
• Allison Zambon, BS, MHS
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Annual Meeting Highlights
scaling the social ladder - gala opening & book signing
Networking at its peak during SOPHE 61st Meeting Opening Gala
Social, Friday, November 5, 6:00 – 8:00 pm. Chat with colleagues old
and new, dialog with poster presenters, and learn about latest resources
from exhibitors. Purchase special books at discounts (including SOPHE’s
Health Promotion Programs: From Theory to Practice) and have signed by
authors. Enjoy food, fun, and music provided by the Talking Trees,
a theraputic drumming group
sophe awards celebration
Supported by Sage Publications
Join your SOPHE colleagues for an enchanting evening of golden history in the extraordinary setting of the Denver Art Museum to celebrate
achievements and share accolades. Attendees will feast on gourmet hors
d’oeuvres prepared by nationally renowned chef, Kevin Taylor, and explore
the breathtaking treasures of the nationally traveling exhibit, Tutankhamun:
The Golden King and the Great Pharaohs. You will also discover some of
SOPHE’s best and brightest members as we honor those who have contributed to the field of health education. Partake in the Awards Afterglow
to personally congratulate and mingle with award winners while enjoying
dessert and coffee. A limited number of tickets are available first-come, first
served ($45) at the SOPHE Registration Desk; don’t wait!
ches continuing education
An application has been submitted to award approximately 20
Continuing Education Contact Hours (CECHs) for certified
health education specialists (CHES). SOPHE, including it chapters, is
a designated multiple-provider of CECHs by the National Commission
for Health Education Credentialing, Inc. Administration fees for continuing education are included in the conference registration fees.
national prevention and health promotion strategy
listening session
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sophe all-member business meeting
Grab your box lunch on Saturday, November 6, and attend the SOPHE
All Member business meeting in Colorado G-J. Review SOPHE’s 2010
accomplishments, meet your 2010-11 officers, learn about SOPHE’s 2011-16
strategic plan, and let us know how we can serve you better!
sophe communities of practice roundtables
SOPHE Communities of Practice (CoP) will enjoy the opportunity to
connect with individuals with similar interests. Topics to be included
are the following: Children/Adolescent Health; Medical Care/Patient
Education; Health Communications/Social Marketing; Health Disparities; Healthy Aging; Emergency Preparedness; Environmental Health;
Worksite Health; Anthropology; International Health; Students/New
professionals; and Faculty. Check out CoP breakfast/lunch meeting times
on program schedule.
ches lounge and clinic - Back by popular demand!
Would you like to know more about the CHES credential and if you are
eligible? Do you have questions about your current CHES credential?
Are you thinking about becoming MCHES? Are you an employer that seeks
to hire a CHES/MCHES? NCHEC staff and board members will be available
on Friday, November 5, from 8:30 am to 5:00 pm to answer your questions.
Anyone and everyone are welcome. Please stop by and learn more!
Located in the Matchless Room, Lower Level 1.
“ask me about my chapter” challenge
e
ask m
t my
Representatives from SOPHE’s Chapters will be wearing
u
o
b
a apter
“Ask Me About My Chapter” stickers. Chat with them to
ch
learn more about the Chapter in your area. Be sure to have them
initial your Chapter Challenge card found in your conference bag to
be entered into a drawing for fabulous prizes. You are also invited to
stop by the Chapter Poster Session at the Opening Reception, and visit
the Chapter Table in the Resource Room.
Join your colleagues on Saturday, November 6 from 2:30-3:30 pm in
Colorado E-F in providing feedback on the National Prevention Strategy
framework. Participants will be given a chance to provide comments on
priorities to improve the Nation’s prevention efforts and opportunities to
engage across multiple sectors to advance prevention. This brief session
is a great opportunity to hear about The National Prevention and Health
Promotion Strategy and voice your opinion. CHES credits!
sophe snapshot/meeting mentoring program
new! poster gallery & poster promenade
resource room - publications mart opportunities
View some 40+ posters on display during the conference and interact with
authors at the Gala Opening Social on Friday evening, November 5, 6:00
– 8:00 pm. On Saturday morning from 7:30-8:15 am, participate in our
Poster Promenade, consisting of guided poster tours on select topics. Grab
your java and enjoy the extra debate and dialogue! Choose one of three
groups of posters: College Health, Health Disparities and Web/Internet.
twitter alert!
This conference will feature an opportunity to twitter, enhancing your
professional exchange with other attendees. Share insights, reactions to
speakers, resources, and overall experiences with your SOPHE colleagues. Visit www.twitter.com/SOPHEtweets, and join in the conversation by referencing #SOPHE 2010 in your tweets. (Note – participants are
responsible for any individual fees that may apply.)
dine around downtown denver!
Join your colleagues after the Social Gala on Friday for a night out at an
award-winning restaurant in downtown Denver. Choose from seven
incredible restaurants including Italian, Irish, Mexican, and American
cuisine. Prices vary depending on restaurant. Sign-up at Hospitality desk.
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First-time meeting attendees are invited to the SOPHE Snapshot, Friday,
November 5, 7:00-8:15 am, in Colorado G-J. Enjoy continental breakfast
and learn about SOPHE’s programs and how you can be involved. This
session will also kick off SOPHE’s Meeting Mentoring Program, joining
mentors and protégés over the conference. Watch for participants
wearing red Meeting Mentor lanyards!
Peruse information, publications, tools, and the latest technological
innovations from an array of organizations and companies, starting on
November 5 located in Room: Colorado A-D.
career resource center
The SOPHE Career Resource Center is a valuable connection of tools,
resources, internships, and employment opportunities in health education,
health promotion and prevention. Be sure to check out the latest job postings
and resumes for candidates in Colorado A-D throughout the conference.
wellness challenge - climbing your way to a healthy summit
The conference sponsors are committed to providing healthy foods and
encouraging healthy behaviors addressing the mind, body and spirit connections. Join other conferees Friday and Saturday morning for running
and walking groups of varying abilities. Groups depart from the lobby
of the hotel each morning at 7:00 am. Yoga is also available 7:00 am each
morning in the Gold Coin room. In addition, take advantage of the hotel’s
complimentary fitness center and indoor pool. Check out the city’s bike
share program; informational flyer in conference bag. Engage in 30 minutes or more of exercise daily to be eligible for a raffle with great prizes.
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Detailed Schedule
THURSDAY | NOV 4
7:30 am – 6:00 pm
Registration / Hospitality / CHES Open
Room: Central Registration
8:00 am – 11:00 am
SOPHE House of Delegates Meeting
Room: Colorado G-H
11:00 am – 6:00 pm
SOPHE Board of Trustees Meeting
Room: Mattie Silks
1:00 pm – 5:00 pm
pre-conference workshop i
Moderator: Joyce Morris, PhD, Oklahoma Department of Health
Room: Molly Brown
Evaluation: A Key Tool to the Trade
Presenter: Richard Windsor, MS, PhD, MPH, Professor,
George Washington University School of Public Health
2:00 pm – 5:00 pm
pre-conference workshop ii
Moderator: Nicolette Warren, MS, CHES, Society for
Public Health Education
Room: Matchless
The Spirit Health Resides in the People of the Land:
Healing our Community
Presenters: Pamela Jumper-Thurman, MA, PhD, Senior Research
Scientist/Scholar- Ethnic Studies at Colorado State University, Fort Collins,
CO, Research Supervisor- Community Readiness and HIV/AIDS Capacity Building supplemented by Centers for Disease Control; Martha A.
Burnside, BA, National Center for Community Readiness, Ethnic Studies
Department, Colorado State University
3:00 pm – 7:00 pm
Resource Room & Posters Set-Up
Room: Colorado A-D
6:00 pm – 9:00 pm
pre-conference workshop iii
Moderator: Marita Murrman, EdD, Columbia University Mailman
School of Public Health
Room: Molly Brown
Is Your Health Website Easy to Use? Strategies for
Improving Health Literacy & the Web
Presenters: Xanthi Scrimgeour, MHEd, CHES, CommunicateHealth, Inc.;
Stacy Robison, MPH, CHES, CommunicateHealth, Inc
6:00 pm – 9:00 pm
pre-conference workshop iv
Moderator: Sandra Bulmer, PhD, Southern Connecticut State University
Room: Denver 3
The Future is in Your Hands: Key Components of Professional
Preparation and Success
Presenters: Melinda Ickes, MEd, PhD, University of Kentucky and
SOPHE Student Trustee; Kelli McCormack Brown, PhD, Associate Dean
and Professor, University of Florida; and Robert McDermott, PhD,
Professor, University of South Florida
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6:00 pm – 8:00 pm
PRE-CONFERENCE WORKSHOP V
Moderator: Ellen Capwell, PhD, CHES, Co-Chair, SABPAC and
Professor, Otterbein College
Room: Gold Coin
SABPAC 101: For Faculty and Practitioners
Presenters: Ellen Capwell, PhD, CHES, Co-Chair, SABPAC
and Professor, Otterbein College
6:30 pm – 8:30 pm
National SOPHE Leadership Orientation
Room: Nat Hill
friday | nov 5
7:00 am – 6:00 pm
7:00 am – 7:45 am
Wellness Challenge Activities:
• Run/Walk
Room: Meet at Hotel Lobby
• Yoga by Jennifer Wieczorek
Room: Gold Coin
7:00 am – 8:15 am
SOPHE Snapshot Orientation & Meeting Mentoring Kick-Off
(Session includes free continental breakfast)
Room: Colorado G-H
7:00 am – 8:15 am
SOPHE Committee Meetings
2011 Annual Meeting Planning Committee
Room: Saratoga
Communities of Practice Chairs
Room: Mattie Silks
8:30 am – 5:00 pm
CHES Lounge & Clinic (All Welcome)
Room: Matchless
8:30 am – 8:00 pm
Resource Room and Posters Open
Room: Colorado A-D
8:30 am – 8:45 am
opening remarks & welcome
Presenters: David Driscoll, PhD, MPH 2010 Annual Meeting Planning
Committee Chair; M. Elaine Auld, MPH, CHES, Chief Executive Officer,
SOPHE; and Honorable Senator Betty Boyd, Colorado State Senate,
Health and Human Services Chair
Room: Colorado E-F
8:45 am – 9:15 am
sophe 2010 presidential address
Moderator: David Driscoll, PhD, MPH, University of Alaska
Room: Colorado E-F
Addressing the Social Determinants of Health A Focus on Children and Youth
Presenter: Diane Allensworth, PhD, 2009-2010 SOPHE
President and Centers for Disease Control & Prevention
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Detailed Schedule
9:15 am – 10:00 am
plenary session i
Moderator: David Driscoll, PhD, MPH, University of Alaska
Room: Colorado E-F
Healthy People Objectives for the Nation:
Three Decades of Achievement
Presenter: J. Michael McGinnis, MD, MPP, Institute of Medicine and
SOPHE Honorary Fellow, 1987
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Theory in Practice: Is Self-efficacy Different in Minority Children?
Presenters: Melvena Wilson, DrPH, MPH, CHES, Health Educator/
Graduate, Florida A&M University
a iii – electronic media: new avenues for
reaching healthy people goals
Moderator: Jennifer Conner, MPH, CHES, Marion County
Health Department
Room: Denver 5-6
10:00 am – 10:30 am
Increasing the Quality of Health Web Sites: An Action Agenda
Presenter: Stacy Robison, MPH, CHES, Principal,
CommunicateHealth, Inc.
10:30 am – 11:45 am
Pre-conceived Expectations Not Always Predictive of Actual Ability:
E-health Literacy Skills Among College Students
Presenter: Michael Stellefson, PhD, University of Florida
Refreshment Break
Room: Colorado A-D
concurrent sessions a
a i – clearing the smoke: looking back,
looking forward at healthy people objectives
Moderator: Brick Lancaster, MA, CHES, CDC Office
on Smoking and Health
Room: Colorado E-F
The Healthy People 2010 Tobacco Use Chapter: Looking Back
Presenter: Ralph S. Caraballo, PhD, MPH, Office on Smoking and Health,
National Center for Chronic Disease Prevention and Health Promotion,
Centers for Disease Control and Prevention, U.S. Department of Health
and Human Services
A Decade of Progress: Tobacco Control in Mississippi
Presenter: Roy Hart, MPH, CHES, Director, Office of Tobacco Control,
Mississippi State Department of Health
Put it Out Rockland: A County Health Department’s Collaborative
Efforts to Surpass the Healthy People 2010 Tobacco Goals
Presenter: Lisa Lieberman, PhD, CHES, Assistant Professor, Department
of Health & Nutrition Science, Montclair State University
The Healthy People 2020 Tobacco Use Chapter: Looking Forward
Presenter: Terry Pechacek, PhD, Associate Director for Science, Office
on Smoking and Health, National Center for Chronic Disease Prevention
and Health Promotion, Centers for Disease Control and Prevention, U.S.
Department of Health and Human Services
a ii – innovative uses of health education
and promotion theory
Moderator: Martha King, National Conference of State Legislatures
Room: Colorado I-J
The Use of the Expanded Model of the Theory of Planned Behavior as
a Guide in the Development of an Intervention Promoting Mammography Screening Among American Indian (AI) Women in Oklahoma
Presenter: Eleni Tolma, PhD, Assistant Professor, Health Promotion
Sciences, University of Oklahoma Health Science Center
Health Promotion Agenda Setting: Promising Innovative Advocacy
and Policy Development for Health Promotion Practitioners
Presenter: Charles T. Kozel, PhD, MPH, CHES, Associate Professor,
Department of Health Science, New Mexico State University
When Politics and Public Health Collide: How Can Policy
Theory Improve Public Health Advocacy?
Presenter: Tyler Watson, MPH, CHES, Professor,
Health Science/Brigham Young University-Idaho
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Incorporating Social Media into a Health Education Campaign:
Lessons from Confess! Cervical Cancer Awareness Campaign
Presenter: Jessica Albeita, MPH, Assistant Director, Research
Administration and Community Outreach, Prevent Cancer Foundation
Health Education and the Electronic Health Information
Exchange Revolution
Presenter: William Livingood, PhD, Senior Researcher,
Duval County Health Department
a iv – mile high strategies for professional
preparation in health education
Moderator: Michelle Kegler, DrPH, Rollins School of Public Health,
Emory University
Room: Nat Hill
Extending Students’ Learning with the New SOPHE Textbook:
Semester Class Projects, Needs Assessments and Internships
Presenter: Carl Fertman, PhD, MBA, CHES, Associate Professor,
University of Pittsburgh
Enhancing Teaching with the New SOPHE Textbook:
CHES Competencies and Web 2.0
Presenter: Beth Chaney, PhD, CHES, University of Florida,
Melissa Grim, PhD, Radford University
Adapting Distance Learning Technology: Lessons Learned in the Third
Year of a University’s Public Health Education Distance Program
Presenter: Frank Strona, MPH, Lecturer, San Jose State University
How Students in a Community Health Social Marketing Course
Can Assist Communities to Create Change
Presenter: Rosy Contreras, BSc, Graduating Senior, San Jose State University
a v – diversity in action: addressing the needs
of immigrants and special populations
Moderator: Melanie Stopponi, MPA, CHES, Kaiser Permanente
Room: Colorado G-H
Immigration Policies, Integration and Social Capital:
an International Comparison of Public Health Outcomes
Presenter: Alberto Cardelle, PhD, MPH, Professor,
East Stroudsburg University
Challenges Faced by Immigrant Pregnant Women
to Get Quality Maternal Health Care
Presenter: Kamrun Mustafa, PhD,
Southern Illinois University Carbondale
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Detailed Schedule
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Relationships Between Risky Health Behaviors And Behavioral
Motivational Systems In Hispanic Populations
Presenter: Marieke Jackson, BA, Research Assistant,
Health Sciences/NMSU
Exam Item Writing for the Health Education Specialist:
“Yes This Will Be on the Test.”
Presenter: Jacquie Rainey, DrPH, Professor and Associate Dean,
College of Health and Behavioral Sciences
Lations Reduciendo el Disabetes en Southeast Georgia:
a Best Practices Approach
Presenter: Mondi Mason, PhD, MPH, Assistant Professor,
Georgia Southern University
Parallels Between the Professionalization of Health Education
and the Medical Profession’s Historic Quest for Licensure
Presenter: Kathy DeBarr, MS, PhD, Associate Professor, Department of
Public Health, University of Illinois Springfield
11:45 am – 12:15 pm
b iii – community and population health:
challenges for a new decade
Box Lunch Pick-Up
Room: Central Registration Area
12:00 pm – 1:00 pm
SOPHE Communities of Practice/ Roundtable Luncheons
Room: Colorado E-F
12:00 pm – 1:00 pm
SOPHE Continuing Education Committee Meeting
Room: Matchless
1:15 pm – 2:30 pm
Moderator: Mondi Mason, MPH, CHES, Georgia Southern University
Room: Colorado E-F
Changing Expectations: Advancing the Community Role
in Translational Research
Presenter: Alexandra Lightfoot, EdM, EdD, Assistant Director,
Community-Based Participatory Research, UNC Center for
Health Promotion and Disease Prevention
Social Determinants of Health
Presenter: Sally Lin, PhD, Centers for Disease Control and Prevention
concurrent sessions b
Health Disparities Curriculum: Involving Students in Public Health
Advocacy (High School Students)
Presenter: Nell Curran, BA, Program Coordinator/MPH student, Stanford
University, Youth Science Program/San Jose State University
Moderator: Amilya N. Ellis, BSED, DS, New Mexico State University
Room: Nat Hill
The Adaption & Implementation of Evidence-Based Asthma Interventions
to Address Asthma Morbidity in Post Katrina New Orleans
Presenter: Eleanor Thornton, MS, CHES, AE-C, President and CEO,
Visionary Consulting Partners, LLC.
b i – reach and recovery: strategies and
interventions for high risk adolescents
Mental Health and Substance Abuse Prevention for
Male Adolescence Detainees
Presenter: William Moore, MPH Candidate, Graduate Research Assistant,
Satcher Health Leadership Institute, Community Voices: Healthcare for
the Underserved, Morehouse School of Medicine
Building Health Equity on the U.S./Mexico Border:
Innovative Strategies to Reduce Alcohol Consumption and Related
Consequences in Adolescents
Presenter: Sharon Thompson, PhD, MPH, CHES, Associate Professor,
Department of Public Health Sciences, The University of Texas at El Paso
b iv – a health educator’s call to action:
emergency preparedness & response
Moderator: Michael Dickey, MPH, CHES, Society for Public Health Education
Room: Colorado H-G
CDC’s Challenges and Successes in Providing Public Health Information
During the Deepwater Horizon Oil Spill
Presenter: Daniel L. Holcomb, ATSDR, Senior Environmental Health Scientist,
Emergency Response Coordinator, US Centers for Disease Control and Prevention
Application of Adapt-it: Adapting an Evidence-based HIV Prevention
Intervention for Incarcerated African American Adolescent Females
Presenter: Teaniese Latham, MPH, Doctoral Candidate, University of Georgia
Pandemic Preparedness and Response: The New Jersey Experience
Presenter: Suzanne Miro, MPH, CHES, New Jersey Department of
Health and Senior Services
Empowering Our Spirit: Adapting Evidence-based Practices and Utilizing
Community Paraprofessionals to Prevent Apache Youth Suicide Attempts
Presenter: Kristin Lake, MPH, Health Education Specialist, JHU Center for
American Indian Health
Snaps: Community Demographic Profiles in a Snap through
an Interactive Situational Awareness Tool
Presenter: Gail Williams, MPH, CHES, Centers for Disease Control
and Prevention/Division of Emergency Operations
b ii – challenges in health education:
building professional identity
b v – healthy faculty 2010 and beyond:
commitment to health for all
How We Got Here: a Brief History of the Health Education
Credentialing Process
Presenter: Michele Pettit, PhD, MPH, CHES, Assistant Professor, Health
Education and Health Promotion, University of Wisconsin-La Crosse
Consideration of Some Great Contributors to Philosophy of Education
as Foundation for Developing a Personal Practice Theory and
Philosophy of Education
Presenters: Stephen F. Gambescia, PhD, MEd, MBA, MHum, CHES,
Drexel University
Moderator: Diane Allensworth, PhD, SOPHE President
and Centers for Disease Control and Prevention
Room: Colorado I-J
Outcomes of the National Health Educator Job Analysis:
Implications for Healthy People
Presenter: Eva Doyle, PhD, MSEd, CHES, Program Director, MPH in
Community Health Education, Baylor University
Moderator: Rob Simmons, DrPH, MPH, CHES, Thomas Jefferson University
Room: Denver 5-6
On Becoming a Teacher…How to Shift to a Student Centered Classroom
Presenter: Bojana Beric, MD, PhD, CHES, Monmouth University
Staying Motivated During the Ups and Downs of a Research Career
Presenter: Marc A. Zimmerman, PhD, MS, University of Michigan
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Detailed Schedule
c iv – college health: emerging trends among
the millennial generation
2:30 pm – 3:00 pm
Break
Room: Colorado A-D
Moderator: Michele Pettit, University of Wisconsin, La Crosse
Room: Denver 5-6
3:00 pm – 4:15 pm
concurrent sessions c
c i – health education quality assurance:
a recipe for excellence
Moderator: Carol Azar, MPH, Kaiser Permanente Oakland
Room: Colorado I-J
Strengthening Quality Assurance: a Decade of Progress
Presenter: David Birch, PhD, CHES, Professor, Department of Health
Education and Promotion, East Carolina University
Master Certified Health Education Specialist (MCHES):
New Heights in Credentialing in Health Education
Presenter: Linda Lysoby, MS, CHES, CAE, Executive Director,
National Commission for Health Education Credentialing, Inc.
A Partner in Quality Assurance: the Role of the National Council
for Accreditation of Teacher Education (NCATE) in the Accreditation
of School Health Education Programs
Presenter: Margaret D. Crutchfield, PhD, Associate Vice President for
Program Review, National Council for Accreditation of Teacher Education
Quality Assurance in Professional Preparation: a CEPH Update
Presenter: Laura Rasar King, MPH, CHES, Executive Director,
Council on Education for Public Health
c ii – shifting the paradigm: utilizing innovative policy
strategies for improvements in chronic disease
Moderator: Amy Winterfeld, National Conference of State Legislatures
Room: Nat Hill
Shifting the Paradigm: Utilizing Innovative Policy Strategies
for Improvements in Chronic Disease
Presenter: Carra Moroni, MEd, RD, LD, Texas Department of State
Health Services; Karma E. Edwards, MSPH, NSCA, CPT, Gaston County
Health Department; Celeste Shoenthaler, MPH, Director of Youth and
Young Initiatives, Colorado Department of Public Health & Environment
c iii– promising directions in nutrition
and wellness promotion
Moderator: Karen Spiller, Boston Collaborative for Food and Fitness
Room: Colorado E-F
Fruit and Vegetable Consumption Among Immigrant and
Non-immigrant Women Served by WIC in South Central Kentucky
Presenter: Pragati Gole, MD, Graduate Student, Department of
Public Health, Western Kentucky University
Elementary School Student Health Beliefs and Perceptions of
a School Based Nutrition Intervention
Presenter: Kristina Davis, MS, MPH, CHES, Prevention Science Fellow,
Office of Disease Prevention and Health Promotion, US Department
of Health & Human Services
Digital Photographic Food Diaries for Weight Loss
Presenter: Lydia Burak, PhD, CHES, Professor, Bridgewater State University
Using a CBPR Approach to Explore Health Literacy and Type-2 Diabetes
Prevention Needs in African American and Hispanic Adolescents
Presenter: Melissa Valerio, PhD, MPH, Assistant Professor,
University of Michigan SPH - HBHE
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Safe Medication Use Among Hispanic College Students: Knowledge,
Attitudes, and Behaviors
Presenter: Tania Quiroz, DrPH Candidate, BIS, MA, UT Houston School
of Public Health
College Health: Differences in Breast Cancer and Breast-Self
Examination Knowledge and Attitudes Among College Women
Presenter: Cynthia Kratzke, PhD, CHES, Department of Health Science,
New Mexico State University
How to Achieve a Healthy Campus in 2020
Presenter: Melinda Ickes, MEd, PhD, University of Kentucky,
Department of Kinesiology and Health Promotion
An Exploration/Assessment of Health Promotion Lifestyle Factors and
Degree of Stress Experienced by College Students
Presenter: Billie Lindsey, EdD, CHES, Associate Professor, Community
Health, Western Washington University
c v – novel uses of electronic media: adapting to
diverse audiences
Moderator: Kathy DeBarr, MS, PhD, Associate Professor, Department
of Public Health, University of Illinois Springfield
Room: Colorado G-H
CDC Fruit & Vegetable Access Online Toolkit for State Coordinators:
Addressing Disparities and Increasing Availability
Presenter: Jennifer James, MPH, Account Director, Ogilvy Public Relations
Exploring the Trends and Challenges of New Cancer Health Promotion
Strategies to Reduce Social Inequities in Health Among Culturally and
Linguistically Diverse Populations
Presenter: Carolina Casares, MD, MPH
Improving the Cultural Competence of Cardiovascular, Cancer, and
Pulmonary Disease Prevention and Early Detection Practices of Public
Health, Mental/Behavioral Health and Health Care Providers Through
Online Training
Presenter: Kathy Zavela Tyson, MPH, PhD, CHES, Director of Research
Development, Professor Emeriti, Center for Research Strategies,
University of Northern Colorado
Identifying Demographic and Situational Factors that Influence the
Use of an Electric Hematological Cancer Toolkit: a Multivariate Analysis
Presenter: Bruce Dotterrer, MS, University of Alaska, Institute for
Circumpolar Health Studies
4:30 pm – 6:00 pm
plenary session ii
Moderator: Robert S. Gold, DrPH, PhD, FASHA, University of
Maryland School of Public Health and 2010-2011 SOPHE President -Elect
Room: Colorado E-F
Healthy People 2020: Mile High Expectations
Presenters: Shiriki Kumanyika, PhD, MPH, University of Pennsylvania
School of Medicine; Rear Admiral Penelope Slade-Sawyer, PT, MSW, Office
of Public Health & Science, DHHS Office of the Secretary; Doug Evans,
PhD, The George Washington University
6:00 pm – 8:00 pm
Opening Gala Reception
Poster Presentation with Authors, Resource Room
Room: Colorado A-D
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Detailed Schedule
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saturday | nov 6
8:30 am – 9:45 am
7:00 am – 3:45 pm
d i– sophe student fellowship presentations
7:00 am – 7:45 am
Wellness Challenge Activities Run/Walk
Room: Meet at Hotel Lobby
Yoga by Jennifer Wieczorek
Room: Gold Coin
7:00 am – 8:00 am
Continental Breakfast
7:00 am – 8:15 am
early riser sessions
er1-holistic approach to health: the mind/body connection
Moderator: Meaghan McHugh, MPH, Society for Public Health Education
Room: Matchless
Before, I Didn’t Dream: A Promotor Based Mental Health Intervention
Presenter: Pamela Gudino, MPH, Program Director, Somos Mayfair
The Health-Related Quality of Life Curriculum Development Project
Presenter: Cecily Luncheon, MD, DrPH, MPH, ORISE Fellow, Division of
Adult and Community Health/NCCDPHP/CDC
Social Support Experiences of HIV Positive HIV/AIDS Coalition
Participants: A Grounded Theory Approach
Presenter: Melissa Haithcox-Dennis, PhD, MA, CHES, Department of Health
Education and Promotion, East Carolina University; Kathleen Welshimer, PhD,
MPH, Department of Health Education, Southern Illinois University Carbondale
er2-critical thinking: a necessary skill for leadership
(Chapter Development Session; All Welcome)
Moderator: Karen Spiller, Boston Collaborative for Food and Fitness
Room: Molly Brown
Presenter: Mike Kallet, HeadScratchers
7:00 am – 8:15 am
SOPHE Faculty Community of Practice
Room: Colorado G-H
7:00 am – 8:15 am
SOPHE Student/New Professional Community of Practice
Room: Colorado I-J
7:00 am – 8:15 am
SOPHE Publications Committee Meeting
Room: Denver 2
7:00 am – 8:15 am
SOPHE 2011 Mid Year Meeting Planning Committee Meeting
Room: Denver 1
7:00 am – 2:00 pm
Resource Room, Career Center & Posters
Room: Colorado A-D
7:30 am – 8:15 am
NEW! Poster Promenade
Room: Colorado A-D
Moderators: Darigg C. Brown, PhD, MPH, ORISE Post-Doctoral Research Fellow,
Centers for Disease Control & Prevention; Kristina Davis, MS, MPH, CHES, Prevention Science Fellow, Office of Disease Prevention and Health Promotion, US Department of Health & Human Services; Yewande Sofolahan, BS Pennsylvania University
concurrent sessions d
Moderator: David Sleet, PhD, FASHA, Centers for Disease Control & Prevention
Room: Colorado I-J
Adolescent Dating Violence: a National Assessment of School
Counselor’s Practices
Presenter: Jagdish Khubchandani, PhD (c), MD, MPH, CHES,
University of Toledo, Department of Health and Rehabilitation
Alcohol-Related Problems and Suicidal Behavior Among College
Students: Belongingness and Burdensomeness as Potential Mediators
Presenter: Dorian Lamis, PhD (c), MA, University of South Carolina
Grounds for Change: How Transportation-Related Analysis as Part
of a Health Impact Assessment Can Be Used to Advance the Healthiest
Cap and Trade Program
Presenter: Tina Yuen, PharmD, MPH, MCP (c) University of
California Berkeley
Powerplay Curriculum Project
Presenter: Laura L. Colbert, MPH(c), Emory University
d ii – healthy aging: living long, living well
Moderator: Kay Deaner, MEd, RN, CHES
Room: Mattie Silks
Examining the Relationship Between the Health Literacy and
Health-Related Outcomes in an Older Cohort-Study Population
Presenter: Melissa Valerio, PhD, MPH, Assistant Professor,
University of Michigan SPH - HBHE
Do Well, Be Well Con Diabetes: a Pilot Study of a Type-2 Diabetes SelfManagement Education Program for Hispanic/Latino Rural Older Adults
Presenter: Ninfa Purcell, PhD, CHES, Assistant Professor/Health Specialists,
Family Development and Resource Management, Texas A&M University
The Impact of Health Beliefs and Demographic Characteristics on
Breast Cancer Screening Practices Among Women Age 55 and Older
Presenter: Peggy Johnson, MPH, Assistant Professor, School of Health
Administration, Texas State University
d iii – scaling new heights in health education
leadership: revisiting our past to inform our future
Moderator: John P. Allegrante, PhD, Professor and Deputy Provost,
Teachers College, Columbia University
Room: Colorado E-F
Scaling New Heights in Health Education Leadership: Revisiting Our
Past to Inform Our Future
Presenter: John P. Allegrante, PhD, Professor and Deputy Provost, Teachers
College, Columbia University; Emily Tyler, MPH, CHES, Greesboro, NC for
Harriet Hylton Barr; David A. Sleet, PhD, Centers for Disease Control and
Prevention, Atlanta, GA, for Martin Fishbein; David S. Sobel, MD, MPH,
Kaiser Permanente Northern California, Oakland, CA, for Laura Keranen
d iv– food for thought: examining connections
between nutrtion and disease prevention
Moderator: Kristina Davis, MS, MPH, CHES, Prevention Science Fellow,
Office of Disease Prevention and Health Promotion, US Department of
Health & Human Services
Room: Molly Brown
Reducing the Prevalence of Obesity Among Low Income Adults
in Rio de Janeiro, Brazil
Presenter: Neeti Doshi, BA, Medical student, University of North
Carolina at Chapel Hill
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Detailed Schedule
Partnership for Success: Food Bank and Community Coalition Team Up
to Provide Healthy Snacks for Low-Income Kids
Presenters: Sarah Morales, MS, RD, Wellness Dietitian, Poudre Valley Health System.
Nutrition Security: Approaching Food-related Health Issues Differently
Using an Ecological Analysis with Political Economy and Social
Cognitive Theories Presenter: Robin Haguewood, BA, MPH Candidate, Department of Health
Education, San Francisco State University
Georgia Stroke & Heart Attack
Presenter: Marylen Rimando, MPH, CHES, PhD Candidate, University
of Georgia Department of Health Promotion and Behavior
d v– innovative approaches to health communication:
a look at photovoice & digital storytelling
Moderator: Mary Nacionales, MPH, MBA, CHES, Cancer Prevention
Institute of California
Room: Colorado G-H
Photovoice: From Image to Community and Policy Action
Presenter: J. Elaine Borton, MPH, Sage Health Consulting, LLC.
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1:00 pm – 2:00 pm
plenary session v
Moderator: Kathleen Roe, DrPH, MPH, San Jose State University
Room: Colorado E-F
Reaching the Healthy People Summit: Elevating Health Education
Prominence in US Public Health Policy and Practice
Presenters: Lawrence W. Green, DrPH, University of San Francisco
Respondents: Collins Airhihenbuwa, PhD, MPH, Penn State University;
Patricia Mullen, MPH, DrPH, The University of Texas School of Public
Health, University of Texas Health Science Center at Houston
2:00 pm – 2:15 pm
concluding remarks
Presenter: Dan Perales, DrPH, 2010-2011, SOPHE President,
Room: Colorado E-F
2:15 pm – 3:30 pm
Posters, Resource Room Break Down
2:30 pm – 3:30 pm
the national prevention & health promotion strategy:
listening session
Promoting and Evaluating Community Change Using Photovoice:
Lessons Learned from Kaiser Permanente’s Community Health Initiative
Presenter: Pamela Schwartz, MPH, Director, Program Evaluation,
Kaiser Permanente
Moderator: Rob Simmons, DrPH, CPH, Thomas Jefferson University
Presenters: Kathleen A. Ethier, PhD and Corinne M. Graffunder, DrPH,
MPH, Centers for Disease Control and Prevention.
Room: Colorado E-F
Using Photovoice to Explore Health Concerns in Female Asian-indian
College Students Women
Presenter: Cheryl Cooper, PhD, RN, Assistant Professor, College of Health
Sciences, The University of Texas at Tyler
SABPAC Meeting
Room: Matchless
9:45 am – 10:00 am
Break
Room: Colorado A-D
2:30 pm – 5:00 pm
2:30 pm – 5:00 pm
SOPHE Executive Board Meeting
Room: Denver 2
2:30 pm – 5:00 pm
SOPHE Health Equity Grant Meeting
Room: Mattie Silks
10:00 am – 10:45 am
plenary session iii
Moderator: Dan Perales, DrPH, MPH, San Jose State University
Room: Colorado E-F
Presentation of Elizabeth Fries Health Education Award –
Presenter: Viktor Bovbjerg, PhD, Board of Directors, James F.
and Sarah T. Fries Foundation
Elizabeth Fries Health Education Award and Lecture
Conquering Cancer in the 21st Century
Presenter: John Seffrin, PhD, American Cancer Society
10:45 am – 11:30 am
plenary session iv
Moderator: Dan Perales, DrPH, MPH, San Jose State University
Room: Colorado E-F
Presentation of SOPHE 2010 Honorary Fellow Award
Presenter: Diane Allensworth, PhD, 2009-2010 SOPHE President
SOPHE 2010 Honorary Fellow Lecture –
Implementation Disorders: Diagnosis and Treatment
Presenter: David S. Sobel, MD, MPH, Kaiser Permanente
Northern California
5:00 pm – 6:00 pm
Wiley/Jossey-Bass Reception (By Invitation)
Room: Molly Brown
6:00 pm – 9:00 pm
SOPHE Awards Ceremony (By Ticket)
Location: Denver Art Museum
9:00 pm – 10:00 pm
Awards AfterGlow (Optional)
Location: Denver Art Museum
sunday | nov 7
9:00 am – 10:30 am
National SOPHE Past Presidents Breakfast
Room: Mattie Silks
9:00 am – 11:00 am
Health Promotion Practice Editorial Breakfast
Room: Molly Brown
10:30 am – 12:30 pm
National SOPHE Old & New Executive Boards
Room: Mattie Silks
11:30 am – 11:45 am
1:00 pm – 5:00 pm
11:45 am – 12:45 pm
monday | nov 8
Minority Communities Advisory Committee
Room: Silverton
Lunch Pick-up
SOPHE All Member Business Meeting & Luncheon
Room: Colorado G-J
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12:00 pm – 2:00 pm
Health Education & Behavior Editorial Luncheon
The Corner Office Restaurant + Martini Bar
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thursday | november 4
thursday | november 4
pre-conference skill-building workshop i
thur / nov 4 / 1:00 pm – 5:00 pm / Room: Molly Brown
Evaluation: A Key Tool to the Trade
Richard Windsor, Ms, PhD, MPH, George Washington
University School of Public Health
The objective of almost all Health Promotion-Disease Prevention (HPDP) Programs (and proposals) is to produce data/insight about the
“effectiveness” of a new policy, intervention, and/or evidenced based
practice(s) for a specific health problem, population at risk, and practice
setting. This Workshop will provide a synthesis of salient conceptual,
methodological, and design issues routinely faced by professionals in
practice. Case material from multiple, peer reviewed/funded proposals and completed Process, Impact, and Cost-Effectiveness Evaluations
will be presented. Published evaluations discussed in Professor Windsor’s textbook: “Evaluation of Health Promotion-Disease Prevention
Programs; Improving Population Health Through Evidenced Based
Professional Practice, 4th Edition” will be used to provide specific
examples about how on-going public health programs can select and
apply rigorous methods. Textbook included in workshop fee.
pre-conference skill-building workshop ii
thur / nov 4 / 2:00 pm – 5:00 pm / Room: Matchless
The Spirit of Health Resides in the People of the Land:
Healing Our Community
community); 5) knowledge of the issue, and 6) resources within the community available for addressing the issue. The result of a Community Readiness
assessment is a “community diagnostic” for intervention.
pre-conference skill-building workshop iii
thur / nov 4 / 6:00 pm – 9:00 pm / Room: Molly Brown
Is Your Health Web Site Easy to Use? Strategies for Improving
Health Literacy and the Web
Xanthi Scrimgeour, MHEd, CHES, CommunicateHealth, Inc.,
Stacy Robinson, MPH, CHES, CommunicateHealth, Inc.
Today, more Americans are turning to the Internet for health information
than ever before. In response, there is growing demand for accurate, understandable, and appropriate health content to meet consumers’ evolving
information needs. However, many Americans do not have the skills they
need to obtain, interpret, and use health information effectively. During
this interactive workshop, participants will discuss the practical implications and challenges of creating online health content for the roughly 93
million adults in the United States with limited health literacy skills. We
will review best practices from the fields of usability, health literacy, and
user-centered design and discuss their significance for health promotion.
We will explore the ways in which our communication skills as health
educators can improve the health literacy of our priority populations. The
workshop will focus on specific techniques for improving health literacy
through Web site design, navigation, and content.
pre-conference skill-building workshop iv
thur / nov 4 / 6:00 pm – 9:00 pm / Room: Denver 3
Pamela Jumper-Thurman, MA, PhD, Senior Research Scientist/ScholarEthnic Studies at Colorado State University, Fort Collins, CO, Research
Supervisor- Community Readiness and HIV/AIDS Capacity Building supplemented by Centers for Disease Control; Martha A. Burnside, BA, National
Center for Community Readiness, Ethnic Studies Department, Colorado
State University
The Future is in Your Hands: Key Components of Professional
Preparation and Success
Participants will gain an understanding of Native American beliefs, values and traditions that can influence the population’s health outcomes.
Discussions will focus on cultural competencies and responsibilities
of health education specialists to be knowledgeable and equipped with
strategies to work effectively within Native American communities.
Whether you are a student considering where you are headed in the future,
a new professional wondering how to be a successful health educator, or a
veteran in the field looking to expand your horizons, this workshop is for
you. Many individuals enter the field of public health education and health
promotion with great dreams and aspirations. However, taking the next step
– be it graduate level study, gaining work-related experience, or finding that
dream job – can be quite overwhelming. The purpose of this workshop is to
give participants the opportunity to learn more about the key components of
professional preparation and success. Questions related to discovering the right
career path, understanding potential settings for employment, and determining the next steps will be discussed. Current health professionals representing
a variety of fields will be on hand to share their perspectives related to the job
search process, roles and responsibilities within their particular career, deciding if a graduate program is the right choice, and the importance of networking. Participants will be given the opportunity to engage in self-reflective and
hands-on activities including: resume building, interviewing with confidence,
and fostering a successful career.
This session will introduce an effective health behavior change model
used within Native communities. The Community Readiness Model
(CRM) is a nine stage, multi-dimensional model to facilitate community change. The model was developed 17 years ago by the research
staff at the Tri-Ethnic Center at Colorado State University. Presenting
at this workshop will be two of the original developers of the CRM. The
model is community-specific and issue specific and is designed to build
cooperation among systems and individuals. The Community Readiness model has been used in Native communities throughout the United
States and Canada. It has been used for mobilizing a community to
develop intervention strategies for prevention of HIV/AIDS, drug and
alcohol use, intimate partner violence, suicide, and many other topics.
When applied to prevention of a social concern, community readiness determines and guides the timing for each step of efforts aimed at changing community norms, behaviors and attitudes. It utilizes key respondent interviews
to determine readiness based on six dimensions: 1) local programs currently
existing that address your issue; 2) community knowledge of existing efforts;
3) involvement of leadership; 4) community climate (overall “energy” of the
Melinda Ickes, MEd, PhD University of Kentucky & SOPHE Student
Trustee; Kelli McCormack Brown, PhD, Associate Dean & Professor,
University of Florida; and Robert McDermott, PhD, Professor, University of
South Florida
pre-conference skill-building workshop v
thur / nov 4 / 6:00 pm – 8:00 pm / Room: Gold Coin
SABPAC 101: For Faculty and Practitioners
Ellen M. Capwell, PhD, CHES, Co-chair, SABPAC and Professor,
Department of Health and Sport Science, Otterbein College
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thursday | november 4 & friday | november 5
Do you want to improve the pipeline of the future health education
workforce? Do you care about quality assurance in higher education?
This interactive workshop will describe the role of the SOPHE/AAHE
Baccalaureate Approval Committee (SABPAC) in assuring the quality of
professional preparation programs in health education, including the committee’s purpose, composition, organization and accountability. It will
also explain the major steps in SABPAC’s approval process. Find out how
you can prepare your institution for SABPAC review and/or how to
join a SABPAC site review team and earn CHES credits.
SABPAC Manual included in workshop fee.
friday | november 5
presidential address
fri / nov 5 / 8:45 am – 9:15 am / Room: Colorado E-F
Addressing the Social Determinants of Health A Focus on Children and Youth
Diane Allensworth, PhD, 2009-2010 SOPHE President and Centers
for Disease Control and Prevention
Only recently have the specific health disparities experienced by children
and youth and the long-lasting consequences become the focus of
research. Among the various determinants of youth health disparities
are poverty, unequal access to health care, poor environmental conditions, and educational inequities. Poor and minority children have more
health problems and less access to health care than their higher SES
cohorts. Having more health problems leads to more absenteeism K-12
which in turn can effect achievement. Achieving a high school diploma
and a college degree is an acknowledged route out of poverty. However
that route is blocked for many poor and minority students.
The educational level that one attains is a significant determinant of one’s
earning potential and health. Those who learn more earn more money
have better health status. Those who do not attain a high school diploma
on average live six to nine years less than those who do graduate from
high school. Further, their children also experience poorer health and
the cycle repeats. Currently, three fourths of minority students attend
high poverty/high minority schools while only one third of whites attend
high poverty/high minority schools. Many high poverty/high minority
schools are in inadequate, rundown facilities; receive lower per-pupil
spending allocations; have less credentialed and qualified teachers; experience higher teacher turnover; have larger class sizes; have less technology-assisted instruction; and lack school safety. Consequently, every
school day over seven thousand students drop out of school each year.
High school drop outs are more likely to rely on government health care,
use public services such as food stamps or housing assistance and are less
likely to raise healthier, well-educated children.
This presentation will explore what health educators can do individually
and collectively as SOPHE members to address the health and educational challenges facing our most vulnerable children.
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plenary session i
Healthy People Objectives for the Nation:
J. Michael McGinnis, MD, MPP, Institute of Medicine
In 1979, Healthy People: The Surgeon General’s Report on Health Promotion and Disease Prevention provided national goals for reducing premature deaths and preserving independence for older adults. In 1980,
another report, Promoting Health/Preventing Disease: Objectives for the
Nation, set forth 226 targeted health objectives for the Nation to achieve
over the next 10 years. This document was followed by Healthy People
2000: National Health Promotion and Disease Prevention Objectives, and
Healthy People 2010: Understanding and Improving Health. As we stand
on the threshold of the next decade’s set of national health objectives,
this presentation will describe how the goals have evolved over the years
in relation to population health and challenges and opportunities for
improving the quantity and quality of life.
concurrent sessions a
fri / nov 5 / 10:30 am – 11:45 am
concurrent session a1
clearing the smoke: looking back, looking forward
at healthy people objectives
Room: Colorado E-F
The Healthy People 2010 Tobacco Use Chapter: Looking Back
Ralph S. Caraballo, PhD, MPH, Office on Smoking and Health, National
Center for Chronic Disease Prevention and Health Promotion, Centers for
Disease Control and Prevention, U.S. Department of Health and Human
Services, Terry Pechacek, PhD, Associate Director for Science,Office on
Smoking and Health, National Center for Chronic Disease Prevention and
Health Promotion, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services
Tobacco use is the leading cause of preventable death and disease in the Nation
and is a major risk factor for heart disease, stroke, lung cancer, and chronic
lung diseases. Smoking exacts a toll of 443,000 deaths each year. Healthy
People 2010 is a statement of national health objectives designed to identify the
most significant preventable threats to health and to establish national goals to
reduce these threats. Communities can, and often do, implement the interventions that bring the Nation closer to achieving these objectives.
Healthy People 2010: Focus Area 27 – Tobacco Use is one of the leading
health indicators used to measure the health of the Nation. As the Nation
approaches the end of 2010, tobacco use objectives were examined to determine what progress has been made and what challenge areas remain
for reducing, and ultimately, ending the tobacco use epidemic.
Most objectives are improving or remaining the same. Of the objectives
and subobjectives, 5 have met or exceeded their target, 23 are moving
toward the target, 10 are showing little or no change, and 2 are moving
away from the target.
While significant progress is being made towards reaching the Healthy
People 2010 objectives, comprehensive programs are needed to end
the tobacco epidemic. If states fully invested in comprehensive tobacco
control and prevention at CDC recommended levels for 5 years, there
would be an estimated 5 million fewer smokers. As a result, hundreds of
thousands of premature tobacco related deaths would be prevented.
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friday | november 5
A Decade of Progress: Tobacco Control in Mississippi
Roy Hart, MPH, CHES, Director, Office of Tobacco Control,
Mississippi State Department of Health
introduction: During the Healthy People 2010 decade, Mississippi
made substantial progress in all four Healthy People 2010 tobacco priority areas: tobacco use in population groups, cessation and treatment,
exposure to secondhand smoke, and social and environmental changes.
in the beginning: The Mississippi Attorney General Mike Moore filed
the first lawsuit against 13 tobacco companies; making Mississippi the
first state to insist that cigarette manufacturers reimburse the state for
costs it incurred treating smoking-related illnesses. This resulted in a
$4.1 billion settlement for Mississippi and eventually a Master Settlement Agreement for 46 states.
changing the culture: A Court-ordered tobacco prevention and
control program was implemented to reduce youth tobacco use. The
Partnership for a Healthy Mississippi was established in 1998 as a pilot
program that utilized CDC’s Best Practices for Tobacco Control Programs
to develop program components which were overseen by a Board of
Directors, including a State Health Officer. At the conclusion of the pilot
program, the Partnership for a Healthy Mississippi began receiving $20
million annually to implement tobacco prevention and control programs
which included: community coalitions, youth programs, school programs,
law enforcement, counter marketing, and surveillance and evaluation.
policy: In 2000 a tobacco-free school law was enacted. The law prohibits the use and possession of tobacco by students and adults on any
educational property. From 2002 to present thirty-three municipalities
have enacted comprehensive smoke free air ordinances. In 2009 excise
tax on cigarettes was raised from $.18 to $.68. Most recently, in 2010
youth sporting events law was enacted. The law prohibits smoking at
organized youth sporting events.
funding challenges: Mississippi Governor, the Mississippi Healthcare Trust Fund, and Medicaid filed a lawsuit to rescind the court order
that granted the allotment to the Partnership for a Healthy Mississippi.
The courts ruled in favor of the Governor and the allotments to the Partnership were directed to the Mississippi Healthcare Trust Fund.
mississippi state department of health oversight: During
the 2007 Mississippi Legislative Session legislation was passed creating
the Office of Tobacco Control within the Mississippi State Department
of Health. This required the establishment of the Mississippi Tobacco
Control Advisory Council to advise the MSDH on the development and
implementation of the program. Eight million dollars was then appropriated to MSDH for tobacco control. In January 2008, the MSDH Office of
Tobacco Control awarded funds for the following programs: Mississippi
tobacco-free coalitions, targeted interventions, youth programs, cessation interventions, health communications, surveillance and evaluation.
results: From 1999 to 2009, the rate of current cigarette use among
Mississippi youth dropped nearly 12% from 31.5% to 19.6%.
Put It Out Rockland: A County Health Department’s Collaborative
Efforts to Surpass the Healthy People 2010 Tobacco Goals
Lisa Lieberman, PhD, CHES, Department of Health and Nutrition Sciences,
Montclair State University, Una Diffley, MPH, Rockland County Department of Health; Sandy King, MPH, Rockland County Department of Health;
Shelley Chanler, MA, CHES, Rockland County Department of Health;
Joan Facelle, MD, MPH, County of Rockland, NY
Rockland County, NY utilized sustained government funding for its
comprehensive tobacco program over the past decade. Master Settlement
Funds, regular county revenues, and funding from the NYS Tobacco
Control Program were used by the Department of Health to create a
comprehensive and sustained program of cessation, prevention, and
policy, built upon ongoing evaluation, logic models and theory. The
Transtheoretical Model underlied the cessation program’s efforts to reach
smokers at their stage of readiness and provide tailored NRT dosing.
Social Cognitive Theory and the Health Belief Model were critical in
designing media and direct messages to address smoking in homes and
cars, and generate support for strong indoor and outdoor air policies.
The program had three overarching objectives: reduce the adult smoking
rate to 12%; reduce the percent of teens who take up smoking by 20%;
and reduce exposure to second-hand smoke by 20%. Interventions were
planned and carried out by the health department: The award winning
PIOR cessation program was offered in collaboration with schools, businesses, non-profit agencies, and health care institutions; Schools supported
the Reality Check youth empowerment initiative and consistent tobacco
policies; Technical assistance was provided to health care providers to help
their patients quit; Schools, Headstart programs, and health care providers
promoted the EPA’s second-hand smoke campaign; the county legislature
and municipalities promoted strong indoor and outdoor air policies, such
as restricting smoking in cars with minors, and smoke-free parks and
playgrounds. Ongoing evaluation included: an annual countywide telephone
survey, and data from the annual NYS BRFSS; longitudinal evaluation of
the effectiveness of the cessation program; data from the school-based
PRIDE survey; and continuous process evaluation of all activities. The adult
tobacco use rate dropped from 16% in 2003 to 9.7% in 2009, and demonstrated diminishing differences in tobacco use across various age, ethnic,
and gender groups. Teenage use declined by 17%, and the percent of homes
in which smoking is allowed declined by 27%. The PIOR cessation program
has served over 1000 smokers, with a one year quit rate of 33%. New efforts
based on process and outcome evaluation efforts resulted in the creation of a
one-on-one counseling version of the cessation program. The cost per capita
of tobacco prevention and cessation in Rockland was $4.54.
The Healthy People 2020 Tobacco Use Chapter: Looking Forward
Terry Pechacek, PhD, Associate Director for Science, Office on Smoking and
Health, National Center for Chronic Disease Prevention and Health
Promotion, Centers for Disease Control and Prevention, U.S. Department of
Health and Human Services
The burden of tobacco use results in death, disease, and high financial
costs. In the United States, tobacco use is the leading preventable cause of
death and disease. Smoking and exposure to secondhand smoke cause an
estimated 443,000 deaths each year. An estimated 8.6 million U.S. residents have a serious illness caused by smoking. Smoking costs $96 billion
in medical costs and $97 million in lost productivity each year.
To address this burden, the CDC’s Office on Smoking and Health is the
leading federal agency for comprehensive tobacco prevention and control. It is also the lead agency for the national objectives on tobacco use
for Healthy People. Healthy People 2020 is a set of science-based health
objectives for the nation to achieve over the coming decade. It identifies
areas of significant risk to our nation’s health and sets targets to reduce
these risks. The objectives are then used by many different people, states,
communities, and organizations to develop programs to improve health.
The tobacco chapter for Healthy People 2020 has 21 objectives divided
into four focus areas: Tobacco Use, Health Systems Changes, Social and
Environmental Changes, and Products. To crosswalk the objectives from
2010 to 2020, objectives were divided into the following categories:
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friday | november 5
•Four objectives were retained as is from Healthy People 2010,
• Twelve objectives were retained but modified from Healthy People 2010,
• One objective moved from another Healthy People topic area,
• Four objectives were created new for Healthy People 2020, and
• Eight objectives were archived from Healthy People 2010.
The selection process for Healthy People 2020 looked at the status of
the 2010 objectives and tobacco use prevention and control trends.
The strength of Healthy People is directly tied to its collaborative process.
The development process utilized public and stakeholder input. It also
drew on the expertise of scientists in each subject matter area to ensure
that Healthy People 2020 addressed the significant risk factors and determinants of health and the diseases that affect communities in the United
States. While significant progress was made towards reaching the Healthy
People 2010 objective targets, more aggressive efforts are needed to end
the tobacco epidemic in the future. If every state were to fully fund and
implement a comprehensive tobacco control program, hundreds of thousands of premature tobacco related deaths would be prevented.
Room: Colorado I-J
innovative uses of health education &
promotion theory
The Use of the Expanded Model of the Theory of Planned
Behavior as a Guide in the Development of an Intervention
Promoting Mammography Screening Among American Indian
(AI) Women in Oklahoma.
Tolma Eleni, PhD, University of Oklahoma Health Science Center; Valerie
Skaggs, PhD, University of Oklahoma Health Science Center; Robert Hamm,
PhD, University of Oklahoma Health Science Center; Chasity Battertom,
MHA, University of Oklahoma Health Science Center
background: Despite efforts to promote breast cancer screening, the
number of Oklahoman women who died from breast cancer during the last
two decades did not substantially change, and women of ethnic minorities
were disproportionally under-screened. The purpose of this study was to
examine the relationship between personal beliefs and the decision to get a
future mammogram. The study took place at a tribal clinic in Oklahoma.
theoretical framework: An expanded theoretical framework of
the Theory of Planned Behavior (TPB) was used which included external
to the model constructs relevant to mammography screening (i.e. selfefficacy, perceived susceptibility to breast cancer, fatalism) and to the AI
culture (i.e. cultural norms). Hypothesis: All cognitive constructs (i.e. TPB
constructs and those external to the model) will be associated with the
intention and receipt of future mammography screening of AI women.
methods: Through the use of qualitative and quantitative formative research, the Women’s Health Survey (WHS) was developed and then administered to a random sample of 162 women. The factor and reliability analyses
yielded 15 constructs/scales which were proven to be reliable. The statistical analysis consisted of univariate and bivariate analysis and multivariate
analysis (ANOVA). Receipt of mammogram was assessed via record review.
Results: A total of 162 women (mean age: 50, 35% with an annual income
below $15,000, and 59% with private health insurance) participated in the
study. Sixty percent of the women intended to get a mammogram within the
next 6 months; among those only 48% actually got one. Bivariate data analysis results showed that intention was associated with future mammography.
Among the TPB constructs, subjective norms-physicians and subjective
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conclusion: The results of this study support the above hypothesis
and thus, in the development of theory-based interventions to promote
mammography screening among AI women the expanded TPB can be
used as a guiding model. Implications for practice: The results indicate that
emphasis should be in the promotion of subjective norms related to the
physician, and to social modeling. Interestingly enough, cultural norms
did not seem to play a major role in the decision-making process to get a
future screening mammogram
Health Promotion Agenda Setting: Promising
Innovative Advocacy and Policy Development for Health
Promotion Practitioners
Charles T. Kozel, PhD, MPH, CHES, New Mexico State University; Anne
P. Hubbell, PhD, New Mexico State University; Michael T. Hatcher, DrPH,
MPH, Toxicology and Environmental Medicine, ATSDR; Frank G. Pe’rez,
PhD, University of Texas at El Paso; Sharon Thompson, PhD, CHES,
University of Texas at El Paso
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norms-family were highly correlated with intention, followed by negative attitude, perceived behavioral control-barriers, positive attitude, and perceived
behavioral control-facilitators. Among the external to the TPB variables,
social modeling was the most highly correlated construct with intention.
Based on the ANOVA results, social modeling was strongly associated with
intention, followed by subjective norms-physician.
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Health promotion practitioners must continuously address health
promotion issues using the most innovative strategies and research.
Agenda-setting theory postulates that mass media do not determine
what people think but do influence what they talk about. Agenda-setting
offers understanding of how issues move from relative unimportance
to the forefront of supportive action among the media, public, and
policymakers. Health Promotion Agenda-Setting (HPA-S), a subset of
agenda-setting research, has identified four factors that influence health
promotion policy agendas. These factors are characteristics of agendasetters, HPA-S design and mechanism factors, and mass media content .
HPA-S provides practitioners a theoretical framework to guide environmental change and achieve sustainable courses of practice for advocacy,
and policy development. HPA-S is used to specify and prioritize health
problems and alternative solutions by influencing the efficacy of the
above factors in policy development. The crucial link between agendasetting and processes of establishing effective legislation, policy, and
programs has been researched. However, many health promotion practitioners neither understand what agenda setting is, nor how to apply it
to advocacy and policy development. An interdisciplinary bi-national
research team examined how public health agendas are determined
within the Paso del Norte region of the U.S.-Mexico border. HPA-S findings offer practitioners professional development opportunities to gain
new knowledge, skills, and methods to reshape and strengthen health
promotion advocacy and policy development practices. This research
identifies knowledge and cultural gaps in how mass media, public health
and policy agendas foster innovative health advocacy and policy development opportunities to eliminate health disparities. Key words: Advocacy and Policy Development Innovation through health promotion
research for promising health promotion practice to eliminate health
disparities. Acknowledgement The project described was supported by
a grant from the Paso del Norte Health Foundation through the Center
for Border Health Research located in the U.S.-Mexico border region. Its
contents are solely the responsibility of the authors and do not necessary
represent the official views of the Paso del Norte Health Foundation or
the Center for Border Health Research.
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friday | november 5
When Politics and Public Health Collide: How Can Policy Theory
Improve Public Health Advocacy?
Tyler Watson, MPH, CHES, Health Science/Brigham Young University-Idaho
This presentation explores how dominant policy theory should be used the
advance public policies by using an indoor smoking ban as a case study.
background: Public health officials are trained in rational-scientific
methods. The importance of clear goals, procedures and rigorous
research methodologies in such official’s formal training influences how
these officials analyze problems, develop policy options, and ultimately
promote a favored policy. Indeed, discussion of smoking by health advocates has traditionally been dominated by the rational model of decision
making which includes policy ideas like increased taxation, health care
coverage for tobacco cessation programs, tobacco education programs
and indoor clean air acts (Franks et. Al, 2007). Health officials press forward with convincing scientific evidence that smoking tobacco is harmful to a person’s body and that all efforts should be employed to stop the
practice. But increasingly there is evidence that such rational appeals do
not work. Lindstrom (2008) argues about the increased international use
of labeling on cigarette packages, “But such warnings don’t work. Worldwide people continue to inhale 5.7 trillion cigarettes annually –a figure
that doesn’t even take into account duty-free or black-market cigarettes.”
theoretical basis: Yet, increasingly, literature in political science
and public policy argues that policy formulation and adoption is far
from a rational process. That is, policies are adopted not because of their
rational appeal but rather because they have an emotional appeal (Stone,
2002), a favorable image (Baumgartner and Jones, 1994), or because they
meet the policy beliefs and power interests of various political actors
(Sabatier and Jenkins-Smith). In this presentation, different policy theories are explored by empirically examining a case study of smoking bans
in the Midwest of the United States.
methods: A content analysis of newspaper articles was conducted to
evaluate the arguments for and against an indoor smoking ban and in order to identify the groups advocating for each policy position. The public
health coalition eventually “won” the policy debate and an indoor smoking
policy was passed. Implications for enhanced practice: Increasingly, public
health professionals must engage in political advocacy. Just as behavior
intervention specialists would never approach programming without
using behavior theory, policy advocates should understand policy theory
in order to be more effective change agents. This presentation will explain
how to utilize policy theory to advance public health policy.
Theory in Practice: Is Self-Efficacy Different in Minority Children?
Melvena Wilson, DrPH, MPH, CHES, Florida A & M University;
Saleh Rahman, MBBS, PhD, MPH, Florida A & M University
Overweightness in childhood is a serious public health concern. Approximately 31% of 6- to 19-year-old children in the United States are
overweight or at risk of overweight, as defined by a Body Mass Index
(BMI) at or above the 85th percentile. Avoiding sedentary behavior may
be a key in fighting the obesity epidemic. The purpose of this study was
to explore the associations among those variables and how they in turn
influence overweightness among African American children. Guided
by the Social Cognitive Theory, this study hypothesized that perceived
parental support influences youth self-efficacy related to sedentary
behavior avoidance, and would be inversely associated with child’s
BMI. This study also explored the relationship among self-efficacy and
self-reported sedentary behavior, and hypothesized that there would be
an association between perceived parental supports, self-efficacy, selfreported sedentary behavior avoidance and overweightness as reported
body mass index (BMI) percentile.
methods: A primary data analysis was done on data collected by Dr.
Wilson in Leon County Schools and Gadsden County Schools among
4th- 8th graders. Data from US Census Bureau were combined with this
data for further analysis on geo-location.
results/conclusions: The multinomial regression model, at the 95th
percentile (overweight category) self-efficacy was moderately significant (AOR=1.40; CI=1.01-1.93). County was significant (AOR=1.68;
CI=1.08-2.61), Gender was also significant (COR=1.41; CI=1.00-2.00),
enrollment in the free/reduce lunch program was significant (AOR=0.61;
CI=0.39-0.93). Indicating that those participants who had increased
perceived self-efficacy were approximately 1.4 times more likely to be
overweight than their counterparts, and those who lived in Gadsden
County were 1.7 times more likely to be overweight. Finally, that those
enrolled in the free/reduced lunch program were 7% less likely to be
overweight than their normal counterparts. These findings imply that
further research with a sample that is predominantly minority need to
be conducted. Given the lack of association with self-efficacy, another
theoretical model may offer a better fit, including a larger focus on cultural and environmental variables. The study findings also highlight the
importance of possible differences among African American children
and White children in perceived self-efficacy, as well as difference among
urban and rural overweightness.
Room: Denver 5-6
electronic media: new avenues for reaching
healthy people goals
Increasing the Quality of Health Web Sites: An Action Agenda
Stacy Robison, MPH, CHES, CommunicateHealth, Inc.; Sandra Williams
Hilfiker, MA, Office of Disease Prevention and Health Promotion, USDHHS;
Sean Arayasirikul, MSPH, CHES, Office of Disease Prevention and Health
Promotion, USDHHS; Xanthi Scrimgeour, MHEd, CommunicateHealth, Inc.
Health communication and Health IT is a cross-cutting topic in Healthy
People 2020. This decade, health IT objectives have increased in number
and scope to reflect the expanding role of health IT in public health.
Healthy People 2020 includes an objective to increase the proportion of
quality, health-related Web sites, and more specifically, to increase the
proportion of health-related Web sites that follow established usability
principles. To assist health professionals in meeting this objective, the
Office of Disease Prevention and Health Promotion (ODPHP), U.S.
Office of Health and Human Services, has published Health Literacy
Online: A Guide to Creating Easy to Use Health Web Sites. The guide
synthesizes lessons learned from ODPHP’s original research with more
than 700 Web users, most of whom had limited literacy skills and limited
experience using the Web. This presentation will discuss the implications
of the Healthy People objective on Web site quality and review specific
strategies for creating understandable, actionable health Web sites that
adhere to established principles of usability and good Web design.
Pre-conceived Expectations not Always Predictive of Actual
Ability: E-health Literacy Skills among College Students.
Michael Stellefson, PhD, University of Florida; Bruce Hanik, MS, Texas
A&M University; J. Don Chaney, PhD, CHES, University of Florida;
Beth Chaney, PhD, CHES, University of Florida
Innovations in health communication and education have brought
about the utilization of the internet to transmit health information to
a wide variety of audiences. E-health is the emerging field intersecting
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health informatics, public health, health services, health education, and
information transmission processes, all blended together to facilitate the
widespread dissemination of relevant public health information. The
synergy among these fields is evidenced primarily through the use of
the internet and other related technologies to ultimately improve health
outcomes. College students generally have easy access to health information on the internet and feel comfortable using the internet; therefore,
they are often thought to be adept consumers of e-health information.
There is important research which has been conducted investigating
perceived and actual “e-health literacy” among college students which
somewhat contradicts this pre-conceived expectation. E-health literacy
has been defined as the ability of individuals to seek, find, understand,
and appraise health information from electronic sources and apply such
information to addressing or solving a particular health problem. The
purpose of this presentation will be to highlight a literature review done
to evaluate the results of existing research on e-health literacy among
college students. This review suggests that pervasive internet access and
usage among college students have not necessarily translated into an
ability to discern quality health information on the web. Studies indicate
that many students lack competencies which limit their ability to utilize
electronic resources to obtain quality health information. Interestingly,
however, students’ self-ratings of their own e-health literacy skills tend
to be quite high, even though these perceptions may not be accurate
predictors of their actual e-health information competencies. In addition, the frequency of college students attempting to use the internet to
obtain health-related information was not as prevalent as what might be
expected. Moreover, there is significant room for improving college students’ ability to obtain and evaluate electronic health information. These
findings present an important opportunity to build e-health information
competencies among college-age students, especially in health education.
Future e-health educators should be equipped with planned learning
experiences contained within professional preparation programs, given
that this skill set is becoming a core element within the overall health
education field. Suggestions for future coursework dedicated to e-health
literacy will be proposed based on the findings of this literature review.
Incorporating Social Media into a Health Education Campaign:
Lessons from Confess! Cervical Cancer Awareness Campaign.
Jessica Albeita, MPH, Research Administration and Community Outreach,
Prevent Cancer Foundation; Karen J. Peterson, PhD, Prevent Cancer Foundation; Kristina Hunken, MA, Prevent Cancer Foundation; Apoorva Sabnis
Stull, MA, National Committee for Quality Assurance; Erica Childs Warner,
MPH, Prevent Cancer Foundation
With a grant from the Fund to End Cervical Cancer, the Prevent Cancer
Foundation developed an interactive cervical cancer education and
awareness campaign. Launched in July 2009 at http://confess.preventcancer.org, the Confess! Cervical Cancer Awareness Campaign includes
a Web site geared toward women ages 20 – 29 and a tool that provides
tailored information to a variety of age groups seeking information
about cervical cancer prevention and early detection, as well as an opportunity to express behavioral intention supportive of early detection
of cervical cancer. Confess is similar to other “consciousness raising”
media campaigns. Confess is solely Web-based, includes very little
paid media and incorporates a significant amount of social marketing
via Twitter and Facebook. This presentation will examine the Confess
campaign from July to December 2009. Over these six months, Confess
had over 7,325 page views, including 6,376 unique page views. Visitors
taking action on the site resulted in 323 notes posted and 235 pledges to
get screened. Individuals spent an average of 2:53 minutes viewing the
Confess page. Social marketing was added to Confess in August 2009
with two Twitter accounts, @weconfess and @6kpledge2screen. @we-
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confess tweeted (posted messages) 115 times and had 54 followers and
@6kpledge2screen tweeted 105 times and had 46 followers. A Confess
Fan Page was started on Facebook with some daily advertising. The Confess Fan Page sent out 52 messages and had 191 fans. Many lessons were
learned during this period from both successes and failures. The lessons
include: 1) Use a multi-disciplinary team approach to development; 2)
Focus-test content and format with your core audience, even if it isn’t in
your budget; 3) Stretch your dollars by using strategically placed Web
ads that specifically target your key audience; 4) In addition to using
conventional media outlets, reach out to Web-based outlets for earned
media, including bloggers, popular tweeters and magazines; 5) Safeguard
the quality of information shared and consistency of the tone and voice
used to speak with and engage your audience; and 6) Understand that
social marketing takes a lot of time! We consider Confess to be a success
and are planning to dedicate more resources to this campaign and address some of these lessons learned.
Health Education and the Electronic Health Information
Exchange Revolution.
Authors: William Livingood, PhD, Duval County Health Department
Abstract: Major resources are being dedicated to electronic health
records (ehr) and information exchange (ehie) following enactment
of the ARRA. “Meaningful Use” of electronic health record systems
requiring ehie is a major foundation of health care reform and a critical
strategy for improved effectiveness and quality of health care as well as
reduced costs and increased efficiency. Despite the strong rationale for
ehie systems and major commitments of dedicated resources, wide scale
adoption faces many barriers. Fragmentation and competition at virtually all levels present major challenges to coordination and collaboration
necessary for the development of effective ehie. The challenges to developing ehie networks for heath care and public health are increasingly
recognized as behavioral, social and political, rather than technological.
Although disseminating and transmitting health Information has been a
major focus of Health Education and overcoming social and behavioral
barriers to health are also basic to health education, health education’s
role in developing health information exchange has been elusive at best.
We provide a rationale for why this is a public health issue of major
societal concern and an example of how health education research and
practice can play a pivotal role in developing this critical element of
health care reform. In particular, Health Education research and practice
related to coalitions provide important strategies for overcoming the
challenges in developing ehie. The application of this health education
strategy by local health agencies can be found in a leadership guide on
NACCHO and PHII websites and presents one example of how health
education can plan a major role in this societal transformation
Room: Nat Hill
mile high strategies for professional preparation
Extending Students’ Learning with the New SOPHE Textbook:
Semester Class Projects, Needs Assessments and Internships.
Carl Fertman, PhD, MBA, CHES, University of Pittsburgh; Randy Cottrell,
DEd, CHES, University of Cincinnati; Robert Strack, PhD, MBA,
University of North Carolina Greensboro
In April 2010 SOPHE published it first text book - Health Promotion
Programs: From Theory to Practice. The book presents an overview of
best program practices based on theory to promote health equity from
a wide variety of settings that include schools, health care organizations,
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workplace and community. The book is aimed at three audiences. The
first audience is individuals pursuing an undergraduate major or minor
in health education, health promotion, community health, public health,
or health-related fields such as environmental health, physical activity
and education, allied health, nursing, or medicine. The second audience
is young and mid-career practitioners, practicing managers, researchers, and instructors who for the first time are responsible for teaching,
designing, or leading health promotion programs. The third audience is
colleagues and professionals not trained in the health fields but working
in settings where health promotion programs are increasingly prevalent
and might be under their supervision (for example, school superintendents and principals, human resource directors working in business
and health care, college deans of student affairs, faculty members, board
members of nonprofit organizations, community members, and employers and staff members in businesses and health care organizations).
Session presenters using the book and the book ancillaries (chapter test
item banks, power points, syllabus, student materials) will discuss best
practices and strategies to teach health promotion program planning,
implementation and evaluation that promote and extend student learning, engagement and effective practice.
Enhancing Teaching with the New SOPHE Textbook:
CHES Competencies and Web 2.0.
Beth Chaney, PhD, CHES, University of Florida; Melissa Grim, PhD,
Radford University
The rapid development of information and communication technologies
has transformed the higher education learning environment. Through
Web 2.0, interactive and instructional technology applications provide
opportunities for teachers of health promotion planning, implementation and evaluation to better engage students, meet learning needs, and
simulate real-life situations for students to apply best-practice strategies.
This presentation will demonstrate how the concepts in the book can be
enhanced and supported by using Web 2.0 technology.
Participants will learn how to utilize social network platforms, podcasting, RSS, and image and videosharing capabilities to enhance
classroom instruction.
Adapting Distance Learning Technology: Lessons Learned in
the Third year of a University’s Public Health Education
Distance Program.
Frank Strona, MPH, San Jose State University; Robert Rinck, MPH, San Jose
State University; Daniel Perales, DrPH, MPH, San Jose State University
The San Jose State University Master of Public Health Program utilizes the
asynchronous Blackboard and the synchronous (live) Elluminate learning
platforms to provide online instruction to its distance learning students.
An early challenge encountered by the MPH program was the training of
faculty to help them transition from class-room instruction, in order to
develop effective and efficient uses of the distance technology. In addition, as evidenced from a survey of our distance students, the distance
instruction learning platforms require a greater degree of visual “look and
feel” continuity across distance courses than regular on-campus courses.
This continuity can be especially challenging to faculty without previous
distance learning experience. Furthermore, some mature students, with
modest computer technology knowledge, also require additional training
and support in order to enhance the interactive activities that occur during
the live (Elluminate) online class sessions. This presentation will describe:
1) how to structure and staff a distance learning program for technology
support on a limited budget, 2) how to use MOUs between the instructor
and the program to improve course training and enhance implementation,
3) multiple approaches to training students and faculty on distance technology, and 4) how to assess the effectiveness of the technology training
and support. Selected and edited short recordings of live class sessions and
training will be shown to illustrate how technology issues are addressed by
the technology staff.
How Students in a Community Health Social Marketing Course
Can Assist Communities to Create Change.
Rosy Contreras, BSc, San Jose State University; Amado Burgos, BSc, San Jose
State University; Laura Burata, BSc, San Jose State University; Rhiannon
Labrie, BSc, San Jose State University; Raymond Chung, BSc, San Jose State
University; Daniel Perales, DrPH, MPH, San Jose State University
The Institute of Medicine’s 2002 report, “Who Will Keep the Public
Healthy”, notes that communication is one of the eight new content areas
that must be addressed by public health schools and programs. The San
Jose State University Department of Health Science addresses health communication through a social marketing course and a health communications and technology course. The social marketing course is preceded or
taken in conjunction with the technology course in which students learn
how to use internet technology, still images, and video technology to create communications messages. In the social marketing course, students
are formed into teams of five and instructed on using social marketing’s
4-P’s (product, price, place, and promotion). They are required to develop
a social marketing campaign that can address a community health issue.
These campaigns are designed to deliver messages to a priority population
that focus on what they need to know, what they need to believe, and what
they need to do to create healthy behaviors and environments. Students are
also teamed with a community based organization or public health agency
that seeks assistance in the development of social marketing materials that
can reach their audiences. Examples of these campaigns include students
developing flyers and posters for school based clinics in San Jose, California who wanted to promote their services among low-income families and
enroll children and adolescents who need health care; assisting a public
health agency to develop a social marketing campaign to reach Asian
Pacific Islander men who have sex with men to help prevent the spread of
HIV; developing video and print materials for the Mothers’ Milk Bank of
Santa Clara County in order to encourage mothers to donate their breast
milk; and promoting the use of electronic benefit transfer EBT cards (i.e.,
food stamps) at farmers’ markets by low-income Latinos. This presentation
will showcase some of the astonishing social marketing still images and
short videos that were developed by students but will focus on the EBT
farmers’ market social marketing campaign. The materials developed for
this latter campaign so impressed the Santa Clara County Social Services
Agency that they decided to support the printing of posters and fliers
developed by the students for distribution to the county’s farmers’ markets
and especially their food assistance offices. The materials will also be used
in 11 major farmers’ markets throughout the San Francisco Bay Area.
current session a5
Room: Colorado G-H
diversity in action: addressing the needs of
immigrants and special populations
Immigration Policies, Integration and Social Capital:
An International Comparison of Public Health Outcomes.
Alberto Cardelle, PhD, MPH, East Stroudsburg University
This last decade has been in part defined by the issue of immigration. Immigrants have been disproportionately affected by poor health
outcomes and both cultural and political barriers have made them a
challenging group with whom to address disparities. Therefore, strategies
that facilitate the integration of immigrants and strengthen their social
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capital are a salient area of public policy for public health practitioners.
This paper contributes to the understanding of how to broaden the scope
of work with immigrant communities by using an international comparison to determine the potential positive impact of social capital on
public health outcomes. The study integrates a social capital framework
along with an acculturation framework and a policy analysis framework
to identify policies that facilitate the integration process of immigrants
and therefore their social capital and health status. This study builds
upon the literature on integration and social capital and develops a
different avenue of investigation. Few studies in the existing literature
look at the interwoven relationship that may exist between the different
levels of integration and the environment created by policies, communities and institutions. This study proposes to look at the relation between
immigrant integration and policies in a cohort of 30 immigrant families
in Pennsylvania and Galicia, Spain (two areas with similar immigration
patterns). Each family experience will be developed into a case study and
the analyzed by exploring policies in each case and by identifying broad
similarities and differences between cases. The analysis identifies the key
factors in each case that facilitated or hindered the integration of the immigrant family across the socio-ecological model. This makes this study
an even more unique undertaking because few studies have looked at
acculturation and immigration policies from an international perspective, and using a case study approach. The paper hypothesizes that in a
country such as Spain with a strong social safety net program immigrant
families have a stronger social capital and higher level of self-reported
health status than their counterparts in the United States. The initial
results indicate that immigrants in Spain report a much stronger sense
of belonging to a community, are much more likely to belong to groups,
and to feel connected than immigrants in Pennsylvania. The recommendations seem to indicate that public health interventions need to
work beyond the health education discipline and look to influence public
policies specifically those aimed at immigration
Challenges Faced by Immigrant Pregnant Women to Get
Quality Maternal Health Care.
Kamrun Mustafa, PhD, Southern Illinois University Carbondale;
Mark Kittleson, PhD, FAAHB, Southern Illinois University Carbondale
This paper presents an account of the experience of Bangladeshi women
who have immigrated to the US and have become mothers for the first
time within a year from the date of interview. The purpose of the study
was to explore their pregnancy related experiences following their immigration into a totally different culture. Ten immigrant women from
the three boroughs of New York City were interviewed for the purpose.
Findings of the interviews were then subjected to a qualitative analysis
based on the theoretical framework of PEN-3 model developed by Collins Ahihirenbuwa in 1995. The findings highlight the untold stories of
these immigrant women, who came to the US with a big dream in mind,
as they encountered multifarious challenges of resettlement, language,
cultural and other barriers to quality healthcare access, physical, mental
and emotional problems and faced unequal and discriminatory treatment from their healthcare providers. The study also focused on the
intrapersonal, interpersonal and societal life of these women and their
efforts to survive and cope with the realities on the ground. This presentation will help health educators better assess the needs of the marginalized segments of population, initiate culturally appropriate programs,
and develop curriculum for health care professionals, who are working
with immigrants and other ethnic populations, which in turn will contribute to reduce maternal and infant mortality and morbidity.
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Relationships Between Risky Health Behaviors and Behavioral
Motivational Systems in Hispanic Populations.
Marieke Jackson, BA, Health Sciences/NMSU; Rebecca Palacios, PhD,
Health Sciences/NMSU
introduction: The Behavioral Inhibition System (BIS) and Behavioral Activation System (BAS) subscales (Carver and White, 1994) have
been used to predict a variety of human behaviors. Previous studies
have shown that the BAS subscales are most strongly related to risky
behaviors (Voight et al, 2009; Franken and Muris, 2005). For example,
Voight et al (2009) found a strong association between BAS tendencies
and unhealthy sexual, alcohol, drug, safety, and tobacco behaviors. The
relationship between motivational tendencies and risk behaviors has
not been examined in the Hispanic subpopulation. The present study
examined substance use, sexual habits, stress levels, physical activity and
body composition in relation to motivational tendencies among young
Mexican American college students. It was hypothesized that similar
to the general population; BAS subscales would predict engagement in
risky behavior among Hispanic college students.
methods: Participants were 355 Hispanic college students attending the
University of Texas at El Paso. Students completed measures of substance
use (alcohol, marijuana), crimes committed, sexual sensation seeking and
victimization, stress, physical activity, height, weight, and motivational tendencies prior to their participation in an alcohol risk-reduction program.
results: A standard multiple regression was performed between
individual risk behaviors as the dependent variable and BIS/BAS scales
as the independent variables. Illegal risk behaviors including underage
drinking, marijuana use, and self-reported crime were all predicted by
sensation seeking tendencies (all p values < .01). BMI and physical activity were predicted by punishment (p values < .05 for physical activity)
and reward sensitivity (all p values < .05). Risky sexual behaviors and
sexual victimization were predicted by drive, sensation seeking, and
punishment tendencies (all p values < .01). Finally, punishment sensitivity predicted stress ratings (p value <.01).
discussion: The present study on Hispanics found a similar relationship between sensation seeking tendencies and risky behaviors as in
previous research. Unlike previous research however, this study on
Hispanics also demonstrated a relationship between BIS tendencies and
physical activity and negative behavioral outcomes (e.g., stress
and victimization).
Lations Reduciendo el Disabetes en Southeast Georgia:
A Best Practices Approach.
Mondi Mason, PhD, MPH, Georgia Southern University; Lisa Anderson,
BS, Southeast Georgia Communities Project; Andrea Hinojosa, Southeast
Georgia Communities Project; Corina Florez, Southeast Georgia Communities Project; Lisa Florez, Southeast Georgia Communities Project; Sandra
Herrera, Southeast Georgia Communities Project
Abstract: background: Diabetes is at epidemic levels among Latinos. If
left untreated or uncontrolled, diabetes can lead to cardiovascular disease,
kidney disease, blindness, and lower-limb amputations. Diabetes selfmanagement is a “best practice” for helping individuals live with diabetes
and have successful health outcomes.
theory and intervention: The Latinos Reduciendo el Diabetes
(LaRED) is a community-based program created and implemented by
Southeast Georgia Communities Project, an organization dedicated to the
healthy and empowerment of Latino and farm worker communities. The
primary goal of LaRED is to reduce the morbidity and mortality related
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to diabetes among Latino immigrants in rural southeast Georgia. LaRED
utilizes bilingual, bicultural outreach workers who provide culturally and
linguistically appropriate non-medical case management, diabetes education, and support services. Over the last 3 years, they have provided these
services to over 200 clients.
objectives: The program objectives include the provision of regular
home visits by a diabetes educator and registered nurse, tailored one-onone and group educational opportunities, and support services such as
interpretation during healthcare provider visits.
evaluation: Though a variety of strategies such as collection of HgA1c
data, outreach worker administered pre/post knowledge assessments,
telephone interviews, and observational data have been developed to
reliably collect data, challenges have persisted when working with lowincome clients who have limited literacy skills.
results: To date, over 80% of the clients have demonstrated improvements in self-management of their health condition (e.g., taking their
medication, regularly eating meals), with 58.3% reducing their HgA1c
levels. Clients have also reported other changes in health behaviors (e.g.,
eating more fruits and vegetables, drinking more water). Purpose: The
purpose of this presentation is to 1) describe the intensive case management and education strategies being implemented in the program, 2)
highlight the results from the program, and 3) discuss challenges and
lessons learned related to implementation and evaluation.
concurrent sessions b
fri / nov 5 / 1:15 am – 2:30 pm
concurrent session b1
Room: Nat Hill
reach and recovery: strategies and interventions
for high risk adolescents
Mental Health and Substance Abuse Prevention
for Male Adolescence Detainees.
Kisha Holden, PhD, Associate Director, Community Voices: Healthcare
for the Underserved, Assistant Professor, Department of Psychiatry and
Behvaioral Sciences, Satcher Health Leadership Institute, Morehouse School
of Medicine; William Moore, MPH Candidate, Graduate Research Assistant,
Community Voices: Healthcare for the Underserved, Satcher Health Leadership Institute, Morehouse School of Medicine; Tyrone Bell, MPH, Graduate
Research Assistant, Community Voices: Healthcare for the Underserved, Assistant Professor, Department of Psychiatry and Behvaioral Sciences, Satcher
Health Leadership Institute, Morehouse School of Medicine; Carlos Mahaffery, PharmD, MPH Candidate, Graduate Research Assistant, Community
Voices: Healthcare for the Underserved, Satcher Health Leadership Institute,
Morehouse School of Medicine
Each year tens of thousands of adolescents enter juvenile detention centers, systems of juvenile correction and treatment programs in the United States. Georgia ranks 10th in the nation with regard to the number
of juveniles detained, incarcerated, or placed in residential facilities. The
majority of these individuals are African American males. This program
seeks to test the feasibility of an 9 session culturally tailored psychoeducational intervention for 50 African American males’ ages 15-17
years old that reside in a youth detention center in the Georgia area. The
program is designed to improve participant’s psychological well-being,
decrease depressive symptoms, positively modify attitudes and decisionmaking skills relative to alcohol and drug-use, and increase self-efficacy
to avoid violent conflicts with the ultimate goal of reducing recidivism.
The intervention will be evaluated using a longitudinal design measuring participant’s pre- and post-intervention outcomes. Analyses will be
carried out through use of SPSS 17.0. In addition to descriptive statistics, repeated measures t-test for non-independent samples will be used
to determine differences between pre and post intervention findings.
Preliminary findings indicate that the intervention is useful for the target
population; however, data analyses are currently underway and will be
available at the time of presentation. Results will be discussed in terms of
clinical application for mental and public health professionals working
in juvenile and /or criminal justice settings; and findings will add to the
depth of research in this area of study.
Building Health Equity on the U.S./Mexico Border: Innovative
Strategies to Reduce Alcohol Consumption and Related
Consequences in Adolescents.
Sharon Thompson, PhD, MPH, CHES, Department of Public Health
Sciences, The University of Texas at El Paso; Holly Mata, MS, LSC, College of
Health Sciences, The University of Texas at El Paso; Joe Tomaka, PhD,
College of Health Sciences, The University of Texas at El Paso
Recent studies have identified risk and protective factors related to
alcohol consumption and related problems among youth in a large
metropolitan community on the U.S./Mexico border. Awareness of the
heterogeneity of Hispanic culture and the unique cultural convergence
characteristic of the border region coupled with an asset-building and
culturally relevant theoretical foundation may improve efforts to reduce
risky alcohol consumption among youth in the border region. Three of
the ten poorest counties in the United States are on the Texas/Mexico
border. Of particular concern are educational inequalities which are
salient in this region. In this regard, innovative partnerships between
academic institutions and communities may facilitate both educational
retention at the secondary level, and increase access to relevant health
promotion programs. Building health equity by reducing risky alcohol
consumption and related consequences among border youth is the
focus of this presentation. The need for alcohol risk reduction programs
for secondary school students in the border region based, in part, on
successful implementation of such a program in the same population at
the university level is highlighted. Using data from the college level intervention combined with alcohol use data from the local high schools, an
innovative, outcome-based program to reduce risky alcohol consumption rates among adolescents living in the U.S./Mexico border region
is explored. Changes in drinking outcome measures were examined
from assessment to six month follow-up. Results indicated that alcohol
consumption and alcohol-related problems declined significantly. In
accordance with the spirit of motivational interviewing, communications are non-judgmental, non-critical, and non-confrontational in
nature. This type of intervention is designed to encourage youth to make
positive choices and increase readiness to change rather than chastise
them for poor choices. Although any alcohol use among adolescents is
problematic, the high rates of use and consequences in the border region
mandate the provision of innovative strategies including harm reduction approaches, as opposed to abstinence-based programs exclusively,
to reduce the burden of alcohol problems among middle and secondary
school students. “Communitizing” health education helps build partnerships, increases perceived competency among health education students,
and results in increased knowledge and positive behavioral intentions
among priority populations. Accordingly, translational approaches that
build on the success of the alcohol risk reduction program highlighted in
this paper by extending the program to younger cohorts are an innovative response to a chronic and unrelenting public health issue.
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Application of ADAPT-ITT: Adapting an Evidence-based HIV
Prevention Intervention for Incarcerated African American
Adolescent Females.
Teaniese Latham, MPH, University of Georgia; Jessica Sales, PhD, Emory
University; Lorin Boyce, MA, Rollins School of Public Health, Emory
University; Tiffaney Renfro, MSW, Rollins School of Public Health, Emory
University; Gina Wingood, ScD, MPH, Rollins School of Public Health,
Emory University; Ralph DiClemente, PhD, Rollins School of Public Health,
Emory University
background: African-American adolescent females are disproportionately impacted by the HIV epidemic. Adolescent female detainees are
currently the fastest growing population of incarcerated adolescents. The
threat for HIV risk is compounded by recidivism; juveniles establish a
cycle of incarceration, freedom, and incarceration which increases their
risk. Currently, there are no evidence-based interventions (EBI) for this
vulnerable subgroup. Thus, interventions specifically tailored for this
subgroup are urgently needed. Effective interventions that reduce HIV
risk behaviors remain one of the most powerful tools in curbing the HIV
epidemic. Theoretical Basis: Theory of Gender and Power; Social Cognitive Theory Methods: The selected intervention (Horizons) was adapted
using a coordinated and systematically guided adaptation process based
on the ADAPT – ITT framework.
intervention: The purpose of the project was to adapt an evidencebased HIV prevention intervention for African-American adolescent
females and to optimize its appropriateness and efficacy for AfricanAmerican adolescent females detained at a youth detention center.
Horizons was adapted using a coordinated and systematically guided
adaptation process based on the ADAPT – ITT framework.
partnerships: Georgia Department of Juvenile Justice, Centers for Disease Control and Prevention Implications for Practice: Using this prescriptive method for adapting Horizons for incarcerated young girls proved to be
a time and cost effective method. Moreover, using the ADAPT-ITT process
helped maintain fidelity to the core elements of the intervention while making relevant and acceptable changes for this specialized population.
Empowering Our Spirit: Adapting Evidence-Based Practices
And Utilizing Community Paraprofessionals to Prevent
Apache Youth Suicide Attempts.
Authors: Kristin Lake, MPH, Johns Hopkins University Center for American
Indian Health; Lauren Tingey, MPH, MSW; Allison Barlow, MA, MPH;
Francene Larzelere-Hinton, BS; Lavita Tessay; Mary Cwik, PhD
background: Suicide attempts are a major source of morbidity among
young people, especially American Indian (AI) youth. The White Mountain Apache Tribe (WMAT) has suffered from youth suicide death rates
significantly higher than U.S. All Races and AI/AN rates, and experienced
an annual attempt incidence rate of 3.5% in 2007, 70% of which occurred
among youth. Despite clear need for psychiatric services, only 21% of
Apache youth attempters received treatment. Theoretical Basis: The
WMAT partnered with Hopkins to employ community-based participatory (CBPR) research methods to inform intervention development for
Apache youth who have attempted suicide. Preliminary data indicate
Apache youth attempters have high alcohol/drug use, family and close
friends who have attempted or died from suicide, and high drop-out
rates. Taking into account local data and protective factors identified by
focus groups with community members, Tribal partners selected two
evidence-based interventions rooted in Cognitive-Behavioral Theory
and designed to modify youth’s suicidal thoughts and behaviors, coping
and emotion-regulation skills. Intervention: Selected interventions were
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adapted with community input and included two significant changes: the
use of Apache paraprofessionals (“Natural Helpers”) to deliver interventions in the youth’s home and inclusion of a family member in the intervention administration. In the first intervention, “New Hope,” Natural
Helpers meet with youth and family members soon after hospital discharge to watch a locally-produced video and complete a short workbook.
The video demonstrates the impact of an attempt and includes Apache
elders emphasizing that life is sacred. Natural Helpers discuss the video
with the youth and family member, develop a safety plan, use problemsolving and motivational techniques to reinforce positive aspects of
treatment, and screen the youth for suicide severity. The second intervention, “Re-Embracing Life,” is a 9-session life skills curriculum intended
to supplement outpatient mental health treatment and delivered over a
three month period. Curriculum content includes coping skills, conflict
management, communication skills, and safety planning.
evaluation measures and results: A pilot trial of both interventions is currently underway with 30 youth and families. Evaluation measures
include multiple existing scales and locally-adapted assessments measuring changes in self-reported depression, treatment-seeking and coping
skills behaviors, and attitudes and knowledge of treatment. New Hope and
Re-Embracing Life are adapted evidence-based interventions developed
to reduce future suicidal behaviors among Apache youth. Unique aspects
of these interventions, particularly the empowerment and capacity development of Apache paraprofessionals, are potential solutions to challenges faced
by AI tribes and other rural and disadvantaged communities.
concurrent sessions b2
Room: Colorado I-J
challenges in health education:
building professional identity
How We Got Here: A Brief History of the Health Education
Credentialing Process.
Michele Pettit, PhD, MPH, CHES, Health Education and Health Promotion,
University of Wisconsin-La Crosse
Professional preparation, continuing education, and credentialing represent
cornerstones of the health education profession. The latter process represents
the focus of this session. Specifically, the purpose of this session is to provide
a historical account and current scope of the health education credentialing
process. Key leaders (e.g., Helen Cleary, Peter Cortese, Elena Sliepcevich,
etc.) and events involved in shaping the health education credentialing process will be highlighted. The First Bethesda Conference (1978), Role Specification for Entry-Level Health Educators, National Conference for Institutions Preparing Health Educators (1981), and Second Bethesda Conference
(1986) represent a few of the key events that will be highlighted. Historical
underpinnings associated with development of the National Commission
for Health Education Credentialing, Inc. (1988) and Certified Health Education Specialist (CHES) credential will be presented. Moreover, reasons for
initially pursuing a competency-based certification for health educators in
lieu of other credentialing options (e.g., licensure) will be discussed. This
session will conclude with an overview of recent contributions to the health
education credentialing process namely, the Competencies Update Project
and ensuing emergence of the Master Certified Health Education Specialist (MCHES) credential. Discussions regarding the future direction of the
health education credentialing movement will follow.
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Outcomes of the National Health Educator Job Analysis:
Implications for Healthy People.
Eva Doyle, PhD, MSEd, CHES, Baylor University; Linda Lysoby, MS, CHES,
CAE, National Commission for Health Education Credentialing, Inc; Melissa
Rehrig, MPH, CHES, National Commission for Health Education
Credentialing, Inc
background: Since the initial role delineation of health educators in
1988, the health education profession has continued to evolve. Over the
course of the years in addition to the development of the responsibilities and competencies for the entry-level health education specialist, a
certification process has been put in place, advanced-level responsibilities and competencies have been developed, and two competency update
projects has been completed.
theoretical basis: The theory-based competencies that frame the
preparation, professional development, and work of health education
specialists can contribute to the achievement of the Healthy People 2010
objectives 1-7, 23-8, and 23-9 through health professional training.
Competencies are an essential component of outcomes-based education
for many health-related professions and are critical in credentialing.
Health education was the first population-based profession to develop
competencies, which have been used in measuring quality assurance
systems for more than 20 years. Yet, competencies for any profession
must not be fixed, but rather re-verified in contemporary practice and
updated over time.
methods: To meet recommendations from the National Organization for
Competency Assurance (NOCA), the Health Educator Job Analysis Study
(HEJA) was completed to validate the contemporary practice of entry- and
advanced-level health education specialist. A systematic model of practice
was utilized to develop and empirically validate the knowledge base
required of health education specialists. A stratified random sample of
approximately 4500 health education specialist from various professional
work settings were surveyed online in the spring of 2009.
interventions/partnerships: Experts from the Professional Examination Services (PES) conducted the analysis, with input from the
American Association for Health Education (AAHE), National Commission for Health Education Credentialing (NCHEC), and Society
for Public Health Education (SOPHE). Sixty-two (62) volunteer health
educators were selected by a steering committee to serve in various
capacities throughout the project. The volunteers represented an array of
work-settings, educational and demographic backgrounds, and varying
levels of experience. Implications of research results for enhanced practice – This presentation will highlight findings and recommendations
from the HEJA related to the updated competencies and sub-competencies of both the entry – and advanced-level health education specialists.
Also, presenters will discuss the implications to professional preparation
programs that prepare the future health profession workforce and details
of the advance-level certification, MCHES. The relevance and application
of HEJA outcomes to Healthy People initiatives and goal achievement
will be discussed.
Exam Item Writing for the Health Education Specialist:
“Yes This Will be on the Test.”
Jacquie Rainey, DrPH, Professor and Associate Dean, College of Health and
Behavioral Sciences University of Central Arkansas; Sharon Thompson,
MPH, PhD, CHES, University of Texas at El Paso; David Brown, EdD,
CHES, Jackson State University; Linda Lysoby, MS, CHES, CAE,
National Commission for Health Education Credentialing, Inc.
Learning to write valid and reliable exam questions is a vital skill for the
health education specialist practicing in any setting (academic, community, worksite, school, and medical). Test items assist the health educator
to evaluate and research health-related knowledge. The National Commission for Health Education Credentialing (NCHEC) was established
to administer a credentialing system, including certification of health
education specialists as a mechanism for individual quality assurance.
The completion of the National Health Educator Job Analysis (HEJA)
has necessitated the development of a new Certified Health Education
Specialist (CHES) examination based on the resultant responsibilities,
competencies, and sub-competencies. Directors on NCHEC’s Division
Board for Certification of Health Education Specialists (DBCHES) who
are currently developing exam items for the revised CHES and newly
created MCHES examinations will provide an intensive test item writing
session to assist participants develop these important skills. The purpose
of this presentation it to increase the skills of the participants in test item
development, construction, and evaluation grounded in sound learning
theory. Participants will learn the guidelines used to write exam questions and what constitutes a “good” question. Specific information will
be provided concerning the process by which test items are validated and
placed into the appropriate responsibility and competency for the CHES
and MCHES. The exam blueprint containing the new rubric and percentage of each responsibility and competency will be explained. These
newly acquired skills can be generalized to a variety of health education
programming to enhance the rigor of research and evaluation.
Parallels between the Professionalization of Health Education
and the Medical Profession’s Historic Quest for Licensure.
Kathy DeBarr, MS, PhD, Associate Professor, Department of Public Health,
University of Illinois at Springfield
This presentation chronicles the history of physicians’ struggles to
professionalize the field of medicine and draws parallels between this
history and efforts put forth by health educators to gain the populace’s
recognition of health education as a profession. Health education is in
many ways a nascent profession, much like the practice of medicine
prior to medical licensure. From the Colonial period through the 1850’s
medicine in the United States was practiced by lay persons, planters,
clergy persons, apprentice trained physicians, barber surgeons, apothecaries, and “regular” or university trained physicians (Starr, 1982). In
other words, almost anyone could practice medicine. Similarly, today
virtually anyone can proclaim himself/herself to be a health educator.
This phenomenon occurs despite establishment of the Certified Health
Education Specialist (CHES) credential and the forthcoming 2011
advanced level credential Master Certified Health Education Specialist
(MCHES). Twenty years after establishing the CHES, Arkansas (Arkansas Health Educator Practice Act) and New Jersey (N.J. Dept. Health and
Senior Services) require the credential to practice as a health educator. Perhaps the time has come, as it did for the medical profession, to
consider licensure as a viable alternative. What better way can there be
to achieve the Mile High Expectations and educational goals of Healthy
People 2020 and beyond?
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current sessions b3
Social Determinants of Health.
Room: Colorado E-F
community & population health: challenges
for a new decade
Changing Expectations: Advancing the Community Role
in Translational Research.
Alexandra Lightfoot, EdM, EdD, UNC Center for Health
Promotion and Disease Prevention; Christina Hardy, MPH, UNC Center
for Health Promotion and Disease Prevention
background: Despite strides in medical advances and treatment, few
of the Healthy People 2010 objectives have been realized. To address
2020’s goals of achieving health equity, eliminating disparities, and improving the health of all population groups calls for innovative multi sector strategies. This session highlights an initiative to enhance equity and
effectiveness in translational research and transform the way communities and academic investigators work together to investigate persistent
health challenges and design and evaluate effective solutions.
theoretical basis There is a growing recognition that translational
research benefits from community involvement at the outset. Community-based participatory research (CBPR) has shown substantial promise
for building new and creative partnership approaches to tackle some of
the most intractable public health problems at all levels of the socioecologic model. The last decade has seen growing support for CBPR and increased demand for skills, knowledge, training and strategies to enhance
community members’ equitable participation in research addressing
the needs of their communities. Objectives The NC Translational and
Clinical Sciences Institute (TraCS) and the UNC Center for Health
Promotion and Disease Prevention (HPDP) received ARRA funding to
launch Community Leadership and Reciprocal Development (CLRD):
Advancing Community-Engaged Research at Two CTSA Institutions in
collaboration with Vanderbilt’s Institute for Clinical and Translational
Research (VICTR). The goal of the pilot is to expand and accelerate both
institutions’ capacity to advance translational research, by 1) drawing on
the expertise of community partners working with our respective institutions, and, 2) initiating a cross-institution partnership to share expertise,
develop resources, and disseminate new knowledge and approaches.
intervention This session will examine three aspects of UNC’s CLRD
model: 1) creation of a new position at the university for a community
partner experienced in CBPR, a “Community Research Fellow,” who coleads project activities; 2) recruitment of a pool of “community experts,”
seasoned community leaders with CBPR expertise, who provide training
and technical assistance to advance the adoption and implementation of
CBPR among community-academic partnership teams; and 3) facilitated
guidance sessions, or charrettes, for partnerships who express interest in
using CBPR approaches.
evaluation measures/results: We are using Glasgow’s RE-AIM
framework to evaluate the translatability and potential impact of our
efforts to build capacity for CBPR while developing robust and fairlycompensated consultancies for community partners. Early indications
suggest that our model provides a valuable resource in the development
of effective, rigorous and mutually beneficial research approaches for
communities and academic investigators.
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Sally Lin, PhD; Dana Brimmer, PhD, Centers for Disease
Control and Prevention; Kerri Timmerman, MPH, Senior Research
Assistant at the Chronic Diseases Branch, Centers for Disease Control
and Prevention; William Reeves, MD, Senior Advisor in the Public Health
Surveillance Program Office at CDC
Abstract: background: Social determinants of health are increasingly
recognized as important factors in public health research; particularly
sense of community (SOC) in community-based participatory research.
However, few studies have examined the associations between SOC and
barriers to healthcare utilization (HU), which is pivotal in communitybased unwellness prevention. Theoretical Framework: Healthcare access
and utilization are functions of the need for good health and health-related socio-demographic factors. We used the conceptual framework of
McMillan & Chavis to measure sense of community regarding its impact
on how communities function.
hypothesis: We hypothesized that people with lower SOC will be
more likely to report barriers to HU.
methods: The sample consisted of 750 participants in a populationbased study on unwellness in Georgia between November 2007 and
August 2009. A self-administered questionnaire included healthcare and
SOC measures: Membership, Influence, Reinforcement of Needs, and
Shared Emotional Connection. Multiple logistic analysis was used to
estimate the relationship between SOC and barriers to HU, controlling
for other socio-demographic influences, including insurance coverage
and self-reported health status. The significance level was set at 0.05.
results: Most of the 750 participants were women (75%), White (75%),
married (67%), urban/rural residents (83%) and their mean age was
47.6. Thirty-four percent reported barriers to HU. Participants who had
barriers to HU had significantly lower SOC scores than those who did
not. Higher SOC scores were associated with increased age and marriage, but were not statistically significantly associated with sex, race,
and residential area. All SOC domains but Reinforcement of Needs were
positively associated with years of residence. When examining the association with unhealthy days, Influence and Reinforcement of Needs were
negatively associated with physically unhealthy and poor or fair health.
In addition to these two SOC subscales, Membership was also associated
with mentally unhealthy days and days for limited usual activities. After
adjusting age, marital status, insurance coverage and unhealthy days,
Membership remained a significant protective factor for having barriers
to healthcare utilization (OR= 0.79, 95% CI= 0.66 – 0.92).
conclusions: Higher Membership reduces the risk of having barriers to
HU. Activities to increase sense of community in younger, non-married,
and new residents are potential interventions in promoting a healthier
community. Implications for Practice: Community quality needs to be
considered in public health efforts to reduce barriers to healthcare utilization and preventive healthcare in unwell community-dwellings.
Health Disparities Curriculum: Involving Students in Public
Health Advocacy (High School Students).
Nell Curran, BA, Stanford University, Youth Science Program/San Jose
State University
Healthy People 2010 includes the elimination of health disparities as
one of two major goals for the decade. In response to this public health
priority, the needs of the local community, and requests from teachers
and students, the Stanford Medical Youth Science Program partnered
with Overfelt High School in East San Jose, CA to develop an innovative
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Health Disparities Curriculum. Adapted from an evaluated heart-disease
curriculum, this new and highly participatory curriculum is designed
to educate students that the health of an individual is embedded within
a broader social context; show students how the health of a community
is shaped by resources (goods and services) and policies, which when
distributed unequally can create health disparities; and empower students
to address health disparities by advocating for change in their communities. The ten curriculum lessons are divided into three units: 1) introduction to public health and health disparities 2) community inventory
(asset mapping) and 3) public health advocacy. The curriculum is rooted
in educational theory, aligns with state education standards, and can be
implemented by instructors with minimal training. Lessons may be taught
independently or comprehensively and are adaptable to multiple settings
(e.g. intact classrooms or after school clubs). Activities are low cost and not
reliant on technology. Using baseline and post-intervention surveys as well
as focus groups, the curriculum is being evaluated with 60 low-income,
predominately Latino high school sophomores. Dissemination plans
include expanding the curriculum within the existing partner school and
ten schools in the district as well as posting it to the program’s website. The
Stanford Medical Youth Science Program’s Health Disparities Curriculum
has great potential to leverage the power of high school students to enact
change within communities thus reducing health disparities.
The Adaption and Implementation of Evidence-Based
Asthma Interventions to Address Asthma Morbidity in
Post Katrina New Orleans.
Eleanor Thornton, MS, CHES, AE-C, President and CEO,
Visionary Consulting Partners, LLC.
background: Children residing in post-Katrina New Orleans experienced an overwhelming disruption of quality of life, psychosocial
stressors, limited access to care and exposure to numerous environmental
hazards. These factors greatly elevated their risk for asthma morbidity and
required an aggressive multi-prong approach utilizing evidenced-based
asthma interventions and engaging public-private partners including
federal and local government agencies, academic institutions, and a private
foundation. The challenges and uniqueness of the community environment required collaborative, flexible and realistic strategies modeled after
evidenced based programs to effectively address the needs of the population. The objective of this study was to implement and evaluate a novel
asthma counselor intervention in a post-natural disaster setting.
methods: 182 children 4-12 years of age with moderate-severe asthma
were enrolled in an observational study, Head-Off Environmental
Asthma in Louisiana study (HEAL) and were followed for one year in a
hybrid asthma counselor intervention. Key components proven effective
in reducing asthma morbidity in children from the evidenced based
National Cooperative Inner-City Asthma Study and the Inner City
Asthma environmental intervention were combined, adapted and
implemented. The Intervention was based on the child’s clinical and
environmental risk profile and included a minimum of two tailored
individualized asthma counseling sessions with a home visit, a minimum
of 2 telephone contacts and environmental supplies to assist with remediation of environmental exposures. The multidisciplinary intervention
team was comprised of and conducted by nontraditional asthma counselors such as certified health education specialists with the assistance
of community health workers that were trained in asthma management
and identification of barriers and strategies to address issues impeding
appropriate asthma management.
implication of research results for enhanced practice:
Preliminary analysis of the intervention suggests a strong effect. The post
Katrina environment presented an ideal environment to test the hybrid
asthma counseling intervention. The intervention can serve as an excellent resource or roadmap for replication in communities/systems facing
similar emergent needs in reducing asthma morbidity.
current sessions b4
Room: Colorado G-H
a health educator’s call to action:
emergency preparedness and response
CDC’s Challenges and Successes in Providing Public Health
Information During the Deepwater Horizon Oil Spill.
Daniel L. Holcomb, ATSDR, Senior Environmental Health Scientist, Emergency Response Coordinator, U.S. Centers for Disease Control and Prevention
This presentation will describe the challenges and lessons learned from the
U.S. Centers for Disease Control and Prevention’s (CDC) response to the
Deepwater Horizon oil rig explosion and subsequent oil spill. The author
will describe how the CDC coordinated with other federal and private
agencies to assist local and state public health officials in delivering vital
public information during this technological disaster. The author will also
describe the various methods of communication that CDC employed during this response. Lessons learned through experience regarding communicating in disasters will be covered in this presentation.
Pandemic Preparedness and Response: The New Jersey Experience.
Suzanne Miro, MPH, CHES, New Jersey Department of Health & Senior Services
This presentation will give a brief overview of pandemic preparedness
efforts conducted in New Jersey prior to the emergence of the 2009-2010
H1N1 pandemic including public health planning and public education. As the H1N1 event unfolded, attention turned to mass distribution of
actionable information to the public as well as health care providers and
public health officials. Given the evolving nature of the pandemic, the
communications response was fought with challenges and lessons learned.
SNAPS: Community Demographic Profiles in a Snap Through
an Interactive Situational Awareness Tool.
Gail Williams, MPH, CHES, Centers for Disease Control and Prevention/
Division of Emergency Operations
SNAPS is an interactive online tool linked to a public satellite-based
mapping tool (Bing) overlaid with census information. SNAPS was
developed to allow the Community Health Outreach and Education
team of the CDC’s Division of Emergency Operations (DEO)branch
to quickly collect important demographic and resource information of
affected communities. When emergency strikes in the United States,
SNAPS information is used to determine communication needs for area
residents as well as potential sources of emergency resources such as
hospitals and shelters, where vulnerable populations such as the elderly
or non-English speaking residents may be located and potential evacuation locations such as colleges or universities. SNAPS combines new
electronic technology with census data in order to access quick snapshots of demographic makeup. SNAPS format allows for quick assembly
of reports detailing specific community assets. Initially developed by
CDC DEO Community Outreach and Education Team for use during
emergency activations, it quickly became clear that SNAPS could greatly
benefit those in the general public not just for emergency assessment but
for initial community needs assessments and asset mapping. Appropriate
for those in emergency preparedness as well as general health educators,
this session will introduce participants to the SNAPS tool, and demonstrate its applicability in emergency and community needs assessments.
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november
5
friday
6
current sessions b5
Room: Denver 5-6
healthy faculty 2020 and beyond:
commitment to health for all
Consideration of Some Great Contributors to Philosophy of
Education as Foundation for Developing a Personal Practice
Theory and Philosophy of Education.
Stephen F. Gambescia, PhD, MEd, MBA, MHum, CHES, Drexel University
This presentation explains a process educators at all levels can use to
create or update their philosophy of education statement. The presenter
gives a first-hand account of a process that involves a systematic, disciplined, intellectually liberating, and reflective approach to articulating
one’s philosophy of education statement by considering the writings
of select intellectual giants who have acted upon human experience,
thought, and practice in education. The project should not be approached as a standard “research paper” but an attempt to consider both
the corpus of reading and research over one’s life time, coupled with
one’s knowledge and experience gained to date in the area of teaching
and learning. The resultant updated statement should serve to sharpen
a faculty member’s future role as an educator and educational leader, as
well as contribute to his/her journey in life-long learning. Examples of
how to approach the self study will be given and the presenter shares his
updated philosophy of education statement.
On Becoming a Teacher…How to Shift to a Student
Centered Classroom.
Bojana Beric, MD, PhD, CHES, Monmouth University
Who is in charge of knowledge and learning in the classroom: the teacher
or a student? Who should be in charge of knowledge and learning in the
classroom: the teacher or a student? Many questions are raised daily in
minds of caring teachers and curious students about the teaching/learning process in schools. The famous students’ questions are asked daily:
Why do I need this information? When am I going to use this knowledge?
Everyone who went to school raised this question at least once in some
courses. Information is power, especially in health. Then, who decides
what information is needed? The teacher may be given initial power, by
default and tradition, and then it is her duty to let go of that power and
carefully and parentally guide acquisition of that power by her students.
The Health for All movement calls for Education for All, without an exception; therefore, a health education classroom structure needs to allow for
redistribution of power in classes that teach about health, the basic human
right of all. Subsequently, a health education teacher is the one who should
design the classroom structure, both physical and social to stimulate
learning and allow for all minds in that classroom to become powerful
teachers and inquiring students, alternating roles comfortably, and as
needed. The presentation provides one teacher’s journey to a democratic
teaching/learning style destination and the circumstances, experiences and
conscious “awakening” on that road will be shared.
Staying Motivated During the Ups and Downs of
a Research Career.
Marc A. Zimmerman, PhD, University of Michigan
Faculty in any institution of higher education at some level are measured
against their ability to excel in the areas of teaching, scholarly work,
research and service. Of these, the ability to provide original research that
makes a “significant contribution” [to the discipline] seems to be the most
elusive. Faculty researchers in health education are introduced quickly to
the many master’s that they need to serve, balancing their own interests
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with the proclivities of their department members [and subsequently
tenure committees], current trends of granting agencies, temperaments of
journal editors and peer reviewers, and the real needs of the people in the
communities that they serve. This presentation gives a personal account
and sage advice for staying motivated during the ups and downs of a
research career. In a liberating style the presenter distinguishes the difference between being “right” and being “effective” in an academic environment and the various strategies that can be used to chart a successful and
rewarding course in conducting research in the academy.
concurrent sessions c
fri / nov 5 / 3:00 pm – 4:15 pm
current sessions c1
Room: Colorado I-J
quality assurance: a recipe for excellence
Strengthening Quality Assurance: A Decade of Progress.
David Birch, PhD, CHES, Department of Health Education and Promotion,
East Carolina University; Randall R. Cottrell, D.Ed, CHES, Health Promotion & Education Program, University of Cincinnati
Over several decades, a multicomponent system has evolved to support
quality assurance in professional preparation and individual professional
practice. Components of this system include the National Commission
for Health Education Credentialing (NCHEC), which certifies individual
health education specialists; the Council for Education for Public Health
(CEPH), which accredits graduate study in public health including a
concentration in community health education; the American Association for Health Education (AAHE)/Society for Public Health (SOPHE)
Baccalaureate Program Approval Committee (SABPAC), which provides
an approval process for undergraduate programs in community health
education; and the National Council for Accreditation of Teacher
Education (NCATE), which collaborates with AAHE in the accreditation of undergraduate school health education programs. Even with
these processes in place, concerns existed relative to their coordination
and perceived value. Beginning in 2001, three national task forces were
sequentially appointed to develop and implement a detailed plan for a
coordinated, quality assurance system for undergraduate and graduate
programs in health education. The purpose of this session is to summarize the accomplishments of the decade-long movement, identify
challenges, and present future strategies designed to move the profession toward a coordinated, quality assurance system valued by higher
education faculty and institutions, practitioners, and employers of health
educators.
Master Certified Health Education Specialist (MCHES):
New Heights in Credentialing in Health Education.
Linda Lysoby, MS, CHES, CAE, National Commission for Health Education
Credentialing, Inc.; Dixie Dennis, PhD, CHES, Austin Peay State University;
Melissa Rehrig, MPH, CHES, National Commission for Health Education
Credentialing, Inc.
Achieving the Healthy People Goals require a trained and competent
health education workforce. The nationally recognized Certified Health
Education Specialist (CHES) credential, in existence for 20 years and
held by over 8,500 current active individuals, is one measure of professional competence of the health education workforce. For the first time
in 2011, the National Commission for Health Education Credentialing
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(NCHEC) will be granting an advanced-level credential, the Master
Certified Health Education Specialist (MCHES). This certification was
formulated based on the intensive research of the Health Educator Job
Analysis 2010 (HEJA 2010) project. The HEJA, sponsored by the Society
for Public Health Education (SOPHE), American Association for Health
Education (AAHE), and NCHEC, validated the contemporary practice
of entry-and advanced-level health education specialists. Additionally, the introduction of an advanced level credential is in line with the
recommendations of the Health Education Accreditation Task Force.
Through this session, attendees will learn how the findings of the Health
Education Job Analysis relate to the creation of an advanced-level health
education credential. The presenter will outline the Master Certified
Health Education Specialist (MCHES) certification including eligibility
criteria for both CHES and non-CHES health educators, projected fees,
exam scope, and continuing education contact hours (CECH) requirements. The process for the time-limited Experience Documentation
Opportunity (EDO) for those with 5 years of active CHES status also
will be explained.
Shift the Paradigm: Utilizing Innovative Policy Strategies for
Improvements in Chronic Disease.
A Partner in Quality Assurance: The Role of the National
Council for Accreditation of Teacher Education (NCATE) in
the Accreditation of School Health Education Programs.
This session will include stories from communities engaged in varying
stages of PSE initiatives. The presenters will describe their community
successes and challenges regarding development and management of
coalitions, processes for identifying priority populations and policies,
implementing strategies that support policy change, advocacy efforts,
successful policy implementation and outcomes.
Margaret D. Crutchfield, PhD, National Council for Accreditation
of Teacher Education
Since 1988, the National Council for Accreditation of Teacher Education
(NCATE) has worked in collaboration with the American Association
for Health Education (AAHE) to accredit undergraduate school health
education programs. In 2003, the National Task Force on Accreditation
in Health Education recommended that NCATE continue to provide the
accrediting mechanism for school health education programs. Since that
recommendation, the Teacher Education Accreditation Council (TEAC)
has also established a presence as an accrediting body in teacher education. In this session, an overview of the NCATE/AAHE accrediting process for school health education will be presented along with current and
future issues related to school health education accreditation. In addition,
the status of NCATE/TEAC merger discussions will be described during
the session including the potential impact of this possible merger on the
accreditation of school health education programs.
Quality Assurance in Professional Preparation: A CEPH Update.
Laura Rasar King, MPH, CHES, Council on Education for Public Health
The Council on Education for Public Health (CEPH), the federally-recognized accrediting agency for public health, has historically has focused
on graduate-level professional preparation in public health. For the last
several years, however, CEPH has been considering quality assurance
issues at the undergraduate level of training. Undergraduate programs in
community health education were among the first baccalaureate degree
programs in public health to be developed, and community health
educators were among the first public health professionals to be prepared
and practice at the baccalaureate degree level. Discussions about quality
assurance in community health education are an important component
of the broader discussions about the wide variety of undergraduate public health degrees that exist. Updates on CEPH’s proposals in this area
will be provided.
current sessions c2
Room: Colorado G-H
shift the paradigm: utilizing innovative policy
strategies for improvements in chronic disease
Carra Moroni, MEd, RD, LD, Texas Department of State Health Services;
Karma E. Edwards, MSPH, NSCA-CPT,Gaston County Health Department,
Celeste Schoenthaler, MPH, Director of Youth and Young Adult Initiatives,
Colorado Department of Health and Environment
Policy, systems, and environmental (PSE) change strategies are being
utilized by organizations, communities and coalitions to increase the effectiveness, reach and sustainability of positive population-based lifestyle
changes that improve risk factors associated with chronic diseases.
To frame the context for the session, an introduction will describe PSE
change strategies, present the value of different levels of policy change
and illustrate the long-term benefits and measurable impact of policy engagement. To effectively combat the rising rates of chronic disease, there
needs to be a collective shift from thinking in terms of “programs” to
strategically pursuing policies that will have a greater impact on obesity,
diabetes, heart disease, and other chronic diseases.
current sessions c3
Room: Nat Hill
promising directions in nutrition and
wellness promotion
Fruit and Vegetable Consumption Among Immigrant and
Non-immigrant Women Served by WIC in South Central Kentucky.
Pragati Gole, MD, Western Kentucky University; SK Varun
Malayala, MBBS, Department of Public Health, Western Kentucky University
background: The recent influx of immigrants from Burma, Bosnia,
Mexico, El Salvador and other countries to the United States has created
awareness among public health professionals to understand the dietary
preferences of these groups. Research has not focused on dietary intake
of immigrant populations. Purpose: The purpose of this study was to
assess dietary patterns of immigrants and non-immigrants served by
the WIC (Women, Infant, and Children) program and residing in South
Central Kentucky. The study proposed to identify intake of fruits and
vegetables during pregnancy, perceptions of fruits and vegetable intake
during pregnancy, consumption preferences, and barriers and promoting
factors regarding fruit and vegetable consumption.
methods: The study utilized a cross-sectional research design. Post
partum women attending the WIC clinic completed a 17-item selfadministered survey. This questionnaire incorporated constructs from
the Social Cognitive Theory and the Theory of Planned Behavior. It was
first developed in English and then translated into Burmese, Spanish and
Bosnian. The survey was administered following approval from the Institutional Review Board. Respondents included women from the United
States (n=100), Burma (n=30), Mexico and South America (n=33),
Bosnia (n=10), and from other countries (n=7).
results: Most respondents ate 1 or 2 cups of fruits and vegetables per
day during their pregnancy and felt that this amount was adequate.
Burmese women perceived high cost (70%) and unavailability (33.3%)
as the major barriers preventing them from eating fruits and vegetables.
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American (48%), Spanish (42.4%) and Bosnian (40%) women felt that
lack of time was the major hindering factor. Burmese (87%) and Spanish speaking women (76%) ate fruits and vegetables because they were
healthy; Bosnian (90%) and American (83%) women because they liked
their taste. Most immigrant women wanted to receive educational materials on eating more fruits and vegetables.
conclusions: Healthy People 2010 recommends eating at least 2 cups
of fruits and 3 cups of vegetables per day. Results indicate that most
women ate too few fruits and vegetables during their pregnancy. This
presentation will provide information on how to tailor an intervention
and develop materials to better meet the needs of immigrant and nonimmigrant WIC women.
Elementary School Student Health Beliefs and Perceptions of
a School Based Nutrition Intervention.
Kristina Davis, MS, MPH, ODPHP
introduction: The prevalence of obesity in Chicago children is currently
more than twice the national average. In line with Healthy People 2010
objective 19-3, the Organic School Project aimed to reduce the proportion of
overweight and obese children through diet and health education.
methods: Post intervention focus groups were conducted to assess
program effectiveness through understanding of students’ perceptions.
Sixty-nine students were selected using convenience sampling from
three cohorts (K-2nd grade, 3rd-5th grade, and 6th-8th grade) at a
Chicago elementary school. Students discussed food choices, diet
changes, nutrition and health knowledge, perceived benefits of participation, and the program’s influence on student health information. Transcripts were qualitatively analyzed manually coding for content. Results:
Children felt very strongly for or against certain menu items based on
sensory perceptions. Common trends included preferring fresh to cut
fruit and enjoying sloppy joe sandwiches and cheese pizza. Students often considered food to be healthy if it was identified as organic regardless
of any other attributes. Students based their food choices predominantly
on taste and familiarity. While students share information learned in
school at home, the changes at school did not appear to change nutrition
at home. Students felt that there should be a larger variety of options
available at meals. The importance of health was associated with the
ability to run and play and the risk of premature death from obesity
complications.
conclusion: Few qualitative studies have been published regarding
elementary student’s perception of participation in nutrition education
programs. Focus groups are an effective way to gain information on how
children perceive the programs they participate in and elucidate barriers
to prevention and intervention effectiveness that may not be visible using traditional quantitative methods.
Digital Photographic Food Diaries for Weight Loss.
Lydia Burak, PhD, CHES, Bridgewater State; Teresa King, PhD,
Bridgewater State
Research has shown that self-monitoring of food intake is one of the
most effective weight management interventions. However, the typical
food diaries used to self-monitor have limitations, the primary limitation being the accuracy of the reporting by the individual. The purpose
of our study was to determine if digital photography could increase the
effectiveness of self-monitoring. The study was underpinned by the self
monitoring construct of social learning theory as well as by social support theory. Participants were recruited from the faculty, staff, and student population of a midsized public educational institution. Eligibility
requirements included a BMI of greater than 25, daily access to a computer
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with internet, and the ability to attend weekly sessions. Participants (n=25)
were randomized to one of two conditions: 1) weekly support/education
sessions plus written food diaries or 2) weekly support/education sessions
plus digital photographic food diaries. The written diary group was required
to record in a written food diary all the food they ate each day. At the end of
each day, the participants examined the diaries/logs, and then wrote a brief
reflection. They turned in the diaries and reflections to the researchers for
feedback. The photo group was required to photograph all the food they ate
each day. At the end of each day, they uploaded the pictures onto a computer
blog, examined the food photos, and then wrote a brief reflection. They
e-mailed the photo blogs to the researchers for feedback. It was hypothesized
that individuals randomized to the photographic diary group would develop
more accurate perceptions of eating habits and achieve greater weight loss.
After ten weeks, both groups lost weight; the average weight loss was 4.86
lbs. As hypothesized, the digital photo group lost more weight (mean= 8.12,
SD = 6.0, range = -3 to 17.5 lbs.) than the paper-pencil group (mean = 2.5,
SD = 4.1, range = -8 to 8 lbs.). The results of this study are clearly limited by a
small number of participants and attrition, however, the results suggest that
taking photographs of food before consuming it may indeed lead to more
mindful eating, which may in turn lead to weight loss.
Using a CBPR Approach to Explore Health Literacy and
Type-2 Diabetes Prevention Needs in African American and
Hispanic Adolescents.
Melissa Valerio, PhD, MPH, University of Michigan; Edith Parker, DrPH,
University of Michigan School of Public Health; Gloria Palmisano, MA,
Community Health and Social Services (CHASS) Center, Inc.; Angela Reyes,
MPH, Detroit Hispanic Development Corporation; Zachary Rowe, BA,
Friends of Parkside
background: African American and Latino adolescents are at high
risk for type 2 diabetes. Preventive behaviors have been proven to delay/
prevent onset of diabetes, however, many do not adopt these behaviors
due to psychosocial factors and their level of health literacy. Inadequate
health literacy reduces the ability of adolescents to understand their risk
for diabetes.
hypothesis: African American and Latino adolescents will have inadequate health literacy and will be at-risk for development of type 2 diabetes.
methods: Following a Community Based Participatory Research
(CBPR) approach the eight partner organizations served on the project’s
steering committee and were directly involved in the development,
recruitment, retention, delivery and assessment of the Youth Health
Promotion Challenge (YHPC). The steering committee used data from
twelve key informant interviews to inform the design of the YHPC
program. The intervention was designed to address health literacy and
diabetes prevention in adolescents. A pre/post randomized pilot study
design was used to assess the health literacy and diabetes related needs
of the adolescents.
results: Forty-six African Americans and Latinos aged 14-17 years
with a family history of diabetes were enrolled. Surveys assessed health
literacy, weight, height, blood glucose, television viewing time and
computer use in the adolescent population. At baseline, 41% of adolescents were reading below grade level and had inadequate health literacy
as measured by the REALM-Teen. Thirty-eight percent of participants
had a blood glucose reading >100 mg/dl and 61% of adolescents had a
BMI-for-age and sex percentile of 85% or greater. Thirty-two percent of
the participants watched 3 or more hours of television per day and 41%
used a computer for 3 or more hours per day.
conclusions: The population of African American and Latino youths
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had inadequate health literacy and was at-risk for type 2 diabetes. Implications for Practice: Partnerships using a CBPR approach in the design of an
intervention to address health literacy and diabetes prevention in adolescents may result in a better understanding of the population’s needs and
more effective interventions. A CBPR approach may result in the design
of more appropriate strategies for addressing health disparities and shows
promise for achievement of HP 2020 objectives in health literacy.
current sessions c4
Room: Denver 5-6
college health: emerging trends among
the millennial generation
Safe Medication Use among Hispanic College Students:
Knowledge, Attitudes, and Behaviors.
Tania Quiroz, DrPH Candidate, BIS, MA, UT Houston School of Public
Health; Francisco Soto Mas, PhD, MPH, Director of the UTEP Translational Hispanic Health Research; Amanda Loya, PharmD, Clinical Assistant
Professor of Pharmacy, UTEP/UT Austin; Sharon Thompson, PhD, MPH,
CHES, University of Texas at El Paso; Arturo Olivarez, PhD,
University of Texas at El Paso
background: College students are at increased risk of medication
errors. Research suggests that young adults are active users of overthe- counter (OTC) medications and other products that may increase
the risk for negative health outcomes. Therefore, it is very important to
analyze young adults’ attitudes, beliefs, and behaviors about medication
use among college students in order to provide them with the necessary
information. Due to language and cultural factors, the issue is particularly relevant in U.S.-Mexico border communities.
theoretical framework: Attitude is a variable that guides or influences behavior. Knowing a person’s attitudes may facilitate predicting
and modifying his/her behavior. HYPOTHESIS: What are the overall
mean differences on knowledge, attitudes, and behaviors regarding
medication, herbal products or dietary supplement use across key demographic variables among Hispanic college students? Is there a relationship between specific demographic variables and the sub-dimensions
in the medication use scale? METHODOLOGY: A causal-comparative
research design was used. Participants consisted of male and female
Hispanic college students attending a university in a U.S.-Mexico border
community. A 51-item survey was designed to analyze knowledge, attitudes, and behaviors regarding medication, herbal products, and dietary
supplement use.
results: Results indicated: that there was a significant mean difference in attitudes towards medication use based on age place of birth,
language, and major. There were significant mean differences in attitudes
towards herbal products and dietary supplement use based on age, gender, and major. There was also a significant mean difference in behavior
based on language and major. Results also indicated that there was a
significant effect for place of birth (F (1,441) = 23.454, p<.001) and language (F (2,440) = 24.543, p<0.002) on attitudes toward medication use.
an outlook to the future: Results can be used to inform the development of appropriate educational materials about safe medication use to
educate Hispanic college students in U.S.-Mexico border communities.
innovative component: The use of effective instruments to evaluate
knowledge, attitudes, and behaviors regarding medication, herbal products, and dietary supplement use among Hispanic college students.
College Health: Differences in Breast Cancer and Breast-Self
Examination Knowledge and Attitudes Among College Women.
Cynthia Kratzke, PhD, CHES, Department of Health Science,
New Mexico State University
objective: This study examined the breast cancer prevention and
breast self exam (BSE) knowledge, attitudes, mother-daughter advice,
and health information-seeking behaviors for Hispanic and non-Hispanic college women.
background: Since little is known about college women’s knowledge
and attitudes about breast cancer prevention, we explored if there are
differences in knowledge and attitudes between Hispanic and non-Hispanic college women for breast cancer prevention. The American Cancer
Society recently recommended women starting in their early 20s learn
about the benefits and limitations of BSE as an optional method. A recent
study shows Hispanic women are being diagnosed with breast cancer
at later stages through self-detection. We coordinated a campus Breast
Cancer Awareness Lunch and Learn pilot project during October 2009, the
national Breast Cancer Awareness Month, to promote women’s health.
methods: A convenience sample of college women (N=21) ranging
in age from 18 to 32 completed a 32-item paper-and-pencil survey
developed using the Health Belief Model as the theoretical framework.
One open ended question was included for their description of the types
of breast cancer risk reduction advice received from their mothers. The
women were asked to participate in the survey as they visited the breast
cancer information table at the university student center two days in
October. The information table included display boards and handouts to
address breast cancer. We also targeted educating minority groups with
our selected materials.
results: The majority of Hispanic and non-Hispanic college women
were not very knowledgeable about breast cancer awareness. Differences in knowledge, attitudes, and types of Internet use for breast cancer
information will be presented using bivariate analyses. Hispanic college
women were less likely to get advice from their mothers about reducing
breast cancer risks compared to White college women (25% vs. 55%).
The types of advice included BSE, healthy eating, clinical breast exams,
and exercise. Overall, 89% of the White college women and 50% of the
Hispanic college women knew someone with breast cancer. College
women looked for online breast cancer information (43%) and searched
for information for family or friends (19%).
conclusions: Results may be useful for health educators to plan a project emphasizing a need for a campus breast cancer awareness and BSE
education. As minority groups increase in size, health educators must
learn how to attract and educate young minority groups using culturally
sensitive materials.
How to Achieve a Healthy Campus in 2020.
Melinda Ickes, MEd, PhD, University of Kentucky, Department
of Kinesiology and Health Promotion
background: According to Healthy Campus 2010, one of the priorities
for college campuses was an emphasis on promoting healthy behaviors,
including prevention of obesity, as the prevalence rate of obesity in college students has doubled over the past 10 years. Purpose: The purpose
of this study was to assess the nutrition and physical activity behaviors
of college students to help identify strategies that will lead to healthier
college campuses and students through 2020. Methods: Approximately
400 college students at a large Midwestern University were invited to
participate through a random selection of general education courses.
The student health survey consisted of the following sections and cors o p h e co n f e r e n c e
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responding items: nutrition practices (42-items); nutrition attitudes
(17-items); dieting behaviors (9-items); physical activity practices
(6-items); physical activity attitudes (22-items); peer/family involvement
(10-items); demographics (10-items). Face and content validity were established by distributing the survey to a panel of three experts in survey
research and health behavior.
results: Students reported higher levels of consumption on a “typical
day” compared to what they had “yesterday.” Mean values did not meet
the recommended daily values for any of the food groups. Almost 60% of
students reported being “healthier” in comparison to other college students. Students reported having family or friends who ate healthy with
them would be of more help than encouragement (alone) to eat healthy.
Students selected having healthy foods available on campus (70.8%) and
at home (73.1%), knowing how to prepare healthy foods (71%), and
being able to afford healthy foods (72%) as those strategies which would
help them to eat healthy. On average, students reported participating in
vigorous physical activity 3.2 days/week and moderate physical activity
2.9 days/week. A majority of the students indicated they were motivated
to be physically active (71.6%) and liked being physically active (88.9%).
Conversely, students reported watching television 2.3 hours/day and
spent 3.0 hours/day on the computer, indicating high levels of sedentary
activity. A small percentage of students indicated they would rather
watch television than be physically active (13.1%).
conclusions and implications for practice: A better understanding of demographic and behavioral characteristics of college
students who are most likely to make poor nutrition and/or physical activity choices may aid the design of future programs and campus initiatives to promote these healthy behaviors. With the existing educational
infrastructure on college campuses, it creates an opportunity to impact
these health-related behaviors some students continue to struggle with.
An Exploration/Assessment of Health Promotion Lifestyle
Factors and Degree of Stress Experienced by College Student.
Billie Lindsey, EdD, CHES, Western Washington University;
Ying Li, PhD, CHES, Western Washington University
background: Healthy People 2020 will continue its emphasis on objectives related to mental health issues, particularly depression. During
the call for public comments, professionals encouraged the inclusion of
adolescents and young adults in the mental health objectives. On college
campuses, there has been increased attention given to mental health issues,
including stress and depression. The Centers for Disease Control and Prevention report that frequent distress is a key indicator for depression.
purpose: This study was undertaken to gain a better understanding
of the relationship of college student stress and the practice of various
health behaviors that may serve as protective factors for students experiencing stress.
methods: In Fall 2008, 319 students from a mid-size university participated in a cross-sectional survey utilizing the Perceived Stress Scale
(PSS) and the Health Promotion Lifestyle Profile II (HPLP II). The data
were entered into SPSS 16.0 and analyzed using descriptive and inferential statistics. Results: This study identified a group of health-related
behaviors and ways of thinking that may protect students from stress.
Also, a dose response was suggested. Specifically, lower stressed students
(PSS M =16.96 SD =4.05) were more likely than higher stressed students
(PSS M = 28.95, SD =4.21) to routinely practice 19 of 52 health-promoting behaviors or ways of thinking. For example, respectively, 62.2%
vs. 35.5% believe their life has purpose (p =.000); 58.2% vs. 32.7% look
forward to the future (p=.000); and 58.7% vs. 33.9% (p =.000) take some
time each day for relaxation. With the exception of one dietary behavior,
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there were no differences between lower and higher stressed students
in terms of the frequency of behaviors related to physical activity and
exercise, dietary practices, and health responsibilities, such as seeking
medical advice.
implications: These findings add to our understanding of specific
traits and behaviors, particularly in the psycho-social dimensions of
health, which may contribute to stress prevention. Most of the 19 factors
were related to positive thinking, interpersonal relationships, and possessing a future-oriented perspective. Although physical activity, healthy
diets, and contact with healthcare professionals should not be discounted,
the study points to the importance of other health dimensions that may
serve as protective factors. As such, they become instructive for health
professionals, including clinicians, counselors, and health educators. Furthermore, these factors may be used in the development of interventions
to meet the mental health objectives of Healthy People 2020.
current sessions c5
Room: Colorado E-F
novel uses of electronic media:
adapting to diverse audiences
CDC Fruit & Vegetable Access Online Toolkit for State
Coordinators: Addressing Disparities and Increasing Availability.
Jennifer James, MPH, Account Director, Ogilvy Public Relations; Frances
Heilig, MPA, Senior Vice President, Ogilvy Public Relations
background: Fruit and vegetable consumption rates have not improved significantly in 20 years among Americans, and in particular
among those with limited incomes. Cost and access remain significant
barriers to produce consumption by limited-income populations.
theoretical basis: In 2008, working with Ogilvy Public Relations,
the CDC Division of Nutrition, Physical Activity and Obesity convened
a strategy team of federal, state, non-profit, and private partners with
specialized skills and knowledge in health promotion, specifically related
to nutrition. Working with the CDCynergy tool, we selected limitedincome moms and their children as our priority audience and developed
the following: A literature review focusing on our audience’s consumption and access to produce · An audience profile based on the literature ·
A situation analysis describing the environment surrounding our audience, including major factors that influence consumption, strategies that
have worked to change behaviors of the audience, and gaps in what we
know works to change behavior.
objectives: Develop a communications resource for state fruit and
vegetable coordinators to increase produce consumption of limitedincome moms and their children. Create a resource that can serve as a
model for other programs seeking to utilize policy and environmental
approaches to reach limited income populations.
intervention: Based on research, and using social marketing principles and methodology, we developed an online resource presenting
three different implementation strategies focused on policy and environmental change that research shows are effective at influencing produce
consumption among limited-income populations: Improving the Retail
Food Environment – Create a healthier food retail environment in
neighborhoods considered “food deserts.” Through partnerships, bring
stores to underserved areas through financial incentives and improve
facilities and increase produce supply at existing stores. Collaborating with Local Food Policy Councils – Partner with state or local Food
Policy Councils to promote promising strategies aimed at increasing access to fruits and vegetables in limited-income communities. Establish-
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friday | november 5
ing Farmers Markets- Working with farmers, develop farmers markets
in communities that lack grocery stores and access to produce to enable
individuals to purchase regionally grown produce directly from farmers
at community farmers markets and stands.
evaluation measures and results: We are currently in the development phase of the online resource that by summer 2010 will be part of:
http://www.fruitsandveggiesmatter.gov/. Our goal is that consumption
of produce will be increased by a ½ cup daily among communities that
implement one or more of the strategies.
Exploring the Trends and Challenges of New Cancer Health
Promotion Strategies to Reduce Social Inequities in Health
Among Culturally and Linguistically Diverse Populations.
Carolina Casares, MD, MPH, American Cancer Society
Eliminating disparities in cancer screening, diagnosis, treatment, and
mortality is an essential step toward achieving health equity, increasing access and improving health outcomes for patients with cancer. The
American Cancer Society (ACS) is dedicated to eliminating cancer by
actively promoting best practices in health promotion, initiating alliances and partnerships for promoting sound policies and synergistic
practices related to chronic disease, and exploring trends and challenges
in implementing media, culturally and linguistically appropriate for
diverse populations. Much of the suffering and death from cancer could
be prevented by creating opportunities for organizations to effectively
communicate health information and resources. The ACS wants to
develop population focused and competent tools as a resource for reaching out to minorities, migrants, vulnerable and disadvantage groups
and providing them with health relevant services, while paying close
attention to quality. These tools must be applicable in both trans-border
and trans-national locations. However, there are significant challenges in
developing these tools because of inequalities in access to care, language
barriers, cultural differences, and racial discrimination. One promising
tool is the internet. Internet use among typically very low use Latino
adults has been increasing steadily in the last few years. The ACS is in
the process of piloting a culturally and linguistically adapted web portal
in Spanish for the Latino community, that will help promote community
cancer awareness, increase the trust and credibility of the Society among
this group and motivate them to use available resources and become
involved by volunteering and supporting the organization. During the
session we will explore several questions regarding the heterogeneity of
Latinos, such as - How can we become relevant to all groups and what
kind of plan, or coordinated effort, would work for them?
Improving the Cultural Competence of Cardiovascular, Cancer,
and Pulmonary Disease Prevention and Early Detection Practices of Public Health, Mental/Behavioral Health and Health
Care Providers through Online Training.
Kathy Zavela Tyson, MPH, PhD, CHES, Director of Research Development,
Professor Emeriti, Center for Research Strategies, University of Northern Colorado; Michael Bloom, MPA, CEO, North Colorado Health Alliance; Ramon
Del Castillo, PhD, MPA, MSc, Metropolitan State College of Denver; Traci
Mordell, BA, North Range Behvaioral Health – Latino Professional Development Program; Veronica Rivera, MS, CACIII, EMDRII, School of Education
Colorado State University; Steve Del Castillo, PhD; Chris Del Castillo
In Colorado, Latino/a adults have the highest rates of colorectal cancer
and diabetes and risk for cardiovascular and pulmonary disease than any
other ethnic/cultural group due to lifestyle risk factors. To reduce these
health disparities, the North Colorado Health Alliance (NCHA) received
funding from the Colorado Department of Public Health and Environment Office of Health Disparities to improve prevention and early detec-
tion of cancer, cardiovascular or pulmonary disease (CCPD) and patient
compliance among this disparate population. NCHA contracted with
North Range Behavioral Health to develop and pilot an on-line Cultural
Competency Education Training curriculum. The curriculum, designed
by North Range Behavioral Health professionals and consultants from
Compasión Counseling and Training was based on cultural competency
standards. The curriculum, focused on developing four skills or “Four
Habits” to increase patient or client attendance for their visits, follow-up
and medical or behavioral health compliance. The Four Habits include:
(1) listening skills, (2) engaging patients/clients in sharing information
about health issues, (3) involving patients/clients in developing treatment and (4) follow-up plans. The curriculum was piloted by providers
and staff in behavioral health, health care and public health agencies in
northern Colorado. The Center for Research Strategies, the project evaluator, developed an electronic Provider and Staff Survey to determine
the impact of the curriculum on behavioral health and medical practices.
The electronic link to the 25 question survey was distributed via email to
70 providers and staff who had initially enrolled in the online curriculum. A 54% response rate was obtained. Almost two-thirds of survey
respondents (63%) indicated that they were part of integrated behavioral
health or health care services and the majority (71%) worked with or
within an integrated health care service program or team. Among the 19
who had completed the NCHA Cultural Competency Training online,
almost all (95%) utilized listening skills with their patients or clients and
more than half (53%) engaged patients or clients in sharing information
about their health issues. To a lesser extent, they involved their patients
or clients in developing treatment plans (37%) or follow-up plans (37%).
The “Four Habits” described in the online training program can enhance
provider skills that may ultimately impact patients’ behavioral health
compliance. The inclusion of cultural competency training for behavioral health, health care and public health professionals who work with
Latino/a populations is essential for improving practices and reducing
health disparities.
Identifying Demographic and Situational Factors that
Influence the Use of an Electric Hematological Cancer Toolkit:
A Multivariate analysis.
Bruce Dotterrer, MS, University of Alaska, Institute for Circumpolar Health
Studies (UAA); David Driscoll, PhD, MPH, Gabriel Garcia
The purpose of this study is to identify the demographic and situational
factors that influenced Toolkit users to make contact with national cancer
organizations. Results from an online survey completed by users of the
Toolkit (n=387) were evaluated to assess the influence of these factors. The
mean age of survey participants was 52 years (SD = 15.5), 48% were college graduates, 56% were female, and 79% were white. A logistic regression
was conducted to assess Toolkit usage. Logistic regression results indicate
that women (OR = 2.8), and those involved with current cancer treatment
(OR = 2.4) were significantly more likely to access and review web-based
materials by national cancer organizations after using the Toolkit. These
results suggest that the user’s stage of treatment must be considered when
developing electronic site-specific cancer informational media.
plenary session ii
Healthy People 2020: Mile High Expectations
Shiriki Kumanyika, PhD, MPH, University of Pennsylvania School of
Medicine; Rear Admiral Penelope Slade-Sawyer, PT, MSW, Office of Public
Health & Science, DHHS Office of the Secretary; Doug Evans, PhD,
The George Washington University
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friday | november 5 & saturday | november 6
In 2008, the leadership was appointed of the Healthy Secretary’s Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2020. For more than 24 months, the committee has
worked through meetings, comment periods, and public forums around
the country to gather input on the vision, mission, goals, focus areas, and
criteria for selecting and prioritizing objectives. The Healthy People 2020
objectives are due to be released by the end of the year, leveraging scientific insights and lessons learned from the past decade, along with new
knowledge of current data, trends, and innovations. Healthy People 2020
will reflect assessments of major risks to health and wellness, changing
public health priorities, and emerging issues related to our nation’s health
preparedness and prevention. This panel presentation will provide an
update on the process used in developing the HP 2020 framework as well
as relevant areas where health education and health promotion can have
the greatest impact at the national, state, and local levels.
saturday, november 6
early risers 1
sat / nov 6 / 7: 00 am - 8:15 am / Room: Matchless
holistic approach to health: the mind
body connection
Before, I Didn’t Dream: A Promotor Based Mental
Health Intervention.
Pamela Gudino, MPH, Program Director, Somos Mayfair
Improved maternal mental health can result in improvements in school
success and emotional well-wellbeing for children, with lifelong benefits for
our community. In east San Jose, California there are extremely few mental
health resources for undocumented immigrant Latina women and few bilingual and bicultural therapists. In the absence of funding and political will to
provide health resources for this population, promotores (community health
workers) working with a non-profit organization, Somos Mayfair, piloted a
model for immigrant mothers to provide group support.
theoretical model: Somos Mayfair promotores incorporate Freirian
principles of popular education into our leadership development and our
education spaces: In our leadership development, we believe that lasting
change requires understanding power and systems of oppression, including our own biases, we emphasize the importance of learning by doing and
believe that leadership is rooted in “praxis” or cycles of action and reflection.
In our educational work, “teachers” are facilitators or guides, rather than
authorities; learning is participatory and dialogue-based, we honor and build
on the existing knowledge and experience of the people we work with.
support group participants and interviews with participants recruited to
facilitate the open-ended support group. Quantitative data were collected
using pre and post surveys to measure changes in self-esteem, efficacy,
knowledge, sense of belonging, and positive attachment behaviors. 100%
of the women who completed the surveys reported improvements in all
areas. Analysis of the qualitative data indicates the outcomes are a result
of being valued, forming relationships, and the women learning to see
themselves as agents of change. The results of this pilot program suggest
a model for how communities confronting ever diminishing outside
funding can continue to combat health disparities.
The Health-Related Quality of Life Curriculum
Development Project.
Cecily Luncheon, MD, DrPH, MPH, ORISE Fellow, Division of Adult
and Community Health/NCCDPHP/CDC; Stephen James, MPH, CPH,
Scimetrika, LLC; Rosemarie Kobau, MPH, Division of Adult and Community Health/NCCDPHP/CDC; Melanie Livet, PhD, Scimetrika, LLC; Matthew Zack, MD, MPH, Division of Adult and Community Health; Debra
Lubar, MSW, Division of Adult and Community Health/NCCDPHP/CDC
background: New objectives for Healthy People 2020 (HP2020) are
in process to help guide public health practice for the next decade.
To improve monitoring of health-related quality of life (HRQOL) for
this practice, the Centers for Disease Control and Prevention’s (CDC)
Health-Related Quality of Life (HRQOL) Program and faculty from
schools of public health (SPH) recently developed curricular materials
on HRQOL for master-level programs (MPH). The purpose of this project was to increase the use of HRQOL program resources (e.g. datasets,
HRQOL measures and publications) in SPH to foster use of HRQOL in
public health practice.
theoretical basis: Formative social marketing research based on
Diffusion of Innovation Theory (DOI) had identified SPH as slow adopters for use of HRQOL data. DOI guided the development of HRQOL
curriculum materials as a compatible innovation through which the
CDC HRQOL program could introduce its resources to SPH.
objectives: To introduce CDC HRQOL resources in SPH by developing curricular material that will assist faculty and students to address
health issues directed by HP2020.
intervention Lesson plans, case studies, and data practice queries
were developed for each of the five core areas of public health (Biostatistics, Environmental Health, Epidemiology, Health Policy and Management, and Social and Behavioral Health).
evaluation The HRQOL Program sought input at various SPH from faculty
who functioned as content experts and stakeholder reviewers, guiding the development and the evaluation of curricular materials based on DOI attributes.
objectives: We designed an intervention to increase mother’s selfesteem and self-efficacy and sense of belonging. We also addressed
mother’s positive attachment behavior. A major objective of the support
groups was to empower participants to lead support groups, or talking
circles, on their own once the 12 week sessions ended.
results Stakeholder evaluation indicated that the curriculum materials are appropriate for dissemination to SPH faculty. Dissemination will
occur through 2010.
interventions: Somos Mayfair promotores piloted two 12 week support groups with 20 low income immigrant Latina women to provide
educational and psychosocial support to mothers reporting feelings of
isolation, depression or difficulty communicating with or parenting their
children. Two of the original participants were recruited to conduct
an ongoing open-ended support group for the community. Evaluation
measures/results We collected both quantitative and qualitative data to
assess the groups’ impact. Qualitative data included letters written by
Melissa Haithcox-Dennis, PhD, MA, CHES, Department of Health Education
and Promotion, East Carolina University; Kathleen Welshimer, PhD, MPH,
Department of Health Education, Southern Illinois University Carbondale
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Social Support Experiences of HIV Positive HIV/AIDS Coalition
Participants: A Grounded Theory Approach
For more than twenty-five years HIV/AIDS has overwhelmed and
devastated all corners of the world including the United States. In the
US, grassroots organizations and governmental agencies have counteracted the negative social and economic effects of HIV by implementing
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saturday | november 6
various strategies including local and statewide community coalitions.
Although HIV/AIDS coalitions resemble other health promotion coalitions they differ in that People Living With HIV/AIDS (PLWHAs) are
federally mandated or required by the funder to participate. As a result,
PLWHA membership is thought to be largely due to these requirements.
Other factors affecting participation, including social support, often have
been overlooked. There is a dearth of research on the role that social support plays in coalition participation and its relationship to coalition success. The purpose of this study was to document PLWHAs’ perception
of social support experiences and coalition success with regard to their
participation in HIV/AIDS coalitions. This study used a qualitative research design guided by the grounded theory approach. 13 HIV positive,
HIV/AIDS coalition participants were interviewed in New York City, NY
during December 2009. Verification was achieved though continuous
clarification of the researcher’s biases, the development of rich and thick
description, triangulation, negative case analysis, a peer review, and an
external audit. Results revealed that PLWHAs perceive that social support exists in said coalitions. Six main themes related to social support
emerged from the data: (a) the acquisition of knowledge and information, (b) the desire to give back and help others, (c) the desire to participate in a “successful” effort, (d) the desire to stay connected through
coalition activities, (e) the desire to give and receive social support, (f)
PLWHAs strongly desired to give back to others and strived to acquire
information and skills to do so. In addition, PLWHAs perceived that the
most important factor related to coalition success is social support and
that the provision of social support influence why they joined, continue
and participate as active members and leaders. Recommendations for
health education include: exploring social support as means of coalition
recruitment and retention of underserved and culturally distinct groups,
examining current coalition activities for ways to incorporate social support for its most vulnerable members, and including social support as a
factor in the evaluation of coalition success.
early risers 2
sat / nov 6 / 7:00 am - 8:15 am / Room: Molly Brown
Critical Thinking: A Necessary Skill for Leadership.
This workshop provides attendees with a good working knowledge of
Critical Thinking Tools and Techniques; practice sessions with these
tools on real business issues, and planning on how to use them in the
future. The templates, called Thinksheets, in this workshop are used
primarily as a teaching aid to guide future, out of class use.
current sessions d
sat / nov 6 / 8:30 am – 9:45 am
current sessions d1
Room: Colorado E-F
student fellowship presentations
Adolescent Dating Violence: A National Assessment of
School Counselor’s Practices.
Jagdish Khubchandani, PhD (c), MD, MPH, CHES, Ball State University
background: Adolescent dating violence (ADV) is a significant public
health problem which affects 9%-34% adolescents in the United States
according to various estimates. Schools can play an important role in
preventing ADV, educating teens about healthy dating relationships and
responding to incidents of ADV. Little is known about school personnel’s’ practices and perceptions regarding ADV.
theoretical framework: A combination of constructs from the
Health Belief Model, and Stages of Change Theory were used to create a
valid and reliable instrument for assessing school counselor’s knowledge
and beliefs about ADV. This study assessed school counselor’s knowledge
and beliefs about ADV, the barriers to assisting victims of ADV, current
practices of schools in relation to ADV.
hypothesis: The study determined whether public schools have a
protocol for responding to an incident of ADV. Additionally, the study
assessed the school counselor’s perceptions of the role played by various
school personnel in relation to assisting victims of ADV.
methods: A comprehensive literature review was conducted to develop
a questionnaire with adequate face validity. A panel of experts (n=12) assessed the instrument for content validity. The required sample (n=257)
was determined by a priori power analyses at 90% confidence interval
and 5% confidence level considering the total population of high school
counselors (n=4500) in the US who were members of the American
School Counselors Association. Finally, factoring in a potential non-response rate of 50%, a three wave mailing process was employed to survey
a national random sample of high school counselors (n=550). Mailings
included self addressed postage paid return envelope, a cover letter,
questionnaire and a $1 bill as an incentive for the participants (these
techniques were used to maximize the response rate).
results: As of now data is being collected and we are in the last phase
of data collection. However, early results indicate that the majority of
school counselors reported that they do not have a protocol in their
schools to respond to an incident of adolescent dating violence.
Additionally, the majority of counselors reported that in the past 2 years
training to assist victims of teen dating abuse has not been provided
to personnel in their schools, their school does not conduct periodic
student surveys that include questions on teen dating abuse behaviors,
and their school does not have a committee that meets periodically to
address health and safety issues which include teen dating abuse.
coclusion: It would appear from the preliminary results that schools
do not find adolescent dating violence a high priority. In addition, counselors found a number of barriers (other important issues, lack of space
etc) to assisting students involved in ADV.
implications for practice: Schools need to establish a means
for assessing the status of ADV in their student population. In addition,
schools need to provide in-service education for school personnel
regarding prevention, assessment and interdiction of ADV.
Alcohol-Related Problems and Suicidal Behavior Among
College Students: Belongingness and Burdensomeness
as Potential Mediators.
Dorian Lamis, PhD (c), MA, University of South Carolina; Patrick Malone
Suicidal behaviors and alcohol use are both prevalent on U.S. college
campuses (CDC, 2007). Prior research has clearly demonstrated an
association between these behaviors in individuals attending college
(Lamis et al., in press). This study is intended to establish the relations
among alcohol-related problems, suicidal behaviors, and two components of Joiner’s (2005) interpersonal-psychological theory of suicide in
a sample of 996 college students. The interpersonal-psychological theory
of suicide posits that an individual will not engage in serious suicidal
behavior unless he/she has both the desire and capability to do so. The
current study will focus on the suicidal desire components of the theory
(i.e., thwarted belongingness and perceived burdensomeness), which
Joiner proposes are distinct, but related, constructs that must be present
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for one to successfully commit suicide. According to Joiner, thwarted
belongingness occurs when one experiences a profound feeling of disconnectedness from others and perceived burdensomeness is defined as
an individual’s perception that they are a burden to others.
were analyzed and combined with social and demographic characteristics to
illuminate the impact that changes in transportation-related behaviors and
vehicular emissions will have on overburdened communities.
Correlations among all study variables were investigated and found to
be significant (p < .001). The main research questions were to determine if belongingness and burdensomeness mediated the relation
between alcohol-related problems and measures of suicide proneness
and suicide ideation after controlling for covariates (i.e., gender, race,
social desirability). To test for potential mediation of belongingness and
burdensomeness, four models were estimated in Mplus v.5.1 (Muthén
& Muthén, 2008), with suicide proneness and suicide ideation serving
as the outcome variables and examining the two mediators separately.
Asymmetric confidence intervals (CI) for indirect effects were created
using the bias-corrected percentile bootstrap.
Laura L. Colbert, MPH(c), Emory University
Results indicated the direct effects from alcohol-related problems to
the mediators to the suicide outcomes were all significant at p < .001 in
the 4 models. Further, perceived burdensomeness partially mediated
the relation between alcohol-related problems and suicide proneness
(indirect effect: b = 0.129, 95% CI: .076 to .189),, and between alcoholrelated problems and suicide ideation (indirect effect: b = 0.020, 95% CI:
.012 to .029). Similarly, belongingness partially mediated the relation
between alcohol-related problems and suicide proneness (indirect effect:
b = 0.079, 95% CI: .037 to .128), and between alcohol-related problems
and suicide ideation (indirect effect: b = 0.009, 95% CI: .004 to .016).
Moreover, as hypothesized, tests of equality constraints indicated that the
mediation via perceived burdensomeness was significantly stronger than
the mediation via belongingness for both suicide outcomes. Once the
nature of the associations among alcohol-related problems, burdensomeness, belongingness, and suicidal behavior are better understood, more
effective suicide prevention programs may be designed and implemented
on college campuses.
Grounds for Change: How Transportation-Related Analysis as
Part of a Health Impact Assessment can be Used to Advance
the Healthiest Cap and Trade Program.
Tina Yuen, PharmD, MCP (c), MPH, University of California Berkeley
background: Climate change is a global health problem and presents challenges not only due to its complexity and scale of impact, but
also because it exacerbates existing inequities and threatens to worsen
present health disparities.1, 2 In the context of exposures to traffic on
busy roadways, socioeconomic and other vulnerability characteristics
are associated with who lives or spends a great deal of time in proximity
to major roadways and are, thus, unduly affected.3-6 California’s AB32
Climate Change Mitigation, with offsets, is expected reduce passenger
vehicle greenhouse gas (GHG) emissions by 13% and will potentially
reduce traffic related co-pollutants and other risks.7 The legislation
presents an opportunity for public health practitioners to address and
mitigate environmental health inequities in highly impacted areas, specifically around exposures to traffic.
aim: Through a transportation-related analysis as part of a Health
Impact Assessment, a framework of health and equity can be used to
advance the most health-promoting Cap and Trade policy design.
methods: From the economic analysis of the climate change legislation,
estimated changes in fuel prices, fuel use, and vehicular miles traveled
(VMT) formed the basis for how near roadway mobile emissions and air
quality would be affected using the CALINE3 model in two highly impacted
communities in California, Richmond and Wilmington. Health outcomes
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POWERPLAY Curriculum Project.
In 2005, the Georgia Department of Human Resources found that 40%
of African American children and 28% of white children in middle
school were overweight or at risk for being overweight. Many students
are not getting adequate exercise and proper nutrition. Since health behaviors are established during adolescence, teaching prevention through
physical activity and good eating habits is a crucial step in the reduction of obesity and the prevention of related chronic diseases. In order
to stem this trend, children and their families should be provided with
the knowledge and skills necessary to live healthier lives by increasing
nutritional knowledge among participants, improving eating behaviors,
and providing a structured setting for physical activity.
By partnering with Emory University’s Challenge and Champions
three-week summer camp, lesson plans based on the POWERPLAY
curriculum will be administered to 65 middle school students. One third
of the students are homeless or low-income, and many nationalities and
cultures are represented within the group.
Health and wellness information will be integrated into the students’ two
subject classes, stand-alone sessions, lunch period, and the structured
physical activity time. Covered subject matter includes nutrition information and related skills (such as nutrition label reading), structured physical
activity time, goal-setting, healthy body images, and youth empowerment.
By integrating health and wellness curriculum into an established, existing camp, sustainability of the curriculum is much more likely. Students
who participate in future Challenge and Champions programs will also
be able to benefit from the POWERPLAY curriculum.
current sessions d2
Room: Mattie Silks
healthy aging: living long, living well
Examining the Relationship between the Health Literacy and
Health-Related Outcomes in an Older Cohort-Study Population.
Melissa Valerio, PhD, MPH, University of Michigan; Patricia Andreski, MA,
University of Michigan Institute for Social Research
background: A high percentage of older adults have inadequate health
literacy. Additionally, this population has been found to have two to three
chronic diseases. Hypothesis: Inadequate health literacy will be associated
with poor health outcomes in the national sample of older adults.
methods: Participants of the Panel Study for Income Dynamics (PSID)
aged 65 and older (N=1353) were included in this analysis. The Demographic Assessment of Health Literacy (DAHL) was used to estimate
health literacy of the population. Health related outcomes examined
included overall health status, type 2 diabetes, hypertension, mental
distress, ADL help and IADL difficulties. Univariate and multivariate
analysis were completed. Multiple regression controlling for marital
status, and wealth were computed to examine the relationship between
inadequate health literacy and health outcomes.
results: 28% of the population were between the age of 65-69, 22% were
70-74, 22% were 75-79, 15% were 80-84 and 13% were 85 years of age
or older. 58% of the population was female; 8% were African American,
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84% Caucasian, and 5% were Hispanic; 22% had less than a high school
diploma, 36% had a high school diploma and 41% had some college or
greater. 15% of the population had inadequate health literacy as measured
by the DAHL. Those with inadequate health literacy were significantly
more likely to have poor or fair overall health (OR=2.04; CI: 1.97-2.19),
diabetes (OR=1.09; CI: 1.02-1.16); mental distress (OR=1.38; CI: 1.151.64), need more assistance with ADL (OR=2.45; CI: 2.30-2.59), and have
difficulties with IADL (OR=2.32; CI: 2.18-2.47). Conclusions: Inadequate
health literacy as measured by the DAHL was found to be associated with
poorer health outcomes in the nationally representative sample.
implications for practice: To promote public health practice in
older adult populations with inadequate health literacy we must incorporate HP2020 health communication objectives. Health education aimed
at improving health literacy in older populations may translate into
better overall health and quality of life.
Do Well, Be Well con Diabetes: A Pilot Study of a Type-2 Diabetes
Self-management Education Program for Hispanic/Latino
Rural Older Adults.
Ninfa Purcell, PhD, CHES, Assistant Professor/Health Specialists,
Family Development and Resource Management
The purpose of this grant-funded pilot study was to test the effectiveness
of the Do Well, Be Well con Diabetes (DWBW) program, a 6-week type
2 diabetes self-management intervention. Low-literate, Spanish-speaking
rural seniors (> 55 years) and their families were the intended audience.
Efficacy of the program was based on Hemoglobin Alc (A1c) levels, a
gold standard for blood glucose control. Two Texas counties, Starr and
Hidalgo, were selected as pilot sites because these communities have
the characteristics that can best be served by DWBW, including: high
rates of diabetes, rural, medically underserved, a growing Hispanic elder
population, and a larger proportion of Hispanic/Latinos. A prospective,
quasi-experimental, repeated-measure design was employed to test the
program’s effectiveness. Intervention and wait-list (control) sites were
Starr and Hidalgo Counties, respectively. At baseline and three months,
HbA1c, self-efficacy, acculturation, diabetes self-care behaviors, and diabetes
knowledge were assessed. The diabetes knowledge scale, consisting of
open-ended items, will not be reported in this preliminary study. Frequency
counts show that for the intervention county the mean age was 58.6 years
(N = 50) with 70% females. Almost half (47%) of the Starr County participants had never been to high school, 30% had been to high school but left
before graduating. The remaining 20% had a high school diploma. Half of
the participants (50%) spoke and read Spanish only. Another 30% spoke and
read Spanish and English equally well. Mean pre hemoglobin A1c (A1c) was
8.34 (1.86 SD). The lowest A1c was 4.6 and the highest was 13.3. According
to the American Diabetes Association, an A1c 7 or below is considered ideal
for glycemic control. Positive changes were found on every measure of selfefficacy. Overall, participants averaged a 3 point gain in self-confidence (pre
score 5.66; post score 8.65). Participants reported increase self-confidence
regarding exercise and diet. When examining self-care behaviors, blood sugar was tested more often and feet and shoes were checked more often. Preliminary evidence from this pilot study suggests that participants completing
DWBW show improvements in self-care behaviors and self-efficacy. It can
be concluded that these favorable results demonstrate participants’ ability to
maintain glucose control, thus reducing their risk for complications.
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The Impact of Health Beliefs and Demographic Characteristics
on Breast Cancer Screening Practices among Women
Age 55 and Older.
Peggy Johnson, MPH, Texas State University
background: One of every eight women in the United States will be
diagnosed with breast cancer in her lifetime. Although early detection
of breast cancer is the most effective method of assuring survival, many
women throughout the country do not avail themselves of this advantage. Hypotheses that explain breast cancer mammography screening
practices by older women can be classified as health beliefs and socioeconomic/structural issues.
purpose: This study assessed whether individual health beliefs as well
as demographic factors were associated with obtaining recent and regular mammography screening. In addition to health beliefs, demographic
data including age, educational attainment, or rural versus urban/suburban residence were examined.
methods: Data was collected from four hundred women from 31 counties in Tennessee using the Champion Revised Health Belief Model Scale.
The sample for analysis included women age 55 and older from rural,
urban and suburban areas within these counties. Results: Individual health
beliefs and demographic characteristics were associated with a higher
likelihood of having a recent and regular mammography screening.
conclusions: An association of health beliefs concerning the benefits
and barriers of mammography screening to regular and recent mammography screening was found in this study. Additional associations
to demographic characteristics were also found. Theoretical models are
needed to explain the association between health beliefs and demographic characteristics to mammography screening practices.
concurrent sessions d3
Room: Colorado E-F
scaling new heights in health education leadership:
revisiting our past to inform our future
Scaling New Heights in Health Education Leadership:
Using Our Past to Inform Our Future
John P. Allegrante, PhD, Professor and Deputy Provost, Teachers College,
Columbia University; Emily Tyler, MPH, CHES, Greesboro, NC for Harriet
Hylton Barr; David A. Sleet, PhD, Centers for Disease Control and Prevention, Atlanta, GA, for Martin Fishbein; David S. Sobel, MD, MPH, Kaiser
Permanente Northern California, Oakland, CA, for Laura Keranen
The modern history of health education includes a pantheon of individuals whose legacies of leadership have shaped both SOPHE and the
profession. Among the generation of those who played key roles in
health education during the last half of the 20th century and gave life to
the early phase of SOPHE’s development were Laura Keranen, Harriet
Hylton Barr, Norbert Reinstein, and Martin Fishbein. This session will
bring together a distinguished group of contemporary leaders in health
education that will assess the life and work of these important figures in
the history of school and public health education and discuss the implications of the legacy each leaves for addressing the challenges of today’s
health problems.
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Room: Molly Brown
food for thought: examining connections between
nutrition and disease prevention
Reducing the Prevalence of Obesity Among Low Income Adults
in Rio de Janeiro, Brazil.
Neeti Doshi, BA, University of North Carolina at Chapel Hill
background: Globally, low income is one of the most cited factors
associated with high incidence of obesity. Current literature emphasizes
that the combination of proper nutrition and regular physical activity is
a highly effective intervention in preventative medicine, perhaps even as
equally effective as drug therapy. It is essential to measure and systematically identify current lifestyle habits to maximize improved health
outcomes and build effective public health programs.
objectives: To systematically identify nutritional habits of low-income
adults in Rio de Janeiro, Brazil, and ascertain associations between diet,
physical activity, generated income, and calculated BMI values.
methods: Willing and informed participants were recruited from the
Brazilian NGO Associacao Saude Crianca Renascer. Participants responded to a 36-item validated nutritional assessment and health status
questionnaire in Portuguese that measured the frequency in which they
ate 11 different food groups on a daily or weekly basis. All items were
scored on a 4-point scale (0-3, 0=most healthy; 3=least healthy behavior)
to generate a total nutrition score with a range between 0 (best dietary
habits) to 33 (poor dietary habits). BMI [kg/m2] was calculated using
standard height and weight measures. All descriptive and statistical
analyses were completed using SPSS software.
results: Participants (n=72) ranged from ages 18-51 with an average
age of 31.4. 83.3% reported no physical activity outside of their daily
routine and less than 1/4 reported knowledge of the food pyramid or
food groups. Total nutrition scores ranged from 4-30 points, with a
mean of 16.75. BMI values ranged from 17.04 – 47.66 with a mean of
28.57. 42% were categorized as overweight but not obese, while 25%
were obese. Univariate and regression analyses revealed significant associations between nutrition score and calculated BMI (p=.036) as well as
between lack of physical activity and BMI (p=.028). However, monthly
income was not significantly associated (p=.802) with BMI.
conclusions: While only 22% of participants reported being overweight, in fact 77% had elevated BMI’s suggestive of obesity trends. Poor
dietary and exercise habits are more indicative of the prevalence of obesity
than monthly income amongst adults in Rio de Janeiro, Brazil. Future educational and/or interventional programs in Brazil should focus on middleaged adults who may not be aware of a risk of obesity. These efforts should
include information on the food pyramid, alternative forms of exercise
such as yoga and/or breathing techniques that may improve circulation
and sleep quality, as well as routine dietary counseling.
Partnership for Success: Food Bank and Community Coalition
Team up to Provide Healthy Snacks for Low-Income Kids
Sarah Morales, MS, RD, Poudre Valley Health System; Kristin Bieri, BS,
Food Bank for Larimer County; Virginia Clark, MS, Poudre Valley Health
System, Coalition for Activity and Nutrition to Defeat Obesity; Amy Pezzani,
BS, Food Bank for Larimer County
Lower income levels have been associated with poor health and nutrition, as indicated by higher incidence of obesity, lower intake of fruits
and vegetables, and higher levels of physical inactivity. To address
health disparities in the Northern Colorado area, in 2007, the Coali-
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tion for Activity and Nutrition to Defeat Obesity (CanDo) initiated the
formation of the Fort Collins Nutrition Network, a collaborative group
consisting of over 30 low-income serving organizations with the goal of
improving nutrition and physical activity through increased coordination, collaboration and networking opportunities. Network partners
were involved in conducting a SWOT (strengths, weaknesses, opportunities, threats) analysis, identifying target audiences and intervention
areas. Through this highly participatory process, we identified the need
for a healthy snack intervention, focusing on elementary aged children.
CanDo partnered with the Food Bank for Larimer County to enhance
the nutritional quality of snacks being served to low-income kids in a variety of community settings, using a three-phase approach to implement
a Healthy Snack Initiative. In Phase One, the Food Bank modified their
existing infrastructure for receiving and distributing food, allowing for
incoming food and snack items to be rated, based on nutrition criteria
established by the Snackwise® Nutrition Rating System. Snackwise® is
a research-based nutrition rating system that calculates the nutrient
density in snack foods, and items are rated as (1) Best Choice (2) Choose
Occasionally, or (3) Choose Rarely. In Phase Two, program coordinators
from targeted sites were trained on how to use the Food Bank healthy
snack designation system and were educated on the importance of serving healthy snacks. Program coordinators were also incented to select
the healthier options by using CanDo mini-grants to cover the cost
of healthier choices (while they received no incentive for less-healthy
options). Phase Three involves program evaluation and dissemination
of results and is currently underway, to be completed by September
2010. Data is being compiled from the 2009-2010 school year and will
be compared to baseline data to assess impact. Preliminary data analysis
suggest that the healthy snack initiative has been effective at improving
the nutritional quality of snacks offered to low-income kids, as demonstrated by a 37% increase in healthy snacks being selected. To date, over
2,000 low-income kids have been reached at 27 sites in the community.
The results of a thorough process and outcome evaluation will assist in
determining program impact and opportunities for improvement and
transferability to other geographic areas.
Nutrition Security: Approaching Food-Related Health Issues
Differently Using An Ecological Analysis with Political Economy
and Social Cognitive Theories .
Robin Haguewood, BA, MPH Candidate, San Francisco State University
background: Nutrition insecurity is defined as the combined and related problems of food insecurity, obesity and poor nutrition. Nutrition
insecurity and its three components are explored through all levels of
the ecological model to first describe the issue, explore causes, and then
propose an intervention. Social determinants of health such as poverty
and lack of access to healthy foods are discussed and incorporated into
intervention recommendations.
theoretical framework: Political economy theory and social cognitive theory are paired to analyze the problem and inform a multilevel
approach to intervention.
methods: A critical literature review of over 20 peer reviewed articles
addressing food insecurity, food related health outcomes and current
interventions was conducted to inform recommendations for further
intervention.
hypothesis: The issues of food insecurity, obesity and poor nutrition
are best addressed through a multilevel intervention grounded in the
ecological model aimed more heavily at policy and social change.
results: Community, structural and policy level causes for nutri-
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tion insecurity include a lack of access to healthy foods, access to only
processed foods, built environments that prevent such access, policies
that subsidize commodity crops, and the decline of nutrients in American crops. These results suggest that appropriate interventions include
changes at the policy level (specifically in the farm bill) and a change
in policy to allow the use of public lands for a local food economy
that would increase community access to healthy foods. In addition,
interventions should engage communities to build critical consciousness regarding the food environment. Such interventions may include
community garden programs, which include education around the role
of place and work to model appropriate garden techniques and nutrition. Interventions should address the current food environment and
move away from placing the responsibility of nutrition on the individual.
Policy level interventions aimed at the conventional American Agriculture industry are necessary to ensure quality nutrition and sufficient
variety of foods needed for human health.
Health educators can collaborate with nurses, dieticians, and exercise
trainers to apply the themes to create a culturally competent survey and
intervention designed to teach healthy eating habits, exercise, and stress
management to patients enrolled in the SHAPP program.
practice and policy implications: In the development of programs aimed at the issues of food insecurity, obesity and nutrition it is
important to address the causes of these issues at the community and
policy levels. Also important is to acknowledge that these issues are interconnected and work to collaborate between levels of front line practice
and policy advocacy. Finally, effective policies will address the overarching
issue of nutrition security by demanding structural change and removing
the burden of food access and nutrition education from the individual.
Photovoice: From Image to Community and Policy Action.
Georgia Stroke & Heart Attack.
Marylen Rimando, MPH, CHES, University of Georgia
Department of Health Promotion and Behavior; Stephanie Mathews,
MPH, CHES, University of Georgia College of Public Health
background: Hypertension control is an important issue for public
health practice and clinical practice. Hypertension, known as the silent
killer and often asymptomatic, affects more than 73 million Americans or
approximately 1 in 3 adults in their lifetime. The Georgia Stroke and Heart
Attack Prevention Program (SHAPP) is an ongoing hypertension management program for mostly low-income, uninsured patients in Georgia.
theoretical framework: Phenomenology, which seeks to gain
an in-depth understanding of the lived experiences of SHAPP patients
diagnosed with hypertension. Methods: SHAPP clinic staff conducted
participant recruitment in a Georgia city. SHAPP patients included whites
and African Americans, but the majority were African American women. I
conducted 17 in-depth qualitative semi-structured interviews with SHAPP
patients at a SHAPP clinic in Georgia. I transcribed interviews verbatim
and analyzed for emergent themes to create a representative account of
patients diagnosed with hypertension at a SHAPP clinic in Georgia.
results: Participants reported accounts of controlled and uncontrolled hypertension. Emergent themes included patients’ compliance
with medications, adherence to nurse instructions, and high patient
satisfaction with the low cost and quality of medical care in the SHAPP
program. Participants offered suggestions such as a walking program at a
shopping mall, consultations with with a dietician and personal trainer,
and more nutritious options in the vending machines. Perceived barriers
to hypertension control included having no motivation to exercise, no
transportation to the clinic, no positive social support, and no money to
pay for medical care.
conclusion: These results tremendously benefit nurses and staff at this
clinic site, local health district, and other SHAPP clinic staff throughout
the state. The knowledge of these results can assist this clinic’s staff in
improving patient care and nurse-patient communication in the future.
implications for practice: Overall, these results can contribute
to the improvement of hypertension control and management among
this clinic’s patients and other SHAPP clinics in the state. In conclusion,
this study can assist in improving patient-provider communication and
eliminating health disparities between African Americans and white.
Room: Colorado G-H
innovative approaches to health communication:
a look at photovoice and digital storytelling
J. Elaine Borton, MPH, Sage Health Consulting, LLC.
Creative ways are needed to engage community residents and political leaders in developing policy and environmental solutions to public
health issues. Photovoice is a grassroots approach blending photography
with social action and serves as a tool to assess community needs, identify
policy solutions and advance socio-ecological approaches to community
change. This session will compare and contrast processes and results of
Photovoice projects facilitated in an urban neighborhood (Park Hill, Denver), a suburban city (Commerce City, Colorado) and a rural, Nicaraguan
community in Boaco. Each community’s Photovoice project focused on
specific issues, then engaged policymakers and community members to
identify policy priorities from themes reflected in images. Park Hill Thriving Communities focused on health disparities, healthy eating and active
living. Priorities were lack of access to healthy and affordable food; unsafe
street crossings and sidewalks and crime, drug and gang activity. Partnerships for Healthy Communities focused on community health, safety
and image. Priorities were economic development; lack of safe, healthy
places; unsafe street crossings and environmental threats. AMOS Health
and Hope focused on community health. Priorities were poor hygiene,
lack of childcare, abandoned elderly women and achieving dreams despite
poverty and access issues. Multiple evaluation measures are integrated
into the Photovoice process, assessing community desires, establishing
policy priorities and monitoring implementation of policy priorities. The
session will present: specific community and policy changes resulting from
Photovoice, practical advice and recommendations to engage community
members in policy and environmental change and strategies to assess
community readiness for Photovoice.
Promoting and Evaluating Community Change using
Photovoice: Lessons Learned from Kaiser Permanente’s
Community Health Initiative.
Pamela Schwartz, MPH, Kaiser Permanente
Creative methods are needed to engage both community residents and
political leaders in policy and environmental solutions to public health
issues. We examined the impact of a Photovoice project on policy change
related to obesity prevention. Photovoice is a community-based approach to documentary photography that provides people with training
on photography, ethics, critical discussion, and policy advocacy. A Photovoice project was implemented as part of the Colorado Community
Health Initiative - a community-based obesity prevention effort sponsored by Kaiser Permanente. Photovoice themes that related to healthy
eating and active living included a lack of access to healthy food choices
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in stores and schools, unsafe street crossings and sidewalks, and the need
to redevelop certain areas to encourage safe recreation and active living.
The involvement of policy leaders in the project combined with several
dissemination activities has contributed to healthier food offerings in
schools and restaurants, city planning efforts that emphasize walkability
and access to healthy food, and the promotion of youth markets selling
fresh produce. Photovoice is typically used as an advocacy tool to engage
both community residents and political leaders in policy and environmental solutions to public health issues. We are piloting an innovative
way to apply Photovoice as a qualitative evaluation method, which
includes asking members of community collaboratives to participate in
a second round of photographs and captions to document changes to
their community environment, reflect on the potential impact of those
changes and plan for future advocacy efforts. This presentation will also
describe the experience of using Photovoice as an evaluation tool in
three low income, largely minority communities in Northern California,
presenting results (photographs and captions) and lessons learned.
Using Photovoice to Explore Health Concerns in Female
Asian-Indian College Students Women
Cheryl Cooper, PhD, RN, The University of Texas at Tyler; Susan Yarbrough,
PhD, RN, Associate professor and Assistant Dean, College of Nursing and
Health Sciences The University of Texas at Tyler
For the 2008/09 academic year, the number of international students
attending colleges in the United States increased by 8%, to an all-time
high of 671,616. India remains the leading place of origin for the eighth
consecutive year. For individuals, especially young adults, leaving home
can have a significant effect on health as a result of the many physical and
psychological stressor associated with the immigration process (Jeemon,
2009, Sharma, 2002). As the diversity on college campuses grows, the need
for culturally appropriate health education and care also increases. Little is
known specifically, about young Indian woman immigrants and the issues
that may affect their health and wellness after immigrating to the United
States This qualitative descriptive study was conducted as part of a larger
culture and health project, at a public university in east Texas,during the
fall of 2009. The sample participants were 10 female Asian Indian students
enrolled in full-time graduate study. The qualitative research method, photovoice was used, in conjunction with traditional focus group methodology, to explore the participants’ general health related beliefs and attitudes,
their perceptions about the ways in which the immigration experience
has affected their health and well being, the ways they promote personal
health and deal with illness, and the major sources of stress in their daily
lives. The study was conducted in two sessions, held two weeks apart. Only
preliminary results are available at this time, but we plan to have completed a full data analysis in time for presentation at the November SOPHE
conference. Themes that emerged from this preliminary analysis in
session one include the following:health is perceived as a “life in balance”,
with an emphasis on eating the “right” foods and using the appropriate
remedies(often herbal) to treat and prevent illness; illness is perceived as
a consequence of not doing the “right” things, and/or of disharmony or
disconnection with nature; there is an emphasis on maintaining connection with family (in India), as the source of most emotional support and
as health advisors; one source of stress was frustration with local health
services, for example, lengthy assessments for “simple” problems. Session
two themes included the following: Participant photographs reflected the
centrality of religion in daily life, the connection with the natural world,
the loneliness of so much empty space, as compared with their homeland,
and the stress related to meeting academic expectations of professors and
of family back home.
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Ethical Dilemmas of Digital Storytelling as a Method for
Community Health Education Research and Practice
Aline Gubrium, PhD, University of Massachusetts Amherst School of
Public Health and Health Sciences; Amy Hill, MA, Silence
Speaks Digital Storytelling
Based on a community-based participatory research (CBPR) framework,
digital storytelling may be used to investigate individual, group, or sociocultural understandings of various health issues, while also increasing
participant input in community health projects. Digital stories are three to
five-minute visual narratives that synthesize images, video, audio recordings of voice and music, and text to create compelling stories. In this paper
we briefly trace the process of producing a digital story and the various
applications of digital storytelling as a method for public health education
research and practice. We then present a case study of a pilot project using
digital storytelling as a research method and review ethical tensions that
arose over the course of project implementation. In particular, we review
issues of presentation and self-representation in the digital storytelling
process, related especially to performative qualities of story production
and the audience for the story, the process of digital storytelling itself and
how a research angle may run contrary to participatory intents of the
process, and issues of privacy and consent in the production process. We
then analyze the ethics of access to the digital story artifact/outcome—in
relation to the release of digital stories and which audiences can/should
have access to the story, how the stories are displayed, and how the release
and display of the stories interfaces with issues of consent. Finally, we end
by looking at the repercussions of using digital storytelling as a method of
inquiry in community health education research—focusing especially on
IRB concerns, publication of materials, ethical issues that may be encountered during analysis of visual materials, and conflicting agendas that may
arise between research and intervention applications
plenary session iii
sat/ nov 6 / 10:00 am – 10:45 am / Room: Colorado E-F
Elizabeth Fries Health Education Award & Lecture –
Conquering Cancer in the 21st Century
John Seffrin, PhD, American Cancer Society
The Elizabeth Fries Health Education Award is for a health educator who
has made a substantial contribution to advancing the field of health education or health promotion through research, program development, or
program delivery. The award is given annually by the James F. and Sarah
T. Fries Foundation in memory of their daughter, Dr. Elizabeth A. Fries
who was Professor of Psychology at Virginia Commonwealth University
and co-director of the Cancer Outreach Program. Elizabeth died in 2005
of complications from breast cancer chemotherapy at the age of 42. This
year’s award honors John Seffrin, CEO of the American Cancer Society,
the world’s largest voluntary health organization fighting cancer.
Dr. Seffrin’s presentation will address the growing burden of cancer and
other non-communicable diseases globally. He will discuss the role of
health education in promoting cancer control in the United States and
how we can apply this knowledge in low and middle income countries
to avert future illness and death. Dr. Seffrin will identify several timely
opportunities for health educators to participate in the prevention and
control of cancer and other non-communicable diseases by prioritizing
these issues on the global health agenda.
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plenary session iv
sophe 2010 honorary fellow lecture
sat/ nov 6 / 10:45 am – 11:30 am / Room: Colorado E-F
HEALTH EDUCATION IMPLEMENTATION DISORDERS:
DIAGNOSIS AND TREATMENT
David S. Sobel, MD, MPH, Kaiser Permanente Northern California
Implementing health education within complex organizations such
as health care systems, requires more than a knowledge of theory. The
barriers to successful implementation in the real world will be examined
and several effective “treatments” offered including a healthy dose of
reality, a prescription of behavioral medicine, and an infusion of integration. We will dissect successful health education interventions to identify
the active ingredients ranging from health behavior change to transforming attitudes, beliefs and moods.
plenary session v
sat/ nov 6 / 1:00 pm – 2:00 pm / Room: Colorado E-F
Reaching the Healthy People Summit: Elevating Health
Education Prominence in US Public Health Policy and Practice
Lawrence W. Green, DrPH, University of San Francisco
sat/ nov 6 / 2:30-3:30 pm / Room: Colorado E-F
National Prevention and Health Promotion Strategy:
Listening Session
Kathleen A. Ethier, PhD and Corinne M. Graffunder, DrPH, MPH, Centers
for Disease Control and Prevention
On March 23, 2009, President Obama signed the Patient Protection and
Affordable Care Act, enacting comprehensive health reform legislation. In addition to expanding health insurance and preventive services,
the bill created the National Prevention, Health Promotion, and Public
Health Council which is to oversee the development of The National
Prevention and Health Promotion Strategy. The purpose of the National
Strategy is to set specific goals and objectives for improving the health
of all Americans. While the Strategy will provide new focus and energy
to health promotion and prevention, it will also build on existing federal
initiatives, including, but not limited to Healthy People 2020.
This session will provide a brief overview of the 1) National Prevention,
Health Promotion, and Public Health Council, and 2) the development of
a National Prevention and Health Promotion Strategy. Participants will
be given an opportunity to provide feedback on the National Prevention
Strategy framework and to provide comment on priorities to improvement the Nation’s prevention efforts and opportunities to engage across
multiple sectors to advance prevention.
Over the past several decades, health promotion and disease prevention
have risen to new heights in national prominence and attention. Escalating health care costs and profound interest in personal and community
health have culminated in legislative reform and investment in health
promotion heretofore only imagined. Yet, as we face the dawn of a new
decade of Healthy People Objectives for the Nation, are health education
and health promotion poised to leverage their greatest impact and to deliver on their promise of improving the quantity and quality of healthy life?
This presentation will provide a 30,000 foot perspective on how this initiative has been sustained over three decades, and some of the challenges and
opportunities our discipline faces in reaching the summit and elevating
health education prominence in US public health policy and practice.
Respondents: Collins Airhihenbuwa, PhD, MPH, Penn State University;
Patricia Mullen, MPH, DrPH, The University of Texas School of Public Health,
University of Texas Health Science Center at Houston
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thursday – saturday | november 4-6
1. Celebrating 60 Years of SOPHE Excellence
M. Elaine Auld, MPH, CHES, Society for Public Health Education;
Jean Breny, PhD, MPH, Southern Connecticut State University;
John P. Allegrante, PhD, SOPHE Past President and Historian,
Deputy Provost and Professor, Teachers College, Columbia University
Karen Spiller, Speaker, SOPHE House of Delegates; SOPHE Chapters
* 3. Using Digital Storytelling Projects to Promote Health
Behaviors to College Students
Marylen Rimando, MPH, CHES, University of Georgia College
of Public Health
4. Programs for Safer Sex Behaviors Among College Students
Amar Kanekar, MBBS, MPH, CHES, CPH, PhD, East Stroudsburg
University of Pennsylvania
5. M
onitoring Health People 2010 Arthritis Management
Objectives: Changes in Prevalence of Self-Management
Education and Provider Counseling for Weight Loss Exercise
Barbara Do, MSPH, APTR fellow, Centers for Disease Control &Prevention
6. A
Decade of Achievement: Health Education and Promotion In
A Multidisciplinary Home Visitation Program - Changing Lives
One Family At A Time
Annemarie Martinez, RN, Palomar Pomerado Health Maternal Infant
Home Care Division and Clinical Outreach Services
7. U
sing the PEN-3 Cultural Model to Understand Child Febrile
Illness in Southwest Nigeria
Juliet Iwelunmor, BS, Doctoral Candidate, Penn State University
* 8. Reaching the Optimum Potential of Distance Learning in
Health Education Through Properly Marketing
Michael Stellefson, PhD, University of Florida
9. Piloting a Public Health Detailing Intervention for the
Children’s Environmental Health Center of
the Hudson Valley (CEHCHV)
Michael Shakarjian, PhD, New York Medical College, Diane Heck, PhD,
Chia-Ching Chen, EdD, CHES
10. Process Evaluation Findings from a Pilot Intervention to
Improve Home Nutrition Environments in Rural Families
Michelle Kegler, DrPH, MPH, Director, Emory Prevention Research
Center, Rollins School of Public Health, Emory University
* 11. Communicating H1N1 Risk to Hispanic College Students
Francisco Soto Mas, PhD, MPH, University of Texas El Paso
12. Social Determinants of a Healthy People: Will Health
Educators Defend or Debunk the Rhetoric of Neoliberalism?
Robert Jecklin, MPH, PhD, University of Wisconsin-La Crosse
* 13. Theory of Planned Behavior Based Predictors of Sleep
Intentions and Behaviors of Undergraduate College Students
at a Midwestern University
Adam Knowlden, MBA, MS, PhD Candidate, University of Cincinnati
14. Hispanic and Epilepsy: Exploring Health Behavior
and Find the Solution
Mitsue Colin, MD, MPH, Quality of Life, Program and Research
Department, Epilepsy Foundation
15. The Capstone Experience: Preparing Students for
the Profession and the CHES Exam
Mary V. Brown, PhD, CHES, Utah Valley University
Jean DuRussel-Weston, BSN, RN, MPH, CHES, University of Michigan
17. D
eveloping a Culturally and Linguistically Appropriate
Stroke Knowledge Assessment Tool: the Importance
of Community Partnership
Lesli Skolarus, MD, University of Michigan, Department of Neurology
2. Celebrating SOPHE Chapters
40
16. I mproving Patient Education Through Use of Electronic Media
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18. EPA Air Quality Index Values of Smoke-Free Venues
After Smoking Ordinances
Nancy Johnson, BS, CHES, Truman State University - Campus-Community
Alliances for Smoke-free Environments
19. E valuating The Jackson Road Map To Health Equity Farmers’
Market Patrons’ Satisfaction and Engagement In Positive
Health Behaviors
David Brown, EdD, MA, CHES, Department of Behavioral and
Environmental Health, Jackson State University
20. S exual Compulsivity Among Older, Heterosexual Adults
Sara Cole, PhD, MA, BS, CHES, University of Central Oklahoma
21. C
ontextual and Individual Factors Associated with Consumption
of Sweet Foods in Healthy Individuals Living in an
Urban Setting
Jean-Claude Moubarac, M.Sc., PhD candidate, Université de Montréal
* 22. Training Future Health Leaders in Cultural Humility and
Competency: Lessons Learned From Developing and Teaching
a Multi-disciplinary Hybrid Online Course and Modules for
Public Health and Health Services Students
Rob Simmons, DrPH, MPH, CHES, CPH, Director MPH Program,
Thomas Jefferson University, School of Population Health
23. The Global Health Care Challenges of Hansen’s Disease
Elimination and Research at the USDHHS Hansen’s Disease
Center and Worldwide
Barbara Hernandez, PhD, CHES, Lamar University
24. American Cancer Society Health Profile and Community
Resources Mapping Project
Shila Burney, BS, American Cancer Society
* 25. P ublishing an Undergraduate Project on the Web:
Using Social Bookmarking as a Platform for Student Projects
Rebecca Foco, MA, CHES, Health and Human Performance,
Virginia Commonwealth University
26. H
ealth Education Program to Increase H1N1 Vaccination Rates
Among Residents of Blunt County, Tennessee
Chandra Story, MS, University of Tennessee Knoxville
27. U
se of Cellular Telephones and Texting While Driving
William Parker Hinson, BS, University of Florida, Gainesville
28. Adolescent Physical Activity: Does Perception of School
and Neighborhood Safety Matter?
Clare Lenhart, MPH, CHES, Temple University
29. D
evelopment of an Instrument to Assess How Health
Education Professional Preparation Programs Prepare
Students to Address Health Disparities
Ayanna Lyles, PhD, ATC, California University of Pennsylvania
dvocacy 2.0: Using Web 2.0 to Advocate for the Profession
* 30. A
Don Chaney, PhD, CHES, College of Health and Human Performance,
University of Florida, Gainesville
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31. Female Iraq and Afghanistan War Veterans: Coming
Home in Their Words
44. Feasibility of Biochemical Validation in Self-reported
Smoking Behavior Among College Students
32. Assessing Intimate Partner Violence Among Iraq and
Afghanistan War Veterans and Their Significant Others
45. U
sing the Theory of Planned Behavior to Predict Safer Sexual
Behavior in Ghanaian Immigrants in a Large Midwestern
City in the U.S.
Anne Demers, EdD, MPH, BA, Health Science Department,
Anne Demers, EdD, MPH, Health Science Department at
* 33. Internet Risk Behavior: Willingness to Engage in
Unsafe Sexual Behavior
Jorge Figueroa, PhD, Department of Health and Applied Human
Sciences, University of North Carolina Wilmington
34. High School Youth Using Their Creative Voice To Improve
Community Health
Samuel Wood, BA, MFA, Kaiser Permanente Educational
Theatre Programs
Devan Romero, MS, DrPH, CHES, Loma Linda University School
of Public Health
Matthew Asare, MBA, PhD Candidate, University of Cincinnati
46. Re-examining the Language and Meanings of HIV and
AIDS in South Africa
Yewande Sofolahan, BS, Pennsylvania State University
* 47. Pregnancy Prevention for Latina Youth
Gina Harris, BA, Friends First: A Healthy Choice
48. How We Can Move Toward Reducing Injuries and Mortality
from Motor Vehicle Crashes
Michael Sabol, MPH, Research Analyst, Traffic Safety Policy
35. Developing Cancer Education Curricula to Reduce Cancer
Disparities: Report on Process and Outcome from
an Academic-Community Partnership
49. Motor Vehicle Crashes and Adverse Maternal Outcomes
in North Carolina
36. Health Education in Practice: Applying the Ecological
Model to Healthcare Workforce Issues
50. H
ealthy Homes Pilot Project to Prevent Childhood Exposure
to Indoor Environmental Hazards in Los Angeles County
37. “Sustainable Morehead”: Framing a Rural Community’s
Environmental Sustainability Mission within the Community
Coalition Action Theory to Improve Public Health
51. G
ender Differences in Motivational Tendencies
for Physical Activity
Brenda Adjei, EdD, Intercultural Institute on Human
Development and Aging
Kari Simpson, MPH, CHES, NOVA
Emily Whitney, PhD, CHES, Southern Illinois University
at Carbondale
38. Environmental Health Knowledge, Attitudes, and Behaviors
of Pre-service Teachers
Dhitinut Ratnapradipa, PhD, CHES, Department of Health Education
& Recreation, Southern Illinois University
39. Combined Use of Research-based Methods and Community
Outreach Approaches to Improve Respiratory Health in
Preschool Children
Catherine J. Vladutiu, MPH, Department of Epidemiology, Gillings School
of Global Public Health, University of North Carolina at Chapel Hill
Brittany N. Morey, MPH Candidate, University of
California, Los Angeles
Valerie Lozano, BS, New Mexico State University
* 52. F ruit and Vegetable Consumption Among Immigrant
and Non-immigrant Women Served by WIC in
South Central Kentukcy
Pragati Gole, MD, MPH Western Kentucky University
* Denotes Poster Promenade
Michael Shakarjian, PhD, New York Medical College, Peter Arno, PhD
Diane Heck, PhD
* 40. The Effects of Projectpower Diabetes Education Program
on Adult African American’s Diabetes Knowledge,
Empowerment, and Readiness to Change
Sherry Grover, PhD, Ashford University
41. Reliability and Validity of the Women’s Health Survey (WHS)
– a Tool Assessing American Indian (AI) Women’s Motivation
to Get a Screening Mammogram
Eleni Tolma, PhD, Health Promotion Sciences, University of Oklahoma
Health Science Center
42. Maternal Smoking and Adverse Birth Outcomes
Akila Pasupulati, MPH Candidate, Western Kentucky University
* 43. Developing Picture-Based Environmental Health Education
Materials for Refugees: Lessons Learned
Xanthi Scrimgeour, MHEd, CHES, Principal, CommunicateHealth, Inc.;
Stacy Robison, MPH, CHES, CommunicateHealth, Inc.
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Poster Abstracts
1. Celebrating 60 Years of SOPHE Excellence
M. Elaine Auld, MPH, CHES, CEO of SOPHE; Jean Breny
Bontempi, PhD, MPH, Chair, SOPHE 60th Anniversary Task Force, Southern
Connecticut State University; and John P. Allegrante, PhD, SOPHE Past
President and Historian, Teachers College, Columbia University
The Society of Public Health Educators (SOPHE) was established in 1950
when Clair E. Turner and an interim commission of 17 health educators convened in a St. Louis hotel meeting room. Membership required
that the individual hold a graduate degree from a school of public health
accredited by SOPHE and 2 years of experience; dues were set at $5. Over
the next decade, SOPHE broadened its membership criteria and grew to
be home to some 375 members; chapters proliferated; the first SOPHE
journal (Health Education Monographs) was published; a code of ethics
was adopted; and standards were promulgated for professional preparation
in the field. SOPHE moved its offices from New York to Berkeley, California and changed its name to the Society for Public Health Education to
confirm its mission of serving the public. The 1980s and 1990s saw the first
SOPHE Midyear Conference in Puerto Rico; exploration of unification
with other health education professional groups; relocation of the National
office to Washington, DC and the appointment of a full-time Executive
Director; and the establishment of SOPHE’s 21st Century endowment
campaign. Today, SOPHE thrives with 2,000 members, 20 chapters, 15
staff, 5 cooperative agreements, 2 bimonthly peer-reviewed journals, 2
national conferences, 11communities of practice, a dynamic website, and a
continued commitment to seeking Dorothy Nyswander’s vision of
“an Open and Just Society.”
2. Celebrating SOPHE Chapters.
Karen Spiller, Speaker, SOPHE House of Delegates; SOPHE’s 20 Chapter
presidents and delegates
SOPHE’s 20 chapters represent some 2,000 health educators residing in
more than 35 states and regions of the United States, western Canada,
and northern Mexico. Since the first chapter (San Francisco Bay Area
- now Northern California) was recognized in 1962, chapters have
expanded to provide vital services through networking, continuing education, advocacy, leadership development, community service, awards,
and partnerships with state/local public and private agencies. SOPHE
chapters must meet certain requirements for National SOPHE recognition, but maintain their own independent governing boards, member
dues, programs and benefits structure. Many attract and serve a vibrant
student population and offer scholarships and mentoring programs. This
poster highlights chapter accomplishments, hailed as part of National
SOPHE’s Chapter Appreciation Month in September. Find out how you
can become involved and grow personally and professionally by being
involved in your local SOPHE chapter.
3. Using Digital Storytelling Projects to Promote Health
Marylen Rimando, MPH, CHES, University of Georgia
College of Public Health
background: The use of technology has been on the rise in public health
research and also is commonly used among today’s college students. While
many universities offer health promotion and wellness services at a university
health center or counseling center, many students may lack knowledge and
awareness of these services on campus and health education in general. Thus,
it is imperative to integrate technology in the college classroom for the purpose
of promoting health and wellness on college campuses.
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thursday – friday | april 8-9
objective: To understand the purpose and components of a digital storytelling project to promote health and wellness to college students.
procedure: In each of the last three semesters of an undergraduate
introductory health and wellness course at the University of Georgia,
a digital storytelling project has been assigned to enrolled students.
Students work in small groups and choose a health promotion topic of
their interest. Previous topics included obesity prevention, teen pregnancy
prevention, HIV prevention, time management, promoting nutrition and
exercise, prescription drug abuse prevention, binge drinking prevention,
body image, promoting health and nutrition in athletes, heart disease
prevention in women, breast cancer prevention, and emergency preparedness. For the project, students create a hypothetical story or tell a real-life
situation to discuss the impact of their public health problem today. To
help build and illustrate their story, students may use photos, diagrams,
news headlines, facts, statistics, video clips, and music. Most students use
either iMovie or Windows Movie Maker to create their projects. Finally,
students discuss current public health programs, initiatives, or awareness
campaigns to prevent their problem and promote health and wellness to
college students. Students have designed their own strategies, programs,
and awareness campaigns to promote their health issue on campus.
results: Students produced high-quality projects which can be utilized to
teach topics in a health and wellness college class. Students provided overall
strong positive feedback on their experiences with the projects. Students
reported enjoying the creative aspect of this project and learning how to use
iMovie and Movie Maker. Students have also found statistics and facts which
they were previously unaware of which they can use for their benefit in the
future. This project showed college students of a variety of majors, particularly those not majoring in health promotion and public health, about the
importance of prevention and wellness in their daily lives.
4. Programs for Safer Sex Behaviors
Among College Students.
Amar Kanekar, MBBS, MPH, CHES, CPH, PhD, East Stroudsburg
University of Pennsylvania; Manoj Sharma, MBBS, PhD, University
of Cincinnati
background: The HIV/AIDS epidemic has grown to alarming proportions. Consistent and correct usage of condoms along with monogamous
relationships are two important aspects of HIV/AIDS prevention. At the start
of 2010, there were an estimated 59 million HIV/AIDS cases in 194 reporting
countries and territories. Of the 35 million living with HIV infection worldwide, about 3% live in the United States. Young adults continue to be a vulnerable population affected by HIV/AIDS. In 2009, about 22,000 adolescents
aged 13-24 became infected with the HIV virus. The purpose of this analysis
is to present studies addressing programs for safer sex behaviors among college students. Methods: In order to collect materials for this review a detailed
search of CINAHL, MEDLINE, ERIC, Academic search premier, scopus, web
of science and social sciences citation index databases was carried out for the
time period between 1990-and February 2010. A Boolean search strategy was
used to retrieve programs related to safer sex behaviors.
results: A total of 11 studies related to programs for safer sex behaviors
were extracted. Information-motivation-behavioral skills model was commonly used for programs promoting safer sex .This model has been well
validated over 15 years of research with diverse populations and cross –
cultural settings. It has also shown promise in adults where it builds skills for
risk reduction along with lower rates of unprotected intercourse and fewer
sexually transmitted infections.
conclusions: There was a dearth of intervention literature for safer sex
promotion in college students. Knowledge-behavior gap seems to be an
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important component to be addressed when researchers plan to devise a safer
sex intervention. Implications for practice: Using a theoretical framework is
essential to promote increased condom usage and to develop monogamous
relationships. Recommendations for conducting programs which change
attitudes and behaviors of college students are elaborated.
5. Monitoring Health People 2010 Arthritis Management
Objectives: Changes in Prevalence of Self-Management
Education and Provider Counseling for Weight Loss Exercise
Barbara Do, MSPH, APTR fellow, Centers for Disease
Control and Prevention
background: Three Healthy People 2010 objectives encourage selfmanagement education (CLASS) and provider counseling for weight loss
(WT) and physical activity (PA) among adults with doctor-diagnosed
arthritis (DrDxA).
objective: To monitor the progress of these evidence-based arthritis
management objectives at both the national and state levels.
methods: Using identical questions in the 2002 and 2006 National
Health Interview Survey (NHIS) data for national estimates and 2003
and 2007 Behavioral Risk Factor Surveillance System (BRFSS) data for
state-specific estimates, we estimated the change in overall prevalence for
the CLASS, WT, and PA objectives among adults > 18 years with DrDxA.
Statistical weights accounted for the complex survey design; statistical significance was determined by non-overlapping confidence intervals (CI).
results: Nationally, the prevalence of overweight/obese adults with
DrDxA that were counseled to lose weight increased significantly from
35.0% (95% CI: 32.8-37.2) to 41.3% (95% CI: 38.7-44.0); there was no
change in the prevalence of adults with DrDxA who had ever taken a
self-management education class (~11%) or had been advised to engage
in physical activity (~52%). Seventeen states asked the arthritis management objectives in both 2003 and 2007; twelve of these states reported a
significant increase for the WT objective (change in median from 30.9%
to 42.3%), 2 reported significant increases for the PA objective (change
in median from 49.4% to 54.3%), and only 1 state reported a significant
increase for the CLASS objective (median ~11%).
conclusions: Significant progress has been made for weight counseling
among adults with DrDxA but is not being repeated for the other 2 arthritis
management objectives. This discrepancy may indicate a missed opportunity to influence providers and a target for future intervention efforts.
6. A Decade of Achievement: Health Education and
Promotion in a Multidisciplinary Home Visitation Program Changing Lives One Family At A Time
Annemarie Martinez, RN, Palomar Pomerado Health Maternal Infant
Home Care Division and Clinical Outreach Services; Cindy Linder, RN,
Palomar Pomerado Health Welcome Home Baby Fist 5 Healthy Development Services Program, North Inland Region, San Diego County
Health education in the context of Home Visitation Programs is a wave
moving across the country as a best practice for targeting hard to reach
populations and reducing health disparities. The goal of the renowned San
Diego County Welcome Home Baby (WHB) Home Visitation Program is
to improve the health and well-being of all children 0-5 and their families
and that children enter school ready to learn. This presentation will share
information about WHB’s theoretical background, funding sources,
program model including screenings and treatment services, health
education and promotion services, evidence-based tools, and objectives
and outcomes, including how we meet and exceed Healthy People 2010
objectives. Home visiting, case management, and parent education and
support services include evidence-based developmental, physical, and
psycho-social screening and assessment of the mother and infant, appropriate intervention and support, and health education and promotion.
The health educator (HE) provides a series of health, developmental, and
safety education visits with the family. A curriculum, approved by a panel
of pediatricians, covers significant and common health and developmental
issues. The HE increases a family’s appreciation for the importance of early
reading and literacy. HEs provide a packet of literacy materials including
age-appropriate books in English and Spanish, and teach parents how to
access libraries in their area. During the home visits, the HE further assesses the family’s needs and makes appropriate community referrals; the
visits increase awareness and utilization of existing community resources.
Welcome Home Baby multidisciplinary visits promote prevention and
provide early intervention, reaching diverse populations through bilingual
bicultural competence and strength-based relationship building. WHB,
established in 2000, has served over 27,438 families with over 64,000 home
visits. WHB collects, analyzes and reports on a significant amount of
outcome data. This presentation will share outcomes related to these and
other objectives: - Reduce infant emergency department visits - Reduce
infant hospital admissions - Increase breastfeeding longevity (based on
AAP recommendations) - 90% infants are current with immunizations
through twelve months of age - 100% infants are linked with a medical
home - Increase parents’ knowledge of community resources and parenting skills - Increase early, age-appropriate literacy development - Increase
teen commitment to stay enrolled in high school and to return to school
if dropped out - Reduce infant exposure to second hand smoke Welcome
Home Baby health education and multidisciplinary services produce measurable results that are changing lives one child and one family at a time.
7. Using the PEN-3 Cultural Model to Understand Child Febrile
Illness in Southwest Nigeria
Juliet Iwelunmor, BS, Doctoral Candidate, Penn State University;
Collins Airhihenbuwa, PhD, Penn State University
It is well recognized that maternal perceptions surrounding child febrile
illness is integral with patterns of treatment seeking behaviors for child
malaria. However, little is known about the positive, existential (unique)
or negative responses that influence decisions surrounding malaria management and control. Drawing upon data collected through in-depth
interviews and using the PEN-3 cultural model, this study explores
maternal responses when faced with fever in a child. The results indicate
that the use of appropriate treatment coupled with the role of doctors
in health care facilities were important in generating positive responses
to child febrile illness. In addition, existential beliefs related to teething patterns were critical in revealing the full extent of cultural values
and perceptions towards child febrile illness in this setting. Finally, the
belief that febrile illness is not all that severe despite noticeable signs and
symptoms was a common negative perceptions shared by some mothers in this study. The implications of the findings and the use of PEN-3
cultural model in highlighting responses that are positive, acknowledging unique responses, while discouraging response that are known to be
harmful to health are discussed.
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8. Reaching the Optimum Potential of Distance Learning in
Health Education through Properly Marketing Non-traditional
College-level Courses
Michael Stellefson, PhD, University of Florida; Beth Chaney, PhD, CHES,
University of Florida, Gainesville; Don Chaney, PhD, CHES, University of
Florida, Gainesville
To foster innovative degree granting programs in health education,
undergraduate and graduate professional preparation in health education has gradually begun to shift towards adopting distance learning
strategies. This is due, in part, to changes in enrollment behaviors among
modern day college students. Enrollment in online courses across all academic departments in higher education has been growing significantly
faster than rates of enrollment in traditional on-campus courses. While
the benefits of distance learning are obvious to some, not all prescribe to
the omnipresence of distance learning within health education, which is
certainly not inconceivable to understand. In order to present a cogent
case for distance learning courses to reluctant stakeholders, it is important to formatively engage in the process of “marketing” DE courses
effectively in order to make apparent the inherent benefits of such
unique offerings. Creating an inimitable process for effectively marketing
prospective DE courses enhances a health educator’s ability to make use
of educational technology and strategy. The purpose of this presentation will be to highlight some key considerations for marketing select
distance education courses in health education. Specifically, 5 questions
and answers will be proposed and discussed regarding: implementing
feasibility analyses for course development; using course augmentation
strategies in DE; and identifying important developmental aspects of
proposed course offerings. Determining the “right” answers to seminal
questions can provide instructors with key insights into best practices
for course development, and thus provide students with a higher-quality
instructional experience. Additionally, market research for distance education opportunities can have clear implications for branding your DE
courses. Traditional residential universities are encountering increased
competition from for-profit online institutions that offer many similar
courses to those offered in traditional institutions of higher learning.
Many time- and location-bound students are attracted to what they perceive as less rigorous courses. Because of this, it has become increasingly
important for faculty who work at traditional residential institutions to
develop readily distinguishable course identities. Creating an identity is
often built through the development of distance learning-specific “visuals” that distinguish all course materials. In addition, marketing concepts
such as demand, course management, and course visibility should be
considered within the context of identity building as it relates to higher
education coursework in health education. This presentation will present
these preliminary marketing considerations as food for thought for any
health educator aspiring to initiate the market research and development
process necessary for effective DE course development.
9. Piloting a Public Health Detailing Intervention for
the Children’s Environmental Health Center of the Hudson
Valley (CEHCHV)
Michael Shakarjian, PhD, New York Medical College; Hong Duck Kim,
PhD, New York Medical College; Amy Ansehl, RN, BSN, FNPC, New York
Medical College; Heather Archer-Dyer, MPH, New York Medical College;
Allan Dozer, MD, Health Center of the Hudson Valley, New York Medical
College; Robert Amler, MD, New York Medical College, Diane Heck, PhD,
Chia-Ching Chen, EdD, CHES
background: Children are especially vulnerable to the harmful effects
of environmental contaminants because of their unique behaviors, greater
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relative exposure than adults, and incomplete development of immune,
neurological, and metabolic systems. Early exposures can affect their developing organs and trigger pathological responses throughout their lives.
Recent findings have suggested that certain constituents of plastic, namely
bisphenol A (BPA) and phthalate plasticizers and certain flame retardants
may pose risks because of their endocrine disrupting and immunomodulating activities. Public Health professionals require education on which
plastics to avoid. Additionally, lead and cadmium are known contaminants
in certain plastic items and with chronic exposure; children are at heightened risk for behavior and learning disabilities.
objective: This study was designed to achieve Health People 2020 objectives by increasing the proportion of persons appropriately counseled about
health behaviors, increasing the amount of community health promotion
programs, and reducing the amount of toxic pollutants released into the
environment. Method: The CEHCHV, a collaboration between physicians
at Maria Fareri Children’s Hospital and New York Medical College School of
Health Sciences and Practice (NYMC SHSP), promotes health in children
by educating clinical and public health practitioners. For their culminating
experience, students at the NYMC SHSP conducted a pilot study for the CEHCHV to disseminate information regarding the hazards of certain plastics
to health practitioners. Green and Kreuter’s (2005) PRECEDE-PROCEED
model was adopted for planning an Environmental Public Health Detailing
(EPHD) intervention. The EPHD method focuses on improving patient
care by applying a well known and successful marketing strategy used by
the pharmaceutical industry to strengthen provider practices regarding
health promotion and disease prevention. The predisposing, reinforcing, and
enabling factors were identified to investigate the behavioral variables that
influence plastics use. Students developed targeted messages and detailing
action kits containing resources and education materials to promote practitioners’ evidence-based practices.
results: The PRECEDE-PROCEED model was useful in planning the
intervention. Behavioral variables that influenced using plastics were identified. Project objectives were fully achieved as evidenced by the creation
of detailing materials and presentation of EPHD sessions to greater than
ninety physician practice and public health professionals during National
Public Health Week. Evaluation feedback demonstrated that EPHD met
expectations while revealing areas where detailer training is critical, such
as effective communication of key messages and accommodation of practitioners’ time constraints.
10. Process Evaluation Findings from a Pilot Intervention to Improve Home Nutrition Environments in Rural Families
Authors: Michelle Kegler, DrPH, MPH, Director, Emory Prevention
Research Center, Rollins School of Public Health, Emory University; Iris
Alcantara, MPH, Rollins School of Public Health, Emory University; April
Hermstad, MPH, Rollins School of Public Health, Emory University; JK
Veluswamy, BS, Southwest Georgia Cancer Coalition; Denise Ballard,
MEd, Southwest Georgia Cancer Coalition; Karen Glanz, PhD, MPH,
Schools of Medicine and Nursing, University of Pennsylvania
In collaboration with community partners in rural southwest Georgia, the
Emory Prevention Research Center designed and pilot tested a nutrition
intervention called Healthy Homes/Healthy Families. Local residents were
trained to serve as coaches to promote healthy actions to make the home
environment more supportive of healthy eating. The healthy actions focused on maintaining a healthier household food inventory, cooking family meals with healthier food preparation methods, cutting down on family
meals from restaurants, and creating rules to limit eating while watching
TV. The intervention consisted of a tailored home environment profile (a
personalized summary of the home nutrition environment from baseline
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survey responses), goal-setting, and behavioral contracting provided in
two home visits and two telephone coaching calls over a six week period.
Preliminary results show positive changes in the home food environment.
Process evaluation data were collected from coaching logs, follow-up
phone surveys with participants, and focus groups with participating
families. These data identified aspects of the intervention that worked well
and possible areas for improvement. Coaching logs for each appointment
documented which actions each household chose to work on, their progress in completing the actions, and facilitators and barriers to the actions.
Following the intervention, participants completed a phone survey which
included both closed- and open-ended questions about their views on
the coaching experience. Of 70 intervention households, 63 completed all
intervention activities, 4 participated in some activities, and 3 did not participate in any activities. Participants’ ratings of their coach and the intervention were overwhelmingly positive. Facilitators to the implementation
of actions included local access to and availability of healthy foods or other
neighborhood resources, family support/cooperation, being prepared or
planning ahead, motivators such as health concerns, and specific aspects
of the coaching process or intervention. Barriers to the implementation of
actions included insufficient access to healthy foods, not being prepared,
lack of family support, difficulty breaking habits and resistance to change,
and financial limitations. The findings support the potential of a coaching
approach to changing the home environment, and will be used to refine
and improve methods to be employed in a larger intervention trial.
11. Communicating H1N1 Risk to Hispanic College Students
Francisco Soto Mas, PhD, MPH, University of Texas El Paso
background: Communication is crucial in public health emergencies,
and the H1N1 pandemic put emergency communication systems to the
test. Since college-age students are particularly vulnerable to the H1N1
virus, universities struggled to inform students about prevention and
treatment measures. How students responded to H1N1 communication
efforts is not known. The purpose of this cross-sectional survey study
was to assess the knowledge, attitudes, and behaviors of Hispanic college
students with regards to the H1N1 virus.
theoretical framework: Health Belief Model (perceived vulnerability, severity, benefits). The connection between knowledge/perception
and behavior was tested with the participating population.
hypothesis: Knowledge/perception score positively correlates with
preventive behavior scores.
methodology: Participants included graduate and undergraduate students at a major university in South Texas. Data was collected through
a 24-item survey that included the main constructs of the Health Belief
Model. Descriptive statistics were conducted.
results: A total of 483 students completed the surveys. Results indicate
an acceptable level of knowledge, and the majority correctly answered
questions related to symptoms, vaccination, and treatment. Regarding awareness and perception, 73% seemed to know where to obtain
information on the H1N1 virus, 70% knew that the H1N1 virus could
cause a serious disease, and 84% believed that they could avoid the virus.
As expected, knowledge and perceptions did not influence intentions or
behaviors: the majority indicated that they would still go to class as usual
if there were confirmed cases of H1N1 among students, had no plans to
get vaccinated against the H1N1 virus, and between 20% and 40% were
not taking preventive precautions such as washing hands more often,
covering nose and mouth with a tissue when coughing, or avoiding
touching eyes, nose and mouth.
an outlook for the future: Programs must be implemented not
so much to inform Hispanic students, but to persuade them to act on
the prevention of the H1N1 virus. To understand the components of
behavior-based communication strategies for Hispanic students, additional quantitative and qualitative research is recommended.
innovative component: There are no other theory-based studies exploring how to communicate potential H1N1 pandemic risk to Hispanic
college students.
12. Social Determinants of a Healthy People: Will Health Educators
Defend or Debunk the Rhetoric of Neoliberalism?
Robert Jecklin, MPH, PhD, University of Wisconsin-La Crosse
Even before the current financial crisis involving the loss of housing, jobs,
income, and benefits for millions of Americans—there was evidence of
growing inequality. According to historical data from the US Census
Bureau, the lower three quintiles of American households held a smaller
percentage of American aggregate income in 2008 than they did in 1998;
the highest quintile benefitted the most from this shift capturing 50% of
all income in 2008 while the lowest quintile fell to only receiving 3.4% of
all US income in that year. Some international scholars criticize the United
States for neoliberal rhetoric proposing less government, less regulation
of labor and finance, and more stimulation of commerce by eliminating
borders or barriers to the free movement of labor, capital, goods, and services; those critical scholars assert that this rhetoric is a mask for practices
that promote inequalities in both quality of life and human health. Healthy
People is a federal initiative that has been setting and monitoring national
health objectives since 1979, a time associated with the popularization of
Neoliberalism by candidate and then two-term President Ronald Reagan.
Each decade since the 1980’s our understanding of being a healthy people
has been characterized by goals and objectives for improving the health
of our nation. As part of developing Healthy People 2020, the public was
invited to make comments and propose objectives about the Social Determinants of Health. This presentation analyzes and interprets the Healthy
People 2020 website with special attention to comments and proposed
objectives about social determinants in order to answer several questions.
What evidence of neoliberal rhetoric is present on the website? Who made
comments and proposed objectives? What kinds of ideas and objectives
were proposed? How do these contributions compare to what is included
in the final Healthy People 2020 document? When it comes to social determinants, will Healthy People 2020 defend or debunk the rhetoric
of Neoliberalism?
13. Theory of Planned Behavior Based Predictors of Sleep
Intentions and Behaviors of Undergraduate College Students at
a Midwestern University
Adam Knowlden, MBA, MS, PhD Candidate, University of
Cincinnati; Manoj Sharma, MBBS, CHES, PhD, University of Cincinnati
background: Sleeping 7 to 8 hours on a daily basis is a critical
component of optimum health. Epidemiological evidence has associated both deficient (<7 hr) and excessive sleep duration (>8 hr) with
increased rates of morbidity and mortality. Injurious health outcomes
associated with inadequate sleep duration include cardiovascular
disease, diabetes, depression, automobile and occupational accidents,
as well as learning and memory problems. The purpose of this study
is to apply the Theory of Planned Behavior (TpB) to predict the sleep
intentions and behaviors of full-time undergraduate college students
attending a large Midwestern University. In addition to the standard
TpB constructs, this study will also test sleep hygiene as a supplemental
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independent variable for its potential to increase the model’s predictive
power. The present study represents the first attempt to investigate the
sleep behaviors of college students using the TpB. As well, it is one of
the first to employ the recently developed Sleep Hygiene Index.
methods: A cross-sectional survey design will be utilized in this
investigation. A random sample of 197 full-time undergraduate students will be surveyed. In arriving at the sample size, an alpha of 0.05,
a power of 0.80, and a population correlation coefficient of 0.20 were
considered. A qualitative elicitation study was conducted to determine
the population’s salient behavioral, normative and control beliefs.
Validation of the instrument will be overseen by a panel of six experts.
The instrumentation process will include Cronbach’s alpha for internal
consistency, test-retest, and confirmatory factor analysis for construct
validity. The maximum likelihood method will be used for confirmatory factor analysis and the criteria of Eigen value over 1 and factor
loadings over 0.40 will guide confirmatory factor analysis. Stepwise
multiple regression will be used to model the TpB predictors of sleep
behavior.
results: The results of this study will provide a theoretical framework
for predicting the sleep behaviors of undergraduate college students.
Findings from the SHI will aid in identifying behaviors amendable to
modification in the study population.
conclusions: The results of this investigation will prove beneficial in
the development of interventions that promote the adoption of healthy
sleep patterns among undergraduate college student populations.
14. Hispanic and Epilepsy: Exploring Health Behavior
and Finding the Solution
Mitsue Colin, MD, MPH, Quality of Life, Program and Research
Department, Epilepsy Foundation
Today more than 3 million people in the United States have epilepsy,
400,000 of whom are Hispanic. In an effort to reach out to this specific
group and change their health behavior and attitude about epilepsy, the
Hispanic Outreach Program was developed by the Epilepsy Foundation
in collaboration with an expert group of affiliates, Professional Advisory
Board members, health care professionals and the Hispanic Council. The
overall goal of the program is to 1) to provide education in recognition
of demonstrated signals and symptoms associated with seizures 2) to
increase awareness emphasizing knowledge of epilepsy in the Hispanic
community 3) to increase skill and self sufficiency of our affiliates to
provide competent outreach services and support for their local Hispanic communities. Through its network of local affiliates, the Epilepsy
Foundation continuously works in identifying innovative and effective
approaches for targeted outreach to the Hispanics Community regarding epilepsy and seizures. Successful evaluation components and lessons
learned from the Hispanic Outreach program marketing campaigns,
educational outreach activities, and related program initiatives nationwide, will be shared through this presentation in order to encourage
replication of efforts, especially for specific disease entities experienced
within targeted, minority populations. At the end of this session, participants will be able to: 1. Understand in depth the Hispanic community’s cultural beliefs and attitudes regarding epilepsy 2. Know the basic
facts about epilepsy including treatment and first aid 3. Replicate major
strategies used by the Epilepsy Foundation to outreach to the Hispanic
community regarding epilepsy.
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15. The Capstone Experience: Preparing Students for
the profession and the CHES Exam
Mary V. Brown, PhD, CHES, Utah Valley University
The purpose of this poster is to share with other academicians how Utah
Valley University has been successful in developing a professional preparation class as part of the bachelor’s degree curriculum in community
health and to review the outcomes of this relatively young program. In
an effort to “scale new heights”, the Capstone experience has been added
to the curriculum of the Community Health Education degree offered
at Utah Valley University. In August of 2005, the Utah Board of Regents
approved the Bachelor of Science degree in Community Health at Utah
Valley University. In spring of 2006, three students graduated with the
degree. The following year (2007), six students who had registered to
take the Certified Health Education Specialist exam formed a small study
group to help prepare for the exam. Eighty three percent of those students
successfully passed the exam. While the pass rate was higher than the
national average, we felt that there was more we could do for our students.
In an effort to improve the curriculum of the community health degree,
the HLTH 4700 Capstone course was developed to help participants make
the transition from student to health professional. Approximately half of
the three credit semester course is devoted to CHES preparation, while the
other half of the course is devoted to professional development (resume
writing, mock interviews, developing a professional portfolio). This appears to be a successful improvement to the program, as the 14 students
who took the CHES exam in 2009 all passed with a score 10 points higher
than the national average. This session is intended to share creative ideas
how academicians can apply successful strategies in a Capstone experience
preparing students for the CHES exam as well as for the health education
profession. The curriculum for the course will be reviewed and, participants will discuss ways in which all department faculty can take ownership
of the CHES preparation process.
16. Improving Patient Education Through Use
of Electronic Media
Jean DuRussel-Weston, BSN, RN, MPH, CHES, University of Michigan
Historically, patient education at the University of Michigan Health
System (UMHS), a 930 bed teaching hospital has been decentralized and
overseen by a multidisciplinary committee. In 2009, a needs assessment
of patient education practice and available resources was commissioned
to identify areas of excellence as well as opportunities for improvement.
The Patient Education (PE) Needs Assessment, implemented by School
of Public Health students, includes survey and focus group data from
over 1,500 physicians and clinical staff (approximately 10% of staff).
Relevant findings include that 44% of respondents use current online
resources from the patient education website, but are not confident in
the quality of these materials with an average rating of 6.8 on a 10 point
scale. Collaboration among departments is low with 72% of departments
creating their own materials but only 32% sharing them with other departments and committees. 45% of respondents could not identify who
was responsible for patient education. In a system as large as UMHS, it
is important to maintain the balance between individual departmental autonomy and centralized institutional support and standardization. Based on the needs assessment, the Strategic Plan for improving
patient education focuses on several key areas of improvement, namely
improved resources, access, and collaboration. Action steps for realizing
the vision of PE at UMHS involve: 1) Strengthening the Health System’s
PE leadership core; 2) Expanding clinical staff ’s ownership/ involvement
in PE; 3) Increasing access to standardized and credible PE materials;
4) Increasing PE resource sharing/collaboration across departments;
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5) Increasing clinical staff ’s patient education skills and knowledge of
online resources. To increase system-wide communication and collaboration several unique strategies have been employed. This presentation
will highlight the strategies to achieve step three and four of the strategic
plan. These include development and implementation of the UMHS
Clearinghouse, a shared database which provides a single access point
to all patient education materials authored by UMHS staff and faculty.
It links to written and audiovisual materials that can be accessed by all
staff for patient education use. Another strategy is linking our six health
education resource centers, which are geographically dispersed across
campus into an integrated library system so that patients and staff can
access information from any location. In addition, the UMHS PE website
was redesigned to improve navigation, provide support for staff to obtain
updated materials, access training to maximize their knowledge of current PE technology and assist staff to produce quality materials.
17. Developing a Culturally and Linguistically Appropriate Stroke
Knowledge Assessment Tool: The Importance of
Community Partnership
Lesli Skolarus, MD, University of Michigan, Department of
Neurology, Jillian Murphy, MPH, University of Michigan, Sarah Bailey,
PhD, Bridges into the Future, Sophronia Fowlkes, PhD, Bridges into the
Future, Marc Zimmerman, PhD, University of Michigan
background: Stroke is a leading cause of morbidity and mortality in
the United States. African Americans experience nearly twice as many
strokes as European Americans. Effective acute stroke treatments are
underutilized primarily because patients do not arrive to the hospital in
time. Calling 911 decreases delays in getting to a hospital, resulting in
increased opportunities for acute stroke treatment. theoretical
framework: The Theory of Planned Behavior (TPB) proposes that behavioral attitude, subjective norms, and perceived behavioral control all
influence behavioral intention, the predominant determinant of behavior
itself. This project explores how beliefs, attitudes, and intentions are
associated with calling (or not calling) 911 during acute stroke.
hypothesis: A causal chain of beliefs, attitudes, and intentions drive
the decision to call 911 for acute stroke among African Americans in
Flint, Michigan. Methods: We established a collaborative partnership
with an African American faith-based community organization in Flint,
MI - Bridges Into the Future. Flint has a population of 105,000 and is
predominately African American. Over 25% of the population lives below the poverty line. Community based participatory research principles
helped us identify attitudes, beliefs, and intentions of African American
adults and youth with regard to calling 911 for acute stroke. We used
an iterative process that included feedback from members of the focus
population to pilot test and select final items of the study.
results: Outcome expectations heavily influenced individual attitudes,
as many believed effective acute stroke treatments do not exist. Subjective norms seem extremely important – the power of word-of-mouth
was emphasized by many individuals, and beliefs about social standards
and motivation to comply were often mentioned in the context of family
and church. Finally, distrust of medicine, and lack of knowledge about
stroke warning signs are also salient factors in the decision to call 911 for
acute stroke. Members of the partnership collaborated to assimilate these
behavioral constructs into a culturally sensitive needs assessment survey,
which was tailored to the community based on linguistic, cultural and
religious appropriateness. conclusion: Community based participatory research is an effective method to develop a needs assessment survey
and behavior change theory relevant to that community.
implications for practice: A behavioral intervention that is faithbased, guided by the TPB, utilizes existing social networks and is culturally relevant may increase 911 calls and consequently improve stroke
outcomes for African Americans living in Flint, Michigan.
18. EPA Air Quality Index Values of Smoke-Free Venues after
Smoking Ordinances
Nancy Johnson, BS, CHES, Truman State University - Campus-Community Alliances for Smoke-free Environments; Justin McDermott, Truman
State University; Samantha Goode, Truman State University
Secondhand smoke, also known as environmental tobacco smoke (ETS)
contains a variety of toxic or carcinogenic chemicals. ETS is classified as
a Group A carcinogen, mixtures associated with causing cancer. Those
close in distance to smokers risk inhaling substances emitted from the
cigarettes which may possibly increase their risk for future health complications. Influenced by the known risk factors of second hand smoke
and the studies done on smoke-free ordinances, the researchers had
successfully passed legislation to enforce all bars, restaurants, parks, and
public amusements in a small Midwestern town of population 17,000 to
be smoke-free as of July 2007. An air quality study using air quality monitors was preformed to insure the businesses were complying with the
new smoking ordinance. It was hypothesized that not all public venues
were enforcing the city smoking ordinance. Between March 1, 2009 and
July 20, 2009, air quality was assessed in six restaurants, three bars, and a
bowling alley. Within the test group, all ten businesses allowed smoking
prior to the ban. Testing occurred when business was at its peak hours
for a period of one hour per business. A TSI SidePak AM510 Personal
Aerosol Monitor was used to sample and record the levels of respirable
suspended particles (RSPs) (particles small enough that one can breathe
in) in the air at each testing site in order to test the air quality index. All
ten venues tested were within the United States Environmental Protection Agency (US EPA) Good Air Quality Index value, as the average
Particulate Matter (PM2.5) of all venues was 5.73 g/m3(range: 4.39
- 7.45g/m3). An air quality index of less than or equal to 15 PM2.5 g/
m3 is within the US EPA Good Air quality Index range. Averages of
twenty-four people were within each venue at the time of testing. Every
venue tested was following the city smoking ordinance by not allowing
any smoking within their indoor space and were therefore protecting
their patrons from the dangers of secondhand smoke by keeping their air
quality within the EPA Good air quality index range. It is recommended
that health educators participate in air quality index testing in smoking
and non-smoking venues as US EPA Air Quality Index values can be
used to convince leaders that secondhand smoke is a real problem within
inside venues.
19. Evaluating The Jackson Road Map To Health
Equity Farmers’ Market Patrons’ Satisfaction and Engagement
In Positive Health Behaviors
David Brown, EdD, MA, CHES, Department of Behavioral and Environmental Health, Jackson State University; Beneta Burt, MPPA, Director,
Jackson Road Map To Health Equity; Modupe AinaAkinpelu, MD, MPH,
Doctoral Candidate, Jackson State University Department of Behavioral
and Environmental Health
background: The Jackson Road Map for Health Equity maintains a
farmers’ market in the metropolitan Jackson Mississippi Area. This Kellogg Foundation funded project was designed to improve the Jackson
inner-city citizens’ access to and consumption of reasonably priced, high
quality fresh fruits and vegetables. The farmers’ market addresses Nutris o p h e co n f e r e n c e
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tion and Weight Status objectives 6 and 7 of Healthy People 2020. Objective 6 aims to increase the contribution of fruits to people’s diet while
Objective 7 aims to increase the variety and contribution of vegetables to
people’s diets.
theoretical framework: Community Engagement Theory (CET)
speculates that effective community health promotion and education is
best facilitated by community members becoming actively engaged in
activities that directly promote their own and their community’s health.
Following a CET model, the project was designed to improve the target
community’s health through engaging community members in the Jackson Road Map for Health Equity Farmers’ Market.
results/discussion: Consistent with past research (e.g., Reece &
Dodge, 2004), sexual compulsivity predicted sexual risk-taking and
increased partnered sex behaviors in the current sample (specifically in
women). Among women, higher sexual compulsivity scores also predicted fewer inhibitory cognitions (β = -.104, p < .05) and higher levels
of arousability (β = .527, p < .001). Higher arousibility mediated the relationship between sexual compulsivity and fewer inhibitory cognitions.
For men, higher sexual compulsivity scores also predicted higher levels
of arousability (β = .362, p < .001), but predicted more inhibitory cognitions (β = .220, p < .001). There was no significant mediation. Therefore,
the increased arousal that is associated with higher sexual compulsivity
may reduce women’s sexual concerns, but seems to exacerbate men’s.
objectives: The current investigation was a formative evaluation study
designed to assess farmers’ market consumer stakeholders’ opinions
regarding the farmers’ market. Specifically, consumer input was collected
relative to the perceived utility, effectiveness, personal impact and community impacts of the market.
conclusions/implications: It is important to understand the
experience of sexual compulsivity in the general population as unique
interventions may be warranted to target groups that do not fall into the
“high-risk” category.
evaluation measures: A questionnaire was specially developed for use
in this study. Both Likert and open-ended questions were used to assess
consumers’ self-reported behaviors, beliefs, attitudes and suggestions. Data
were obtained from a sample of 81 consumers. Coefficient Alpha showed
that the Likert items had an internal consistency reliability of .94.
21. Contextual and Individual Factors Associated with
Consumption of Sweet Foods in Healthy Individuals Living in
an Urban Setting
results: Data showed that the farmers’ market was well accepted by
the consumers. It was having a positive influence on fruit and vegetable
consumption. Data also showed that the market had a positive social
value for the consumers. Several useful suggestions for market improvement were also obtained from this study. These findings are discussed in
terms of proposed program improvements and in terms of Community
Engagement Theory.
20. Sexual Compulsivity Among Older, Heterosexual Adults
Sara Cole, PhD, MA, BS, CHES, University of Central
Oklahoma; Robin Milhausen, PhD, University of Guelph; Amy Muise,
University of Guelph
rationale: Studies on sexual compulsivity have primarily focused on
high-risk and HIV-positive populations (e.g., Reece & Dodge, 2004).
Recent studies have attempted to address this gap by investigating sexual
compulsivity among primarily young heterosexual college students and
have indicated that sexual compulsivity is relevant in predicting risky
sexual activities in groups that are not considered high-risk (e.g., Dodge,
Reece, Cole, & Sandfort, 2004). Individuals scoring highly in sexual
compulsivity may also be perceived as experiencing higher levels of sexual
excitation. One study of a small group (N = 31) of self-identified male “sex
addicts” indicated that sexual compulsivity may be related to both sexual
excitation and sexual inhibition (Bancroft & Vukadinovic, 2004).
research purpose. The purpose of the current analyses was to explore how sexual compulsivity relates to risky sexual behaviors, as well
as sexual excitation/inhibition in an older, non-clinical, non-student
sample of adults, many of whom are married and have children. Method.
The sample consisted of 365 women (mean age = 33 years, SD = 8.46)
and 1,466 men (mean age = 38 years, SD = 9.87). Participants completed
an online survey that included the Sexual Compulsivity Scale (SCS;
Kalichman & Rompa, 1995), the Sexual Excitation/Sexual Inhibition
Inventory for Women and Men (SESII-WM; Milhausen et al., 2008), and
several measures of sexual beahviour. Regression and mediation analyses
were used to explore the cognitive and behavioural correlates of sexual
compulsivity.
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Jean-Claude Moubarac, M.Sc., PhD candidate, Université de Montréal;
Mark Daniel, PhD, Professor and Research Chair for Social Epidemiology,
School of Health Sciences, University of South Australia; Margaret Cargo,
PhD, Senior Lecturer in Health Promotion, School of Health Sciences, University of South Australia; Olivier Receveur, PhD, Professor, Department of
Nutrition, Université de Montréal
background: One of the objectives of Healthy People 2020 is to
reduce consumption of calories from added sugars. Social and physical
environmental cues, as well as psychological factors, (e.g., mood, depression) have been associated with the consumption of sweet food (e.g.,
soft drinks, chocolate). However, the effect of multiple environmental
and individual factors on food behaviour is not well understood. Mixed
methods research has rarely been applied in public health to understand
how the individual interacts with the surrounding environment to influence food behaviour.
objectives: To examine contextual and individual factors associated
with daily consumption of sweet foods in healthy individuals living in
an urban setting. Methodology: An ecological conceptual framework
was used to understand the context of sweet food consumption. This
framework guided the collection and analysis of 42 semi-structured interviews of healthy men and women from a Middle Eastern community
in Montreal. Interviews were analysed using deductive and inductive
coding procedures. Qualitative results were used to inform the development of a quantitative measure investigating the context of sweet food
consumption. The measure was pilot-tested on 20 individuals. The final
self-report measure was administered with psychosocial measures of
depression, mastery and self-moderation, a sociodemographic and food
frequency questionnaire to 192 individuals (mean age 35 years) from the
same community. Contextual domains were refined using exploratory
factor analysis. Quantitative analysis using general linear models identified contextual and individual-level factors associated with consumption
of sweet food operationalized as the amount of total sugars eaten daily
from sweet foods and drinks.
results: Qualitative and factor analyses led to the identification and refinement of a 42-item contextual measure with items grouped into seven
domains: 1) emotions, 2) snacking, 3) energy demands, 4) social environment, 5) physical environment, 6) constraints, and 7) eating dessert.
Daily consumption of sweet food was on average 76 g/day and varied by
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age but not gender or BMI. Eating dessert and Snacking were positively
associated (p<0,01), while Social environment, self-moderation and age
were negatively associated (p<0,05) with sweet food consumption.
Depression was also positively associated with consumption (p<0,05).
conclusions: This study illustrates how mixed methods can be used to
explore important questions in nutritional behaviour and better understand how the individual perceives the influence of its environment on
his eating behaviour. Distinguishing between contextual factors associated with daily and occasional consumption of sweet food is important
to consider in the reduction of daily consumption of added sugars.
22. Training Future Health Leaders in Cultural Humility and
Competency: Lessons Learned From Developing and Teaching a
Multi-disciplinary Hybrid Online Course and Modules for Public
Health and Health Services Students
Rob Simmons, DrPH, MPH, CHES, CPH, Director MPH Program,
Thomas Jefferson University, School of Population Health; Nancy Chernett,
MA, MPH, Thomas Jefferson University, Center for Applied Research for
Aging and Health, Elaine Yuen, PhD, Thomas Jefferson University, School
of Population Health; Susan Toth-Cohen, PhD, OTR/L, Director, Occupational Therapy Doctoral Program and Associate, Jefferson School of Health
Professions Thomas Jefferson University
Health disparities are well documented as significant concerns that must
be addressed as we rebuild our public health and health care systems
to meet Healthy People 2020 goals. As we tackle the disproportionate
burden of chronic and infectious diseases and access to quality health
care of an increasingly diverse population, current and future public
health and health care professionals must be prepared to work effectively
with people from diverse ethnic, cultural and linguistic backgrounds.
In striving to reach the Healthy People 2020 goal of achieving health
equity and eliminating disparities to improve the health of all groups,
public health and health services education must provide students with
knowledge and experience to facilitate their understanding of the root
causes of health disparities and strategies to advance ongoing personal
and organizational cultural competence and humility to overcome
conditions that perpetuate inequalities. This presentation describes the
developmental process and content of a course that addresses cultural
competence for public health and health care graduate students at an urban health sciences university. The hybrid online course, which includes
asynchronous (on one’s own time) and synchronous (in real time) online
sessions as well as four in-person sessions, begins with basic concepts of
diversity, cultural humility and competency, and encourages students to
understand how these principles are reflected in their personal and professional attitudes, values and behaviors. The second part of the course
is tailored to the student’s community or clinical work environment with
specific readings and case studies covering strategies that address health
literacy and communication, CLAS standards and exemplary programs.
Students reflect on their own cultural attributes and behaviors, and the
role that these factors play within their professional relationships and
abilities to work with those from diverse cultures. Over the 14 weeks of
the course, students develop and share individual professional and organizational improvement plans; and consider lessons learned and future
growth opportunities. This interdisciplinary course was taught over the
past three years and has included public health, occupational therapy,
medicine, and physical therapy graduate students. Student course evaluations have depicted significant cultural learning and application to
their chosen field. Student reflections and feedback in their own words
will be presented. To help meet the Healthy People 2020 goal of health
equity and eliminative health disparities, the course is being modified
for broader dissemination into online and in-person training modules
tailored to specific disciplines in public health and health care.
23. The Global Health Care Challenges of Hansen’s Disease
Elimination and Research at the USDHHS Hansen’s Disease
Center and Worldwide
Barbara Hernandez, PhD, CHES, Lamar University
The purpose of the research was to record the global historical, social,
and medical contributions of the USDHHS Hansen’s Disease Center at
Carville and Baton Rouge, La. to Hansen’s Disease (HD) elimination
worldwide using primary historical resources. Carville was the last U.S.
national leprosarium and the research center is still in existence today
combating Hansen’s disease, TB, HIV/AIDS, and diabetes. Notable
research and events at this U.S. Public Health Service Hospital were
the first “cure” for Hansen’s disease, quarantine law enforcement, and a
world renowned medical, research, treatment, and rehabilitation center.
The theory used for treatment therapies was the Health Belief Model.
Non-experimental methods based on Garraghan’s historical analysis
were used. Archival data and recent resources were retrieved from Carville’s Museum, university libraries, and personnel interviews. Resources
on the historical, medical, and social events that occurred were analyzed.
88 references were analyzed and scored on a scale of 0-15 according to
external criticism (5 criteria), internal criticism (2 criteria) and synthesis (3 criteria) on a code sheet. Each event was scored on a code sheet
(instrumentation) and validated with 3 resources. 78 resources scoring
10 or greater were included in the study. Accepted events were rank
ordered and chronologized in 10 year increments. The null hypothesis
was rejected as enough resources were found to analyze and compile
documented evidence of historical events at this national leprosarium
and HD. These results included the discovery of the first cure and the
multi-drug therapy treatment approach in worldwide use for Hansen’s
Disease today. Conclusions include the current U.S. and world surveillance data reducing prevalence and reaching existing endemic areas.
The unique record of the USDHHS Hansen’s Disease Center’s medical
research contributions to Hansen’s disease elimination and research on
other diseases is a contribution to the medical field worldwide. Implications recommended are historical research on other treatment facilities
and disease eradication in endemic areas. Further research in improving
access in endemic HD areas and vaccination research is recommended.
Healthy People 2020 objectives addressed in the presentation are: global
health (disease detection and prevalence reduction worldwide), access to
health services (availability of facilities and trained personnel) and immunization and infectious diseases (vaccination research efforts for HD
and other infectious diseases).
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24. American Cancer Society Health Profile and
Community Resources Mapping Project
Shila Burney, BS, American Cancer Society; Kenneth Portier, PhD,
American Cancer Society; Linda Blount, MPH, American Cancer Society;
Carolina Casares, MD, MPH, American Cancer Society
Eliminating disparities in cancer screening, diagnosis, and treatment is
essential for achieving health equity, increasing access and improving
health outcomes for patients with cancer. The American Cancer Society
(ACS) has many community-based programs aimed at increasing cancer
screening and helping the newly diagnosed overcome barriers to care.
The Society also maintains a database of other volunteer and community
programs that provide support to cancer patients. However significant
challenges remain in reaching minority and underserved populations
with these services. This project’s two goals are to provide ACS mission
and education staff with the ability to map community health determinants; primarily population and environmental characteristics, as well
as health care, volunteer and ACS service locations; and to train staff
in using these mapping tools to identify communities that are likely
to experience health disparities. The results will help focus existing
Society services and foster new and innovative programs to reach these
communities. Working with an academic partner, an initial web-based
mapping and reporting environment has been built and populated with
a large amount of publically available health determinants data as well as
ACS program information. The system interface is simple and straightforward and does not require users to understand geographic information systems or do any programming. Focus groups have been formed
to evaluate how the current system can be used and what changes are
needed to increase utility. Critical to project success is identifying the
kinds of maps, combinations of mapping elements, and final summaries
staff want as they explore issues in cancer health disparities. Plans are to
use this system to more effectively engage ACS mission and education
staff in discussions of cancer disparities; using maps to illustrate points
and identify potential new community interventions and new
community partners.
25. Publishing an Undergraduate Project on the Web:
Rebecca Foco, MA, CHES, Health and Human Performance, Virginia
Commonwealth University
background: As colleges and universities prepare future health education practitioners it is imperative that they have all the skills and tools
necessary to work effectively. The tools increasingly include the ability to
develop and manage web-accessible content. Traditional pedogological
methodologies employed in the classroom create student projects that
are submitted to an instructor never to be seen again. This project uses
open content learning as a basis for exposing students to methods of
managing and presenting information for the public. Theoretical Basis
The theoretical basis for this project is Technological Pedagological
Content Knowledge (TPCK)â€”a theoretical framework that proposes
a complex interplay between technological, pedagological, and content
knowledge that yields superior outcomes to traditional methods of
employing technology in teaching (Mishra & Koehler, 2006). TPCK is
the framework used to design this project. The proposed presentation
will present to instructors of health education courses with a method of
sharing and evaluating resources for student-created health education
materials. Objectives Undergraduate Community Health Education
and Health/PE Teacher Education students will: â€¢ learn about social
bookmarking sites and their application to health education â€¢ learn to
think critically regarding assessing the validity and usefulness of health
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websites and how they will utilize health websites in their future careers
â€¢ learn the skills necessary to develop a tool that will be available for
community use â€¢ begin moving from a passive student role into an
active participant in the health education community and begin to see
themselves as health educators. Intervention This presentation will describe a Web-based project in which studentsâ€™ work is accomplished
using the social bookmarking site, delicious (http://delicious.com/). Students in a School and Community Health Resources course will engage
in a process of collecting and identifying web content for health resource
directories related to specific health conditions. Additionally, they will
write an annotated description of each site for potential consumers of
the information.
evaluation: The effectiveness of the project will be evaluated through
a survey of the students involved in the project. The survey will have
both closed and open-ended questions regarding the experience, both as
an educational tool for their own learning and as a first foray into public
presentation of health information. Additionally, the instructor will
monitor the number of hits on the delicious site to assess the level of use
of the information by viewers.
26. Health Education Program to Increase H1N1
Vaccination Rates among Residents of Blunt County, Tennessee
Charles Deutsch, ScD, Harvard School of Public Health
introduction: One of the objectives for Healthy People 2020 is “Increase
the proportion of adults who are vaccinated annually against influenza and
ever vaccinated against pneumococcal disease” (U.S Department of Health
and Human Services, 2009). Immunizations reduce the impact of infectious
diseases such as H1N1 flu. However, some people may be hesitant to receive
vaccinations due to lack of information and myths surrounding immunization. According to the Centers for Disease Control, the H1N1 vaccination is
the best method of protection from H1N1 flu (CDC, 2010).
methods: Graduate students from the University of Tennessee, Knoxville Public Health Program worked in partnership with the Alcoa Community and Blount County Health Department to provide education
regarding H1N1 flu and to increase H1N1 vaccination rates in Blount
County. Goals of the project were to reduce the impact of infectious
diseases in the community and to educate populations about the H1N1
vaccine. Using the Preceed/Procede framework, students conducted a
needs assessment at a local community center. Information from the
assessment was used to develop program objectives which included
creation of an interactive educational display for families and a questionnaire. The educational display was placed alongside the Blount County
Health Department flu clinic at a local Wal-Mart. Blount County Health
Department’s flu clinic administered the H1N1 vaccine free of charge.
outcomes: Outcomes were very positive. At least fifty individuals
participated in the display with more than thirty people completing
questionnaires. Questionnaire results indicated an increase in knowledge
surrounding H1N1 flu. Several individuals received the H1N1 vaccine
based on the educational display. More than 50% of shoppers indicated
that they would be more likely to receive the vaccine due to the educational display. The flu clinic nurse noted a significant increase in flu
clinic participants as well.
summary The needs assessment informed our choice of priority population and intervention. Initially, the project was to focus on a minority
group but was expanded to rural families based on results from the
needs assessment. The results of our intervention indicate that education surrounding the H1N1 vaccine is efficacious in increasing vaccination rates. Results from the questionnaires can be used to expand and
improve future educational campaigns.
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27. Use of Cellular Telephones and Texting While Driving
purpose: This study evaluated the prevalence of self-reported neighborhood and school safety and physical activity levels, and the relationship
between perceived safety and physical activity level among adolescents in
a large urban city.
background: The effect of mobile phone use on driving performance has
been widely studied; however, current gaps exist in research linking the relationship between texting and driving. Research suggests that using a mobile
telephone while driving increases risk of being involved in a Motor Vehicle
Accident (MVA). A study analyzing records in MVAs reported that using a
cell phone while driving is associated with roughly a quadrupling of crash risk,
and 1 in 7 drivers admit to text messaging while driving.
methodology: 2009 Philadelphia Youth Risk Behavior Survey data
were analyzed. The weighted sample of 43,867 students included those
from 9th grade (30.9%), 10th grade (27.1%), 11th grade (21.5%), and 12th
grade (20.4%) attending Philadelphia public high schools. The sample
was 51.5% male and 48.5% female. Race/Ethnicity of the participants was
64.8% African American, 14.2% Hispanic/ Latino, 12.7% White and 2.8%
all other races. Separate research questions examined perceived neighborhood safety and impressions of safety at school. Frequency of self-reported
moderate-to-vigorous physical activity lasting 60 minutes or more was
also collected.
William Parker Hinson, BS, University of Florida, Gainesville; Karla Ruiz,
BA, BS, University of Florida, Gainesville; Louis Carrillo, BS, University of
Florida, Gainesville
objective: The primary aim of this exploratory study was to assess student
behaviors and perceptions associated with use of cellular (mobile) telephones
while driving. The secondary aim was to observe texting and driving behaviors
by viewing incidence rates at intersections within a university campus.
methods: Phase 1: Data were collected from a questionnaire given to
students at the University of Florida. The questionnaire assessed students’
behaviors, attitudes, and frequencies regarding the use of cellular telephones
while driving. Phase 2: Collections of direct observational data were gathered
at various intersections on the University of Florida campus. Frequencies were
tabulated for the number of drivers with a cell phone in hand, and any additional distracting behaviors were also noted.
results: Phase 1: Two-hundred and ninety (n=290) students participated in
the questionnaire. Respondents were between the ages of 19-44 years (µ=22.2).
Analysis showed that 69.8% send between 1-40 texts per day, and 86.6% send
texts while driving. Students were also asked whether they engaged in other
behaviors while driving including: texting while at a stop sign (45.7%), texting
in parking lots (48.4%), pulling over to text (7.5%), and using a passenger to
text (56.1%). Pearson’s correlation test showed that Age was negatively correlated to electronic communication device usage (p = 0.212), whereas Miles
Driven had a significant, positive correlation (p < 0.001). Phase 2: Observation
of vehicles (n=1,138) revealed that 12.9% (n=147) of drivers were engaged
in distracted driving. Among all drivers, 3.4% (n=39) were texting and 6.4%
(n=73) were speaking on the phone.
conclusion: Results show that a large percentage of students send texts
while driving, while lower percentages engage in behaviors that may help
reduce associated risks. On the University of Florida campus, distracted driving occurs, indicating a need for an institution-based policy among students,
faculty, visitors, and employees. Future research should expand beyond the
university population so results are more generalized.
28. Adolescent Physical Activity: Does Perception of School and
Neighborhood Safety Matter?
Clare Lenhart, MPH, CHES, Temple University; Brian Daly, PhD,
Temple University
background: As the public health community looks to the implementation of Healthy People 2020 objectives, concerns persist regarding the
prevalence of adolescents failing to meet recommended levels of physical
activity. Despite physical activity-based initiatives aimed at the individual,
school, and community level, the majority of adolescents remain unacceptably inactive. Research in adult populations suggests low levels of
physical activity are more common among respondents reporting concerns for safety in their immediate neighborhood. What is less clear is the
association between perceptions of neighborhood and school safety and
physical activity levels among ethnically diverse urban adolescents.
results: 32% of adolescents meet current physical activity recommendations. Males (41.3%) are more likely than females (23.9%) to report
adequate physical activity. Forty-seven percent of all respondents report
feeling unsafe both at school and in their neighborhood. Adolescents who
feel safe are 1.183 times more likely (CI: 1.137-1.232, p<.001) to engage in
adequate physical activity relative to those feeling unsafe in their neighborhood and school. Significant differences exist when examined by selfreported ethnicity (African-American, Hispanic, Caucasian).
conclusions: Many students do not participate in recommended levels
of physical activity with significant differences noted between male and
female students. Safety in the school and neighborhood remains a concern
for nearly half of all adolescents surveyed and the odds of inadequate activity
are greater among students reporting more concerns for safety. Few existing programs that focus on increasing physical activity also address safety
concerns of adolescents thus leaving a significant barrier to achievement
of adequate physical activity. In order to better meet the needs of diverse
urban adolescents, health education specialists must consider the saliency of
concerns for safety when developing physical activity interventions.
29. Development of an Instrument to Assess How Health Education Professional Preparation Programs Prepare Students to
Address Health Disparities
Ayanna Lyles, PhD, ATC, California University of Pennsylvania
background: Eliminating health disparities is one goal of the nation
as outlined by Healthy People 2020. No studies, however, have addressed
how professional preparation programs are preparing entry- level health
educators to address health disparities. The initial purpose of the study
was to determine the essential characteristics needed in a professional
preparation program for entry-level health educators to address health
disparities. The second purpose was to develop an instrument that measures the degree to which undergraduate Health Education professional
preparation programs prepare entry-level health educators to address
health disparities.
theoretical framework: Critical pedagogy can be used in Health
Education Professional Preparation Programs as an educational strategy
to teach health education students about health disparities. Teaching
health educators to challenge injustices in the social system will help
them to challenge the policies and societal structures which help maintain disparities.
hypothesis: N/A. Descriptive methods were used to develop a survey.
methods: Phase one of the study utilized a three-round Delphi
technique to solicit consensus of an expert panel to identify essential
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characteristics of a professional preparation program to prepare entrylevel health educators to address health disparities. Phase two involved
development of a survey, the Lyles Health Disparities Assessment Tool,
based on information from the Delphi technique. The tool was piloted
among 187 Health Education Programs. Results: Pilot testing of the
survey revealed the Cronbach’s alpha coefficient for internal consistency
reliability was .752.
conclusions: Forty-three percent (n=19) of program coordinators felt
students get an optimal experience in learning to work with populations
that experience health disparities. Seventy percent (n=31) of the Health
Education Programs do not offer courses entirely devoted to health disparities. Only 20% of the program coordinators report students complete
an internship in diverse communities. Many program coordinators felt
faculty had a professional commitment to teaching students to address
health disparities. Sixty-three percent (n=28) agreed or strongly agreed
faculty were committed to practical experience, research, and participation in conferences focused on health disparities and health policy.
implications for practice: Health education programs should
incorporate an internship with communities that may experience health
disparities. Inclusion of an internship will allow students to use theories/
models based in culture and apply these models in real situations. Faculty should be encouraged to pursue research agendas in health disparities.
Support should be available for faculty to attend conferences related to
the discipline. Providing training and supporting scholarly growth will
allow faculty to increase knowledge and exhibit a professional responsibility to the field.
30. Advocacy 2.0: Using Web 2.0 to Advocate for
the Profession
Don Chaney, PhD, CHES, College of Health and Human Performance,
University of Florida, Gainesville; Beth Chaney, PhD, CHES,
University of Florida, Gainesville; Michael Setllefson, PhD, University of
Florida, Gainesville; Monica Webb, MPH, University of Florida, Gainesville
Advocacy is an integral component of public health education. The future
of our profession will be determined by how the profession advocates for
health education programs and practices that work to change behavior
and prevent disease to audiences outside the heath education field. Web
2.0 provides such a platform for dissemination. Yet, many health educators
lack training in how to effectively utilize Web 2.0 technologies in advocacy efforts. The purpose of this presentation is threefold: 1) to provide a
general overview of Web 2.0 technologies; 2) to provide examples of how
Web 2.0 is utilized in advocacy initiatives; and 3) discuss how Web 2.0
can be utilized to enable health educators to mobilize communities and
policymakers in order to achieve specific advocacy goals. Although the
use of technology and the need for advocacy is continually cited in the
literature as an essential and crucial factor in the future direction of the
profession, the gap between literature and practice exist. This presentation
will enhance the practical understanding and application of Web 2.0 technologies, while presenting strategies to revolutionize the way we currently
conduct professional advocacy initiatives.
31. Female Iraq and Afghanistan War Veterans:
Coming Home in Their Words
Lisa Hedden, BA, Health Science Department, San Jose State University;
Anne Demers, EdD, MPH, BA, Health Science Department, San Jose State
University
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In the past two decades, the number of women in the military has
increased significantly and their roles as soldiers have greatly expanded.
Despite this increase, there is a lack of research on the effect that maledominated military culture has on female soldiers and their specific needs
as they transition from military to civilian life. The literature demonstrates
that social support is a strong predictor of mental health outcomes. Yet
few studies, none of which are qualitative, have examined the role of social
support during a female veteran’s transitional process and the subsequent
effects on mental health. This study explored female Iraq and Afghanistan
war veterans’ experiences with social support and their ability to transition back into civilian society. Within the framework of the social support
literature, data from two focus groups and three one-to-one in-depth
conversations were analyzed. Several themes emerged from the data
around social support including a lack of support within the military, feeling disconnected from civilians and loved ones, and the need for genderspecific support services to assist with reintegration into communities.
While focus group data revealed a desire to connect with other veterans,
the majority of the participants specifically wanted to connect with female
veterans. Their own military units were primarily comprised of men who
had provided little support for their female counterparts. The participants
wanted to distance themselves from male veterans upon returning home,
but still connect with someone they could relate to on a veteran’s level. This
is a culturally distinct population, with its own stresses, for which social
support greatly impacts their physical and mental health outcomes. These
results have significant implications for health educators such as a need for
program development within public health departments and community
based organizations that build in social support structures; and training
for women’s health service providers to address the needs of this population. As increasing numbers of female veterans return home, essential
community health services and educators will need to be prepared to
effectively support them.
32. Assessing Intimate Partner Violence Among Iraq and
Afghanistan War Veterans and Their Significant Others
Authors: Anne Demers, EdD, MPH, Health Science Department at San Jose
State University; Elena Klaw, PhD, San Jose State University; Alea Gellman,
MPH Candidate, San Jose State University
Returning veterans from Iraq (OIF) and Afghanistan (OEF) wars are
struggling with myriad physical and mental health issues. Whether
they are diagnosed with a mental health disorder, or not, research
has shown that combat experience itself is related to increased risk
for anxiety, depression, and anger symptomology. Veteran’s anger, in
particular, is related to an increased likelihood of committing intimate
partner violence (IPV). The literature reveals very little about the current prevalence of IPV among this population. Using a mixed methods
approach, an electronic survey was designed and launched at two-year
and four-year colleges and universities throughout California. The goal
of this study was to gain a better understanding of the issue of intimate
partner violence among OIF/OEF veterans and significant others of
veterans. Results reveal a continuum of relationship behaviors – from
healthy, to unhealthy, to abusive – and data suggest that there is more
at play than the traditional explanations of power and control. Many
veterans have not been screened for and/or are not receiving services
for Post Traumatic Stress Disorder and are self-medicating with alcohol
and other substances. Veterans’ significant others are at a loss for how
to negotiate safe relationships. Recommendations include incorporating
military cultural competence training into more traditional curriculum,
programs, and service delivery.
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33. Internet Risk Behavior: Willingness to Engage
in Unsafe Sexual Behavior
achieved these results by employing the principles of Positives Youth Development coupled with the creative power of young people. This session
will demonstrate how Colorado youth are scaling new heights impacting
the health of their peers and their community.
Internet Risk Behavior: Willingness To Engage In Unsafe Sexual Behavior Type of presentation: Brief Individual Conference Theme: Key
Words: risk behaviors, unprotected sex, MSM, internet, social networks
Current research reports the prevalence of unprotected anal intercourse
among men who have sex with men (MSM) as being between 33% and
49%. Similar estimates of unsafe sexual practices are presented for men
who meet via internet social networks. The basis of these prevalence
estimates tends to be surveys, interviews and other self-report measures. The limitations of self-reported data in accurately estimating risk
behaviors has been investigated and explored extensively. However,
particularly with sexual behaviors, it often is the only practical and ethical option. This study utilizes a modified Observer Participant model to
assess the willingness of men interacting on a well known internet social
networking site to agree to engage in unprotected anal intercourse. An
ad was placed online in 16 cities nationwide, providing a description
and anonymous image of a fictitious 26 year old male. Responders to
the ad were sent an email indicating a willingness to meet and have sex,
but with a pre-condition that sex would be “bareback” (unprotected).
This study looks at the number of men agreeing to have unprotected
sex, as well as variables that were potentially related. Attractiveness of
the fictitious male, attractiveness of the respondents (when it could be
determined from pictures provided in responses), and size of city where
the ad was placed were analyzed. The results reflected a much higher
willingness to engage in unprotected sex, when responding to a specific
partner and situation than is reported in studies using self report measures. The implications of these findings for estimating potential prevalence of unprotected anal intercourse among MSM who meet online are
discussed. Variables which appear to be related to willingness to agree
to unprotected sex are also explored and the development of prevention
strategies are discussed.
35. Developing Cancer Education Curricula to Reduce Cancer
Disparities: Report on Process and Outcome From an Academiccommunity Partnership
Jorge Figueroa, PhD, Department of Health and Applied Human Sciences
University of North Carolina Wilmington; Nolan G. Heath, University of
North Carolina Wilmington
34. High School Youth Using Their Creative Voice
To Improve Community Health
Brenda Adjei, EdD, Intercultural Institute on Human Development and Aging; Tatiana Lee-Amaya, BA, Long Island University
U54 Comprehensive Cancer Partnerships are an NCI-funded initiative
intended to create sustainable research collaborations between Minority
Serving Institutions and Cancer Centers to reduce cancer disparities in
minority and underserved communities. The Long Island University/
Columbia University U54 Partnership serves this purpose by supporting
cancer research, training, and outreach initiatives that address cancer
disparities in Brooklyn’s and Northern Manhattan’s Caribbean immigrant communities. The Partnership’s Community Outreach Program
is currently collaborating with three community-based organizations to
design a training program for Community Health Workers (CHW) that
will prepare them to educate their clients about breast, cervical, colorectal and prostate cancer prevention and control and about participation
in clinical research. This study describes the collaborative development of
a training program for CHWs on colorectal and clinical trials education.
Based on the Health Belief Model, data were abstracted from 22 studies
on barriers faced by minority communities related to colorectal cancer
screening and clinical trials participation to stimulate focus group discussion (3 focus groups, n=18 CHWs) of and ideas to enhance the feasibility
and effectiveness of the curriculum. Supplemental materials will be developed to provide CHWs with the tools necessary to promote screening
and education. Results from this pilot study will include the curriculum
development process, formative research on barriers and related strategies,
an overview of the curriculum content and materials, as well as process
and outcome evaluation results (i.e. pre-post test knowledge and number
of educational sessions delivered by CHWs). As well these results will be
used to refine the curriculum and outreach program as well as enhance the
utility of this educational program for CHWs.
Samuel Wood, BA, MFA, Kaiser Permanente Educational
Theatre Programs; Brian Harper, BA, Kaiser Permanente Educational
Theatre Programs
36. Health Education in Practice: Applying
the Ecological Model to Healthcare Workforce Issues
Kaiser Permanente’s youth advocacy program, Teens Take It On, employs
cutting-edge strategies to address the social and physical determinates of
teens’ nutrition and physical activity choices. Additionally, the program
targets specific teen populations to achieve measurable outcomes. This sixweek high school residency program empowers high school students to
become advocates and peer-educators for healthy eating and active living.
Students use various forms of media to identify barriers to healthy behaviors for students, to challenge the status quo and to advocate for change.
This presentation will share the methods, strategies and successes of Teens
Take It On, highlighting the power of the youth voice to advance and sustain CDC and IOM recommended strategies to prevent childhood obesity.
During the last five years, the Teens Take It On program has successfully
changed health policy in four Denver metro schools. In one school district,
three school-based projects catalyzed major changes in school cafeteria
offerings, which will impact 84,000 students in 148 schools. Recently, a
Teens Take It On bilingual film promoting National Walk to School Day
walking to was seen by over 19,000 elementary, middle and high school
students in 8 school districts across the state of Colorado. Teens Take it On
Admittedly, a Workforce Investment Board (WIB) is not the first thought
to come to mind when considering health education. It’s more likely
that one’s first thought is “what is a WIB”? A WIB is a state and federally
funded organization with a main goal of preparing its local workforce
to meet workplace demands by conducting research on regional trends
or needs and providing career development training to job seekers as
well as incumbent workers. Although an oft overlooked institution, the
presentation will demonstrate how WIBs are excellent partners for creating strategic workforce solutions that address commonly aligned public
health and HP 2020 goals. Contemporary health promotion looks beyond individual health education; it endeavors to include change to organizational behavior change as well as physical and social environment
of communities. As a health educator, when looking to address specific
HP 2020 objectives, such as those that fall under Health Communication
and IT, Access to Health Services, Healthcare-associated Infections, and
Educational and Community-Based programs, one cannot overlook how
integral the healthcare workforce, and therefore related workforce issues,
Kari Simpson, MPH, CHES, NOVA
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is as part of the social and organizational environment. Through the
lens of the Ecological Model, one can apply multilevel interventions by
partnering with a WIB to address healthcare workforce issues and therefore larger public health objectives. A WIB is an institutional convener
(working with colleges, universities, and vocational training organizations, federal and state governments and governmental departments,
non-profit human services organizations, and local employers) and a
community convener (for youth, job seekers and local residents) that
allows one to intervene an interpersonal level through direct client counseling or a community level through research and application, social
networking facilitation, and policy advocacy. Yet, it is rare for healthcare
and health services organizations to seek out WIBs for partnering to
tackle tough health-centered objectives that can be addressed by a workforce perspective. The following will use NOVA’s, the northern Santa
Clara County-serving WIB, example of innovative healthcare workforce
research done in collaboration with union shops, private employers,
and universities; participation in employer and college advisory groups,
self-client driven education and programs, client training evaluation and
innovation, and direct client services of how various organizations can
partner strategically better deliver services in
a struggling economy and more effectively address public health goals.
37. “Sustainable Morehead”: Framing a Rural
Community’s Environmental Sustainability Mission within the
Community Coalition Action Theory to Improve Public Health
Kristi King, PhD, University of Louisville; Brittany Trentham, BS, University of Louisville; Emily Whitney, PhD, CHES, Southern Illinois University
at Carbondale
background: Increasing public awareness, strengthening community
capacity, and creating social and physical environments to improve public health are among several priorities of Healthy People 2020. Community coalitions with an environmental sustainability focus are excellent
venues in which public health educators can partner to support physical
activity, proper nutrition, and environmental education. “Sustainable Morehead” is a community coalition whose mission is “to further
sustainable living in the Morehead and surrounding Appalachian region
through education, demonstration projects, and activities that are based
on the interrelationship of personal, social, and environmental health.”
In order for public health educators to maximize their potential for collective coalition success, it is important to understand the development,
maintenance, and potential for institutionalization of these grassroots
organization efforts. Therefore, the purpose of this study was to examine
the formation and maintenance of an environmental sustainabilityfocused community coalition in a rural community within the context of
the Community Coalition Action Theory.
theoretical framework: The Community Coalition Action Theory
(CCAT), a type of interorganizational relations theory, served as the
theoretical framework for this study. The CCAT constructs qualitatively
examined were: stages of development, community context, convener
group, coalition membership, operations and processes, leadership and
staffing, structures, member and external resources, member engagement, assessment, intervention implementation, community change
measures, community capacity, and health and social outcomes.
hypothesis: Qualitative examination of “Sustainable Morehead’s”
strengths and limitations will provide coalition members direction for
coalition institutionalization.
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methods: Data collection methods included structured and semi-structured interviews, coalition online social networking content analysis,
meeting and event observation, and informal conversation. Subjects
included coalition members, key stakeholders, community gatekeepers,
and community members for which interventions were targeted.
results: Important emergent coalition strengths identified were:
1.) the importance of group consensus on issue selection, 2.) strong and
frequent participation of coalition members, 3.) clear goals and objectives, and 4.) clear intervention strategies for member engagement.
The need for 1.) identifying and securing external resources and 2.)
increasing community participation for targeted interventions were
areas for improvement.
conclusion and implications for practice: Examination and
application of the Community Coalition Action Theory constructs in
“Sustainable Morehead” demonstrate how community groups can partner
to achieve a common mission of improving environmental sustainability.
Understanding a community coalition’s mission, dynamics, and potential for institutionalization can aid a public health educator’s mission of
improving public health.
38. Environmental Health Knowledge, Attitudes, and
Behaviors of Pre-service Teachers
Dhitinut Ratnapradipa, PhD, CHES, Department of Health Education &
Recreation, Southern Illinois University; Darson Rhodes, PhD, CHES,
Department of Health Education & Recreation, Southern Illinois University; Joyce Fetro, PhD, CHES, Department of Health Education & Recreation,
Southern Illinois University; Stephen Brown, PhD,
Southern Illinois University
Since progress in improving environmental health has been mixed
(depending on the environmental issue), Developing Health People 2020
proposes 21 objectives related to environmental health. Research has
shown that personal health behaviors and actions established early in
life often are carried through adulthood. Thus, working with children to
increase environmental health literacy may improve the environmental
health literacy of future adults, potentially improving the health of the
Nation. Given the amount of time children spend in school, this setting
could be an ideal place to address environmental health with children.
According to social cognitive theory, learning takes place through
observation. Consequently, the environmental behaviors and attitudes
modeled by teachers would likely impact the environmental behaviors
and attitudes learned by students. Based upon social cognitive theory, a
research study including 101 pre-service teachers from a large Midwestern university was conducted to determine participants’ knowledge,
attitudes, and behaviors regarding environmental health. Researchers
hypothesized environmental health knowledge would be low (mean score
less than 80%) and multiple unfavorable behaviors or attitudes would be
reported. Results indicated major deficiencies in basic knowledge as well
as many unfavorable environmental behaviors. On average, participants
answered only 49.7% of knowledge items correctly. Fewer than half of
the participants (48.5%) indicated they knew the EPA’s webpage provides
information related to environmental health. Additionally, less than half
(46.0%) recycle bottles or cans “often” or “almost always.” Given these results, pre-service teachers are likely ill-prepared to address environmental
health literacy in their classrooms. Teacher education programs need to
address this deficiency in pre-service teachers through the implementation of new courses focused on environmental health or the redesign of
current courses to include environmental health content.
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39. Combined Use of Research-based Methods and
Community Outreach Approaches to Improve Respiratory
Health in Preschool Children
Michael Shakarjian, PhD, New York Medical College; Deborah Viola,
PhD, New York Medical College; Jean Hudson, MD, MPH, Orange County
Commissioner of Health; Amy Ansehl, RN, BSN, FNPC, New York Medical
College; Allen Dozer, MD, Health Center of the Hudson Valley, New York
Medical College; Robert Amler, MD, New York Medical College,
Peter Arno, PhD, Diane Heck, PhD
There is a paucity of research examining the impact of ‘no idling’
ordinances on ambient air quality near schools. Vehicle exhaust is the
leading source of toxic air pollution for most communities in the Lower
Hudson Valley (LHV) of New York State, and a single vehicle used
to commute children to school contributes 3 pounds of air pollution
monthly. Studies demonstrate that initial incidents of asthma develop
before age 5, suggesting that preschool years mark the critical period for
development of the disease and that prevention be focused at this age
group. We hypothesize that parents, educators and community leaders
are not aware that automobile exhausts from delivering and retrieving
children have a significant impact on the quality of outdoor and indoor
ambient air at school facilities. We are analyzing the baseline levels of
asthma triggering contaminants of automobile and bus exhaust (sulfur
dioxides, nitrogen dioxide, ozone, and particulates) at three preschool
facilities in Orange County, NY, to develop a community-based effort to
incorporate a ‘no idling’ policy as part of their environmental program.
This research is motivated from SPARCS data demonstrating high asthma hospitalization rates for children in the LHV. For preschoolers, these
rates are higher in some counties (ex. 40.1/10,000 for Orange County)
than they are in NYC, and for the region are higher than Healthy People
2020 goals (25/10,000). The objectives of this research are threefold:
first, to document automobile and bus traffic and determine the levels of
asthma-triggering contaminants of exhaust at three preschools. Second,
we are raising awareness of the effects of car idling through advocacy. A
steering committee of school representatives and community leaders are
relying upon well-established local social networks to change behaviors
by presenting results of the baseline exhaust assessment. The framework
for action and change is based on theory developed by Everett M. Rogers that diffusion of innovations spreads via channels of communication
developed by social members. Third, a no-idling resolution will be presented to the local town board for approval. A follow-up study measures
changes in exhaust levels and community compliance as a result of the
no-idling policies at these three sites. Our goal is to incorporate translational research components of moving population studies into the
community research process in the longer term. This effort will not only
contribute to the existing research, but will be available as a template for
other communities to apply towards reducing vehicle exhaust.
40. The Effects of Projectpower Diabetes Education
Program on Adult African American’s Diabetes Knowledge,
Empowerment, and Readiness to Change
Sherry Grover, PhD, Ashford University
The primary purpose of this study was to assess whether a faith-based
diabetes education program (ProjectPower) would significantly influence African American’s knowledge, readiness to change, and feelings of empowerment about diabetes care. The DHHS has outlined
17 diabetes-related objectives aimed at improving diabetes diagnosis
and care nationally. The first objective is to “increase the proportion
of persons with diabetes who receive formal diabetes education” from
48% in 1998 to 60% in 2010. A secondary purpose of this study was to
examine the ecological factors that would affect knowledge, readiness
to change, and feelings of empowerment about diabetes care. For this
presentation, only open-ended questions will be discussed. Open-ended
questions, rooted in the Ecological Model, were used to assess barriers
to diabetes care and behavior change. The Ecological Model proposes
that people are affected by intrapersonal, interpersonal, community and
policy influencers. Although the responses to the open-ended questions
were very brief, the intrapersonal influencers mainly guided the use
of the model and the thoughts of participants in this study. In order to
conduct the study, a volunteer convenience sample of 48 church members, family and friends participated in the study. The inclusion criteria
were: African American male and females ages 18 years and older that
lived in Houston/Harris County, Texas and surrounding areas. Those
with or without diabetes participated. The majority of the participants
were female (79.2%), and 20.8% were males. Participants were, on average, 60 years of age (M = 60.52, SD = 15.00) and ranged from 18 years
to 82 years of age. The study used a pre-test/post-test survey design that
included both open-ended and closed-ended questions. Participants
were tested both before and after a three-module workshop. Participants were also invited to participate in a one-month follow-up survey.
Data analyses included frequencies, ANOVA, and Pearson’s Product
Moment correlations. Results indicated that the diabetes knowledge test
scores were significantly higher at the time of post-test compared with
results at the time of pre-test, while neither the readiness-to-change
scores nor the diabetes empowerment change scores were significantly
different between the pre-test and post-test. One response related to the
interpersonal influencer and several positive comments regarding the
program itself were made.
41. Reliability and Validity of the Women’s Health Survey (WHS)
– a Tool Assessing American Indian (AI) Women’s Motivation to
Get a Screening Mammogram
Eleni Tolma, PhD, Health Promotion Sciences, University of Oklahoma
Health Science Center; Robert Hamm, PhD, University of Oklahoma
Health Science Center; Chasity Battertom, MHA, University of Oklahoma
Health Science Center, David Thompson, PhD, University of Oklahoma,
Health Science Center
background: Despite efforts to promote breast cancer screening, the
number of Oklahoman women who died from breast cancer during
the last two decades did not substantially change, and women of ethnic
minorities were disproportionally under-screened. This study describes
the development of an instrument designed to measure the motivation of
American Indian (AI) women to get a regular screening mammogram.
The study took place at a tribal clinic in Oklahoma.
theoretical framework: This consists of an expanded theoretical
framework of the Theory of Planned Behavior (TPB) with constructs relevant to mammography screening (i.e. self-efficacy, perceived susceptibility to breast cancer, fatalism) and to the (AI) culture (i.e. cultural norms).
hypothesis: No hypothesis is tested here. methods: The methodological design consisted of 8 major steps: a) review of the published
literature to identify beliefs relevant to AI women’s mammography
behavior and to the constructs of the TPB; b) performance of 9 key
informant interviews with breast cancer survivors and clinic representatives; c) performance of elicitation interviews with 24 women of the
priority population followed by 2 focus groups; d) transformation of the
elicitation beliefs into complete item statements and development of the
first draft of the Women’s Health Survey (WHS); e) review of the WHS
by a panel of 5 experts; f) qualitative review of the survey with 2 focus
group discussions (n=6); g) pilot-testing of the instrument with a repres o p h e co n f e r e n c e
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sentative sample of the priority population (n=34); h) evaluation of the
performance of the instrument in a prospective study through the use
of random sampling (n=162). The study population consisted of women
40-65 years old who were due for a mammogram 6 months at the time
of the study. Factor analysis was performed using principal components
analysis extraction and varimax rotation. Internal consistency of all
factors was assessed using the standardized Cronbach’s coefficient alpha.
results: Cronbach’s alphas on the sample ranged from 0.65 to 0.96. A
majority (14 of 15) alphas were above 0. 70. The final results yielded 15
constructs assessed via a total of 79 items.
conclusion: The WHS is a reliable and valid instrument that measures AI women’s motivation to get a screening mammogram. The use
of a sound methodology through qualitative and quantitative research
enhanced the psychometric properties of the survey. Implications for
practice: The results obtained through the administration of the WHS
can be used in the development of theory-based interventions to promote mammography screening among AI women.
42. Maternal Smoking and Adverse Birth Outcomes
Akila Pasupulati, MPH Candidate, Western Kentucky University
Smoking among women is of great concern today because of the adverse outcomes in newborns whose mothers smoke during the prenatal
period. It is of great concern that high percentage of smokers is among
pregnant women and women of childbearing age (Kentucky epidemiological notes, 2003).Smoking are a serious public health problem in
Kentucky. In 2001, Kentucky led the 50 states in the percentage of current smokers, 30.9% (Kentucky epidemiological notes, 2003). Mothers
who smoke increase the risk for their infants to suffer from low birth
weight, intrauterine growth retardation, various respiratory diseases
and infant mortality (Kentucky epidemiological notes, 2003). The
prevalence of smoking among women of childbearing age has increased
over the past decade. Data from 2001 BRFSS ranks Kentucky second in
the nation for percentage of women of age 18-44 years who smoke.
The main aim of the research proposal is to identify the group of women at maximum risk to have adverse outcomes in pregnancy and design
an intervention to reduce smoking control any co variants associated
with smoking during pregnancy thus decreasing neonatal mortality and
morbidity. The results of the analysis from the secondary data set will
help make recommendations to target the women at maximum risk to
have adverse birth outcomes related to smoking and associated factors.
Any measured outcomes will be evaluated to determine the success of
the proposed recommendations.
43. Developing Picture-Based Environmental Health Education
Materials for Refugees: Lessons Learned
Xanthi Scrimgeour, MHEd, CHES, Principal, CommunicateHealth, Inc.;
Stacy Robison, MPH, CHES, CommunicateHealth, Inc.
Refugee children are twice as likely as children born in the United States
to have elevated blood lead levels. Moreover, recent immigrant and
refugee populations have unique information needs when it comes to
childhood lead poisoning prevention. As a result, both the message
and the presentation of environmental health information need to be
tailored to reach these at-risk communities. To assist resettlement workers and service providers in educating refugees about lead poisoning
prevention, the authors followed an iterative design process to develop
picture-based materials that could be used with refugees in a classroom,
health clinic, home visit, or one-on-one educational setting. The authors
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will briefly describe the iterative design process and its relevance for
health education practice. The presentation will include an overview
of the lessons learned from individual interviews with refugee resettlement workers and focus groups conducted with refugees from Bhutan,
Burma, Somalia, and Russia.
44. Feasibility of Biochemical Validation in Self-reported
Smoking Behavior Among College Students
Devan Romero, MS, DrPH, CHES, Loma Linda University
School of Public Health
background and theoretical framework:
Self-reported smoking and saliva cotinine in college students were
compared and the feasibility of biochemical assay collection in a crosssectional research. Saliva cotinine is primarily tested in current smokers; therefore this study sought to test a random sample of all smoking groups identify actual nicotine exposure. The Theory of Triadic
Influence was used as the guiding theoretical framework suggesting a
comprehensive assessment of smoking behavior is used in young adults.
methods: A random sample of 50 college students were selected from
a larger study (N = 490) at a Southwestern University. Participants
completed an anonymous survey reporting characteristics of smoking
behavior and cigarette exposure. Nicotine exposure was tested by testing saliva samples using a cotinine detection strip. A positive cotinine
test was categorized as level 1-6 and a negative result was zero. We
hypothesized that students who report current smoking would result in
positive cotinine exposure level.
results: Thirty-two of the 50 test strips resulted in a readable exposure
level, 18 were excluded and deemed inconclusive. The results of the cotinine exposure tests resulted in 37.5% scoring “0”, 53.1% “1”, 3.1% “2”,
and 6.3% “3”. Of the 32 participants, 28.1% were classified as current
smokers and 71.9% were nonsmokers. Most participants stated they
were not smokers (93%); however, 12.5% reported smoking in the past
30 days, 18.8% more than 30 days ago, none reporting quitting. Fortythree percent smoked yesterday and 50% of these participants tested at a
level 1, 7.1% at a level 3 and 42.9% at 0.
conclusions: The results of saliva cotinine exposure were inconclusive
and the sample size did not adjust for the amount of invalid tests. A
majority of current smokers did not test positively for cotinine exposure
and a third who did, were nonsmokers. Almost half who reported
smoking yesterday did not have a positive exposure, indicating insensitivity of the test. Either nonsmokers that tested positive to cotinine
exposure are not accurately reporting their smoking behavior or have
been exposed to secondhand smoke.
implications: Biochemical validation in this study did not increase the
validity of self-reported smoking and a larger sample size is needed to
achieve a valid number of tests. This test was not cost effective or feasible
for limited budgets given the large amount of inconclusive tests. Future
studies testing for cotinine exposure should account for the possibility of
inaccuracy in self-reported smoking and exposure to secondhand smoke.
45. Using the Theory of Planned Behavior to Predict
Safer Sexual Behavior in Ghanaian Immigrants in a Large
Midwestern City in the U.S.
Matthew Asare, MBA, PhD Candidate, University of Cincinnati
Ghanaian immigrant population in the United States is at a high risk for
developing HIV/AIDS. The purpose of this study was to use the Theory
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of Planned Behavior to predict safer sexual behavior among Ghanaian
immigrants in a large Midwestern city in the United States. A 55-item
questionnaire was developed and tested for validity (face, content, and
construct) and reliability (stability and test-retest). A total of 137 Ghanaian immigrants completed the questionnaire. The constructs of perceived behavioral control (p<0.001) and subjective norm (p<0.001) were
significant predictors for intention to use condoms and they accounted for
38% of the variance. Behavioral intention for condom use (p<0.001) was
the significant predictor for condom use and it accounted for 21% of the
variance. Health education interventions based on constructs of theory of
planned behavior must promote consistent and correct use of condoms in
this target population.
46. Re-examining the Language and Meanings of
HIV and AIDS in South Africa
Yewande Sofolahan, BS, Pennsylvania State University;
Collins Airhihenbuwa, PhD, Pennsylvania State University
introduction: That HIV and AIDS disproportionately affect people
in South Africa is a well established fact. There is a need to focus more
attention on cultural meanings of stigma related to HIV and AIDS so as to
better understand the contexts for intervention. The present study explores
the language used to express HIV/AIDS stigma in Limpopo.
methods: A total of 80 participants participated in 9 focus group interviews on factors related to HIV and AIDS stigma in South Africa. This
study is part of a capacity building research project on HIV/AIDS stigma
in South Africa based on the PEN-3 cultural model.
results: The findings of this study revealed that participants referred to
HIV as makgoma, a form of “social pollution.” They described makgoma using language which reflects divergence between biomedical explanations of
HIV causation and traditional beliefs surrounding death and witchcraft. The
findings revealed that there is no general consensus as to specifically how
makgoma represents stigma related to HIV and AIDS.
conclusion: Our findings revealed gaps in the interpretation of
languages and beliefs between community members and healthcare
workers. Thus a culturally based intervention that applies to a diverse
population needs to be applied to better understand interpretations of
HIV and AIDS stigma in South Africa. We conclude that understanding cultural interpretations of stigmatized conditions such as HIV and
AIDS are the key to effective interventions.
47. Pregnancy Prevention for Latina Youth
Gina Harris, BA, Friends First: A Healthy Choice
background: The Quinceañera Program is a healthy relationship
& communication program for Hispanic youth ages 12-15 and their
parents and family. It gives the participants a chance to reflect on what
a quinceañera means as a rite of passage. Participants explore topics
including character development, love, dating, and relationships, peer
pressure and refusal skills, goal setting, healthy choices, communication
with their parents and peers, consequences to early sexual involvement,
and benefits of delayed sexual activity.
theoretical framework: The Quinceañera Program implements a
whole-person format based on the frameworks of social learning theory,
character education and positive youth development. It was developed as
a culturally relevant way to address the high teen pregnancy rate among
Hispanic youth. The program offers prevention education through the
unique avenue of the quinceañera rite of passage for Hispanic young
women, refocusing the young women & their families on the original
meaning of the quinceañera ceremony.
objectives: HP 2010 Objectives 9-8, 9-9, 9-11, and 25-11 were met
through the implementation of the Quinceañera Program. The specific
objectives of this independent program evaluation were: 1) Participants
who receive the program will demonstrate greater gains in abstinence
intentions, parental support, refusal skills, parent/child quality of communication, and knowledge of avoiding pregnancy and STDs/STIs, and 2)
Immediately after participation, participants will be more likely to practice
or reestablish sexual abstinence than youth not receiving the program.
intervention: Fifteen Hispanic young women (ages 12 – 15 years)
and their parents were served at each of six treatment sites with eight
weekly, 3-hour lessons on healthy choices and relationship education.
In addition, each youth was required to complete 10 hours of
community service.
evaluation measures & results: Pre-and post-program questionnaires were given to youth and their parents. The measures on the
questionnaires were previously validated to assure valid, reliable data. T
tests showed the program group at post-test was significantly improved
from the pretest in the following areas: Abstinence intentions (p=.006);
Support from parent (p=.0001); Parent comfort talking to child about
abstinence (p=.001); Parent talked to child about abstinence (p=.016);
and Parent/child quality of communication (p=.004). Parent/Child
quality of communication significantly improved (eta effect size = .31)
from being in the program group (vs. the control group) F (1,67) = 6.92,
p = .01. The qualitative interviews triangulated the quantitative results,
which show the ability of the program to improve the quality of parentchild communication.
48. How We Can Move Toward Reducing Injuries
and Mortality from Motor Vehicle Crashes
Michael Sabol, MPH, Research Analyst, Traffic Safety Policy
Injuries and deaths resulting from motor vehicle crashes on our Nation’s
highways affect millions of motorists, passengers, bicyclists and pedestrians each year and are a significant public health issue. Motor vehicle
crashes are the leading cause of death for Americans ages 1-34 and
account for over 37,000 deaths each year. The good news is that most of
these deaths and injuries are preventable. This presentation will highlight
what has helped us move toward the Healthy People 2010 goals and what
new methods we may need to adopt to continue our progress. Over the
past decade there have been also been many improvements in motor
vehicle safety involving the vehicle, road and the driver. Vehicle technology has improved, our roads have become safer and drivers are better
equipped at managing the task of driving and operating our vehicles. Air
bag technology has become standard, road barriers have improved and
are reinforced to keep cars from leaving the roadway and drivers have
adapted to more traffic and technology behind the wheel to improve
safety. Strategies such as education campaigns, laws and legislation and
changes in public opinion and acceptance have helped to reduce motor
vehicle crash-related injuries and deaths. Seat belt use has increased to
over 80% in the U.S. Child and booster seats have been widely accepted
and teen drivers have become safer due to stronger GDL laws now in all
states. Yet, there are still thousands of deaths and millions of injuries on
our roads, and much more work to do to realize the Healthy People 2020
goals ahead of us. Drivers still drive drunk, people still drive unbelted
and do not restrain their children, and new distractions are present
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57
✯
Poster Abstracts
✯
behind the wheel. A challenge is presented to us to make further reductions in motor vehicle safety because if we keep doing the same thing,
we’ll get the same result and our goals will not be achieved. We must
realize that new strategies and ways to educate the public are needed. A
shift in our safety culture and ways to harness technology needs to occur
to help guide us in the decade ahead and beyond. Our safety on our
Nation’s highways is being compromised every day and this presentation
will discuss some of the strategies being used to help keep all of us safe
behind the wheel and improve safety for all Americans.
49. Motor Vehicle Crashes and Adverse Maternal
Outcomes in North Carolina
Catherine J. Vladutiu, MPH, Department of Epidemiology, Gillings School of
Global Public Health, University of North Carolina at Chapel Hill; Charles
Poole, ScD, Department of Epidemiology, Gillings School of Global Public
Health, University of North Carolina at Chapel Hill; Stephen W. Marshall,
PhD, Department of Epidemiology, Gillings School of Global Public Health,
University of North Carolina at Chapel Hill; Carri Casteel, PhD, Department of Epidemiology, Gillings School of Global Public Health, University
of North Carolina at Chapel Hill; Mary K. Menard, MD, Department of
Obstetrics & Gynecology, School of Medicine, University of North Carolina
at Chapel Hill; Harold B. Weiss, PhD, Department of Preventive and Social
Medicine, Dunedin School of Medicine, University of Otago
background: Motor vehicle crashes during pregnancy are the leading
cause of maternal morbidity and mortality in the United States. Very little
is known about the circumstances surrounding these crash events and the
maternal characteristics that may increase women’s vulnerability to crashrelated injuries during pregnancy. Only a few population-based studies
have examined maternal and fetal outcomes following crashes. However,
many of these studies used hospital data and were able to capture only the
most severe crashes. This study aims to estimate the incidence of motor
vehicle crashes during pregnancy, the incidence of crash-related maternal
injuries, and the prevalence of seat belt use in all reported crashes during
pregnancy in North Carolina.
hypothesis: Based on the crash fatality rate of women in North Carolina
and findings from other state-based research, we hypothesized that 3-4%
of pregnant women would be in a motor vehicle crash in North Carolina
between 2001 and 2008. We further hypothesized that the majority of
these crashes resulted in no or minor injuries and that unbelted pregnant
women sustained more severe injuries than belted pregnant women.
methods: Motor vehicle crashes during pregnancy were examined
retrospectively in a cohort of 952,602 singleton live births and fetal deaths
among pregnant women aged 16 to 44 in North Carolina between 2001
and 2008. Probabilistic record linkage was used to identify women and
fetuses who were in a crash during pregnancy by merging live birth and
fetal death records with police-reported motor vehicle crash records.
Descriptive analyses were used to assess the distribution of maternal and
crash characteristics.
results: Between 2001 and 2008, approximately 3% of women in North
Carolina whose pregnancy resulted in a live birth or fetal death were in a
crash during pregnancy. The majority of these women were 25 to 34 years
old, non-Hispanic White, married, high school graduates, and did not use
tobacco or alcohol during pregnancy. Approximately 53% were not injured,
38% sustained minor injuries, and 9% were moderately or severely injured as
a result of the crash. Less than one percent sustained fatal injuries. Ninetysix percent were wearing a seatbelt at the time of the crash. Injury severity
differed by belt use such that a higher proportion of unbelted women sustained moderate or severe injuries (27%) compared to belted women (8%).
58
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conclusion: Despite the relatively high proportion of pregnant women
in crashes who used seat belts, approximately half sustained injuries.
Maternal injuries can adversely affect the health and survival of the fetus
and further analyses should assess the impact of crashes and subsequent
injuries on fetal outcomes.
implications for practice: Pregnant women should continue to
receive prenatal counseling about the risk of motor vehicle crashes
during pregnancy and the importance of seat belt use to prevent harm
to themselves and their fetus. Routine linkage of police-reported crash
records with live birth and fetal death records would facilitate research
on the effect of crashes during pregnancy and help raise awareness of
this important issue.
50. Healthy Homes Pilot Project to Prevent
Childhood Exposure to Indoor Environmental Hazards in
Los Angeles County
Brittany N. Morey, MPH Candidate, UCLA
Children living in low quality housing are at greater risk of disease and
injury caused by indoor environmental hazards, such as: lead, mold,
asbestos, pests, dust, allergens, poison, chemicals, radon gas, and sources
of injury. Chronic exposure to these hazards causes poor health outcomes, including brain and nerve damage, lead poisoning, lung cancer,
behavior problems, learning problems, asthma, allergies, slowed growth,
unintentional injury, and even death. The Healthy Homes Pilot Project
is a partnership between the Los Angeles County Department of Public
Health’s Childhood Lead Poisoning Prevention Program and the faithbased organization, Kingdom Causes. The goal of the Healthy Homes
Pilot Project is to prevent childhood exposure to indoor environmental
hazards in the California cities of Monterey Park and Alhambra. The
project coordinator provided skill-building workshops for local community organizations and family service providers. Parents and childcare
providers were encouraged to attend workshops to learn how to prevent
children from being exposed to hazards in the home and at childcare
centers. As a result, over 60 families and childcare providers received
training. Pretests and posttests show an increase in knowledge about
childhood lead poisoning prevention and healthy homes topics amongst
workshop attendees. Providing parents and family service providers with
healthy homes knowledge and skills is necessary to prevent childhood
disease, unintentional injury, and death. Healthy Homes Workshops are
an effective means to motivate and educate communities about indoor
environmental hazards.
✯
Poster Abstracts
✯
51. Gender Differences in Motivational Tendencies
for Physical Activity
Valerie Lozano, BS, New Mexico State University;
Rebecca Palacios, PhD, New Mexico State University
background: The Behavioral Approach System (BAS) and the
Behavioral Inhibition System (BIS) are two physiological systems that
direct most human behavior. The BAS activates behavior in response to
stimuli signaling reward and the BIS inhibits behavior in response to
stimuli signaling punishment. Research has shown that individuals vary
in their BIS and BAS tendencies and that these tendencies are differentially related to risk behaviors. This study examined the relationship of
approach and inhibitory tendencies to physical inactivity, a risk behavior
for obesity.
methodology: One hundred and sixty four college students, 24% male
and 53% Hispanic, completed a survey assessing motivational tendencies
toward physical activity. The survey included 4 BAS related subscales
(Drive, Sensation Seeking, Reward, and Positive Emotion) and 3 BIS
related subscales (Punishment, Non-reward, and Negative Emotion).
results: Most respondents ate 1 or 2 cups of fruits and vegetables per
day during their pregnancy and felt that this amount was adequate.
Burmese women perceived high cost (70%) and unavailability (33.3%)
as the major barriers preventing them from eating fruits and vegetables.
American (48%), Spanish (42.4%) and Bosnian (40%) women felt
that lack of time was the major hindering factor. Burmese (87%) and
Spanish speaking women (76%) ate fruits and vegetables because they
were healthy; Bosnian (90%) and American (83%) women because they
liked their taste. Most immigrant women wanted to receive educational
materials on eating more fruits and vegetables.
conclusions: Healthy People 2010 recommends eating at least 2 cups
of fruits and 3 cups of vegetables per day. Results indicate that most
women ate too few fruits and vegetables during their pregnancy.
This presentation will provide information on how to tailor an
intervention and develop materials to better meet the needs of immigrant and non-immigrant WIC women.
results: A 2 x 2 research design with gender and ethnicity as independent variables and 7 motivational subscales as dependent variables was
used. MANOVA identified significant gender effects for the BAS subscales of Reward (p < .05) and Drive (p < .01) and for the BIS subscale of
Negative Emotion (p < .05). Male college students rated greater Reward
and Drive for physical activity compared to female students. In contrast
females rated greater Negative Emotion for physical activity than males.
No significant Ethnicity effects were identified. The relation of these
tendencies to actual physical activity and BMI are further examined.
discussion: This study found that men exhibit more appetitive tendencies and women exhibit more inhibitory tendencies for exercise.
52. Fruit and Vegetable Consumption Among
Immigrant and Non-immigrant Women Served by WIC in
South Central Kentukcy
Pragati Gole, MD, Western Kentucky University; SK Varun
Malayala, MBBS, Western Kentucky University
background: The recent influx of immigrants from Burma, Bosnia,
Mexico, El Salvador and other countries to the United States has created
awareness among public health professionals to understand the dietary
preferences of these groups. Research has not focused on dietary intake
of immigrant populations.
purpose: The purpose of this study was to assess dietary patterns of
immigrants and non-immigrants served by the WIC (Women, Infant,
and Children) program and residing in South Central Kentucky.
The study proposed to identify intake of fruits and vegetables during
pregnancy, perceptions of fruits and vegetable intake during pregnancy,
consumption preferences, and barriers and promoting factors regarding
fruit and vegetable consumption.
methods: The study utilized a cross-sectional research design. Post
partum women attending the WIC clinic completed a 17-item selfadministered survey. This questionnaire incorporated constructs from
the Social Cognitive Theory and the Theory of Planned Behavior. It was
first developed in English and then translated into Burmese, Spanish
and Bosnian. The survey was administered following approval from
the Institutional Review Board. Respondents included women from
the United States (n=100), Burma (n=30), Mexico and South America
(n=33), Bosnia (n=10), and from other countries (n=7).
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59
Poster
Promenade
✯
2010
SOPHE
Awards
✯ ✯
poster promenade –
new early riser session
sat / nov 6 / 7:30 am – 8:15 pm
The Poster Promenade highlights twelve selected posters that have been
grouped into three categories. Each group will provide a 45 minute
guided discussion tour of four posters. Choose one group based on your
topic of interest to participate in as you enjoy your morning coffee.
(CECHs credits provided)
College Health:
•Poster 3: Using Digital Storytelling Projects to Promote Health
•Poster 13: Theory of Planned Behavior Based Predictors of Sleep
Intentions and Behaviors in Undergraduate College Students at a
Midwestern University
• Poster 8: Reaching the Optimum Potential of Distance Learning in
Health Education through Properly Marketing Non-traditional
College-level Courses
• Poster 11: Communicating H1N1 Risk to Hispanic
College Students
Health Disparities:
• Poster 47: Pregnancy Prevention for Latina Youth
• Poster 40: The Effects of ProjectPower Diabetes Education Program
on Adult African Americans’ Diabetes Knowledge, Empowerment,
and Readiness to Change
• Poster 43:Developing Picture-Based Environmental Health Education Materials for Refugees: Lessons Learned
• Poster 52:Fruit and Vegetable Consumption among Immigrant and
Non-immigrant Women Served by WIC in South Central Kentucky
Web/Internet:
• Poster 22: Training Future Health Leaders in Cultural Humility and
Competency: Lessons Learned From Developing and Teaching a
Multi-disciplinary Hybrid Online Course and Modules for Public
Health and Health Services Students
• Poster 25: Publishing an Undergraduate Project on the Web:
• Poster 30: Advocacy 2.0: Using Web 2.0 to Advocate for
the Profession
• Poster 33:Internet Risk Behavior Willingness to Engage in
Unsafe Sexual Behavior
60
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✯
2010
SOPHE Awards✯ ✯
Schedule-at-a-Glance
✯✯
time
THURSDAY | NOVEMBER 4
event
room
7:30 am - 6:00 pm
Registration/Hospitality/CHES Desk Open
Central Registration
8:00 am - 11:00 am
SOPHE House of Delegates Meeting
Colorado G-H
11:00 am – 6:00 pm
SOPHE Board of Trustees Meeting
Mattie Silks
1:00 pm – 5:00 pm
PRE-CONFERENCE SKILL-BUILDING WORKSHOP I: Evaluation: A Key Tool to the Trade
Molly Brown
2:00 pm – 5:00 pm
RE-CONFERENCE SKILL-BUILDING WORKSHOP II:
P
The Spirit Health Resides in the People of the Land: Healing Our Community
Matchless
3:00 pm – 7:00 pm
Resource Room & Poster Set-Up
Colorado A-D
6:00 pm – 9:00 pm RE-CONFERENCE SKILL-BUILDING WORKSHOP III: Is Your Health Web Site
P
Easy to Use? Strategies for Improving Health Literacy and the Web
Molly Brown
6:00 pm – 9:00 pm PRE-CONFERENCE SKILL-BUILDING WORKSHOP IV:
The Future is in your Hands: Key Components of Professional Preparation and Success
Denver 3
6:00 pm – 8:00 pm PRE-CONFERENCE SKILL-BUILDING WORKSHOP V: SABPAC 101: For Faculty and Practitioners
Gold Coin
6:30 pm – 8:30 pm
National SOPHE Leadership Orientation
Nat Hill
time
FRIDAY | NOVEMBER 5
event
room
7:00 am – 6:00 pm Registration/Hospitality/CHES Desk
7:00 am – 7:45 am
Wellness Challenge
Hotel Lobby/Gold Coin
7:00 am – 8:15 am SOPHE Member Orientation & Meeting Mentoring Kick-off Colorado G-H
7:00 am – 8:15 am SOPHE 2011 Annual Meeting Planning Committee Meeting
Saratoga
7:00 am – 8:15 am
SOPHE Communities of Practice Chairs Meeting:
Addressing the Social Determinants of Health
Mattie Silks
8:30 am – 5:00 pm
CHES Lounge & Clinic (All Welcome)
Matchless
8:30 am – 8:00 pm
Resource Room, Career Center & Posters Open
Colorado A-D
8:30 am – 8:45 am
Opening Remarks/Welcome
Colorado E-F
8:45 am – 9:15 am
S OPHE Presidential Address: Addressing the Social Determinants of Health
Diane Allensworth, PhD, 2009-10 SOPHE President and
Centers for Disease Control and Prevention
Colorado E-F
9:15 am – 10:00 am LENARY SESSION I- Healthy People Objectives for the Nation: P
J. Michael McGinnis, MD, MPP, Institute of Medicine
Colorado E-F
10:00 am – 10:30 am Break
Colorado A-D
10:30 am – 11:45 am CONCURRENT SESSIONS - A
• Clearing the Smoke: Looking Back, Looking Forward at Healthy People Objectives
• Innovative Uses of Health Education and Promotion Theory
• Electronic Media: New Avenues for Reaching Healthy People Goals
• Mile High Strategies for Professional Preparation in Health Education
• Diversity in Action: Addressing the Needs of Immigrants and Special Populations Colorado E-F
Colorado I-J
Denver 5-6
Nat Hill
Colorado H-G
11:45 am – 12:15 pm
Box Lunch Pick-Up
12:00 pm – 1:00 pm SOPHE Communities of Practice Roundtable Luncheons
Colorado E-F
12:00 pm – 1:00 pm SOPHE Continuing Education Committee Meeting
Matchless
✯
n ove m b e r 4 - 6 , 2 0 10
61
2010
SOPHE Awards✯ ✯
✯✯
time
event
room
1:15 pm – 2:30 pm CONCURRENT SESSIONS - B
• Reach and Recovery: Strategies and Interventions for High Risk Adolescents
• Challenges in Health Education: Building Professional Identity
• Community and Population Health: Challenges for a New Decade
• A Health Educator’s Call to Action: Emergency Preparedness and Response
• Healthy Faculty 2020 and Beyond: Commitment to Health for All
2:30 pm – 3:00 pm
Break
Colorado A-D
3:00 pm – 4:15 pm CONCURRENT SESSIONS - C
• Health Education Quality Assurance: A Recipe for Excellence
• Shifting the Paradigm: Utilizing Innovative Policy Strategies for Improvements in Chronic Disease
• Promising Directions in Nutrition and Wellness Promotion
• College Health: Emerging Trends Among the Millennial Generation
• Novel Uses of Electronic Media: Adapting to Diverse Audiences
Colorado I-J
Nat Hill
Colorado E-F
Denver 5-6
Colorado G-H
4:30 pm – 6:00 pm PLENARY SESSION II – Healthy People 2020: Mile High Expectations
Panel Presentation: Shiriki Kumanyika, PhD, MPH, University of Pennsylvania School of Medicine
Rear Admiral Penelope Slade-Sawyer, PT, MSW, Office of Public Health and Science,
DHHS Office of the Secretary; Doug Evans, PhD, The George Washington University
Colorado E-F
6:00 pm – 8:00 pm Opening Gala Reception and Poster Session with Authors
Colorado A-D
time
7:00 am – 3:45 pm SATURDAY | NOVEMBER 6
event
Registration/Hospitality/CHES Desks
room
7:00 am – 7:45 am
Wellness Challenge
Hotel Lobby/Gold Coin
7:00 am – 8:00 am
Continental Breakfast
7:00 am – 8:15 am EARLY RISER SESSIONS
• Holistic Approach to Health: The Mind Body Connection
• Critical Thinking: A Necessary Life Skill for Leadership
Matchless
Molly Brown
7:00 am – 8:15 am
SOPHE Faculty Community of Practice
Colorado G-H
7:00 am – 8:15 am
SOPHE Student/New Professional Community of Practice
Colorado I-J
7:00 am – 8:15 am SOPHE Publications Committee Meeting Denver 2
7:00 am – 8:15 am
SOPHE 2011 Mid Year Meeting Planning Committee
7:30 am – 8:15 am SOPHE New! Poster Promenade
Colorado A-D
8:00 am – 2:00 pm Resource Room, Career Center & Posters Open
Colorado A-D
8:30 am – 9:45 am CONCURRENT SESSIONS - D
• SOPHE Student Fellowship Presentations
• Healthy Aging: Living Long, Living Well
• Scaling New Heights in Health Education Leadership: Revisiting Our Past to Inform Our Future
• Food for Thought: Examining Connections Between Nutrition and Disease Prevention
• Innovative Approaches to Health Communication: A Look at Photoactive and Digital Storytelling
Colorado I-J
Mattie Silks
Colorado E-F
Molly Brown
Colorado G-H
Break
Colorado A-D
PLENARY III - Elizabeth Fries Health Education Award & Lecture Conquering Cancer in the 21st Century
John Seffrin, PhD, American Cancer Society
Colorado E-F
PLENARY IV - SOPHE 2010 Honorary Fellow Lecture
Implementation Disorders: Diagnosis and Treatment
David S. Sobel, MD, MPH, Kaiser Permanente Northern California
Colorado E-F
SOPHE All Member Business Meeting & Luncheon
Colorado G-J
9:45 am – 10:00 am 10:00 am – 10:45 am
10:45 am- 11:30 am
11:45 am – 12:45 pm 62
✯
n ove m b e r 4 - 6 , 2 0 1 0
Nat Hill
Colorado I-J
Colorado E-F
Colorado H-G
Denver 5-6
Denver 1
✯
time
1:00 pm – 2:00 pm
2:00 pm – 2:15 pm
2:15 pm – 3:30 pm
2:30 pm – 3:30 pm
2:30 pm – 5:00 pm
2:30 pm – 5:00 pm
2:30 pm - 5:00 pm
5:00 pm – 6:00 pm
6:00 pm – 9:00 pm
9:00 pm – 10:00 pm
✯
event
PLENARY V: Reaching the Healthy People Summit: Elevating Health Education Prominence
in US Public Health Policy and Practice
Lawrence W. Green, DrPH, University of San Francisco and Respondents
Concluding Remarks
Posters, Resource Room Break Down The National Prevention and Health Promotion Strategy Listening Session
Kathleen A. Ethier, PhD and Corinne M. Graffunder, DrPH, MPH, Centers for
Disease Control and Prevention
SABPAC Meeting
SOPHE Executive Board Meeting
SOPHE Health Equity Grant Meeting
Wiley/Jossey-Bass Reception (By Invitation)
SOPHE Awards Ceremony (Denver Art Museum)
Awards Afterglow (Optional-Denver Art Museum)
SUNDAY | NOVEMBER 7
time
event
room
Colorado E-F
Colorado E-F
Colorado A-D
Colorado E-F
Matchless
Denver 2
Mattie Silks
Molly Brown
room
9:00 am – 10:30 am
National SOPHE Past Presidents Breakfast
Mattie Silks
9:00 am – 11:00 am Health Promotion Practice Editorial Breakfast
Molly Brown
10:30 am – 12:30 pm
National SOPHE Old & New Executive Boards
Mattie Silks
1:00 pm - 5:00 pm
Minority Communities Advisory Committee
Silverton
MONDAY | NOVEMBER 8
time
event
12:00 pm – 2:00 pm
Health Education & Behavior Editorial Board Meeting (off site)
✯
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63
✯ 2010
SOPHE
Awards ✯ 60th Year
Proclamation
in Honor
of SOPHE’s
WHEREAS,1949 marks the year during which health education professionals first gathered to explore the organization of an
independent society representing the discipline of public health educators; and
WHEREAS, An organization known as the Society of Public Health Educators, or SOPHE, was officially founded in 1950 and
elected Clair E. Turner as its first president; and
WHEREAS, The founding fathers and mothers of SOPHE pioneered the first standards for professional preparation in health
education, which later hastened the first accreditation of Master’s of Public Health Program in Community Health Education; and
WHEREAS, SOPHE, later renamed as the Society for Public Health Education, has remained dedicated to its non-profit
mission over 60 years to improving the health of all people through education; and
WHEREAS, SOPHE provided seminal leadership in advancing the profession, including but not limited to, organizing the
first Bethesda conference, developing entry- and graduate-level health education competencies, promulgating global health
promotion competencies, articulating the first health education research agenda, developing a code of ethics, and obtaining
recognition of “health educator” as a unique Standard Occupational Classification by the Department of Labor; and
WHEREAS, Recognizing the importance of policy advocacy, SOPHE relocated to Washington, D.C., in 1995, and continues to
pursue Dorothy Nyswander’s vision today in which “justice is the same for every [person]; where dissent is taken seriously as
an index of something wrong or something needed; where diversity is expected; . . . where the best of health care is available to
all; where poverty is a community disgrace not an individual’s weakness; [and] where desires for power over [people] become
satisfaction with the use of power for people”; and
WHEREAS, SOPHE’s many decades of conferences, peer-reviewed journals, and other forums have substantially contributed
to health education research and its dissemination and translation into excellence in practice; and
WHEREAS, SOPHE’s diverse membership has enriched the research and practice base of the field as behavioral scientists,
practitioners, and students working in schools, universities, health/medical settings, community based organizations,
worksites, international agencies, and federal, state and local government; and
WHEREAS, Chapters, which have been a part of SOPHE’s fabric for more than forty years, provide a rich source of continuing
education, advocacy, networking, and partnerships that are vital to SOPHE’s continued success; and
WHEREAS, SOPHE co-sponsored research has revealed employers’ thoughts and attitudes toward the unique contributions
of professionally trained health educators and championed efforts such as National Health Education Week to bring national
attention to the unique contributions of professionally trained health educators; and
WHEREAS, Partnerships with other public and private organizations are a valued part of SOPHE’s history and have contributed to progress in health education and health promotion; therefore be it:
RESOLVED: That SOPHE substantially commit to working with other health education related organizations, both nationally
and internationally, to unify, promote and strengthen the profession;
RESOLVED: That SOPHE develop and implement a marketing and advocacy initiative promoting the value of health education specialists, as the frontline advocate for promoting health among individuals, families and communities;
RESOLVED: That during this 60th anniversary year, all SOPHE members find opportunities to give of their time, talent or
treasure at the national, chapter or local levels to help pursue SOPHE’s mission and continue to enrich the field of health
education and health promotion; and
RESOLVED: That all SOPHE members share the achievements and accomplishment of the Society by providing a copy of this
proclamation to their employers, colleagues, students, and others.
64
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n ove m b e r 4 - 6 , 2 0 1 0
Hotel Map
!
! Save These Important Dates
[ macrh 5-7, 2011 ]
14th annual health education advocacy summit
washington, dc
In collaboration with the Coalition of
National Health Education Organizations
and Partner Organizations
[ may 1-4, 2011 ]
sophe mid year meeting
albuquerque, new mexico
“A Tapestry for Change: Addressing Chronic Health
Issues in a Dynamic World”
In collaboration with the National Association
of Chronic Disease Directors
[ october 27-29, 2011 ]
sophe 62nd annual meeting
washington, dc
[ october 25-27, 2012 ]
sophe 63rd annual meeting
san francisco, california
special thanks!
special thanks to the members of colorado sophe
for all their dedication, support and hospitality
in making this conference a success!
! !
Society for Public Health Education
10 G St. NE
Ste. 605
Washington DC 20002
www.SOPHE.org

healthy people 2020 - Society for Public Health Education

Transcription

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