Community Health Partnerships Research Articles

Training Dental Teams to Address Community Health: Necessary Partnerships and Evaluation of an Evidence-Based Curriculum

Abstract: Background: Annually, 27 million Americans visit a dental professional but not a physician. Dental professionals must recognize that they are members of their patients’ primary care teams. Continuing education must then prepare them to appropriately serve their specific communities. Objectives: The objective of this paper was to describe the implementation of an evidence-based model to train dental professionals on how to respond to community-level health needs. The paper details crucial partnerships and provides evidence and key considerations for replicating the curriculum to improve population health. Methods: The Extension for Community Healthcare Outcomes (ECHO) model was used in one state where dental health care use is challenging for persons living rural, eligible for Medicaid, aging, and those who are American Indian. This formative evaluation knowledge assessments, data on participants’ changes in clinical care practice, web analytics, and artifact review to assess effective implementation strategies and necessary community partnerships. Conclusions: Successful implementation of the curriculum required active participation and partnership with state provider associations, the office of Medicaid, the state Board of Dental Licensure, and others. Without engaged partners, the curriculum would not have been community relevant, nor would it have had case presentation from local providers. In a state with only 427 practicing dentists, live attendance ranged between 9 and 22 dental team members, with between 11 and 91 views of the recorded sessions. Using the evidence-based ECHO model, which requires community health partnerships, is a cost-effective, and accessible, method to offering community specific education for dental providers across a large geographic region.

Lessons Learned in Forming an Academic-Community Partnership with Families Affected by the Juvenile Justice System

Abstract: Background: Families of youth involved in the juvenile justice system (YJJ) are integral to YJJ well-being, so it is important to consider the direct input of YJJ families as well as YJJ themselves in justice system reform efforts aiming to improve YJJ health outcomes. Objective: Our university research team partnered with one Midwest county’s juvenile court, as well as YJJ family members, to form an advisory council to the juvenile court. We report lessons learned through a case study of this council. Methods: Researchers reviewed and analyzed council records, meeting minutes, and interviews of varied stakeholders, including system representatives, leaders of similar advisory councils, and individuals with lived experience of the juvenile justice system. Lessons Learned: Council sustainability required addressing participation barriers, valuing authentic experiences, seeking out system-based champions, and identifying concrete opportunities for members to be heard. Conclusions: Investments in community health partnerships with YJJ families could improve system efforts to meet YJJ needs.

Sacred breath: Ohio nurses respond to COVID-19

In the fall of 2021, the Wick Poetry Center, a recognized international leader in creative writing interventions, launched the website Sacred Breath: Voices of Ohio Nurses in Response to COVID-19 (sacredbreathproject.com) with funding from the Ohio Nurses Foundation. The purpose of the website was to offer Ohio nurses an accessible platform to reflect on their personal and professional lived experiences as caregivers during an historic time of pandemic, sacrifice, uncertainty, and scarcity, and to share their voice with others. What resulted was 204 submissions over a three-month period with participant responses touching on widespread sentiments including grief, fatigue, anger, and resilience. It was from the gap in the current literature on pandemic narratives that the researchers of this study began a basic qualitative thematic analysis of the Sacred Breath project website (SBP) responses to gain a better understanding of how nurses, nurse educators, and nursing students made sense of and gave voice to their personal and professional lived experiences during the ongoing COVID-19 pandemic.While stories of nursing during the Covid-19 pandemic have been widely available and disseminated by popular media, academic studies have been slower to utilize qualitative and experimental methods to specifically address pandemic narratives and the resulting discourses by nurses working in and around clinical settings. The Wick Poetry Center at Kent State University has spent nearly forty years working in the community to address urgent social needs using expressive writing methods that are often overlooked by traditional social and arts outreach. The Wick Poetry Center engaged local academic networks and community health partners to invite nurses, nursing students, and nurse educators the Sacred Breath Project By evaluating responses to the intervention website, this qualitative study is aimed to fill this gap in the current literature as well as begin to understand how nurses made sense of their work lives during the ongoing Covid-19 pandemic.What does this paper contribute to the wider global clinical community?What is already known:•The COVID-19 pandemic resulted in substantial increases of alarm fatigue, moral distress, and dysfunctional coping mechanisms among clinical nurses.•Art interventions positively impact mental health conditions in nurses.What this paper adds:•This review of the Sacred Breath thematic analysis broadens the understanding of how nurses made sense of their work lives during the Covid-19 pandemic.•This review creates a new discourse about the nursing profession in times of crisis—one cocreated by practitioners, educators, students, and creative intervention participants.

Community Health Programs and Partnerships: Perspectives from Public Library Directors

This study, centered around a survey of library directors (N = 83), examines community health programming (CHP) in Michigan’s public libraries within the broader context of national CHP initiatives. Reponses indicate that while physical activity classes and food skills programs are popular, there are still challenges to overcome. These findings led us to recommendations for cultivating partnerships that can help CHP grow and flourish.

Assessing Priorities in a Statewide Cardiovascular and Diabetes Health Collaborative Based on the Results of a Needs Assessment: Cross-Sectional Survey Study.

The Ohio Cardiovascular and Diabetes Health Collaborative (Cardi-OH) unites general and subspecialty medical staff at the 7 medical schools in Ohio with community and public health partnerships to improve cardiovascular and diabetes health outcomes and eliminate disparities in Ohio's Medicaid population. Although statewide collaboratives exist to address health improvements, few deploy needs assessments to inform their work. Cardi-OH conducts an annual needs assessment to identify high-priority clinical topics, screening practices, policy changes for home monitoring devices and referrals, and preferences for the dissemination and implementation of evidence-based best practices. The results of the statewide needs assessment could also be used by others interested in disseminating best practices to primary care teams. A cross-sectional survey was distributed electronically via REDCap (Research Electronic Data Capture; Vanderbilt University) to both Cardi-OH grant-funded and non-grant-funded members (ie, people who have engaged with Cardi-OH but are not funded by the grant). In total, 88% (103/117) of Cardi-OH grant-funded members and 8.14% (98/1204) of non-grant-funded members completed the needs assessment survey. Of these, 51.5% (53/103) of Cardi-OH grant-funded members and 47% (46/98) of non-grant-funded members provided direct clinical care. The top cardiovascular medicine and diabetes clinical topics for Cardi-OH grant-funded members (clinical and nonclinical) were lifestyle prescriptions (50/103, 48.5%), atypical diabetes (38/103, 36.9%), COVID-19 and cardiovascular disease (CVD; 38/103, 36.9%), and mental health and CVD (38/103, 36.9%). For non-grant-funded members, the top topics were lifestyle prescriptions (53/98, 54%), mental health and CVD (39/98, 40%), alcohol and CVD (27/98, 28%), and cardiovascular complications (27/98, 28%). Regarding social determinants of health, Cardi-OH grant-funded members prioritized 3 topics: weight bias and stigma (44/103, 42.7%), family-focused interventions (40/103, 38.8%), and adverse childhood events (37/103, 35.9%). Non-grant-funded members' choices were family-focused interventions (51/98, 52%), implicit bias (43/98, 44%), and adverse childhood events (39/98, 40%). Assessment of other risk factors for CVD and diabetes across grant- and non-grant-funded members revealed screening for social determinants of health in approximately 50% of patients in each practice, whereas some frequency of depression and substance abuse screening occurred in 80% to 90% of the patients. Access to best practice home monitoring devices was challenging, with 30% (16/53) and 41% (19/46) of clinical grant-funded and non-grant-funded members reporting challenges in obtaining home blood pressure monitoring devices and 68% (36/53) and 43% (20/46) reporting challenges with continuous glucose monitors. Cardi-OH grant- and non-grant-funded members shared the following high-priority topics: lifestyle prescriptions, CVD and mental health, family-focused interventions, alcohol and CVD, and adverse childhood experiences. Identifying high-priority educational topics and preferred delivery modalities for evidence-based materials is essential for ensuring that the dissemination of resources is practical and useful for providers.

BUILDING COMMUNITY RELATIONSHIPS FOR MORE MEANINGFUL ENGAGEMENT WITH OLDER BLACK ADULTS

Abstract Black people are grossly underrepresented in clinical trials, especially in Oregon, where only 2% of the population is Black. The Oregon Alzheimer’s Disease Research Center’s (OADRC) Outreach, Recruitment, and Engagement (ORE) Core aims to correct this disparity by promoting research participation, fostering retention, and supporting quality experiences for Black Oregonians. Essential to this goal has been having an ORE Core that is 50% Black, leaders experienced in Black-centered cognitive health research, and a team that demonstrates commitment to community partnerships. The ORE Core engages a Community Outreach Specialist (COS) whose efforts reflect our Core’s value of “service before sign-up.” The COS differs from a traditional “recruiter” in that the focus is on community relationship-building, rather than recruitment. This can only be supported by first serving the community (e.g., joining community boards, volunteering) before asking community members to sign-up for research. The OADRC promotes research participation by supporting studies that focus exclusively on older Black health. The African American Dementia and Aging Project, supported by a valuable community health partnership, aims to understand lifestyle factors affecting cognitive health. The Sharing History through Active Reminiscence and Photo-imagery Study (SHARP) aims to improve brain health through a culturally celebratory framework centering the Black experience. As a result, SHARP has sustained high retention rates and increased Black participation in Center research. We discuss the role of ORE Cores, the role, values, and reflections of our COS, and examine how Center studies foster sustained community relationships, ultimately for more meaningful engagement within the Black community.

Optimizing Acute Sickle Cell Care at Community Health Partners Medical Center

CONCLUSION Sickle cell disease (SCD) is an inherited disease affecting more than 100,000 Black and Hispanic patients in the US. An adult with SCD has an average life expectancy of 54 years compared to 76 years in a typical US adult. This poor survival rate can be attributed to disease and race-related biases, a lack of standardized procedures and dedicated care providers, and delayed or insufficient pain management in the acute care setting. Delays and disparities in care, particularly pain management in acute care setting, have been identified as one of the key deficiencies leading to a decreased quality of care and patient reported outcomes. This SCD quality improvement project seeks to improve the quality and timeliness of acute sickle cell vaso-occlusive care by utilizing an ED pain pathway, SCD-specific inpatient order sets, and educating providers on care-related biases for patients seeking acute care at Community Health Partners Medical Center (CHP). The primary objective is to improve efficacy, timeliness and patient-centered care in order to optimize health outcomes for patients with SCD seeking acute care at CHP. This is a collaborative effort between ED, Hospitalist and Pain Management teams. By identifying areas of strength and areas for improvement, we can work towards delivering more efficient, effective, and patient-centered care, ultimately leading to better health outcomes for patients with SCD disease in need of emergency services. Using the Epic EMR, a metric dashboard was created for SCD patients to measure time from arrival to ED order placement, time from arrival to medication administration, number of inpatient admissions, and length of stay. We focused on crucial time metrics and patient outcomes to gauge the department's efficiency and quality of care for SCD Vaso-occlusive pain crisis. Our intervention included delivering an educational presentation to the ED providers regarding appropriate recognition and treatment of SCD pain episodes, and by creating ED and inpatient SCD-specific order sets. The baseline data was evaluated from 3/1/2021-2/28/2022, and metrics were followed for one year after implementation of the intervention from 3/1/22-2/28/23. After implementation, the average time from arrival to ED order placement improved from 94.9 minutes to 69.4 minutes, a difference of 25.5 minutes or 27%. The average time from arrival to medication administration improved from 158.5 minutes to 135.3 minutes, a difference of 23.2 minutes or 14.6%. The average length of stay increased from 5.7 days to 8.4 days, an increase of 2.7 days or 32.2%. By providing education and SCD-specific order sets, we were able to significantly decrease the total amount of time to medication administration for SCD patients experiencing acute pain crises. While our methods were aimed at ED providers to simplify the input of orders, it did not address the time for nursing to obtain and administer the medication; future improvements could be made towards educating nursing staff to help administer medications sooner. One complicating factor is that these metrics were evaluated during the COVID pandemic, which was responsible for an overall increase in patient admissions and length of stay during this time period. These additional burdens have strained the ability of providers and nurses to provide timely care to SCD patients, though this will hopefully continue to improve as the pandemic recedes. Additionally, the proportion of ED patients who were admitted for further management decreased marginally from 25/39(61%) to 36/63(57%) though the overall number of patients seeking care in our acute care setting has increased. This increase in the number of patients utilizing our acute care may be partly due to an expanding Sickle Cell program at our facility. This analysis shows that by providing appropriate education and using a standardized order set and pathway, we observed a significant decrease in time to order placement to facilitate a faster administration of medications. While the results indicate positive changes in the acute setting, there are opportunities for continued improvement, particularly in reducing the time from order placement to medication administration to ensure more efficient, effective, and patient-centered care.

Understanding Libraries as Part of the Rural Active Living Environment: Evidence From a Content Analysis of Library Facebook Posts Made in Summer 2022.

As both public health and public libraries continue to evolve, there are opportunities for collaboration focused on building policies, systems, and environments that support communities making healthy choices easy choices. Given the health disparities related to physical inactivity, such as diabetes and heart disease in rural America, public libraries within rural communities are emerging as important settings for health promotion and disease prevention. This study sought to better understand how rural libraries promote physical activity opportunities on Facebook. Based on a content analysis of Facebook posts of a random sample of 118 libraries made during the Summer of 2022, 47 of the 118 had at least one post related to physical activity and 42 had multiple posts. The most frequent offering was events or classes; libraries also supported physical activity by lending equipment and making changes to the built environment. This study provides evidence that some rural libraries are offering physical activity opportunities through community health partnerships, particularly for youth and families. Considering this evidence, public health professionals are encouraged to collaborate with local libraries to promote physical activity and advance rural health equity. Researchers are invited to continue to develop the evidence base around promoting physical activity with rural libraries.

Evaluation of Educational Material for Low-Literacy Populations in India

During the COVID-19 pandemic, many children from limited-literacy communities in India did not receive information regarding COVID-19 safety due to the sudden shutdown of schools. Many parents from these communities could not afford virtual learning and lacked the ability to educate the children themselves. In July 2021, the research team developed comic, coloring, and activity books to provide children with fun, yet readable, educational materials. We consulted with teachers to simplify the language and understand the popularity of different cartoon characters. Between August 2021 and January 2022, our community health partners distributed the books to two age groups, ages 6–10 (n = 116, mean age 8.72) and 11–14 (n = 81, mean age 12.05). We conducted surveys with the children during and a week after distribution to assess any change in their knowledge about COVID-19 safety. The average age of children in this study was 10.09 (SD = 2.01) years. All resided in underresourced urban communities with low literacy rates and limited education. All questions were answered more correctly in the postsurvey, with the social distancing question having the greatest and most statistically significant increase (33.6%, p < 0.0001). The average increase in knowledge among children aged 6–10 (16.9%) was greater, though not statistically significantly so, than the average increase among children aged 11–14 (4.7%). These results indicate that child-friendly books can increase health education for children ages 6–14 in low-literacy populations. Additionally, the mechanism of the program is fit to be used in other low-resource populations globally.

S10-2 U.S. CDC’s Active People Health Nation: Michigan’s Story for Promoting Physical Activity in Local Communities

Abstract Purpose Being physically active is one of the most important ways people of all ages and abilities can improve their health. Survey data show that 76 percent of Asian Americans in Michigan USA do not meet the federal physical activity minimum guidelines. Guided by Active People, Healthy Nation (APHN), a national initiative to help 27 million Americans become more physically active, the Eastern Michigan University (EMU) Racial and Ethnic Approaches to Community Health (REACH) initiative promotes physical activity through local partnerships in geographic areas where the priority population (Asian Americans) lives. Methods Working with the state department of transportation, local municipalities, public schools, faith-based organizations, local businesses, and community health partners, EMU REACH used the following strategies to increase physical activity: 1) implement policies and activities to connect pedestrian, bicycle, or transit transportation networks (i.e., activity-friendly routes) to everyday destinations. 2) launch safe routes to school programs to increase walking and bicycling to and from school and 3) promote equitable park programs and policies that make it safe and easy for residents to be physically active. The team adopted the action planning guide and assessment modules in the Active Communities Tool (ACT) to facilitate cross-sector collaborations in developing an action plan to improve the community built environments that promote physical activity. Results The EMU CHDIS has successfully reached 24,510 people impacted by new/improved policies and plans in 2018-22. In the process, our environment scan showed that people living in underserved areas and from racial and ethnic minority groups are less likely to have access to these places due to historical land use, housing, and transportation policies. Based on the results from project implementation, it is recommended that creating or modifying streets, parks, and trails to connect activity-friendly routes to everyday destinations and offer access to safe places for physical activity for people of all ages and abilities can promote active lifestyles and provide physical-active environment. Conclusion While celebrating wins through the APHN initiative in Michigan, we advocate for new supportive policies and engage with more community members to raise awareness about the new resources to maintain the active momentum.

Preventing Avoidable Rehospitalizations through Standardizing Management of Chronic Conditions in Skilled Nursing Facilities

ObjectivesThis study evaluated the impact of standardized care protocols, as a part of a quality improvement initiative (J10ohns Hopkins Community Health Partnership, J-CHiP), on hospital readmission rates for patients with a diagnosis of congestive heart failure (CHF) and/or chronic obstructive pulmonary disease (COPD) after being discharged to skilled nursing facilities (SNFs). DesignA retrospective study comparing 30-day hospital readmission rates the year before and 2 years following the implementation of the care protocol interventions. Settings and ParticipantsPatients discharged from Johns Hopkins Hospital or Johns Hopkins Bayview Medical Center to the participating SNFs diagnosed with CHF and/or COPD. MethodsThe standardized protocols included medical provider or nurse assessments on SNF admission, multidisciplinary care planning, and medication management to avoid unplanned readmissions to the hospital. Descriptive analyses were conducted to illustrate the 30-day readmission rates before and after protocol implementation. ResultsThere were 1128 patients in the pre-J-CHiP cohort and 2297 patients in the J-CHiP cohort. About half of the patients with a recorded diagnosis of CHF without COPD had the standardized protocol initiated, whereas 47% of the patients with a recorded diagnosis of COPD without CHF had the standardized protocol initiated. Of patients with recorded diagnoses of COPD and CHF, 49% had both protocols initiated. A reduction in the readmission rate was observed for patients with COPD protocols, from 23.5% in 2011 to 12.1% in 2015. However, fluctuations in the readmission rates were observed for patients who initiated the CHF protocols. Conclusions and ImplicationsThere were improvements in the readmission rates in this study, especially for patients who had initiated standardized care protocols in the SNFs. Our findings demonstrate great value in standardizing care management and strengthening collaboration with chronic care settings to facilitate a smooth transition of medically complex patients discharged from large health care systems. Future interventions could consider assessing nonclinical factors that may impact preventable hospital readmissions.

Impact of COVID-19 on mental health and social service provision in Singapore: Learnings from a descriptive mixed-methods study for future resource planning.

COVID-19 restrictions and lockdown measures have led to impact on the mental health and social service delivery, including the rapid adoption of digital solutions to mental healthcare delivery in Singapore. This study aims to rapidly document the quantitative and qualitative impact of the pandemic restrictions on mental health and social services. This descriptive mixed-methods study consisted of a survey arm and a qualitative arm. Providers and clients from eligible mental health organisations and social service agencies were recruited. The respondents completed a survey on changes to their service delivery and the extent of impact of the pandemic on their clients. In-depth interviews were also conducted with representatives of the organisations and clients. There were 31 organisation representatives to the survey, while 16 providers and 3 clients participated in the in-depth interviews. In the survey arm, all representatives reported pivoting to remote means of delivering care during the lockdown. An increase in new client referrals and more domestic violence were reported from primary and community health partners respondents who made up 55.5% of health partners respondents. Three distinct response themes were recorded in the in-depth interviews: impact on clients, impact on service provision and impact on mental health landscape. Two key findings are distilled: (1) mental health and social services have been challenged to meet the evolving demands brought about by the pandemic; (2) more societal attention is needed on mental health and social services. The findings indicate a necessary need for extensive studies on COVID-19 that can inform policies to build a more pandemic-resilient nation.

Abstract 1975: Community Engagement in Research and Clinical Trial (CERCT) program: The development of an inclusive clinical trials training program for community health workers (CHWs) and pharmacy technicians

Abstract Background: In the United States, many underrepresented minorities experience health disparities in preventative options, access to care, and participation in research. There remains a critical need for robust inclusiveness and diversity to achieve comprehensive participation in research and true health equity. Community health workers (CHWs) and pharmacy technicians may be an overlooked segment in increasing the community reach necessary in alleviating health disparities. Training individuals from and trusted by the community to educate and discuss the importance of research participation may prove an important community engagement method for achieving diversity in clinical trials. Aim: This Community Engagement in Research and Clinical Trial (CERCT) program aims to develop a training curriculum on clinical trials education and inclusivity in research for CHWs and pharmacy technicians. Methods: The CERCT program utilized qualitative methodology in expert in-depth interview sessions with clinical trials and education experts. An appropriate curriculum, content, and mode of training delivery for the program were identified. Interviews also critically reviewed the scientific information most crucial to disseminate to CHWs and Pharmacist technicians, defined the criteria for selecting the most appropriate scientific information for this level of community health partners, and characterized editorial and media management of the training modules. Results: Eleven CERCT modules were developed comprising the importance and benefits of taking part in research and biomedical trials and how to communicate it to others. Modules included 1) history of clinical trials, including past overreach and the need for biomedical research with humans; 2) human participant research studies education, including qualitative and quantitative components; 3) the difference between behavioral, biomedical, and clinical trials; 4) CHW roles in education of research participation, 5) effective communication strategies, 6) research ethics, 7) human subject protection training, 8) the role of the institutional review board, 9) eligibility to consent, 10) vulnerable populations, and 11) Good Clinical Practice training. Conclusion: Community health workers and pharmacy technicians are not a consistent avenue for disseminating clinical trial education and research inclusivity benefits. The development of a curriculum aimed at CHWs and pharmacy technicians seeks to empower more community members with the education to inform their communities and increase representation in science. By creatively engaging and educating active community partners about clinical trials, health disparities in chronic diseases such as cancer, may be alleviated. Citation Format: Jennifer M. Crook, Opeyemi Bolajoko, Folakemi Odedina. Community Engagement in Research and Clinical Trial (CERCT) program: The development of an inclusive clinical trials training program for community health workers (CHWs) and pharmacy technicians [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2023; Part 1 (Regular and Invited Abstracts); 2023 Apr 14-19; Orlando, FL. Philadelphia (PA): AACR; Cancer Res 2023;83(7_Suppl):Abstract nr 1975.

Beyond the Manuscript: Community-Driven Conversations: Partnership Building through CHEC-Ins

Beyond the Manuscript: Community-Driven Conversations: Partnership Building through CHEC-Ins Emma Tumilty, Joanne Glenn, Henrietta Barcelo, and Janine Ntihirageza Welcome to Progress in Community Health Partnerships'latest episode of our Beyond the Manuscript podcast. In each volume of the Journal, the editors select one article for our Beyond the Manuscript post-study interview with the authors. Beyond the Manuscript provides authors the opportunity to tell listeners what they would want to know about the project beyond what went into the final manuscript. In this episode of Beyond the Manuscript, Associate Editor, Emma Tumilty, interviews Joanne Glenn, Henrietta Barcelo, and Janine Ntihirageza, authors of "Community Driven Conversations: Partnership Building through CHEC-Ins." The transcript has been edited for clarity and accuracy. Your browser does not support the audio tag. Beyond the Manuscript. Click to hear audio Emma Tumilty: Welcome, everyone, to this episode of Beyond the Manuscriptpodcast for the journal Progress in Community Health Partnerships. Today, we're really excited to have some of the authors of a manuscript called "Community Driven Conversations: Partnership Building through CHEC-Ins." Today, with me, I have Janine Ntihirageza, Henrietta Barcelo, and Joanne Glenn, who I will let introduce themselves hopefully shortly. My name's Doctor Emma Tumilty. I'm an assistant professor in the Department of Bioethics and Health Humanities at the University of Texas medical branch, and an associate editor for the Journal of Progress in Community Health Partnerships. Maybe if we start off with introductions, can we maybe go to Miss Joanne Glenn first? Joanne Glenn: Well, good morning. It's so fabulous to be on this call today. I'm Joanne Glenn. I am an RN MBA, and those initials—ABD—All But Dissertation—of 47 years. Founder of the W.O.T. Foundation—Women on Top of their game—that guide breast cancer survivors through celebration of life. Emma Tumilty: Fantastic. Thank you. And Janine Ntihirageza. Janine Ntihirageza: Thank you so much, Emma. It is an honor for me to be invited to this conversation about CHECIns—one of the pillars of the Chicago CHEC, which is the Cancer Health Equity Collaborative, an organization that has become incredibly impactful here in Chicago. My name is Janine Ntihirageza. I'm a professor at Northeastern Illinois University here in Chicago, and I joined the collaborative about five years ago as a member of the outreach core, and since then, it's been wonderful to work with everybody—especially my colleagues here from the community—our community steering committee. So, I look forward to the conversation. Emma Tumilty: Thank you. And last, but certainly not least, Henrietta Barcelo, could you also introduce yourself? Henrietta Barcelo: Thank you very much. I'm Henrietta Barcelo. I'm an educator. I started my career as a health educator and I have over 25—or actually, now, 30 years of experience. I started off in health care, and rose [End Page 109]into health care marketing, and then, when back into post-secondary education as well, and then, finally, into high-school education for Health Sciences Career Academy at Institute for the Instituto del Progreso Latino in Chicago. I felt that the impact for community was very important. I needed to start at the grassroots level. So, I haven't yet gotten into the elementary school level, but I'm aiming to. Emma Tumilty: You're getting there. Henrietta Barcelo: Thank you. Emma Tumilty: Wonderful. So, I wonder if, for our listeners, you could start off telling us a little bit about that community steering committee and how it brought about the CHEC-Ins? Janine Ntihirageza: Okay. Maybe we could say something about Chicago CHEC so that we're really linking to the community work that we're trying to do. So, it is a National Cancer Institute partnership, led by Northwestern University, the University of Illinois at Chicago, and in Northeastern Illinois University, also in Chicago. So, in short, it's Chicago CHEC. And Chicago CHEC's mission is to advance cancer health equity through meaningful scientific discovery, education, training, and...

PENYULUHAN KESEHATAN: IDENTIFIKASI RESIKO DIABETES MELITUS PADA REMAJA DI SMA 8 KOTA MATARAM NUSA TENGGARA BARAT TAHUN 2022

Diabetes mellitus ( dm ) is disease characterized by the hiperglikemia and impaired metabolism of carbohydrates , fat , and protein linked by deprivation in absolute terms or relatively from work and or secretion of insulin .Is a symptom of diabetes mellitus is polidipsia , polyuria , polifagia , weight loss , and not only is diabetes mellitus at adult age , but also occurs with early adolescence .The purpose is to identifys: knowledge teenagers about diabetes mellitus .The time it takes the implementation is up to 1 week .The teenagers were respondents participate in finish this up , and bmi (body mass index) teidentifikasi normal and good knowledge teenagers .Can be expected in the local community health partnership with senior high school to more intensive counseling about preventing diabetes mellitus in adolescents .

Beyond the Manuscript: Values and Practices to Strengthen Genetic Research Partnerships with Indigenous Communities

Beyond the Manuscript: Values and Practices to Strengthen Genetic Research Partnerships with Indigenous Communities Julie Beans, Erica Woodahl, and Hal Strelnick Welcome to Progress in Community Health Partnerships’ latest episode of our Beyond the Manuscript podcast. In each volume of the Journal, the editors select one article for our Beyond the Manuscript post-study interview with the authors. Beyond the Manuscript provides the authors the opportunity to tell listeners what they would want to know about the project beyond what went into the final manuscript. In this episode of Beyond the Manuscript, Co-Editor-in-Chief, Hal Strelnick interviews Julie Beans and Erica Woodahl, authors, Values and Practices to Strengthen Genetic Research Partnerships with Indigenous Communities. Your browser does not support the audio tag. Beyond the Manuscript. Click to hear audio Hal Strelnick: Hello. I’m Hal Strelnick, and I am the co-editor-in-chief of Progress in Community Health Partnerships. This is our issue-by-issue podcast, Beyond the Manuscript. We’re asking authors of one of our articles in this issue, “Values and Practices to Strengthen Genetic Research Partnerships with Indigenous Communities,” and we have two of the co-authors of that manuscript with us today, Julie Beans and Erica Woodahl. I’m going to ask them to introduce themselves. Julie? Julie Beans: Yeah, thank you, Hal, for having us. I really appreciate it. My name is Julie Beans. My father is from St. Mary’s, Alaska, which is a small village on the lower Yukon River in Western Alaska, and my mother is from the Oneida Nation of Wisconsin, so I am Yup’ik on my father’s side and Oneida on my mother’s side. I grew up fairly split between the two communities throughout my life, so after getting my master’s degree in public health, I applied to work as a researcher with Southcentral Foundation. I have been with Southcentral Foundation, which is a tribally-owned and operated healthcare organization in Anchorage, Alaska, for about the last nine years. There, I work on several projects that address the health priorities that have been identified by the Alaska Native and American Indian community served by Southcentral Foundation. Hal Strelnick: Thank you, and you are speaking today from Anchorage, Alaska, is that correct? Julie Beans: I am, yes, I’m in Anchorage, Alaska. Hal Strelnick: I’m in the Bronx in New York, and Erica, you are in? Erica Woodahl: Thank you. I am in Missoula, Montana, and thanks, Hal. Thanks for having us. I’m excited to talk about this paper a little bit. I am a professor in the School of Pharmacy at the University of Montana, and I have been here for 15 years. I’m actually originally from Montana, so I grew up here. I left to do my undergrad and graduate work, and was fortunate enough to be able to come back to this position. My research area that is part of the focus of this paper is I’ve been working with the Confederated Salish and Kootenai Tribes on the Flathead Reservation in Northwestern Montana for the past 15 years, and we have conducted a variety of research studies focused on pharmacogenetics, so how we [End Page 593]can use an individual’s genetic information to tailor medicines to, hopefully, improve drug response and decrease adverse events. Hal Strelnick: Well, thank you. Your paper, and the title is, “Values and Practices to Strengthen Genetic Research Partnerships with Indigenous Communities,” is a rigorous summary of an all-day meeting that was held on August 19, 2019, pre-pandemic, with 40 face-to-face participants. It has 11 authors, and why don’t each of you tell me what drew you to the meeting in the first place. Erica? Erica Woodahl: Sure. This meeting was actually part of a grant that we have at both Southcentral Foundation and the University of Montana, as well as other collaborators at Oregon Health Science and University and University of Washington. We have been working together for about a dozen years...

Abstract 434: Development of virtual outreach strategies to supply cancer education and prevention information during the COVID-19 pandemic

Abstract Background: The COVID-19 pandemic has forced many individuals to continue virtually via Zoom. To accommodate this change and remain accessible, the University of Arizona Cancer Center’s Office of Community Outreach and Engagement (COE) transitioned cancer education efforts to virtual webinars and social media. These multilingual and multicultural efforts were targeted toward residents of Arizona, as well as a broader network of participants. Objective: To develop accessible, virtual programming to engage communities across Arizona during the COVID-19 pandemic to continue cancer education and health promotion efforts in bilingual (English and Spanish) webinars where possible. Methods: Utilizing a vibrant social media presence, the COE team developed a weekly webinar series, entitled Let’s Taco ‘Bout Cancer!, a monthly Morning Cat Chat webinar, and an annual “Col-Chella” festival that focuses on cancer education. These series are based on informal interviews and conversations with cancer researchers, community health partners, cancer survivors/caretakers, and community advisory board members. All presentations were streamed via Zoom, social media accounts, and YouTube to be accessible for later use. Lastly, demonstration webinars (e.g. food preparation) for healthy behaviors were also implemented. Results: Since March 2020, more than 22,000 viewers have been recorded over 122 virtual cancer-related presentations that were given. Sixty-one percent of the presentations were in English and 39% were in Spanish. Collected surveys indicate the median age of the audience is 55 years old, 77% females, and 43% community members. Twenty-nine (29) percent identify as Hispanic, 48% as non-Hispanic white, and 17% as American Indian/Alaska Native. Evaluations reported that 86% of the audience were engaged, 94% that their knowledge was increased, and 69% indicated that their knowledge is applicable. Eighty-seven (87) percent thought the research topics discussed benefits their community and 83% preferred to receive cancer education materials via email. The collected evaluations indicate the audience’s top three priorities from the cancer center include: cancer prevention, education, and patient care. Discussion: Based on collected data, offering multicultural and multilingual outreach efforts virtually has allowed the COE team to continuously operate as an educational resource serving our diverse communities. Interacting and inviting members from Arizona’s Hispanic and American Indian communities, along with health professionals, has made the Cancer Center more relative to the population it serves as well as allowing Arizona residents to hear from their own community. Overtime, in-person efforts will resume with the inclusion of virtual engagement to have a well-rounded approach. Citation Format: Monica Yellowhair, Desiree Jones, Gabriela Ruiz, Octavio Castanos, Rene D. Herrera, Juan Contreras, David O. Garcia, Jennifer Hatcher. Development of virtual outreach strategies to supply cancer education and prevention information during the COVID-19 pandemic [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2022; 2022 Apr 8-13. Philadelphia (PA): AACR; Cancer Res 2022;82(12_Suppl):Abstract nr 434.

Integrating Mixed Methods Social Network Analysis to Assess Community-Academic Partnerships.

Community-academic partnerships (CAPs) in public health are increasingly utilized to integrate community voice into decision-making processes of health-related interventions, programs, and practice. However, community partners' collaboration experiences remain understated in the literature. Thus, there is a need to further advance methodological approaches that examine the effectiveness of CAPs, while also highlighting community voice to, ultimately, improve public health outcomes. (1) To demonstrate how a practical approach to mixed methods social network analysis (MMSNA) can highlight power dynamics in community health partnerships and use MMSNA data to build relationships across stake-holders for systems change effortsMethods: MMSNA was used to examine a CAP focused on public health equity in a Midwest region. The project applied a sequential mixed methods design (QUAN → QUAL) with a network survey and individual semi-structured interviews. Both data strands served the function of expansion, where quantitative data identified what relationships existed in the network, level of activity, and factors for motivations, providing breadth of collaboration. Qualitative data further elaborated on how partners perceived these experiences, providing depth and contextualizing quantitative results. Systems level approaches must be applied to capture broader contexts (e.g., community, interpersonal, and individual) surrounding community health partnerships. The use of MMSNA maximizes benefits from a systems methodology-social network analysis-with qualitative interviews that allow for the critical assessment of network structure and community centered perspectives. Community health partnerships are encouraged to utilize this approach in order to deliver more sustainable public health efforts centered on the community that is directly impacted.

Centering Equity in Community Health Partnerships.

Centering Equity in Community Health Partnerships.

139 Engaging the public in bidirectional communications to increase research literacy and improve the health of Indiana residents through All IN for Health

OBJECTIVES/GOALS: All IN for Health has initiated social media engagement strategies to create bi-directional communication around improved health and research literacy with the public. In addition, the All IN for Healths community-led advisory board, comprised of diverse individuals and organizations, will provide insight on research design and dissemination. METHODS/STUDY POPULATION: The Indiana Clinical and Translational Sciences Institute (CTSI) has committed to enhancing the publics engagement efforts in the All IN for Health program. This program was established in 2017 to improve the health of Indiana residents through the promotion of health resources and opportunities to participate in research. In 2021, the Indiana CTSI decided to integrate public engagement more formally. An official collaboration with the Indiana CTSIs Community Health Partnerships program was created, a digital engagement specialist was hired, and several new community and population health advisory board members were welcomed for quarterly meetings representing the rural and urban areas of the state, faith-based communities, health departments, and underrepresented groups in research. RESULTS/ANTICIPATED RESULTS: A social media campaign, informed by the All IN for Health advisory board was launched in November 2021, and the advisory board has been meeting on a quarterly basis. All IN for Healths established priority area is currently COVID-19 vaccination uptake, and our prioritized audiences are underserved and under resourced in urban and rural communities, and minoritized populations. All IN for Health has posted approximately 20 times per month on topics including COVID-19, Alzeheimers Disease, Diabetes, fitness, mental health, and research studies with a goal to increase followers and engagements by 20%. The hope is that this engagement will also result in an increase in the monthly e-newsletter subscribers and study volunteer registry participants. DISCUSSION/SIGNIFICANCE: All IN for Health has initiated new public engagement efforts to increase the value of the services offered to Indiana residents. Through consultation and co-design with members of the public and dissemination of research opportunities All IN for Health will be better suited to improve health and research literacy.